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Jurnal Praba: Jurnal Rumpun Kesehatan Umum
Published by Sekolah Tinggi Ilmu Kesehatan Columbia Asia Medan
ISSN : 30308828     EISSN : 30308283     DOI : 10.62027
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Bidang kajian dalam jurnal ini termasuk riset Rumpun Kesehatan Umum. Jurnal Praba : Jurnal Rumpun Kesehatan Umum menerima artikel dalam bahasa Inggris dan bahasa Indonesia
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 213 Documents
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The Effect of Effleurage Massage on Reducing Back Pain in Third-Trimester Pregnant Women at TPMB Lina Contesa Bella Riska Ayu; Junie Harista; Erina Chintya Angraini
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 4 (2025): Desember : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i4.593

Abstract

Lower back pain is one of the most common discomforts experienced by third-trimester pregnant women due to increased uterine size, postural changes, and musculoskeletal strain. Complementary therapies such as effleurage massage offer a non-pharmacological, safe, and easily applicable technique to reduce pregnancy-related pain. This study aimed to examine the effect of effleurage massage on reducing lower back pain among third-trimester pregnant women at TPMB Lina Contesa. This research employed a quasi-experimental one-group pretest–posttest design. The study was conducted from October to November 2025 involving 32 third-trimester pregnant women selected through purposive sampling. Pain intensity was measured before and after the intervention using the Visual Analog Scale (VAS). Effleurage massage was administered for 15–20 minutes on the lower back region following standard midwifery procedures. Data were analyzed using the Wilcoxon test. The findings showed a significant reduction in lower back pain intensity after the intervention (p < 0.001). The proportion of respondents in the moderate-pain category decreased from 65.6% to 21.9%, while those in the mild-pain category increased from 34.4% to 78.1%. The mean VAS score dropped from 5.81 ± 1.12 before intervention to 2.47 ± 1.03 after effleurage massage. Effleurage massage is effective in reducing lower back pain among third-trimester pregnant women and can be recommended as a complementary therapy in midwifery care to improve maternal comfort.
Hubungan Pola Makan Dan Aktivitas Fisik Dengan Kejadian Obesitas Pada Remaja Di SMA Negeri 1 Kontunaga La Ode Liaumin Azim
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 4 (2025): Desember : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i4.595

Abstract

Obesity among adolescents is a growing health problem in Indonesia, especially among adolescents aged 6-12 years, which was 19.7% in 2023. Unhealthy eating patterns and lack of physical activity are the main factors that can influence the incidence of obesity. This study aims to analyze the relationship between eating patterns, physical activity, and the incidence of obesity among adolescents at SMA Negeri 1 Abuki. This study used a quantitative method with a cross-sectional approach. The population in this study consisted of 82 adolescent students. The sample used in this study consisted of 41 people selected using simple random sampling. The data were obtained from direct interviews in the field using questionnaires and measurements, and the measurement results were processed using SPSS 25 For Windows. The data were then analyzed using univariate and bivariate analyses using the Chi-Square statistical test. Based on the results of the chi-square statistical test on the eating pattern variable, a p-value of 0.000 was obtained, which is less than 0.05 (0.000 < 0.05). Meanwhile, the results of the chi-square statistical test on the physical activity variable obtained a p-value of 0.000, which is less than 0.05 (0.000 < 0.05). Unhealthy eating patterns and lack of physical activity are the main risk factors for obesity among adolescents at SMA Negeri 1 Abuki. This study suggests the need for intervention in the form of health education to improve
Hubungan Pengetahuan Dan Dukungan Keluarga Terhadap Kunjungan Balita Ke Posyandu Di Desa Lahunggumbi Kecamatan Pondidaha La Ode Liaumin Azim
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 4 (2025): Desember : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i4.597

