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MAHESA : Malahayati Health Student Journal
Published by Universitas Malahayati
ISSN : 2746198X     EISSN : 27463486     DOI : 10.3324
Core Subject : Health,
Dentistry Health Professions Nursing Public Health
MAHESA : Malahayati Health Student Journal, dengan nomor ISSN 2746-198X (Cetak) dan ISSN 2746-3486 (Online) adalah jurnal ilmiah yang diterbitkan oleh DIII Keperawatan Universitas Malahayati Lampung. MAHESA : Malahayati Health Student Journal merupakan jurnal yang memiliki fokus utama pada hasil penelitian dan ilmu-ilmu di bidang kesehatan yang dikembangkan dengan pendekatan interdispliner dan multidisiplin. Proses penerimaan naskah selalu terbuka setiap waktu, naskah yang sudah disubmit oleh penulis akan direview oleh reviewer yang ahli dalam bidang keperawatan dan kesehatan. MAHESA : Malahayati Health Student Journal telah menggunakan Open Journal System dimana penulis, editor dan reviewer bisa memantau proses naskah secara online. Dalam satu tahun MAHESA : Malahayati Health Student Journal terbit sebanyak 4 kali yaitu pada bulan Maret, Juni, September, Desember.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 1,690 Documents
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Faktor – Faktor yang Mempengaruhi Kepuasan Pasien Terhadap Pelayanan Kesehatan di UPTD Puskesmas Jaka Mulya Juli Megaria Zalukhu; Desridius Chalid
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23952

Abstract

ABSTRACT Patient satisfaction is a crucial indicator of healthcare quality, particularly in primary care facilities such as community health centers. This study used the Servqual model, which measures five dimensions: tangibles, reliability, responsiveness, assurance, and empathy. Initial data from interviews with 10 patients showed that satisfaction levels remained below the 95% Minimum Service Standard (SPM), with physical aspects being the most common complaint. Factors such as waiting time, staff friendliness, facility availability, and communication quality also influenced patient satisfaction. Knowing the factors that influence patient satisfaction with health services. Analytical with a cross-sectional design. The sample in this study was a portion of patients who visited the UPTD Jaka Mulya Community Health Center in November 2025, totaling 86 respondents. The sampling technique used was random sampling. The majority of respondents said they were satisfied (70.9%), had good reliability (67.4%), had good responsiveness (77.9%), had good empathy (72.1%), and had good tangibles (80.2%). Reliability, responsiveness, empathy, and tangibles significantly influenced patient satisfaction at the Jaka Mulya Community Health Center (UPTD), with a p-value of 0.05. Reliability, Responsiveness, Empathy, and Tangibility influence patient satisfaction at the Jaka Mulya Community Health Center (UPTD). It is hoped that the health department will address the needs of healthcare workers at each community health center to ensure optimal health services. Keywords: Satisfaction, Reliability, Responsiveness, Empathy, Tangibles.  ABSTRAK Kepuasan pasien merupakan indikator penting dalam kualitas pelayanan kesehatan, khususnya pada fasilitas pelayanan primer seperti puskesmas. Model servqual digunakan dalam penelitian ini dengan lima dimensi penilaian yaitu tangibles, reliability, responsiveness, assurance, dan empathy. Data awal melalui wawancara pada 10 pasien menunjukkan bahwa tingkat kepuasan masih berada di bawah Standar Pelayanan Minimal (SPM) 95%, dengan aspek fisik menjadi keluhan terbesar. Faktor-faktor seperti waktu tunggu, keramahan petugas, ketersediaan fasilitas, serta kualitas komunikasi turut memengaruhi kepuasan pasien. Mengetahui faktor – faktor yang mempengaruhi kepuasan pasien terhadap pelayanan kesehatan. Analitik dengan rancangan cross sectional. Sampel dalam penelitian ini adalah sebagian pasien yang berkunjung di UPTD Puskesmas Jaka Mulya pada bulan November 2025 sebanyak 86 responden.Teknik pengambilan sampel menggunakan randoom sampling. Mayoritas responden mengatakan puas (70,9%), Reliability baik (67,4%), Responsiveness baik (77,9%),  Empaty baik (72,1%) dan Tangible baik (80,2%). Ada pengaruh Reliability, Responsiveness, Empaty dan Tangible terhadap kepuasan pasien di UPTD Puskesmas Jaka Mulya, dengan nilai p value  0,05.  Ada pengaruh Reliability, Responsiveness, Empaty dan Tangible terhadap kepuasan pasien di UPTD Puskesmas Jaka Mulya. Diharapkan dinas kesehatan dapat memperhatikan kebutuhan tenaga kesehatan setiap puskesmas agar pelayanan kesehatan dapat berjalan sebagaimana mestinya. Kata Kunci: Kepuasan, Reliability, Responsiveness, Empaty, Tangible.
Clinical Prevention Strategies of Rebound Pain Phenomenon After Peripheral Nerve Block : A Narrative Review Made Ricky Catur Purnama; I Gusti Ngurah Mahaalit Aribawa
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.25975

