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Health Gate
Published by Dewan Perwakilan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar
ISSN : -     EISSN : 29861098     DOI : 10.70111
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
"Health Gate" is a media for the publication of articles on research, case report, literature review, book review, perspective, scientific news and letter to editor in the areas of health science and practice such as nursing, midwifery, public health, medicine, dentistry, pharmaceutical, environmental health, nutrition, health technology, clinical laboratories, health education, health information system, health management, and health popular.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 101 Documents
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Nurse performing handover using the SBAR method at the Guido Valadares National Hospital, Timor-Leste Maria Fransiska Eflin; Eulalia Marcia de Lima Amaral
Health Gate Vol 4, No 3 (2026): July
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4303

Abstract

Background; nstructured handover is a major cause of clinical miscommunication and patient safety incidents in the emergency department. The SBAR (Situation, Background, Assessment, Recommendation) method is recommended as a standard for patient safety-based communication, but its implementation in hospitals in developing countries is still limited. Objective: To describe the improvement in nurses' performance in handovers using the SBAR method. Methods: This study used a descriptive design that describes changes in nurses' knowledge and skills after handovers using the SBAR method were implemented in the ward. A sample of 20 nurses was taken from the entire population of nurses in the Internal Medicine Unit at Guido Valadares National Hospital in Dili. Knowledge and skills data were collected before and after implementation using a questionnaire and checklist. Results: Average knowledge increased from 56.4 to 84.7 (+50.2%). The proportion of nurses performing structured handovers increased from 30% to 85%. The implementation of SBAR improved communication clarity, accelerated clinical decision-making, and improved continuity of care. Conclusion: The implementation of the SBAR method of handover can be continued to improve effective communication which will have an impact on improving the quality of nursing services.
Personal hygiene health education improves knowledge and behavior of scabies prevention in adolescents at the Blitar Juvenile Detention Center Jefry Arditya Arditya; Titik Juwariyah
Health Gate Vol 4, No 3 (2026): July
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4308

Abstract

Background: The prevalence of scabies in all community health centers in Indonesia is 5.6-12.9%, making it the third most common skin disease. Transmission is easier in crowded environments and with high social interaction, making Islamic boarding schools one of the vulnerable locations. Additional risk factors include the habit of sharing personal equipment, low awareness of hygiene, and limited sanitation facilities. Low awareness of hygiene is influenced by low knowledge of clean and healthy living behaviors. Objective: To identify improvements in knowledge and behavior in preventing scabies in adolescents. Method: This study uses a quasi-experimental pre-post test design without control, by taking the entire population as a sample. The respondents of this study were 172 adolescents living in the Blitar juvenile correctional institution dormitory. The instrument in this study was a questionnaire on knowledge and behavior in preventing scabies. Data were collected before and after Health Education using the lecture method. Results: Before health education, 124 respondents (72.5%) had poor knowledge, while 47 respondents (27.5%) had sufficient knowledge. After treatment, 157 respondents (91.8%) had good knowledge, while 14 respondents (8.2%) had sufficient knowledge and 154 respondents (90.1%). Before treatment, 7.0% of respondents had sufficient behavior and 2.9% had good behavior. After treatment, 88.9% of respondents had good behavior and 11.1% had sufficient behavior. Conclusion: Regular health education is important to provide to prevent scabies at the Blitar Children's Correctional Institution 
Community Training On Distraction And Relaxation Techniques To Improve Nurses’ Competence At Guido Valadares National Hospital, Timor Leste Norberto daCosta Abi; Antonia Soares; Rosa Paicheco; Adelina Ximenes Martin; Atik Setiawan W
Health Gate Vol 4, No 3 (2026): July
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4304

