Rahmat Pannyiwi
Republic of Indonesia Defense University, Indonesia

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Promotive And Preventive Approach As A Health Development Strategy Syaiful Bachri; Rahmat Pannyiwi; Anggeraeni Anggeraeni
International Journal of Health Sciences Vol. 4 No. 1 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i1.1085

Abstract

The promotive and preventive approach is a primary strategy in health development, aimed at improving public health and reducing morbidity and mortality. This approach emphasizes efforts to increase knowledge, attitudes, and healthy living behaviors, as well as preventing disease before it occurs. This study aims to analyze the role of the promotive and preventive approach as a health development strategy. The study used quantitative methods with a descriptive analytical design and a cross-sectional approach. Sectional. The research sample was the community in region X. Data were collected using questionnaires and analyzed univariately and bivariately using the Chi- Square test. The results showed that the implementation of a good promotive and preventive approach was significantly related to community health status (p < 0.05). The conclusion of this study is that promotive and preventive approaches have a strategic role in supporting sustainable health development.
Obstacles And Challenges In Implementing Immunization In Coastal Communities Achmad Hilal; Rahmat Pannyiwi
International Journal of Health Sciences Vol. 4 No. 1 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i1.1087

Abstract

Immunization is an effective promotive and preventive measure in preventing infectious diseases. However, immunization coverage in some coastal areas is still suboptimal. Geographical, social, and cultural conditions, as well as limited access to health services, are factors that influence immunization implementation. This study aims to identify obstacles and challenges to immunization implementation in coastal communities. This study used quantitative methods with a descriptive analytical design and a cross-sectional approach. Sectional. The research sample was mothers who have toddlers in coastal area X. Data were collected using questionnaires and analyzed univariately and bivariately. The results showed that the main obstacles to immunization implementation include access to health services, maternal knowledge, perceptions of immunization, and family support. The conclusion of this study is that the implementation of immunization in coastal communities still faces various obstacles that require integrated interventions.
Holistic Nursing Care in Improving Patient Safety Indrayadi Indrayadi; Rahmat Pannyiwi
International Journal of Health Sciences Vol. 4 No. 1 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i1.1088

Abstract

Patient safety is a key indicator of healthcare quality. One approach that can improve patient safety is the implementation of holistic nursing care, encompassing the biological, psychological, social, and spiritual aspects of the patient. This approach enables nurses to provide comprehensive, patient-centered care. This study aims to determine the relationship between holistic nursing care and improved patient safety. This study used quantitative methods with an analytical design and a cross-sectional approach. Sectional. The research sample was nurses in health care facility X. Data were collected using a questionnaire and analyzed using the Chi- Square test. The results showed that the implementation of holistic nursing care was significantly related to increased patient safety (p < 0.05). The conclusion of this study is that holistic nursing care plays an important role in improving patient safety.
Bullying And Its Relationship To Anxiety, Depression, And Self-Esteem Madepan Mulia; Rosmiati Rosmiati; Rezqiqah Aulia Rahmat; Rahmat Pannyiwi; Lumastari Ajeng Wijayanti
International Journal of Health Sciences Vol. 4 No. 1 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i1.1097

Abstract

Bullying is a mental health problem commonly experienced by adolescents and can have serious psychological impacts on victims. The effects of bullying include anxiety, depression, and decreased self-esteem. This study aims to determine the relationship between bullying and levels of anxiety, depression, and self-esteem in adolescents. This study used quantitative methods with an analytical design and a cross-sectional approach. Sectional. The research sample was students at educational institution X. Data were collected using a questionnaire on bullying, anxiety, depression, and self-esteem, then analyzed using the Chi- Square test. The results showed a significant relationship between bullying and anxiety, depression, and self-esteem (p < 0.05). The conclusion of this study is that bullying is closely related to mental health disorders in adolescents.
The Relationship Between Smoking Behavior And Respiratory Health Disorders Yona Sahalessy; Elvira Safidni; Andi Ernawati Manuntungi; Rahmat Pannyiwi; Ayu Sunarti. S
International Journal of Health Sciences Vol. 4 No. 1 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i1.1113

Abstract

Smoking is a major risk factor for respiratory health problems. The harmful substances in cigarettes, such as nicotine, tar, and carbon monoxide, can cause respiratory tract irritation, decreased lung function, and increased the risk of chronic respiratory diseases. This study aims to determine the relationship between smoking behavior and respiratory health problems. The study used an observational analytical design with a cross-sectional approach. The study sample consisted of 100 respondents selected using a purposive sampling technique. Data were collected through a smoking behavior questionnaire and a respiratory complaints questionnaire. Data analysis was performed using the Chi- Square test. The results showed a significant relationship between smoking behavior and respiratory health problems (p < 0.05). It was concluded that smoking behavior is closely related to an increased risk of respiratory health problems.
Identification And Characterization Of Pathogenic Microorganisms In The Health Environment Harnia Harnia; Meillisa Carlen Mainassy; Glory Gelarich Simanjuntak; Rahmat Pannyiwi
International Journal of Health Sciences Vol. 4 No. 1 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i1.1141

