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An Idea Health Journal
Published by PT.Mantaya Idea Batara
ISSN : -     EISSN : 27970604     DOI : 10.53690
Core Subject : Health,
a publication of scientific work in the field of health in a broad sense such as public health, nursing, midwifery, medicine, pharmacy, health psychology, nutrition, health technology, health analysis, health information systems, medical records, hospital management and so on.
Articles 401 Documents
Effect of an Integrated Complementary Childbirth Care Model on Neonatal Outcomes Care: A Quasi Experimental Study Siti Mutoharoh; Dyah Puji Astuti; Sumarni Sumarni
An Idea Health Journal Vol 6 No 04 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i04.821

Abstract

Background: Neonatal outcomes are key indicators of the quality of childbirth services and newborn adaptation. Complementary childbirth approaches, including hypnobirthing relaxation techniques, murottal therapy, and rebozo techniques, have been shown to enhance maternal comfort and facilitate a physiological labor process. The present study analyzed the effect of a complementary childbirth service model on neonatal outcomes. Methods: A quasi-experimental posttest-only control group design was employed, involving 60 women in labor (30 per group) recruited through purposive sampling without randomization. The intervention group received integrated complementary childbirth care, whereas the control group received standard care. Neonatal outcomes assessed included initial newborn assessment, APGAR score, blood glucose level within the first 24 hours after birth, and neonatal temperature status. Categorical outcomes were analyzed using Fisher's exact test, and the intervention effect was estimated using risk ratio (RR) with a 95% confidence interval (CI) (α = 0.05). Result: No significant differences were observed in initial newborn assessment, APGAR scores, or blood glucose levels between groups (all p = 1.000). However, neonatal vital signs differed significantly (p = 0.005), with the intervention group exhibiting a lower incidence of hypothermia (50.0% vs. 86.7%; RR = 0.58, 95% CI: 0.35). Conclusion:The integrated complementary childbirth care model was associated with improved neonatal temperature regulation, specifically a reduced incidence of hypothermia. These findings should be interpreted with caution due to the purposive sampling, non-randomized allocation, and posttest-only study design.
Efektivitas Aplikasi Seluler SATUSEHAT terhadap Pengetahuan, Sikap, dan Perilaku Mengenai Deteksi Dini Risiko Kehamilan di Kota Bandar Lampung Bambang Setiaji; Yessica Putri Arum; Aila Karyus; Dian Utama Pratiwi Putri
An Idea Health Journal Vol 5 No 04 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v5i04.903

Abstract

Background: Infant mortality remains an important indicator of public health status, partly caused by delayed early detection of pregnancy complications due to inadequate knowledge, attitudes, and behaviors of pregnant women regarding pregnancy danger signs. Digital health technology (mobile health/mHealth), including the SATUSEHAT Mobile application, has the potential to improve maternal health literacy. This study aimed to analyze the effectiveness of the SATUSEHAT Mobile application in improving pregnant women's knowledge, attitudes, and behaviors toward early detection of pregnancy risks in Bandar Lampung City in 2026. A quasi-experimental study with a non-equivalent control group design was conducted on 72 second- and third-trimester pregnant women (36 intervention and 36 control). The intervention group received education and guidance on using the application for four weeks. Data were collected using pretest-posttest questionnaires and analyzed using paired sample and independent sample t-tests. Results showed significant improvements in the intervention group, with knowledge increasing from 49.88 to 69.88 (p<0.001), attitude from 40.77 to 49.52 (p<0.001), and behavior from 53.13 to 63.69 (p<0.001), with large to very large effect sizes. The independent sample t-test revealed significant differences between the intervention and control groups in knowledge, attitude, and behavior (p<0.001). The SATUSEHAT Mobile application is effective as a digital health promotion tool for improving pregnant women's knowledge, attitudes, and behaviors toward early detection of pregnancy risk.
Effects of Combined Sleep Hygiene Education and Lavender Aromatherapy on Sleep Quality and Fatigue in Patients Undergoing Hemodialysis: A Quasi-Experimental Study Yosi Oktarina; Rts. Netisa Martawinarti; Veni Misriyani; Putri Irwanti Sari; Yulia Indah Permata Sari; Andika Sulistiawan
An Idea Health Journal Vol 6 No 04 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i04.819

