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Journal of Public Health Science (JoPHS)
Published by Yayasan Nuraini Ibrahim Mandiri
ISSN : -     EISSN : 30473632     DOI : https://doi.org/10.59407/jophs.v1i1.596
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Journal of Public Health Science (JoPHS) is a national journal for scientific research on public health practices, epidemiology, health promotion, health service effectiveness, disease prevention, and public health evaluation. nutrition, family health, infectious diseases, research health services, gerontology, child health, adolescent health, behavioral medicine, rural health, chronic disease, promotion Health evaluation and intervention, health policies and management of public health, health economics, occupational health and environmental health, environmental health, health and safety at work, health administration and policy, nutrition science, biostatistics, reproductive health, hospital management, and health information systems
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 190 Documents
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THE EFFECT OF WARM COMPRESSES AND EFFLEURAGE MASSAGE ON LOWER BACK PAIN IN PREGNANT WOMEN IN THE THIRD MONTH OF PREGNANCY IN THE DONOMULYO COMMUNITY HEALTH CENTER WORK AREA Aprilia Suci Hatitama; Widia Shofa Ilmiah
Journal of Public Health Science Vol. 3 No. 2 (2026): Juni
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v3i2.3940

Abstract

Lower back pain is one of the most common discomforts experienced by pregnant women during the third trimester due to physiological and postural changes during pregnancy. Safe and effective non-pharmacological interventions are needed to help reduce pain. This study aimed to analyze the effect of warm compresses and effleurage massage on lower back pain among third-trimester pregnant women in the Donomulyo Community Health Center area Methods: A pre-experimental study with a one-group pretest–posttest design was conducted involving 20 third-trimester pregnant women selected through purposive sampling. Pain intensity was measured before and after the intervention using the Numeric Rating Scale (NRS). Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of 0.05.  Before the intervention, most respondents experienced moderate to severe lower back pain. After receiving warm compresses and effleurage massage, pain intensity decreased, with most respondents reporting mild pain or no pain. Statistical analysis showed a p-value of <0.05, indicating a significant reduction in pain following the intervention. Warm compresses and effleurage massage were effective in reducing lower back pain among third-trimester pregnant women. These interventions can be considered safe, simple, and non-pharmacological alternatives for pain management during pregnancy.
CORNUAL ECTOPIC PREGNANCIES IN RECURRENT ECTOPIC PREGNANCIES AFTER SALPINECTOMY: CASE REPORTS Dhaniel Theolia Persadanta Ginting; Patricia Riwiris Sry Rezeki Samosir; Kevin Nicholas Rumahorbo; Binarwan Halim
Journal of Public Health Science Vol. 3 No. 2 (2026): Juni
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v3i2.3942

Abstract

Ectopic pregnancy remains a major cause of maternal morbidity and mortality in early pregnancy. Recurrent ectopic pregnancy represents a significant clinical challenge, particularly in women with a previous history of ectopic pregnancy and tubal surgery such as salpingectomy. Cornual or interstitial ectopic pregnancy is a rare form of ectopic implantation, accounting for approximately 2–4% of all ectopic pregnancies. Despite its rarity, this condition carries a higher risk of severe hemorrhage due to its location within the highly vascularized uterine cornua. Case Presentasion: A 34-year-old woman with a history of ectopic pregnancy treated with salpingectomy presented with worsening lower abdominal pain in early pregnancy. Physical examination, laboratory evaluation and ultrasonography suggested a suspected ectopic pregnancy. Emergency laparoscopy confirmed a cornual ectopic pregnancy with hematoma and pelvic adhesions. Laparoscopic cornual resection, hematoma evacuation, hystero-raphy, and adhesiolysis were performed successfully without complications. The patient recovered well and was discharged in stable condition. Discussion: Recurrent ectopic pregnancy is a known complication in patients with a prior history of ectopic pregnancy and tubal surgery. Although salpingectomy reduces the likelihood of tubal ectopic pregnancy on the affected side, implantation may still occur in other locations, including the interstitial or cornual region. Cornual ectopic pregnancy can grow longer before rupture due to the surrounding myometrial tissue, which may delay diagnosis but increases the risk of catastrophic bleeding once rupture occurs. Laparoscopic management is preferred in hemodynamically stable patients because it offers less surgical trauma, shorter hospital stay, and faster recovery. Conclusion: Cornual ectopic pregnancy may occur as a recurrent ectopic pregnancy even after salpingectomy. Early recognition and prompt surgical intervention are essential to prevent life-threatening complications. Laparoscopic management provides an effective and minimally invasive treatment option with favorable clinical outcomes.
SUCCESS OF PREGNANCY AND CHILDBIRTH IN SYNDROME HERLYN-WERNER-WUNDERLICH (HWW)/ SYNDROME OHVIRA: LAPORAN KASUS LANGKA Patricia Riwiris Sry Rezeki Samosir; Dhaniel Theolia Persadanta Ginting; Kevin Nicholas Rumahorbo; Edwin Martin Asroel
Journal of Public Health Science Vol. 3 No. 2 (2026): Juni
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v3i2.3943

