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Care : Jurnal Ilmiah Ilmu Kesehatan
Published by Universitas Tribhuwana Tunggadewi
ISSN : 20894503     EISSN : 25278487     DOI : -
Core Subject : Health,
Health Professions Nursing Public Health
Care : Jurnal Ilmiah Ilmu Kesehatan ISSN 2527-8487(online), ISSN 2089-4503(cetak), adalah jurnal peer-review yang menerbitkan artikel tentang praktik, teori, dan penelitian di semua bidang kesehatan dan keperawatan.Scope jurnal terdiri dari keperawatan,kesehatan,kesehatan masyarakat.
Arjuna Subject : -
Articles 460 Documents
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Evaluating the Effectiveness of Chlorhexidine in Reducing Methicillin-Resistant Staphylococcus Aureus (MRSA) Contamination in Nebulizer Equipment Wisnasari, Shila; Ariningpraja, Rustiana Tasya; Lestari, Retno; Ahsan, Ahsan; Effendy, Nuraeni
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.6313

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) is a significant healthcare-associated pathogen, capable of spreading through contaminated aerosols generated by medical equipment such as nebulizers. The increasing prevalence of MRSA infections, coupled with challenges in effective disinfection, highlights the urgency of identifying optimal disinfection methods. This study aims to assess the effectiveness of chlorhexidine in reducing MRSA contamination in nebulizer equipment, focusing on determining the optimal concentration for disinfecting nebulizers to minimize airborne transmission. This study employed an in vitro experimental design. The study population consisted of MRSA isolates obtained from clinical sputum specimens. The samples included nebulizer equipment inoculated with MRSA suspensions standardized to 10⁷ CFU/mL. Disinfection was carried out using chlorhexidine at concentrations of 2.5%, 4%, and 5%, each diluted in 70% alcohol. Control groups were rinsed with sterile saline and 70% alcohol. Post-disinfection, the nebulizer surfaces were swabbed and cultured on Mueller-Hinton agar to quantify colony-forming units (CFUs). Data were analyzed using paired t-tests and one-way ANOVA followed by Tukey’s post-hoc test, with a significance level set at p 0.05. The results show that chlorhexidine 2.5% reduced bacterial counts to an average of 1 CFU/plate, and 4% chlorhexidine reduced it to 49 CFU/plate. Chlorhexidine 5% resulted in an average of 1,430.6625 CFU/plate. Statistical analysis revealed significant reductions with 2.5% and 4% chlorhexidine compared to controls (p0.01), whereas 5% Chlorhexidine did not show a significant difference. These findings suggest that lower concentrations of chlorhexidine may be sufficient for effective disinfection in nebulizer equipment, addressing the risk of MRSA spread through airborne particles.
Methods for Measuring Patient Service Satisfaction in Health Services: Systematic Literature Review Astuti, Eka Rati
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.6161

Abstract

Although attention to patient-centered services continues to increase, unfortunately, in-depth research on the standardization and adaptation of patient satisfaction measurement instruments in the context of healthcare facilities remains limited. Many studies have focused on general satisfaction levels but have lack depth in capturing dimensions such as emotional engagement, cultural expectations, and service delivery across diverse health systems. The purpose of this discussion is to determine appropriate methods for measuring patient service satisfaction in the health sector. Method: This study employed a systematic literature review approach to identify, analyze, and synthesize existing research related to methods for measuring patient service satisfaction in health services. The review process adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines to ensure methodological transparency and rigor. The results: showed that tools such as the SERVQUAL, HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems), and PSQ-18 (Patient Satisfaction Questionnaire Short Form) often failed to capture culturally specific expectations and emotional dimensions of patient experience Conclusion: The importance of using appropriate methods to measure patient service satisfaction in the health sector lies in selecting tools that align with the context and objectives of the measuring the satisfaction includes SERVQUAL, HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems), and PSQ-18 (Patient Satisfaction Questionnaire Short Form).
Integrative Empowerment Intervention of Community Health Workers In Controlling Non-Communicable Diseases (NCDs) With A Herbal- Based Local Wisdom Approach Cahyaningrum, Ika Cahyaningrum; Ka'arayeno, Arie Jefri
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.7120

Abstract

Promotional and preventive efforts are very important in combating non-communicable diseases (NCDs), including through the use of traditional medicines. Given the public's limited knowledge about the safe and effective use of natural ingredients, it is essential to raise awareness about the types, processing, and proper consumption of medicinal plants. Community health workers, as the frontline of primary health care, play a particularly important role in disseminating this information. The purpose of this study was to analyze the effect of applying an integrative empowerment model on the ability of community health workers to control NCDs with an herbal-based local wisdom approach. The research method used was a pre-experimental experiment with one group pretest-posttest design. Researchers applied an empowerment model with a meeting duration of 200 minutes. The sample of this study consisted of 57 community health workers in the Wagir community health center, using consecutive sampling techniques. The results showed a significant effect of applying the integrative empowerment model on the knowledge and skills of community health workers in controlling NCDs with an herbal-based local wisdom approach in the Wagir community health center with a p value (0.001) with a difference in the mean knowledge and skills of 15,228 and 46,632, respectively. This study concluded that there was a significant effect of applying the integrative empowerment model on the knowledge and skills of community health workers in controlling NCDs with an herbal-based local wisdom approach.
Case Study: Physical Mobility Impairments in Elderly Gout Arthritis Through A Combination Therapy Otaviani, Olvy Oriska; Devi, Hilda Mazarina; Maemunah, Neni
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.6758

