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Journal Healthcare Education
Published by Yayasan Healing and Healthcare Education
ISSN : -     EISSN : 30326575     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Journal Healthcare Education is an open access, peer reviewed journal presenting timely research on all aspects of nursing that has not been published by other media, with registered number e ISSN 30326575. A broad outline of the journals scope includes nursing education, medical education, health education, and nursing management. Journal Healthcare Education is published annually February and August by Yayasan Healing and Healthcare Education
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 41 Documents
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PENERAPAN INTERVENSI RENDAM PERMANGANAS KALIUS (PK) TERHADAP PENURUNAN NYERI PADA PASIEN POST OP HEMOROIDEKTOMY Nurwidiasih; Setiyowati, Yovita Dwi
Journal Healthcare Education Vol. 3 No. 2 (2025): Volume 3 No. 2 2025
Publisher : Yayasan Healing and Healthcare Education

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Abstract

Post-hemorrhoidectomy pain is a common complication that may impede the recovery process. Non-pharmacological interventions such as potassium permanganate (KMnO₄) sitz baths have shown potential in pain management and wound healing. This case study aims to evaluate the effectiveness of KMnO₄ sitz bath therapy in reducing post-hemorrhoidectomy pain. A 45-year-old male patient (Mr. A) experienced severe postoperative pain (7/10 on the Numerical Rating Scale). Sitz baths with a 0.1–0.2% KMnO₄ solution were administered twice daily. Pain intensity was measured before and after each intervention using the NRS. Within 2–3 days, the patient’s pain level decreased significantly to 3/10, accompanied by improved comfort, enhanced mobility, and positive behavioral responses. The analgesic effects are associated with the antiseptic and astringent properties of KMnO₄, as well as the muscle-relaxing effects of warm water, which together reduce inflammation, prevent infection, and alleviate anal sphincter spasms. These findings support the use of potassium permanganate sitz baths as an effective non-pharmacological intervention in managing post-hemorrhoidectomy pain and promoting recovery.
CASE STUDY: EFFECTIVENESS OF DIABETES FOOT EXERCISES ON REDUCING BLOOD SUGAR LEVELS AND BLOOD PRESSURE IN DIABETES MELLITUS PATIENTS Yuliandri, Dian; Lisum, Kristina
Journal Healthcare Education Vol. 3 No. 2 (2025): Volume 3 No. 2 2025
Publisher : Yayasan Healing and Healthcare Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jhce.v3i2.110

Abstract

Diabetes Mellitus (DM) is a chronic metabolic disease characterized by persistent hyperglycemia and increased risk of complications such as peripheral neuropathy and vascular disorders. One of the effective and accessible non-pharmacological approaches in nursing practice is diabetic foot exercise. Objective: To determine the effectiveness of diabetic foot exercise in reducing blood glucose levels and blood pressure in type 2 DM patients with various comorbidities. This research employed a descriptive observational case study approach involving four patients diagnosed with type 2 DM and diverse comorbidities (pulmonary TB, COPD, neurological disorders, and diabetic foot wounds). The intervention consisted of a diabetic foot exercise program performed for three consecutive days, 10–15 minutes per session, using nine specific movements. Results: All patients demonstrated a significant reduction in blood glucose levels (80–200 mg/dL) and blood pressure stabilization within normal limits. Patients also reported improved sleep quality, reduced fatigue, and increased motivation and physical comfort. Diabetic foot exercise is proven to be an effective complementary nursing intervention for lowering blood glucose and blood pressure while improving the physiological and psychological status of type 2 DM patients, including those with limited mobility.
EFEKTIFITAS MANAJEMEN AKTIF KALA IV TERHADAP RISIKO PERDARAHAN PADA PASIEN POST OPERASI SECTIO CAESAREA DI RUMAH SAKIT Sartika Jaya; Sri Wahyuni; Apriliani Yulianti Wurningsih
Journal Healthcare Education Vol. 4 No. 2 (2026): Volume 4 No. 2 2026
Publisher : Yayasan Healing and Healthcare Education

