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Jurnal Kesehatan Kusuma Husada
Published by Universitas Kusuma Husada Surakarta
ISSN : 20875002     EISSN : 2549371x     DOI : https://doi.org/10.34035/jk.v13i2
Core Subject : Health,
Health Professions Nursing Public Health
jurnal ini masih berfokus pada ilmu kesehatan kedokteran,keperawatan,biologi,kebidanan dan bidang kesehatan lainnya
Arjuna Subject : Keperawatan - Bedah Medis
Articles 449 Documents
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A LITERATURE REVIEW ON THE IMPACT OF PSYCHOEDUCATION ON MEDICATION ADHERENCE, EMOTIONAL STABILITY, AND QUALITY OF LIFE INBIPOLAR DISORDER Deviantony, Fitrio; Erlando, Robby Prihadi Aulia; Nirwanawati, Salwa
Jurnal Kesehatan Kusuma Husada Vol. 17 No. 1, Januari 2026
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v17i1.1897

Abstract

Background: Bipolar disorder (BD) is a chronic psychiatric condition characterized by recurrent mood episodes that significantly impair psychosocial functioning and quality of life. Alongside pharmacological treatment, psychoeducation is recognized as an essential non-pharmacological intervention that enhances illness awareness, supports self-management, improves medication adherence, and facilitates early detection of relapse warning signs.Aim: This literature review aims to examine the effectiveness of psychoeducational therapy in the management of bipolar disorder, focusing on relapse prevention, medication adherence, emotional stability, and quality of life.Methods: A literature review was conducted using studies published between 2020 and 2024 and retrieved from Google Scholar and PubMed databases. The search utilized keywords such as “psychoeducational non-pharmacological therapy” and “bipolar disorder.” Included studies comprised randomized controlled trials, quasi-experimental studies, cohort studies, and systematic reviews.Results: The findings indicate that psychoeducation plays a significant role in improving both clinical and psychosocial outcomes in individuals with BD. Psychoeducational interventions consistently reduced relapse rates, improved medication adherence, enhanced emotional stability, and strengthened patients’ and families’ coping abilities. Family-based and culturally adapted approaches further increased treatment engagement and reduced caregiver burden.Conclusion: Psychoeducation is a vital adjunct to pharmacological treatment in bipolar disorder management, contributing to sustained symptom control and improved quality of life.
THE RELATIONSHIP BETWEEN SLEEP QUALITY AND QUALITY OF LIFE IN HEMODIALYSIS PATIENTS Risdianti, Helza; Firstania, Aurelia; Zaharany, Tsania Ayu; Rajagukguk, Sartika; Gunawan, Annisa Pratiwi; Nurani, Rahmawati Dian; Bunga, Dinda Nur Fajri Hidayati; Khoirot, Risyda Marifatul; Pitora, Tobi
Jurnal Kesehatan Kusuma Husada Vol. 17 No. 1, Januari 2026
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v17i1.1909

Abstract

Background: Hemodialysis therapy has physical and psychological effects that can affect patients' sleep quality and quality of life and exacerbate their condition. Poor quality of life affects patients' sleep quality, partly due to anxiety or stress. If hemodialysis patients experience many problems, it will affect their quality of life, including disruption to their daily activities. The purpose of this study is to determine the relationship between sleep quality and quality of life in hemodialysis patients. Methods: This study uses correlation and a cross-section. It uses PSQI and the European Quality of Life 5 Dimensions. We used purposive sampling. There were 42 hemodialysis patients. Data collection was conducted in October 2024 at the PMI Hospital in Bogor City.Results: A total of 34 (81%) hemodialysis patients experienced poor sleep quality, while 16 (38.1%) experienced a moderate quality of life, and 9 (21.4%) experienced a low quality of life. There was a relationship between sleep quality and quality of life in hemodialysis patients, with a p-value < 0.004 and a correlation of -.435**.Conclusion: This means that poor sleep quality in hemodialysis patients will have an impact on their moderate to low quality of life. Sleep quality plays an important role in improving the quality of life of hemodialysis patients. Hemodialysis patients can improve their sleep quality by creating a sleep schedule, exercising regularly, getting exposure to sunlight, and sleeping when they feel sleepy so that they do not feel tired.
THE ASSOCIATION BETWEEN KNOWLEDGE, ATTITUDES, AND TOXOPLASMOSIS PREVENTIVE PRACTICES AMONG FEMALE STUDENTS IN THE HEALTH EDUCATION CLUSTER Triana, Dessy; Khairani, Mutia Syahida; Djais, Taufik Hidayat; Gunasari, Lala Foresta Valetine
Jurnal Kesehatan Kusuma Husada Vol. 17 No. 1, Januari 2026
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v17i1.1910

