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Gaster
Published by Universitas 'Aisyiyah Surakarta
ISSN : 18583385     EISSN : 25497006     DOI : https://doi.org/10.30787/gaster
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Gaster is a national periodical journal which contains research articles in health sector. Gaster: Health journals are expected to be a medium for conveying scientific findings and innovations in the health sector for those in the health sector, both those engaged in the health sector. Gaster is published twice a year (February and August) by the Research Center of Aisyiyah University Surakarta. The editorial team invited health observers to express their ideas in order to improve self-professionalism and responsibility for national education. This journal was first published in 2007. Gaster is a peer reviewed journal and an open access journal that focuses on health. This focus covers the related areas and scopes related to the following : Nursing Midwifery Physiotherapy Pharmacy Community Nutrition Public Health Noted: Articles have primary citations and have never been published online or printed before.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 10 Documents
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Search results for , issue "Vol 23 No 2 (2025): AGUSTUS" : 10 Documents clear
Effectiveness SPEOS Method (Endorphin, Oxytocin, and Suggestive Massage Stimulation) on Breast Milk Production in Postpartum Mothers: A Systematic Literature Review Puspitasari, Dhita; Setyowati Esti Rahayu, Heni; Wijayanti, Kartika; Rohmayanti
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.1578

Abstract

Background The postpartum period is a critical phase of physiological and psychological recovery, beginning with the expulsion of the placenta and typically lasting up to six weeks. Breast milk (human milk) is recognized as the most essential source of nutrition for newborns, particularly in the first month of life. Various interventions have been explored to enhance lactation, one is the SPEOS method—a non-pharmacological approach combining endorphin stimulation, oxytocin release, and suggestive massage. Beyond physical aspects, maternal psychological adaptation also plays a vital role in successful breastfeeding. Objective This study aimed to evaluate the effectiveness of the SPEOS method in stimulating breast milk production among postpartum mothers through a literature review approach. Methods A literature review design was employed by analyzing relevant studies from national and international databases. Articles were selected based on predetermined inclusion criteria, and data synthesis focused on outcomes related to breast milk production following the application of the SPEOS method. Results The reviewed studies consistently reported a statistically significant effect of the SPEOS method on increasing breast milk production among postpartum women. The average reported p-value across the studies was 0.000, indicating a high level of statistical significance. Conclusion The SPEOS method appears to be an effective non-pharmacological intervention to enhance breast milk production in postpartum mothers. Further empirical research with standardized protocols is recommended to strengthen the evidence base and explore long-term outcomes.
Effectiveness of Kinesiotaping in Reducing Low Back Pain among Elderly Individuals Widyawati, Fiqi; Pristianto, Arif
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.1638

Abstract

Background Low Back Pain (LBP) is a musculoskeletal disorder characterized by discomfort in the lower back region, sometimes accompanied by radiating pain to the lower extremities. LBP is common in individuals aged over 35 years due to degenerative changes such as tissue damage and decreased intervertebral fluid, which reduce spinal and muscular stability. In elderly populations (>60 years), reduced muscle strength exacerbates LBP symptoms, significantly impairing daily function. Kinesiotaping is a physiotherapy technique used to improve musculoskeletal function and support natural healing, including in cases of LBP. Objective This study aimed to determine the effectiveness of kinesiotaping in reducing LBP symptoms among elderly individuals. Methods A quantitative descriptive approach with a one-group pretest–posttest design was employed. The study was conducted at Car Free Day (CFD) Colomadu, Karanganyar Regency, Central Java, in July 2024. A total of 40 elderly participants were recruited. Data were collected using the Keele Start Back Screening Tool questionnaire. Results Among the 40 elderly participants (62.5% female), most experienced LBP classified as minimal disability (50.0%). Post-intervention assessments showed improvements in pain scores, suggesting a positive effect of kinesiotaping on LBP symptoms. Conclusion Kinesiotaping appears to be an effective intervention for reducing low back pain in elderly individuals, particularly in those with minimal functional disability.
Improving Teachers First Aid Skills for Managing School Injuries: A Quasi-Experimental Study in an Indonesian Elementary School Devi, Nurul; Mardiyah, Siti; Fitriyani, Noor
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.1664

