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Citra Delima Scientific journal of Citra Internasional Institute
Published by Institut Citra Internasional
ISSN : 20872240     EISSN : 26550792     DOI : https://doi.org/10.33862/citradelima.v7i1.344
Core Subject : Health,
Health Professions Nursing Public Health
Citra Delima Scientific journal of Citra Internasional Institute is a national-scale journal that covers science studies in various health fields (Nursing, Midwifery, and Health Profesional). Citra Delima Scientific journal of Citra Internasional Institute is a scientific journal as a forum for academics and practitioners to put forth the results of scientific work, both quantitative and qualitative. Citra Delima Journal published by Institut Citra International. Citra Delima Scientific journal of Citra Internasional Institute was first published in July 2018 with two publications in a year, which is January and July. The editor receives empirical research articles and studies in the fields of Nursing, Midwifery, and Health Profession. The consistency and quality of scientific work are expected to be able to improve the quality of education in the future. Objectives of Citra Delima Scientific journal of Citra Internasional Institute Support the Development and Enhancement of Health Degrees in theory and practice in Indonesia with integrated and critical research results. Citra Delima Scientific journal of Citra Internasional Institute is registered by the Indonesian Institute of Sciences: Center for Scientific Information and Documentation with e-ISSN: 2655-0792 / p-ISSN: 2087-2240, DOI Prefix: 10.33862 Articles submitted by the author have not been published elsewhere (except in abstract form or as part of published lectures, reviews, or theses) and are not currently under consideration for publication elsewhere. The author submitting is responsible for ensuring that the publication of the article has been approved by all other authors. In accordance with the provisions, items that were previously published and are being considered for publication in other places are not acceptable.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 241 Documents
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The Relationship between UPF (Ultra Processed Food) Consumption, Stress Levels, Quality of Life with CKD (Chronic Kidney Disease) Grade Ari Lestari; Tri Rahayu Hikmah Kurniatin; Yulidian Nurpratiwi; Retno Anggraeni Puspita Sari
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 2 (2026): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/df2rkq53

Abstract

Chronic Kidney Disease (CKD) is one of the top 5 most common inpatient diseases at Sentra Medika Cisalak Hospital in 2024, with a high prevalence of 3.49%. This high disease burden indicates the urgency of identifying lifestyle and psychological factors, such as UPF consumption and stress, that influence the disease grade. This study aims to analyze the relationship between UPF consumption, stress levels, and quality of life in Chronic Kidney Disease patients. This research method uses a quantitative research type with a cross-sectional approach. The population is all Chronic Kidney Disease patients from grades 1-5 with a total of 121 respondents, and a sample of 93 respondents using a random sampling technique. The instruments used are FFQ (Food Frequency Questionnaire), PSS (Perceived Stress Scale), and WHOQOL (World Health Organization Quality of Life) questionnaires. The results of univariate analysis showed that the majority of respondents were men aged 40-60 years with a college education, where most of them consumed excessive UPF and had low stress levels, but their quality of life was assessed as poor. The results of the bivariate analysis using the Chi-Square Test with a p-value <0.05 indicate a relationship between UPF consumption (p-value 0.016) and stress levels (p-value 0.044) with Chronic Kidney Disease patients. However, no relationship was found between quality of life and CKD grade patients at Sentra Medika Cisalak Hospital (p-value 0,061). Suggestions for further research should consider studies that last for a longer period and include biochemical data to obtain more comprehensive analysis results.
The Influence of Animated Video Media on Dietary Pattern Knowledge in Grade VI School-Age Children Busroh, Khafiatun; Armenia Diahsari; Istinengtiyas Tirta Suminar
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 2 (2026): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/citradelima.v9i2.580

