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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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Module to Support Self Care Behavior in Hypertension Patients in The Community: A Case Management Study Annisa Firsty Nuri Prillianti
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/hg4203

Abstract

Hypertension is a non-communicable disease that is a major risk factor for stroke, which remains a leading cause of morbidity and mortality. This study aims to determine the effectiveness of nursing care through the use of a stroke prevention module in strengthening self-care behaviors in hypertensive patients in the community. This case study was conducted in Tuliskriyo Village, Sanankulon District, Blitar Regency, involving four hypertensive patients. Data were collected through nursing assessment, physical examination, and vital sign measurement, followed by nursing interventions including pain management using Benson relaxation techniques and health education using a stroke prevention module based on self- care behavior this case management involved four hypertensive patients and describes observed clinical and behavioral changes after nursing interventions. The results showed that all patients experienced acute pain and knowledge deficits at baseline. After three days of intervention, there was a reduction in headache intensity, an improvement in vital signs, increased patient knowledge, and better adherence to antihypertensive medication and healthy lifestyle behaviors. The findings indicated that the application of a stroke prevention module effectively enhanced self-care behavior and supported improved clinical outcomes in hypertensive patients. This approach was used as an effective community-based nursing strategy to prevent stroke complications in patients with hypertension.
Community Transformation in Early Detection of Head and Neck Cancer in Bali Sagung Agung Putri Dwiastuti; IGAA Dharmawati
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/hg4208

Abstract

Cancer is the second leading cause of death worldwide and the leading cause of death in Indonesia. One type of cancer that causes a large number of deaths in Indonesia is head and neck cancer. In Indonesia, the prevalence of head and neck cancer is quite high, with an incidence of 4.7 per 100,000 population. The purpose of this study is to determine the community's knowledge, attitudes, and behaviors regarding head and neck cancer. A cross-sectional study was conducted in the working area of the Community Health Center in Bali, with a cadre population spread across eight villages. Samples were taken using the Slovin formula with a total of 70 respondents, using simple random sampling. The type of analysis used was Spearman's correlation test. The results obtained showed that the majority of respondents were female, 54.3%, with the highest level of education being a bachelor's degree, 51.4%. The highest level of knowledge was good, 48.6%, and the majority of respondents stated that knowledge about head and neck cancer was very important, 88.6%. Bivariate analysis using Spearman's correlation test to examine the relationship between the three components of knowledge, attitude, and behavior showed a significant relationship between behavior and knowledge (p<0.05). It can therefore be concluded that there is a significant relationship between knowledge and behavior and values (p<0.05). 
Family Support Education for Hypertension Patients: A Case Study of Blood Pressure Reduction Rossyana Septiasih; Swito Prastiwi; Eko Sari Wahyuni
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/hg4213

Abstract

Lack of family support in patients with hypertension is often influenced by family perceptions and limited knowledge regarding hypertension management. This condition may lead to inadequate attention to patients and poor adherence to treatment and preventive measures. In contrast, family attention, empathy, and involvement in patient care can positively influence patient behavior and improve psychological well-being. This study aimed to identify the level of family support among patients with hypertension before and after the implementation of family support education. This research employed a descriptive case study design involving two research subjects. Data were collected using a family support questionnaire covering emotional, informational, instrumental, and appraisal support. The findings showed that before the educational intervention, subject 1 had not met family support in all four aspects, with informational support being the lowest due to limited access to health information. Meanwhile, subject 2 showed the lowest score in instrumental support due to economic limitations. After the implementation of family support education, both subjects demonstrated improvements and fulfilled all four aspects of family support. It is recommended that families maintain these four aspects of support to enhance patient care, and future researchers are encouraged to conduct separate assessments between family members and patients to obtain more comprehensive results.
Diabetes Melitus Emergency Prevention Behavior: Hyperglycaemia With Health Belief Model Arina Ainul Fadlilah; Tri Cahyo Sepdianto; Dewi Rachmawati
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/hg4204

