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Journal of Public Health Sciences
Published by Indonesian Institute of Science and Technology Research
ISSN : 29619106     EISSN : 29618681     DOI : https://doi.org/10.56741/jphs.v1i02
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Journal of Public Health Sciences is an international peer-reviewed journal publishing original and high-quality papers in all aspects of the science and practice of public health. As an academic exchange media, scientists and researchers can know the up-to-date trends and seek valuable sources. The subject areas include, but are not limited to the following fields: public health practice, epidemiology, health promotion, health service effectiveness, public health governance, disease prevention, and public health evaluation.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 111 Documents
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The Effect of Telenursing on the Quality of Life of Chronic Kidney Disease Patients Undergoing Hemodialysis: A Systematic Literature Review Fatimatus Zahron Faizin; Fitri Arofiati
Journal of Public Health Sciences Vol. 5 No. 02 (2026): In Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.002070

Abstract

Chronic Kidney Disease (CKD) is a growing global health issue that significantly impacts renal function and patients' quality of life, particularly those undergoing hemodialysis. Patients' quality of life is influenced by clinical, psychological, and environmental factors, where limited access to healthcare services often presents a barrier. Telenursing has emerged as a health technology innovation to provide remote nursing care to support disease management. This study aims to synthesize the effect of telenursing on the quality of life of CKD patients undergoing hemodialysis. The method used was a literature review searching articles via international databases Scopus, ProQuest, and PubMed. The search was limited to full-text English articles published between 2019 and 2024 using the keywords "hemodialysis", "telenursing", and "quality of life”. The selection process yielded 9 articles meeting the inclusion criteria. The review results indicate that telenursing interventions significantly improved quality of life scores, self-efficacy, and medication adherence compared to standard care. In conclusion, telenursing is effective as a holistic intervention model to enhance the quality of life for hemodialysis patients, although its implementation still faces challenges regarding infrastructure and digital literacy.
Effectiveness of the "CEPAT" (Smart and Compliant) Health Promotion Model on Blood Pressure Control in Hypertensive Patients: A Quasi-Experimental Study Dewi Hartinah; Ika Tristanti; Iswatun Qasanah
Journal of Public Health Sciences Vol. 5 No. 02 (2026): In Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.002077

Abstract

The necessity for efficient non-pharmacological methods to supplement medical therapy is highlighted by the fact that hypertension remains a major global public health concern. In Kudus Regency, Indonesia, this study looked at how well the CEPAT health promotion model worked to lower blood pressure in hypertensive individuals. Purposive sampling was used to choose 32 individuals from PRM 02 Pasuruhan Lor for a quasi-experimental study with a pre-test–post-test control group design. Participants were split equally between a control group (n = 16) and an intervention group. While the control group got standard care, the intervention group participated in a four-week CEPAT health promotion program. Following the intervention, the diastolic blood pressure decreased from 103.71 ± 1.03 mmHg to 93.13 ± 0.93 mmHg (p = 0.001) and the systolic blood pressure decreased significantly from 167.81 ± 32.19 mmHg to 135.63 ± 16.43 mmHg (p < 0.001). On the other hand, the control group showed no statistically significant changes. A substantial difference between the two groups was also shown by post-intervention analysis (p < 0.001). These results imply that the CEPAT health promotion model is a useful community-based intervention for improving blood pressure control and could be a useful tactic for managing hypertension.
Understanding Women's Participation in Visual Inspection with Acetic Acid Screening: The Role of Characteristics, Behavior, and Psychological Factors Among Women of Reproductive Age Zaim Anshari
Journal of Public Health Sciences Vol. 5 No. 02 (2026): In Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.002125