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Abstract

Postpartum hemorrhage is a major cause of maternal morbidity and mortality, including in post-cesarean section patients. The fourth stage is a critical phase in the first two hours after delivery that requires intensive monitoring to prevent bleeding. Objective: To determine the effectiveness of active management of the fourth stage on the risk of bleeding in post-cesarean section patients. Method: This study used a quasi-experimental design with a post-test only approach with a control group. The sample consisted of 40 post-cesarean section mothers who were divided into an intervention group and a control group using a consecutive sampling technique. The intervention was in the form of implementing active management of the fourth stage during the first two hours after surgery. The variables measured included the amount of bleeding, decreased hemoglobin levels, and the incidence of postpartum hemorrhage. Data analysis used independent t-test and chi-square tests with a significance level of 0.05. Results: There was a significant difference in the amount of bleeding and decreased hemoglobin levels between the intervention and control groups (p < 0.05). The incidence of postpartum hemorrhage was lower in the group receiving active management of the fourth stage of labor. Conclusion: Active management of the fourth stage of labor effectively reduces the risk of bleeding in post-cesarean section patients and is recommended as part of standard postpartum nursing care.
EFEKTIVITAS DM LEARNING MENGGUNAKAN APLIKASI TERHADAP TINGKAT KECEMASAN PASIEN DIABETES MELLITUS DI POLIKLINIK RUMAH SAKIT Evi Wahyuni; Wigyo Susanto; Dwi Heppy Rochmawati
Journal Healthcare Education Vol. 4 No. 2 (2026): Volume 4 No. 2 2026
Publisher : Yayasan Healing and Healthcare Education

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Abstract

Diabetes mellitus (DM) patients can experience anxiety due to complex disease management, fear of complications (kidney failure, amputation), the impact of lifestyle changes, and lack of social support. DM Learning can help DM patients manage their disease, where DM learning is an educational tool about DM disease that includes an understanding of the causes, symptoms, treatment methods (diet, exercise, medication), complications, and prevention, so that sufferers and the general public can manage DM effectively and improve their quality of life. Objective: This study aimed to determine the effectiveness of DM Learning using an application on the anxiety level of DM patients at the Sari Asih Serang Hospital Polyclinic. Method: A quasi-experimental study with a pretest–posttest design with a control group. Each group consisted of 60 respondents taken using a purposive sampling technique. Data were analyzed univariately and bivariately using the marginal homogeneity test. Results: The analysis results showed that application-based DM learning was effective in reducing the anxiety level of diabetes mellitus patients (p: 0.000). Conventional DM learning was also effective in reducing the anxiety level of diabetes mellitus patients (p: 0.000). Application-based DM learning is more effective in reducing anxiety levels in diabetes mellitus patients compared to conventional DM learning (p: 0.000). Conclusion: Application-based DM learning is effective in reducing anxiety levels in diabetes mellitus patients.
HUBUNGAN TINGKAT PENGETAHUAN DENGAN PERILAKU MOBILISASI DINI PASIEN POST OPERASI APENDIKTOMI DI RUANG RAWAT INAP RUMAH SAKIT Susila Wati; Dwi Heppy Rochmawati; Wigyo Susanto
Journal Healthcare Education Vol. 4 No. 2 (2026): Volume 4 No. 2 2026
Publisher : Yayasan Healing and Healthcare Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jhce.v4i2.134

Abstract

Early mobilization is an important intervention in post-appendectomy care to accelerate recovery, prevent complications, and improve patient comfort. The implementation of early mobilization is greatly influenced by the patient's level of knowledge regarding the benefits, timing, and implementation techniques. Objective: To determine the relationship between the level of knowledge and early mobilization behavior of post-appendectomy patients in the inpatient ward of Sari Asih Hospital, Serang. Method: This study used a descriptive correlative design with a cross-sectional approach. The sample of the study was 40 post-appendectomy respondents with a total sampling technique. Data were collected using a questionnaire on the level of knowledge and early mobilization behavior, then analyzed bivariately using the Chi-Square test. Results: The results of the Chi-Square test showed that the p-value was 0.000 (p <0.05). So there is a significant relationship between the level of knowledge and early mobilization behavior of post-appendectomy patients in the inpatient ward of Sari Asih Hospital, Serang. Conclusion: There is a relationship between knowledge level and early mobilization behavior of appendectomy patients in the inpatient ward of Sari Asih Hospital, Serang.
HUBUNGAN TINGKAT KECEMASAN IBU SERTA DUKUNGAN KELUARGA DENGAN KELANCARAN PEMBERIAN ASI PADA BAYI DIRUANG PERINATOLOGI RS Ana Mundhawaroh; Kurnia Wijayanti; Herry Susanto
Journal Healthcare Education Vol. 4 No. 1 (2026): Volume 4 No. 1 2026
Publisher : Yayasan Healing and Healthcare Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jhce.v4i1.135

