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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 84 Documents
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The Effectiveness of Pregnancy Exercise and Birthing Ball Use on Labor Progress among Pregnant Women Rahmadani, Gita; Rahayu, Tutik; Distinarista, Hernandia
Health Gate Vol 4, No 2 (2026): April, 2026
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4214

Abstract

Physical unpreparedness, manifestations of anxiety, and pain intensity often hinder labor progress, which in turn escalates the risk of invasive medical interventions. Non-pharmacological approaches, particularly through prenatal exercise activities and the use of birthing balls, are considered to have a positive contribution in optimizing labor mechanisms. This study aims to investigate the efficacy of prenatal exercise and birthing ball education on parameters of smooth labor processes in mothers. The methodology applied was a quasi-experimental design with a pretest-posttest control group design approach. A total of 62 respondents were involved as samples distributed into the experimental group and the control group. The intervention group received treatment in the form of prenatal exercise and education on the use of birthing balls, while the control group only received standard midwifery care. Data were collected through observations using standardized instruments, which were then analyzed using the Mann-Whitney U statistical test. The analysis results showed a significant difference in the level of smooth labor between the intervention and control groups. Pregnant women who received prenatal exercise and birthing ball education tended to have smoother labors compared to those who did not receive these interventions. It can be concluded that the integration of prenatal exercise and birthing ball education has been proven effective in improving the smoothness of labor. This intervention can be implemented as a safe and beneficial non-pharmacological alternative within maternity nursing care. It is hoped that healthcare practitioners can integrate this program into antenatal care to optimize maternal preparedness for labor.
Effective Coughing Exercises and Aromatherapy Can Clean The Air Tracts in Pulmonary TB Patients : a Case Study Mardana, Amanda Hafidz
Health Gate Vol 4, No 2 (2026): April, 2026
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4205

Abstract

Pulmonary tuberculosis (pulmonary TB) is an infectious disease caused by Mycobacterium Tuberculosis. Pulmonary TB can also cause secretion retention due to increased mucus production by epithelial cells of the lungs. Pulmonary TB This study aims to determine the effectiveness of effective coughing ability in pulmonary TB patients. The case study design in 4 patients used a multiple case study, namely studying in depth several patients with the same case, the case study was carried out by identifying patients, conducting patient assessments, conducting planning, determining diagnoses, and providing implementation and evaluation. After 3 days of intervention, there was a decrease in sputum production in the four patients, indicating that the intervention given was effective in helping clear the patient's airway. 
Health Education on The Benefits of Rosella Flower Tea Improves Knowledge, Behavior and Blood Pressure. A.P, Alvinna Suci
Health Gate Vol 4, No 2 (2026): April, 2026
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4210

Abstract

Hypertension is a non-communicable disease whose prevalence continues to increase and is often not recognized by sufferers, thus causing the risk of serious complications. This research method uses a descriptive exploratory approach by comparing the knowledge, behavior and blood pressure of Tera exercise participants before and after being educated about the benefits and how to make rosella flower tea (Hibiscus sabdariffa). Respondents in this study were 25 Tera exercise participants, selected by accidental sampling. The results of the activity showed an increase in knowledge in the good category from 20.0% to 52.0%, an increase in behavior in the good category from 8.0% to 80.0%, and an increase in blood pressure in the normal category from 8.0% to 36.0%. The conclusion of this activity shows that respondents' knowledge about complementary therapy of rosella flower tea to improve knowledge, behavior, and help control blood pressure in the group that regularly performs Tera Gymnastics
The Relationship Between Workload and Fatigue Level with Nurse Performance in Inpatient Ward Nurdianto, Tri; Abdurrouf, Muhammad; Sari, Dyah Wiji Puspita
Health Gate Vol 4, No 2 (2026): April, 2026
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4201

