Mona Isabella
Universitas Muhammadiyah Surakarta

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Relationship Between Prenatal Class and Anxiety Levels oPregnant Women Facing Normal Delivery at Kartasura Community Health Center Mona Isabella; Sulastri Sulastri
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.21663

Abstract

Fear during pregnancy often arises related to miscarriage, fetal abnormalities and normal delivery. This anxiety increases as labor approaches. Health care providers need to provide comprehensive psychological care and support, such as through prenatal classes that increase the knowledge of pregnant women. This study aims to determine the relationship between prenatal classes and anxiety levels in pregnant women who will face normal delivery at the Kartasura Health Center. This study is a quantitative analytical study with a cross-sectional research design. The study will be conducted at the Kartasura Health Center and can be implemented in May 2024. The population in this study were 258 pregnant women who visited the Kartasura Health Center. The sampling technique was purposive sampling so that a research sample of 72 people was obtained. Data collection with a questionnaire in the form of interviews. Data analysis used Univariate and Bivariate analysis with the Chi-Square test. The results showed that there was a significant relationship between prenatal classes and the level of anxiety of pregnant women facing normal delivery at the Kartasura Health Center (p-value = 0.028). The implementation of prenatal classes can be given more attention. Health workers try to increase awareness of pregnant women about the importance of attending prenatal classes to improve knowledge and health, both physically and mentally, of pregnant women. Keywords: Prenatal class, Anxiety, Normal labor
Effectiveness of Providing Snakes and Ladders Game-Based Education to Mothers With Toddlers Regarding Stunting Prevention Mona Isabella; Abi Muhlisin
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.1853

Abstract

Stunting is a chronic nutritional problem that affects the growth and development of toddlers. Increasing mothers’ knowledge through interactive educational media is one of the prevention efforts. This study aims to determine the effectiveness of snakes and ladders game-based education on stunting prevention at the Lorog Tawangsari Posyandu. The method used was a quantitative descriptive case study with purposive sampling of 15 mothers with toddlers. Knowledge was measured using pre-test and post-test questionnaires. The results showed an increase in good knowledge from 13.3% to 80% and a decrease in poor knowledge from 66% to 0%. Snakes and ladders game-based education is effective in increasing maternal knowledge and can be used as an alternative health education method.
The Effectiveness of Intradialytic Exercise on Fatigue Levels in Patients with Chronic Kidney Disease Undergoing Hemodialysis: A Systematic Review Mona Isabella; Tri Hadi Ningsih; Aurrell Adna Kusuma; Arina Maliya; Erni Susanti
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.1923

Abstract

Chronic Kidney Disease (CKD) is a global health problem requiring long-term renal replacement therapy, including hemodialysis. Although hemodialysis is essential for survival, patients often experience fatigue, which negatively impacts functional capacity, daily activities, and quality of life. One non-pharmacological approach to reducing fatigue is intradialytic exercise, defined as physical activity performed during hemodialysis sessions. This systematic review aimed to evaluate the effectiveness of intradialytic exercise in reducing fatigue levels in patients with chronic kidney disease undergoing hemodialysis. The systematic review was conducted using the PICO framework. Articles published between 2020 and 2025 were identified from PubMed, ScienceDirect, and Google Scholar databases. A total of 137 articles were retrieved, and inclusion criteria were selected using full-text studies with quasi-experimental designs, randomized controlled trials, or pre-experimental studies examining intradialytic exercise and fatigue outcomes in hemodialysis patients. Study selection followed PRISMA guidelines, and data were extracted based on study design, sample size, intervention type, and outcomes. Therefore, ten articles that met the inclusion criteria were used. Findings consistently demonstrate that intradialytic exercise, including flexibility, aerobic, resistance, and stretching exercises, significantly reduces fatigue levels in patients undergoing hemodialysis. Several studies also report improvements in activity tolerance and dialysis adequacy. Intradialytic exercise is an effective and safe non-pharmacological nursing intervention to reduce fatigue in CKD patients undergoing hemodialysis. Integrating intradialytic exercise into routine hemodialysis care can improve patient well-being and quality of life.