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RIZKI AMALIA
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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 670 Documents
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Foot Massage for Improving Sleep Quality in Hemodialysis Patients: A Case Study Laela Nur Nabilah; Henni Kusuma; Wahyu Hidayati; Le-Trinh Lam
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.v19i02.8015

Abstract

Sleep disorders are a common and significant issue among haemodialysis (HD) patients, often leading to a decline in their quality of life. Foot massage is one of the nonpharmacological therapies that could be effective in managing sleep disorders among patients with hemodialysis. This study aimed to evaluate the effectiveness of foot massage in improving sleep quality in HD patients. A case study was conducted involving three HD patients with poor sleep quality at the Haemodialysis Unit of Dr. Kariadi General Hospital, Semarang, in May 2025. The Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality before and after the intervention. Foot massage was performed for 10 minutes during dialysis sessions, twice weekly for four consecutive weeks. The results showed decreased PSQI scores after the intervention in three patients, indicating improved sleep quality. These findings suggest that foot massage positively affects sleep quality in haemodialysis patients and can be considered a beneficial nonpharmacological intervention in nursing practice.
The Effect of Non-Pharmacological Pain Management Using Behavioural Intervention on Pain Scale and Oxygen Saturation Among Preschool Children Undergoing Invasive Procedures Dinda rizqiatus; Wesiana Heris Santy; Nety Mawarda Hatmanti; Yurike Septianingrum
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.v19i02.8341

Abstract

Pain during invasive medical procedures is a major stressor for preschool children and may trigger physiological responses such as oxygen saturation decline due to crying and anxiety. This study aimed to analyze the effect of behavioural intervention on pain scale and oxygen saturation in preschool children undergoing intravenous procedures. This research was conducted using a quasi-experimental post-test only control group design. A total of 80 children aged 3–6 years undergoing intravenous insertion at RSI Jemursari Surabaya were selected through purposive sampling and divided equally into intervention and control groups. Pain intensity was assessed using the FLACC Scale, while oxygen saturation was measured using a pulse oximeter. Mann–Whitney U test was used for statistical analysis. The mean pain score in the intervention group (3.44) was significantly lower than in the control group (7.57). Meanwhile, the mean oxygen saturation in the intervention group (98%) was higher than in the control group (94.12%). Statistical analysis showed a significant difference between both variables (p=0.001). Behavioural intervention is effective in reducing pain and preventing oxygen desaturation in preschool children during invasive procedures. This intervention can be recommended as a non-pharmacological approach in pediatric nursing practice.
Comparison of Emodemo and Leaflet Nutrition Education on Knowledge and Attitudes of Mothers of Wasting Toddlers Catur Wulandari; Zainiyah Rozi
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.v19i02.8721

Abstract

Wasting is a growth disorder characterized by a mismatch between a child's weight and height or length. The causes of wasting are divided into direct and indirect factors, with knowledge and attitudes considered indirect factors. This study aimed to analyze differences in knowledge and attitudes after education using emodemo and leaflet media among mothers of children aged 6–24 months with wasting in the working area of Banjar Health Center, Galis District, Bangkalan. This study employed a quasi-experimental design. The research instruments included a post-test questionnaire consisting of multiple-choice questions to measure knowledge and a likert scale form to assess attitudes. Data were analyzed using the Mann-Whitney test. The results showed a significant difference in mothers’ knowledge after education using emodemo media (p-value = 0.002). However, no significant difference was found in mothers’ attitudes after education using leaflet media (p-value = 0.062). In conclusion, there was a significant difference in the knowledge of mothers of children with wasting after receiving education through emodemo and leaflet media (p < 0.05). However, there was no significant difference in attitudes after the intervention (p > 0.05). Future research is recommended to not only measure knowledge and attitudes immediately after education but also conduct follow-up measurements several weeks or months later to assess retention and behavioral changes over time.
Mother’s Commitment to Limiting Screen Time among Preschool-Aged Children and Its Influencing Factors Diana Rachmania; Dhina Widayati; Madiha Mukhtar
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.v19i02.8738

Abstract

Excessive use of gadgets has a negative impact on children's health and development. Mothers' commitment to limiting screen time is key to preventing children from the negative impacts of gadget use. This study aims to analyze factors related to mothers' commitment to limiting screen time in preschool-aged children. The research design used was a correlational study. The sample in this study were 60 mothers with preschool children with a total sampling technique. The research variables were mothers' commitment to limiting screen time and factors such as age, education, occupation, number of children, mother's motivation, husband's support, and residential environment. The research instrument was a questionnaire. Data were analyzed using the Chi-Square statistical test. The results showed that almost all mothers (85%) had sufficient commitment to limiting screen time. The results of data analysis with a significance of α <0.05 showed that education, occupation, motivation, and residential environment were related to mothers' commitment to limiting screen time in children, while age, number of children, and husband's support were not related. Mothers are expected to actively adjust strategies for limiting screen time for their children while still providing active support when with their children
Maternal Psychosocial Determinants and Stunting in a Socioeconomically Vulnerable Region of Eastern Indonesia Elzina Dina De Fretes; Isra Nur Utari S Potabuga
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.v19i02.8758

