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Prima Wiyata Health
Published by Sekolah Tinggi Ilmu Kesehatan Husada Jombang
ISSN : 27161706     EISSN : 27460940     DOI : -
Core Subject : Health, Science, Education, Social,
Biochemistry, Genetics & Molecular Biology Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other
Publikasi ilmiah hasil penelitian civitas akademika dalam bidang kesehatan (keperawatan, kebidanan, farmasi dan ilmu kesehatan lainnya)
Arjuna Subject : Keperawatan - Riset dan Teori
Articles 97 Documents
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THE EFFECT OF GINGER BREWING ON BLOOD PRESSURE IN ELDERLY HYPERTENSION IN TUGUSUMBERJO VILLAGE Aziz, Aditya Nuraminudin; Prawito; Fadhilah, Salwa Qowlan
PRIMA WIYATA HEALTH Vol 7 No 1 (2026): Prima Wiyata Health: Januari 2026
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v7i1.111

Abstract

Background: Hypertension in the elderly is caused by changes in blood vessels that increase the risk of cardiovascular disease. Ginger contains gingerol and flavonoids, which can improve blood circulation, helping to lower blood pressure in hypertensive elderly people. Objective: This study aimed to determine the effect of boiled ginger on blood pressure in elderly people with hypertension in Tugusumberjo Village. Methods: This research design used the Quasi-Experimental method with a One-Group Pretest-Posttest design. The sample consisted of 37 respondents determined using the Isaac and Michael formula through a purposive sampling technique. The data collection tool was an observation sheet, and data analysis used the Wilcoxon Test because the data was not normally distributed, so the analysis was carried out with a non-parametric test. Results: This reduction in blood pressure occurs due to the gingerol and flavonoids in ginger, which help dilate blood vessels and improve circulation. With wider blood vessels, blood can flow more smoothly, so the heart doesn't have to work as hard to pump it. Ginger also stimulates the release of the hormone adrenaline, which helps improve blood flow, ultimately helping to lower blood pressure more naturally. Conclusion: Research shows that boiled ginger is effective in lowering blood pressure in elderly people with hypertension. The natural ingredients in ginger support blood vessel health, making this herbal drink worth considering as part of a healthy lifestyle to control blood pressure when consumed regularly.
SELF-HELP GROUP INTERVENTION TO IMPROVE DIETARY COMPLIANCE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS Puspita, Enny; Zuhria, Ilmiatuz; Setiawan, Roni
PRIMA WIYATA HEALTH Vol 7 No 1 (2026): Prima Wiyata Health: Januari 2026
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v7i1.114

Abstract

Background: Dietary non-compliance remains a major challenge in the management of patients with Type 2 Diabetes Mellitus (T2DM) and contributes to poor glycemic control and disease complications. Social support–based interventions, such as self-help groups, have been increasingly recognized as effective strategies to improve self-management behaviors among patients with chronic diseases. Objectives: This study aimed to examine the effect of a self-help group intervention on dietary compliance among patients with Type 2 Diabetes Mellitus. Methods: This study employed a pre-experimental one-group pretest–posttest design. A total of 60 patients with Type 2 Diabetes Mellitus who attended a primary health care center were selected using purposive sampling. Dietary compliance was measured using a structured questionnaire before and after the self-help group intervention. The intervention consisted of group education sessions, peer discussion, and mutual support activities. Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of p < 0.05. Results: Before the intervention, the majority of participants (85.0%) were categorized as non-compliant with dietary recommendations. After the self-help group intervention, dietary compliance significantly increased, with 78.3% of participants categorized as compliant. Statistical analysis showed a significant difference in dietary compliance before and after the intervention (p = 0.000). Conclusion: The self-help group intervention significantly improved dietary compliance among patients with Type 2 Diabetes Mellitus. This approach can be considered an effective and feasible strategy for diabetes management education in primary health care settings.
MEDICATION ADHERENCE AND MENTAL HEALTH AMONG PATIENTS WITH SCHIZOPHRENIA AT LOA BAKUNG PRIMARY HEALTH CENTER, SAMARINDA Najdah; Masnina, Rusni; Asthiningsih, Ni Wayan Wiwin; Atthoba, La Debi
PRIMA WIYATA HEALTH Vol 7 No 1 (2026): Prima Wiyata Health: Januari 2026
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v7i1.116

