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The Effect of Soursop Leaf Extract in Reducing Pain in Gout Arthritis Dimas Hadi Prayoga; Wimar Anugrah
Journal of Ners and Midwifery Vol 10 No 3 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v10i3.ART.p321-328

Abstract

Gout arthritis is a disease characterized by pain caused by deposits of monosodium crystals that accumulate in the joints due to high levels of uric acid in the blood. Currently, pain management treatment for gout arthritis patients focuses on pharmacological treatment by providing analgesics to relieve pain. Soursop leaf extract has been proven to have an effect in reducing pain, but there has been no research regarding the effect of boiled soursop leaves to reduce it. The aim of this study was to analyze the effect of giving soursop leaf decoction on reducing pain in gout arthritis patients. The research used a quasi-experimental design with a one group pre-posttest design. The sample selected by using purposive sampling technique, totaling 18 people. The independent variable was soursop leaf decoction. The dependent variable was the pain in gout arthritis. The data analysis used the Wilcoxon Signed Ranks Test statistical test. The compounds contained in soursop leaves function as a strong analgesic (pain reliever) and have antioxidant properties. The antioxidant properties contained in soursop leaves can reduce the formation of uric acid by inhibiting the production of the enzyme xanthine oxidase. This combination of analgesic and anti-inflammatory properties can reduce gout. This study found that there was an effect of giving soursop leaf decoction on reducing pain in gout arthritis patients.
The Influence of Sociodemographic Factors on Stress Levels Among Pulmonary Tuberculosis Patients: A Health Belief Model-Based Study Suhendra Agung Wibowo; Dimas Hadi Prayoga; Ronal Surya Aditya; Apriana Rahmawati; Ifa Nofalia
Health and Technology Journal (HTechJ) Vol. 3 No. 6 (2025): December 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i6.513

Abstract

Pulmonary tuberculosis (TB) imposes not only physical but also substantial psychological burdens, particularly stress, which may compromise treatment adherence and outcomes. While the Health Belief Model (HBM) has been widely applied to predict TB treatment behaviors, its utility in explaining how sociodemographic factors shape stress levels remains underexplored. This cross-sectional study aimed to examine the association between sociodemographic characteristics and stress among 150 pulmonary TB patients in Jombang Regency, Indonesia, using the HBM as a theoretical lens. Stress was assessed using the Depression Anxiety Stress Scale–42 (DASS-42), with 62.7% of participants reporting moderate to severe stress. Chi-square and binary logistic regression analyses revealed that education (p = 0.012; OR = 1.89, 95% CI: 1.10–3.25), marital status (p = 0.021; OR = 1.72, 95% CI: 1.05–2.80), and occupation (p = 0.008; OR = 2.45, 95% CI: 1.30–4.60) were significantly associated with stress levels, whereas age and gender were not (p > 0.05). Occupation emerged as the strongest predictor, with unemployed or informally employed patients more than twice as likely to experience high stress. These findings underscore the role of perceived barriers and self-efficacy—core HBM constructs shaped by sociodemographic context—in influencing psychological distress. Integrating tailored psychosocial support into TB care is essential to mitigate stress and enhance treatment success.
Implementation Of The Tell-Show-Do Method In The Development Of Holistic Learning: Optimizing The Achievements Of 3 Learning Domains (Cognitive, Affective, Psychomotor) zuhroidah, Ida; Sujarwadi, Mokh.; Toha, Mukhammad; Prayoga, Dimas Hadi
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 2 (2025): June
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i2.1460

Abstract

Introduction: Comprehensive competency, the integration of three learning domains (cognitive, affective, and psychomotor), is the primary target for graduates in nursing education. In reality, these three learning domains are often not achieved through conventional learning methods. The Tell-Show-Do method is expected to provide an effective solution for achieving holistic learning simultaneously. The purpose of this study is to analyze the effectiveness of the Tell-Show-Do method in optimizing holistic learning outcomes (cognitive, affective, and psychomotor). Methods: This quasi-experimental study, with a pre-test, post-test, and control group design, involved 122 D3 Nursing students from the Pasuruan City Campus, divided into two groups: treatment (n=61) and control (n=61). Data were analyzed using the Paired Sample T-Test, Independent Sample T-Test, and Mann-Whitney U test, with a significance level of α=0.05. Results: The TSD method showed convincing significance in all three domains: Cognitive (Δ=+7.77, p<0.001, d=2.76), Affective (Δ=+9.72, p<0.001, d=3.47), and Psychomotor (Δ=+10.26, p<0.001, d=3.80). The control group did not show any significant improvement (p>0.05). Conclusions: The Tell-Show-Do method has a significant impact on all three domains of learning outcomes, particularly psychomotor skills. Recommendation: Integrate TSD into the nursing education curriculum.