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The Effect of Couple-Based Intervention on Marital Satisfaction, psychological Conditions of Mothers and Spouse, and Postpartum Spouse Support Gemi Rahayu; Heni Dwi Windarwati; Laily Yuliatun
Buletin Penelitian Kesehatan Vol. 54 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v54i1.4031

Background: Maternal mental health issues impact not only individuals but also infants, spouses, families, and communities. Therefore, efforts in the prevention and treatment of postpartum maternal mental health problems are essential to support maternal and family well-being. One form of applicable intervention is a couple-based intervention. This study analyzed the effects of couple-based intervention on marital satisfaction, the psychological well-being of mothers and their spouses, and spouse support. Methods: This quasi-experimental design used a control group and pretest-posttest framework. The researchers used a sample of 38 primiparous postpartum mothers and their spouses. The researchers conducted the research in the working area of the Dau Community Health Center in Malang Regency. Some of the applied questionnaires were the ENRICH Marital Satisfaction Scale, the General Health Questionnaire, the Self-Reporting Questionnaire of Minor Psychiatric Disorders, and the Spouse Interaction After Baby Scale. These were all used along with the couple-based intervention. The researchers analyzed the data using paired sample t-tests and independent sample t-tests. Results: The results showed that the couple-based intervention provided a significant difference in the experimental group's marital satisfaction, maternal and partner mental health, and partner support based on the paired t-test (p value <0.05 sig=0.00). On the other hand, the control group, which only received information leaflets, did not show any significant changes (p value> 0.05 sig=0.00). Based on the results of the independent sample t-test, the p value <0.05 sig=0.00 was obtained. This shows a significant difference in the components of marital satisfaction, psychological conditions, and spouse support between the treatment group, after providing the couple-based intervention, and the control group, after receiving standard education through leaflets. Conclusion: The study concluded that couple-based interventions improve marital satisfaction, maternal and spouse psychological well-being, and spouse support. We recommend couple-based interventions as an approach to enhancing Improves the psychological well-being of mothers and spouse.

Let's Choose Healthy Snacks! Increasing Knowledge of Elementary School Children with Edutainment Hadriani Hadriani; Desrina Wilyanti; Widya Pani; Gusman Gusman; Siti Hadijah Batjo; Udin Udin
Buletin Penelitian Kesehatan Vol. 54 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v54i1.4122

Background: Children's snack habits in elementary school are often not supported by a proper understanding of healthy food choices, so they prefer foods high in sugar, salt, and fat. The lack of interesting, appropriate nutritional information for children leaves their knowledge of healthy snacks still very limited. To overcome this problem, the edutainment method that combines education and entertainment can be an effective solution. With fun ways like games or interactive stories, children can more easily understand the importance of choosing healthy snacks. This study aimed to determine the influence of edutainment on elementary school children's knowledge of selecting healthy snacks. Methods: This study used a pre-experiment research design with a one-group pretest-posttest design. This research was carried out on May 17-June 03, 2024, at SD Muhammadiyah 1 Palu in the working area of the Kamonji Health Center. The population of this study consists of all 3rd-grade students, totaling 20 participants. The sampling method uses total sampling. The questionnaire contains 10 statements, and the scale used is Guttman's. The edutainment method is presented as an animated video embedded in the game. An animated video containing a collection of images or cartoons, lasting 4 minutes 36 seconds, is provided on selecting healthy snacks, including definitions, functions, sources, impacts, and criteria for choosing healthy snacks. The analysis of this study uses the Wilcoxon test. Results: The results of the univariate analysis showed that pretest student knowledge was good at 5.0%, fair at 15.0%, and less than 80.0%. After the edutainment method was carried out, the students' knowledge increased to either 60.0% and 40.0% adequate. The edutainment intervention was implemented, with posttest results showing good knowledge at 60% and 40.0%. The Wilcoxon test was negative, rank 0, positive, rank 20, and ties 0 p-value was 0.001<0.05. Conclusion: The edutainment method increases students' knowledge about selecting healthy snacks at SD Muhammadiyah 1 Palu. It is hoped that homeroom teachers can motivate students to further improve the habit of choosing healthy snacks with more interesting learning methods, such as Edutainment, which is learning that is inserted with games to make the learning process more fun.

