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RIZKI AMALIA
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INDONESIA
Journal of Health Sciences
Published by Universitas Nahdlatul Ulama Surabaya
ISSN : 19786743     EISSN : 24773948     DOI : https://doi.org/10.33086/jhs
Core Subject : Health,
Nursing
Jurnal Ilmiah Kesehatan (Journal of Health Science) publishing articles with various perspectives, including literature studies and field studies. This journal focus and scope are: Nursing Midwifery Medical Sanitation Public Health Nutrition Medical Technic
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 667 Documents
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The Differences Between Think Pair Share and Stratagem Learning Models in Improving Knowledge of Premature Sex Prevention in Students at SMA Samarinda Safrudin, Muhammad Bachtiar; Saputri, Della
Jurnal Ilmiah Kesehatan Vol 19 No 01 (2026): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v19i01.7018

Abstract

Adolescent growth and development causes physical, cognitive and psychosocial changes, which are followed by sexual maturity, followed by attraction to the opposite sex, thereby triggering the potential for premarital sexual behavior. This problem requires preventive treatment efforts in the form of health education. Health education models that are suitable for upper secondary students are think-pair-share (TPS) and stratagem. This research aims to see the differences in the effectiveness of the think-pair-share and stratagem health education methods on knowledge of premarital sex prevention. This research design uses a quasi-experimental pre- and post-test with a control group design. The population in this study was 120 class X students at SMA 11 Samarinda. The sampling technique used was random sampling with a total of 42 samples each. Adolescent students' prevention knowledge was measured with a questionnaire consisting of 16 items. The research results show a change in knowledge score of 4, given the TPR model education, while the Stratagem model increases by 6. The results of the Mann-Whitney test show a p-value of 0.000 (<0.05), where there is a difference between the TPS and Stratagem models. The stratagem model is suitable for teenagers because of the teenager's character who likes relaxed and fun learning.
Effectiveness of Ear Acupressure on Anxiety Among Primigravida Women During Labor Nurdiana, Ninik; Setiawandari; Waroh, Yuni Khoirul
Jurnal Ilmiah Kesehatan Vol 19 No 01 (2026): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v19i01.7026

Abstract

Childbirth is a physiological process that is influenced by maternal, familial, and environmental support. Primigravida women often experience heightened anxiety due to lack of childbirth experience. Increased anxiety can stimulate cortisol release, potentially leading to labor complications such as impaired uterine contractions and prolonged labor. One non-pharmacological approach to reduce anxiety during labor is acupressure. While ear acupressure has been shown to reduce labor pain, evidence regarding its effect on anxiety remains limited. This study aimed to examine the effectiveness of ear acupressure at the Shen Men point in reducing anxiety during the early stage of labor. A quasi-experimental one-group pre-test–post-test design was used, involving 31 primigravida women in early labor selected through convenience sampling. Anxiety levels were measured before and after the intervention using the Anxiety Assessment Scale for Women in Labor (AASWL). Before the intervention, 67.70% of participants reported anxiety levels above 50%. After ear acupressure, more than half of the participants (54.80%) continued to report anxiety levels above 50%. The mean anxiety score decreased from 25.71 before the intervention to 16.48 after, showing an average reduction of 9.23 points. However, statistical analysis using the Wilcoxon signed-rank test yielded a p-value of 0.157, indicating that the reduction was not statistically significant. In conclusion, ear acupressure at the Shen Men point was not shown to have a significant effect on reducing anxiety during the first stage of labor in primigravida women.
The Interaction Between Environmental Sanitation and Pregnant Women's Nutritional Intake on the Risk of Stunting in Toddlers Nikmah, Khusnul; Susila, Ida
Jurnal Ilmiah Kesehatan Vol 19 No 01 (2026): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v19i01.7752