Abstract

Background: Sleep disturbances and fatigue frequently occur in patients undergoing hemodialysis. This study investigated whether a combination of sleep hygiene education and lavender aromatherapy improved sleep quality and fatigue. Methods: A quasi-experimental, non-equivalent control-group pretest– posttest design, enrolling 84 patients consecutively and allocating them basedon pre-existing hemodialysis schedules (42 intervention; 42 control). The intervention group received two sessions of sleep hygiene education and nightly lavender aromatherapy via reed diffuser for four weeks, while the control group received usual care. We measured sleep quality and fatigue using the Pittsburgh Sleep Quality Index (PSQI) and the FACIT-Fatigue Scale. Group-by-time effects were analyzed using generalized estimating equations. In the intervention group, median PSQI scores improved from 19.00 (IQR 17.25–20.00) to 2.00 (IQR 1.00–3.00), while the control group changed from 19.00 (IQR 17.00–20.00) to 18.50 (IQR 17.00–20.00). Result: Median FACIT-Fatigue scores increased from 25.00 (IQR 20.00– 27.00) to 48.00 (IQR 44.00–50.00) in the intervention group and from 22.00 (IQR 20.00–24.00) to 23.00 (IQR 21.00–25.00) in the control group. Significant group-by-time interactions were observed for PSQI (β = −16.44, 95% CI −17.22 to −15.65; p < 0.001) and FACIT-Fatigue (β = 22.26, 95% CI 20.61–23.91; p < 0.001). Conclusion: The combination of sleep hygiene education and lavender aromatherapy led to greater improvements in sleep quality and fatigue than usual care. However, interpret these findings with caution because the groups were not randomized.
Effect of Docosahexaenoic Acid Supplementation on Spatial Working Memory and Cerebral Myelin Expression in Malnourished Wistar Rats Tri Widodo; Nila Susanti
An Idea Health Journal Vol 6 No 04 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i04.834

Abstract

Background: Malnutrition in early life can disrupt central nervous system development, including myelination and cognitive function. Docosahexaenoic acid (DHA), a long-chain omega-3 fatty acid, plays an important role in neuronal membrane integrity, neural development, and cognitive function. This study aimed to analyze the effects of different DHA doses on cerebral myelin profiles and spatial memory in malnourished Wistar rats. Methods: This true experimental study involved 30 Wistar rats (Rattus norvegicus) randomly allocated into five groups (n=6): normal control (K−), malnourished control (K+), and malnourished groups receiving DHA at 10.8 mg/day (P1), 16.2 mg/day (P2), or 27 mg/day (P3) for 12 days. Spatialmemory was assessed using the Y-maze test, and cerebral myelin profiles were examined using immunohistochemistry. Data were analyzed using One-Way ANOVA followed by appropriate post hoc tests. Result: Body weight increased in all groups. Cerebral myelin profiles differed significantly between groups (p=0.037; ηp²=0.325), with a trend toward higher profiles at higher DHA doses. Spatial memory also differed significantly (p=0.001; ηp²=0.499). Games–Howell analysis showed lower spatial memory in malnourished controls than in normal controls (p=0.002), P2 (p=0.024), and P3 (p<0.001), whereas P1 did not differ significantly from malnourished controls. Conclusion: DHA supplementation affected cerebral myelin profiles and spatial memory in malnourished Wistar rats, with more consistent spatial memory effects at 16.2 and 27 mg/day.
Parental Participation and Associated Determinants among Paternal and Maternal in Neonatal Care Units: Comparative Study Eni Rahmawati; Yeni Rustina; Dessie Wanda; Atyanti Isworo
An Idea Health Journal Vol 6 No 04 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i04.850

Abstract

Background: Parental participation is crucial for maintaining interaction between parents and infants in the neonatal care unit. This study compares mothers’ and fathers’ participation in the neonatal care unit and examines sociodemographic factors associated with participation in each parent group. Methods: We conducted an analytical comparative cross-sectional study in the neonatal care units of two regional public hospitals in Banyumas, Indonesia. Using convenience sampling, we recruited 257 parents (73 fathers and 184 mothers). Participation was measured using CO PARTNER, comprising six domains. We compared scores using the Mann–Whitney U test. We fitted separate multiple linear regression models for fathers and mothers. Result: Fathers had a lower median total participation score than mothers (9 vs. 25; p=0.001) and significantly lower scores in all six domains (all p≤0.008). The regression model for fathers was not statistically significant overall (R²=0.096; adjusted R²=0.057; F(3,69)=2.445; p=0.071).In this exploratory model, fathers aged 31–48 years had higher adjusted participation scores than those aged 18–30 years (adjusted B=3.754; 95% CI: 0.110–7.398; p=0.044). Education and number of children were not significantly associated with fathers’ participation. The model for mothers was also not significant (R²=0.026; adjusted R²=0.004; F(4,179)=1.196; p=0.314), and no predictors were significant. Contribution for Practice: This study contributes to neonatal nursing science by strengthening evidence for father-inclusive, family-centered care and supporting greater parental participation in neonatal care.
Maternal Self-Efficacy as a Determinant of Childhood Immunization Completion in Rural Indonesia: A Cross-Sectional Study Widia Sari; Rahmah Maoludy; Kartini Kartini; Abdurrasyid Abdurrasyid; Rian Adi Pamungkas; Budi Mulyana
An Idea Health Journal Vol 6 No 04 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i04.870

