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All Journal Jurnal Kesehatan Komunitas Indonesia Journal of Rural Community Nursing Practice Journal of Rural Community Nursing Practice
Zainal Abidin
Faculty of Nursing, University of Jember, Indonesia
Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences

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 1 
The Effect of Pineapple (Ananas comosus L.) Juice Therapy on Reducing Uric Acid and Pain in the Elderly in Jatiroto Village Umi Latifah; Zainal Abidin; Widya Addiarto
Jurnal Kesehatan Komunitas Indonesia Vol 6 No 1: April 2026
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v6i1.629

Abstract

Background: Gout arthritis is a prevalent degenerative joint disease among the elderly, characterized by hyperuricemia and joint pain due to monosodium urate crystal deposition. In Indonesia, its prevalence reaches 11.9%, highlighting the need for accessible, non-pharmacological interventions. Pineapple (Ananas comosus L.) contains bromelain and vitamin C, which exhibit anti-inflammatory and uricosuric properties. Objective: This study aimed to evaluate the effect of pineapple juice therapy on pain reduction and uric acid levels in elderly patients with gout arthritis. Methods: A quasi-experimental one-group pretest–posttest design was employed. Thirty elderly gout patients in Kotokan Hamlet, Jatiroto Village, were selected using a total sampling method. The intervention consisted of 200 mL of fresh pineapple juice consumed daily for seven days. Pain intensity was measured using the Numeric Rating Scale (NRS), and serum uric acid levels were assessed with a portable uric acid meter. Data were analyzed using the Wilcoxon signed-rank test (α = 0.05). Results: Post-intervention, pain levels decreased significantly, with 73% of respondents reporting mild pain and 27% reporting no pain. Uric acid levels also shifted significantly from 100% hyperuricemic at baseline to 33% within normal limits and 67% below normal post-intervention (p = 0.000). Conclusion: Pineapple juice therapy effectively reduces both pain intensity and uric acid levels in elderly individuals with gout arthritis. It is recommended as a safe, cost-effective, and complementary non-pharmacological therapy for community-based gout management.
The Correlation Between Medication Adherence and Disability among Leprosy Patients in Kunir Public Health Center, Lumajang Sampiyono; Ainul Yaqin Salam; Zainal Abidin
Journal of Rural Community Nursing Practice Vol. 4 No. 1 (2026): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i1.630

Abstract

Background: Leprosy is a chronic infectious disease that can lead to permanent disability if not properly managed, especially due to non-adherence to the Multi-Drug Therapy (MDT) regimen. Medication adherence plays a crucial role in preventing disease progression and the onset of disability. Purpose: This study aimed to examine the relationship between medication adherence and the level of disability among leprosy patients in Kunir Public Health Center, Lumajang. Methods: This research employed a quantitative, correlational design to examine the relationship between medication adherence and disability level among leprosy patients. The study population comprised all leprosy patients in Kunir Public Health Center, with a total of 14 respondents selected using total sampling. The research instruments used were the MMAS-8 questionnaire to assess adherence and the POD scale to assess disability. Data were analyzed using the Spearman Rank test with a significance level of p < 0.05. Results: Most patients had moderate medication adherence (50%), and the majority experienced Grade 1 disability (42.9%). The Spearman test revealed a significant relationship between medication adherence and disability level (p = 0.000; r = 0.930), indicating that higher adherence is associated with lower levels of disability. Conclusions: Regular and timely MDT treatment can suppress disease progression and prevent nerve damage leading to disability. Therefore, improving medication adherence should be a priority in primary healthcare-based leprosy control programs.
The Relationship Between Satisfaction and Expectations of the Healthcare Community and the Quality of Services in the Emergency Unit of the Klakah Community Health Center, Lumajang Ulva Kurnia Chahyanti; Zainal Abidin; Ainul Yaqin Salam
Journal of Rural Community Nursing Practice Vol. 4 No. 1 (2026): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i1.631