Abstract

Background Injuries frequently occur within school environments, ranking as the second most common location for injury incidents due to unsafe conditions and limited first aid preparedness. Children aged 5–14 years exhibit a high prevalence of injuries, reaching 13% in school-related incidents. Teachers, as front-line responders, must possess adequate first aid knowledge and skills to manage common injuries—such as falls, bruises, nosebleeds, fainting, and seizures—before professional medical care is available. Objective This study aimed to assess the effectiveness of a first aid training program in improving teachers’ skills in managing school-related injuries. Methods A quantitative approach with a quasi-experimental design (pretest–posttest without a control group) was conducted among 49 teachers at Al Islam 3 Gebang Elementary School, Surakarta. Total sampling was used. Skill levels were assessed before and after the training using standardized evaluation tools. Results The Wilcoxon signed-rank test showed a statistically significant improvement in teachers’ first aid skills after the training intervention (p = 0.01; p < 0.05). Conclusion First aid training significantly enhanced teachers’ skills in managing injuries among school children. Continued collaboration between schools and health professionals is recommended to maintain and further develop these essential competencies.
Evidence-based case report: effects of exercise-based cardiac rehabilitation in repaired tetralogy of Fallot Salam, Muhamad Elfitra; Putra, Bima Lesmana
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.1878

Abstract

Background: Several sequelae may persist following corrective surgery for tetralogy of Fallot (ToF), including reduced exercise capacity, compromised vascular and cardiac autonomic function, and diminished quality of life. While exercise-based cardiac rehabilitation is commonly implemented for patients with congenital heart disease, there remains a lack of comprehensive understanding regarding the optimal frequency, intensity, duration, and type of exercise. This evidence-based case report aims to evaluate the effectiveness of physical exercise on exercise capacity and quality of life in patients who have undergone ToF repair. Method: A literature search was conducted in PubMed, Cochrane, and Google Scholar databases in September to December 2024 using keywords "exercise," "cardiac rehabilitation," and "tetralogy of Fallot." Studies were included if they involved human subjects with tetralogy of Fallot, were published in English within the past fifteen years, and provided primary data. Studies were excluded if they were duplicates, had unavailable full texts, were research protocols, or review articles. Results: Six articles met the established inclusion and exclusion criteria. Data extraction revealed that various studies consistently demonstrated significant improvements (p<0.05) in peak oxygen uptake (VO2 peak) and quality of life (QoL), particularly in the mental and social domains. Conclusion: Exercise-based cardiac rehabilitation can be beneficial for patients post-ToF repair. However, it is essential to consider factors such as the duration since corrective surgery, the appropriate dosage of exercise, and the specific types of exercise prescribed.
Midwives’ Experiences in Providing Maternal Health Services during the COVID-19 Pandemic: A Qualitative Study at Sedayu I Primary Health Centre Rodliah Rosyad, Shelly; Astuti, Andari Wuri; Hidayat, Asri; Astuti, Dhesi Ari
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.1888

Abstract

Background During the COVID-19 pandemic, midwives experienced increased physical and emotional fatigue, elevating their risk of burnout and potentially impacting the quality of maternal healthcare services. Objective This study aimed to explore midwives’ lived experiences in delivering antenatal and childbirth care during the COVID-19 pandemic. Methods A qualitative study was conducted using a phenomenological approach. Seven midwives from Sedayu I Primary Health Centre were selected through purposive sampling. One-on-one in-depth interviews were carried out using an interview guide, audio recording, and field notes. Data were analyzed using Colaizzi’s thematic analysis method. Ethical approval was obtained from the Research Ethics Committee of Universitas ‘Aisyiyah Yogyakarta. Results Five major themes emerged: (1) psychological conditions, including anxiety and preparedness; (2) service changes during the pandemic, encompassing antenatal care, childbirth, and adaptation to new health protocols; (3) constraints, such as challenges in PPE usage and referral systems; (4) internal and external support systems; and (5) needs and expectations, including human resource support and access to updated information. Conclusion This study offers valuable insights into the challenges and adaptations experienced by midwives during the COVID-19 pandemic. Findings highlight the importance of integrating midwives’ experiences into healthcare system planning and policy formulation for future pandemic preparedness and maternal service resilience.
Quality of Life Among Diabetic Patients Using Transtibial Prostheses: A Descriptive Study Setyawan, Dwi; Fatati, Muhibbah
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.1915