Abstract

The level of community health is shaped by four main determinants: environment, behaviour, health care, and heredity. Visual inspection with acetic acid (VIA) is a simple, low‑cost method that can be used for early detection of cervical cancer in primary care settings, yet uptake among women of reproductive age in Indonesia remains suboptimal. This analytic observational case–control study was conducted at Puskesmas Teladan, Medan, in 2025. A total of 102 women of reproductive age were enrolled, comprising 51 women who had undergone VIA (case group) and 51 women who had never undergone VIA but had heard about the test (control group). Data on socio‑demographic characteristics (age, education, occupation), behavioural factors (knowledge, attitude, practice), and psychological factors (perception, motivation) were collected using a structured questionnaire and analysed using chi‑square tests and multiple logistic regression. ​ In the multivariable model, good knowledge (adjusted odds ratio [AOR] 8.25; 95% confidence interval [CI] 2.32–29.36; p=0.001) and high motivation (AOR 15.92; 95% CI 5.35–47.42; p<0.001) were independently associated with undergoing VIA, whereas age, education, occupation, attitude, practice, and perception were not statistically significant. ​ Women of reproductive age with better knowledge about VIA and stronger motivation are substantially more likely to undergo VIA screening. Strengthening knowledge and intrinsic motivation through health promotion and counselling at primary health centres and via Posyandu cadres may increase uptake of VIA as an early detection strategy for cervical cancer.
The Importance of Hospital Image, Service Trust Level, and Physiotherapy Service Satisfaction on Patient Loyalty: A Case Study in a Type D Private Hospital Gabrina Selvi Yanuarista; Septo Pawelas Arso; Sri Winarni
Journal of Public Health Sciences Vol. 5 No. 02 (2026): In Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.002126

Abstract

Patient loyalty is essential for sustaining physiotherapy services, where prolonged treatment and discomfort often lead to high drop-out rates. This mixed-methods observational study examined how hospital image and patient trust shape satisfaction and loyalty among physiotherapy outpatients at KS Hospital between March and May 2025. A total of 160 outpatients were recruited through accidental sampling and completed a structured questionnaire, analyzed using partial least squares structural equation modeling (PLS-SEM). Qualitative data were gathered through in-depth interviews with a service manager, a specialist, and patients, triangulated to validate and enrich the quantitative findings. Hospital image significantly predicted satisfaction (β = .544, p < .001) and indirectly influenced loyalty through satisfaction (β = .202, p < .001). Patient trust showed both direct (β = .274, p < .001) and satisfaction-mediated (β = .294, p < .001) effects on loyalty. Satisfaction was the central mediating variable, explaining 70% of the variance in loyalty (R² = .695), with word-of-mouth emerging as its strongest indicator. Interview findings reinforced that service uniqueness and facility quality strengthen image and trust, which in turn foster satisfaction and encourage patients to return. These results underscore satisfaction's pivotal role in translating hospital image and trust into patient loyalty. Hospital management should prioritize improving service responsiveness and distinctiveness while ensuring equitable, empathetic care to strengthen long-term patient commitment to physiotherapy services. As a result, patient visit numbers can be maintained or even improved.
The Effectiveness of Combined Hatha Yoga and Tandem Walking Exercise on Sleep Quality: A Preliminary Study Nikmatur Rosidah; Annisa Salsabila Budi Ningrum; Bayu Prastowo; Nungki Marlian Yuliadarwati; Ananda Viona Ameylia; Anup Acharya; Fahmi Rizal; Dwi Agung Prasetyo
Journal of Public Health Sciences Vol. 5 No. 02 (2026): In Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.002183

Abstract

To improve sleep quality, the use of a combination of relaxation techniques and physical fitness training has been suggested. This study aimed to assess the impact of a combined Hatha Yoga and Tandem Walking program on improving the quality of sleep in older adults in Malang, Indonesia. A one-group pre-post experimental design was used in this study. A total of 30 elderly participants participated and received a combination of Hatha yoga and tandem walking exercise for 30–45 minutes, for a total of 12 sessions. Pittsburgh sleep quality index used to measure the quality of sleep of the participants. Wilcoxon signed-rank test used for data analysis, and statistically significant set at 0.05. This study resulted in a substantial enhancement in sleep quality after 6 weeks of combined Hatha Yoga and Tandem Walking exercise, with the mean PSQI score decreasing from 9.32 ± 1.70 to 4.24 ± 0.75 and 81% of the participants experiencing good sleep quality (p = 0.001) after the intervention. The combination of Hatha Yoga and Tandem Walking is an effective and safe non-pharmacological intervention to improve sleep quality in older adults and support healthy aging. For optimal results, this intervention can be practiced regularly and incorporated into a program for senior communities.
The Effect of Storytelling Intervention on the Mental Health of Preschool Children Chatarina Suryaningsih; Nadyah Faadhillah Husain
Journal of Public Health Sciences Vol. 5 No. 02 (2026): In Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.002219

