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All Journal Jurnal Keperawatan Public Health of Indonesia Belitung Nursing Journal Nurse and Health: Jurnal Keperawatan Community Service Journal of Indonesia Indonesian Journal of Community Health Nursing Kosala : Jurnal Ilmu Kesehatan Jurnal Pengabdian dan Pemberdayaan Nusantara (JPPNu) Nurse and Holistic Care Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Jurnal Abdimas Pamenang Journal of Indonesian Public Health Service
Kusuma Wijaya Ridi Putra
Bachelor Of Nursing Science Study Program, College Of Health Science Of Jombang, East Java Province, Indonesia, Postal Address: 61481
Humanities Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences

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REDUCING WORK-RELATED MUSCLE PAIN THROUGH STRETCHING: A QUASI-EXPERIMENTAL COMMUNITY NURSING STUDY IN PASURUAN, INDONESIA Ana, Karisma Dwi; Kusyani, Asri; Darsini, Darsini; Putra, Kusuma Wijaya Ridi
Indonesian Journal of Community Health Nursing Vol. 11 No. 1 (2026): FEBRUARY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v11i1.74367

Abstract

Introduction: Work-related muscle pain is a common health problem among beauty clinic workers due to prolonged standing and repetitive movements. Stretching exercises are recognized as a low-cost, non-pharmacological intervention for preventing and reducing musculoskeletal discomfort. This study aimed to evaluate and compare the effectiveness of supervised and unsupervised stretching programs in reducing muscle pain among beauty clinic workers.   Method: A quasi-experimental study employing a two-group pretest–posttest design was conducted with 84 participants recruited from two beauty clinics in Pasuruan, Indonesia. Participant selection was based on predetermined inclusion and exclusion criteria established by the researchers. At Clinic A, participants received supervised stretching exercises facilitated by a community health nurse, whereas at Clinic B, the same stretching routine was carried out independently using printed guidelines. Pain intensity was assessed using the Numeric Rating Scale (NRS) both before and after a two-week intervention period. Data analysis was performed with the Wilcoxon Signed-Rank Test and the Mann–Whitney U Test.   Result: Both groups experienced a significant reduction in muscle pain after the intervention (p < 0.001). However, Clinic A showed a greater improvement in pain reduction compared to Clinic B (p = 0.025), indicating the added benefit of professional supervision.   Conclusion: Stretching is an effective strategy for reducing work-related muscle pain, and supervision by community health nurses enhances its effectiveness. This finding supports the integration of structured stretching programs into workplace health promotion, particularly in service sectors with high physical demands. This highlights the vital role of community health nurses in workplace musculoskeletal prevention and the importance of integrating nurse-led initiatives into occupational health programs.   Keywords: Muscle pain, stretching exercise, workplace intervention, community health nursing; beauty clinic workers.
ENHANCING BREAST SELF-EXAMINATION KNOWLEDGE AMONG ADOLESCENT GIRLS: A QUASI-EXPERIMENTAL STUDY OF AUDIOVISUAL AND LEAFLET-BASED EDUCATION IN JOMBANG, EAST JAVA, INDONESIA Putra, Kusuma Wijaya Ridi; Sholikhah, Dwi Uswatun; Kurniawan, Vendi Eko
Indonesian Journal of Community Health Nursing Vol. 11 No. 1 (2026): FEBRUARY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v11i1.78275

Abstract

Introduction: Breast cancer is the leading cause of cancer-related death among women, with cases increasingly found in younger populations. Early detection through breast self-examination (BSE) is an effective preventive measure, yet knowledge among Indonesian adolescents remains limited. This study aimed to examine the effectiveness of audiovisual and leaflet-based education in improving knowledge of BSE among adolescent girls.   Method: A quasi-experimental two-group pretest–posttest design was conducted among seventh- and eighth-grade female students at SMP Negeri 1 Peterongan, Jombang, Indonesia. From a population of 264 students, the sample size was determined using the Krejcie and Morgan formula, yielding 157 participants. To balance the groups, 160 students (80 per group) were recruited. Proportional random sampling was applied. Knowledge levels were measured using a validated questionnaire. Data were analyzed using the Wilcoxon signed rank test and One-Way ANOVA.   Result: Before intervention, most students in the audiovisual group demonstrated poor knowledge (52.5%), while most in the leaflet group had moderate knowledge (50%). After intervention, knowledge levels significantly improved in both groups (p < 0.001). In the audiovisual group, 90% achieved good knowledge, whereas in the leaflet group, 60% maintained moderate knowledge. One-Way ANOVA confirmed a significant difference between groups (p < 0.001), with audiovisual media showing greater effectiveness.   Conclusion: Audiovisual education proved more effective than leaflet-based education in enhancing adolescent girls’ knowledge of BSE. Integrating audiovisual methods into school health programs may strengthen early breast cancer awareness and prevention efforts among young populations.   Keywords: Breast self-examination, adolescent girls, audiovisual media, leaflet, health education.
Bay Leaf Decoction as A Complementary Therapy for Hypercholesterolemia: Evidence from a Community Health Center in East Java Province, Indonesia Enny Puspita; Kusuma Wijaya Ridi Putra; Darsini; Asri Kusyani
Public Health of Indonesia Vol. 12 No. 2 (2026): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i2.1403

