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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 344 Documents
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Analysis of Antenatal Care (ANC) Visits and Prenatal Classes for High-Risk Pregnancy : Compliance and Involvement of Couples Wahyuningsih, Endang; Wahyuningsih, Astri; Ambarsari, Lusiana
Gaster Vol 23 No 1 (2025): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i1.1666

Abstract

Background: High-risk pregnancies present a significant threat to the health of both the mother and the fetus. Antenatal care (ANC) visits and prenatal classes play an essential role in monitoring and maintaining maternal and fetal health. Purpose: Analyzing the Level of Compliance of ANC Visits, Assessing the Involvement of Couples Method: This is a quantitative, descriptive study involving 14 high-risk pregnant women as the research sample, Small Sample using total sampling. The research instrument was a questionnaire. Data analysis was performed to obtain the distribution of frequency and percentage of physical activity and nutrition among high-risk pregnant women. Result: All respondents reported that most pregnant women had their first ANC examination in the first trimester and attended regular check-ups with obstetricians and midwives at private practices, health centers, hospitals, and clinics. The husbands of pregnant women also played an active role in the pregnancy process, providing fetal stimulation and accompanying their partners during check-ups. However, most participants did not attend prenatal classes, with 10 women (71.40%) opting out. Among those who participated in prenatal classes, 10 women (71.40%) attended fewer than four classes. Additionally, the majority of husbands did not participate in prenatal classes. Conclusion: Healthcare providers are encouraged to increase the involvement of husbands both during ANC visits and prenatal classes to enhance support for pregnant women. Prenatal classes should be designed to be as engaging as possible to increase the interest and participation of both pregnant women and their partners.
Relationship of Impairment Classification to Injury Incidence in Para Sport Athletes: A Systematic Review Suci Syafatillah, Shureenzen; Saputra Perdana, Suryo
Gaster Vol 23 No 1 (2025): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i1.1699

Abstract

Background para sport will be divided into a group determined by the type and level of disability of an athlete; impairment classification in the International Paralympic Committee (IPC) is divided into visual, physical, and intellectual impairment. Athletes with impairments increase the risk of events in para-sports. Purpose: The aim was to determine if there is a relationship between impairment classification and the incidence of injury in para-sport athletes. Method: The research is a systematic review following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Data search follows the databases Google Scholar, PubMed, and Scopus using keywords and Boolean search in searching for literature. Result: 10 studies were obtained with publication years between 2016-2022, of which 1 study included reports of injury incidence in athletes with visual, physical, and intellectual impairment, three studies included reports of injury incidence in athletes with visual impairment and physical impairment, three studies included reports of injury incidence in athletes with visual impairment only, and three studies included reports of injury incidence in athletes with physical impairment only. Injury rates in athletes with visual impairment, where the highest population was 267 of elite judokas participating in the IBSA 2018 world judo, 19.1% were injured. Conclusion: This study showed variation in injury incidence based on impairment classification in para-sport athletes, with a high prevalence in athletes with a limb deficiency, neurological impairment, and visual impairment.
Factors Related to Medication Adherence that Influence Quality of Life among People Living with HIV/AIDS in Surakarta Puteri Santika, Aprilia; Karuniawati, Hidayah
Gaster Vol 23 No 1 (2025): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i1.1874

Abstract

Background: HIV/AIDS is a disease that can cause death and not only affects the physical well-being of an individual but also the overall quality of life, namely psychological, social, and spiritual for someone who is infected. One effort that can be given is to design support and care for PLWHA to improve the quality of life of PLWHA. Purpose: The purpose of this article is to identify factors related to medication adherence that can affect the quality of life of PLWHA. Method: This study is an observational study using a cross-sectional approach. A total of 64 respondents filled out a sociodemographic data questionnaire and WHOQOL-HIV BREF to measure quality of life. The relationship between quality of life and the sociodemographic characteristics of respondents was analyzed using the Kruskal-Wallis and Mann-Whitney U tests. Result: Physical domain of QOL showed a maximum score of 15.41 and social relationship domain showed a minimum score of 14.86 among our study participants. Participants with higher socioeconomic status had shown better scores across all the domains of QOL (p < 0,005). Conclusion: The QOL domain scores are high among males, unmarried, had employment status and had income less than or equal to Rp2.100.000, the distance from the respondent's house to the Health Center was mostly less than or equal to 10 km, did not have a family history of HIV/AIDS, did not have a history of other diseases and therapy treatments other than ARV and mostly experienced side effects.
Difference in the Effect of PNF with Trunk Exercise on Pain Reduction in Low Back Pain: Systematic Review with Meta Analysis Samiyem, Samiyem; Ishad, Muhammad Raihan; Komalasari, Nadya Umami; Andika, Aqila Zofianesya; Ayuninggar, Lintang; Aranti, Wulan Adis; Pristianto, Arif
Gaster Vol 23 No 1 (2025): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i1.1914

Abstract

Background: Low back pain (LBP) is a condition characterized by pain in in the lower back region. The pain felt is not a disease or a diagnosis of for a disease, it is the condition of pain syndromes in anatomical areas that experience various time variations in the occurrence of pain. Purpose: To analyze the effects of PNF and trunk exercise on pain reduction in individuals with LBP. Method: search in Pubmed, Google Scholar, and Cochrane Library databases to find and analyze related studies in the form of randomized controlled trials. Analyze related studies in the form of randomized controlled trials (RCT) without meta-analysis systematic review. The keywords used were “PNF”, “trunk exercise” and “low back pain”. Result: The results of the analysis results in this study, showed a decrease in pain in patients who received PNF by 1.70 units compared to patients with low back pain patients who were given trunk exercise (SMD = 1.70; 95% CI = 0.40 to 2.99) and the results were statistically significant (p <0.05). The result was statistically significant (p<0.00001). Heterogeneity of data the study showed I2= 95% (random effect model). Conclusion: PNF therapy is more effective than trunk exercise in reducing pain in patients with LBP.
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.

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