Abstract

Herlyn-Werner-Wunderlich (HWW) syndrome also known as OHVIRA (Obstructed HemiVagina and Ipsilateral Renal Agenesis) syndrome is a rare form of Müllerian Duct Anomalies (MDA). Uterine malformations may be associated with adverse obstetric outcomes, including increased rates of miscarriage, malpresentation, and preterm birth. Case Illustration: A 29-year-old woman at 36-37 weeks' gestation was diagnosed with Premature Rupture of Membranes with OHVIRA syndrome. The patient underwent a cesarean section under spinal anesthesia. A baby girl was born with a birth weight of 2980 grams and an Apgar score of 8/9. The uterus appeared didelphysic. Discussion: This case study examines a nulliparous woman with premature rupture of membranes (PROM) and OHVIRA syndrome. Delivery was assisted by cesarean section. Conclusion: OHVIRA syndrome is a rare condition that carries many risks in pregnancy. However, there have been several cases of successful pregnancies and deliveries. Suggestion: A multidisciplinary approach and patient education are needed to increase the success of pregnancy and childbirth.
THE EFFECT OF LAVENDER AROMATHERAPY ON SLEEP QUALITY IN PREGNANT WOMEN IN THE THIRD PERIOD IN THE PAGAK COMMUNITY HEALTH CENTER, MALANG REGENCY Irawati; Widia Shofa Ilmiah; Lilik Susilowati
Journal of Public Health Science Vol. 3 No. 2 (2026): Juni
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v3i2.3944

Abstract

Sleep quality disorders are a common health problem that can negatively affect physical, psychological, and social well-being. Non-pharmacological interventions such as lavender aromatherapy have been widely used to promote relaxation and improve sleep quality Objective: This study aimed to determine the effect of lavender aromatherapy on sleep quality among respondents with poor sleep quality.  A pre-experimental study with a one-group pretest–posttest design was conducted involving 20 respondents who had poor sleep quality at baseline. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) as the primary measurement instrument. Respondents received lavender aromatherapy intervention, and sleep quality was reassessed after the intervention. The data were analyzed using the Wilcoxon Signed-Rank Test with a significance level of 0.05. Before the intervention, all respondents (100%) had poor sleep quality based on PSQI scores. After receiving lavender aromatherapy, sleep quality improved, with 11 respondents (55%) achieving good sleep quality and 9 respondents (45%) remaining in the poor sleep quality category. Statistical analysis showed a significant difference between pretest and posttest PSQI scores (Wilcoxon Signed-Rank Test, p < 0.05), indicating that lavender aromatherapy significantly improved sleep quality among respondents. Lavender aromatherapy has a significant positive effect on improving sleep quality. The relaxing properties of lavender, particularly its active compounds linalool and linalyl acetate, may contribute to improved sleep quality. Therefore, lavender aromatherapy can be considered an effective non-pharmacological intervention for individuals experiencing sleep quality disturbances.
MACHINE LEARNING MODELS FOR PREDICTING LIVE BIRTH IN WOMEN WITH PCOS UNDERGOING IVF/ICSI: A SYSTEMATIC REVIEW Cora Angela; Sarma Nursani Lumbanraja
Journal of Public Health Science Vol. 3 No. 2 (2026): Juni
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v3i2.3975