Abstract

Diabetes melitus emergencies are drastic changes in blood sugar levels that result in a decrease in consciousness if no prevention is taken. The Health Belief Model is a health behaviour theory to understand individual health behaviour including six basic components (Perceived Vulnerability, Perceived Severity, Perceived Benefits, Perceived Barriers, Cues to Action, self-efficacy. This study was conducted to determine the prevention behaviour of diabetes melitus emergencies: hyperglycemia with the Health Belief Model approach. This research uses descriptive method. The sample size was 30 DM patients who were taken with purposive sampling technique. Data collection using a questionnaire of preventive behaviour of diabetes melitus emergencies: belief-based hyperglycaemia as many as 19 questions. Data analysis technique using univariate analysis. A total of 46.7% of DM patients have a vulnerable risk of hyperglycaemia, 40% of DM patients have a severe risk of hyperglycaemia, 50% of DM patients have a beneficial risk of hyperglycaemia, 36.7% of DM patients have a risk of obstacles, 50% of DM patients have a capable risk of hyperglycaemia, 50% of DM patients have a risk of hyperglycaemia encouragement all tend to prevent hyperglycaemia. Diabetes melitus emergency prevention behaviour: hyperglycaemia tends to prevent hyperglycaemia because they are aware of the importance of controlling blood sugar levels, afraid of the dangers of diabetes complications, feel the benefits of treatment and a healthy lifestyle, motivated to behave healthily, supported by counseling and family support, high motivation in preventing hyperglycaemia.
Indicator of “Temukan” Model For Stop HIV Program in Blitar City Wiwin Martiningsih; Sri Winarni; Suprajitno Suprajitno; Engelina Choiru Fitroti
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

Abstract

Achieving the "Three Zeros" target (zero new infections, zero related deaths, and zero discrimination) for the HIV/AIDS program in Blitar City remains a challenge. Specifically, the target of 95% of People Living with HIV/AIDS (PLWHA) knowing their status has not yet been achieved. This research aims to describe the indicators of the "Temukan” strategy as part of the STOP (Suluh-Temukan-Obati-Pertahankan / Educate-Seek-Treat-Retain) acceleration program. A qualitative design was employed, and data were collected through Focus Group Discussions (FGDs) and in-depth interviews with 12 informants, including PLWHA, community cadres, health workers, and policymakers. Data were analyzed using OpenCode software, which identified five primary indicators categorized into: inputs for "Temukan" or seek activities in “STOP” strategy, processes (including workflow, cross-sectoral coordination, and implementation), and outputs (including increased coverage, improved quality of life for PLWHA, and program sustainability). These findings serve as an evaluation tool and a basis for policymaking in HIV/AIDS prevention.
Blood Pressure and Pulse Rate Changes in Chronic Kidney Disease Patients Before and After Hemodialysis: An Observational Study Berlian Yuli Saputri; Ketjuk Herminaju; Manggar Purwacaraka; Yoga Resti Awalina; Hasanudin Hasanudin
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/hg4305

Abstract

Background: Chronic Kidney Disease (CKD) is a progressive decline in kidney function that leads to the accumulation of metabolic waste products and excess body fluids, causing most patients to require long-term hemodialysis therapy. Hemodialysis may trigger significant hemodynamic changes, including intradialytic hypertension and tachycardia, which can cause serious cardiovascular complications. Objective: This study aimed to analyze changes in blood pressure and pulse rate before and after hemodialysis in patients with CKD at Bhayangkara Tulungagung Hospital. Methods: This study used an observational design with a before-after approach involving 30 respondents selected using a purposive sampling technique. Data were collected using structured observation sheets 15 minutes before and after each hemodialysis session. Data analysis was performed using the Wilcoxon signed-rank test with a significance level of α = 0.05. Results: Before hemodialysis, most respondents were categorized as prehypertensive (50%) with normal pulse rates (76.7%). After hemodialysis, the proportion of hypertension increased from 16.7% to 63.3%, and tachycardia increased from 16.7% to 63.3%. The Wilcoxon signed-rank test showed statistically significant changes in blood pressure and pulse rate before and after hemodialysis (p < 0.001). Conclusion: Hemodialysis was associated with significant hemodynamic changes in patients with CKD, characterized by increased proportions of hypertension and tachycardia. These findings emphasize the importance of systematic hemodynamic monitoring protocols by nurses during hemodialysis sessions to enable the early detection of cardiovascular complications and improve patient safety. Future researchers are encouraged to analyze the factors contributing to hemodynamic changes in patients with CKD
Correlation Between Duration of Diabetes Mellitus and Visual Acuity Among Patients with Diabetes Mellitus Eny Masruroh; Niken Mei Risky
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/hg4301

Abstract

Background: Diabetes mellitus is a chronic metabolic disorder that can lead to various complications, including diabetic retinopathy, which may result in decreased visual acuity. The duration of diabetes is considered an important factor influencing the development of such complications. Objective: This study aims to analyze the correlation between duration of diabetes mellitus and visual acuity among patients with diabetes mellitus. Methods: his study employed a correlational analytic design with a cross-sectional approach. The study was conducted from February to March 2024 in Ngunut Village, Tulungagung Regency. A total of 30 respondents were selected using purposive sampling. The independent variable was the duration of diabetes mellitus, while the dependent variable was visual acuity measured using a Snellen chart. Data were analyzed using the Chi-square test with a significance level of 0.05. Results: The majority of respondents had diabetes mellitus for more than 5 years (56.7%, n=17), and most experienced decreased visual acuity (60%, n=18). The Chi-square test showed a p-value of 0.001 (p < 0.05), indicating a significant association between the duration of diabetes mellitus and visual acuity. Conclusion: here is a significant correlation between the duration of diabetes mellitus and visual acuity. Patients with longer disease duration are more likely to experience visual impairment. Early detection and proper management are essential to prevent complications.
Combined Expressive Writing and Progressive Muscle Relaxation to Reducing Anxiety and Stress Among Adolescent: a Case Study Azzah Jihan Fa&#039;izah; Muhammad Muslih
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/hg4306

