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All Journal Journal of Health Sciences Gaster
Madulara Martin, Neil
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Health Professions Medicine & Pharmacology Nursing Public Health

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The Correlation between Stress and Mental-Emotional Disorders in Older Adults at the Geriatric Polyclinic of Udayana Level II Hospital, Denpasar Puspa Dewi, Triyana; Yudhawati, Ni Luh Putu Suardini; Wardani, Silvia Intan; Serinadi, Desak Made; Madulara Martin, Neil
Jurnal Ilmiah Kesehatan Vol 18 No 03 (2025): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v18i03.6213

Abstract

Mental-emotional disorder in older adults may arise as a result of stress that is not adequately managed. This study analyzes the correlation between stress and mental-emotional disorders in older people at the Geriatric Polyclinic of Udayana Level II Hospital, Denpasar. It used a quantitative method with a cross-sectional approach. The population consisted of 337 older adult patients receiving treatment at the Geriatric Polyclinic of Udayana Level II Hospital, with a sample size of 183 individuals. The sampling technique was purposive sampling. The Perceived Stress Scale (PSS-10) was an instrument to measure stress, and the Self Rating Questionnaire (SRQ-20) for mental-emotional disorders. The univariate analysis described the characteristics of the respondents, and the bivariate analysis evaluated the correlation between both variables using Spearman's rank correlation. Almost half of the respondents were 65-74 years old, 78 respondents (42.6%). Half of them were female, 99 respondents (54%). In addition, 62 or 33.88% of respondents graduated from a Senior High School. Most respondents experienced a moderate stress level of 134 respondents (88.5%) and mental-emotional disorders of 158 respondents (86.3%). Most respondents with moderate stress levels experienced mental-emotional disorder (66.12%). The Spearman's Rank Correlation obtained p=0.036 (p<0.05), indicating a significant correlation between stress levels and mental-emotional disorder in older people. Stress levels correlate with mental and emotional disorders in older people at the Geriatric Polyclinic of Udayana Level II Hospital, Denpasar. Efforts to recognize stress early, especially in older adults, are essential.
Game-Based Education Improves Stunting Knowledge And Healthy Behaviors Among Primary Students Armynia Subratha, Hesteria Friska; Ayu Diah Purnama Sari, Ida; Diah Purnamayanti, Ni Kadek; Dwi Cahyoko, Fajar; Madulara Martin, Neil
Gaster Vol 24 No 1 (2026): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v24i1.2403

Abstract

Introduction: Stunting remains a major public health challenge in Indonesia, particularly among school-age children, reflecting persistent gaps in nutrition knowledge and health-related behaviors. Conventional health education approaches often show limited effectiveness in engaging children, highlighting the need for more interactive and context-appropriate strategies. Gamification has emerged as a promising approach to enhance learning engagement, yet evidence on its application in nutrition education within local settings remains limited. Objective: To examine the effectiveness of a game-based health education intervention in improving nutrition knowledge and attitudes related to stunting prevention among elementary school students. Method: A quasi-experimental design with a pretest–posttest approach was conducted among elementary school students selected using purposive sampling. The intervention consisted of nutrition education delivered through a modified snakes and ladders game. Data on students’ knowledge and attitudes were collected using structured questionnaires before and after the intervention. Statistical analyses were performed to assess changes in outcomes following the intervention. Result: The findings demonstrated a significant improvement in both nutrition knowledge and attitudes after the implementation of the game-based education intervention. Students showed higher engagement during learning sessions, indicating that interactive media facilitated better understanding of balanced nutrition and stunting prevention concepts. Conclusion: Game-based nutrition education is an effective and feasible strategy to enhance students’ knowledge and attitudes related to stunting prevention. Despite limitations related to study design and sample size, these findings support the integration of gamified learning approaches into school health programs. Future studies are recommended to assess long-term behavioral outcomes within broader policy frameworks.
Co-Authors Ayu Diah Purnama Sari, Ida Diah Purnamayanti, Ni Kadek Dwi Cahyoko, Fajar Hesteria Friska Armynia Subratha Puspa Dewi, Triyana Serinadi, Desak Made Wardani, Silvia Intan Yudhawati, Ni Luh Putu Suardini