Abstract

Breastfeeding is a basic need for babies that plays an important role in supporting growth and development and immunity, especially for babies who are treated in the perinatology room. However, in these conditions, the smoothness of breastfeeding often faces various obstacles. One of the influential factors is maternal anxiety, which arises from the condition of the baby's illness, separation of mother and baby, postpartum pain, and the mother's concern about the mother's ability to produce breast milk. Objective: This study aims to determine the relationship between maternal anxiety levels and family support with the smoothness of breastfeeding in the perinatology ward of Sari Asih Hospital, Serang. Method: Quantitative research with a cross-sectional design involving 81 respondents, mothers of infants, selected using a purposive sampling technique. The research instrument used a questionnaire. Data analysis used the chi-square statistical test. Results: The results of univariate analysis showed that the majority of mothers in the perinatology ward of Sari Asih Hospital, Serang experienced irregular breastfeeding (53.1%), experienced moderate anxiety (49.4%), and had moderate family support (38.4%). The results of the bivariate analysis showed that anxiety factors (p: 0.000) and family support (p: 0.000) had a significant relationship with the smoothness of breastfeeding. Conclusion: There is a relationship between anxiety levels and family support with the smoothness of breastfeeding.
PENGARUH GUIDED IMAGERY TERHADAP CEMAS DAN NYERI PADA PASIEN CHOLELITIASIS DI RUMAH SAKIT Yayat Fitriyati; Wigyo Susanto; Dwi Heppy Rochmawati
Journal Healthcare Education Vol. 4 No. 1 (2026): Volume 4 No. 1 2026
Publisher : Yayasan Healing and Healthcare Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jhce.v4i1.136

Abstract

Cholelithiasis patients experience gallstone obstruction which causes the patient to feel pain in the abdomen, the pain makes the patient feel anxious to do activities or mobilization. Anxiety and pain can be overcome with non-pharmacological measures, one of which is guided imagery therapy. Guided imagery relaxation techniques can be used to restore hormonal balance in the body after experiencing disorders, making the body feel more relaxed overall. Objective: This study aims to determine the effect of guided imagery on anxiety levels and pain scales in cholelithiasis patients at Sari Asih Hospital. Method: A quasi-experimental study with a pre-experiment one group pre-post test design involving 35 cholelithiasis patients at Sari Asih Hospital was taken using consecutive sampling techniques. Data were analyzed univariately and bivariately using the chi square test. Results: The results of the univariate analysis showed that before the intervention the majority of anxiety was severe (71.4%) and pain was moderate (62.9%), while, after the intervention the majority of anxiety was mild (51.4%) and pain was mild (62.9%). Bivariate analysis results showed an effect of guided imagery on anxiety (p=0.000) and pain (p=0.000) in cholelithiasis patients. Conclusion: Guided imagery has an effect on anxiety and pain in cholelithiasis patients at Sari Asih Hospital.
PENGARUH KONSELING KESEHATAN TERHADAP KEPATUHAN IBU POST PARTUM DALAM MEMBERIKAN KOLOSTRUM PADA BAYI BARU LAHIR DIRUANG BERSALIN RS Uni Wulandari; Herry Susanto; Kurnia Wijayanti
Journal Healthcare Education Vol. 4 No. 1 (2026): Volume 4 No. 1 2026
Publisher : Yayasan Healing and Healthcare Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jhce.v4i1.137