Abstract

Background: Although national vaccination programs have made substantial progress, incomplete childhood immunization persists in several rural areas of Indonesia. Evidence regarding childhood immunization behavior through the lens of Health Promotion Model (HPM) constructs, particularly maternal self-efficacy, remains limited in these settings. This study aimed to identify HPM factors associated with complete childhood immunization among mothers in rural Indonesia. Methods: Employing a cross-sectional design, the study enrolled 120 mothers of children aged 12–24 months residing in a rural district of Banten Province. Data were collected using a structured questionnaire assessing perceived benefits, self-efficacy, perceived barriers, social support, situational influences, knowledge, and sociocultural factors. We confirmed childhood immunization status through maternal and child health records. Result: Childhood immunization status was verified using maternal and child health records. More than half of the children had incomplete immunization. In bivariate analysis, all Health Promotion Model constructs were associated with immunization status. After adjustment, maternal self-efficacy and social support remained independently associated with complete immunization. The unexpected positive association between weak social support and complete immunization should be interpreted cautiously due to possible imprecision and residual confounding. Contribution for Practice: This study highlights the importance of strengthening maternal self-efficacy in childhood immunization programs. Nurses and primary healthcare providers should provide targeted education, confidence-building counseling, and family-centered
Eating Behavior and Food Acceptance in the Free Nutritious Meal Program among Elementary School Students Nour Arriza Dwi Melani; Sri Mulyaningsih; Salma A. Dahi
An Idea Health Journal Vol 5 No 04 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v5i04.878

Abstract

Background: The Free Nutritious Meal Program is a government initiative aimed at improving the nutritional well-being of school-aged children. However, the program's success depends not only on providing food but also on students' eating behavior and acceptance of the food. This study aimed to explore eating behavior and food acceptance in the implementation of the Free Nutritious Meal Program and to identify factors influencing program implementation among elementary school students. We conducted a mixed-methods study with 283 elementary school students in Gorontalo City, Indonesia. We assessed food acceptance and meal consumption using the Comstock visual plate waste scale, while collecting qualitative data through observations and in-depth interviews with teachers, parents, and program implementers. We analyzed quantitative data descriptively and qualitative data thematically. The findings showed that most students accepted the program positively; however, selective eating behavior was observed, particularly toward vegetables and certain protein sources. The study also identified food waste and associated it with food preferences, menu variation, and students' eating habits. Teacher involvement and parental support improved food acceptance and program implementation. Eating behavior and food acceptance are key determinants of the Free Nutritious Meal Program's success. To improve the program's implementation and sustainability, develop childfriendly menus and integrate nutrition education.
Nurses’ Workload and Technology as Caring in Hospitals: A Cross-Sectional Time and Motion Study Yunina Elasari; Dania Meysanti; Rizki Yeni Wulandari; Sulistia Nur; Ikhwan Amirudin; Nor Aziyan Yahaya
An Idea Health Journal Vol 5 No 04 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v5i04.909

