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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 483 Documents
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Maternal Behavior Regarding Stunting Prevention Using Health Belief Model Fatkuriyah, Lailil; Nafista, Ulfia Fitriani; Hidayati, Ainul; Sukowati, Umi
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.6764

Abstract

The national prevalence of stunting among children in Indonesia has yet to meet the WHO’s minimum target of below 20%. Furthermore, in Jember Regency, 34.9% of children were affected by stunting in 2023. Stunting not only leads to a shorter height compared to peers of the same age but also has both short-term and long-term effects that can deteriorate a child's health and even increase the risk of mortality. A mother's engagement in stunting prevention is affected by perceptions and beliefs, including perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. The aim of this research was to identify factors related to maternal behavior regarding prevention of stunting using the Health Belief Model approach. This study is an analytical observational research using a cross-sectional approach. It was conducted in Karengrejo Village, Jember Regency, involving 88 mothers of children under five. Participants were recruited through purposive sampling. The independent variables include: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. The dependent variable is stunting prevention behavior. Data collection was conducted using the Health Belief Model questionnaire and the Stunting Prevention Behavior questionnaire. Data analysis was performed using the Spearman Rho statistical test with a significance level of 0.05. Statistical test results show that perceived susceptibility (p=0.011; r=0.273), perceived severity (p=0.018; r=0.254), and self-efficacy (p=0.004; r=0.310) have a significant relationship with maternal stunting prevention behavior. Strategies should be implemented to strengthen mothers' perceived susceptibility, perceived severity, and self-efficacy, encouraging greater involvement in stunting prevention through various programs, such as counseling, education, and home visits to increase mothers’ knowledge and skills related to appropriate feeding practices. 
Elevated Prevalence of Viral and Bacterial Infections Among Voluntary Blood Donors in Sleman, Indonesia Mufidah, Hartalina; Kristanti, Handriani; Gunawan, Gunawan
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.8401

Abstract

Transfusion-transmissible infections (TTIs), such as hepatitis B virus (HBV), hepatitis C virus (HCV), HIV, and syphilis, continue to pose significant challenges to blood safety, particularly in low- and middle-income countries. This study aimed to determine the prevalence and donor-related factors associated with transfusion-transmissible infections (TTIs) in this donor population. This retrospective cross-sectional study utilized secondary data from 656 blood donors screened between 2018 and 2020 at the Indonesian Red Cross, Sleman Regency, Yogyakarta. Donor demographic characteristics and screening outcomes for HBsAg, HCV, HIV, and syphilis were analyzed using binary logistic regression. Statistical significance was determined at a p-value of less than 0.05 with a 95% confidence interval. The overall TTI prevalence were 50.3% for HBsAg, 12.2% for HCV, 22.7% for HIV, and 14.6% for syphilis. Donors aged 46–55 years exhibited 2.2 times higher odds of syphilis positivity than those aged 17–25 years, a statistically significant association (95% CI: 1.013–4.880). Similarly, donors aged 56–65 years had 3.5 times greater odds compared with the same reference group, also showing a statistically significant relationship (95% CI: 1.284–9.363). First-time blood donors showed significantly greater odds of testing positive for syphilis compared with repeat donors (COR = 2.3, 95% CI: 1.457–3.541). These results indicate a considerable burden of TTIs, underscoring the importance of enhancing donor screening systems, incorporating behavioral risk evaluations, and developing region-specific policies, particularly in Sleman.  
The Influence of Health Education on Pregnant Women's Knowledge of Gestational Diabetes Mellitus Elizar, Elizar; Irnawati, Irnawati; Gustiana, Gustiana; Nurmila, Nurmila; Rosyita, Rosyita; Putri, Hendrika Wijaya Kartini
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.7265

