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International Journal of Public Health Excellence (IJPHE)
Published by PT Inovasi Pratama Internasional
ISSN : -     EISSN : 28099826     DOI : https://doi.org/10.55299/ijphe
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
International Journal of Public Health Excellence (IJPHE), ISSN 2809-9826 (online) has a subject area as follows, but is not limited to the following health areas that are reproduction health, medical service, health statistics, health management, oral hygiene, medical bio, civilized environmental health, universal health, nursing, health care provider, health entrepreneur, health research, health innovation, infectious diseases and their treatment, medical insurance, medical neuroscience, occupational health and safety, public health science and midwifery.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 658 Documents
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Multidimensional Structure Of Maternal Sleep Quality In The Third Trimester: Psychometric Evaluation Jannah, Nurul; Selvarajh, Gunavathy
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 2 (2026): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i2.1798

Abstract

Beground : Sleep disturbances are highly prevalent during late pregnancy and have been associated with maternal mental health vulnerability and adverse perinatal outcomes. Emerging evidence suggests that sleep quality in the third trimester is context-specific and may not represent a single, uniform construct. However, the latent structure of maternal sleep quality in late pregnancy has not been sufficiently examined using a theory-driven psychometric approach. Methods : A community-based cross-sectional study was conducted among women in the third trimester of pregnancy (≥28 weeks). The Maternal Sleep Quality Index for the Third Trimester – Indonesian Version (MSQI-T3-ID), a newly developed eight-item self-report instrument, was administered. The hypothesized three-dimensional structure—Sleep Initiation and Continuity, Pregnancy-Specific Disturbance, and Daytime Impact and Fatigue—was evaluated using Confirmatory Factor Analysis within a Structural Equation Modeling framework. Results : Confirmatory factor analysis supported a multidimensional model of maternal sleep quality in late pregnancy. The model demonstrated acceptable fit indices (CFI = 0.95; TLI = 0.93; RMSEA = 0.094; SRMR = 0.027). All items loaded significantly on their respective latent dimensions, with standardized factor loadings ranging from 0.91 to 0.99 (p < .001), indicating a coherent internal structure. Conclusion : The findings provide empirical support for conceptualizing sleep quality in late pregnancy as a multidimensional construct. This study provides initial structural validity evidence for a brief, trimester-specific sleep quality instrument. Keywords : Maternal sleep quality; Third trimester pregnancy; Psychometric validation.
Analysis Of Nursing Practices For STEMI Patients With The Innovational Intervention Of A Combination Of Swedish Massage With Olive Oil And Warm Water Sausan Fauziah, Nur; Zulmah Astuti; Ulfatul Muflihah; Dwi Widyastuti
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 2 (2026): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i2.1803

Abstract

ST-Elevation Myocardial Infarction (STEMI) is part of Acute Coronary Syndrome (ACS), a cardiovascular condition in which a coronary artery is completely occluded, preventing oxygen from reaching the heart muscle. This study aimed to determine the effect of Swedish massage therapy combined with warm water on hemodynamic stability. This study employed a case study design comparing an intervention patient and a control patient diagnosed with STEMI who had unstable hemodynamic status in the ICCU. After the implementation of Swedish massage and warm water therapy in the intervention patient for three consecutive days, the patient’s hemodynamic parameters such as blood pressure, heart rate, mean arterial pressure, and respiratory rate remained within stable limits, showing no significant increases or decreases. This outcome differed from the control patient, who received only pharmacological therapy. The analysis deminstated a difference in hemodynamic outcomes between patients who received the combined intervention and those in the control group.
The Role of Healthcare Worker Motivation in the Relationship between Work Culture, Patient Satisfaction, and Performance at a Primary Healthcare Clinic Ekasari, Anita; Orbaningsih, Dwi; Wijayanti, Tri Cicik; Arifani, Nisa
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 2 (2026): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i2.1805

