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Zuriati Muhamad
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Journal of Community Health Provision
Published by Pusat Studi Pembangunan dan Pemberdayaan
ISSN : 27761150     EISSN : 27761169     DOI : https://doi.org/10.55885/jchp
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Journal of Community Health Provision ISSN 2776-1150 (print), 2776-1169 (online) that focuses on the provision of health issue in the community. It covers all areas in health science including Occupational Health and Safety, Midwifery, Health Care Administration, Hospital Science and Management, Health Care Delivery, Health Care Research, Epidemiology, Medical Care, Nursing, Nursing Education, Neonatal nurse, Home Health Nursing Community and Home care, Information Technology in Nursing, Innovations in Patient Care, Veterinary Nursing, Medical Sciences and Pharmaceutical Sciences, Hospital and Clinical Pharmacy, Pathology, Physiotherapy & Rehabilitation, Ergonomics, Food and Nutrition, Veterinary Medicines, Public Health, Health Psychology, Social Health, Physical health, Quaternary Care, Secondary Care.
Arjuna Subject : Umum - Umum
Articles 135 Documents
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Case Report: Triple Negative Ulcerated Breast Cancer with Immunosuppressive Cold Tumor Environment Iin Asriani; Andy Visi Kartika; M. Akram Chalid
Journal of Community Health Provision Vol. 6 No. 2 (2026): Journal of Community Health Provision
Publisher : PSPP JOURNALS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55885/jchp.v6i2.976

Abstract

Breast cancer is the most common malignancy among women worldwide according to Global Cancer Observatory (GLOBOCAN) data. One aggressive clinical form is ulcerative breast cancer, which is often categorized as locally advanced breast cancer (LABC). We report a case of a 42-year-old woman presenting with a left breast mass for 7 months that progressively developed into an ulcer with brownish, tea-colored discharge, without pain in the early phase and without systemic symptoms. Physical examination revealed an ulcerative mass with irregular margins, granulation tissue, and superficial collateral veins. Histopathological findings from FNAB and incisional biopsy confirmed invasive breast carcinoma of no special type (NST), WHO grade 3, with lymphovascular space invasion (LVSI+). Radiological evaluation showed no distant metastasis. The absence of pain and systemic inflammation in this case may be associated with the predominance of immunosuppressive cytokines such as IL-10 and TGF-β, which suppress nociceptor activation and systemic inflammatory responses, despite ongoing local inflammation. Management was carried out using a multimodal approach including supportive therapy, antibiotics, and planned mastectomy as definitive treatment. This case highlights the importance of clinical vigilance, as ulcerative breast cancer may progress without significant systemic symptoms.
Pathophysiological Mechanisms Linking Myocardial Infarction to Cardiac Arrest: A Literature Review Andi Suleha; Akina Maulidhany Tahir; Fadillah Maricar; Priscilla Sasmita Rido; Nurhikmawati Nurhikmawati
Journal of Community Health Provision Vol. 6 No. 2 (2026): Journal of Community Health Provision
Publisher : PSPP JOURNALS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55885/jchp.v6i2.978

Abstract

Myocardial infarction (MI) is a leading cause of cardiac arrest and sudden cardiac death worldwide. The pathophysiological link involves complex interactions between cellular, electrophysiological, hemodynamic, and neurohormonal mechanisms. The objective of the research to comprehensively review the pathophysiological mechanisms linking myocardial infarction to cardiac arrest. The methods of the research was a descriptive-analytic literature review was conducted using PubMed, ScienceDirect, SpringerLink, and Google Scholar databases (2021–2025). Study selection followed PRISMA guidelines. The results of the showed that eight studies were included. Key mechanisms include myocardial ischemia leading to ATP depletion and acidosis, ionic imbalance, arrhythmogenic substrate formation, sympathetic overactivation, inflammatory response and oxidative stress, and hemodynamic collapse. Cardiac arrest following MI is primarily driven by fatal ventricular arrhythmias and pump failure. Understanding these mechanisms is essential for improving prevention and management strategies.
Application of Mozart Classical Music Therapy to Reduce Auditory Hallucinations in Mentally Ill Patients in the Larasati Room of Dr. Arif Zainuddin Surakarta Reyhanna Rizqi Utami; Arif Widodo
Journal of Community Health Provision Vol. 6 No. 2 (2026): Journal of Community Health Provision
Publisher : PSPP JOURNALS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55885/jchp.v6i2.984