Abstract

Colostrum is an important component of breast milk, a yellowish fluid that is secreted in the first few days after delivery. Colostrum is rich in antibodies that play a role in the formation of the immune system and the maturation of the baby's organs. Objective: This study aims to determine the effect of health counseling on postpartum mothers' compliance in providing colostrum to newborns in the Delivery Room of Sari Asih Hospital, Serang. Method: Quantitative research with a quasi-experimental post-test only control group design involving 2 groups, namely the intervention group and the control group with 43 respondents in each group. The research instrument used a colostrum compliance questionnaire. Data analysis was carried out using the chi-square statistical test. Results: The results of univariate analysis showed that the majority of postpartum mothers in the intervention group were compliant in providing colostrum (55.8%), and the majority of postpartum mothers in the control group were not compliant in providing colostrum (62.8%). The results of bivariate analysis showed that there was a difference in compliance in providing colostrum, where postpartum mothers in the intervention group were more compliant than postpartum mothers in the control group with a p value of 0.023. Conclusion: Postpartum mothers who received counseling and leaflets had higher compliance compared to postpartum mothers who received only leaflets.
PENGARUH HIPERTENSI LEARNING TERHADAP TINGKAT KECEMASAN PASIEN HIPERTENSI DI RUMAH SAKIT X Yuliya Septiani; Wigyo Susanto; Dwi Heppy Rochmawati
Journal Healthcare Education Vol. 4 No. 1 (2026): Volume 4 No. 1 2026
Publisher : Yayasan Healing and Healthcare Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jhce.v4i1.138

Abstract

The development of digital technology in the health sector has given birth to various health learning applications, one of which is a special education application for hypertension. This study aims to determine the effect of hypertension learning on anxiety levels in hypertension patients at Sari Asih Hospital, Serang. Method: This study uses a quantitative approach with a pretest & posttest design, using a total sampling technique. Hypothesis testing uses a marginal homogeneity test. The questionnaire uses the Zung Self Anxiety Scale. Results: The P Value is: 0.157 which is greater than 0.05 (>0.05), which means there is no significant difference between anxiety levels before and after the intervention. The correlation coefficient (r) cannot be calculated because all anxiety values ​​in the post-test are in one category, namely all mild (there is no data variation). The direction of the relationship is positive, because it is towards improvement in all (towards mild), the density of the relationship is clinically strong, because 100% of the post-test results are in the best category (mild). Conclusion: Although no statistically significant differences were found, the Hypertension Learning application was clinically effective in maintaining and improving anxiety levels in hypertensive patients. These findings support the theory that digital education increases self-efficacy, reduces perceived threat of illness, and improves psychological responses in chronic patients. Therefore, Hypertension Learning continues to have important practical and clinical value as part of technology-based nursing interventions in the era of digital transformation in healthcare.
HUBUNGAN PENGETAHUAN, SIKAP DAN PERILAKU IBU TENTANG PERSONAL HYGIENE DENGAN KEJADIAN DIARE PADA ANAK DI RUMAH SAKIT X Melly Putri; Nopi Nur Khasanah; Indra Tri Astuti
Journal Healthcare Education Vol. 4 No. 1 (2026): Volume 4 No. 1 2026
Publisher : Yayasan Healing and Healthcare Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jhce.v4i1.139

Abstract

One of the factors that plays an important role in preventing diarrhea is the implementation of personal hygiene, especially by mothers as the primary caregivers of children. The role of mothers in implementing personal hygiene through appropriate knowledge, attitudes, and behavior is important to prevent diarrhea, so it is necessary to study its relationship with the incidence of diarrhea in children. Objective: This study aims to determine the relationship between knowledge, attitudes, and behavior of mothers about personal hygiene with the incidence of diarrhea in children in the Pediatric Ward of Sari Asih Hospital, Serang. Method: Quantitative research with a cross-sectional design involving 73 pediatric patients taken using a purposive sampling technique. The research instrument used a questionnaire. Data analysis with the Spearman rank test. Results: The results of univariate analysis showed that the majority of mothers in the Pediatric Ward of Sari Asih Hospital, Serang were aged 20-30 years (57.5%), high school (43.8%), housewives (61.6%). Knowledge was quite good (43.8%). Positive attitude (53.4%). Personal hygiene behavior was good (63%), and the majority of children experienced diarrhea (53.4%). The results of the bivariate analysis showed that maternal knowledge (p-value: 0.000), maternal attitudes (p-value: 0.001), and maternal personal hygiene behavior were associated with the incidence of diarrhea in the Pediatric Ward of Sari Asih Hospital, Serang. Conclusion: There is a relationship between maternal knowledge, maternal attitudes, and maternal personal hygiene behavior with the incidence of diarrhea in the Pediatric Ward of Sari Asih Hospital, Serang.

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