Abstract

Healthcare worker performance plays a crucial role in determining the quality of services in primary healthcare clinics. Organizational and service-related factors, such as work culture, patient satisfaction, and healthcare worker motivation, are considered important determinants of performance. However, empirical evidence regarding the mediating role of healthcare worker motivation in primary healthcare settings remains limited. This study aimed to examine the relationship between work culture and patient satisfaction with healthcare worker performance, both directly and indirectly through healthcare worker motivation as a mediating variable, in a primary healthcare clinic. An observational analytic study with a quantitative approach was conducted at a primary inpatient healthcare clinic in Mojokerto Regency, Indonesia, during September–October 2025. The study involved 20 healthcare workers and 50 patients, selected using total sampling. Data were collected through structured questionnaires and analyzed using descriptive statistics and Spearman correlation tests to assess relationships among variables. The results showed that work culture was positively associated with employee motivation (r = 0.476; p = 0.034), while patient satisfaction was positively related to healthcare worker performance (r = 0.446; p = 0.049). Healthcare worker motivation also demonstrated a significant mediating role in the relationship between work culture and healthcare worker performance (r = 0.508; p = 0.022). Improving healthcare worker performance in primary healthcare clinics requires an integrated managerial approach that emphasizes strengthening work culture, enhancing patient satisfaction, and maintaining healthcare worker motivation to support sustainable improvements in service quality.
Analysis of Social Determinants and Health Service Access on the Occurrence of Unintended Pregnancy among Adolescent Girls in Urban Indonesia Fatimah
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 2 (2026): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i2.1825

Abstract

Unintended pregnancy among adolescent girls in urban Indonesia remains a critical public health and social concern, with important implications for maternal and neonatal outcomes, education, and intergenerational poverty. Quantitative analyses based on the Indonesia Demographic and Health Survey (IDHS) and recent national studies indicate that residence, age, education, employment, wealth, parity, and prior contraceptive use are associated with unintended pregnancy, and that risk is particularly elevated among women aged 15–19 years and those living in urban areas. Concurrently, utilization of adolescent reproductive health services in urban settings is low, and adolescents have limited knowledge and access to reliable sexual and reproductive health (SRH) information. This study presents a quantitative integrative analysis of national survey data and peer‑reviewed quantitative studies to examine how social determinants and access to SRH services shape unintended pregnancy among adolescent girls in urban Indonesia. Data were extracted from IDHS 2017 and other large‑scale surveys, complemented by urban‑focused studies on adolescent SRH service utilization. Key findings show that younger age, urban residence, low education, poverty, and limited contraceptive knowledge or inconsistent use interact with weak access to youth‑friendly services to increase the likelihood of unintended pregnancy. Strengthening comprehensive sexuality education, youth‑friendly service provision, and multi‑sectoral social protection in urban areas is essential to reduce unintended pregnancy among Indonesian adolescent girls
Level of Public Knowledge Regarding The Transmission and Prevention of Dengue Fever in The Working Area of The Matsum City Public Health Center, Medan Zakaria Alfiani, Jacky; Aulia; Zaim Anshari; Budi Kurniawan
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 2 (2026): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i2.1813

Abstract

Introduction: Dengue Hemorrhagic Fever (DHF) remains a major public health problem in Indonesia. Insufficient public knowledge about transmission and prevention contributes to high disease incidence. Objective: This study aimed to assess the level of community knowledge regarding DHF transmission and prevention in the working area of Puskesmas Kota Matsum, Medan Area District. Methods: An analytic survey with a cross-sectional design was conducted involving 98 respondents who had previously experienced DHF. Data were collected using structured questionnaires and analyzed using univariate and bivariate analysis. Results: Most respondents were female (56.1%) and aged 26–35 years (51.0%). Approximately 53.0% had good knowledge of DHF. A significant relationship was found between knowledge level and DHF prevention behavior (p < 0.05). Conclusion: Community knowledge is significantly associated with DHF prevention. Continuous health education is needed to reduce DHF incidence in the Puskesmas Kota Matsum area
The Role of Accompaniment in Reducing Anxiety of Pregnant Women Ahead of Childbirth Sukmawati, Ellyzabeth
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 2 (2026): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i2.1734

