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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.
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Articles 504 Documents
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Implementation Of Patient-Centered Care as An Effort to Enhance Service Quality and Patient Safety in Community Health Centers Harniati Harniati; Masriadi Masriadi; Abdul Rahman; Fadliyah Fadliyah; Arjang Arjang; Sriyanti Ambar
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.v14i1.8362

Abstract

Patient safety is a fundamental determinant in the contemporary healthcare quality assurance framework. Although the accuracy of incident reporting in Primary Health Care Facilities (FKTP) in Indonesia still faces data challenges, the urgency of clinical risk mitigation remains a strategic priority in service quality transformation. The “X” Community Health Center in Makassar integrates patient safety standards as an essential instrument for quality improvement, as mandated by the national health regulatory framework to ensure comprehensive patient protection. The study investigates whether applying patient-centered care in community health centers can improve healthcare quality and reduce risk of errors for patients at the “X” Community Health Center in Makassar. This research employs a qualitative approach with data collection techniques including participatory observation, in-depth interviews, and documentation study. The population in this study includes patients who receive health services at community health centers during the research period. They are the main parties who experience and implement patient-centered care, so they can evaluate its impact on service quality and patient safety. The sample is a subset of the population selected to represent the whole population. The sample represents both perspectives patients as service recipients and health workers as service providers.  (patients from several community health centers and healthcare workers (doctors, nurses, and other staff). The total sampel in this research is 7 recipients. The study locus is the “X” Community Health Center in Makassar, with data collection occurring from November to December 2025.  Data analysis indicates that the internalization of patient safety efforts at the “X” Community Health Center in Makassar has been aligned with FKTP accreditation instruments. However, empirical findings still reveal discrepancies in the realization of standards due to managerial and resource constraints. This condition suggests the need for systemic optimization and strengthening of a patient safety culture that involves all stakeholders to reduce existing operational barriers. The provision of safe and quality services is an essential prerequisite for achieving indicators of a healthy community. The acceleration of patient safety standards fulfillment at the Community Health Center must be consistently implemented, referring to the latest regulations, to ensure the sustainability of basic healthcare quality improvement.
Acupressure GB 21 JIANJING and LI4 HEGU points for Reducing Anxiety, Labor pain During the Active Phase of the First Stage of Labor in Primiparous Women asri kusyani; Elis Fatmawati; Alis Nur Diana
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.v14i1.7640

Abstract

Anxiety and labor pain during the active phase of the first stage of labor are common physiological and psychological responses among primiparous women and may adversely affect labor outcomes if not properly managed. Increased anxiety can intensify pain perception through sympathetic activation and catecholamine release. Non-pharmacological interventions, including stimulation of acupressure points such as GB 21 Jianjing and LI 4 Hegu, may help reduce these responses. This study aimed to determine the effect of acupressure at GB 21 (Jianjing) and LI 4 (Hegu) on anxiety and labor pain in primiparous women. A pre-experimental one-group pre-test–post-test design was conducted among 30 primiparous women in the active phase of labor selected through purposive sampling. Inclusion criteria were singleton pregnancy, 37–42 weeks’ gestation, cervical dilatation 4–7 cm, cephalic presentation, absence of obstetric complications, and willingness to participate. Women with high-risk conditions or those who had received prior pharmacological analgesia were excluded. Anxiety was measured using the Hamilton Anxiety Rating Scale (HARS), and pain intensity was assessed using the Numeric Rating Scale (NRS). Data were analyzed using the Wilcoxon signed-rank test with a significance level of p 0.05. Before intervention, 76.7% of respondents experienced severe anxiety and 43.3% reported moderate pain. After acupressure, 43.3% reported mild anxiety and 50% mild pain. Statistical analysis showed significant reductions in both anxiety and pain (p 0.001). Acupressure at GB 21 and LI 4 significantly reduced anxiety and labor pain in primiparous women and may serve as a complementary intervention in maternity care. Further randomized controlled trials with larger samples are recommended.
Factors Associated With Eye Fatigue Among Eyelash Artisans In A Home-Based Industry In Sumbang Village Eky - Susilowati; Syifa Ula Hamidya; Nur - Ulfah; Nasya Adelia Putri; Siti Harwanti
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.v14i1.8246

