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International Archives of Medical Sciences and Public Health
Published by Yayasan Pena Cendekia Insani
ISSN : 2798561X     EISSN : 27985172     DOI : -
Core Subject : Religion, Health, Social,
Religion Environmental Science Health Professions Medicine & Pharmacology Public Health
Journal considers submissions on any aspect of the health field across age groups and settings, these include: Capacity in public health systems and workforce Dentistry Environmental health Environmental Science Health Economic and Policy Studies Health law and ethics Health Professions Maternal and child health Medical Science Midwifes Nursing Public health nutrition Public health practice and impact Reproductive health Islamic and health
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 165 Documents
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EFFECT OF OXYTOCIN MASSAGE ON HEMOGLOBIN AND HEMATOCRIT LEVELS IN POST-CESAREAN MOTHERS: A QUASI-EXPERIMENTAL STUDY Dewi Aryanti; Sofia Februanti; Yudi Triguna; Tetet Kartilah; Saidah Rauf; Denicell P. Tetelepta; Nasywa Agniya Zahrah
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1480

Abstract

Post-cesarean anemia burdens low- and middle-income settings, yet oxytocin massage’s hematological effects remain underexplored. We evaluated its 48-hour impact on hemoglobin and hematocrit. Quasi-experimental pretest–posttest study at a tertiary hospital in Tasikmalaya, Indonesia (May - October 2024). Sixty-three post-cesarean mothers were allocated by ward to oxytocin massage (15 min at 12 and 48 h postpartum) plus standard care (n = 33) or standard care alone (n = 30). The 48-h blood draw preceded the second massage session to avoid peri-session effects; intraoperative blood loss was not systematically recorded. Co-primary outcomes (hemoglobin, hematocrit) were analyzed by baseline adjusted ANCOVA with Benjamini–Hochberg correction. All 63 mothers completed the study. Adjusted hemoglobin rose (+0.83 g/dL, 95% CI +0.11 to +1.56, p = 0.028, eta^2p = 0.078) and hematocrit (+3.68%, 95% CI +1.34 to +6.03, p = 0.003, eta^2p = 0.136); both survived correction. Critically, the hemoglobin gain fell below the informal MCID (˜1.0 g/dL); its lower confidence limit approached null (E-value 1.36), signaling residual unmeasured confounding. Lochia volume decreased (p < 0.001; unblinded); fundal height did not differ. Oxytocin massage may aid short-term hematological recovery, but the sub-MCID hemoglobin effect, cesarean-indication imbalance (fetal: 100% vs 39.4%), and unrecorded blood loss render findings preliminary. Adequately powered randomized trials are needed before adoption.
ASSOCIATION OF SIPPING ICE THERAPY WITH THIRST AND XEROSTOMIA AMONG ADULT HEMODIALYSIS PATIENTS: AN EXPLORATORY AND A QUASI-EXPERIMENTAL PRETEST–POSTTEST STUDY Moh Faris K.L. Harahap; Asep Kuswandi; Dewi Aryanti; Yanti Cahyati
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1481

Abstract

Thirst and xerostomia are distressing symptoms in hemodialysis (HD) patients. This study examined the association between sipping ice therapy and these symptoms among adult HD patients. A quasi-experimental pretest–posttest study with a non-equivalent control group was conducted at Banjar Hospital, Indonesia. Forty adults were allocated via purposive sampling to an intervention (n = 20) or control group (n = 20). The intervention group received sipping ice therapy (5 ?mL ice cubes, up to eight daily) for six consecutive days at home, while controls received routine care. Symptoms were measured using the Dialysis Thirst Inventory and Summate Xerostomia Inventory. The intervention group demonstrated significant reductions in median thirst and xerostomia categories from severe to mild (both p < 0.001), whereas no significant changes occurred in controls. Posttest between group comparisons strongly favored the intervention for reducing thirst (p < 0.001,r = 0.91) and xerostomia (p < 0.001,r = 0.88). Sipping ice therapy substantially reduces thirst and xerostomia in adult HD patients, serving as a feasible, non-pharmacological adjunct in nephrology nursing care. Future multi-center randomized trials are warranted.
FACTORS ASSOCIATED WITH PERINEAL WOUND HEALING AMONG POSTPARTUM WOMEN AFTER VAGINAL DELIVERY IN PRIMARY HEALTH CARE Nurdahliana; Sarinah Siregar; Nova Ratna Dewi; Rina Julianti; Marlina; Meliani Sukmadewi Harahap
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1483