Abstract

Background: Toxoplasmosis is an infectious disease resulting from exposure to the parasite Toxoplasma gondii. The prevalence of toxoplasmosis among women of reproductive age in Indonesia remains significant, attributed to factors such as individual behaviours, inadequate hygiene practices, and cultural traditions. Moreover, the prevalence of toxoplasmosis is elevated among populations with limited awareness of preventive measures, highlighting the importance of comprehensive education to decrease its incidence, particularly among women of reproductive age. Strengthening their comprehension, attitudes, and preventive behaviors is crucial as an initial strategy to reduce toxoplasmosis transmission. This study aimed to examine the association between knowledge, attitudes, and preventive practices regarding toxoplasmosis among female health education students at the University of Bengkulu.Methods: This study employed an observational, cross-sectional design. The research population comprised 925 individuals, from which 70 female students in the health education cluster at the University of Bengkulu were selected as study subjects through stratified random sampling. Data were gathered via questionnaires and analyzed using the Spearman rank correlation test.Results: The data indicated that 41 respondents (58.6%) demonstrated a high level of knowledge, 55 respondents (78.6%) maintained positive attitudes, and 59 respondents (84.3%) practiced effective preventive practices regarding toxoplasmosis. Statistical analysis revealed a significant association between knowledge level and preventive practices (p-value <0.001, r = 0.565), as well as between attitude and preventive practices (p-value <0.001, r = 0.705).Conclusion: A significant association exists between knowledge levels and attitudes regarding toxoplasmosis prevention practices.
LOW BIRTH WEIGHT AS A KEY DETERMINANT OF CHILDHOOD STUNTING: A MATERNAL–NEONATALRISK FACTORS ANALYSIS INA STUNTING LOCUS AREA Pramesthi, Nindi; Asyura Muttabi' Deya Fa'ni, Renidya; Afindaningrum, Rochmanita Sandya; Pujiyani, Honesty; Rosanti, Nadia Dian
Jurnal Kesehatan Kusuma Husada Vol. 17 No. 1, Januari 2026
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v17i1.1930

Abstract

Background: Many studies have examined the effects of inadequate nutritional intake, showing an increased risk of infectious diseases, death, and obstacles to children's growth and development. According to the results of SSGI 2024, the prevalence of stunting among children under five was 19.8%; this figure remains far from the medium-term national target. This research aims to determine the determinants of stunting in a stunting-affected area.Methods: A quantitative analytical study with a case-control approach was used in this study. The research was conducted in Buker Village, one of the stunting loci in Sampang Regency. The research subjects consisted of 35 stunted toddlers in the case group and 40 toddlers with normal nutritional status in the control group. Data analysis in this study included univariate analysis using frequency distributions, bivariate analysis using the chi-square test, and multivariate analysis using multiple logistic regression.Results: The results showed that the most dominant factor associated with stunting was a history of low birth weight (LBW) OR 24,1 (95% CI: 2,573 – 226,647), which means that toddlers who were born with LBW had a 24,1 times higher chance of stunting.Conclusion: This study identifies low birth weight as a key determinant of stunting, as affected infants face developmental vulnerabilities. Strengthening maternal nutrition, infection prevention, and postnatal growth monitoring is essential to mitigate long-term growth deficits. These findings emphasize the importance of integrating maternal nutrition programs with neonatal monitoring, particularly in high-burden settings, to effectively improve child growth outcomes.
PERCEIVED INSUFFICIENT MILK SUPPLY (PIMS) AND THE RISK OF NON-EXCLUSIVE BREASTFEEDING PRACTICES: A SYSTEMATIC REVIEW AND META-ANALYSIS Nurjanah, Siti; Pratiwi, Erinda Nur; Hapsari, Erlyn; Ekacahyaningtyas, Martina
Jurnal Kesehatan Kusuma Husada Vol. 17 No. 1, Januari 2026
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v17i1.1933