Abstract

Nutritional knowledge refers to the ability to select food as a source of nutrients and to make appropriate eating choices. A child's positive attitude on health may not directly influence their behavior positively; yet, a negative attitude on health definitely affects their behavior adversely. One aspect is the knowledge of dietary patterns. Currently, some children continue to struggle with selecting healthy and nutritious food for their bodies. Consequently, health education through animated videos is necessary to enhance children's understanding of healthy dietary patterns. This study aims to determine the effect of animated video media on the knowledge of dietary patterns among sixth-grade students at SD (State Elementary School) Sonosewu, Bantul, Yogyakarta. This study employed a quantitative research methodology, specifically utilizing a Pre-Experimental Design characterized by a One Group Pre-Test - Post-Test framework. The sample comprised of 47 respondents selected by the Total Sampling Technique. The research utilized a knowledge questionnaire as its instrument. The analysis employed the Wilcoxon Signed Ranks Test for statistical evaluation. The results indicated that the Wilcoxon Signed Ranks Test obtained a value of 0.000 (p < 0.05), indicating an effect of animated video media on the awareness of dietary patterns among elementary school children. The utilization of animated video media significantly impacts the dietary patterns of sixth-grade students at SD Sonosewu, Bantul, Yogyakarta. Students are expected to anticipate dietary patterns and learn to mitigate the negative effects of insufficient knowledge regarding these dietary patterns before and after meals.
The Relationship Between Family Support And Control Compliance In Mental Disordered Clients Nurwijaya Fitri; Nova Mardiana; Ratu Hidyah Awaliyah
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 2 (2026): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/wcj68v74

Abstract

Mental disorders are behaviors that are related to a person's mental health condition. Everyone person own see Which different aboutbehavior in the case Mental health is a person's emotional, psychological, and spiritual stability. The purpose of this study is to examine the relationship between family support and mental health. compliance control on client cross-section in 2025. This study used a cross-sectional design . with the independent variable (family support) and the dependent variable (control compliance). The population in this study was 118 people, and the sample size was 60 people, calculated using a simple random sampling method. This study was conducted on May 6, 2025. The results of the study using the Chi Square statistical test obtained the p-value of the variable support family 0.014 < 0.05. This indicates a significant relationship between family support and control compliance in clients with mental disorders at the mental health clinic at Depati Bahrin Sungailiat Regional Hospital in 2025. It is hoped that the suggestions in this study can be used as a reference source and provide a contribution of ideas for nursing students when carrying out practice in the field. so that students know factors Which Can affect compliance with control of clients with mental disorders.
The Influence of Service Quality on Consumer Satisfaction Levels Fatmawati, Tresna; Febriawati, Henni; Rizal, Achmad Faisal; Adhinata, Ferry; Sarkawi, Sarkawi
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 2 (2026): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/sabgf122

Abstract

Service quality plays a crucial role in shaping customer satisfaction, particularly in healthcare services such as child therapy. This study aims to determine the effect of service quality on customer satisfaction levels at Asri Therapy Center in 2025. This study used a quantitative approach with a cross-sectional design. The number of respondents was 38 parents of children undergoing therapy, selected using a total sampling technique. The research instrument was a questionnaire based on five dimensions of service quality: tangibles, reliability, responsiveness, assurance, and empathy. Data were analyzed descriptively and through a Chi-Square test. The results showed that all respondents (100%) rated the service quality at Asri Therapy Center as good, and all also reported being satisfied with the service received. The Chi-Square test results showed a p-value of 0.031 (<0.05), indicating a significant relationship between service quality and customer satisfaction. It can be concluded that the better the service quality provided, the higher the level of customer satisfaction.
Environmental factors associated with the incidence of pulmonary tuberculosis Putra Hadi Wijaya, Sakut; Nopia Wati; Emi Kosvianti; Hasan Husin
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 2 (2026): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/1y7x7f56