Abstract

Introduction: Stunting remains a persistent public health challenge in socioeconomically vulnerable regions, where behavioural and structural determinants interact to influence child growth outcomes. The relative contribution of maternal psychosocial factors within structurally constrained settings remains insufficiently understood. Purpose: This study examined the structural relationships between maternal self-efficacy, maternal social support, child feeding practices, and stunting in a stunting-prone area of Eastern Indonesia. Design/methods/approach: An analytic cross-sectional study was conducted among 233 mother–child dyads recruited through consecutive sampling at a primary health centre. Maternal self-efficacy, social support, and feeding practices were assessed using validated Likert-scale instruments. Stunting was defined as height-for-age Z-score below minus two standard deviations based on WHO Child Growth Standards 2006. Data were analysed using Partial Least Squares Structural Equation Modelling. Findings/results: Maternal self-efficacy and social support demonstrated limited explanatory power in predicting feeding practices and stunting. Structural relationships were weak, suggesting that psychosocial determinants alone may not substantially influence growth outcomes in structurally vulnerable populations. Conclusions: Behavioural constructs appear constrained by broader socioeconomic conditions. Effective stunting reduction strategies should integrate maternal-level interventions with systemic improvements in food security, sanitation, and social protection.
Risk Management Analysis of Mobile JKN Queues for Outpatients at Islamic Hospital Surabaya With a Failure Mode Effect and Analysis Approach Rivan Virlando Suryadinata Suryadinata; Vip Paramarta; Budhi Setiato Setiato; Agus Aan Adriansyah
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.v19i02.8784

Abstract

The utilization of Mobile JKN at RSRS shows an increasing trend, although it has not yet reached optimal levels. Various risks have been identified from both patient and operational perspectives, including limited digital literacy, registration errors, inappropriate arrival times, as well as technical issues in the system and supporting services. Analysis using the Failure Mode and Effects Analysis (FMEA) method with parameters of severity, occurrence, and detection produced Risk Priority Number (RPN) values to determine risk priorities. The results indicate that the dominant influencing factors are physician delays, limited access to technology, and patient non-compliance. These findings serve as a basis for formulating improvement recommendations to enhance the efficiency, effectiveness, and quality of Mobile JKN services in hospitals. This study also shows that the implementation of Mobile JKN at RSRS has been relatively effective, with a user-friendly and well-integrated system that contributes to improved service efficiency and reduced waiting times. However, its utilization remains suboptimal due to patient-related factors, particularly low digital literacy and non- adherence to schedules. A total of nine risks were identified, with an average score of 19.5, which was successfully reduced to 12.5 after interventions such as patient education, system strengthening, and queue management. These results highlight that a combination of educational approaches, technological enhancement, and consistent operational management is essential to optimize the sustainable utilization of Mobile JKN.
Fast Food Consumption Patterns and Menstrual Cycle Regularity in Adolescent Girls Siska Nurul Abidah; Yati Isnaini Safitri; Siti Khalimah
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.v19i02.8842

Abstract

Adolescence is period important in development, including maturation system marked reproduction with menstruation. Regularity cycle menstruation become indicator health reproduction teenager princess, but still many have experienced irregularity. One of the suspected factors influence condition the is pattern consumption related foods with balance intake nutrition. Objective study This for know connection pattern consumption fast food with regularity cycle menstruation in adolescents daughter. Study use design analytic observational with approach cross sectional. Population includes 45 teenagers daughter at MA Al- Munawwaroh Kembangbahu Lamongan held in the month January- March 2026 with sample of 45 selected respondents through technique total sampling. Variable independent is pattern consumption fast food, whereas variables dependent is regularity cycle menstruation. Instruments in study This use sheet questionnaire FFQ. Data analysis using chi-square test with level significance <0.05. Research result show that part large (33.3%) teenagers daughter is in the category consumption fast food high and partly large (53.3%) teenagers daughter own cycle menstruation abnormal. There is a relationship pattern consumption fast food with regularity cycle menstruation in adolescents daughter at MA Al-Munawwaroh Kembangbahu Lamongan with p-value result 0.000 (p<0.05). Consumption level high fast food potential can influence occurrence irregularity cycle menstruation. Therefore that, it is recommended that teenagers daughter limit consumption fast food and implement pattern eat healthy use guard regularity cycle menstruation.
Detection of DNA Changes in the Parp-1 Gene in the Small Intestine Tissue of Male White Rats Exposed to Pesticides Using PCR Muhammad Diki Juliandi; Dewi Yudiana Shinta; Evana Kamarudin
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.v19i02.7087