Abstract

Introduction. Polycystic Ovary Syndrome (PCOS) merupakan salah satu gangguan endokrin paling umum pada wanita usia reproduktif, dengan prevalensi sekitar 6–20% tergantung kriteria diagnostik yang digunakan. PCOS ditandai oleh disfungsi ovulasi, hiperandrogenisme, dan gangguan metabolik seperti resistensi insulin yang berkontribusi terhadap infertilitas. Banyak pasien PCOS memerlukan Assisted Reproductive Technology (ART), termasuk IVF dan ICSI, namun outcome utama yaitu live birth masih sulit diprediksi karena dipengaruhi banyak faktor. Perkembangan Artificial Intelligence (AI) dan Machine Learning (ML) menawarkan pendekatan baru dalam prediksi outcome klinis, namun sebagian besar model masih memiliki keterbatasan metodologis dan kurangnya validasi eksternal. Method. Penelitian ini merupakan systematic review yang bertujuan mengidentifikasi dan mengevaluasi model machine learning untuk memprediksi live birth pada pasien PCOS yang menjalani IVF/ICSI. Pencarian literatur dilakukan pada PubMed, ScienceDirect, dan OpenAlex sesuai pedoman PRISMA 2020. Result. Dari 115 studi yang diidentifikasi, tiga studi memenuhi kriteria inklusi. Model machine learning yang dilaporkan meliputi XGBoost, Random Forest, dan model berbasis regresi logistik. XGBoost menunjukkan performa terbaik dengan AUC 0,822, Random Forest dengan AUC 0,60, dan model regresi logistik sekitar AUC 0,80. Faktor prediktor yang konsisten meliputi usia, BMI, durasi infertilitas, kualitas embrio, dan parameter hormonal. Namun, seluruh studi masih terbatas pada validasi internal tanpa validasi eksternal yang memadai. Conclusion. Model machine learning menunjukkan potensi dalam memprediksi live birth pada pasien PCOS yang menjalani IVF/ICSI, namun belum terdapat model yang benar-benar superior dan tervalidasi secara luas. Diperlukan pengembangan model dengan validasi eksternal multi-center serta evaluasi risiko bias yang lebih ketat sebelum implementasi klinis.
TREATMENT OUTCOMES OF PELVIC ORGAN PROLAPSE IN WOMEN WITH FRAILTY AND COGNITIVE IMPAIRMENT: A SYSTEMATIC REVIEW Cora Angela; Corey Angela Kartarino
Journal of Public Health Science Vol. 3 No. 2 (2026): Juni
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v3i2.3976

Abstract

Introduction. Pelvic organ prolapse (POP) merupakan kondisi yang sering ditemukan pada wanita usia lanjut dan dapat memerlukan terapi konservatif maupun pembedahan. Frailty dan gangguan kognitif termasuk faktor penting yang dapat memengaruhi hasil terapi pada populasi geriatri. Namun, bukti mengenai pengaruh kedua kondisi tersebut terhadap luaran terapi pada pasien POP masih terbatas. Tinjauan sistematis ini bertujuan untuk mengevaluasi luaran terapi pelvic organ prolapse pada wanita dengan gangguan kognitif dan/atau frailty. Method. Pencarian literatur dilakukan secara sistematis pada basis data PubMed, OpenAlex, dan ScienceDirect untuk artikel yang dipublikasikan dalam 10 tahun terakhir. Studi yang memenuhi kriteria inklusi adalah wanita dewasa dengan diagnosis POP yang memiliki gangguan kognitif dan/atau frailty serta menjalani terapi konservatif maupun pembedahan. Hasil yang dievaluasi meliputi keberhasilan atau kegagalan terapi, rekurensi POP, komplikasi, reoperasi, rawat inap ulang, mortalitas, dan kualitas hidup. Seleksi studi dilakukan berdasarkan kriteria inklusi dan eksklusi yang telah ditetapkan. Result. Dari 163 studi yang diperolah, dijumpai sebanyak dua studi yang memenuhi kriteria inklusi penelitian. Frailty secara konsisten berhubungan dengan hasil terapi yang lebih buruk. Pada studi kohort prospektif, pasien frail memiliki risiko kegagalan terapi dua kali lebih tinggi dibandingkan pasien non-frail (adjusted hazard ratio [aHR] 2,06), meskipun seluruh kelompok menunjukkan perbaikan kualitas hidup yang berkelanjutan selama masa tindak lanjut. Pada studi kohort retrospektif berskala besar, peningkatan tingkat frailty berhubungan dengan meningkatnya komplikasi pascaoperasi, termasuk infeksi saluran kemih dan komplikasi kardiovaskular, serta lama rawat inap yang lebih panjang. Kedua studi menunjukkan bahwa frailty merupakan prediktor luaran yang lebih kuat dibandingkan usia kronologis. Conclusion. Bukti menunjukkan bahwa frailty merupakan faktor penting yang memengaruhi hasil terapi pada wanita dengan POP. Integrasi penilaian frailty dalam evaluasi klinis dapat membantu stratifikasi risiko dan pengambilan keputusan terapeutik. Namun, jumlah penelitian yang tersedia masih terbatas sehingga diperlukan studi lebih lanjut untuk mengevaluasi peran frailty dan gangguan kognitif terhadap luaran terapi pada pasien POP.
THE EFFECT OF RELAXATION MUSIC ON PAIN LEVELS IN THE FIRST STAGE OF ACTIVE LABOR AT THE KARTIKA HUSADA CLINIC Diyah Sulistyawati; Rosyidah Alfitri
Journal of Public Health Science Vol. 3 No. 2 (2026): Juni
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v3i2.3986