Abstract

Nurse performance play role important in ensure quality service health and safety patients at home sick. Demands high jobs in the ward care stay often cause burden hard work and fatigue related work, which can impact negative on performance nurse. Condition this need investigated for ensure service maintenance optimal nursing care. Research this aim for know level burden work, level fatigue related work and performance nurses, and analyze connection between burden work and fatigue related work with performance nurse in the ward care stay House Sari Asih Hospital Karawaci, Tangerang City. Research this use design observational analytic with cross-sectional approach. Population consists of from all over nurses working in the ward care stay House Sari Asih Hospital Karawaci, using technique taking total sample. Data collected use questionnaire burden work , fatigue and performance. Data analysis was Chi-Square test. Research results show that 50.6% of nurses own burden work low and 49.4% have burden work high. Nurses who experience fatigue related work amounted to 52.9%, while 47.1% did not experience fatigue. Nurse performance categorized good in 51.8% of respondents and bad in 48.2%. The Chi-Square test shows significant relationship between burden work and performance nurses (p = 0.003) and between fatigue related work and performance nurses (p = 0.021). Workload and fatigue related work relate with performance nurse in the inpatient ward of “Sari Asih” Hospital Karawaci City. Managing burden work and prevent fatigue related work required for increase performance nurse. Keywords : burden work; fatigue related work; performance nurse 
Health Education Can Improve The Knowledge of Parents About Children's Dental Care. Rohmatulloh, Alfiani
Health Gate Vol 4, No 2 (2026): April, 2026
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4215

Abstract

Many cases of tooth decay today are caused by a lack of parental knowledge about proper food selection and dental care for their children, especially children aged 4-6 years. This research method uses a descriptive exploratory approach by comparing mothers' knowledge about children's dental care. guardian of "Darma Wanita" Kindergarten 02, Genengan Village. Respondents in this study were 25 parents of students, selected by accidental sampling method. Researchers evaluated respondents' knowledge about children's dental care, with a questionnaire instrument. The results showed a significant increase in parental knowledge from 60% (poor category) to 92% (good category) after the intervention. Supervision in brushing teeth and regular dental check-ups are very important for children.
Global Research Trends in Complementary and Alternative Therapies for Primary Dysmenorrhea Among Adolescent Girls: A Bibliometric Analysis Indriani, Ririn; Widuri, Salma Santi
Health Gate Vol 4, No 2 (2026): April, 2026
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4206

Abstract

Primary dysmenorrhea is highly prevalent among adolescent girls and often leads to significant functional impairment. Growing interest in complementary and alternative therapies (CAM) reflects a shift toward safer, accessible non-pharmacological options. However, research in this field remains fragmented, and no bibliometric analysis has mapped its global structure. This study aimed to analyze global research trends, scholarly productivity, collaborative networks, and emerging thematic structures related to complementary and alternative therapies for primary dysmenorrhea among adolescent girls. A bibliometric analysis was conducted using PubMed-indexed publications from 2019–2024. Eligible English-language articles were analyzed using Biblioshiny (R Studio) to assess publication trends, key contributors, collaboration networks, and thematic evolution. A total of 293 documents from 171 journals were included, showing an annual growth rate of 9.86%. Research involved 2003 authors, with high collaboration rates and strong contributions from China, the United States, and the Netherlands. Thematic mapping identified movement-based therapeutic approaches particularly walking and functional recovery as dominant motor themes, reflecting emerging interest in physiological and rehabilitative dimensions of dysmenorrhea management. Research on CAM for primary dysmenorrhea among adolescents has expanded rapidly, with increasing global collaboration and evolving thematic complexity. Movement-based interventions and functional recovery frameworks represent key future directions, offering promising avenues for developing holistic and adolescent-centered menstrual pain management strategies.
Analysis of Dengue Fever Incident in Kendari Based on People, Place and Time Azim, La Ode Liaumin; Hartoyo, Agnes Mersatika; Saktiansyah, La Ode Ahmad
Health Gate Vol 4, No 2 (2026): April, 2026
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4211

Abstract

The number of dengue fever cases tends to increase every year, especially during the rainy season when the spread of this disease increases. This study was conducted to provide an overview of the endemicity and incidence of dengue fever based on human, place, and time variables in the working area of the Benu-Benua Community Health Center from April to June 2025. The study was conducted from May 20 to June 21, 2025. This study used a survey design with a descriptive observational approach. The approach used was exploratory descriptive, with the aim of systematically describing and explaining various facts and data from the investigation, so as to provide an accurate picture of the conditions in the field. The results of the study showed that the evaluation of the accuracy and completeness of surveillance at the Benu-Benua Community Health Center was accurate and complete. Dengue fever cases in weeks 14-24 appeared in weeks 15, 18, and 19 with a total of 1 case, while there were no dengue fever cases in the other weeks (0 cases). Dengue fever cases were found in the 10-14, 25-29, and 40-44 age groups, which had the same number of cases, namely 1 case. The male gender had the highest number of cases, while no DBD cases were found in females. The highest number of DBD cases was found in the Tipulu work area (2 cases), followed by Sodohoa (1 case), and no DBD cases were found in other work areas.
Empowering Elderly Exercise Groups in Gout Arthritis Management Through Education and Ergonomic Exercise Ulya, Himmatul; setiyorini, Erni; Arsa, Sandi Alfa Wiga; Rahmawati, Anita
Health Gate Vol 4, No 2 (2026): April, 2026
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4202

