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The effect of physical activity in efforts to reduce the incidence of hypertension in the elderly: A literature review Rumatrai, Jein Dini F; Gurning, Maylar; Mannopposem, Inggerid A
Indonesian Journal of Health Services Vol. 1 No. 4 (2024): October - December
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i4.46

Hypertension is a major public health problem among elderly populations and contributes significantly to cardiovascular morbidity and mortality worldwide. Lifestyle modification, particularly physical activity, plays an important role in preventing and managing hypertension in older adults. Objective: This study aimed to examine the effect of physical activity in efforts to reduce the incidence of hypertension in the elderly through a literature review approach. Methods: This study employed a literature review design following the PRISMA guideline. Articles were searched through the Google Scholar database using the keywords physical activity, hypertension, and elderly. The search was limited to articles published between January 2020 and December 2024. Eligible studies included research articles that examined physical activity interventions aimed at reducing blood pressure among elderly populations. Ten relevant studies were selected after applying inclusion and exclusion criteria. Data were extracted and synthesized using a narrative analysis approach. Results: The review identified various physical activity interventions including structured walking programs, hypertension exercise, ergonomic exercise, and Buerger-Allen exercise. Most interventions were conducted for three to eight weeks and demonstrated reductions in systolic blood pressure ranging from approximately 5–15 mmHg. Several complementary therapies such as relaxation techniques also contributed to blood pressure reduction. The findings indicate that regular physical activity improves cardiovascular regulation, enhances physical fitness, and supports better hypertension control among elderly individuals. Conclusion: Physical activity interventions provide effective non-pharmacological strategies for reducing blood pressure among elderly populations. Integrating structured physical activity programs into community health services can strengthen hypertension prevention and promote healthy aging.

The effect of puzzle play therapy on the anxiety level of hospitalization of pre-school age children: A literature review Saputra, Aji; Gurning, Maylar; Mannopposem, Inggerid A
Indonesian Journal of Health Services Vol. 1 No. 4 (2024): October - December
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i4.52

Background: Hospitalization often generates anxiety among preschool-aged children because unfamiliar environments and medical procedures create emotional stress during treatment. Therapeutic play interventions have been widely implemented to support psychological adaptation during pediatric hospitalization. Objective: This study aimed to examine the effect of puzzle play therapy on the anxiety level of hospitalization among preschool-aged children through a literature review approach. Methods: The study applied a literature review design following the PRISMA guideline from the EQUATOR Network. Secondary data were collected from scientific articles retrieved through Google Scholar using keywords related to puzzle play therapy and hospitalization anxiety in preschool children. The inclusion criteria included full-text research articles published between 2019 and 2024 that investigated therapeutic play interventions among hospitalized preschool-aged children. Ten eligible studies were selected after the screening and eligibility process. Data extraction included study characteristics, research design, sample size, intervention type, anxiety measurement instruments, and main outcomes. The findings were synthesized using descriptive analysis and narrative synthesis to identify patterns in puzzle play therapy effectiveness. Results: The review included ten studies conducted in pediatric hospital settings. Most studies applied quasi-experimental or pretest–posttest designs with sample sizes ranging from 24 to 35 children. The results consistently showed that puzzle play therapy significantly reduced anxiety levels among hospitalized preschool children. Several studies reported statistically significant decreases in anxiety scores with p-values below 0.05. Puzzle play therapy also improved emotional comfort and cooperative behavior during hospitalization. Conclusion: Puzzle play therapy represents an effective non-pharmacological intervention that reduces hospitalization anxiety among preschool-aged children. The intervention provides cognitive distraction, emotional engagement, and structured play experiences that help children adapt to stressful hospital environments.