Abstract

ABSTRACT Peripheral nerve block (PNB) is a key technique in perioperative pain management, effectively reducing pain intensity and opioid consumption. However, the phenomenon of rebound pain, defined as a significant increase in pain after the resolution of nerve block effects, has emerged as an increasingly recognized clinical challenge. This review aims to evaluate the pathophysiology, risk factors, clinical impact, and prevention strategies of rebound pain. A narrative review approach was employed through literature searches in PubMed, Scopus, and Google Scholar using keywords related to rebound pain and peripheral nerve block. Included articles comprised clinical studies, systematic reviews, and meta-analyses published within the last five years and relevant to the topic. The literature was critically analyzed and synthesized narratively. Rebound pain typically occurs within 12–24 hours postoperatively and is associated with peripheral and central sensitization, tissue inflammation, and increased neuronal excitability. Risk factors include younger age, orthopedic procedures, use of single-shot blocks, and inadequate multimodal analgesia. Clinical consequences include sleep disturbances, increased opioid consumption, and reduced patient satisfaction. Prevention strategies involve patient education, administration of analgesics prior to block resolution, use of dexamethasone, and continuous nerve block techniques. With an evidence-based approach, the benefits of PNB can be optimized without increasing the risk of rebound pain, thereby improving the quality of perioperative pain management. Keywords: Peripheral Nerve Block, Rebound Pain, Multimodal Analgesia, Dexamethasone, Postoperative Pain.
Readiness Analysis of Facility, Human Resources, and Marketing Strategies on The Increase in Medical Tourism Visits at BIMC Hospital Nusa Dua Bali Ribut Agung Nugroho; Muhammad Anas; Mochamad Mochklas
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23718

Abstract

ABSTRACT The trend of medical tourism visits in various countries continues to increase. The high increase in medical tourism services must be accompanied by hospitals' readiness to maintain quality and patient loyalty. This study aims to analyse the readiness of facilities, human resources, and marketing strategies for increasing medical tourism visits at BIMC Hospital Nusa Dua. This study is a case study with qualitative data collection thru in-depth interviews and direct observation. The results of this study indicate that BIMC Hospital Nusa Dua has prepared facilities to increase medical tourism service visits by adding the number of operating room procedures and treatments, as well as some modern medical equipment. In addition, the hospital has also prepared transportation and accommodation in collaboration with travel agents. Human resource readiness can be seen by providing overseas training for doctors to improve their competence. In addition, nursing staff and other personnel have been given both internal and external training. Excellent service training is provided to all staff to deliver outstanding service to customers. The marketing strategy focuses on improving product/service quality, implementing competitive pricing, accessibility, and promoting thru websites and social media. Conclusion: The increase in medical tourism visits is a significant concern, as evidenced by the development of hospital facilities, improved human resource competency, and effective marketing strategies to maintain service quality and patient loyalty. Keywords: Medical Tourism, Facility Readiness, Human Resources, Marketing Strategy.
Inkontinensia Urin pada Lansia: Analisis Sosiodemografi Dampak Latihan Kegel Terhadap Kualitas Hidup Lansia Nungki Marlian Yuliadarwati; Himawan Wismanadi; Noortje Anita Kumaat
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.23484