Abstract

Gout arthritis is one of the health problems commonly experienced by the elderly and can cause joint pain and limited activity if not managed properly. Lack of knowledge about gout arthritis management is a factor that can worsen the condition. Therefore, education about gout arthritis management and ergonomic exercise is needed as a non-pharmacological management effort that can be done independently. The purpose of this community service program was to increase the knowledge of the elderly exercise group in managing gout arthritis through health education and demonstrations of ergonomic exercises as a promotive and preventive measure. The method used was a lecture providing education on gout arthritis management and ergonomic exercises using leaflets and demonstrations of ergonomic exercises. The target of the activity was members of the elderly exercise group in Bacem Village, Ponggok District, Blitar Regency. The pre-test results showed that 70% of participants were in the adequate knowledge category, and 30% were in the good knowledge category. After the education was provided, the post-test results showed an increase in knowledge, with 85% in the good knowledge category and 15% in the adequate knowledge category. The results of the gout examination showed that 50% of participants had normal gout levels, 45% had high gout levels, and 5% had low gout levels. Education on gout arthritis management and ergonomic exercise proved to be effective in increasing the knowledge of the elderly and is recommended to be implemented continuously in promotive and preventive efforts in the community.
Education and Management of Dysmenorrhea in Adolescent Girls with Turmeric and Tamarind as Complementary Therapy Saputri, Anggraeni Ayu
Health Gate Vol 4, No 2 (2026): April, 2026
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4207

Abstract

Dysmenorrhea is a health problem frequently experienced by women and can disrupt daily activities, especially on the first to third day of menstruation. Limited knowledge and experience regarding menstruation prevent many women from recognizing the causes and how to properly manage menstrual pain. Therefore, education is needed regarding the treatment of dysmenorrhea, including the use of complementary therapies such as consuming turmeric and tamarind as alternatives to help reduce menstrual pain. This study used a descriptive exploratory approach. The sample size was 30 female students from Doko 3 Blitar Junior High School, taken by accidental sampling. The instrument used was a questionnaire to measure knowledge. The results showed that 20 (67%) respondents had sufficient knowledge, 6 (20%) respondents had good knowledge, and 4 (13%) had poor knowledge. After being provided with education, there was an increase in good knowledge in 27 respondents (90%) and sufficient knowledge in 3 respondents (10%). This educational activity successfully increased the understanding and readiness of young women in managing dysmenorrhea pain through the application of non-pharmacological therapies. 
Cognitive Behavioral Therapy for Mental Health and Stigma Among PLWH in Low and Middle-Income Countries: A Systematic Review Hasanudin, Hasanudin; Winarni, Sri; Lema, Elizabeth Risha Murlina; Tirmidzi, Achmad; Sunari, Sunari
Health Gate Vol 4, No 2 (2026): April, 2026
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4212

Abstract

burden of mental health disorders and HIV-related stigma, which critically hinders adherence to antiretroviral therapy (ART). Cognitive Behavioral Therapy (CBT) has emerged as a promising evidence-based psychological intervention. However, its effectiveness across diverse populations and delivery formats in LMICs has not been adequately synthesized. This systematic review aimed to evaluate the effectiveness of CBT on mental health and stigma reduction among PLWH in LMICs.  A systematic review was conducted in accordance with the PRISMA guidelines for RCT articles published in Scopus, Science Direct, and PubMed databases between January 1, 2021, to April 9, 2026. The keywords used were “Cognitive Behavioral Therapy” AND “Mental Health OR Stigma” AND “People Living with HIV” OR “Randomized Controlled Trial.” Risk of bias was assessed using the Cochrane Risk of Bias Tool version 2 (RoB 2). Seven RCTs involving 1.786 participants from six LMICs in Africa and one in South Asia were included. All studies consistently reported clinically significant reductions in depressive symptoms and internalized stigma following CBT interventions, regardless of group, individual, or self-administered delivery format, and regardless of whether the intervention was delivered by a mental health specialist or a trained non-specialist. The risk of bias assessment indicated that one study had a low risk of bias, and six studies had some concerns. CBT is an effective, flexible, and scalable intervention for improving mental health and reducing stigma among PLWH in LMICs. 

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