Abstract

Healthcare facilities have the potential to be reservoirs for various pathogenic microorganisms that can cause nosocomial infections. The presence of microorganisms on the surfaces of medical devices, treatment rooms, and ambient air can increase the risk of disease transmission to patients and healthcare workers. This study aims to identify and characterize pathogenic microorganisms found in healthcare environments. The study used a descriptive laboratory design with an observational approach. Samples were taken from treatment table surfaces, door handles, medical devices, and room air using swab and air sedimentation methods. Identification was carried out through culture examination, Gram staining, and biochemical tests. The results showed the presence of pathogenic bacterial isolates such as Staphylococcus aureus. aureus, Escherichia coli, and Pseudomonas aeruginosa. Some isolates showed resistance to certain antibiotics. It was concluded that healthcare environments have the potential to be a source of infection transmission, necessitating strict infection monitoring and control.
Effectiveness Of Balance Exercise On Improving Postural Balance: An Experimental Study Baiq Nurainun Apriani Idris; Rahmat Pannyiwi; Yudi Muammar
International Journal of Health Sciences Vol. 4 No. 1 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i1.1157

Abstract

ABSTRACT Postural balance is the body's ability to maintain a stable position while still or moving. Balance disorders increase the risk of falls, especially in adults and the elderly . Exercise is a non-pharmacological intervention aimed at improving postural control through proprioceptive training and muscle strengthening. This study aims to analyze the effectiveness of balance exercises. The effect of exercise on improving postural balance . The study used a quasi-experimental design with a pretest - posttest approach. with control group . The sample consisted of 40 respondents divided into intervention (n=20) and control (n=20) groups. The exercises were carried out for 4 weeks (3 times/week). Balance was measured using the Berg Balance Scale (BBS). The results showed a significant increase in BBS scores in the intervention group compared to the control (p < 0.001). It was concluded that balance Effective exercise significantly improves postural balance. Keywords: Balance Exercise , Postural Balance , Fall Risk, Proprioceptive Training
Analysis Of Clean Water Availability On Household Environmental Health Glory Gelarich Simanjuntak; Rahmat Pannyiwi
International Journal of Health Sciences Vol. 4 No. 2 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i2.1194

Abstract

Clean water is crucial​ component in maintaining a healthy household Adequate environment​ availability of clean water can support good hygiene and sanitation practices and prevent various environmental diseases. This study aims to analyze the relationship between clean water availability and household environmental health. The study used an analytical design with a cross-sectional approach. The study sample consisted of 80 households selected using a purposive sampling technique. Data were collected through observation and interviews using a structured questionnaire. Data analysis used the chi-square test. The results showed that households with good clean water availability had better environmental health conditions than households with inadequate clean water availability. The statistics test results showed a p- value of 0.018 (p < 0.05). It was concluded that there is a significant relationship between clean water availability and household environmental health.
The Effect of Night Shift Work on Nurses' Fatigue and Work Concentration in the Emergency Department Sunanto Sunanto; Rahmat Pannyiwi; Rezqiqah Aulia Rahmat
International Journal of Health Sciences Vol. 3 No. 4 (2025): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v3i4.867

Abstract

Shifts are part of the work scheduling system in 24-hour hospitals, including the Emergency Department (ER). Night shift work can potentially cause physical and mental fatigue and reduce nurses' concentration, which can impact the quality of care and patient safety. This study aims to analyze the effect of night shifts on nurses' fatigue levels and concentration in the ER of X Regional General Hospital. The study used a quantitative correlational design with a cross-sectional approach. A purposive sample of 60 nurses was selected, with at least 6 months of work experience in the ER and willingness to participate in the study. Data were collected using a Modified Variable Response Questionnaire (MOQ) Fatigue Impact Scale (MFIS) to measure fatigue and Work Concentration Scale (WCS) for work concentration. Data analysis used Pearson correlation with a significance level of α = 0.05. The results of the study showed a significant positive relationship between night shift work and nurse fatigue levels (r = 0.68; p < 0.05) and a significant negative relationship between night shift work and work concentration (r = -0.62; p < 0.05). This indicates that the more frequently nurses work night shifts, the higher their fatigue levels and the lower their work concentration. In conclusion, night shifts increase fatigue and decrease concentration among nurses in the emergency department. Equitable shift schedules and fatigue management programs are recommended to maintain nurse performance and service quality.
The Impact of the Waste Bank Program on Changes in Community Environmental Cleanliness Behavior Syaiful Bachri; Rahmat Pannyiwi; Lorensius Lonik
International Journal of Health Sciences Vol. 3 No. 4 (2025): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v3i4.886

Abstract

Environmental cleanliness is an important indicator of public health and quality of life. The problem of poorly managed waste is a major challenge in many urban areas, including Indonesia. One innovation to increase community participation in waste management is the waste bank program, a community-based waste collection, processing, and utilization system that provides economic incentives for residents. This study aims to determine the effect of the waste bank program on changes in environmental cleanliness behavior in three urban villages. The method used was a quantitative survey with a pretest-posttest design. The study sample consisted of 120 residents who actively participated in the waste bank program for at least 3 months. Data were collected through hygiene behavior questionnaires before and after participating in the program, as well as in-depth interviews with program managers to obtain supporting qualitative information. Data analysis was conducted using a paired t-test to determine significant differences in hygiene behavior before and after the program. The results showed a significant increase in all hygiene behavior indicators, including the habit of disposing of waste properly, sorting waste, and participation in environmental activities (p < 0.01). These findings demonstrate that the waste bank program is not only effective as a waste management tool but also plays a role in encouraging positive behavioral changes, increasing environmental awareness, and building a sustainable culture of community cleanliness. This research underscores the importance of program sustainability, community education, and local government support to ensure long-term impacts on environmental quality.