Abstract

Every year, around 24.6% of children aged 0-17 years in the world experience mental health problems. One of the efforts to improve mental health is the introduction of reading from an early age through storytelling. The purpose of this study is to analyze the effect of storytelling intervention on mental health in preschool children. This research uses a Quasi-experimental design through the Nonequivalent Control Group Design approach. Sampling used the total sampling technique with a total of 61 children enrolled in Kartika VIII-42 Cimahi Kindergarten. Data were obtained using the Strength Difficulties Questionnaire. The tests used were the dependent t-test and the independent t-test. The results of the study were obtained in the intervention group; the mean before the intervention was 8.88 and the mean after the intervention was 6.69. In the control group, the mean before the intervention was 10.41 and the mean after the intervention was 10.69. The results of the independent t-test obtained a p-value after intervention in both groups of 0.002 (α < 0.05); there was a difference in mental health after intervention in the intervention group and the control group. It is hoped that storytelling will be used as a promotional effort in improving children's mental health, and the school will make storytelling activities a routine activity in helping children to improve their mental health from an early age.
Maternal Obesity and Preeclampsia Risk Among Pregnant Women in a Remote District Hospital of Central Papua: A Cross-Sectional Study Rohani Mustari; Yulianti; Devi Darwin; Lusiana
Journal of Public Health Sciences Vol. 5 No. 03 (2026): In Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.002008

Abstract

Preeclampsia remains a leading cause of maternal and perinatal morbidity and mortality worldwide, particularly in low- and middle-income countries (LMICs). Maternal obesity is an important modifiable risk factor; however, evidence from geographically isolated regions such as Central Papua remains limited. This study aimed to examine the association between maternal Body Mass Index (BMI) and preeclampsia risk among pregnant women attending a referral hospital in Central Papua, Indonesia. A hospital-based cross-sectional study was conducted using secondary antenatal medical records from RSUD Paniai, Central Papua, collected between January and September 2024. A total of 77 eligible pregnant women were included using total population sampling. Maternal BMI was calculated from weight and height measured at the first antenatal visit and categorized according to World Health Organization criteria as obese (BMI ≥30 kg/m²) or non-obese (<30 kg/m²). Preeclampsia was diagnosed by attending obstetricians based on Indonesian National Clinical Practice Guidelines. Associations were assessed using Pearson’s Chi-square test and multivariable logistic regression adjusted for maternal age and gestational age. Among the 77 participants, 35 (45.5%) were obese, and 30 (39.0%) had preeclampsia. Mild preeclampsia occurred exclusively among obese women (42.9%), while severe preeclampsia occurred in 31.4% of obese versus 9.5% of non-obese women. After adjustment, obesity remained independently associated with preeclampsia (adjusted OR = 7.85; 95% CI: 2.28–27.00; p < 0.001). In summary, maternal obesity was strongly associated with increased preeclampsia risk in Central Papua. These findings support routine BMI assessment, nutritional counseling, and early identification of high-risk pregnancies during antenatal care, particularly in geographically remote settings.
Cognitive Function, Neuroticism, and Depression Among Nursing Home Older Adults in Indonesia: A Cross-Sectional Study Massayu Savira Gading; Yanti Harjono Hadiwiardjo; Nurfitri Bustamam; Basuki Supartono
Journal of Public Health Sciences Vol. 5 No. 03 (2026): In Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.002044