Impact of gadget use on the social behavior of elementary school children: A literature review Kbarek, Yuliana Ida; Gurning, Maylar; Mannopposem, Inggerid A
Indonesian Journal of Health Services Vol. 2 No. 1 (2025): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i1.54

Background: Rapid technological development has increased gadget use among elementary school children, raising concerns regarding its influence on social behavior and developmental outcomes. Objective: This study aimed to analyze the impact of gadget use on the social behavior of elementary school children through a literature review approach. Methods: This study employed a literature review design following PRISMA guidelines to synthesize evidence from scientific publications. The literature search was conducted using the Google Scholar database with keywords related to gadget use, elementary school children, and learning outcomes. The search was limited to articles published between 2019 and 2024. Ten relevant studies that met the inclusion criteria were selected and analyzed through narrative synthesis to identify patterns and key findings related to gadget use and children's social behavior. Results: The results indicate that gadget use among elementary school children produces both positive and negative effects on social behavior. Excessive screen exposure tends to reduce children's direct social interaction and may contribute to behavioral dependency. Several studies show that prolonged gadget use may also influence children's emotional regulation, attention, and physical activity. However, controlled gadget use under parental supervision may support learning activities, information access, and digital literacy development. Parental involvement and balanced usage patterns play an important role in minimizing negative impacts and supporting children's social development. Conclusion: Gadget use significantly influences the social behavior of elementary school children depending on the duration of use, parental supervision, and usage context. Balanced digital media exposure combined with parental guidance may help optimize children's social and developmental outcomes.

Prevention of wounds in patients with diabetes mellitus in the nursing process: A literature review Tata, Jernilai Since; Gurning, Maylar; Mannopposem, Inggerid A
Indonesian Journal of Health Services Vol. 1 No. 4 (2024): October - December
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v1i4.58

Background: Diabetes mellitus is a chronic metabolic disorder that increases the risk of complications, including diabetic foot wounds that may lead to infection, disability, and reduced quality of life. Preventive strategies are therefore essential within the nursing process to minimize the occurrence of diabetic foot complications. Objective: This study aimed to synthesize evidence related to prevention of wounds in patients with diabetes mellitus within the framework of the nursing process. Methods: This study employed a literature review design following PRISMA guidelines. Articles were retrieved from Google Scholar using keywords related to diabetes mellitus, diabetic foot wounds, prevention, and foot care knowledge. Inclusion criteria consisted of research articles published between 2019 and 2024 that focused on preventive strategies for diabetic foot wounds. Ten eligible studies were included after screening and full-text evaluation. Data extraction included study characteristics, research objectives, design, and key findings. Narrative synthesis was used to analyze the results. Results: The review identified that patient knowledge, preventive behaviors, family support, and nursing interventions are important determinants of diabetic wound prevention. Studies consistently reported significant relationships between patient knowledge and preventive foot care practices. Educational interventions, regular foot examination, proper footwear use, and family involvement were shown to strengthen preventive behaviors. The nursing process also provides a structured framework that supports early risk assessment, patient education, and monitoring of preventive practices. Conclusion: Prevention of diabetic wounds requires integrated nursing interventions that emphasize patient education, family participation, and systematic foot care assessment. Strengthening preventive strategies within the nursing process may reduce the risk of diabetic foot complications and improve patient outcomes.

Relationship of mother's knowledge about exclusive breastfeeding: A literature review Wihyawari, Hermensina; Gurning, Maylar; Mannopposem, Inggerid A
Indonesian Journal of Health Services Vol. 2 No. 1 (2025): January - March
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i1.60

Background: Exclusive breastfeeding provides optimal nutrition for infants during the first six months of life and contributes to improved maternal and child health outcomes. Maternal knowledge is recognized as a critical determinant influencing breastfeeding practices and infant feeding behaviors across different populations. Objective: This study aimed to examine the relationship between mothers’ knowledge about exclusive breastfeeding and breastfeeding practices through a literature review. Methods: The study employed a quantitative literature review approach that analyzed ten research articles examining maternal knowledge and exclusive breastfeeding practices. Studies were selected based on relevance to the research topic and analyzed to identify patterns in study design, sample characteristics, and key findings related to breastfeeding knowledge and practices. Results: The synthesis of the reviewed studies demonstrated that maternal knowledge plays a significant role in shaping breastfeeding practices. Several studies reported statistically significant associations between maternal knowledge and exclusive breastfeeding behavior. Mothers with higher knowledge levels tended to demonstrate stronger breastfeeding commitment and better adherence to recommended breastfeeding practices. However, breastfeeding outcomes were also influenced by cultural beliefs, family support, maternal parity, and access to health information. Conclusion: Maternal knowledge remains a fundamental determinant of exclusive breastfeeding practices. Strengthening maternal education and breastfeeding support programs is essential to improve breastfeeding outcomes and promote optimal infant nutrition.

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