Effectiveness of Integration of Moving Bed Biofilm Reactor and Activated Carbon in Treating Wastewater from Health Center Inayah Mahmud; Budirman Budirman; Wahyuni Sahani; Ain Khaer
Buletin Penelitian Kesehatan Vol. 54 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v54i1.4407

Background: The integration of MBBR and activated carbon merges effective biological degradation with superior adsorption capabilities, enhancing pollutant removal while addressing the limitations of each technology individually. This hybrid system is ideal for small facilities, offering comprehensive, cost-effective wastewater treatment with a flexible design and low operational costs. This study aims to evaluate the effectiveness of hybrid Moving Bed Biofilm Reactor (MBBR) and activated carbon technology for wastewater treatment of health centers in Makassar City. Methods: The research was conducted experimentally using three variations of contact time (2, 4, and 6 hours), and the physical and chemical parameters measured, namely Biochemical Oxygen Demand (BOD), Chemical Oxygen Demand (COD), ammonia (NH₃), temperature, and pH, were measured before and after treatment. The data were analyzed using the Kruskal-Wallis statistical test to test differences between treatments and the Wilcoxon Signed-Rank Test to evaluate the significance of differences before and after treatment. Results: The results showed that this hybrid system reduced BOD by 80.41%, COD by 81.40%, and NH₃ by 79.38%, with the highest efficiency achieved at a contact time of 6 hours. Temperature (28-28.5°C) and pH (7.2-7.9) remained stable throughout the treatment process, supporting the performance of microorganisms in MBBR. The novelty of this research lies in the combination of MBBR biodegradation mechanism with activated carbon adsorption, which not only improves the pollutant removal efficiency but also enables its application to small-scale health facilities such as public health center with simple design and low operational cost. Conclusion: This technology offers a practical and sustainable solution for wastewater management in primary healthcare facilities, significantly contributing to developing environmentally friendly technologies and supporting policy-making related to wastewater management in Indonesia.

Effectiveness of Animated Video-Based Oral Health Education on Toothbrushing Skills among Preschool Children Surayah Surayah; Pahrur Razi
Buletin Penelitian Kesehatan Vol. 54 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v54i1.4428

Background: Poor oral hygiene in preschool children remains a common public health problem and may lead to dental caries, gingivitis, pain, and impaired quality of life. Inadequate toothbrushing skills are an important contributing factor. Educational media such as animated videos may help children learn correct brushing techniques in an engaging way. This study aimed to evaluate the effect of animated video-based oral health education on toothbrushing skills among preschool children. Methods: This study used a pre-experimental one-group pretest-posttest design conducted at TK Khalifah Jambi, Jambi City, Indonesia, from January to March 2025. A total of 50 preschool children aged 4–6 years were selected using purposive sampling. Participants received a seven-minute animated oral health education video followed by demonstration and supervised toothbrushing practice. Toothbrushing skills were assessed using a structured observational checklist before the intervention and seven days afterward. Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05. Results: The mean pretest toothbrushing skill score was 52.3 ± 10.6, which increased to 82.7 ± 8.4 at posttest. There was a statistically significant improvement in toothbrushing skill scores after the intervention (p < 0.001). Improvements were observed in brushing sequence, brushing duration, tongue cleaning, and rinsing practices. Conclusion: Animated video-based oral health education combined with demonstration and supervised practice was associated with improved toothbrushing skills among preschool children. This approach may be considered as a practical strategy for early childhood oral health promotion programs.