Abstract

Posyandu is one of the health facilities that plays an important role in monitoring the growth and development of toddlers, especially in rural areas. The number of infant visits to posyandu in Konawe District is still very low. In 2024, 25.6% of posyandu were classified as primary, 27.1% as intermediate, 43.9% as advanced, and 3.3% as independent. Visits by toddlers to Posyandu are influenced by various factors, including parental knowledge and family support. This study aims to determine the extent to which parental knowledge and family support influence the frequency of visits by toddlers to Posyandu in Lahunggumbi Village in 2025. This study uses an observational design with a cross-sectional approach. The research sample consisted of 35 parents of toddlers who were randomly selected from Lahunggumbi Village. Data collection was conducted through interviews using a questionnaire that had been tested for validity and reliability. The data obtained were analyzed using the chi-square statistical test to examine the relationship between parental knowledge and family support on infant visits to the Posyandu. The results showed that there was a significant relationship between parental knowledge (p = 0.015) and family support (p = 0.009) and the frequency of infant visits to the Posyandu. Parental knowledge and family support have a significant influence on infant visits to the Posyandu in Lahunggumbi Village. Therefore, inter
Analisis Faktor Yang Berhubungan Dengan Peningkatan Insiden Persalinan Sectio Caesarea Yunita Anggriani; Ria Putriana M.Pasau; Frety Carolis
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 4 (2025): Desember : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i4.598

Abstract

The global and national rates of cesarean section (CS) deliveries continue to show an increasing trend, including in Lampung Province. This study aims to analyze the factors associated with the increased incidence of CS deliveries at Griya Medika Dompet Dhuafa Hospital. An analytical quantitative design with a cross-sectional approach. The study population consisted of all mothers who gave birth during the period of January–June 2025. The sample was determined using the Slovin formula, yielding 240 medical records selected through simple random sampling. The independent variables included maternal age, educational background, obstetric history, and medical indications, while the dependent variable was CS delivery. The study was conducted from July to August 2025. Data were analyzed using univariate and bivariate methods with the Chi-Square test. The results showed that most respondents underwent CS delivery (95%). Maternal characteristics included non-risk age (73.8%), secondary education (38.3%), multiparity (54.2%), and the most common medical indication was fetal indication (55.4%). Bivariate analysis indicated no significant relationship between maternal age (p=0.519), educational background (p=0.509), and obstetric history (p=0.694) with CS delivery. Conversely, there was a significant association between medical indications and CS delivery (p=0.041). It was concluded that the increasing rate of CS deliveries is predominantly influenced by medical indications, particularly fetal indications. Therefore, it is recommended that health workers enhance early detection of pregnancy and childbirth risks and strengthen educational efforts for pregnant women as preventive measures to reduce the incidence of CS
Hubungan Tingkat Pengetahuan Dan Sikap Terhadap Tindakan Pencegahan Penyakit Menular Seksual Di Wilayah Kerja Puskesmas Puuwatu Akifah
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 4 (2025): Desember : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i4.599

Abstract

Sexually transmitted diseases remain a problem at the Puuwatu Community Health Center, where five cases of gonorrhea and one case of syphilis were found in 2024. Individual knowledge and attitudes toward the prevention of sexually transmitted diseases (STDs) play an important role in efforts to reduce the prevalence of these diseases. This study aims to determine the relationship between the level of knowledge and attitudes toward STD prevention measures in the Puuwatu Community Health Center working area. The research design used was an analytical survey with a cross-sectional approach. The research sample consisted of 91 respondents who were randomly selected from the community visiting the Puuwatu Community Health Center. Data were collected using a questionnaire that measured the level of knowledge, attitudes, and preventive actions for STIs. Data analysis was performed using the chi-square test to identify the relationship between the variables of knowledge, attitudes, and preventive actions. The results showed that there was a significant relationship between the level of knowledge (p=0.000) and attitude (p=0.002) towards PMS prevention measures. People with better knowledge about PMS tended to have a more positive attitude and took preventive measures more often. These findings suggest the need to improve health education programs that emphasize the importance of accurate knowledge and a positive attitude in PMS prevention in the region.
Analisis Kepuasan Pasien Terhadap Layanan Konsultasi Kesehatan Digital: Perspektif Generasi Milenial Di Kota Kendari Jumakil
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 4 (2025): Desember : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i4.600