Abstract

Perineal trauma following vaginal delivery is a common postpartum complication that may delay recovery and increase the risk of adverse maternal outcomes. This study examined factors associated with perineal wound healing among postpartum women in Bireuen District, Indonesia. A cross-sectional study was conducted from December 2025 to April 2026 involving 120 postpartum women assessed 10-14 days after normal vaginal delivery. Participants were recruited consecutively from the Jeumpa, Gandapura, and Kutablang Primary Health Centers. Perineal wound healing was evaluated through clinical observation, while demographic, behavioral, psychosocial, and cultural characteristics were collected using structured questionnaires. Associations were analyzed using chi-square tests and multivariable logistic regression. In bivariate analyses, type of perineal tear, personal hygiene, cultural practices, and family support were significantly associated with perineal wound healing. In the multivariable model, family support (AOR = 31.21; 95% CI: 2.55-382.12; p = 0.007) and personal hygiene (AOR = 27.74; 95% CI: 2.41-319.86; p = 0.008) remained significantly associated with favorable wound healing. The wide confidence intervals indicate substantial uncertainty in the estimated effect sizes. These findings suggest that personal hygiene and family support are associated with perineal wound healing; however, the cross-sectional design precludes causal inference, and longitudinal studies are needed to confirm these associations.
EFFECTIVENESS OF HYPNOTHERAPY IN REDUCING ANXIETY AND BLOOD PRESSURE AMONG WOMEN WITH GESTATIONAL HYPERTENSION Evi Zahara; Nurlaili Ramli; Pepi Hapitria; Anita; Nanda Norisa
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1484

Abstract

Gestational hypertension (GH) is a common pregnancy complication associated with adverse maternal and fetal outcomes and is often accompanied by anxiety, which may be associated with elevated blood pressure. This study examined the association between participation in a hypnotherapy program and changes in blood pressure, anxiety, and gestational duration among pregnant women with GH. A quasi-experimental pre-test–post-test control group study was conducted among 50 pregnant women with gestational hypertension in Aceh Barat Regency, Indonesia. Participants were recruited using purposive sampling and allocated through a non-random procedure to an intervention group (n = 25), which received structured hypnotherapy in addition to standard antenatal care, or a control group (n = 25), which received standard antenatal care alone. Anxiety was assessed using the Hamilton Anxiety Rating Scale (HARS), while systolic and diastolic blood pressure were measured before and after the intervention. Continuous outcome measures were analyzed using the Wilcoxon signed-rank test for within-group comparisons and the Mann Whitney U test for between-group comparisons. The intervention group demonstrated significantly greater reductions in systolic and diastolic blood pressure and HARS anxiety scores than the control group (*p* < 0.05). Although improvements in categorical blood pressure and anxiety status were observed in both groups, these descriptive findings did not reflect the magnitude of change captured by continuous measurements. No statistically significant between-group difference was found for gestational duration (*p* > 0.05). Participation in the hypnotherapy program was associated with greater improvements in blood pressure and anxiety than standard antenatal care alone.
RISK FACTORS FOR OVERWEIGHT AND OBESITY AMONG TODDLERS IN A COASTAL AREA OF INDONESIA: A CASE-CONTROL STUDY Agung Wicaksono; Apoina Kartini; Siti Fatimah
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1486