Abstract

ABSTRACT Urinary incontinence is a common health issue among the elderly, particularly women (approximately 77% of cases), influenced by physiological factors such as pelvic floor muscle weakness due to menopause, a history of multiple pregnancies, and comorbid conditions like hypertension (38%), osteoarthritis (31%), and diabetes (20%). The prevalence of this condition increases the risk of social isolation and declines in quality of life, while low physical activity (light to moderate) worsens the condition due to sarcopenia and balance impairments. This study explores risk factors and the effectiveness of non-invasive interventions such as Kegel exercises for prevention and rehabilitation. To identify risk factors for urinary incontinence (UI) in elderly women, including pregnancy history, chronic diseases, and physical activity levels, and to analyze the physiological impact of multiple pregnancies on pelvic floor muscles in elderly women at Puskesmas Pandanwangi, Malang, Indonesia, as well as the relationship between these factors and UI. This study employed a quasi-experimental pre- and post-test one-group design involving 65 elderly participants, data collected simultaneously to provide a snapshot of their current condition. The dependent variables were quality of life in elderly individuals with incontinence, measured using the ICIQ-SF (International Consultation on Incontinence Questionnaire) and the 3IQ (Three Incontinence Questionnaire). Data analysis was performed using the Wilcoxon signed-rank test with the assistance of SPSS 26. The findings indicate a significant effect (p-value = 0.000) of Kegel training on the quality of life among elderly individuals with incontinence, restoring anatomical and physiological function of the urogenital system, strengthening neuromuscular control, promoting physical mobility and freedom, and stimulating improvements in mental health and overall quality of life. Kegel exercises are a safe, effective, low-cost intervention that not only addresses urinary incontinence but also serves as a foundation for holistic elderly well-being Keywords: Urinary Incontinence, Kegel Exercises, Elderly, Incontinence.  ABSTRAK Inkontinensia urin merupakan masalah kesehatan umum pada lansia, terutama perempuan (sekitar 77% kasus), yang dipengaruhi oleh faktor fisiologis seperti pelemahan otot dasar panggul akibat menopause, riwayat kehamilan berulang, dan penyakit penyerta seperti hipertensi (38%), osteoarthritis (31%), serta diabetes (20%). Prevalensi ini meningkatkan risiko isolasi sosial dan penurunan kualitas hidup, sementara aktivitas fisik rendah (ringan/sedang) memperburuk kondisi karena sarkopenia dan gangguan keseimbangan. Penelitian ini mengeksplorasi faktor risiko dan efektivitas intervensi non-invasif seperti latihan Kegel untuk pencegahan dan rehabilitasi. Mengidentifikasi faktor risiko UI pada lansia perempuan, termasuk riwayat kehamilan, penyakit kronis, dan tingkat aktivitas fisik dan Menganalisis dampak fisiologis kehamilan berulang terhadap otot panggul lansia di puskesmas pandanwangi Mota Malang dan hubungannya dengan UI lansia di Puskesmas pandan wangi Kota Malang. Jenis penelitian ini menggunakan quasi eksperimnta jenis pre dan post test one grup design sebanyak 65 lansia, dikumpulkan dalam waktu yang bersamaan untuk memberikan gambaran kondisi saat itu. Variabel dependen yang digunakan dalam penelitian ini adalah derajat kualitas hidup pada lansia dengan inkontinensia menggunakan ICIQ-SF (International Consultation on Incontinence Questionnaire) dan mengukur evaluasi dari inkontinensia 3IQ (Three Incontinence Questionnaire). Analisis data menggunakan wilcoxon dengan bantuan SPSS 26. Hasil penelitian menunjukkan bahwa terdapat pengaruh signifikan p valiu (0.000) dampak latihan kegel terhadap kualitas hidup lansia dengan mengembalikan fungsi anatomi dan fisiologi dari sistem urogenital, memperkuat kontrol saraf-otot, mendorong mobilitas dan kebebasan fisik, dan Memicu perbaikan kesehatan mental dan kualitas hidup lansia. Kata Kunci: Inkontinensia Urin, Latihan Kegel, Lanjut Usia, Mengompol.
Clinicopathological Characteristics of Breast Carcinoma at RSUD Sayang Cianjur, West Java, 2022–2024 Rohana Agustina; Ichfa Namia; Mila Anisa; Syasya Allyadina; Muhammad Fabian Pasya; Fadhilah Husnul Khotimah
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23579