Abstract

Background: Schizophrenia is a chronic severe mental disorder associated with impaired functioning and high relapse rates. Medication nonadherence remains a major challenge in maintaining mental health stability, particularly in primary health care settings where resources are limited. Objectives: To examine the association between medication adherence and mental health status among outpatients with schizophrenia at Puskesmas Loa Bakung Samarinda. Methods: A cross-sectional analytic study was conducted from October to November 2024 involving 40 outpatients with schizophrenia selected through total sampling. Medication adherence was assessed using the Morisky Medication Adherence Scale (MMAS-8), while mental health status was measured using the General Health Questionnaire-12 (GHQ-12). Data were analyzed using descriptive statistics and the Chi-square test with a significance level of 0.05. Results: Most participants had low medication adherence (57.5%) and experienced mild psychological distress (47.5%). Bivariate analysis showed a statistically significant association between medication adherence and mental health status (p < 0.001), with patients who had moderate to high adherence showing a lower likelihood of psychological distress (OR = 0.032; 95% CI: 0.003–0.295). Conclusion: Medication adherence was significantly associated with mental health status among outpatients with schizophrenia in a primary health care setting. These findings indicate an important relationship between adherence and psychological condition, although causal conclusions cannot be drawn due to the cross-sectional design.
THE INFLUENCE OF FERMENTATION DURATION ON THE NUTRITION CONTENT OF AVICENNIA MARINA LEAF FLOUR FERMENTED WITH RHIZOPUS ORYZAE Safitri, Puput; Kusumawardani, Emi
PRIMA WIYATA HEALTH Vol 7 No 1 (2026): Prima Wiyata Health: Januari 2026
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v7i1.117

Abstract

Abstract Background Avicennia marina has the highest protein content among mangrove plant species. Given its potential nutritional value, further research is required to maximise its utilisation. Processing Avicennia marina leaves into flour is one approach to improve usability and extend shelf life, as flour is more stable than fresh leaves. Fermentation can improve the nutritional value of Avicennia marina leaf flour, and one key factor influencing fermentation outcomes is fermentation duration. To date, no studies have examined how different fermentation durations affect the nutritional value of Avicennia marina leaf flour fermented with Rhizopus oryzae. Therefore, this study investigated the effect of fermentation duration on the nutritional value of Avicennia marina leaf flour fermented with Rhizopus oryzae. Objectives: This study aimed to determine the effect of fermentation duration on the nutritional value of Avicennia marina leaf flour fermented with Rhizopus oryzae. An experimental approach was employed to examine the cause–and–effect relationship between the independent and dependent variables. The study used a simple Completely Randomised Design (CRD) and an Honest Significant Difference (HSD) test (Tukey’s test) at the 5% significance level, using SPSS version 16. Methods: This study employed a simple completely randomised design (CRD) with five treatments and three replicates per treatment. The completely randomised design is the simplest of the available designs. No blocking was used; therefore, variation was attributed to treatment effects and experimental error. Results: The results showed that fermentation with R. oryzae was associated with higher nutrient composition in Avicennia marina leaf flour. After four days of fermentation, the highest protein content was 19.95%. After eight days of fermentation, the highest fat content was 7.21%, the highest ash content was 13.41%, and the highest crude fibre content was 16.78%. On the first day of fermentation, the highest moisture content was 11.43%, and the highest pH value was 5.70%. The fermented Avicennia marina leaf flour contained 4.28 g/100 g leucine and 12.60 g/100 g glutamic acid (a non-essential amino acid). Conclusion: Based on the findings of this study, further research is warranted to determine whether fermentation of Avicennia marina leaf flour with Rhizopus oryzae may be beneficial. Accordingly, additional studies are required to achieve more robust outcomes and to optimise the utilisation of fermented Avicennia marina leaf flour. Keywords: Avicennia marina leaf flour; Rhizopus oryzae; fermentation; amino acids
FAMILY SUPPORT AND MEDICATION ADHERENCE AMONG PATIENTS WITH SCHIZOPHRENIA IN PRIMARY HEALTHCARE Nurkhalisah; Masnina, Rusni; Asthiningsih, Ni Wayan Wiwin
PRIMA WIYATA HEALTH Vol 7 No 1 (2026): Prima Wiyata Health: Januari 2026
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v7i1.118