Abstract

Background Diabetes mellitus (DM) is a chronic condition that increases the risk of foot infections, which may lead to gangrene and, in severe cases, lower limb amputation. Transtibial amputation is among the most common procedures, accounting for approximately 85–90% of all limb amputations. The use of a prosthesis is expected to enhance the quality of life (QoL) of post-amputation patients, yet outcomes may vary based on individual factors and causes of amputation. Objective This study aimed to assess the quality of life in patients with transtibial prostheses following amputation due to diabetes mellitus. Methods This descriptive study used observation sheets to evaluate prosthesis usage and the Prosthesis Evaluation Questionnaire (PEQ) to assess quality of life. Participants were transtibial prosthesis users with a history of amputation due to diabetes mellitus. Results Statistical analysis showed a p-value of 0.606 (p > 0.05), indicating no significant difference in quality of life between diabetic amputees and those amputated due to trauma. However, prosthesis use generally contributed to improved mobility and daily functioning. Conclusion While the cause of amputation (diabetes vs. trauma) did not significantly affect overall quality of life, the use of transtibial prostheses supports functional recovery in post-amputation patients. Further research is needed to explore other factors influencing quality of life outcomes in this population.
The Midwives’ Roles in Community-Based Stunting Prevention: A Qualitative Study in Primary Health Services Aryudaningrum, Nastiti; Hidayat, Asri; Kurniawati, Herlin Fitriani
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.1932

Abstract

Background Stunting remains a major public health concern in many low- and middle-income countries, with long-term consequences for cognitive development, educational achievement, and economic productivity. Midwives, particularly in decentralized health systems like posyandu in Indonesia, play a vital role in early prevention efforts. However, limited research has explored their contextualized contributions within community-based health services. Objective This study aimed to explore the strategic roles of midwives in preventing stunting, focusing on their functions as healthcare providers, educators, and community facilitators. Methods A qualitative phenomenological study was conducted involving six community midwives selected via purposive sampling. Data were collected through semi-structured in-depth interviews and analyzed thematically. Triangulation was performed using additional informants including coordinating midwives, nutritionists, and community health workers. Results Four primary themes emerged: (1) midwifery care in stunting prevention; (2) community engagement and educational activities; (3) communication and health promotion strategies; and (4) identification of local health issues. Midwives were actively involved in growth monitoring, nutrition counseling, home visits, and cross-sectoral collaboration. Challenges included low community participation, persistent stigma, and limited awareness about stunting. Conclusion Community midwives play a strategic role in stunting prevention through education, early detection, and collaborative community engagement. Strengthening their communication skills, cultural competence, and integration with local stakeholders is essential for optimizing the impact of stunting prevention programs and ensuring sustainable public health outcomes.
Pulmonary Complaints Among Gas Station Operators: A Descriptive Study in Klaten Region Handayani, Sri; Agustiningrum, Ratna; Agustina, Nur Wulan; Haryanti, Rheni
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.1964