Abstract

Eye fatigue represents a prevalent occupational health issue among workers who perform tasks requiring high visual accuracy and precision, such as eyelash artisans. Extended periods of close-distance visual work, insufficient lighting, and individual visual impairments can elevate the risk of eye strain and negatively affect work performance. Informal sector workers such as eyelash artisans are particularly vulnerable due to long working hours, repetitive tasks involving small objects, and inadequate workplace lighting. Preliminary observations in a home-based eyelash industry in Sumbang Village, Banyumas Regency indicated that many artisans complained of symptoms such as sore eyes, blurred vision, watery eyes, and headaches during or after work. This study aimed to identify factors related to eye fatigue complaints among eyelash artisans working in a home-based industry in Sumbang Village, Banyumas Regency. An explanatory study with a cross-sectional approach was carried out in August 2025 and involved 51 eyelash artisans selected through total sampling. The independent variables examined were age, refractive disorders, eye rest, duration of work, and lighting intensity, while eye fatigue complaints served as the dependent variable. Eye fatigue was assessed using the Visual Fatigue (VF) questionnaire, and lighting levels were measured with a lux meter. Data analysis included univariate analysis and bivariate analysis was performed using the Fisher exact test. The findings revealed that 86.3% of participants reported experiencing eye fatigue. Significant associations were found between eye fatigue complaints and age (p = 0.033), refractive disorders (p = 0.034), and lighting intensity (p = 0.021). In contrast, eye rest (p = 1.000) and work 7duration (p = 0.080) did not show significant relationships with eye fatigue. In conclusion, age, refractive disorders, and inadequate lighting intensity are key factors contributing to eye fatigue among eyelash artisans. Therefore, improving lighting conditions in the workplace and paying attention to workers’ visual health are crucial efforts to minimize eye fatigue and enhance occupational health in the informal sector. Recommendations for future research include longitudinal studies or controlled interventions that incorporate objective measurements (complete refraction examinations, accommodation amplitude, and work performance metrics) and multivariate analyses to examine the mediating/moderating role of age, refraction, and lighting in triggering eye fatigue.
Analysis of Cerebral Adherence to Heart Failure Cases in Melati 2B Ward at Dr. Soekardjo Regional General Hospital Tasikmalaya Cindy Putri Andriyani; Asep Kuswandi; Dewi Aryanti
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.v14i1.8284

Abstract

Heart disease remains a leading cause of global mortality, closely linked to modifiable unhealthy lifestyles. The Indonesian Ministry of Health introduced the CERDIK program as a preventive strategy, encompassing routine health checks, smoking cessation, regular physical activity, balanced diet, adequate rest, and stress management. However, the incidence of heart failure remains high, suggesting inconsistent adherence. This study aims to analyze the risk factors for heart failure based on the CERDIK behavioral approach in Tasikmalaya. A non-experimental quantitative case–control study was conducted involving 60 respondents (30 cases and 30 controls) at RSUD Dr. Soekardjo. Data were analyzed using Chi-Square and Fisher’s Exact Test to determine Odds Ratios (OR). The results revealed that regular physical activity (p 0.001; OR 0.11) and a balanced diet (p = 0.03; OR 0.04) were significantly associated with a lower risk of heart failure. Routine health checks (p 0.001) and adequate rest (p 0.001) also showed strong protective associations. Conversely, stress management did not show a statistically significant association (p = 0.123), likely due to high adherence across both groups. It is concluded that consistent implementation of CERDIK behaviors, particularly physical activity and dietary management, is critical in preventing the progression of cardiovascular disease into heart failure. Healthcare providers must intensify education and monitoring of these specific behaviors in high-risk populations.
The Association Between Nurses’ Caring Behaviors with Patient Satisfaction and Loyalty at Panti Waluya Hospital Regina Hege; Kuswantoro Rusca Putra; Rinik Eko Kapti
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 2 (2026): EDITION JULY 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i2.8414

Abstract

Patient satisfaction and loyalty are important indicators of healthcare quality and hospital sustainability, and may be influenced by patients' perceptions of nurses' caring behaviors. This study aimed to analyze the association between nurses’ caring behaviors and patient satisfaction and loyalty at Panti Waluya Sawahan Hospital, Malang, Indonesia. A correlational study with a cross-sectional design was conducted involving 202 inpatients from July to September 2025. Eligible participants were patients aged ?18 years, hospitalized for at least three days, fully conscious, and able to communicate effectively. Participants were selected using proportional quota sampling across inpatient wards. Data were collected using the Caring Assessment Tool Version V (CAT V-27), the Public Service Satisfaction Questionnaire based on PERMENPAN-RB No. 14/2017, and a patient loyalty questionnaire adapted from Meesala and Paul (2018). Data were analyzed using Spearman's rho. Significant positive associations were found between nurses' caring behaviors and patient satisfaction (r? = 0.160; p = 0.023), nurses’ caring behaviors and patient loyalty (r? = 0.163; p = 0.020), patient satisfaction and patient loyalty (r? = 0.469; p 0.001). Nurses' caring behaviors were weakly associated with patient satisfaction and loyalty, whereas patient satisfaction showed a stronger association with patient loyalty. These findings highlight the importance of strengthening caring interactions as part of patient-centered nursing care while supporting continuous quality improvement to enhance  healthcare experiences. Future studies should employ longitudinal or analytical designs to examine additional factors influencing patient satisfaction and loyalty.
Family Partnership Intervention to Improve Independence and Glycemic Control in Elderly with Type 2 Diabetes: Pre-Experimental Study Sasmiyanto Sasmiyanto; Dian Ratna Elmaghfuroh
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 2 (2026): EDITION JULY 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i2.8570