Abstract

Background: Nurses play an essential role in implementing non-pharmacological pain management; however, the application of distraction and relaxation techniques in clinical practice remains limited due to insufficient knowledge and practical skills. Continuous professional development through structured training is needed to enhance nurses' competence and promote evidence-based nursing practice. Objective: This community service activity aimed to improve nurses' competence in applying distraction and relaxation techniques through a structured training program at Guido Valadares National Hospital (HNGV), Timor-Leste. Methods: This community service program involved 30 nurses who voluntarily participated in educational activities consisting of lectures, interactive discussions, demonstrations, and supervised practical sessions. Program evaluation was conducted using pretest and posttest questionnaires assessing knowledge, attitudes, practical skills, and clinical application. Descriptive analysis was used to summarize participants' competency levels, while the Wilcoxon Signed-Rank Test was applied to support the evaluation of competency changes before and after the training. Results: Prior to the training, most participants demonstrated poor competency (60.0%), whereas after the program, the majority achieved good competency (73.3%). The mean competency score increased from 58.50 ± 11.06 before training to 84.03 ± 9.63 after training. Statistical analysis showed a significant improvement in participants' competency following the implementation of the program (Z = −4.783; p < 0.001). Conclusion: The community service training program successfully improved participants' competencies in implementing distraction and relaxation techniques as non-pharmacological pain management interventions. The program may serve as a sustainable strategy for strengthening evidence-based nursing practice and improving the quality of nursing services at Guido Valadares National Hospital.
Improving Gross Motor Skills in Infants Aged 6-12 Months Through Infant Massage Levi Tina Sari; Ita Noviasari; Ajeng Mahardika
Health Gate Vol 4, No 3 (2026): July
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4315

Abstract

Background: Baby massage is a non-pharmacological intervention that can help accelerate growth and development stimulation in infancy. Suboptimal gross motor development can increase the risk of developmental delays and motor coordination disorders in the future. Objective: This study aims to determine the effect of baby massage on improving gross motor development in babies aged 6–12 months at Ohana Baby Spa Ngunut Tulungagung . Methods: This study used a quantitative design with a pre-experimental one-group pretest-posttest design. The population in this study was all babies who visited Ohana Baby Spa, with a sample of 35 respondents taken using the purposive sampling technique. Gross motor development was measured using the Pre-Screening Development Questionnaire (KPSP) observation sheet before and after the infant massage intervention . Results: The results of the study showed that before the intervention, most respondents were in the doubtful category (score 7–8), namely 54.3%, while after being given the intervention for two weeks, the majority of respondents increased to the appropriate category (score 9–10), namely 62.9%. Data analysis using the Wilcoxon Signed Rank Test obtained a z value = -5.444 with a p value = 0.000 (p < 0.05) which indicates a significant effect of infant massage on gross motor development. Conclusion: Baby massage is effective in helping stimulate gross motor skills in babies aged 6–12 months. Therefore, baby massage can be recommended as part of routine stimulation care to support optimal growth and prevent developmental delays in babies.
Mindfulness Breathing Reduce Stress in Final Student Tasya Salsabila Shafaa&#039;; Retno Twistiandayani; Natalia Christin Tiara Revita
Health Gate Vol 4, No 3 (2026): July
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4311

Abstract

Background: Stress is a mental health problem often experienced by final year students due to academic demands, thesis completion, and future uncertainty. One non-pharmacological intervention that can be used to reduce stress is mindfulness breathing. Objective: The aim is to analyze the effect of mindfulness breathing on the stress levels of final year students at Semen Indonesia International University (UISI). Methods: The study used a quasi-experimental pretest-posttest design with a control group. The sample consisted of 86 students divided into an intervention group and a control group of 43 respondents each. Stress levels were measured using the Depression Anxiety Stress Scales (DASS-42) instrument. The intervention group was given mindfulness breathing exercises for 4 weeks with a duration of 10 minutes per day. Results: The results showed that before the intervention, most respondents experienced severe stress (99%). After the intervention, stress levels decreased to moderate (69%), mild (30%), and normal (1%) categories. The results of statistical tests showed a p value = 0.000 (p < 0.05). Conclusion: There is a significant effect of mindfulness breathing on reducing stress levels of final year students. This intervention can be an effective alternative in helping students manage academic stress. 
The Relationship Between Lifestyle and the Incidence of Hypertension Complications in the Elderly Daniel Biru; Roihatul Zahroh; Natalia Christin Tiara Revita
Health Gate Vol 4, No 3 (2026): July
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4316