Abstract

Background: Hypercholesterolemia remains a major public health concern in Indonesia, contributing to increased cardiovascular risk. While statins are effective, their long-term use poses safety and accessibility challenges, prompting interest in complementary herbal therapies. Objective: This study aimed to evaluate the short-term effectiveness of a traditionally prepared bay leaf (Syzygium polyanthum) decoction, administered at 400 ml per day for 14 days, in reducing total cholesterol levels among individuals with hypercholesterolemia in a community health center setting. Methods: A quasi-experimental design was conducted at the Bangil Community Health Center, East Java, involving 100 Prolanis participants aged ≥35 years. The intervention group (n = 50) received 400 ml/day of bay leaf decoction for 14 days, while the control group (n = 50) received standard dietary counseling. Total cholesterol levels were measured before and after the intervention using a validated point-of-care device. Data were analyzed using the Wilcoxon Signed-Rank and Mann–Whitney U tests. Results: The intervention group showed a significant reduction in total cholesterol from 235.4 ± 18.2 mg/dL to 193.2 ± 16.7 mg/dL (p < 0.001), whereas the control group exhibited a non-significant decrease. The between-group difference was statistically significant (p < 0.001), with no adverse effects reported. Conclusion: Bay leaf decoction is a safe, effective, and culturally appropriate complementary therapy for managing hypercholesterolemia. Its integration into community-based healthcare may enhance cardiovascular disease prevention, particularly in resource-limited settings.
PSYCHOSOCIAL AND INTERPERSONAL FACTORS INFLUENCING DIABETES SELF-MANAGEMENT: THE ROLES OF SELF-EFFICACY, PSYCHOLOGICAL STRESS, FAMILY SUPPORT, AND HEALTHCARE COMMUNICATION Eliza Zihni Zatihulwani; Kusuma Wijaya Ridi Putra; Karisma Dwi Ana
Nurse and Holistic Care Vol. 6 No. 1 (2026): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v6i1.8725

Abstract

Background: Diabetes mellitus is a major global health challenge requiring lifelong self-management. Optimal diabetes self-management is influenced not only by clinical factors but also by psychosocial and interpersonal aspects, including self-efficacy, psychological stress, family support, and healthcare communication. Objective: This study aimed to analyses the influence of psychosocial and interpersonal factors on diabetes self-management among patients with Type 2 Diabetes Mellitus (T2DM). Methods: A cross-sectional analytical study was conducted among 50 T2DM patients at RSUD Jombang from January to March 2025. Data were collected using validated instruments, including the Summary of Diabetes Self-Care Activities (SDSCA), Diabetes Management Self-Efficacy Scale (DMSES), Perceived Stress Scale (PSS-10), Multidimensional Scale of Perceived Social Support (MSPSS), and a healthcare communication questionnaire. Data analysis included descriptive statistics, correlation tests, and multiple linear regression. Results: Self-efficacy showed a significant positive correlation with diabetes self-management (r = 0.521; p = 0.001), while psychological stress showed a significant negative correlation (r = -0.463; p = 0.002). Family support (r = 0.487; p = 0.001) and healthcare communication (r = 0.455; p = 0.003) were positively associated with self-management. Multiple regression analysis revealed that all variables significantly influenced diabetes self-management, with self-efficacy as the strongest predictor (β = 0.41; p = 0.002). The model explained 50.7% of the variance. However, this study is limited by its cross-sectional design, small sample size, and reliance on self-reported data, which may affect generalizability and causal interpretation. Conclusion: Psychosocial and interpersonal factors significantly influence diabetes self-management. Interventions should focus on improving self-efficacy, reducing stress, enhancing family support, and strengthening healthcare communication to improve patient outcomes.
STRENGTHENING ELDERLY HEALTH PROMOTION: A COMMUNITY-BASED APPROACH TO DIABETES MELLITUS PREVENTION Dwi Uswatun Sholikhah; Eliza Zihni Zatihulwani; Asri Kusyani; Yusiana Vidhiastutik; Enny Puspita; Aditya Nuraminudin Aziz; Kusuma Wijaya Ridi Putra
Journal of Indonesian Public Health Service Vol. 3 No. 1 (2026): Volume 3, Issue 1, May 2026
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/jiphs.v3i1.117