Abstract

Excessive exposure to pesticides can damage DNA. This paper analyzes the effects of pesticide exposure on the small intestine tissue (ileum) of white rats (Rattus Norvegicus), focusing on DNA mutation, particularly in the Parp-1 gene. This paper was an experimental study with a posttest-only design. It involved 18 male white rats (Rattus Norvegicus), divided into 5 groups: dose 1 (1.1 ml) and dose 2 (2.2 ml) groups for 7 days of oral pesticide administration, dose 1 (1.1 ml) and dose 2 (2.2 ml) groups for 14 days of oral pesticide administration, and a control group. Blood samples were collected to measure acetylcholinesterase enzyme levels, and ileal tissue was collected for analysis of PARP-1 gene expression. DNA was isolated from the ileum of the small intestine, and amplification was performed using forward (5'- TGGCCAAAAAGAAATCTAAG-3') and reverse (5'-ATCCCCAGTACAGTAA TAAG-3') primers. Results found that the lowest average acetylcholinesterase levels were observed in the high-dose group (2.2 ml) with a treatment period of 14 days, namely 18%. In contrast, the highest average acetylcholinesterase levels were observed in the low-dose group (1.1 ml) with a 7-day treatment period, namely 49%. Furthermore, the PARP-1 gene was detected by band thickness (band) in samples ranging from 260 to 347, using the PCR method with PARP-1 gene primers. Thus, pesticide exposure changes PARP-1 gene expression in the small intestinal tissue of white rats (Rattus Norvegicus). It indicates that pesticides can cause DNA mutation, leading to damage in the rat's small intestinal tissue.
The Association Between Hopelessness and Medication Adherence among Type 2 Diabetes Mellitus Patients Ririn Wahyu Widayati; Januar Rizqi; Akbar Satria Fitriawan; Maria Josefine Festin Bobo; Listyana Natalia Retnaningsih; Dedi Kurniawan; Zenni Puspitarini; Sono Sono
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.v19i02.8282

Abstract

Optimal glycemic control and prevention of complications in Type 2 Diabetes Mellitus (T2DM) largely depend on patients’ medication adherence. However, poor adherence remains a major challenge, and psychological factors such as hopelessness may contribute to this problem. This study aimed to examine the relationship between hopelessness and medication adherence among patients with T2DM. A quantitative cross-sectional study was conducted between July and August 2024 involving 73 T2DM patients at the Kalasan Public Health Center, Yogyakarta, selected through consecutive sampling. Hopelessness was assessed using the Beck Hopelessness Scale (BHS), while medication adherence was measured using the 8-item Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using the Spearman rank correlation test. The prevalence of hopelessness was 17.8%, and 21.9% of participants demonstrated low medication adherence. A significant weak negative correlation was found between hopelessness and medication adherence (ρ = −0.268, p = 0.022), indicating that higher hopelessness was associated with lower medication adherence. These findings suggest that addressing hopelessness through psychological assessment and supportive interventions may improve medication adherence and contribute to better diabetes management among patients with T2DM.
The Effect Of Hypnobirthing On Anxiety Levels In Maternal Women At Keputih Health Center Surabaya: The Effect Of Hypnobirthing On Anxiety Levels In Maternal Women At Keputih Health Center Surabaya Nur Zuwariah; Vicky Ambar Rachmawati
Jurnal Ilmiah Kesehatan Vol 19 No 03 (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.v19i03.8870

Abstract

Labor is commonly accompanied by anxiety, which may weaken uterine contractions and slow cervical dilation. Non-pharmacological approaches such as hypnobirthing have been proposed to manage this anxiety, but evidence from Indonesian primary care settings remains limited. To determine the effect of hypnobirthing on anxiety levels among women in labor at Keputih Health Center, Surabaya. This quantitative study used a quasi-experimental one-group pretest-posttest design. Using purposive sampling, 32 of 35 laboring mothers meeting the inclusion criteria were enrolled in July 2024. Anxiety was measured with the Hamilton Anxiety Rating Scale (HARS) before and after a 15- minute hypnobirthing session delivered according to a standard operating procedure. Data were analyzed with the Wilcoxon signed-rank test (α = 0.05). Before the intervention, almost all respondents (87.50%) experienced severe anxiety; afterward, most (68.75%) reported no anxiety and the remainder (31.25%) reported mild anxiety (p < 0.001). Hypnobirthing was associated with a significant reduction in anxiety levels among laboring mothers at Keputih Health Center, Surabaya, supporting its consideration as a complementary, non-pharmacological option in intrapartum care, pending confirmation in controlled trials.

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