Abstract

Depression is a serious mental health problem among older adults, especially in social care facilities. This study examines the hypothesis that cognitive function and neuroticism personality are associated with depression among older adults residing in a nursing home, a relationship that remains rarely investigated within the Indonesian institutional context. A quantitative cross-sectional study was conducted among 38 older adults aged 60 to 85 years, selected from an initial population of 373 residents through a total sampling approach after applying inclusion and exclusion criteria. Depression was measured using the GDS-15. Cognitive function was measured using the MoCA-Ina. Neuroticism personality was measured using the BFI-2. Bivariate associations were assessed using Pearson's correlation test. This study found that the majority of respondents did not experience depression (65.8%), although the mean cognitive function score was below the normal threshold (18.58 ± 6.77). There was no significant relationship between cognitive function and depression levels (r = -0.038; 95% CI -0.353 to 0.285; p = 0.821). There was a significant positive correlation between neuroticism personality and depression levels (r = 0.524; 95% CI 0.246 to 0.723; p < 0.001). In summary, neuroticism personality was significantly associated with depression level among institutionalized older adults, whereas cognitive function was not. Neuroticism may therefore be a more relevant psychological marker of depression risk than cognitive status in this population; further studies directly measuring psychosocial and spiritual variables are needed to clarify the mechanisms underlying the non-significant cognitive-depression association.
Risk Analysis of Outpatient Waiting Times: The Impact of Technology-Based vs. Manual Queuing Systems in East Java Hospitals Anif Prasetyorini; Eka Wilda Faida; Achmad Djunawan; Serlly Frida Drastyana
Journal of Public Health Sciences Vol. 5 No. 03 (2026): In Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.002017

Abstract

In Indonesian hospitals, prolonged waiting times for outpatient services remain a critical challenge, particularly in facilities lacking integrated queue management technology. This study evaluates the variation in waiting time risks between hospitals utilizing traditional manual systems and those employing partially connected digital systems. Using a purposive sampling method, we assessed ten hospitals, comprising both public and private institutions. Crucially, we implemented the Risk Grading Matrix as a novel analytical framework to evaluate risk levels by quantifying the likelihood and clinical impact of service delays in every hospital. Our analysis revealed that all participating hospitals exceeded the national waiting time standard of 60 minutes. However, the risk assessment demonstrated distinct differences based on system integration. Hospitals with less advanced, partially connected digital systems exhibited significantly higher risk profiles compared to those relying on manual systems (total risk score: p=.008). Furthermore, both the likelihood of delays (p=.031) and the severity of impact on patient safety (p=.017) were statistically higher in facilities with inefficient digital integration. These findings indicate that the architecture of a queue management system is a primary determinant of waiting time risks, which directly undermines patient satisfaction and timely care delivery. Consequently, we advocate for the adoption of optimized digital queue management systems, as they provide a more robust approach to enhancing service quality, patient safety, and institutional risk governance.  
Work–Life Balance and Work–Family Conflict as Predictors of Turnover Intention: A Systematic Review Yuniar Novita Sari; Arlina Dewi
Journal of Public Health Sciences Vol. 5 No. 03 (2026): In Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.002229

Abstract

High turnover among healthcare workers remains a major challenge for the continuity, quality, and sustainability of health services. Work-family conflict, work-life balance, and work-life interference have been increasingly examined as work–life factors that may influence turnover intention and retention-related outcomes. This systematic review aimed to synthesize evidence on the association between work–life factors and turnover-related outcomes among healthcare workers in hospital or acute-care settings. The review followed the PRISMA 2020 guidelines. Literature searches were conducted in PubMed/MEDLINE and Scopus for English-language peer-reviewed studies published between 2015 and 2025. Eligibility was guided by the PECOS framework, and methodological quality was assessed using the Joanna Briggs Institute Critical Appraisal Tools according to study design. Findings were synthesized thematically. A total of 22 studies were included, most used cross-sectional designs and involved nurses, physicians, doctors, and other healthcare workers. Work-family conflict was frequently associated with higher turnover intention, whereas better work-life balance was generally associated with lower turnover intention or more favorable retention-related outcomes. Burnout, perceived stress, psychological distress, and affective responses appeared to be important pathways linking work–life difficulties with turnover-related outcomes. Individual and organizational resources, including supervisor support, perceived organizational support, work engagement, psychological empowerment, and return-to-work support, may help reduce turnover intention and support retention. Because most studies were cross-sectional and self-reported, causal interpretation remains limited. These findings emphasize the need for organizational strategies addressing work–life issues to improve healthcare workforce retention, supported by future longitudinal studies using standardized measures and adjusted analyses.

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