Abstract

Stunting is a chronic nutritional problem that impacts the physical growth and development of children. Environmental sanitation factors and maternal nutritional intake during pregnancy play a crucial role in determining toddlers' nutritional status. This study analyzes the relationship between environmental sanitation and pregnant women's nutritional intake on the incidence of stunting in toddlers. In addition, their interactions with stunting incidence. The study used an analytical observational design with a cross-sectional approach. The study population comprised families with toddlers aged 6–59 months. A sample of 100 families was selected using a purposive sampling technique. Data were collected through structured questionnaires, mother interviews, sanitation observations, and height measurements for height-for-age using WHO standards to assess stunting incidence. Data analysis used univariate analysis, the Chi- Square Test for bivariate analysis, and logistic regression to examine variable interactions. Results showed that 38% of toddlers experienced stunting, 45% of families had poor environmental sanitation, and 42% of pregnant women had inadequate nutritional intake. There was a significant correlation between environmental sanitation and the incidence of stunting (p=0.001) and between pregnant women's nutritional intake and stunting (p=0.003). The logistic regression analysis showed that toddlers exposed to poor sanitation and inadequate nutritional intake during pregnancy had a 3.2 times higher risk of stunting than those exposed to only one factor. Stunting is a multifactorial problem influenced by poor sanitation and inadequate maternal nutritional intake during pregnancy. Therefore, efforts to prevent stunting need to be integrated through improving environmental sanitation and enhancing the nutritional quality of pregnant women.
Working Position, Work Duration, Ergonomics Knowledge Level on The Risk of Musculoskeletal Disorders among Informal Workers in Slipper Sponge Sandal Manufacturing Sari Arum Prasasti; Suwoyo Suwoyo; Ekowati Retnaningtyas
Jurnal Ilmiah Kesehatan Vol 19 No 01 (2026): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v19i01.6200

Abstract

The informal sector may be associated with an increased risk of occupational diseases or accidents. This is due to the absence of an ergonomic workplace, insufficient attention to occupational safety and health, and inadequate supervision. The purpose of this study was to determine the effect of working position, work duration, and level of ergonomic knowledge on the risk of Musculoskeletal Disorders (MSDs) among informal workers in slipper sponge sandal manufacturing. The research design in this study was cross- sectional. The number of respondents was 33. Data collection used field observation and the completion of questionnaires using the REBA (Rapid Entire Body Assessment), Nordic Body Map Questionnaires, and questionnaires measuring ergonomic knowledge. Data analysis used bivariate and multivariate analysis. Multivariate analysis used multiple linear regression with α=0.05. Results showed that 63.6% respondents had a high risk of MSDs. Based on bivariate analysis, working position (X1) obtained p=0.018, work duration (X2) p=0.018, ergonomic knowledge level (X3) p=0.023. Multivariate analysis on X1, X2, and X3 got p=0.000. In conclusion, Working position, work duration, and ergonomic knowledge level influence partially and simultaneously the risk of musculoskeletal disorders among informal workers in slipper sponge sandal manufacturing.
Mental Health Issues Among Indigenous Communities and the Role of Traditional Medicine Iswanto; Dewi Maryam; Ratna Puji Priyanti; Eva Felipe Dimog; Asri
Jurnal Ilmiah Kesehatan Vol 19 No 01 (2026): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v19i01.7604

Abstract

Indigenous populations worldwide face significant mental health disparities stemming from historical trauma, colonization, and marginalization. The World Health Organization reports particularly concerning rates of suicide and self-harm among indigenous youth. These communities struggle with multiple interconnected challenges, including economic hardship, limited access to education, and identity crises. This narrative review es mental health issues among indigenous communities and the role of traditional medicine in addressing these challenges. This review analyzed sources from 2014 to 2024 in English and Bahasa Indonesia, including academic papers, government reports, and grey literature on indigenous peoples, mental illness, and traditional medicine. Using keywords related to indigenous/aboriginal communities, mental health, and traditional/alternative medicine, the review presented findings across 5 themes: Indigenous community challenges; health and cultural perspectives; traditional and biomedical approaches; preservation of traditional medicine; and new healthcare models. Traditional medicine faces challenges from systematic marginalization and younger generations' skepticism. The review advocates for an integrated healthcare approach that combines traditional and biomedical practices while preserving indigenous knowledge systems. This integration requires cultural competency, specialized training for healthcare professionals, and empowerment of indigenous community members in healthcare roles.
Modification of Papercraft Play Therapy Combined with Music Therapy on the Social- Emotional Development of Preschool Children Retty Nirmala Santiasari; Budi Artini; Meilan Meilan; Grayvhany Zhyeriel Chrizhara Banu
Jurnal Ilmiah Kesehatan Vol 19 No 01 (2026): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v19i01.8132