Abstract

Type 2 diabetes mellitus is a prevalent chronic condition among the elderly that contributes not only to physiological complications but also to decreased independence in daily activities. This study aimed to analyze the effectiveness of a family partnership–based intervention in improving independence and glycemic control among elderly individuals with type 2 diabetes mellitus. A pre-experimental one-group pre–posttest design was employed involving 64 elderly participants selected through stratified random sampling in a community setting in Bondowoso, Indonesia. Data were collected using the Barthel Index to assess independence and random blood glucose measurements using a calibrated glucometer to evaluate glycemic control. Univariate analysis was used to describe the data, while the Wilcoxon signed-rank test was applied to determine differences before and after the intervention. The results showed a decrease in mean glycemic levels from 169.14 to 135.56 and a shift in independence levels, with a higher proportion of participants classified as having mild dependency after the intervention. Statistical analysis indicated a significant difference in independence levels (p 0.05). These findings demonstrate that a family-centered partnership approach effectively improves both functional independence and glycemic control among elderly individuals with type 2 diabetes mellitus. The intervention promotes active involvement of both elderly individuals and caregivers, enhances self-efficacy, and reduces dependency. This model provides a practical and culturally adaptable strategy for community-based chronic disease management and highlights the importance of family engagement in improving health outcomes among the elderly.
Associations Between Hemoglobin, Insomnia, Nausea, Cancer-Related Fatigue in Chemotherapy Outpatients: Implications for Clinical Nursing Management Hendra Dwi Cahyono; zahra saad; Ina Martiana; Anita Fatarona; Fitri Kusumasa
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 2 (2026): EDITION JULY 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i2.8449

Abstract

Cancer-related fatigue (CRF) is one of the most prevalent and distressing symptoms experienced by patients with cancer during chemotherapy. CRF is multidimensional in nature and is often associated with biological factors and co-occurring symptoms such as anemia, insomnia, and nausea and vomiting. Objective: This study aimed to examine the associations between hemoglobin levels, insomnia, nausea and vomiting, and cancer-related fatigue among patients undergoing outpatient chemotherapy. A quantitative observational study with a cross-sectional design was conducted. A total of 111 patients receiving outpatient chemotherapy were recruited using consecutive sampling. Cancer-related fatigue was assessed using the Fatigue Assessment Scale (FAS), insomnia was measured using the Insomnia Severity Index (ISI), and nausea and vomiting were assessed using the Rhodes Index of Nausea, Vomiting, and Retching (RINVR). Hemoglobin levels were obtained from patients’ medical records. Data were analyzed descriptively and using bivariate Spearman’s correlation analysis. The mean hemoglobin level was 11.43 ± 2.05 g/dL. The mean scores for cancer-related fatigue, insomnia, and nausea and vomiting were 30.12 ± 9.06, 16.77 ± 5.28, and 7.92 ± 7.45, respectively. Spearman’s correlation analysis revealed a significant negative association between hemoglobin levels and cancer-related fatigue (r = ?0.293; p = 0.002). In contrast, insomnia (r = 0.277; p = 0.003) and nausea and vomiting (r = 0.278; p = 0.003) were positively and significantly associated with cancer-related fatigue. Cancer-related fatigue among chemotherapy outpatients is significantly associated with hemoglobin levels, insomnia, and nausea and vomiting. Routine monitoring of hemoglobin levels, along with systematic screening for sleep disturbances and nausea, is recommended to support more effective nursing interventions for managing cancer-related fatigue in outpatient chemotherapy settings.
Prevalence and Potential Determinants of Primary Infertility Among Reproductive-Age Couples: A Cross-Sectional Study Wiqodatul Ummah; Ahisa Novianti; Lailatul Rahmawati
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 2 (2026): EDITION JULY 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i2.8427