Abstract

Background: Hypertension is a common health problem in the elderly. Symptoms of hypertension are only discovered after complications affect all organs of the body, known as multi-organ dysfunction, including the heart, kidneys, brain, and eyes. Lifestyle plays a significant role in the health of the elderly. An unhealthy lifestyle can increase the risk of hypertension in the elderly. Objective: The purpose of this study was to determine the relationship between lifestyle and the incidence of hypertension complications in the elderly at the Kebomas Gresik Community Health Center. Methods: This study used a cross-sectional design. The population was all elderly at the Kebomas Gresik Community Health Center, with a sample size of 75 respondents. Sampling was conducted using purposive random sampling. The research instrument was a questionnaire. Data analysis used univariate and bivariate analyses. Results: There is a relationship between lifestyle and the incidence of hypertension complications, with a strength of 0.660 within the range of 0.60–0.79. There is a strong relationship between the variables studied. Conclusion: Health education for people with hypertension is needed. 
Factors Associated with Iron Supplementation During Pregnancy Among Married Women in Indonesia Desy Imelda; Yuni Asri; Alfunnafi Fahrul Rizzal
Health Gate Vol 4, No 3 (2026): July
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4312

Abstract

Background: Iron supplementation during pregnancy is an essential intervention to prevent maternal anemia and adverse pregnancy outcomes. However, disparities in iron supplementation coverage among pregnant women remain a public health concern in Indonesia. Several factors, including sociodemographic characteristics, media exposure, women’s autonomy, and antenatal care (ANC) utilization, may influence iron supplementation during pregnancy. Objective: This study aimed to analyze factors associated with iron supplementation during pregnancy among married women in Indonesia. Methods: This study employed a cross-sectional design using secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS) women’s dataset (IDIR71FL). The study included married women aged 15–49 years with complete information related to iron supplementation during pregnancy. Weighted analysis was applied before statistical analysis to account for the complex sampling design. Data were analyzed using IBM SPSS Statistics version 25. Descriptive statistics were presented as frequencies and percentages, while bivariate analysis was conducted using the chi-square test with a significance level of p<0.05. Results: The study found that sociodemographic characteristics, media exposure, women’s involvement in healthcare decision-making, and ANC visits were significantly associated with iron supplementation during pregnancy (p<0.001). Women with secondary education, better media exposure, greater autonomy in healthcare decision-making, and more than four ANC visits had higher proportions of iron supplementation receipt during pregnancy. ANC utilization showed the strongest association with iron supplementation coverage. Conclusion: Iron supplementation during pregnancy among married women in Indonesia was significantly influenced by demographic, socioeconomic, media exposure, and maternal healthcare factors. Strengthening ANC services, expanding maternal health education through mass media, and promoting women’s empowerment are important strategies to improve iron supplementation coverage and reduce maternal anemia in Indonesia.Keywords: iron supplementation; antenatal care; maternal health; media exposure; women’s autonomy
Active Cycle Breathing Technique for Ineffective Airway Clearance in a COPD Patient:ACase Study Erik Kusuma
Health Gate Vol 4, No 3 (2026): July
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4313