Perceived Hospital Responsiveness and Patient Satisfaction at Undata General Hospital Palu: A Cross-Sectional Study Muhammad Syukran; Maudiah Nabila Putri; Munir Salham; Sudirman Sudirman; Mohamad Andri; Intan Fitrah Andini
Buletin Penelitian Kesehatan Vol. 54 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v54i1.4108

Background: Patient satisfaction is an important indicator of hospital service quality, but hospitals often need evidence on which service-quality dimensions are most closely associated with patient evaluations. This study examined the association between perceived hospital responsiveness, measured using SERVQUAL-derived responsiveness items, and patient satisfaction at Undata General Hospital Palu. Methods: This quantitative cross-sectional study analyzed 96 valid patient survey responses collected at Undata General Hospital Palu, Central Sulawesi, Indonesia, from December 2025 to January 2026. Respondents were outpatient JKN (National Health Insurance) users selected using accidental sampling. Eligible respondents were patients who had a minimum of three visits to the hospital. Responsiveness was measured using four Likert-scale items, and patient satisfaction was measured using ten Likert-scale items. Composite scores were categorized using a 75% threshold. Descriptive statistics, cross-tabulation, Fisher’s exact test, crude odds ratio estimation, and correlation analysis were performed. Although formal ethical approval was not obtained, the study was conducted with consideration of ethical principles, including voluntary participation, informed consent, and confidentiality Results: Overall, 59.4% of respondents perceived hospital responsiveness as good, whereas only 26.0% were categorized as satisfied. Satisfaction was reported by 40.4% of respondents in the good-responsiveness group and 5.1% in the poor-responsiveness group. Good perceived responsiveness was associated with higher odds of satisfaction (crude OR = 12.51; 95% CI: 2.74–57.11; p < 0.001), although the wide confidence interval indicates limited precision. Score-based analysis also showed positive correlations between responsiveness and satisfaction using Pearson correlation (r = 0.681; p < 0.001) and Spearman correlation (ρ = 0.600; p < 0.001) Conclusion: Perceived hospital responsiveness was significantly associated with patient satisfaction in this cross-sectional study. However, the low overall satisfaction rate despite relatively favorable responsiveness ratings suggests that responsiveness alone does not fully explain patient satisfaction. Broader assessment of other service-quality dimensions is needed to guide patient-centred hospital quality improvement.

Nurses Knowledge of Patient Safety at Regional Hospitals in Medan City Seriga Banjarnahor; Lenny L. Simatupang; Regina M. Sinaga; Sridama Y. Harahap; Theresia Anggriani
Buletin Penelitian Kesehatan Vol. 54 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v54i1.4026

Background: Patient safety remains a global healthcare priority, with nurses playing a pivotal role in preventing adverse events. This study evaluated the effectiveness of a structured educational intervention in improving nurses' patient safety knowledge and explored multidimensional relationships among patient safety knowledge domains. Methods: A randomized controlled trial was conducted among 300 registered nurses from three regional hospitals in Medan, Indonesia. Participants were randomly assigned to an intervention group (n = 150) receiving structured patient safety education or a control group (n = 150) receiving conventional module-based learning. Knowledge was assessed across five domains. Within-group differences were analysed using the Wilcoxon signed-rank test, while between-group differences were evaluated using the Mann–Whitney U test. Correlation heatmaps and a 50-node correlation network were used to examine multidimensional relationships. Results: Both groups demonstrated significant improvements (p < 0.001). The intervention group improved from 11.72±1.93 to 16.44±1.46 (mean gain 4.72), whereas the control group improved from 12.21±1.74 to 14.99±1.74 (mean gain 2.79). Post-intervention scores were significantly higher in the intervention group (U = 6636.00; Z = −6.12; p < 0.001; r = 0.35). Stronger correlations were observed among patient safety knowledge domains in the intervention group (r = 0.87 - 0.96) than in the control group (r = 0.65 - 0.76). The correlation network further demonstrated dense intra- and inter-domain connectivity, indicating integrated knowledge development. Conclusions: Structured patient safety education significantly improves nurses' knowledge and strengthens multidimensional competency integration, supporting its implementation to enhance patient safety and healthcare quality.