Abstract

Background Gas station environments pose a high risk for exposure to vehicle emissions, which may lead to respiratory health issues due to the accumulation of hazardous pollutants. Continuous exposure, particularly among gas station operators, increases susceptibility to pulmonary disorders. Objective This study aimed to describe the prevalence and characteristics of pulmonary complaints among gas station workers in the Klaten region. Methods A descriptive study was conducted at two gas stations (44.57406 and 44.57403), both located on major traffic routes and operating daily. The total sampling technique was employed, involving 51 workers. Data were collected using structured questionnaires that assessed personal characteristics, smoking habits, mask usage behavior, and respiratory symptoms. Descriptive statistics using frequency distribution were applied in the data analysis. Results Findings showed that 41.2% of respondents experienced pulmonary complaints. The most frequently reported symptoms included shortness of breath while walking briskly, shortness of breath after physical exertion, productive cough, and persistent coughing throughout the day. Contributing factors identified were long working hours, smoking behavior, and inconsistent use of face masks. Conclusion A significant proportion of gas station operators reported respiratory complaints potentially linked to prolonged exposure to vehicle emissions. Additional risk factors such as smoking and improper personal protective equipment use may further compromise respiratory health. These findings underscore the need for preventive measures, including occupational health education, routine screening, and environmental interventions.
Family Support and Elderly Participation in Posbindu Activities: A Cross-Sectional Study at Urug Public Health Center, Tasikmalaya Ardiansah Abdillah, Rifan; Falah, Miftahul; Saryomo; Muksin, Asep
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.1925

Abstract

Background: Indonesia is entering an aging population phase, in line with the global increase in the number of older adults. The World Health Organization (WHO) reports that more than 700 million people are aged 65 years and over worldwide, a figure projected to rise sharply by 2050. In response, the Indonesian government established the Integrated Development Post (Posbindu) to promote early detection, monitoring, and prevention of non-communicable diseases among the elderly. Objective: This study aimed to examine the relationship between family support and elderly participation in Posbindu activities at Urug Public Health Center, Tasikmalaya. Methods: A quantitative descriptive correlational design with a cross-sectional approach was applied. The study population included 189 elderly individuals aged 60 years. A purposive sampling technique was used to recruit 51 respondents. Data were collected using a family support questionnaire and Posbindu attendance records. Bivariate analysis was conducted using the Spearman rank correlation test. Results: The findings showed that 35 respondents (68.6%) reported receiving family support, while 16 (31.4%) did not. Statistical analysis revealed a significant correlation between family support and elderly participation in Posbindu activities (p = 0.000, p < 0.05). Conclusion: Family support is crucial in encouraging elderly participation in Posbindu programs. Strengthening family involvement and health worker initiatives may enhance community-based elderly care and ensure the sustainability of Posbindu activities.
Overweight Risk Factors Among Adolescents in Indonesia Based on Economic Level Disparities: A Nationwide Study Nugroho, Purwo Setiyo; Umaroh, Ayu Khoirotul; Hattapradit, Faron
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.2165

Abstract

Introduction: Overweight among adolescents in Indonesia is a growing public health issue, influenced by socioeconomic and lifestyle factors. Urbanization and economic disparities have contributed to increased consumption of calorie-dense foods and sedentary behaviors, particularly among adolescents from higher-income families. However, the role of economic status in shaping overweight risk remains underexplored. Objective: Examining socioeconomic disparities may influence the determinants of overweight in this population. Method: This cross-sectional study utilized secondary data from the Global School-based Student Health Survey (GSHS), encompassing 9,977 Indonesian students aged 11–18. The analysis included descriptive statistics, bivariate tests, and binary logistic regression to identify associations between behavioral, demographic, and socioeconomic variables and overweight status. The analysis was stratified by economic level, using hunger frequency as a proxy indicator. Result: Overall, 14.7% of adolescents were overweight. Sedentary behavior was significantly associated with overweight in both low and high economic groups. Among adolescents from higher economic backgrounds, junior high school students had a higher risk of being overweight compared to senior high school students. In contrast, no significant associations were found between overweight and other behavioral factors in the low economic group, except for sedentary habits. Conclusion: Sedentary behavior is a key risk factor for adolescent overweight across economic strata, while school level influences overweight risk in wealthier adolescents. These findings highlight the need for targeted interventions that address lifestyle behaviors and consider socioeconomic disparities to effectively combat adolescent overweight in Indonesia.

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