Abstract

Gestational diabetes mellitus is a common complication during pregnancy that can increase maternal and fetal morbidity as well as long-term health risks. Therefore, improving pregnant women's knowledge is essential for early detection, prevention, and appropriate management. The purpose of this research is to examine how health education affects pregnant women's comprehension of gestational diabetes mellitus. This study employed a quasi-experimental design with a one-group pre-post approach. A total of 61 pregnant women attending antenatal care at the independent midwifery practice of Salabiah in Lhokseumawe City were selected through purposive sampling. Participants were pregnant women with a Maternal and Child Health handbook, without mental disorders, previous pregnancy complications, or gestational diabetes mellitus. Knowledge was measured using a structured questionnaire administered before and after the educational intervention, which was delivered through a lecture method. The Wilcoxon Signed-Rank Test revealed a significant difference in knowledge scores pre- and post-intervention (p 0.05), demonstrating a notable increase in the average post test score. These results suggest that health education successfully enhances the knowledge of pregnant women regarding gestational diabetes mellitus. Integrating structured and comprehensible educational programs into routine antenatal care is recommended to enhance maternal awareness and promote better pregnancy outcomes.
Association Between Overnutrition Status and Work Productivity Among Workers in Indonesia: A Systematic Literature Review and Meta-Analysis Pramundito, Muhammad Jagad; Nuradhiani, Annisa; Koerniawati, Ratu Diah
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.8291

Abstract

Overnutrition, including overweight and obesity, has emerged as a growing public health concern that may adversely affect workers’ health status, physical capacity, and overall job performance. In Indonesia, the prevalence of overweight and obesity among adults continues to increase, potentially contributing to reduced labor productivity. However, empirical findings on the relationship between nutritional status and work productivity among Indonesian workers remain fragmented and inconsistent across individual studies. Therefore, this study aimed to synthesize existing evidence and examine the association between over nutritional status and work productivity among workers in Indonesia through a systematic literature review and meta-analysis. A comprehensive literature search was conducted in Google Scholar, Semantic Scholar, Scopus, and Web of Science using the PICOS framework. Eligible studies were quantitative cross-sectional studies published between 2015 and 2025 that assessed body mass index (BMI) and work productivity among Indonesian workers. Statistical synthesis was performed using a random-effects meta-analysis model with odds ratios (ORs) and 95% confidence intervals (CIs) as the effect measures. A total of 20 studies met the inclusion criteria and were included in the quantitative analysis. The pooled results demonstrated that workers with abnormal nutritional status had significantly higher odds of experiencing reduced work productivity compared to workers with normal nutritional status (OR = 2.20; 95% CI: 1.19–4.08; p = 0.0001), with moderate heterogeneity across studies (I² = 64%). These findings suggest that overnutrition represents an important determinant of work productivity among Indonesian workers and highlight the need for workplace-based nutrition and health promotion interventions to support workforce performance and sustainability. 
Development of e-Resto Innovation To Strengthen Cross-Sectoral Collaboration Commitment In Efforts To Control Child Wasting Suhron, M; Suryani, Lilik; Fitriah, Fitriah; Susanti, Eny
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.7825

Abstract

Wasting among children remains a major global public health problem. Strengthening cross-sector collaboration is considered an effective approach to address this issue. This study aimed to analyze the development of the e-RESTO Balita innovation in strengthening cross-sector collaboration commitment in efforts to control wasting. This study employed a quantitative pre–post test design involving 20 participants representing cross-sector stakeholders in the Banyuanyar Community Health Center work area. Data were collected using questionnaires measuring application development and cross-sector collaboration commitment, supported by interviews. Statistical analysis was performed using the Wilcoxon test. The findings showed that the development of the e-RESTO Balita application significantly improved and strengthened cross-sector collaboration commitment in efforts to control wasting (p 0.05). The development of the e-RESTO Balita innovation was effective in enhancing cross-sector collaboration in the management of child malnutrition. Future development of the system is recommended through the integration of a more user-friendly Android-based application to facilitate faster and easier access for stakeholders.
Social Support is Related to the Mental Health of Migrant Nursing Student yulianie, Nataria; Hastutiningtyas, Wahidyanti Rahayu
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.8410