Abstract

Background: Schizophrenia is a chronic mental disorder requiring long-term pharmacological treatment. Medication non-adherence remains a major challenge and contributes to relapse and rehospitalization. In primary healthcare settings, family support is considered a key psychosocial factor influencing medication adherence. Objectives: This study aimed to examine the association between family support and medication adherence among outpatients with schizophrenia in a primary healthcare setting. Methods: An analytical cross-sectional study was conducted at Puskesmas Loa Bakung Samarinda, Indonesia. A total of 40 schizophrenia outpatients were recruited using total sampling. Family support was measured using the Duke-UNC Functional Social Support Questionnaire, while medication adherence was assessed with the Morisky Medication Adherence Scale-8 (MMAS-8). Data were analyzed using univariate analysis and Chi-square or Fisher’s exact test, with odds ratio (OR) estimation at a significance level of p < 0.05. Results: Of the respondents, 52.5% reported sufficient to high family support, while 47.5% reported low support. Medication adherence was categorized as low in 57.5% of patients, moderate in 17.5%, and high in 25.0%. A significant association was found between family support and medication adherence (p = 0.022). Patients with low family support had a sixfold higher risk of non-adherence compared to those with sufficient or high family support (OR = 6.094). Conclusion: Family support is significantly associated with medication adherence among patients with schizophrenia in primary healthcare. Strengthening family involvement in community-based mental health services is essential to improve adherence and reduce the risk of relapse.
THE ASSOCIATION BETWEEN FAMILY SUPPORT AND MENTAL HEALTH AMONG OUTPATIENTS WITH SCHIZOPHRENIA Aqilah, Syafwa; Masnina, Rusni; Wiwin Asthiningsih, Ni Wayan
PRIMA WIYATA HEALTH Vol 7 No 1 (2026): Prima Wiyata Health: Januari 2026
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v7i1.119

Abstract

Background: Outpatients with schizophrenia still face the risk of mental health distress despite regular treatment. Family support is considered an important psychosocial factor that potentially plays a role in maintaining stable mental health. However, empirical evidence regarding the relationship between family support and mental health in patients with schizophrenia in primary healthcare settings is limited, particularly in the outpatient setting. Objectives: This study aims to analyze the relationship between family support and mental health in outpatients with schizophrenia. Methods: This study used a quantitative analytical design with a cross-sectional approach. The subjects were 40 outpatients with schizophrenia registered at the Loa Bakung Community Health Center, Samarinda, who were selected using total sampling. Family support was measured using the Duke–UNC Functional Social Support Questionnaire (FSSQ), while mental health was assessed using the General Health Questionnaire-12 (GHQ-12). Data were analyzed descriptively and bivariately using the Chi-square test with continuity correction, and presented with Odds Ratio (OR) values ​​and 95% confidence intervals with a significance level of p < 0.05. Results: The analysis results showed that the majority of respondents were in a state of mental health distress (72.5%). There was a statistically significant relationship between family support and the mental health of schizophrenia patients (p = 0.008). Respondents with adequate to high family support were less likely to experience mental health distress than respondents with low family support (OR = 0.061; 95% CI: 0.007–0.545). Conclusion: This study demonstrates a significant association between family support and mental health in outpatients with schizophrenia. However, given the cross-sectional design and limited sample size, these results cannot be used to conclude a causal relationship. These findings emphasize the importance of family support as a psychosocial factor that needs to be considered in community-based mental health services.
RELATIONSHIP BETWEEN BREAST CARE HISTORY DURING PREGNANCY AND COLOSTRUM VOLUME IN 2–6 HOURS POSTPARTUM MOTHERS Sajalia, Husniyati; Aupia, Anatun; Paramitasari MS, Novi
PRIMA WIYATA HEALTH Vol 7 No 1 (2026): Prima Wiyata Health: Januari 2026
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v7i1.122

Abstract

Background: Colostrum is the first breast milk produced and plays a crucial role in protecting the newborn's immune system. However, in some postpartum mothers, colostrum production in the early hours after delivery is not optimal. One measure thought to play a role in increasing lactation readiness is breast care during pregnancy. Quantitative evidence directly linking antenatal breast care to colostrum volume in the early hours postpartum is limited. Objectives: To determine the relationship between breast care history during pregnancy and colostrum volume in postpartum mothers 2–6 hours. Methods: This quantitative study used a cross-sectional design in 30 mothers 2–6 hours postpartum, selected using total sampling. Breast care history was collected through a structured questionnaire, while colostrum volume was measured directly using manual pumping and a measuring cup (mL). Data analysis was performed using the Mann–Whitney test. Results: Mothers with a history of breast care during pregnancy had significantly higher colostrum volumes than mothers without breast care (U=33.50; Z=-3.07; p=0.002). This difference in median colostrum volumes suggests clinical significance in supporting early breastfeeding initiation in the early postpartum hours. Conclusion: Breast care history during pregnancy is significantly associated with colostrum volume in mothers 2–6 hours postpartum. Integrating breast care education and practices into antenatal care has the potential to support early breastfeeding success.

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