Abstract

Background: Adolescent mental health issues have become a global concern due to their impact on emotional regulation, academic achievement, and social functioning. Therefore, non-pharmacological interventions are a potential solution to address these issues. Objective: This study evaluated the effects of muscle therapy in reducing symptoms of anxiety and stress in adolescents. Methods: This single-case study was conducted over a one-month period. One female was purposively selected based on her Depression Anxiety Stress Scale-21 (DASS-21) results, which indicated very severe anxiety and moderate stress. The intervention consisted of eight sessions combining progressive muscle relaxation and expressive writing activities conducted in the participant's home. Data were collected through observation, therapeutic evaluation, and pre-post DASS-21 assessments. Results: The intervention resulted in substantial improvements in the participants' psychological well-being. Anxiety scores decreased from 22 (very severe) to 10 (moderate), while stress scores decreased from 20 (moderate) to 10 (normal). Depression scores remained within the normal range before and after the intervention. Participants also reported feeling emotional relief and more comfortable expressing their feelings during the therapy process. Conclusion: This intervention can be implemented as an alternative holistic strategy in public health and mental health nursing practice.
Emergency Nursing Care for Patients with a Medical Diagnosis of Closed Fracture : Case Study Rafi Uma Adjiputra Wiryadi; Yeni Kartika Sari; RR Dewi Rahmawaty AP; Erni Setiyorini
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/hg4302

Abstract

Background: a fracture is a break in the movable bone network caused by a stronger external force. Several other factors can cause a fracture, including injury, mechanical stress, or bone abnormalities that weaken the bone. Immediate treatment for clients who experience broken bones is one of the problems frequently encountered in the emergency room. Objective: this final report aims to analyze the implementation of emergency care and to provide appropriate emergency care for clients with closed fractures in the Emergency Department of Aminah Blitar Hospital, including assessment, surgical diagnosis, intervention, and postoperative evaluation. Methods: the method used was a case study with a hemorrhage care approach. Data collection was through interviews, observation, physical examination, and documentation review during clinical practice in the Emergency Department of Aminah Blitar Hospital. The assessment results indicated that the patient experienced musculoskeletal system disorders with primary problems of acute pain, impaired physical mobility, and risk of infection. The hemorrhage interventions provided included pain management, physical mobility support, infection prevention, and collaboration with the medical team. Nursing care was implemented in accordance with emergency priorities, resulting in an improvement in the patient's condition. Results: evaluation of nursing outcomes indicated that the treatment objectives were largely achieved. Conclusion: this report concludes that appropriate implementation of emergency nursing care for patients with near-fracture fractures can improve comfort and mobility and prevent further complications.
Sociodemographic, Household, and Environmental Determinants of Recent Diarrhea Among Under-Five Children in Indonesia: Evidence from the 2017 IDHS Risiska Rahayu Safitri; Musthika Wida Mashitah; Yuni Asri
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/hg4307

Abstract

Background: Diarrhea remains a health problem in Indonesia. Despite various prevention programs, the prevalence of diarrhea in children in Indonesia remains relatively high. Objective: This study aimed to analyze factors associated with recent diarrhea among children under five years of age in Indonesia. Methods: This study used a cross-sectional design based on secondary data from the 2017 Indonesian Demographic and Public Health Survey (PJS). A total of 13,756 weighted mother-child pairs were included in the analysis. Sampling weights were applied prior to statistical analysis to account for the complex survey design. Data were analyzed using the chi-square test and binary logistic regression analysis was performed to identify factors associated with recent diarrhea. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were reported. Results: The prevalence of recent diarrhea in children under five years of age was 14.9%. Maternal age, maternal education, husband/partner's education level, province, household wealth index, and child gender were significantly associated with diarrhea incidence. Children from poor households were more likely to experience diarrhea compared to children from wealthier households. Boys were more likely to experience diarrhea than girls (AOR=1.19; 95% CI=1.08–1.31). Regional differences were also observed, particularly among children living outside Java–Bali. Conclusion: Strengthening maternal education, improving household socioeconomic conditions, and reducing regional differences are crucial to support childhood diarrhea prevention programs in Indonesia.

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