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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 254 Documents
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The Relationship Between Early Breastfeeding Initiation And Exclusive Breastfeeding Nandini Parahita Supraba; Putri Rhadiyah; Rohmatun Karimah; Tesza Rezky Permata; Endriyani Martina Yunus
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: 10.33862/0t5xm266

Abstract

The low coverage of exclusive breastfeeding (53.93%) at the Kelapa Community Health Center risks increasing stunting rates, gastrointestinal infections, and neonatal mortality, considering that exclusive breastfeeding is a critical intervention in the first 1,000 days of life. Early Initiation of Breastfeeding (IMD), which coverage is only 65.75% in this area, has the potential to be the key to increasing the success of exclusive breastfeeding. The purpose of this study was to determine the relationship between Early Initiation of Breastfeeding (IMD) and exclusive breastfeeding. The research method used a cross-sectional analysis with a quantitative survey approach. A sample of 30 mothers was selected through purposive sampling. The instrument was a validated structured questionnaire. Data were analyzed using the chi-square test (α = 0.05) with the help of SPSS version 25. The results showed that IMD was associated with exclusive breastfeeding (p <0.05). A total of 21 respondents carried out IMD, 20 respondents provided exclusive breastfeeding (95.2%) and only 1 person (4.8%) who did not provide exclusive breastfeeding. The conclusion in this study is that IMD is related to exclusive breastfeeding, mothers who get the opportunity to IMD, their exclusive breastfeeding is successful. The impact of the study is that the success of exclusive breastfeeding is partly due to the mother getting the opportunity to IMD. Health workers are advised to always carry out IMD on new mothers.
Gambaran Kepatuhan dan Self Management pada Pasien Gagal Ginjal Kronik: LIterature Review Nabila Fitriani; Liza Fitri Lina; Eva Oktavidiati; Weti
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: 10.33862/47sc0w94

Abstract

Chronic Kidney Disease (CKD) is a chronic health problem whose prevalence continues to increase globally, including in Indonesia. This condition is progressive and requires long-term therapy such as dietary management, fluid restriction, regular medication adherence, and dialysis therapy. The purpose of this study was to describe CKD patient adherence to dietary and self-management practices based on a literature review. The method used in this study was a narrative literature review, a type of literature review that collects and synthesizes information from various scientific journals descriptively. The search results were analyzed using the PICO method. The review results showed that CKD patient adherence to fluid and dietary restrictions improved significantly after receiving health education. Health education and family support play a crucial role in encouraging adherence, while the duration of hemodialysis also influences patient adherence. CKD patient self-management is improved through health education and dietary counseling. Good knowledge encourages proactive behavior, adherence to therapy, and improves patient quality of life, self-confidence, and independence, especially for patients undergoing long-term hemodialysis. Overall, health education, family support, and patient experience in undergoing hemodialysis therapy are the main factors that influence compliance and self-management practices of CKD patients.
Risk Factor Analysis of Type 2 Diabetes Mellitus Among Adults Aged ≥25 Years Based on the Health Promotion Model masdiana; Tressia Febrianti; Desi Afriyanti; Rizki Hidayat
Citra Delima Scientific journal of Citra Internasional Institute Vol. 10 No. 1 (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/kpz39p74

Abstract

Type 2 Diabetes Mellitus (T2DM) is a chronic non-communicable disease with a continuously increasing prevalence and represents a major public health challenge. The occurrence of T2DM is influenced by complex interactions between biological and behavioral factors, highlighting the need for a comprehensive understanding of its risk factors at the primary healthcare level.This study aimed to analyze the association between risk factors and the occurrence of Type 2 Diabetes Mellitus among adults aged over 25 years. This study used an analytical observational design with a cross-sectional approach among adults aged over 25 years in the working area of Pasir Putih Primary Health Center. Data were analyzed using univariate analysis, bivariate analysis with Chi-square tests, and multivariate analysis using multiple logistic regression. The result showed that age (p=0.017), sex (p<0.001), familiy history of diabetes (p=0.006), dietary pattern (p=0.004), and physical activity (p=0.034) were significantly associated with T2DM. Multivariat analysis identified family history diabetes as the most dominant factor (OR=65.04; p=0.006), while low physical activity remained an independent modifiable risk factor (OR=3.97; p=0.034). Dietary pattern showed a protective effect after adjustment (OR=0.018; p=0.004)he occurrence of T2DM is influenced by interactions between biological and behavioral factors, consistent with the Health Promotion Model framework. These findings emphasize the importance of community-based promotive and preventive interventions at the primary healthcare level.
Analysis of the Role of Health Workers in Efforts to Increase the Coverage of Childbirth Assistance Fikriya Zaharani; Siti Halimatul Munawarah; Iwan Stia Budi; Ayu Prameswari
Citra Delima Scientific journal of Citra Internasional Institute Vol. 10 No. 1 (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/znd0vy60