Abstract

Diabetes mellitus is a growing public health concern, particularly among older adults, due to age-related metabolic changes and lifestyle factors. In Indonesia, the increasing prevalence of diabetes highlights the need for effective community-based preventive strategies, especially through health promotion at the posyandu lansia level. This study aimed to strengthen elderly health promotion by implementing a community-based health education program to improve knowledge and awareness of diabetes mellitus prevention. A community service-based intervention was conducted on January 20, 2026, in Sentulan Hamlet, Bongkot Village, Peterongan District, Jombang. The participants were elderly individuals attending the local posyandu lansia. The intervention included health education sessions on diabetes mellitus, its risk factors, symptoms, and prevention through a healthy lifestyle, followed by free blood glucose screening. Educational methods included lectures, discussions, and distribution of leaflets. Evaluation was conducted through participant engagement and responses during the session. The program was well received by participants, who actively engaged in discussions and demonstrated increased understanding of diabetes prevention. The blood glucose screening also provided early detection opportunities and increased awareness of individual health status among the elderly. The combination of education and screening proved to be an effective strategy in enhancing health awareness. Community-based health education combined with blood glucose screening is an effective approach to strengthening diabetes prevention efforts among the elderly. This model can be implemented in similar community settings to promote healthy aging and reduce the risk of chronic diseases. The evaluation process was conducted using observational assessment, participant engagement monitoring, interactive question-and-answer sessions, and feedback from elderly participants and community cadres.
Co-Authors Aditya Nuraminudin Aziz Anam, Akhmad Khoirul Anggraini Dwi Kurnia Anik Amila Anju Andayani Annisa, Faida Anugraheni, Junaidah Apri Wijaya Apriliyani Ayu Lestyaningsih Ashley Syahira Asri asri Asri Kusyani Asri Kusyani Baroroh Barir Chanandchidadussadee Toonsiri Chanandchidadussadee Toonsiri Chanandchidadussadee Toonsiri Choirunnisak, Dilla Riksa Darsini Darsini . . Diana, Meli Dimas Hadi Prayoga Dimyati Dimyati Dwi Uswatun Sholikhah Dwi Uswatun Sholikhah Eliza Zihni Zatihulwani Eliza Zihni Zatihulwani Eliza Zihni Zatihulwani Elly Rustanti Enny Puspita Enny Puspita Enny Puspita Erfian Heris Ardianto Fakhrun Nisa Fiddaroini Fatmawati, Zeny Febriany Carla Prameswary Fikri, M.Kep, Zahid Gerina Dwi Agustina Gevi Melliya Sari Heris, Erfian Hidayah, Hilda Nur Imron, Khoiri Ahmad Fauzi Karisma Dwi Ana Karisma Dwi Ana Khoiri Ahmad Fauzi Imron Kholis, Moh. Agung Nur Kusyani, Asri Leli Anggita Lestari, Marlita Dewi Listari, Risti Puji Mahfudh Jamil Marita Milenia Mu'jizah, Khikmatul Muchamad Indra Ardian Muhammad Ari Arfianto Muhammad Rosyidul Ibad Muniroh Muniroh Nafarotul Ilmiyah Najah Soraya Niah Nanang Bagus Sasmito Ninik Murtiyani Ninik Murtiyani Prawito Prawito . Putri, Diah Pitaloka Rahmania, Nima Eka Nur Reksa, Moh. Bahrawi Angga Riesmiyatiningdyah Riesmiyatiningdyah Riesmiyatiningdyah, Riesmiyatiningdyah Risa Dwi Prianti Riza Umami Roghodatul Aisy Rohmawati, Nina Rizka Roni Setiawan Sari, Winda Puspa Sekar Mega Oktavino Shelly Mujidah Sherly Ayunda Sisilia Ayu Titania Tangkelajuk Sri Wahyuni Ahmad Sukati Sarmin Sulistyowati, Agus Sunardi Sunardi Susila Nur Islami Suwanna Junprasert Syafirah, Dina Sylvie Puspita Tita Hiyasti Toonsiri, Chanandchidadussadee Vendi Eko Kurniawan Vivi Oktavia Widhya Endah Pratiwi Wijayanti, Dini Prastyo Wilianarti, Pipit Festi Yumiati Yusiana Vidhiastutik Yusiana Vidhiastutik Zahid Fikri