Abstract

Auditory hallucinations are one of the most common positive symptoms experienced by patients with mental disorders and can disrupt psychological and social functioning, as well as their quality of life. Treatment of auditory hallucinations is generally through pharmacological therapy, but non-pharmacological interventions are needed as complementary therapies to improve the holistic success of treatment. One such non-pharmacological intervention is Mozart's classical music therapy. This study aims to determine the effectiveness of Mozart's classical music therapy in reducing auditory hallucinations in patients with mental disorders in the Larasati Ward of Dr. Arif Zainuddin Hospital, Surakarta. This study used a case study design with a nursing care approach. The subjects were two patients with mental disorders experiencing auditory hallucinations, selected purposively according to inclusion and exclusion criteria. The Mozart classical music therapy intervention was administered for approximately 15–20 minutes, three times a week for one month. Data were collected through a nursing assessment using interviews and observations, which included subjective and objective data before and after the intervention. Data analysis was conducted descriptively by comparing the patients' conditions before and after the intervention. The study showed a reduction in auditory hallucination symptoms after Mozart classical music therapy. Subjectively, patients reported a reduction in the number of voices or whispers they heard. Objectively, patients appeared calmer, more relaxed, more cooperative, decreased the frequency of self-talk, and were able to focus during therapy. The conclusion of this study is that Mozart classical music therapy is effective as a non-pharmacological nursing intervention in reducing auditory hallucinations in patients with mental disorders and can be recommended as a supportive therapy in psychiatric nursing care.
The Relationship Between Self-Compassion and Body Dissatisfaction in Second-Year Nursing Students at the Gorontalo Ministry of Health Polytechnic Lenny Syamsuddin; Rahmawaty Parman; Rizky Towana
Journal of Community Health Provision Vol. 6 No. 1 (2026): Journal of Community Health Provision
Publisher : PSPP JOURNALS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55885/jchp.v6i1.764

Abstract

This study aimed to examine the relationship between self compassion and body dissatisfaction among second year nursing students at the Gorontalo Ministry of Health Polytechnic. The study employed a quantitative correlational design involving nursing students as respondents. Data were collected using a self compassion scale based on Neff’s concept and a body dissatisfaction scale based on Cooper’s framework. The data were analyzed using Pearson correlation analysis with the assistance of SPSS version 26. The findings showed that most respondents had moderate levels of self compassion and moderate levels of body dissatisfaction. The Pearson correlation test indicated a significant negative relationship between self compassion and body dissatisfaction, with a correlation coefficient of r equals negative 0.225 and a significance value of p equals 0.05. This finding suggests that students with higher self compassion tend to experience lower body dissatisfaction, whereas students with lower self compassion are more likely to report higher dissatisfaction with their body image. The study highlights the importance of self compassion as a psychological resource that may help nursing students develop healthier body acceptance and reduce negative evaluations of physical appearance. These findings also imply the need for supportive educational and psychological interventions that strengthen self kindness, common humanity, and mindfulness among students who face body image pressures in academic and social environments.
Midwives' Coping Strategies After Failure to Assist in the Delivery Process Muhammad Syam Ilham; Asniar Khumas
Journal of Community Health Provision Vol. 6 No. 1 (2026): Journal of Community Health Provision
Publisher : PSPP JOURNALS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55885/jchp.v6i1.846

Abstract

Failure in assisting childbirth is a difficult professional experience that may create psychological pressure for midwives, especially when the incident results in maternal or infant death. Such failure is not only understood as a clinical event, but also as an emotional and moral burden that can lead to sadness, guilt, anxiety, fear, self blame, and trauma. This study aimed to explore the coping strategies used by midwives after experiencing failure in assisting the childbirth process. A qualitative approach with a case study design was employed to obtain an in depth understanding of the participants’ subjective experiences. The study involved two midwives who had directly experienced failure in assisting childbirth. Data were collected through semi structured interviews and analyzed using qualitative descriptive analysis by identifying important statements, grouping similar meanings, and developing themes related to coping strategies. The findings show that the participants predominantly used emotion focused coping rather than problem focused coping. The main coping strategies included self control through daily activities, positive reappraisal through religious meaning, and social support from family and coworkers. Self control helped the participants manage disturbing thoughts and emotional tension. Religious reappraisal helped them interpret the painful experience through acceptance and surrender to Allah SWT. Social support provided emotional reassurance, professional validation, and a sense of not being alone. These strategies helped the midwives reduce psychological distress, rebuild emotional stability, and continue their professional responsibilities. The study suggests that coping after childbirth failure should not be viewed only as an individual process, because midwives also need supportive professional environments, including peer support, emotional debriefing, and institutional attention to psychological well being after adverse childbirth events.
Caregivers in Hemodialysis Patient Care: Psychosocial Burden, Impact on Quality of Life, and Implications for Psychosocial Interventions (Narrative Literature Review) Aisyah Nilakandi Isjaya; Rezky Putri Indarwati Abdullah; Iin Widya Ningsi
Journal of Community Health Provision Vol. 6 No. 1 (2026): Journal of Community Health Provision
Publisher : PSPP JOURNALS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55885/jchp.v6i1.903