Abstract

The prevalence of emotional development disorders in children is still quite high. Thus, stimulating children's social-emotional development is critical. This paper evaluates whether children's social-emotional development improves after receiving papercraft play therapy combined with music therapy. This study used a quasi-experimental pretest- posttest design. The population was preschool children (5–6 years old) at TK Kristen Dharma Mulya. The sample was 60 children selected using a purposive sampling technique. It was divided into three groups: two intervention groups and one control group—Group A: papercraft play therapy; Group B: papercraft play therapy combined with music therapy; and Group C: routine play activities. The research instruments were the Emotion Regulation Checklist (ERC). Statistical analysis used ANOVA, with α≤0.05. In Group A, the social-emotional development of children in the pre-test was in the poor category at 70%. Meanwhile, in the post-test, it improved to the good category at 55%. In Group B, social-emotional development in the pre-test was in the poor category at 55%. In the post-test, it increased to the adequate category at 45%. In Group C, 65% of children were in the poor category at the pre-test, and 50% remained in the poor category at the post-test. ANOVA analysis showed significant differences among the three groups (p=0.001). Post hoc tests indicated that Group B showed greater improvement in children's social-emotional development than the other groups. In conclusion, papercraft therapy combined with music therapy is more effective for social-emotional development in preschool children than papercraft therapy alone or routine play activities.
Effect of Diabetic Foot Ulcer Prevention Education on the Knowledge, Attitude, and Practices of PKK Cadres in Suruh Kalang, Karanganyar Endah Sri Wahyuni; Mike Chelsea Maharani; Karisma Dian Rahmawati
Jurnal Ilmiah Kesehatan Vol 19 No 02 (2026): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v19i01.7386

Abstract

Diabetic foot ulcers are characterized by a disruption of skin integrity or infection that may extend to subcutaneous tissue, muscles, tendons, or bone. In Indonesia, the prevalence of diabetic foot ulcers is approximately 15%, with amputation rates of around 30% and mortality rates reaching up to 32%. One key strategy for preventing diabetic foot ulcers is health promotion conducted by community health cadres, who serve as frontline agents in public health initiatives. Preventive efforts include proper foot care practices and the implementation of diabetic foot exercises. The knowledge, attitudes, and behaviours of healthcare cadres play a crucial role in the success of both preventive and promotive interventions. Adequate knowledge supports the formation of positive attitudes, which subsequently encourage appropriate health behaviours. Structured educational programs that incorporate lectures, group discussions, demonstrations, and pre- and post-intervention evaluations are effective in improving the knowledge, attitudes, and behaviours of health cadres. Evidence from such interventions demonstrates a statistically significant improvement in these domains (p-value = 0.000). Therefore, the implementation of a sustainable and continuous education program is essential to strengthen diabetic foot ulcer prevention efforts by health cadres within the community and to ultimately reduce the incidence of diabetic foot ulcers
Multinomial Logistic Regression (MLR) Analysis: Predictive Model of Risk Factors for the Incidence of Period Pain (Primary Dysmenorrhea) in Adolescent Girls: Multinomial Logistic Regression (MLR) Analysis: Predictive Model of Risk Factors for the Incidence of Period Pain (Primary Dysmenorrhea) in Adolescent Girls Yulis Indriyani; Ardiana Priharwanti; Irine Dwitasari Wulandari
Jurnal Ilmiah Kesehatan Vol 19 No 02 (2026): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v19i02.7567