Abstract

ABSTRACT Breast cancer is the most common malignancy in women and remains the leading cause of cancer-related mortality in Indonesia. As a referral hospital in West Java, RSUD Sayang Cianjur plays an essential role in the diagnosis and management of breast cancer. This study aims to describe the clinicopathological characteristics of breast carcinoma cases at RSUD Sayang Cianjur from January 2022 to December 2024. This research employed a retrospective descriptive design with total sampling using medical records and histopathological reports of patients diagnosed with breast carcinoma. Most patients were aged 55–64 years (34.0%), with tumors more frequently located in the left breast (55.9%). Mastectomy was the most common surgical procedure (83.3%), followed by excision biopsy (15.9%). Based on tumor staging, most cases were T1 (54.9%), while N1 was the most frequent lymph node stage (54.5%). The most common histopathological type was invasive carcinoma of no special type (NST), whereas lobular carcinoma accounted for 13.9% of cases. Grade 2 tumors were most prevalent (50.7%), followed by grade 3 (46.3%). Lymphovascular invasion was the most frequent invasive feature (41.0%), followed by fat invasion (25.0%), skin invasion (12.5%), lymph node invasion (7.6%), and perineural invasion (2.8%). In conclusion, breast carcinoma cases at RSUD Sayang Cianjur predominantly occurred in middle-aged to elderly women, with left-sided tumors, NST-type histopathology, and moderate to high histological grades. Keywords: Breast Cancer, Clinicopathological Characteristics, Carcinoma.
Pengaruh Bauran Pemasaran Terhadap Tingkat Kepuasan Konsumen Di Asri Terapi Center Tahun 2025 Tresna Fatmawati; Henni Febriawati; Achmad Faisal Rizal; Ferry Adhinata
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.21857

Abstract

ABSTRACT Marketing strategy plays an essential role in improving service quality and customer satisfaction, especially in service-based businesses such as child therapy. This study aims to determine the effect of the marketing mix on consumer satisfaction levels at Asri Therapy Center in 2025. This research employed a quantitative approach with a cross-sectional design. The population consisted of all parents utilizing child therapy services at Asri Therapy Center, with a total sample of 38 respondents selected through total sampling. Data were collected using a questionnaire and analyzed descriptively as well as using the Chi-Square test. The results showed that all respondents (100%) rated the marketing strategy implemented by Asri Therapy Center as good. All of those who perceived the marketing mix as good also reported being satisfied with the services provided (100%). No respondents rated the marketing strategy as moderate or poor, and none reported dissatisfaction. The statistical test yielded a p-value of 0.031 ( 0.05), indicating a significant relationship between the marketing mix and customer satisfaction. It can be concluded that the better the implementation of the marketing mix, the higher the consumer satisfaction with the therapy services provided. Keywords: Marketing Mix, Consumer Satisfaction, Therapy Cente.  ABSTRAK  Strategi pemasaran merupakan bagian penting dalam meningkatkan kualitas layanan sekaligus kepuasan konsumen, terutama dalam layanan jasa seperti terapi anak. Penelitian ini bertujuan untuk mengetahui pengaruh bauran pemasaran terhadap tingkat kepuasan konsumen di Asri Terapi Center tahun 2025. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross sectional. Populasi dalam penelitian ini adalah seluruh orang tua yang menggunakan layanan terapi untuk anak di Asri Terapi Center, dengan jumlah sampel sebanyak 38 responden yang diambil secara total sampling. Instrumen penelitian menggunakan kuesioner, dan data dianalisis secara deskriptif dan menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa seluruh responden (100%) menilai strategi pemasaran yang dilakukan oleh Asri Terapi Center tergolong dalam kategori baik. Seluruh responden yang menyatakan strategi pemasaran baik, juga merasa puas terhadap layanan yang diterima (100%). Tidak ada responden yang menilai bauran pemasaran dalam kategori cukup baik atau kurang, dan tidak ada pula yang menyatakan tidak puas. Uji statistik menunjukkan nilai p-value sebesar 0,031 ( 0,05), yang berarti terdapat hubungan signifikan antara bauran pemasaran dan tingkat kepuasan konsumen. Dapat disimpulkan bahwa semakin baik strategi bauran pemasaran yang diterapkan, semakin tinggi pula tingkat kepuasan konsumen terhadap layanan yang diberikan. Kata Kunci: Bauran Pemasaran, Kepuasan Konsumen, Terapi Anak.
Integrasi Komunikasi Organisasi dan Teknologi Informasi dalam Pencegahan Fraud JKN: Sebuah Scoping Review Fika S. Khayan; Rini Sudarmanti
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23731