The Government’s Role in Technology and Its Impact on Mental Health: A Health Law Perspective I Gusti Ayu Debi Sulastri; Piers Andreas Noak; I Gde Sastra Winata
Buletin Penelitian Kesehatan Vol. 54 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v54i1.4113

Introduction: In this study, we aimed to analyse the government's role in technological development and its effect on mental health within the context of the perspective of health law. With the rapid development of technology, our objective was to analyse the government's role in technological development and its effect on mental health from the perspective of health law to address gaps identified in existing literature. Methods: This qualitative approach involved using secondary data analysis conducted across literature reviews, legislation, and previous research findings. A total of scientific literature, research reports, laws and regulations, and official government documents were enrolled, and data were collected through by identifying relevant regulations, evaluating policy implementation, and reviewing research results related to the impact of technology on mental health. Results: The primary outcome of the study was indicate that although the government has regulated certain aspects through laws such as the Electronic Information and Transactions Law (UU ITE), the existing regulations still have shortcomings, particularly in addressing phenomena such as cyberbullying, and therefore, strengthening the legal framework for health is necessary to protect the mental health of the public in the digital era. Additionally, the development of digital technology has affected various aspects of life, including mental health. Conclusion: In conclusion, our study contributes to the understanding of the role of technology in mental health by not only increasing accessibility but also changing the perspective on understanding and addressing mental health challenges. This research provides insights into develop and integrate technological solutions.

Medical Personnel Performing Abortion Practices from the Perspective of Health Law and Human Rights Ni Putu Diana Sari; Sagung Putri M.E. Purwani; I Gde Sastra Winata
Buletin Penelitian Kesehatan Vol. 54 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v54i1.4123

Background: This study investigates the criminal liability of medical professionals involved in abortion practices that violate existing legal provisions, from the perspective of health law. Given the rapid advancement of medical technology, this research explores the legal ramifications of abortion services carried out by healthcare providers beyond the boundaries of statutory regulations. It also seeks to address the gap in scholarly discourse regarding this issue. Methods: The study adopts a qualitative approach, relying on secondary data analysis derived from statutory laws, court decisions, peer-reviewed articles, research reports, and official government documents. The legal analysis centers on three main regulatory frameworks: the Indonesian Penal Code (KUHP), specifically Articles 299, 346, 347, 348, 463, 464, and 465; Law No. 1 of 2023 concerning the National Criminal Code; and Law No. 17 of 2023 on Health, particularly Articles 60, 61, 427, 428, and 429. In addition, Government Regulation No. 61 of 2014 on Reproductive Health specifically Article 35(1) is examined to provide a comprehensive understanding of the legal framework governing abortion practices. Results: The findings demonstrate that abortion procedures performed by medical personnel without legal authorization constitute criminal acts and violate professional ethical standards. Moreover, the state has both a legal and moral duty to protect women’s rights by preventing unsafe, unregulated, and unethical abortion practices that conflict with religious values and statutory law. Conclusion: The research affirms that abortion practices lacking a valid legal basis are classified as illegal under Indonesian law. This study contributes to a deeper understanding of the legal challenges surrounding abortion services provided by healthcare professionals and offers critical insights for shaping regulatory policies. Further research is recommended to explore legal responses to unlawful abortion practices, thereby supporting the development of international health law and policy frameworks.