Abstract

First year of college students relocating away from home frequently encounter diverse challenges while adapting to a new academic and social environment. This transition often impacts their psychological well-being, highlighting the need for protective factors to sustain and enhance mental health. This study aims to analyze the correlation between social support and mental health among these students. Utilizing a descriptive analysis method, the research focused on a population of 125 students, with 95 participant selected trough purposive sampling. Data were gathered via social support and mental health questionnaires. Analysis using the Spearman rank sum test yielded a p-value of 0.003, indicating a significant relationship between the variables. Furthermore, a correlation coefficient of 0.979 indicates a strong positive association, suggesting that diminished social support correspond with poorer mental health outcomes. Further research in developing robust mentoring, and support programs as promotional and preventive measure to safeguard student’s mental health within higher education settings is recommended.
Islamic Guided Imagery for Reducing Postpartum Fatigue and Anxiety: Development of Midwifery Care Azizah, Nurul; Rosyidah, Rafhani; Jayanti, Ratna Dwi
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.8360

Abstract

The high incidence of postpartum fatigue and anxiety in Indonesia hindering mothers’ recovery and breastfeeding success. Non-pharmacological and safe interventions aligned with local cultural values are needed. Islamic guided imagery provides relaxation that integrates positive visualization with the spiritual value of zikr. This study aims to examine the effectiveness of Islamic guided imagery in reducing fatigue and anxiety scores in postpartum mothers. The study used a quasi-experimental design with a pre-posttest and a control group. A total of 45 postpartum mothers (0–6 weeks) were recruited using consecutive sampling techniques and divided into intervention (n = 23) and control (n = 22) groups. The Islamic guided imagery intervention was delivered in audio format for 15–20 minutes per day for 3 days, demonstrating its simplicity and feasibility for busy postpartum care routines. Fatigue levels were measured using the Postpartum Fatigue Scale (PFS), and anxiety was measured using the State Anxiety Inventory (STAI-S). Data were analyzed using an independent t-test. The intervention group showed a significant and progressive reduction in fatigue and anxiety scores from day 1 to day 3 compared with the control group (p 0.001). The quick improvements of -15.8 and -17.7 points in fatigue and anxiety scores, respectively, can inspire healthcare providers and researchers to consider this intervention as an effective, fast-acting option. The Islamic guided imagery effectively reduces postpartum fatigue and anxiety by strengthening emotional regulation and spiritual coping. Recommendations for future research include conducting randomized controlled trials with longer follow-up and including stress biomarker measurements to strengthen the generalizability of findings. 
Determinants of Patient Satisfaction with Public Safety Center (PSC) 119 Prehospital Emergency Services in Non-Communicable Disease: Cases in Malang, Indonesia Setyarini, Anggun; Milwati, Susi; Wahyuni, Eko Sari
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.7937

Abstract

Patient satisfaction is an important indicator of quality in prehospital emergency care. Globally, response time, communication, and clinical characteristics influence patient perceptions of emergency services. However, limited evidence exists regarding determinants of satisfaction with Public Safety Center (PSC) 119 services in Indonesia, particularly among non-communicable disease (NCD) cases. This study aimed to analyze factors associated with patient satisfaction toward Public Safety Center (PSC) 119 prehospital emergency services in Malang, Indonesia. A quantitative cross-sectional study was conducted involving 62 respondents who received PSC 119 services between 2024–2025. The dependent variable was overall patient satisfaction, measured using the Prehospital Emergency Care Patient Satisfaction Scale (PECPSS-20). Independent variables included sociodemographic factors (age, sex, education, income), clinical conditions (hypertension, heart disease, NCD category), and operational factor (ambulance response time). Data were collected through structured online questionnaires and analyzed using descriptive statistics, Chi-square tests, and Pearson correlation. Most respondents were within productive age (94%) and experienced NCD-related emergencies (72.6%). Overall satisfaction was high (80.6% very satisfied). Significant associations were found between satisfaction and hypertension (p=0.001), heart disease (p=0.025), education level (p=0.012), income level (p=0.008), and ambulance response time (p=0.001). Response time showed the strongest negative correlation (r = –0.397), indicating that longer delays significantly reduced satisfaction.Patient satisfaction with PSC 119 services is strongly influenced by clinical comorbidities, socioeconomic characteristics, and particularly response time. Improving dispatch efficiency and reducing ambulance response delays are essential strategies to enhance prehospital emergency service quality.
Incidence And Associated Factors Of Soil-Transmitted Helminth (STH) Infection Among Primary School Children Irma, Irma; Masluhiya AF, Swaidatul
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.8395