Abstract

Chronic kidney disease (CKD) is a global health problem with a rising prevalence that often requires long-term renal replacement therapy, including hemodialysis. Although hemodialysis can sustain patient survival, this therapy is frequently accompanied by various psychological impacts, such as stress, anxiety, depression, and decreased quality of life. The psychological burden experienced by patients not only affects their individual well-being but also has significant consequences for family members as primary caregivers, manifesting as caregiver burden, emotional, social, and financial strain. This study aims to examine the role of family caregivers in the care of hemodialysis patients, particularly in relation to psychosocial burden, its impact on quality of life, and the implications of psychosocial interventions based on a narrative literature review. The research employed a narrative literature review method by searching scientific articles published between 2020 and 2025 across sources such as Google Scholar, PubMed, and relevant national and international journals. Inclusion criteria were articles that addressed the psychological aspects of hemodialysis patients and their impact on families. The collected data were analyzed descriptively to identify the forms, levels, and impacts of psychological burden. The review found that hemodialysis patients generally experience moderate to severe psychological burden, characterized by anxiety, depression, chronic stress, and reduced psychological well-being. These conditions contribute to an increased caregiving burden for families, including emotional exhaustion, impaired quality of life, social limitations, and financial stress. Adequate family support, psychosocial interventions, and caregiver assistance programs were found to play a crucial role in reducing the psychological burden on both patients and caregivers. In conclusion, the psychological burden of hemodialysis patients has multidimensional consequences for families. Therefore, a holistic care approach involving both patients and families is essential to improve the quality of life for both parties.
Analysis of Sleep Quality on Performance in U-17 Volleyball Athletes from Kendal Regency Dissporsa Club Nadira Heranita Prasetya; Sugiarto Sugiarto
Journal of Community Health Provision Vol. 6 No. 1 (2026): Journal of Community Health Provision
Publisher : PSPP JOURNALS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55885/jchp.v6i1.904

Abstract

Sleep is a process that affects almost all body systems, such as the neurological, immune, cardiovascular, and endocrine systems. During sleep, the body produces ATP, which serves as the body's energy source. Energy is needed for muscle contraction so the body can carry out daily activities. This study was conducted to determine whether sleep quality affects performance and whether there is a relationship between the two variables. The data collection method used was filling out the PSQI questionnaire and conducting MFT. The sampling technique used was purposive sampling. Data analysis was carried out using SPSS 22, by conducting normality tests, linearity tests, and correlation tests. The subjects in this study were 15 U-17 athletes from the Dissporsa club. The results showed that 11 athletes had "good" sleep quality and 4 others had "poor" sleep quality. 6 athletes had "very good" endurance, 7 others were in the "good" category, and the remaining 2 were in the "moderate" category. Based on the results of the correlation test, it was known that the Sig. value was 0.011 (p <0.05) with a correlation coefficient value of 0.635. Therefore, it can be concluded that sleep quality and performance have a very strong, significant relationship.
The Relationship Between Increased Neutrophils and the Incidence of Diarrhea in Children at Haji Regional Hospital, Makassar City Annisa Salsabilah Salam; Abdi Dwiyanto Putra Samosir; Nur Ayu Lestari; Andi Husni Esa; Akhmad Kadir
Journal of Community Health Provision Vol. 6 No. 1 (2026): Journal of Community Health Provision
Publisher : PSPP JOURNALS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55885/jchp.v6i1.905