Abstract

The increase in uric acid levels in the elderly (gout arthritis) can cause physical mobility impairments, requiring the role of nurses to address them. The aim of this study is to implement nursing care for physical mobility disorders through a combination therapy of warm ginger compresses and Range of Motion (ROM) exercises at Rumah Asuh Anak Lansia Griya Asih Lawang. The study design is a case study. The respondents were three elderly individuals with gout arthritis. The nursing interventions provided included identifying pain or other physical complaints, assessing physical tolerance for movement, monitoring blood pressure before starting mobilization, monitoring general conditions during mobilization, facilitating mobilization activities with assistive devices, providing non-pharmacological techniques to reduce pain (warm ginger compresses) for 10 consecutive days, facilitating ROM exercises for 10 consecutive days, explaining the objectives and procedures of mobilization, and teaching simple mobilization techniques to be performed. After intervention and nursing approach for 10 days, physical mobility disorders decreased as indicated by a decrease in acid levels in patient 1 with a value of 10.2 mg/dl, patient 2 9.4 mg/dl and patient 9.8 mg/dl as well as muscle strength in patients 1 5/5 and 5/4, patient 2 5/5 and 4/5, patient 3 5/4 and 4/4.  Warm ginger compress therapy and ROM exercises can be used as an intervention to reduce physical mobility disorders
Effect of Self-Selected Individual Music Therapy (SeLIMuT) on Stress and Depression Levels in Patients with Diabetic Foot Ulcers Haerianti, Masyita; Wabulan, Irfan
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.6330

Abstract

Type 2 diabetes mellitus (T2DM) is a metabolic disease that causes complications such as diabetic foot ulcers, with the majority of patients with ulcers experiencing stress and depression. One therapy that can be administered to address stress and depression is music therapy through self-selected individual music therapy (SeLIMuT), which aims to address the side effects of stress and depression, such as enhanced wound healing and improved quality of life. This study aims to determine the effect of individually selected music therapy (SeLIMuT) on stress and depression levels in patients with type 2 diabetes mellitus and diabetic foot ulcers at the Ikram Wound Care Center in Majene District. The study employed a quasi-experimental design with pre-test and post-test design. The sample consisted of 17 patients with type 2 diabetes mellitus and diabetic foot ulcers. The independent variable was the effect of SeLIMuT, and the dependent variables were stress and depression. The instruments used in this study were the Depression Anxiety Stress Scale 42 (DASS-42) questionnaire, an MP3 player, and headphones. Data analysis was conducted using the Wilcoxon test, which showed that SeLIMuT was able to reduce stress levels (p=0.000, p0.05) and depression (p=0.000, p0.05) in patients with type 2 diabetes mellitus and diabetic foot ulcers.
Implementation of Tamarind and Red Ginger Boiled Drink to Reduce Dysmenorrhea in Adolescent Girls Marlefi, Nisa Nur; Oktavianti, Dewi Siti
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.6557

Abstract

Dysmenorrhea is pain that a person feels during menstruation. Dysmenorrhea in adolescent females can adversely affect the learning process, as menstrual discomfort often impairs concentration and cognitive engagement. In more severe cases, the intensity of pain may necessitate rest, resulting in school absenteeism. Consequently, effective management of menstrual pain is essential to minimize its impact on daily functioning and to support the academic and psychosocial well-being of affected adolescents. This study aims to find out the difference between the administration of tamarind turmeric and red ginger decoctions on menstrual pain (dysmenorrhea) in adolescent girls. The design of the study used a quasi-experiment with two group pretest-posttest design. The population of this study was adolescents girl of classes VII, VIII, and IX, of 115 people. The total sample of this study was 40 people, consisting of two groups of 20 people in the tamarind turmeric group and 20 in the red-ginger group. The sampling technique used was stratified random sampling. This research instrument used the Numeric Rating Scale questionnaire (NRS). Statistical test using independent t test, with p value: 0,397, indicating that there was no significant difference in dysmenorrhea after the intervention between the turmeric-tamarind group and the red ginger group. Both turmeric-tamarind and red ginger decoctions can be one of the non-pharmacological therapies to help reduce menstrual pain (dysmenorrhea). 
Improving Quality of Care on Patient Satisfaction in Health Service Facilities by Rating on Google Maps: Literature Review Permatasari, Putri; Rajebta, Nikita Alia
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.6454