Abstract

Infertility is defined as the failure to establish a clinical pregnancy following at least 12 months of regular, unprotected sexual intercourse. This condition impacts an estimated 15% of couples of reproductive-age worldwide. The objective of this study was to investigate the prevalence and associated factors of primary infertility among couples aged 18 to 49 years. An analytical cross-sectional study was conducted from November 2025 to January 2026, involving 398 couples of reproductive-age selected through purposive sampling. Data were analyzed using multivariable logistic regression. The prevalence of primary infertility was 15.6% (95% CI: 12.2%-19.5%). Female age ?35 years was the strongest determinant (AOR=5.24; 95% CI: 2.18-12.60). Significant socio-economic factors included university education (AOR=2.94; 95% CI: 1.26-6.86) and higher income (AOR=2.36; 95% CI: 1.18-4.72). Modifiable lifestyle factors such as male smoking (AOR=2.86), female obesity (AOR=2.64), male obesity (AOR=2.18), and female stress (AOR=1.42) increased infertility risk, whereas high physical activity was protective (AOR=0.38). Health-related determinants included irregular menstruation (AOR=2.94), polycystic ovary syndrome (AOR=3.42), female sexually transmitted infection history (AOR=2.48), and varicocele (AOR=2.86). The prevalence of primary infertility among reproductive-age couples in Malang Regency was 15.6% and was independently associated with demographic, socio-economic, lifestyle, and health-related factors. Female age ?35 years was the strongest determinant, while modifiable factors including smoking, obesity, physical inactivity, stress, and sexually transmitted infections highlight the need for early screening, reproductive counseling, lifestyle modification, and STI prevention.
Children's Anxiety Levels Are Associated with Family Support and Length of Hospitalization Heri Saputro; Eva Agustina Yalestyarini; Intan Fazrin; Nasirotun Nikmah
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 2 (2026): EDITION JULY 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i2.8596

Abstract

Anxiety is an emotional reaction caused by nonspecific factors that can cause feelings of worry, discomfort, and threat. The emergence of anxiety is usually influenced by several factors. Similarly, anxiety is experienced by children who are hospitalized. Patients treated in the Trigger Room need the support of their family who has a close relationship with the patient. This family support is the most important form of support in carrying out therapy and reducing the patient's anxiety level where anxiety is a condition that arises within a person characterized by deep and persistent feelings of fear. This study aimed to analyze the effect of family support and length of hospitalization on anxiety levels in children. The research design used an analytical survey with a cross-sectional approach. The sample consisted of 31 respondents. The independent variables were family support and length of hospitalization, while the dependent variable was children's anxiety level. The instrument used the Spence Children's Anxiety Scale. The statistical analysis was the chi-square test. The results of the study showed a p-value = 0.001 (Chi-square test). The study concluded that there is a significant relationship between family support and length of hospitalization with anxiety levels in children treated in the Trigger Room of Dr. Iskak Tulungagung Regional Hospital. It is recommended that nursing services be improved to patients so that the average length of hospitalization among children can be reduced and family support can be increased.
Knowledge, Competency, and Depression Among Multisectoral Community Mental Health Teams: A Cross-Sectional Study Fajar Rinawati; Hengky Irawan; Muhammad Ali Sodik; Astri Yunita
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 2 (2026): EDITION JULY 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i2.8739

Abstract

Mental health problems have become an increasing global health challenge and are closely related to the achievement of the Sustainable Development Goals (SDGs), particularly Goal 3: Good Health and Well-Being, which emphasizes the importance of promoting mental health and psychological well-being for all individuals. Knowledge and ability in managing community mental health problems are important factors in the success of mental health services. Lack of competence may increase anxiety, which can eventually lead to depression among team members. This study aimed to analyze the relationship between knowledge and the ability to manage community mental health problems and depression levels among Community Mental Health Implementation Teams. This study used a quantitative correlational design with a cross-sectional approach. The population consisted of all Community Mental Health Implementation Team (TPKJM) members, totaling 184 individuals, and 64 respondents were selected using proportional simple random sampling. To ensure data quality, the questionnaire was tested for validity and reliability, yielding validity values above 0.516 and a Cronbach’s alpha of 0.96. Depression levels were measured using the Patient Health Questionnaire-9. The results showed that 98% of respondents had good knowledge, 95% had good ability, 44% had no depression, and 41% experienced minimal depression. The correlation test between knowledge and depression level showed a p-value = 0.024, while the correlation between ability and depression level showed a p-value of 0.036 (0.05). These findings indicate a significant relationship between knowledge and ability with depression levels among TPKJM members. Adequate knowledge and abilities among TPKJM members can help the team become more prepared and confident in carrying out their duties optimally, thereby reducing anxiety and minimizing depression.

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