Abstract

Childhood diarrhea remains a major public health problem in developing countries, including Indonesia, with a prevalence of 10–12% among children under five. Globally, it accounts for approximately 1.7 billion cases and 525,000 deaths annually. Diarrhea is commonly caused by viral infections such as rotavirus, which trigger lymphocyte-dominant immune responses, while bacterial infections such as Escherichia coli and Shigella are associated with neutrophil activation. In tropical regions like Sulawesi, poor hygiene, malnutrition, and seasonal factors further increase the burden of disease. This study aimed to analyze the association between diarrhea and neutrophil elevation in pediatric patients at RSUD Haji Makassar. An analytical observational study with a cross-sectional design was conducted using medical record data of 49 children from July to December 2025. Data were analyzed using univariate and bivariate (chi-square) methods. The results showed that neutrophil elevation occurred in 38.8% of patients, normal levels in 32.7%, and decreased levels in 28.6%. Most patients were male (57.14%) and aged 12–24 months. Statistical analysis revealed no significant association between neutrophil levels and diarrhea incidence (p=0.767). These findings suggest that pediatric diarrhea cases are predominantly influenced by viral infections, which are not associated with neutrophilia, and may also be affected by dehydration and nutritional factors.
Early Puberty in Children: Psychological, Social, and Parental Impacts Azizah Yuhani; Dhesi Ari Astuti; Cesa Septiana Pratiwi
Journal of Community Health Provision Vol. 6 No. 1 (2026): Journal of Community Health Provision
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55885/jchp.v6i1.913

Abstract

Precocious puberty, or sexual development that occurs earlier than normal, has significant implications for child development. This scoping review aims to map the existing literature on the psychological and social impacts of precocious puberty in children, and the role of parents in dealing with it. a systematic literature search was conducted in PubMed, ScienceDirect, Scopus databases, using Research-Rabbit and Google Scholar search engines. Inclusion criteria included studies that examined the psychological and/or social impacts of precocious puberty in pre-adolescent and early adolescent children, and discussed the role of parents in this context. Data were extracted regarding study characteristics, definition and measurement of precocious puberty, reported psychological and social impacts, and how the role of parents was conceptualized. Narrative synthesis was used to summarize the findings. The review identified five relevant articles. Findings suggest that earlier pubertal timing is associated with increased risk of mental health problems and decreased emotional quality of life. Social challenges such as bullying were also reported. The role of parents appears to be crucial, with social support correlated with children’s readiness for change, and parenting style mediating the effect of parental stress on children’s behavioral problems. Broader social determinants, such as peer support and school environment, also play a role in the psychological well-being of adolescents with early puberty. Early puberty is a complex phenomenon with significant psychological and social consequences for children. Social support from the environment, especially parents, plays an important role in mitigating negative impacts. Further research, especially longitudinal studies and those that consider the socio-cultural context, is needed for a deeper understanding and development of effective interventions.
Microbiological Characterization of KPC-Producing Klebsiella Pneumoniae: A Systematic Review Aiman Idrus Alatas; Delly Chipta Lestari
Journal of Community Health Provision Vol. 6 No. 1 (2026): Journal of Community Health Provision
Publisher : PSPP JOURNALS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55885/jchp.v6i1.914

Abstract

Klebsiella pneumoniae (K. pneumoniae) is an opportunistic bacterium that causes nosocomial infections and usually affects people with malfunctioning immune systems. These bacteria can also cause potentially fatal community-acquired diseases. A high fatality rate has been documented in carbapenem-resistant K. pneumoniae, particularly carbapenemase-producing cases. This is due to few antibiotic therapy choices. This study aims to assess the microbiological characteristics of KPC-K. pneumoniae in terms of their genotypic features. This article reported a systematic review that used the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020 guidelines to identify articles related to carbapenem-resistant K. pneumoniae. Pubmed and SagePub, two online databases, were searched using pre-established inclusion and exclusion criteria. The search turned up six studies that showed K. pneumoniae contains numerous gene mutations that cause carbapenem resistance, including blaKPC, blaKPC-2, blaKPC-3, and blaKPC-23. The mutations in porins OmpK35, OmpK36, and OmpK37 also significantly contribute to this resistance. These findings indicated that the optimal combination of antibiotics should be tailored to the specific strain of K. pneumoniae with a carbapenem-resistant genotype, especially for KPC-Kp strains with a mutation in OmpK36. The findings of this systematic review offer vital information for creating successful strategies to fight carbapenem-resistant K. pneumoniae infections.

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