Abstract

Background: PIMS, or what is usually called insufficient breast milk supply, is one of the reasons why breastfeeding fails. There are still a few mothers who know about the perception of insufficient breast milk supply and how this has an impact on breastfeeding practices. This study aimed to examine the association between perceived insufficient milk supply (PIMS) and the risk of non-exclusive breastfeeding during the first six months postpartum.Methods: This review was conducted following the PRISMA guidelines to select articles in this study and based on PICO (Population, Intervention, Comparison, Outcome). We searched for relevant articles in five databases, such as PubMed, ScienceDirect, Springer Link, ProQuest, and SAGE journals, from January 2014 to August 2024. Then, they carried out a meta-analysis of the collected data and analyzed the Odds Ratio (OR) using Review Manager 5.3. Overall, 6 studies were appropriate in this review. Results: Six studies were included in the meta-analysis. The forest plot demonstrated a consistent inverse association between perceived insufficient milk supply (PIMS) and exclusive breastfeeding across all included studies. Using a random-effects model, mothers with PIMS had significantly lower odds of exclusive breastfeeding during the first six months postpartum (pooled OR = 0.10; 95% CI: 0.04–0.24; p < 0.00001), indicating a substantially increased risk of non-exclusive breastfeeding. Conclusion: Perceived insufficient milk supply (PIMS) has a relationship with the incidence of failure to provide exclusive breastfeeding. 
OVERVIEW OF FAMILY SUPPORT AND KNOWLEDGE ABOUT THE DASH DIET IN HYPERTENSIVE PATIENTS Septiningsih, Vita Dwi; Nusantoro, Agik Priyo; Nurjanah, Siti
Jurnal Kesehatan Kusuma Husada Vol. 17 No. 1, Januari 2026
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v17i1.1938

Abstract

Background: Prolonged hypertension can slowly damage blood vessels and trigger heart attacks, strokes, and kidney failure. The American Heart Association recommends managing hypertension with the Dietary Approaches to Stop Hypertension (DASH) diet. Family support affects DASH diet adherence through four mechanisms: instrumental, informational, rewarding, and emotional. The study aimed to assess the level of family support and understanding of the DASH diet among hypertensive patients in Flamboyant Ward 8 at Dr. Moewardi Hospital.Methods: This study employed a quantitative observational design with a descriptive cross-sectional approach. The population of this study is the family of hypertension patients in the Flamboyant Ward 8 of Dr. Moewardi Hospital, with a sample size of 82 respondents, using accidental sampling. Data were collected using questionnaires. Results: The results of this study showed that the characteristics of the majority of respondents aged 36-45 years (late adults) amounted to 34 respondents (41.5%), female sex amounted to 45 respondents (54.9%), and SMK/SMA education level amounted to 32 respondents (39.0%). The level of family support for the majority of the good category was 46 respondents (56.1%), and the level of knowledge about the DASH diet among the majority of the good category was 37 respondents (45.1%).Conclusion: This study indicates that most families of hypertensive patients demonstrated strong family support, while knowledge of the DASH diet was comparatively low. These findings highlight the need to strengthen informational and educational interventions to complement existing family support and optimize non-pharmacological hypertension management.
DEPRESSION AMONG NURSING STUDENTS IN INDONESIA: PREVALENCE AND ASSOCIATIONS WITH AGE AND LEVEL OF NURSING EDUCATION: NATIONAL SURVEY Sari, Dian
Jurnal Kesehatan Kusuma Husada Vol. 17 No. 1, Januari 2026
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v17i1.1939