Abstract

Soil Transmitted Helminths (STH) infection is a nematode worm infection that is transmitted through soil. STH infections often occur in elementary school children which can increase the risk of health problems such as diarrhea, reduced intelligence levels and malnutrition in children. This study aims to determine the incidence and factors correlated with the incidence of STH infection in children at SD Negeri 1 Lagundi, Kambowa District, North Buton Regency. This type of research is quantitative using a cross-sectional approach. The sample in this study was 85 respondents using a stratified random sampling technique. The research instrument used a questionnaire and laboratory tests. The analysis used is univariate and bivariate analysis using the SPSS Chi Square test with a confidence level of 95%. The results showed a relationship between cutting nails (p-value = 0.000), washing hands (p-value = 0.001), snacking carelessly (p-value = 0.481), taking worm medicine (p-value = 1.000) and history of worms (p-value = 0.049) with the incidence of STH in elementary school children. The conclusion of this research is that there is relationship between the habit of cutting nails, the habit of washing hands, and a history of worms with STH infection and there is no relationship between the habit of indiscriminate snacking and the habit of taking worm medicine and STH infection in elementary school children at SDN 1 Lagundi. It is necessary to provide education about clean and healthy living behavior to elementary school children by health workers and as well as a program to provide medication to prevent mass worm infections.
Predictors of Dengue Hemorrhagic Fever in the Pediatric Population: Logistic Regression Analysis of Hematological Profile and Demographics Nuswantoro, Ari; Ratulangi, Agus Dimas
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.8398

Abstract

Dengue Hemorrhagic Fever (DHF) remains a significant public health threat in Indonesia, particularly among the pediatric population. Early diagnosis is crucial for appropriate clinical management, and hematological parameters are routinely available indicators that may aid in predicting dengue infection. However, the independent predictive value of individual hematological parameters for NS1-confirmed dengue in children remains not fully characterized. This study aimed to identify independent predictors of NS1-positive dengue hemorrhagic fever in the pediatric population through logistic regression analysis of hematological profiles and demographic characteristics. A cross-sectional analytical study was conducted using secondary data from medical records of pediatric patients admitted to the pediatric ward of RSUD dr. Soedarso Pontianak between January and December 2023. A total of 203 patients who underwent NS1 antigen testing and complete hematological examinations were included. Data were analyzed using bivariate tests (independent t-test or Mann-Whitney U test) followed by binary logistic regression to identify independent predictors of NS1 positivity. Model performance was evaluated using Receiver Operating Characteristic (ROC) curve analysis. Bivariate analysis revealed that thrombocyte count was significantly lower in NS1-positive patients compared to NS1-negative patients. In multivariate logistic regression analysis, thrombocyte count emerged as a significant negative predictor of NS1 positivity, while erythrocyte count demonstrated a significant positive association. Hemoglobin, hematocrit, leukocyte count, age, and sex did not retain statistical significance in the final model. The combination of thrombocyte and erythrocyte counts yielded acceptable discriminative ability with an area under the ROC curve of 0.68. Thrombocyte count and erythrocyte count are independent predictors of NS1-positive dengue infection in pediatric patients. Low thrombocyte counts and elevated erythrocyte counts increase the likelihood of acute dengue infection and should be considered in diagnostic assessment, particularly in resource-limited settings where immediate NS1 testing may not be available.

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