Abstract

Background: The millennial generation, born between 1981 and 1996, is the demographic group most adaptable to digital technology. As digital natives, this generation tends to be more open and familiar with the use of technology in various daily life activities, including accessing health services. Method: This type of research is quantitative research, and is an explanatory research. Sampling uses accidental sampling techniques. The number of samples is 300 millennials. Result: a positive and significant influence of System Quality on satisfaction in digital health service consultations with an original sample value of 0.599 and a p-value of 0.000 <0.05. Information Quality on satisfaction in digital health service consultations with an original sample value of 0.226 and a p-value of 0.001 <0.05. and Service Quality on satisfaction in digital health service consultations with an original sample value of 0.160 and a p-value of 0.003 <0.05. Conclusion: Millennials' satisfaction with digital health services is determined by system quality, service quality, and information quality.
Peran Penghargaan Memediasi Pengaruh Umpan Balik Terhadap Perilaku Kerja Tenaga Kesehatan Di RSUD Konawe Provinsi Sulawesi Tenggara, Indonesia Rahman
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 4 (2025): Desember : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i4.601

Abstract

The work behavior of health workers is a key factor in determining the quality of service and patient safety in hospitals. In healthcare organizations with high work demands, feedback and rewards are important instruments of human resource management to form positive work behaviors. However, empirical evidence on the role of rewards as a mediating variable in the relationship between feedback and work behavior of health workers, particularly in Indonesian regional hospitals, is limited. This study aims to analyze the influence of feedback on work behavior through the role of reward mediation in health workers at Konawe Hospital, Southeast Sulawesi Province, Indonesia. This study used a quantitative approach with a cross-sectional design. Data was collected through a survey using a structured questionnaire based on the Likert scale of 170 health workers with ASN status at Konawe Hospital. The sampling technique used a combination of purposive and accidental sampling. Data analysis was carried out with Partial Least Squares–Structural Equation Modeling (PLS-SEM) using SmartPLS software version 4.0. The results showed that rewards had a positive and significant effect on work behavior (β = 0.579; t = 10.308; p = 0.000), and feedback had a positive and significant effect on rewards (β = 0.805; t = 25.851; p = 0.000). In addition, feedback also had a positive and significant effect on work behavior through rewards (β = 0.466; t = 8.362; p = 0.000), which confirms the mediating role of rewards. There is an influence of appraisal on work behavior and feedback on awards and awards has been shown to significantly mediate the influence of feedback on the work behavior of health workers. These findings emphasize the importance of effective feedback management and an integrated reward system as a managerial strategy to encourage positive work behavior and improve the quality of health services in regional hospitals.
Kadar Hemoglobin Pada Pasien Diabetes Melitus Tipe 2 Berdasarkan Stadium Nefropati Diabetik Dalam Skrining Kejadian Anemia Desyani Ariza; Amirah; Andi Maya Kesrianti
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 4 (2025): Desember : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i4.609