Abstract

Labor pain in the active phase of the first stage of labor is a physiological condition caused by uterine contractions and cervical dilation, which may lead to discomfort and increased maternal anxiety. One non-pharmacological intervention that can be used to reduce labor pain is relaxation music therapy using the sound of trickling water, which has a calming effect. This study aimed to determine the effect of trickling water music therapy on reducing pain levels during the active phase of the first stage of labor. This study employed a quantitative method with a quasi-experimental design using a Posttest-Only Control Group Design approach. The sample consisted of 30 mothers in the active phase of the first stage of labor, divided into an intervention group (n = 15) and a control group (n = 15), selected through purposive sampling. Pain intensity was measured once after the intervention using the Numeric Rating Scale (NRS). The intervention group received trickling water music therapy, while the control group received standard care. The results showed that pain levels in the intervention group were lower than those in the control group. Statistical analysis using the Mann-Whitney U Test revealed a significant difference between the two groups (U = 6.000; Z = -4.491; p < 0.001). The intervention group had a lower mean rank (8.40) compared to the control group (22.60), indicating lower pain intensity following the intervention. The study concludes that trickling water music therapy is effective in reducing labor pain during the active phase of the first stage of labor.
INFLUENCE MASSAGE BABY TO FREQUENCY SPITTING UP IN BABIES 1-3 MONTHS OLD AT GRIYA HEALTHY MIDWIFE MOTHER KEPANJEN Dinne Anggarawati; Sulistiyah
Journal of Public Health Science Vol. 3 No. 2 (2026): Juni
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v3i2.3998

Abstract

Spitting up is frequent conditions​ occurs in babies age 1–3 months consequence Not yet ripe system digestion , especially sphincter esophagus part below . Frequency high spit up can cause discomfort in babies as well as anxiety in parents . One of the intervention non-pharmacological which can done For help lower frequency spit up is massage baby . Research This aim For know effectiveness massage baby to decline frequency spit up in babies 1–3 months old at Griya Healthy Midwife Mother Kepanjen . Research This use method quantitative with quasi-experimental design through pretest-posttest control group design approach . Sample study totaling 30 babies aged 1–3 months who experience spit up and share become group interventions and groups control of 15 respondents each . The sampling technique sample using purposive sampling. Group intervention given massage baby twice a week for 30 days , while group control only get maintenance routine without massage baby . Data collection was carried out use sheet observation frequency spit up before and after intervention . Data analysis using the Mann Whitney U Test with level significance α = 0.05. Research results show that before given intervention all over baby on both group experience spit up category heavy . After being given massage baby , happened decline frequency spit up in groups intervention become category mild and moderate , while in the group control part big baby still is in the category weight . Analysis results statistics show there is significant difference​ between group interventions and groups control after treatment given (p-value <0.05). Can concluded that massage baby effective as intervention non-pharmacological in lower frequency spit up in babies age 1–3 months .
THE INFLUENCE OF FAMILY SUPPORT ON THE PREVENTION OF EARLY MARRIAGE IN DONOMULYO DISTRICT, MALANG REGENCY Ayu Sherlita Sari; Sulistiyah
Journal of Public Health Science Vol. 3 No. 2 (2026): Juni
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v3i2.3999