Abstract

Overweight and obesity among toddlers have emerged as important public health concerns in Indonesia, particularly in coastal areas where dietary patterns and socioeconomic conditions may increase nutritional risk. However, evidence on their determinants in these settings remains limited. This study aimed to identify factors associated with overweight and obesity among toddlers aged 13–60 months in the working area of Puskesmas Munjungan, Trenggalek Regency. A case-control study was conducted involving 136 toddlers, consisting of overweight/obese cases and normal-weight controls selected through proportionate stratified random sampling. Data on dietary intake, early feeding practices, and maternal characteristics were collected using questionnaires and anthropometric assessment. Data were analyzed using Chi-square tests and multiple logistic regression. Backward stepwise selection was applied for exploratory model building, although its limitations related to variable retention stability were acknowledged. The results indicated that nutritional intake, early feeding practices, and maternal characteristics were significantly associated with overweight and obesity among toddlers. Multivariate analysis identified non-exclusive breastfeeding as the factor most strongly associated with overweight and obesity, followed by high energy and macronutrient intake, poor maternal nutritional knowledge, and higher maternal body mass index. Given the retrospective assessment of dietary exposure and feeding history, the possibility of reverse causation cannot be excluded; therefore, these findings should be interpreted as statistical associations rather than evidence of causal relationships. In conclusion, overweight and obesity among toddlers in coastal areas were associated with modifiable nutritional and maternal factors, with early feeding practices showing the strongest association. Strengthening exclusive breastfeeding promotion, improving maternal nutritional knowledge, and encouraging balanced dietary practices may support prevention efforts in coastal communities.
ASSOCIATION BETWEEN FAMILY-CENTERED COUNSELING AND INTRAUTERINE DEVICE (IUD) UPTAKE: A CROSS-SECTIONAL STUDY IN GIRSANG SIPANGAN BOLON SUBDISTRICT, INDONESIA Yeni Trisna Purba; Santi Widya Purba; Dini Pajriani Khairunnisa
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1506

Abstract

Intrauterine device (IUD) uptake remains suboptimal in Indonesian primary care, partly due to limited family involvement in contraceptive counseling. This study examined the association between family centered counseling and current IUD uptake among couples of reproductive age. A cross-sectional study was conducted at a Family Planning Counseling Center in North Sumatra, Indonesia. Thirty eligible couples, recruited by total sampling, were allocated into two naturally occurring groups (15 family-centered; 15 standard counseling). Associations were analyzed using Chi-square or Fisher’s exact tests; the primary outcome was expressed as an odds ratio (OR) with 95% CI, and Bonferroni correction was applied to secondary analyses. Current IUD use was reported by 86.7% (13/15) of the family-centered group versus 40.0% (6/15) of the standard group (OR = 9.75, 95% CI: 1.59–59.70, p= 0.023). Only family knowledge remained significant after correction (p = 0.001). Given the small, non-randomized sample, findings are exploratory and warrant larger prospective confirmation.
THE RELATIONSHIP BETWEEN THE LEVEL OF KNOWLEDGE OF HOUSEWIVES ON THE IMPLEMENTATION OF CLEAN AND HEALTHY LIVING BEHAVIOR IN CIPADUNG VILLAGE, CIBIRU DISTRICT, BANDUNG CITY; CROSS-SECTIONAL STUDY Jumadiah Wardati; Eggi Indriani Pratami; Sufi Idya
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1508

Abstract

This study aims to identify the relationship between the level of knowledge of housewives and the implementation of Clean and Healthy Living Behavior (PHBS) in Cipadung Village, Cibiru District, Bandung City. This study used an analytical observational design with a cross-sectional approach. Data were collected from 82 respondents through a questionnaire covering 10 PHBS indicators. A statistically significant relationship was found between the level of knowledge and PHBS implementation (p < 0.05). Respondents with low knowledge may beassociated with poor PHBS implementation than respondents with good knowledge. Knowledge in this study is seen as a factor associated with PHBS implementation, not as a proven causal determinant. This study highlights the importance of health education to improve PHBS practices.
EFFECTIVENESS OF LOCAL FOOD–BASED NUTRITION EDUCATION AND IRON SUPPLEMENTATION ON HEMOGLOBIN LEVELS IN SECOND-TRIMESTER PREGNANT WOMEN Dianita Widya Gandhi; Gunarmi; Toto Sudargo; Nurhayati; Juda Julia Kristiarini
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1515