Abstract

Diabetes Mellitus often causes disorders in other organs, one of which is kidney disorders, commonly known as Diabetic Nephropathy. Diabetic Nephropathy (DN) is a chronic microvascular complication of Diabetes Mellitus, which is the main cause of end-stage kidney disease. Decreased hemoglobin (Hb) levels, or anemia, are very common clinical manifestations found in patients with this impaired kidney function. Pathophysiologically, the decrease in hemoglobin in DN patients is multifactorial, involving absolute or relative erythropoietin (EPO) deficiency due to damage to renal peritubular interstitial cells. As a result, there is a significant disruption of erythropoiesis, which can disrupt the process of red blood cell maturation in the hematopoiesis process. Monitoring hemoglobin levels is a crucial parameter because anemia in this DN population often appears earlier and is more severe than in non-diabetic chronic kidney disease patients. Therefore, early identification of fluctuations in hemoglobin levels is crucial in clinical management to prevent worsening of the systemic condition of patients with Diabetic Nephropathy. This study aims to review Hemoglobin levels in Type 2 Diabetes Mellitus Patients Based on Diabetic Nephropathy Stage in Anemia Screening. The method in this study used Descriptive Analytical with a sample of 47 respondents who met the inclusion criteria. The sampling and research location were conducted at Dr. Wahidin Sudirohusodo Hospital, Makassar. Hemoglobin measurements were measured using Sysmex Series XN-1000 with the Flowcytometry tool method. The results of the study found normal Hb levels (not anemic) in 25 respondents (53.20%), Mild Anemia in 6 respondents (12.80%), Moderate Anemia in 13 respondents (27.60%) and Severe Anemia in 3 respondents (6.40%). From these data, it is known that not all Diabetic Nephropathy patients in this study experienced Anemia.
Analisis Determinan Yang Berhubungan Dengan Kinerja Pegawai Di Puskesmas Motui Kabupaten Konawe Utara Agnes Mersatika Hartoyo
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 4 (2025): Desember : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i4.610

Abstract

The performance of nurses at the Community Health Center is greatly influenced by various factors, both internal and external. Several determinants that are thought to influence nurse performance include education, knowledge, length of service, and training. Objective: To determine the factors related to nurse performance at Motui Community Health Center. Methods: This research is analytical, using a cross-sectional study design. The population in this study were all employees working at the Motui Community Health Center, namely 50 people with ANS status. The sample of this study was 42 people selected using a purposive sampling technique. Data were collected using a questionnaire that measured education, knowledge, length of service, training, and nurse performance. Data analysis was performed using the chi-square test with the help of SPSS version 25.0. Results: The results showed that there was a significant relationship between education (x count = 6.19), knowledge (x count = 5.768), length of service (x count = 7.527), and training (x count = 15.881). Conclusion: Education, knowledge, length of service and training are determinants that influence employee performance at Motui Health Center. Therefore, improving the knowledge and training of nurses can improve their performance quality. Policies are needed to support the improvement of nurse competence through continuing education.
Pengaruh Job Meaningfulness Terhadap Work Engagement Melalui Psychological Capital (Studi: Puskesmas Mokoau) Kota Kendari Sulawesi Tenggara, Indonesia Rahman
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 4 (2025): Desember : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i4.612

Abstract

The work of health workers is a key factor in ensuring the quality and sustainability of primary health services. However, high work demands and limited resources have the potential to weaken work involvement if they are not balanced with a perception of work meaning and adequate psychological capacity. This study aims to analyze the effect of job meaningfulness on work engagement of health workers through psychological capital as a mediating variable at the Mokoau Health Center, Kendari City, Southeast Sulawesi. This study used a quantitative approach with a cross-sectional design. All health workers at the Mokoau Health Center as many as 70 people were used as research samples using the total sampling method. Data was collected through a structured questionnaire and analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM) with the help of SmartPLS version 4.0. The results of the analysis showed that job meaningfulness had a positive and significant effect on psychological capital (β = 0.698; p < 0.05). Psychological capital was also shown to have a positive and significant effect on work engagement (β = 0.691; p < 0.05). Furthermore, job meaningfulness had a significant indirect effect on work engagement through psychological capital (β = 0.482; p < 0.05), which shows the mediating role of psychological capital in the relationship. Job meaningfulness not only contributes directly to strengthening psychological capital, but also indirectly increases work engagement of health workers. Psychological capital plays a role as the main psychological mechanism that translates the meaning of work into higher work attachment. These findings affirm the importance of a human resource management strategy that focuses on strengthening the meaning of work and psychological capital to increase the work involvement of health workers in primary health care facilities.

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