Abstract

Early marriage, which occurs during adolescence before reaching the recommended age for marriage, remains a significant social issue in Indonesia because of its adverse effects on adolescents' health, education, and social well-being. Family support is considered one of the key factors influencing efforts to prevent early marriage. This study aimed to examine the effect of family support on the prevention of early marriage among adolescents in Donomulyo District, Malang Regency. A quantitative correlational study with a cross-sectional design was conducted involving 35 adolescents selected through total sampling. Data were collected using validated family support and early marriage prevention questionnaires and analyzed using simple linear regression with IBM SPSS Statistics. The findings indicated that both family support and early marriage prevention were predominantly at a moderate level. Regression analysis demonstrated a very strong positive relationship between family support and early marriage prevention (R = 0.995), with family support explaining 98.9% of the variance in early marriage prevention (R² = 0.989). The regression model was statistically significant (F = 2998.831, p < 0.001), and family support had a significant positive effect on early marriage prevention (β = 0.995; B = 0.991; t = 54.762; p < 0.001). These findings indicate that stronger family support is associated with greater adolescent readiness to delay marriage through improved awareness of education, reproductive health, and psychosocial maturity. Therefore, family-centered interventions that strengthen parental communication, emotional support, and reproductive health education should be prioritized as practical strategies to reduce the risk of early marriage among adolescents.
PENGARUH KOMBINASI EFFLEURAGE MASSAGE DAN TEKNIK LAMAZE TERHADAP PENURUNAN SKALA NYERI KALA 1 FASE AKTIF Febtaningtyas Dwi Anggraeni; Rosyidah Alfitri
Journal of Public Health Science Vol. 3 No. 2 (2026): Juni
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v3i2.4000

Abstract

Nyeri persalinan pada ibu bersalin kala I fase aktif merupakan kondisi fisiologis yang terjadi akibat kontraksi uterus dan proses dilatasi serviks yang dapat menimbulkan rasa tidak nyaman serta meningkatkan kecemasan pada ibu. Nyeri yang tidak ditangani dengan baik dapat berdampak pada peningkatan stres, kelelahan, serta mengganggu kelancaran proses persalinan. Salah satu upaya non-farmakologis yang dapat dilakukan adalah kombinasi Effleurage Massage dan Teknik Lamaze yang bertujuan untuk mengurangi persepsi nyeri melalui mekanisme relaksasi, stimulasi sentuhan, serta pengaturan pernapasan. Penelitian ini bertujuan untuk mengetahui pengaruh kombinasi Effleurage Massage dan Teknik Lamaze terhadap penurunan skala nyeri pada ibu bersalin kala I fase aktif. Penelitian ini menggunakan metode kuantitatif dengan desain quasi-experimental melalui pendekatan Posttest-Only Control Group Design. Sampel penelitian berjumlah 30 responden yang dibagi menjadi dua kelompok, yaitu kelompok intervensi dan kelompok kontrol, masing-masing terdiri dari 15 responden yang dipilih menggunakan teknik purposive sampling berdasarkan kriteria inklusi dan eksklusi. Pengukuran skala nyeri dilakukan satu kali pada kedua kelompok setelah pemberian intervensi menggunakan instrumen Numeric Rating Scale (NRS). Hasil penelitian menunjukkan bahwa tingkat nyeri pada kelompok intervensi lebih rendah dibandingkan dengan kelompok kontrol. Hasil analisis statistik menggunakan uji Mann-Whitney U Test menunjukkan adanya perbedaan yang bermakna antara kedua kelompok. Hal ini menunjukkan bahwa kombinasi Effleurage Massage dan Teknik Lamaze efektif dalam menurunkan skala nyeri persalinan kala I fase aktif.  

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