Abstract

Background: Digital transformation has become an integral component of contemporary hospital care, yet increasing nursing workload may limit nurses’ ability to integrate technology into person-centered caring practice. Evidence on the association between objectively measured workload and Technology as Caring remains limited, particularly in hospital settings. This study examined the association between nurses’ workload, measured using the Time and Motion Study (TMS) method, and Technology as Caring among hospital nurses. We conducted a quantitative cross-sectional study among 130 hospital nurses at a public hospital in Lampung, Indonesia, selected using proportionate stratified random sampling. We assessed nurses’ workload through direct observation using the TMS method, and measured Technology as Caring using the Technological Competency as Caring in Nursing-Revised Practice (TCCN-RePract) questionnaire. Data were analyzed using descriptive statistics and the Goodman– Kruskal Gamma correlation coefficient.More than half of the participants (53.8%) experienced Overall, 53.8% of nurses experienced high workload. Among nurses with inadequate Technology as Caring, 64.5% had high workload, compared with 38.9% among those with adequate Technology as Caring. Gamma analysis showed a moderate negative association between workload and Technology as Caring (Gamma = −0.451, p = 0.002).Higher workload was significantly associated with lower Technology as Caring. These findings highlight the importance of workload management and organizational support in enabling nurses to integrate technology into person-centered caring practice. Longitudinal multicenter studies are recommended to examine further temporal relationships and potential causal mechanisms of technology integration into person-centered caring practice.
Red Palm Oil Administration in Undernourished Wistar Rats: Effects on Cognitive, Gastrointestinal, Skeletal, and Organ Parameters Ni Nyoman Sri Yuliani; Dyah Ayu Pramesti Putri; Sheryl Flowrencia Sumarna; Dhimas Akmal Pujiatmiko; Astrid Florencia Evelyn; Ira Jayanti
An Idea Health Journal Vol 6 No 04 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i04.843

Abstract

Background: Malnutrition affects multiple physiological systems, including cognitive, gastrointestinal, skeletal, and organ functions. Red palm oil (RPO) contains bioactive compounds that may influence physiological responses to malnutrition. This study aimed to evaluate the effects of RPO on biomedical parameters in undernourished Wistar rats. Methods: This experimental laboratory study integrated several sub-studies using post-test-only and pretest-posttest control group designs. Male Wistar rats aged 3–4 weeks underwent 50% feed restriction for 14 days, followed by RPO administration at doses of 2, 4, or 6 mL/kgBW for 28 days. Groups included normal, negative, and selected positive vitamin A controls. Sample sizes varied across sub-studies. Data were analyzed using ANOVA, Kruskal– Wallis, post hoc tests, and correlation analyses, with p < 0.05 considered significant. Result: Significant differences were observed in Y-maze cognitive performance (p = 0.031), intestinal weight (p = 0.003), femur weight (ANOVA p = 0.037; Kruskal–Wallis p = 0.048), and heart (p = 0.010), liver (p = 0.002), and kidney (p = 0.004) indices. Femur length differed significantly using Kruskal–Wallis (p = 0.042), but not ANOVA (p = 0.052). No significant differences were observed in hemoglobin levels (p = 0.494),motor performance (p = 0.120), lung (p = 0.070), or spleen (p = 0.120) indices. Contribution for Practice: RPO administration produced variable responses across biomedical parameters, providing preliminary preclinical evidence for further nutritional research. However, inconsistent dose-response patterns and the absence of significant effects on several outcomes limit its clinical applicability. Further mechanistic and clinical studies are required before RPO can be recommended for nutritional rehabilitation.
Healthy School Environment Through Brainstorming, Buzz Group, and Simulation (BBS) Methods in Smoking Control Behavior Andi Varil Batara Lipu; Muhammad Ikhtiar; Fairus Prihatin Idris; Yusriani Yusriani; Andi Asrina; Alfina Baharuddin
An Idea Health Journal Vol 6 No 04 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i04.877

Abstract

Background: High school students are in adolescence, a transitional period between childhood and adulthood. This phase is characterized by heightened curiosity and increased susceptibility to health-risk behaviors, including smoking. Adolescent smoking remains a significant public health concern worldwide. This study examined changes in smoking-related knowledge and attitudes among students at SMA 22 Makassar after implementing the Brainstorming, Buzz Group, and Simulation (BBS) method. Methods: A quasi-experimental study involved 30 adolescent smokers at SMA 22 Makassar. Data were collected using questionnaires, and changes in smoking-related knowledge and attitudes were analyzed using the Wilcoxon signed-rank test. Result: The findings revealed statistically significant changes in students' smoking-related knowledge and attitudes following the BBS intervention (p < 0.001). Contribution for Practice: The findings provide preliminary evidence supporting the integration of brainstorming, buzz group discussions, and simulation into school-based health education programs. School nurses, teachers, and health promotion practitioners may consider these interactive methods to enhance adolescents' smoking-related knowledge, foster healthier attitudes, and strengthen smoking prevention education in schools.