Abstract

Anxiety during pregnancy, particularly approaching childbirth, is a common psychological condition that may negatively affect maternal well-being and fetal outcomes. Elevated anxiety has been associated with adverse consequences such as prolonged labor, increased operative delivery, and higher risk of preterm birth. Therefore, an adequate support system—including partners, family members, and healthcare providers—plays a crucial role in helping pregnant women cope with emotional distress and enhancing childbirth readiness. This study aims to examine the role of support systems in reducing anxiety among pregnant women through a systematic review approach. Literature was searched across major databases, including MEDLINE, Embase, and Google Scholar, using keywords related to pregnancy anxiety, social support, partner support, and psychological interventions. Eligible studies were original research articles published in English or Indonesian between 2000 and 2023, available in full text. Findings from the included studies were synthesized narratively. The review indicates that partner (husband) support is consistently associated with lower anxiety levels, improved maternal confidence, and better preparedness for childbirth. Family support, counseling, and educational interventions also contribute to increased self-efficacy and adherence to antenatal care. In conclusion, a strong and coordinated support system is essential in mitigating anxiety during pregnancy and promoting positive maternal outcomes.
Acceptability Test and Nutritional Analysis of Tempeh and Moringa Leaf Soft Rice as Complementary Foods (MP-ASI) Pertiwi, Nadira Citra; Solichah, Kurnia Mar’atus; Diah Puspitasari
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 2 (2026): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i2.1842

Abstract

The age of 6–24 months is a crucial period for a child's growth and development, requiring optimal nutritional intake through the provision of Complementary Foods (MP-ASI). MP-ASI serves to supplement nutritional needs that can no longer be met by breast milk alone. Tempeh, as a source of plant-based protein, and moringa leaves, which are rich in iron and vitamins, have the potential to be developed into "nasi tim" (soft rice) as recommended by WHO. This study aims to assess the acceptability and analyze the nutritional content of tempeh and moringa leaf soft rice as a complementary food. The study used a non-factorial Completely Randomized Design (CRD) with three formulations: F1 (10% tempeh: 15% moringa leaves), F2 (20%: 10%), and F3 (30%: 15%). The acceptability test was conducted on 30 semi-trained panelists using a hedonic test for taste, color, aroma, and texture attributes, which were then analyzed using the Kruskal–Wallis test. The results showed significant differences in taste (p=0.00) and aroma (p=0.01), while color (p=0.08) and texture (p=0.01) did not differ significantly. Formulation F3 had the highest acceptability level, containing 75.38 kcal/100 g of energy, 3.55% protein, 15.36% carbohydrates, 0.12% fat, 1.46% crude fiber, and 0.92 mg/100 g of iron.
Analysis of Nursing Practice in NSTEMI Patients: The Effect of Autogenic Relaxation Combined with Nature Sound Music Therapy on Blood Pressure Stabilization in the ICCU Nuriana, Ayu; Zulmah Astuti; Ulfatul Muflihah; Dwi Widyastuti
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 2 (2026): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i2.1848

Abstract

Non-ST Elevation Myocardial Infarction (NSTEMI) is often accompanied by increased blood pressure due to pain and anxiety, which trigger activation of sympathetic nervous system, thereby increasing cardiac workload and worsening myocardial ischemia. In addition to pharmacological therapy, non- pharmacological interventions are needed to help stabilize patients' hemodynamic status. This study aimed to analyze the implementation of autogenic relaxation combined with nature sound music therapy on blood pressure in patients with NSTEMI. A case study was conducted on one NSTEMI patient in the Intensive Cardiac Care Unit (ICCU), where blood pressure was measured before and after intervention. The findings showed that the patient who received autogenic relaxation combined with nature sound music therapy experienced a decrease in both systolic and diastolic blood pressure and a more relaxed condition. In conclusion, autogenic relaxation combined with nature sound music therapy is effective as a supportive non-pharmacological intervention in stabilizing blood pressure in patients with NSTEMI.

Page 66 of 66 | Total Record : 658

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