Abstract

ABSTRACT Fraud in the implementation of the National Health Insurance (JKN) services is a serious challenge in Indonesia. Preventing fraud needs to be strengthened through a systemic organizational communication strategy based on digital technology, especially by improving information technology in hospitals, such as Hospital Management Information Systems (SIMRS) and the E-claim application. Previous studies have highlighted the role of these technologies in detecting fraud, but few have examined the role of internal communication across units in supporting the effectiveness of digital interventions for reporting and detecting fraud. This article uses a Scoping Review based on the Arksey O’Malley (2005) framework and PRISMA-ScR reporting to map the literature on the integration of organizational communication and information technology in preventing fraud in JKN at hospitals. The thematic analysis based on CIMO (Context, Intervention, Mechanism, and Outcome) shows that the success of anti-fraud technology strongly depends on systemic internal communication mechanisms and an open organizational culture. The main recommendation is a fraud prevention strategy that integrates technology and organizational communication to achieve sustainable transparency and accountability. Keywords: Organizational Communication, JKN Fraud, Information Technology, SIMRS.  ABSTRAK Fraud atau kecurangan  dalam pelaksanaan layanan Jaminan Kesehatan Nasional (JKN) menjadi tantangan serius di Indonesia. Pencegahan fraud perlu diperkuat melalui strategi komunikasi organisasi sistemik berbasis digital, terutama dengan peningkatan teknologi informasi di rumah sakit, seperti SIMRS (Sistem Informasi Manajemen Rumah Sakit)  dan aplikasi e-claim. Terdapat studi penelitian yang menyoroti peran teknologi tersebut dalam mendeteksi fraud, namun belum banyak yang mengkaji peran komunikasi internal lintas unit dalam mendukung efektivitas intervensi digital pada proses pelaporan dan deteksi fraud. Artikel ini menggunakan Scoping Review dengan kerangka Arksey O’Malley(2005) dan pelaporan PRISMA-ScR untuk memetakan literatur tentang integrasi komunikasi organisasi dan teknologi informasi dalam pencegahan fraud JKN di rumah sakit. Analisis tematik berbasis CIMO (Context, Intervention, Mechanism dan Outcome) menunjukkan bahwa keberhasilan teknologi anti-fraud sangat tergantung pada mekanisme komunikasi internal dan budaya organisasi terbuka. Rekomendasi utama adalah strategi pencegahan fraud yang mengintegrasikan teknologi dan komunikasi organisasi untuk mencapai transparansi serta akuntabilitas yang berkelanjutan. Kata Kunci: Komunikasi Organisasi, Fraud JKN, Teknologi Informasi, SIMRS.
The Effectiveness of Soy Milk and Cow’s Milk in Reducing Dysmenorrhea Pain: A Systematic Literatur Review Retiningrum Retiningrum; Khamidah Achyar
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23905