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a chronic respiratory disease that commonly causes ineffective airway clearance due to excessive mucus production and sputum retention. Active Cycle Breathing Technique (ACBT) is a breathing exercise used to facilitate secretion mobilization and improve airway clearance. Objective: This study aimed to describe the implementation of ACBT in a patient with ineffective airway clearance associated with COPD. Methods: A descriptive case study design was used involving one COPD patient hospitalized in Melati Ward, Bangil Regional Hospital. The intervention consisted of breathing control, thoracic expansion exercises, and forced expiration techniques administered once daily for three consecutive days. Clinical indicators observed included respiratory rate, oxygen saturation, cough effectiveness, dyspnea, breath sounds, and sputum characteristics. Results: The results showed progressive improvement during the intervention period. Respiratory rate decreased from 25 to 20 breaths/minute, oxygen saturation increased from 98% to 99%, dyspnea resolved, cough effectiveness improved, and sputum became thinner and easier to expectorate. Conclusion: These findings indicate that Active Cycle Breathing Technique contributed to improved airway clearance and respiratory status. ACBT can be recommended as a complementary nursing intervention for patients with ineffective airway clearance due to COPD.
Determinants of Smoking Behavior Among Indonesian Men: Evidence from the 2017 Indonesian Demographic and Health Survey Habib Adwi Prasetyo; Yuni Asri; Riki Ristanto
Health Gate Vol 4, No 3 (2026): July
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4309

Abstract

Background: Smoking remains a major public health problem in Indonesia, particularly among males, and contributes substantially to morbidity and mortality. Sociodemographic inequality, socioeconomic status, and environmental factors may influence smoking behavior among Indonesian men; however, nationally representative evidence remains limited. Objective: This study aimed to analyze factors associated with smoking behavior among male respondents in Indonesia. Methods: This study employed a cross-sectional design using secondary data from the Indonesian Demographic and Health Survey (IDHS) 2017 male recode dataset (IDMR71FL). A total of 9,945 male respondents were included in the analysis. Sampling weights were applied to account for the complex survey design. The dependent variable was smoking behavior, while independent variables included age, education level, occupation, wealth index, residence, province, newspaper reading, television watching, radio listening, and internet use. Data were analyzed using IBM SPSS Statistics version 27.0.1. Descriptive statistics, chi-square tests, and multivariable logistic regression were performed with a significance level of p<0.05. Results: Education level, wealth index, residence, and province were significantly associated with smoking behavior. Respondents with junior high school education were more likely to smoke (AOR=1.57; 95% CI: 1.13–2.19), whereas respondents with academy or university education showed lower odds of smoking behavior (AOR=0.57; 95% CI: 0.39–0.82). High-income respondents had lower odds of smoking compared with low-income respondents (AOR=0.68; 95% CI: 0.61–0.77). Rural residence was associated with higher smoking behavior (AOR=1.16; 95% CI: 1.04–1.28). Conclusion: Smoking behavior among Indonesian males was significantly influenced by educational attainment, socioeconomic status, residence, and regional characteristics. Strengthening tobacco control interventions targeting vulnerable male populations is necessary to reduce smoking prevalence in Indonesia.  
Active Cycle Of Breathing Technique (ACBT) Improves Lung Function in Tuberculosis Patients Nasya Adistya Islami; Istiroha Istiroha; Mono Pratiko Gustomi
Health Gate Vol 4, No 3 (2026): July
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4314

Abstract

Background: pulmonary tuberculosis causes permanent structural damage to lung tissue through chronic inflammation and fibrosis, which leads to decreased lung elasticity, airway narrowing, and impaired gas exchange, which are the basis for the decline in lung function. One of the promising rehabilitation techniques is the Active Cycle of Breathing Technique. Objective: this study aims to determine and analyze the effect of administering the Active Cycle of Breathing Technique on the lung function of pulmonary tuberculosis patients. Methods: quantitative research using a Quasi-Experimental research design with a pre-test-post-test control group design, the sampling technique in this study used purposive sampling in 60 people. The instruments using observation sheets of lung function measurement results. Data analysis used the Wilcoxon signed rank test. Results: the study showed that there was an effect of administering the Active Cycle of Breathing Technique on pulmonary function of tuberculosis. The results of the Wilcoxon signed rank test statistical test showed an effect of the ρ value in the treatment group of 0.000 (α <0.05).  Conclusion: these findings suggest that administering Active Cycle of Breathing can improve lung function in tuberculosis patients. This study emphasizes that pharmacological therapy alone without additional respiratory rehabilitation interventions is insufficient to optimize lung function improvement.

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