Abstract

Delivery assistance by health workers plays a crucial role in reducing the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) through the early detection of obstetric emergencies. In the study area, coverage of deliveries assisted by health workers was 71.1% in 2022, increased to 87.36% in 2023, but declined to 82.91% in 2024, remaining below the 100% target. This study aimed to analyze the role of health workers in improving delivery coverage within the working area of Palemraya Health Center. A qualitative approach was employed through in-depth interviews with 11 informants, observations, and document review conducted from May to July 2025. The data were analyzed using thematic analysis through the stages of data reduction, data display, and conclusion drawing with triangulation of sources, methods, and theories to ensure data validity. The study found that the absence of delivery facilities, the persistence of traditional birth attendants, and administrative issues related to maternal domicile were the main barriers to achieving optimal coverage of deliveries assisted by health workers.Recommended efforts include increasing the number of skilled birth attendants, constructing village maternity posts (Polindes),improving facilities, establishing partnerships with traditional birth attendants, and providing education for pregnant women and their families to update their domicile status before delivery.
The Relationship Between Self-Efficacy and Stress Levels Among Nursing Students Undergoing Clinical Practice For the First Time Achmad Vindo Galaresa; Firmansyah; Habsyah Saparidah Agustina; Annisa Mazda Firdaus
Citra Delima Scientific journal of Citra Internasional Institute Vol. 10 No. 1 (2026): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/5fx79t27

Abstract

Stress is a common problem frequently experienced by nursing students during clinical practice. Factors such as academic workload, adaptation to a new environment, and high academic expectations may increase the risk of stress. Self-efficacy is assumed to play an important role in reducing stress levels. This study aimed to investigate the relationship between self-efficacy and stress levels among students undertaking their first clinical practice at the Health Department of Subang State Polytechnic. This quantitative study employed a descriptive correlational design with a cross-sectional. The sample consisted of 120 third-semester students who were about to undertake clinical practice, selected using total sampling. The instruments used were the General Self-Efficacy Scale (GSES) and the Depression Anxiety Stress Scale (DASS-21). Data were analyzed using the Spearman Rank test. The results showed that 86% of students had high self-efficacy. The result showed that, 43.3% experienced moderate stress, 31.8% severe stress, 13.3% mild stress, and 11.6% were within the normal category. There was a significant negative relationship between self-efficacy and stress levels (r = -0.210; p = 0.040). Higher self-efficacy was associated with lower stress levels. Programs to enhance self-efficacy should be integrated with psychomotor skills training in nursing laboratories to better prepare students for clinical challenges and develop effective stress-management skills. This can be achieved by incorporating stress-management content into the curriculum, particularly in early programs and during students first clinical experiences.
Non-Pharmacological Pain Management of Primary Dysmenorrhea Using Pineapple Juice in Adolescent Girls Nuridha Fauziyah; Fitri Handayani
Citra Delima Scientific journal of Citra Internasional Institute Vol. 10 No. 1 (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/cc866681

Abstract

Dysmenorrhea, or menstrual pain, is recognized as the leading factor contributing to repeated absences from school among students. The treatment of menstrual pain is often carried out through pharmacological approaches, particularly the use of analgesic medications, which are widely utilized to reduce pain intensity. However, primary dysmenorrhea can also be managed through non-pharmacological approaches, one of which is pineapple juice, which contains bromelain. This research was conducted to investigate the influence of pineapple juice on the intensity of primary dysmenorrhea among nursing students in the Nursing Study Program at Politeknik Negeri Subang. The study population included all first-year female students experiencing primary dysmenorrhea. 32 participants were selected using a purposive sampling method, and the research applied a pre-experimental one-group pretest–posttest design. Data collection began with the observation of dysmenorrhea pain intensity, followed by the administration of 230 ml of pineapple juice once daily during the occurrence of menstrual pain. The intervention outcomes were monitored for 60 minutes following administration. Data were analyzed using the Wilcoxon test, which produced a Z score of –3.873 and a p-value of 0.000. Since the p-value was lower than the significance threshold (α = 0.05), the findings indicated that pineapple juice had a statistically significant effect in reducing menstrual pain among adolescent girls.
Artificial Intelligence-Based Health Education to Improve Knowledge and Attitudes toward Hypertension Control in Primary Health Care Hijrah; Zakariyati; Hasbullah; Reski Apriantih; Mohammad Ardani Samad; Haerah Asrawati
Citra Delima Scientific journal of Citra Internasional Institute Vol. 10 No. 1 (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/kyydq567