Abstract

The spread of tuberculosis (TB) is believed to be greatly influenced by environmental variables. Lung disease continues to be a public health problem. The objective of this study is to determine how environmental factors, including ventilation, lighting, housing density, and temperature, are associated with the prevalence of pulmonary TB in Sidomulyo. Using a case-control study paradineed gm, an analytical observational study was conducted. The study sample consisted of 21 individuals with pulmonary TB (cases) and 21 residents without TB (controls). Direct observations of housing conditions and structured questionnaire interviews were used to collect data. Bivariate data were analyzed to assess relationships between variables using the chi-square test. The findings showed a strong association between pulmonary TB (p=0.001) and incidence of lighting and housing density (p=0.000). Neither with home temperature (p=0.520).or ventilation (p=1.000). Based on these findings, public education on the importance of maintaining a healthy home environment, particularly regarding ventilation, lighting, and appropriate housing density, is recommended, in accordance with Ministry of Health guidelines year 2023.
The Impact of Telehealth on Cancer-related Symptoms among Patients with Cancer: A Narrative review Agastiya, I Made Cahyadi; Kurianto, Endar; Akalili, Hanifati
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 2 (2026): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/9bfgjz37

Abstract

Cancer remains one of the leading global health problems, contributing significantly to both morbidity and mortality worldwide. Cancer patients face not only invasive and prolonged treatments but also various cancer-related symptoms that affect their quality of life. Health care providers are therefore expected to innovate and deliver comprehensive care that facilitates the transition of post-cancer management from hospital to home and community settings. Telehealth has emerged as a potential solution to address these challenges. This study aimed to synthesis evidence on the impact of telehealth programs for self-management of cancer-related symptoms among cancer patients. This study employed a narrative review design. A narrative review was conducted using PubMed, EBSCOhost, ScienceDirect, CINAHL, and Springer databases. Inclusion criteria included quantitative studies involving cancer patients, published between 2015 and 2025, open-access, and containing self-management components related to cancer care. Qualitative studies, systematic reviews, study protocols, and pilot studies were excluded. A total of seven articles met the inclusion criteria and were analyzed. The findings indicate that telehealth interventions for patients with cancer—implemented through mobile health (mHealth) and web-based platforms—have a positive impact on patients’ stress reduction, anxiety, depression, fatigue, and fear of cancer recurrence, increasing physical activity, quality of life, adherence to care. Telehealth interventions show potential to improve access to care and support cancer patients in managing symptoms within the community. Future studies should explore the strengths and limitations of various telehealth modalities.  
Management of Malpractice Cases Against Patients in Government and Private Hospitals Dwibarto, Rendita; Fikri Rahman; Risdiarto
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 2 (2026): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/jtmnz454

Abstract

Medical malpractice cases are currently a hot topic among the public because they have caused many patients to die. There have been several cases of malpractice in 2024 and 2025 at hospitals in Pangkalpinang City (both public and private hospitals). In the context of healthcare, supervision plays a very important role. To resolve these issues, an appropriate communication strategy is needed to generate a positive reciprocal effect. Unwanted news reported by the media can have a negative effect on hospitals. Therefore, hospitals must immediately handle such cases using issue management. In the above case, the hospital's public relations department is responsible for researching issues that arise in the community, as negative news coverage has the potential to become a negative issue and harm the company. One theory that public relations can apply in handling malpractice issues is the image repair theory. Objective To implement a strategy for managing malpractice cases involving patients at hospitals in Pangkalpinang City (government and private hospitals). The method used for this study was a qualitative case study. The results of this study are the implementation of malpractice issue management strategies in hospitals. The strategies implemented in government hospitals based on Chase and Jones' theory have not been fully successful in terms of program implementation and issue evaluation. Meanwhile, in private hospitals, the implementation of malpractice issue management strategies has been carried out in accordance with hospital policies. However, the strategy cannot be said to be successful, because private hospitals have never experienced malpractice incidents.
The Influence Of Murottal Therapy Of Surah Ar-Rahman On Pre-Operative Anxiety Of Patients Undergoing Caesarean Section With Spinal Anesthesia rahman, Deni; Amin Sutanto; Emiliani Elsi Jerau
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 2 (2026): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/314t5a54