Abstract

Background: Depression is more prevalent among nursing students than in the general student population, largely due to academic demands and the pressures of clinical practice. In Indonesia, evidence on demographic factors associated with depression among nursing students, such as age and level of nursing education, remains limited. This study aimed to examine the associations between age and educational level and the occurrence of depression among nursing students in Indonesia.Methods: A cross-sectional study was conducted with 690 nursing students recruited from 30 provinces across Indonesia. Participants were selected using convenience and snowball sampling. Data were collected via an online questionnaire that included demographic characteristics and the Beck Depression Inventory (BDI), Indonesian version.Results: The findings revealed that 21.01% of nursing students experienced depressive symptoms. The mean age of the respondents was 21 years old, and the majority were enrolled in a Bachelor’s degree program in Nursing (61.5%). Statistical analysis indicated no significant association between age and depression status (p = 0.611), and a significant association was identified between educational level and depression (p = 0.023), with students enrolled in the regular Bachelor of Nursing program demonstrating a higher prevalence of depression.Conclusion: Depression remains a significant mental health problem among nursing students in Indonesia. Age was not associated with depressive symptoms, but education level emerged as a factor associated with depression. These findings highlight the need for increased psychological support and education-specific intervention strategies to prevent and reduce depression among nursing students.
DEVELOPMENT OF DIGITAL POSTER SERIES MEDIA FOR CLEAN AND HEALTHY LIVING BEHAVIOR PROMOTION IN HIGH SCHOOL SETTINGS Kristianto, Budi; Prasetyo, Budi; Pratiwi, Erinda Nur
Jurnal Kesehatan Kusuma Husada Vol. 17 No. 1, Januari 2026
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v17i1.1953

Abstract

Background: The persistent challenge of promoting Clean and Healthy Living Behavior (CHLB) among high school students, along with a critical gap in engaging, contextually relevant digital content for social media, underscores an urgent need for innovative interventions. This study aims to develop and evaluate a digital poster series for CHLB promotion, specifically designed for the Instagram platform.Methods: This Research and Development (R&D) study employed the ADDIE model (Analysis, Design, Development, Implementation, Evaluation). Participants included a purposive sample of 40 high school students from SMA Negeri 1 Simo, Boyolali, comprising 10 students for a small group trial and 30 for a large group trial, selected based on their willingness to participate and school enrollment. Data were collected using quantitative evaluation sheets (5-point Likert scale) and qualitative comment/suggestion forms.Results: The results demonstrated the high feasibility and effectiveness of the digital poster series. Expert validation yielded a 75% score in the first stage, leading to key revisions. Student trials showed overwhelmingly positive quantitative results, with average assessment scores ranging from 4.50 to 4.67 out of 5, translating to feasibility percentages of 90% to 93.33% across all assessed aspects. Qualitative feedback highlighted the media’s visual appeal, modern design, and relatable language, though students suggested increased interactivity.Conclusion: This study successfully developed and evaluated a series of highly feasible and effective digital posters for promoting healthy lifestyles among high school students. 
ASSOCIATION BETWEEN PHYSICAL ACTIVITY AND SOCIODEMOGRAPHIC FACTORS WITH OBESITY AMONG ADULTS IN JAKARTA: ANALYSIS OF THE 2023 INDONESIAN HEALTH SURVEY Puspitasari, Arum; Sutrisno, Resti Yulianti; Helda, Helda; Hanim, Sofwatul
Jurnal Kesehatan Kusuma Husada Vol. 17 No. 1, Januari 2026
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v17i1.1954

Abstract

Background: Obesity is a global public health problem that carries an elevated risk of noncommunicable diseases. Behavioral factors that may be modifiable should be assessed to design effective preventive programs. This study aimed to determine the association of physical activity, sociodemographic factors, and obesity among adults in Jakarta.Methods: This study employed a quantitative, analytical, cross-sectional design. Data collected by the second wave of the 2023 Indonesian Health Survey. We analyzed 7.163 adult participants. Statistical analyses used chi-square and survey-adjusted logistic regression, and risk was measured as Prevalence Ratios (PR) with 95% Confidence Intervals (CI).Results: The prevalence of obesity in this study was 49.67%. Logistic regression analysis showed a significant relationship between obesity and physical activity (p=0.045; PR=1.126), age 30-44 years (p=0.000; PR=2.213), age 45-59 years (p=0.000; OR=2.352), gender (p=0.000; OR=1.713), employment status (p=0.000; OR=1.653), and marital status (p=0.000; OR=2.437). Conversely, educational level did not show a statistically significant relationship with obesity (p>0.05). Moreover, levels of physical activity, marital status, sex, and employment status accounted for the factors that increased the likelihood of adult obesity. Conclusion: Adult obesity in Jakarta is significantly associated with sex, age, sex, physical activity level, employment status, and marital status. These findings indicate the need to address targeted behavior changes, especially increasing levels of physical activity and exercise to encourage cognitive dissonance of increasing the likelihood of obesity through healthy weight and obese adults, particularly in middle-aged and women.

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