Abstract

Hypertension remains a major public health problem that requires effective educational strategies to improve knowledge and attitudes toward disease control. In hypertension education, Artificial Intelligence-based audiovisual media may help translate hypertension-specific messages on risk factors, complications, treatment adherence, lifestyle modification, and blood pressure monitoring into structured, visual, and patient-centered information. This study aimed to determine the effect of Artificial Intelligence-based audiovisual health education on knowledge and attitudes regarding hypertension in the working area of Kassi-Kassi Public Health Center, Makassar. This study used a quantitative pre-experimental design with a one-group pretest-posttest approach. A total of 70 respondents were selected using purposive sampling. Data were collected using knowledge and attitude questionnaires administered before the intervention and seven days after the intervention. The intervention was delivered through a four-minute Artificial Intelligence-based audiovisual video containing information on the definition of hypertension, risk factors, prevention, complications, and management. Data were analyzed using univariate analysis and the Wilcoxon Signed Rank Test. The results showed that the mean knowledge score increased from 36.27 to 44.88, while the mean attitude score increased from 25.51 to 42.24 after the intervention. The Wilcoxon test showed a p-value of 0.000 for both variables, indicating significant differences between pretest and posttest scores. This study concludes that Artificial Intelligence-based audiovisual health education significantly improves knowledge and attitudes regarding hypertension and can be used as a practical educational alternative in primary health care.
Education Using Spinning Clue Media on School-Age Children’s Aggregate Knowledge of Sexual Violence: Pra Experimental Study Sri Ayu Rahayu Paneo; Hijrah; Endang Kurnia; Hasbullah
Citra Delima Scientific journal of Citra Internasional Institute Vol. 10 No. 1 (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/q09vkk93

Abstract

Sexual violence against school-aged children is a serious problem that impacts children’s physical, psychological, social, and academic development. Children’s limited knowledge regarding bodily boundaries, forms of sexual violence, ways to refuse, and reporting mechanisms increases their vulnerability to sexual violence. This study aims to analyze the effect of education using the Spinning Clue media on improving the aggregate knowledge of school-aged children regarding sexual violence at UPT SPF SD Inpres Maccini I/1. This study is based on the concepts of health education, knowledge theory, the developmental characteristics of school-aged children, and interactive learning media. The method used is quantitative with a quasi-experimental design using a one-group pre-test post-test model. The sample consisted of 40 students in grades 1–3 selected through purposive sampling. The research instruments included a sexual violence knowledge questionnaire and the Spinning Clue media, which contained material on private body parts, forms of sexual violence, refusal strategies, and reporting to a trusted adult. Data analysis used the Wilcoxon Signed Ranks Test. The results showed that before the education, respondents’ knowledge was categorized as good for 21 students (52.5%), adequate for 17 students (42.5%), and insufficient for 2 students (5%). After the education, all respondents were categorized as good (40 students, 100%). The average score increased from 10.70 to 14.90 with a p-value = 0.000. In conclusion, education using the Spinning Clue medium has a significant effect on increasing school-age children’s knowledge about sexual violence and can be used as a preventive educational strategy in elementary schools.
Factors Influencing Treatment Failure Rates in Pulmonary Tuberculosis Patients Weti; Muhammad Ihsan Hakim; Larra Fredrika; Andri Kusuma Wijaya
Citra Delima Scientific journal of Citra Internasional Institute Vol. 10 No. 1 (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/eydrej05

Abstract

This study aims to determine the factors that influence the rate of treatment failure in pulmonary tuberculosis patients in the Muara Kulam Community Health Center (Puskesmas Muara Kulam). The research method used was descriptive correlative with a cross-sectional design. Data were collected using a questionnaire and analyzed using the Chi-Square test. The results showed that most patients had sufficient knowledge (69.0%), sufficient motivation (51.7%), moderate distance from their residence (50.0%), and sufficient family support (56.9%). There was a significant relationship between knowledge (p=0.001), motivation (p=0.003), distance (p=0.029), and family support (p=0.000) with treatment failure. Conclusion: Knowledge, motivation, distance from residence, and family support are factors that influence the failure of pulmonary tuberculosis treatment. Increased education and social support are needed to improve treatment success.
The Correlation Between Knowledge Level And Parents Skills In Providing First Aid For Burn Injuries In Toddlers Kiki Sri Rahmandani; Mustiah Yulistiani; Endiyono; Atika Dhiah Anggraeni
Citra Delima Scientific journal of Citra Internasional Institute Vol. 10 No. 1 (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/jz7az280

Abstract

Burns are a common type of injury in the home, especially in children. Proper first aid is crucial to prevent further complications. Parents, as primary caregivers, play a crucial role in providing first aid for burns. The level of knowledge parents possess is crucial in relation to their skills in administering first aid appropriately. This study aimed to determine the relationship between the level of knowledge and the skills of parents in administering first aid for burns in Cindaga Village. This study used a quantitative research design with a cross-sectional approach. The sampling technique used was purposive sampling of 70 respondents. Data were collected using questionnaires and observation sheets/checklists. Data analysis was performed using the Chi Square statistical test. The results showed that the majority of respondents had a good level of knowledge (25 respondents (35.7%), and skills in the fairly skilled category (26 respondents (34.3%). This indicates a significant relationship between the level of knowledge and the skills of parents in administering first aid for burns with a p-value of 0.01 (<0.05). The conclusion of this study is that there is a significant relationship between parental knowledge and skills in first aid for burns in toddlers in Cindaga Village. Therefore, efforts are needed to improve health education for the community.

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