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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 106 Documents
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THE EFFECT OF GINGER BREWING ON BLOOD PRESSURE IN ELDERLY HYPERTENSION IN TUGUSUMBERJO VILLAGE Aditya Nuraminudin Aziz; Prawito; Salwa Qowlan Fadhilah
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 Enny Puspita; Ilmiatuz Zuhria; Roni Setiawan
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; Rusni Masnina; Ni Wayan Wiwin Asthiningsih; La Debi Atthoba
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 Puput Safitri; Emi Kusumawardani
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; Rusni Masnina; Ni Wayan Wiwin Asthiningsih
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 Syafwa Aqilah; Rusni Masnina; Ni Wayan Wiwin Asthiningsih
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 Husniyati Sajalia; Anatun Aupia; Novi Paramitasari MS
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.
ANALYSIS OF FACTORS INFLUENCING PATIENT SATISFACTION LEVELS IN IMPROVING SERVICE QUALITY IN EMERGENCY ROOMS: A SYSTEMATIC LITERATURE REVIEW Septiari Candra Puspitasari; Masruroh; Ade Armada Sutedja
PRIMA WIYATA HEALTH Vol 7 No 2 (2026): Prima Wiyata Health: Juli 2026
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v7i2.127

Abstract

Background: Patient satisfaction is an important indicator of healthcare service quality, particularly in Emergency Departments (EDs), where rapid and accurate care is essential. Various factors have been reported to influence patient satisfaction, but the findings remain inconsistent across studies. Objective: This study aimed to identify and analyze the factors influencing patient satisfaction in improving the quality of ED services. Design: A Systematic Literature Review was conducted following the PRISMA 2020 guidelines. Data Sources: Literature was searched in PubMed, ScienceDirect, ProQuest, and Google Scholar from January to February 2025. Articles published between 2013 and 2024 were identified using keywords related to patient satisfaction, service quality, and emergency department services. Review Methods: Original research articles in English or Indonesian and available in full text were included. The selection process involved identification, screening, eligibility assessment, and inclusion stages. Methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist, and data were synthesized narratively. Results: Of 3,636 identified records, 7 studies met the inclusion criteria. Patient satisfaction was influenced by healthcare provider service quality, communication and information delivery, responsiveness and waiting time, physical facilities and environmental cleanliness, pharmacy services, and supporting healthcare services. Communication and empathy were the most consistently reported factors, while physical facilities (tangibles) showed the strongest influence on patients’ perceptions of service quality. Conclusion: Patient satisfaction in EDs is influenced by clinical, communication, organizational, and environmental factors. Improving communication skills, reducing waiting times, optimizing digital-based service systems, and enhancing facility cleanliness and comfort are recommended to improve the quality of emergency care services.
SOCIOECONOMIC FACTORS AND ACCESS TO NUTRITION INFORMATION ASSOCIATED WITH STUNTING AMONG CHILDREN UNDER TWO YEARS IN MALANG CITY Nadia Farah Diba; Alfi Rahmatillah Nur Fithriah
PRIMA WIYATA HEALTH Vol 7 No 2 (2026): Prima Wiyata Health: Juli 2026
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v7i2.129

Abstract

Background: Stunting remains a major chronic nutritional problem in developing countries, including Indonesia. It results from long-term nutritional deficiency during the first one thousand days of life, leading to impaired physical growth and cognitive development. Socio-economic factors and access to nutrition information are key determinants association child nutritional status. Objectives: To analyze the influence of socio-economic factors and access to nutrition information on the prevalence of stunting among children under two years old in Malang City. Methods: An observational analytic study with a case-control design was conducted from June to July 2025 in Malang City. A total 152 respondents (76 stunted cases and 76 non-stunted controls), selected through multistage random sampling across five randomly selected primary health centers representing five districts in Malang City. Data were collected using a self-developed, expert-validated, and reliable questionnaire (Cronbach’s Alpha=0.718). Data were analyzed using SPSS Statistics software version 22. The chi-square test was applied to determine associations, with a 95% confidence interval and a significance level of α=0,05, and multivariate analysis was performed using multiple logistic regression.  Results: Bivariate analysis showed that maternal education p=0.008 (OR=2.485; 95%CI: 1,266–4,878), family income p=0.001 (OR=3.198 95%CI; 1,633–6,262), family size p=0.000 (OR=3.563; 95%CI: 1,815–6,993), and nutrition information exposure p=0.015 (OR=2.242; 95%CI: 1,168–4,303) were all significantly associated with stunting. However, after adjustment in the multivariate model, only family size remained an independent, significant determinant (aOR=3.03; 95% CI: 1.491–6.166; p=0.002); toddlers from households with more than four members had approximately three times higher risk of stunting compared to those from smaller households. The model explained 18.2% of the variance in stunting occurrence (Nagelkerke R²=0.182), with an overall classification accuracy of 72.4%. Conclusion: Family size was the most dominant and independent determinant of stunting among toddlers in Malang City, while maternal education, family income, and nutrition information access appeared to operate indirectly through this structural pathway. These findings suggest that stunting reduction strategies in urban settings such as Malang City should move beyond nutrition education alone and integrate family planning and per-capita income-based social protection programs into multisectoral stunting convergence efforts.
EFFECT OF WALKING EXERCISE ON URIC ACID LEVELS AMONG ELDERLY: A QUASI-EXPERIMENTAL STUDY Karisma Dwi Ana; Yusiana Vidhiastutik; Fakhrun Nisa’ Fiddaroini
PRIMA WIYATA HEALTH Vol 7 No 2 (2026): Prima Wiyata Health: Juli 2026
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v7i2.130

Abstract

Background: Hyperuricemia is a common health problem among the elderly and may reduce quality of life. One non-pharmacological intervention that can be applied is walking exercise. Objectives: This study aimed to determine the effect of walking therapy on reducing uric acid levels among elderly individuals at the Elderly Integrated Health Post (Posyandu Lansia) in Warungdowo Village, Pasuruan Regency. Methods: This study employed a quasi-experimental design with a one-group pretest–posttest approach. A total of 32 respondents were selected using total sampling technique. Uric acid levels were measured using a GCU (Glucose, Cholesterol, Uric Acid) meter. The intervention consisted of a walking exercise program conducted for several weeks, with a frequency of 3–5 times per week and a duration of 20–30 minutes per session. Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05. Results: The results showed that the mean uric acid level decreased from 7.8 mg/dL before the intervention to 6.2 mg/dL after the intervention. Statistical analysis indicated a significant effect (p = 0.000 < 0.05). Conclusion: It can be concluded that walking therapy is effective as a non-pharmacological intervention in controlling uric acid levels among the elderly.

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