Abstract

World epidemiological data states that primary dysmenorrhea occurs most frequently in women aged 17-24 years. Multinomial Logistic Regression (MLR) modeling is suitable to produce predictive models with the dependent variable (menstrual pain) consisting of four categories. The study aimed to analyze the predictive model of risk factors for menstrual pain among adolescent girls in Pekalongan City. The research design was an analytic survey with a cross sectional design. Samples totaled 100 with multistage random sampling at four school sites. The questionnaires used included NRS, PSS-10 and anthropometric measurements. Of the fourteen variables studied, three variables, namely female relatives who have a history of menstrual pain, the amount of sleep time and exercise habits, proved to significantly affect the incidence of menstrual pain in adolescent girls (p value <0.05). The Multinomial Logistic Regression model produced three logit equations. The Nagelkerke model showed that all risk factors studied (14 variables) simultaneously influenced the incidence of menstrual pain by 61.2% while the other 39.8% was influenced by variables not studied. The accuracy of the classification table with a prediction truth rate of 80.9% explained that female relatives who have a history of menstrual pain are 98.319 times more likely to have moderate menstrual pain compared to not having female relatives who have a history of menstrual pain. The predictive modeling has good accuracy.
Relationship Between Age of Menarche and Regularity of Menstrual Cycle in Female Students At Mts Hasyim Asy'ari Lamongan Asyaul wasiah; ida Susila
Jurnal Ilmiah Kesehatan Vol 19 No 02 (2026): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v19i02.7825

Abstract

Menarche marks the beginning of the maturation of the reproductive hormonal system in adolescent girls. This hormonal system plays an important role in regulating the menstrual cycle. The purpose of this study was to determine the relationship between the age of menarche and the regularity of the menstrual cycle. The research design used a cross-sectional design. This study was conducted at MTs Hasyim Asy'ari, Kembangbahu District, Lamongan. The sample was taken from all 38 female students of grade IX using a simple random sampling method. The independent variable of this study was the age of menarche and the dependent variable was the regularity of the menstrual cycle. Data analysis using the Chi-Square test showed that if the p-value <0.05, then the null hypothesis was rejected, and there was a significant relationship between categorical variables. Based on the results of the Chi-Square test in this study, the Asymp.Sig value was 0.005, which was smaller than 0.05. This indicates that the null hypothesis (H0) can be rejected. Thus, it can be concluded that there is a significant relationship between the age of menarche and the regularity of the menstrual cycle. This means that the age of menarche is correlated with the regularity of the menstrual cycle, indicating that the age of menarche factor can influence the regularity of the menstrual cycle in individuals.
The Relationship between Self-Efficacy and Diet Compliance in Diabetes Mellitus Patients at Jemursari Islamic Hospital, Surabaya: Hubungan Self efficacy dengan Kepatuhan Diet pada Pasien Diabetes Melitus di Rumah Sakit Islam Jemursari Surabaya Fildzah Hendriawati; Difran Nobel Bistara; Khamida; Erika Martining Wardani; Susanti
Jurnal Ilmiah Kesehatan Vol 19 No 02 (2026): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v19i02.7894

Abstract

Patients with diabetes mellitus frequently experience difficulties adhering to recommended dietary regimens, resulting in unstable blood glucose levels and an increased risk of further complications. One significant factor influencing dietary adherence is self-efficacy, or patients' belief in their own ability to manage their diet. This study aims to investigate the relationship between self-efficacy and dietary adherence among diabetes mellitus patients at Jemursari Islamic Hospital, Surabaya. This study employed a correlational analytical design with a cross-sectional approach. A total of 119 respondents were selected using a simple random sampling technique from a population of 170 patients with type 1 and type 2 diabetes mellitus. Data collection instruments included the Diabetes Management Self efficacy Scale (DMSES) for measuring self-efficacy and the Dietary Behaviour Questionnaire (DBQ) for assessing dietary adherence. Data were analyzed using Spearman's Rank correlation test. The results indicated that the majority of respondents had a low level of self-efficacy (fifty-three point eight percent) and moderate dietary adherence (forty-six point two percent). Statistical analysis revealed a significant positive relationship between self-efficacy and dietary adherence among diabetes mellitus patients (p = 0.000), with a strong correlation coefficient of 0.851. Based on these findings, self-efficacy was found to have a strong positive association with dietary adherence. Therefore, healthcare professionals are advised to emphasize simple and repetitive educational approaches, particularly targeting elderly patients with low to moderate educational levels, to enhance patients' confidence in consistently and independently adhering to diabetes dietary regimens. .

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