Factors Associated with Hypertension among Selected Occupational Groups in Medan City, North Sumatra, Indonesia Herbert Wau; Santy Deasy Siregar; Marlinang Isabella Silalahi; Erika Meliani Putri Br. Siregar; Dwinta Trilani Manurung; Nandini Pramestiadi
Buletin Penelitian Kesehatan Vol. 54 No. 2 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v54i2.4391

Background: Hypertension is one of the non-communicable diseases whose prevalence continues to increase and is a major risk factor for heart disease and stroke. This study aims to analyse the relationship between several risk factors, namely age, gender, marital status, education, family history, physical activity, stress, work environment, and diet, and the incidence of hypertension among fishermen, lecturers/employees, and street vendors in Medan City. Methods: This study employed a cross-sectional design with a sample size of 176 respondents selected through purposive sampling. Data were collected via questionnaires and blood pressure measurements, then analysed using the chi-square test. Results: The results of the study indicate that age (p = <0.001), marital status (p = <0.001), education (p = <0.001), physical activity (p = <0.001), Family history (p = 0.027), work environment (p = 0.026), and stress (p = 0.027) had a significant relationship with the incidence of hypertension. Meanwhile, gender (p = 0.076) and dietary patterns (p = 0.419) did not show a significant relationship. Conclusion: It can be concluded that behavioural and environmental factors such as age, stress, education, and work conditions were significantly associated on the incidence of hypertension than genetic factors and dietary patterns. Therefore, preventive efforts through health education and improvements in the work environment are essential to reduce the risk of hypertension among private sector employees.

Factors Associated with Pneumonia Diagnosis among Children Aged 1–60 Months at Hospital, Palembang: A Cross-Sectional Study Using 2024 Medical Records Esti Sri Ananingsih; Ayu Febri Wulanda; Faiza Yuniati; Sinta Octaviana
Buletin Penelitian Kesehatan Vol. 54 No. 2 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v54i2.4432

Background: National surveillance provides an overview of the overall burden of childhood pneumonia but offers limited insight into factors associated with pneumonia among children treated at individual healthcare facilities. Dr. Mohammad Hoesin General Hospital is a tertiary referral hospital in South Sumatra and therefore provides clinically relevant, although not population-representative, hospital-based evidence to complement national and provincial surveillance. This study aimed to examine factors associated with pneumonia diagnosis among children aged 1–60 months treated at Dr. Mohammad Hoesin General Hospital, Palembang, using 2024 medical record data. Methods: This analytical cross-sectional study included 123 children aged 1–60 months, using medical records from 2024, comprising 91 with pneumonia and 32 without. Descriptive statistics were used to summarize participant characteristics. Bivariate analyses were performed using Pearson's chi-square test or Fisher's exact test, as appropriate. Crude odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using binary logistic regression. Results: Among the 123 children included in this hospital-based sample, 91 (74.0%) were classified as having pneumonia. Incomplete immunization was associated with higher odds of pneumonia (crude OR=7.82; 95% CI: 2.42–25.22; Fisher's exact p<0.001). Age ≤12 months, male sex, malnutrition, and absence of exclusive breastfeeding showed positive but statistically non-significant crude associations, with wide confidence intervals. Conclusion: Incomplete immunization was associated with higher odds of pneumonia in the bivariate analysis of this hospital-based sample. Because the estimate was unadjusted and the study was cross-sectional, hospital-based, and based on secondary records, adjusted studies with broader environmental and socioeconomic variables are required to confirm an independent association.

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Kadar Ramadhan

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08111010687

Journal Mail Official
buletinpk@gmail.com

Editorial Address
Jl. Thalua Konchi, Mamboro, Palu Utara, Kota Palu, 94145 Sulawesi Tengah, Indonesia

Location
Kota palu,

Sulawesi tengah

INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Kadar Ramadhan

Contact Email buletinpk@gmail.com

Phone 08111010687

Journal Mail Official buletinpk@gmail.com

Editorial Address Jl. Thalua Konchi, Mamboro, Palu Utara, Kota Palu, 94145 Sulawesi Tengah, Indonesia

Location Kota palu, Sulawesi tengah INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Kadar Ramadhan

Contact Email
buletinpk@gmail.com

Phone
08111010687

Journal Mail Official
buletinpk@gmail.com

Editorial Address
Jl. Thalua Konchi, Mamboro, Palu Utara, Kota Palu, 94145 Sulawesi Tengah, Indonesia

Location
Kota palu,

Sulawesi tengah

INDONESIA