Abstract

ABSTRACT Primary dysmenorrhea is a common menstrual problem among adolescent girls and is often associated with elevated prostaglandin levels, which trigger excessive uterine contractions and pain. Nutritional interventions are increasingly explored as non-pharmacological alternatives to reduce dysmenorrhea, with soy milk and cow’s milk being two commonly studied options. This study aims to synthesize existing evidence on the effectiveness of soy milk and cow’smilk in reducing primary dysmenorrhea among adolescents. Method: This study used a Systematic Literature Review(SLR) based on the PICO framework—population (adolescent girls), intervention (milk consumption), comparison (soy milk vs. cow’s milk), and outcome (reduction in dysmenorrhea pain). Articles published from 2015–2025 were searched in Google Scholar, Scopus (via Publish or Perish), and PubMed using Boolean keywords related to adolescents, soy milk, cow’s milk, and dysmenorrhea. Eligible studies included original research on adolescents with primary dysmenorrhea, clear milk dosage and duration, standardized instruments, and full text in Indonesian or English. After duplicate removal, screening, and full-text assessment, data on study characteristics, milk type, dosage, duration, and pain reduction were narratively synthesized. The initial literature search identified 1,007 journals from After going through a selection process, 4 journals met the requirements for analysis.The synthesis revealed that both soy milk and cow’s milk reduce primary dysmenorrhea based on NRS score, but soy milk showed more consistent effects. Consumption of 250 ml soy milk once daily for 1–2 days reduced pain by 3–4 NRS points. This benefit is supported by its nutrient content, where 250 ml soy milk contains 25–40 mg isoflavones (genistein daidzein and glycitein) and 200–300 mg calcium, or up to 500 mg in fortified products. Cow’s milk also reduced pain, with the best effect at 1,000 mg calcium/day (reduction of 4–5 NRS points), but its results were less stable. Overall, soy milk was more consistently effective than cow’s milk. Soy milk is a simple, safe, and effective non-pharmacological option for managing primary dysmenorrhea in adolescents, offering stronger and more consistent results than cow’s milk. It may be recommended as part of menstrual health education and daily nutritional intake for adolescent girls. Keywords: Soy Milk, Cow’s Milk, Primary Dysmenorrhea, Isoflavones, Calcium.
Strategi Pengelolaan Smoothies Dari Buah Pisang dan Semangka sebagai Alternatif Menurunkan Tekanan Darah Pada Penderita Hipertensi Bunga Oktora; Irma Gita; Yuliana Yuliana; Ellys Mawanti Silalahi; Irianto Honest; Devi Irawan
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.23544

Abstract

ABSTRACT Based on the results released by the National Health Survey (Riskesdas) in 2018, it was revealed that 25.8% of Indonesians aged at least 18 years were diagnosed with hypertension, and this proportion increased to 34.11% in 2018. Meanwhile, in West Java Province, the prevalence rate of hypertension in 2022 reached 39.6%, placing West Java as the province with the second highest prevalence in Indonesia). Bogor City has the highest number of hypertension patients in West Java, with the number of hypertension cases increasing from 56,411 in 2021 to 63,579 in 2022, and again increasing in 2023 to 82,165 cases, meaning that one in three (29.3%) residents of Bogor City has hypertension. Based on data from the Sindang Barang Community Health Center, Bogor City, as of July 2024, there are 941 hypertension patients. PurposeThe purpose of this study is to determine the management strategy of banana and watermelon smoothies as an alternative to lower blood pressure in hypertension patients. Method The research method used a pre-experimental design with a One Group Pre-test and Post-test approach. The sample consisted of 38 respondents suffering from hypertension. Results After a seven-day intervention and statistical analysis using Wilcoxon, the results showed that there was an effect of the management strategy of banana and watermelon smoothies as an alternative to lower blood pressure in hypertension patients, with a P-Value of 0.000 ≤ 0.05. Conclusion After 7 days of intervention with banana and watermelon smoothies, there was a significant decrease in high blood pressure among the respondents. Keywords: Banana Watermelon Smoothies, High Blood Pressure.  ABSTRAK Berdasarkan hasil yang dikeluarkan oleh Survei Kesehatan Nasional (Riskesdas) pada tahun 2018, terungkap bahwa 25,8% dari warga Indonesia yang berusia minimal 18 tahun didiagnosis dengan hipertensi, dan proporsi ini meningkat menjadi 34,11% pada tahun 2018. Sementara itu, di wilayah Provinsi Jawa Barat, angka prevalensi hipertensi pada tahun 2022 mencapai 39,6%, menempatkan Jawa Barat sebagai provinsi dengan prevalensi tertinggi kedua di Indonesia.  Kota Bogor memiliki jumlah penderita hipertensi tertinggi di Jawa Barat dengan jumlah kasus hipertensi meningkat dari 56.411 pada tahun 2021 menjadi 63.579 pada 2022 dan kembali meningkat pada tahun 2023 dengan 82.165 kasus yang artinya satu di antara tiga (29,3%) penduduk Kota Bogor memiliki hipertensi. Berdasarkan data Puskesmas Sindang Barang Kota Bogor per Juli 2024, menyatakan penderita hipertensi sebanyak 941 orang.  Tujuan penelitian ini adalah untuk mengetahui Strategi Pengelolaan Smoothies Dari Buah Pisang Dan Semangka Sebagai Alternatif Menurunkan Tekanan Darah Pada Penderita Hipertensi. Metode penelitian menggunakan pre-ekperimental dengan pendekatan One group pre-tes dan post-test design. Dengan sampel 38 responden yang menderita hipertensi Hasil penelitian setelah melakukan intervensi selama selama tujuh hari dan dilakukan uji statistic menggunakan wilxocon didapatkan hasil ada pengaruh Strategi Pengelolaan Smoothies Dari Buah Pisang Dan Semangka Sebagai Alternatif Menurunkan Tekanan Darah Pada Penderita Hipertensi dengan nilai P-Value 0.000 ≤ 0.05. Setelah diberikan intervensi smoothies buah pisang dan semangka selama 7 hari ada penurunan tekanan darah tinggi pada responden yang signifikan.  Kata Kunci: Smoothies Pisang Semangka, Tekanan Darah Tinggi.
Efektifitas Crossword Puzzle Therapy Terhadap Fungsi Kognitif Pada Lanjut Usia Fajar Adhie Sulistyo; Sasni Triana Putri; Elpinaria Girsang; Bustomi Bustomi; Margaretha Rini; Deden Nurjaman
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23631