Abstract

Background: The quality of healthcare services is a crucial aspect of service delivery, particularly in emergencies, where timeliness and effectiveness are crucial for patient safety. As a primary healthcare facility, the Klakah Community Health Center plays a crucial role in providing emergency services to the community through its Emergency Unit (ER). However, the quality of services provided in the ER is often influenced by various factors, including community satisfaction and expectations. Purpose: This study aims to determine the relationship between community satisfaction and expectations regarding the quality of healthcare services in the emergency room of the Klakah Community Health Center, Lumajang. Methods: This study is a cross-sectional study. The population in this study consisted of all patients/patients' families who visited the emergency room at the Klakah Community Health Center, Lumajang. A total of 50 respondents were selected. Accidental sampling was used. To determine the effect of the two variables, a Spearman's rank correlation test was conducted at the 0.05 significance level. Results: The Spearman Rank test yielded a p-value of 0.000 (< 0.05), indicating a significant relationship between satisfaction and the quality of emergency room healthcare services, with a coefficient of 0.675 indicating a strong correlation. The Spearman Rank test yielded a p-value of 0.000 (< 0.05), indicating a significant relationship between expectations and the quality of emergency room healthcare services, with a coefficient of 0.604, indicating a strong correlation. Conclusions: Therefore, public satisfaction and expectations significantly influence perceptions of service quality in the emergency room. Patients with high expectations for speed, accuracy, and service friendliness will perceive the emergency room as good if these expectations are met.
The Correlation Between Medication Adherence and Disability among Leprosy Patients in Kunir Public Health Center, Lumajang Sampiyono; Ainul Yaqin Salam; Zainal Abidin
Journal of Rural Community Nursing Practice Vol. 4 No. 1 (2026): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i1.630

Abstract

Background: Leprosy is a chronic infectious disease that can lead to permanent disability if not properly managed, especially due to non-adherence to the Multi-Drug Therapy (MDT) regimen. Medication adherence plays a crucial role in preventing disease progression and the onset of disability. Purpose: This study aimed to examine the relationship between medication adherence and the level of disability among leprosy patients in Kunir Public Health Center, Lumajang. Methods: This research employed a quantitative, correlational design to examine the relationship between medication adherence and disability level among leprosy patients. The study population comprised all leprosy patients in Kunir Public Health Center, with a total of 14 respondents selected using total sampling. The research instruments used were the MMAS-8 questionnaire to assess adherence and the POD scale to assess disability. Data were analyzed using the Spearman Rank test with a significance level of p < 0.05. Results: Most patients had moderate medication adherence (50%), and the majority experienced Grade 1 disability (42.9%). The Spearman test revealed a significant relationship between medication adherence and disability level (p = 0.000; r = 0.930), indicating that higher adherence is associated with lower levels of disability. Conclusions: Regular and timely MDT treatment can suppress disease progression and prevent nerve damage leading to disability. Therefore, improving medication adherence should be a priority in primary healthcare-based leprosy control programs.
The Relationship Between Satisfaction and Expectations of the Healthcare Community and the Quality of Services in the Emergency Unit of the Klakah Community Health Center, Lumajang Ulva Kurnia Chahyanti; Zainal Abidin; Ainul Yaqin Salam
Journal of Rural Community Nursing Practice Vol. 4 No. 1 (2026): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i1.631

Abstract

Background: The quality of healthcare services is a crucial aspect of service delivery, particularly in emergencies, where timeliness and effectiveness are crucial for patient safety. As a primary healthcare facility, the Klakah Community Health Center plays a crucial role in providing emergency services to the community through its Emergency Unit (ER). However, the quality of services provided in the ER is often influenced by various factors, including community satisfaction and expectations. Purpose: This study aims to determine the relationship between community satisfaction and expectations regarding the quality of healthcare services in the emergency room of the Klakah Community Health Center, Lumajang. Methods: This study is a cross-sectional study. The population in this study consisted of all patients/patients' families who visited the emergency room at the Klakah Community Health Center, Lumajang. A total of 50 respondents were selected. Accidental sampling was used. To determine the effect of the two variables, a Spearman's rank correlation test was conducted at the 0.05 significance level. Results: The Spearman Rank test yielded a p-value of 0.000 (< 0.05), indicating a significant relationship between satisfaction and the quality of emergency room healthcare services, with a coefficient of 0.675 indicating a strong correlation. The Spearman Rank test yielded a p-value of 0.000 (< 0.05), indicating a significant relationship between expectations and the quality of emergency room healthcare services, with a coefficient of 0.604, indicating a strong correlation. Conclusions: Therefore, public satisfaction and expectations significantly influence perceptions of service quality in the emergency room. Patients with high expectations for speed, accuracy, and service friendliness will perceive the emergency room as good if these expectations are met.
Co-Authors Ainul Yaqin Salam Sampiyono Ulva Kurnia Chahyanti Umi Latifah Widya Addiarto