Abstract

Anxiety is a common psychological problem experienced by patients before undergoing surgical procedures, including cesarean section under spinal anesthesia. Uncontrolled anxiety may negatively affect physiological stability and interfere with the success of medical procedures. Recitation of the Holy Qur’an (murottal) is recognized as a non-pharmacological intervention capable of inducing relaxation and reducing anxiety. This study aimed to determine the effect of murottal recitation of Surah Ar-Rahman on anxiety levels among pre-operative cesarean section patients at RSU An Ni’mah Wangon. A pre-experimental one-group pretest–posttest design was used involving 37 respondents selected through purposive sampling based on inclusion criteria. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after a 15-minute Surah Ar-Rahman audio recitation. Data were analyzed using paired statistical tests (Paired Sample T-Test or Wilcoxon Signed-Rank Test), with the Wilcoxon test applied due to non-normal data distribution. The results showed that before the intervention, most respondents experienced moderate (43.2%) and severe (40.5%) anxiety. After the murottal recitation, anxiety levels decreased significantly (p < 0.05). A small number of respondents remained in the severe anxiety category, potentially due to high baseline anxiety, limited intervention duration, and individual factors such as spiritual engagement and family support. In conclusion, murottal recitation of Surah Ar-Rahman effectively reduced anxiety in pre-operative cesarean section patients under spinal anesthesia. The novelty of this study lies in its focus on a specific surgical population and its evaluation of Surah Ar-Rahman as a structured, standardized, and practical non-pharmacological intervention for anesthesiology nursing practice.
The Effect of Lifestyle on the Incidence of Hypertension in the Working Aoladul Muqarrobin; Erwin Wiksuarini; Baiq Fitrihan Rukmana; Aghil Adha
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 2 (2026): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/nkqzsc68

Abstract

Hypertension is one of the non-communicable diseases that has become a major global public health problem and a leading cause of cardiovascular disease. Lifestyle factors, including diet, physical activity, and smoking habits, play an important role in the onset of hypertension. This study aimed to determine the relationship between lifestyle and the incidence of hypertension in the working area of Janapria Public Health Center, Central Lombok Regency. This research employed a quantitative approach with a cross-sectional design. The sample consisted of 62 respondents with hypertension selected using purposive sampling. Research instruments included a questionnaire to assess lifestyle and blood pressure measurement using a sphygmomanometer. The univariant results showed that most respondents had a sufficient lifestyle, as many as 34 respondents. Then, the blood pressure of most respondents was grade 1 hypertension, as many as 32 respondents. Bivariate analysis using the Chi-Square test showed a significant relationship between lifestyle and the incidence of hypertension (p=0.000).  The conclusion of this study is that lifestyle is related to hypertension, where an unhealthy lifestyle increases the risk of hypertension. Health education, promotion of healthy diets, regular physical activity, and stress management efforts are needed to reduce the incidence of hypertension.
Analysis Of The Effect Of Cyberbullying On Teenagers' Body Image And Self-Esteem: Literature Review Nur Fitria, Cheisya; Rafa Fadhilah; Difva Aulya; Erna Julianti
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 2 (2026): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/0pgb6d12

Abstract

The development of information and communication technology has brought about major changes in the way people interact socially, resulting in cyberbullying. The impact of cyberbul lying is a decline in self-esteem and body image. This study aims to explore the results of studies on the effects of cyberbullying on body image and self-esteem in adolescents based on research articles related to the relationship between cyberbullying and body image and self-esteem in adolescents. This study uses a literature review. Articles were collected from several databases such as Google Scholar, EBSCOhost, and Science Direct. The keywords used were cyberbullying, body image, self-esteem, and adolescents. The research article analysis technique used a table format containing the author, title, year, method (design, sample, and analysis), and results. The results show that cyberbullying has a significant impact on the psychological aspects of victims, characterized by decreased self-esteem, increased anxiety, depression, and social isolation, which leads to a decline in academic achievement. The conclusion shows that adolescents have a high level of awareness of the dangers of cyberbullying and its negative consequences on mental health. There is a need to increase education and implement cyberbullying prevention policies, as well as involve schools and parents in creating a safer digital environment.  

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