Abstract

ABSTRACT Data from the Indonesian Ministry of Health (2021) shows that the elderly population in Indonesia is projected to increase to 48.2 million people by 2035. According to WHO (2022), approximately 55 million older adults worldwide experience a decline in cognitive function, and around 7.7 million develop cognitive impairment each year. Various non-pharmacological interventions have been developed to maintain and improve cognitive function in the elderly, one of which is Crossword Puzzle Therapy (CPT). This therapy involves engaging in crossword puzzle activities that stimulate brain function, enhance memory, and train critical thinking skills. To determine the effectiveness of Crossword Puzzle Therapy on cognitive function in older adults. This study employed a pre-experimental design with a one-group pretest and posttest approach. The sample consisted of 16 respondents, with data collected through observation and administration of the MMSE test. The intervention group received CPT for 30–45 minutes, three times per week for four weeks. The hypothesis was tested using the Wilcoxon signed-rank test. There was a significant effect of Crossword Puzzle Therapy (CPT) on cognitive function in older adults, with a p-value of 0.000. CPT is effective in improving cognitive function in the elderly. This therapy can serve as a simple, low-cost, and accessible non-pharmacological intervention to help maintain the quality of life of older adults. Keywords: Crossword Puzzle Therapy, Elderly, MMSE.  ABSTRAK Data Kemenkes RI tahun 2021 Populasi jumlah lansia di Indonesia pada tahun 2035 diperkirakan meningkat menjadi 48,2 juta orang.  Data WHO (2022), ada sekitar 55 juta orang lansia mengalami penurunan kemampuan fungsi kognitif dan  sekitar 7,7 juta lansia mengalami penurunan kemampuan kognitif per tahunnya. Berbagai intervensi non-farmakologis dikembangkan untuk mempertahankan dan meningkatkan fungsi kognitif pada lansia, salah satunya adalah Crossword Puzzle Therapy (CPT). Terapi ini melibatkan permainan teka-teki silang yang dapat merangsang kerja otak, meningkatkan daya ingat, serta melatih kemampuan berpikir kritis. Untuk mengetahui efektifitas Crossword Puzzle Therapy terhadap fungsi kognitif pada lanjut usia. Methods Desain penelitian ini pre-experimentaldengan pendekatan one group pretest and poststest design, Jumlah sampel 16 responden, teknik pengumpulan data menggunakan observasi, dan pengisian tes MMSE. Kelompok intervensi diberikan CPT selama 30–45 menit, 3 kali per minggu selama 4 minggu, dan uji hipotesis menggunakan uji wilcoxon signed rank test. Ada pengaruh Crossword Puzzle Therapy (CPT) dengan Fungsi Koqnitif pada Lansia, dengan nilai p-value 0.000 . CPT efektif dalam meningkatkan fungsi kognitif pada lansia. Terapi ini dapat menjadi intervensi non-farmakologis sederhana, murah, dan mudah dilakukan dalam upaya mempertahankan kualitas hidup lanjut usia. Keywords: Crossword Puzzle Therapy, Elderly, MMSE.

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