Abstract

Anemia affects 40.0% of pregnant women in Taliabu Island Regency, North Maluku—a severe public health problem by WHO classification. This study evaluated the effectiveness of local food-based nutrition education combined with iron supplementation on hemoglobin levels in second-trimester pregnant women. A quasi-experimental pretest posttest control group design was conducted from October to December 2025. Forty-four pregnant women (13–28 weeks gestation) were recruited by purposive sampling and allocated by facility to an intervention group (n = 22) or control group (n = 22). Over eight weeks, the intervention group received four biweekly nutrition education sessions using the P-Process framework, weekly locally sourced iron-rich foods, and daily iron-folic acid supplementation (60 mg elemental iron, 400 mcg folic acid); controls received supplementation only. Hemoglobin was measured by HemoCue hemoglobinometry at baseline and endpoint, and analyzed using the Wilcoxon Signed Rank and Mann-Whitney U tests. The intervention group showed significant within-group hemoglobin improvement (Z = -4.110, p < 0.001) and higher endpoint hemoglobin than controls (Z = -5.691, p < 0.001). Tablet compliance was also higher (Z = -6.032, p < 0.001), though knowledge, attitude, and practice scores did not differ (p = 1.000). Local food-based nutrition education integrated with iron supplementation is more effective than supplementation alone and is recommended for scale-up in comparable remote, resource-constrained settings.
WORK ENGAGEMENT, BURNOUT, AND QUALITY OF MIDWIFERY CARE: THE MEDIATING ROLE OF MIDWIFE PERFORMANCE IN A CROSS-SECTIONAL STUDY Devy Lestari Nurul Aulia; Arum Dwi Anjani; Dainty Maternity; Sunesni
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1526

Abstract

This study examined the associations of work engagement and burnout with midwifery care quality through the mediating role of midwife performance in Batam City primary health centers. A cross-sectional study involving 156 midwives from all community health centers (Puskesmas), selected through purposive sampling, was conducted. Work engagement was measured using the Utrecht Work Engagement Scale, and burnout using the Maslach Burnout Inventory, while performance and care quality were assessed via instruments based on Indonesia’s Midwifery Service Standards. Data were analyzed using SEM-PLS with SmartPLS 4.0, including bootstrapping with 5,000 subsamples. Work engagement was positively associated with midwife performance (? = 0.481,p < 0.001) and care quality (= 0.356,p < 0.001), whereas burnout was negatively associated with both. Midwife performance significantly mediated these relationships, and the model explained 67.5% of the variance in care quality. Midwives’ psychological well-being is significantly associated with care quality, with performance serving as a critical mediating mechanism.
FACTORS ASSOCIATED WITH SITUATION AWARENESS AMONG NURSES IN INPATIENT SETTINGS: A SCOPING REVIEW Nina Risnianingsih; Ayu Prawesti Priambodo; Etika Emaliyawati
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1543

Abstract

Situation awareness (SA) is a critical cognitive skill for nurses in inpatient settings, where patient conditions are complex and can change rapidly. Adequate SA enables nurses to perceive, comprehend, and anticipate clinical situations, supporting timely decision-making and patient safety. However, evidence on factors associated with nurses’ SA across inpatient settings remains fragmented. This scoping review aimed to identify, map, and synthesize these factors. The review followed the Arksey and O’Malley framework and was reported according to PRISMA-ScR guidelines, with eligibility structured using the Population–Concept–Context (PCC) framework. PubMed, Scopus, and EBSCOhost were searched up to 3 January 2026 for studies examining SA or related constructs among nurses in inpatient settings. Data were extracted and analyzed using descriptive and thematic synthesis. Twelve of 2,615 studies were included, published between 2012 and 2025. Five major categories of factors emerged: individual, information- and technology-related, communication and teamwork, organizational, and environmental. These interact dynamically and influence all three levels of SA. Nurses’ SA is therefore a multifactorial, dynamic construct, and enhancing it requires a system-level approach extending beyond individual competencies to information systems, team communication, and organizational support.

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