Abstract

Quality health services are services that are provided effectively and efficiently, tailored to the needs and expectations of patients, but still in accordance with existing codes of ethics and standards, thus enabling the achievement of optimal levels of health.  Health service institutions for the community, where every health facilities are required to always improve the quality of service in order to achieve the highest level of health. Every patient who has received service can provide their opinion through the Google Maps comments section which can describe the quality of service of the health facilities. The method used in this article is a literature review and the search for articles is carried out through 2 online databases: Google Scholar for national journals and PubMed for international journals. According to the reviewed literature, the rating given by health facility visitors affects the quality of the health facility. This is due to dissatisfaction with the health services received in the form of reviews with narratives describing feelings of annoyance, anger, and disappointment. Ratings on Google Maps provides real-time information about the quality of service at a health facility based on patient reviews. 
Qur'anic Recitation (Murottal) And Wet Cupping Therapy For Managing Blood Pressure In Hypertension Sari, Dwi Nopita; Mardiyono, Mardiyono; Pujiastuti, Rr. Sri Endang
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.6389

Abstract

Hypertension is a medical condition experienced by a person which is described by an increase in blood pressure above normal values which can cause an increase in morbidity and mortality. Complementary medicine is considered more efficacious, one of which is Al-Qur'an murotal therapy and wet cupping therapy. This study aims to find out the effect of qur’anic recitation and wet cupping therapy on blood pressure in hypertensive patients. This study used a true experimental design with a pre-test and post-test randomized control group approach, involving two groups. The intervention group was given murotal therapy for 15 minutes and cupping for 30 minutes. The control group was only given cupping therapy. The sampling technique used was simple random sampling, and the data were analyzed using repeated measures ANOVA. The results of the between-group analysis in the intervention group showed a significant reduction in both systolic (p = 0.000) and diastolic (p = 0.000) blood pressure. These findings indicate that the combination of murottal Al-Qur'an therapy and wet cupping therapy is effective in lowering blood pressure in patients with hypertension.
Incident Number of Decline in Functional Physical Activity In The Elderly at Jebres, Surakarta Mutnawasitoh, Asita Rohmah; Mirawati, Dita; Cahyaningrum, Hapsari; Setiawan, Cahyo; Sari, Apriliyan Yunita; Azizah, Qoriq Nur; Alvin, Nadia
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.6439

Abstract

Health services for the elderly group need to be carried out according to their needs. To understand the health needs of the elderly group, it is necessary to examine the number of cases or prevalence of a case that is a problem for the elderly. Decreased physical functional activity in the elderly is a problem that is often encountered and due to degenerative diseases. Decreased physical functional activity in the elderly results in an increased risk of disability. There have been no reports regarding the number of cases of the elderly who experience decreased physical functional activity, the number of cases or prevalence of decreased physical functional activity in the elderly. The study used descriptive quantitative research method with a cross-sectional research design. The subjects of the study were elderly people aged 60-70 years who had no history of musculoskeletal injury/trauma and did not use walking aids. The research instrument used to measure the decline in functional activity was the Physical Activity Scale for the Elderly (PASE). The assessment results showed that 46 elderly people (76.7%) were in the category of low physical functional activity and 14 elderly people (23.3%) had good functional activity. The female elderly group consisted of 28 (75.7%) who had lower scores compared to male elderly. The 60-70 age group consisted of 30 elderly (78.9%) had a lower PASE score compared to the 71-80 age group. The housewife occupation group consisted of 22 elderly people (75.9%) had lower scores compared to the entrepreneur, laborer and retiree groups. The number of cases of decreased physical functional activity in the elderly is 46 individuals or 76.7%. The decline in physical functional activity was influenced by age, gender and occupation. To further explore the factors that influence the decline in physical functional activity.
The Role Of CBIA-Based Parent Education In Improving Antimalarial Drug Adherence Among Toddlers In Mimika District Padallingan, Jenni; Hartayu, Titien Siwi
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.6794

Abstract

Malaria remains a significant health challenge in Indonesia, particularly in Mimika District, Central Papua, where high recurrence rates in toddlers are linked to poor adherence to antimalarial drug use. This study aimed to assess whether an educational intervention using the CBIA method could improve parents' knowledge, attitudes, and actions, thereby increasing drug adherence. This quasi-experimental, time-series study involved 62 parents of toddlers with tertian malaria at the Timika Health Center. Participants were divided into an intervention group (30 parents), which received CBIA-based education, and a control group (32 parents). Researchers collected data on parental knowledge, attitudes, and actions at five different time points (pre-education, immediately post-education, 14 days, 2 months, and 3 months post-education) using questionnaires. Drug adherence was measured at two time points (pre-education and 14 days post-education). Statistical analysis involved Wilcoxon and paired t-tests. The CBIA intervention significantly improved antimalarial drug adherence. Post-intervention, parental knowledge surged from 26.7% to 100%, attitudes improved from 3.3% to 73.3%, actions increased from 26.7% to 66.7%, and adherence rose from 46.67% to 73.33%. Statistical tests confirmed significant differences (p 0.01) in knowledge, attitudes, and actions before and after the intervention. The study concludes that the CBIA method is effective in enhancing parents' knowledge, attitudes, and actions, leading to better adherence to antimalarial drug use for toddlers at the Timika Health Center. This approach shows promise for broader implementation in community empowerment programs to boost the success of malaria therapy in children under five.

Page 44 of 46 | Total Record : 460

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