Medical Studies and Health Journal (SEHAT)
Medical Studies and Health Journal (SEHAT) is an open access, peer-reviewed journal published. SEHAT encompasses basic, molecular, and clinical aspects of medical sciences, including diagnosis, treatment, prevention, and epidemiology of communicable and non-communicable diseases in the world. The journal publish 4 times a year (April, June, October, December).
EFEKTIVITAS MODEL CONTINUITY OF CARE BERBASIS BIDAN TERHADAP PENINGKATAN KESEHATAN IBU DAN BAYI
Angka kematian ibu dan bayi tetap menjadi tantangan global akibat model pelayanan kesehatan yang terfragmentasi. Penelitian ini bertujuan untuk menganalisis mekanisme transformatif model Midwife-Led Continuity of Care (MLCC) dalam meningkatkan kualitas asuhan klinis dan pengalaman persalinan. Tinjauan naratif sistematis dilakukan terhadap literatur dari basis data PubMed, Scopus, ScienceDirect, dan Cochrane (2014-2024). Analisis tematik digunakan untuk mensintesis data mengenai mekanisme klinis, psikososial, dan sistemik pada model MLCC. Temuan menunjukkan bahwa MLCC secara signifikan meningkatkan deteksi dini risiko melalui hubungan terapeutik yang kuat dan komunikasi yang transparan. Secara fisiologis, model ini mereduksi intervensi medis iatrogenik, seperti seksio sesarea dan induksi sintetis, dengan menghormati ritme biologis persalinan. Selain itu, dukungan berkelanjutan terbukti memitigasi stres melalui regulasi jalur psikoneuroendokrinologi, yang meningkatkan kadar oksitosin alami dan menstabilkan poros HPA. Integrasi kerangka Donabedian mengonfirmasi bahwa sinergi antara struktur tim bidan yang otonom dan proses asuhan yang berpusat pada perempuan menghasilkan luaran kesehatan yang lebih resilien. MLCC merupakan strategi sistemik yang efektif untuk mentransformasi asuhan maternal dari reaktif menjadi proaktif. Integrasi model ini ke dalam kebijakan nasional sangat direkomendasikan untuk mencapai target SDGs.
Kontinuitas asuhan bidan, MLCC, kesehatan ibu dan bayi, intervensi medis, psychoneuroendocrinology.
Copyright (c) 2026 Redha Ulfa (Author) https://creativecommons.org/licenses/by-nc/4.0
HUBUNGAN RIWAYAT PENYAKIT KELUARGA DAN JENIS KELAMIN DENGAN KEJADIAN DIABETES MELITUS DI DESA SUMBERANYAR
Diabetes Melitus tetap menjadi masalah kesehatan global yang terus berkembang, dengan prevalensi yang terus meningkat dan berdampak signifikan terhadap kesejahteraan masyarakat. Faktor risiko yang tidak dapat dimodifikasi seperti riwayat penyakit keluarga dan jenis kelamin diakui sebagai kontributor penting terhadap perkembangan penyakit ini. Dalam konteks Desa Sumberanyar, observasi awal menunjukkan tingginya konsentrasi kasus, sehingga diperlukan kajian lebih mendalam terhadap faktor-faktor penentu tersebut. Penelitian ini bertujuan untuk menganalisis hubungan antara riwayat keluarga dan jenis kelamin dengan kejadian Diabetes Melitus pada masyarakat setempat. Desain penelitian analitik observasional dengan pendekatan potong lintang digunakan, melibatkan responden yang dipilih melalui teknik purposive sampling. Data dikumpulkan melalui kuesioner terstruktur dan lembar observasi, kemudian dianalisis secara univariat, bivariat, dan multivariat. Temuan penelitian menunjukkan bahwa baik riwayat keluarga maupun jenis kelamin memiliki hubungan yang bermakna dengan kejadian Diabetes Melitus. Analisis multivariat lebih lanjut mengidentifikasi riwayat keluarga sebagai faktor yang paling berpengaruh dalam meningkatkan kerentanan terhadap penyakit ini. Hasil ini menekankan pentingnya intervensi promotif dan preventif sejak dini, terutama bagi individu dengan predisposisi keluarga, untuk menurunkan risiko dan beban Diabetes Melitus di masyarakat.
Diabetes Mellitus, Riwayat Keluarga, Jenis kelamin, kejadian diabetes
Copyright (c) 2025 Lutfiatun Hasanah, Ro’isah Ro’isah, Erna Handayani (Author) https://creativecommons.org/licenses/by-nc/4.0
PENGARUH SENAM MATA METODE BATES TERHADAP TINGKAT ASTENOPIA PADA REMAJA USIA 17-18 TAHUN DI PONDOK PUTRI HAFSHAWATY ZAINUL HASAN GENGGONG
Astenopia atau kelelahan mata merupakan salah satu gangguan visual yang sering terjadi akibat penggunaan otot mata secara berlebihan, terutama saat melakukan aktivitas jarak dekat seperti membaca, menatap layar laptop, komputer, atau smartphone dalam waktu yang lama. Keadaan ini sering dialami oleh kalangan remaja, terutama mereka yang sedang menempuh jenjang kelas akhir dan menghadapi tekanan akademik yang tinggi. Tujuan penelitian ini untuk menganalisis pengaruh senam mata metode bates terhadap tingkat astenopia pada remaja usia 17-18 tahun. Metode penelitian ini menggunakan Pra-Eksperimental dengan pendekatan one group pre-post test. Populasi sebanyak 46 responden dan menggunakan teknik purposive sampling, sehingga didapatkan sample sebanyak 41 responden. Metode yang digunakan dengan cara memberikan senam mata metode bates secara teratur sebanyak 2 minggu dengan frekuensi 6x per minggu, sehingga total terdapat 12 sesi latihan. Setiap sesi latihan berlangsung selama kurang lebih 20-30 menit, Latihan ini dilakukan untuk menurunkan tingkat astenopia. Instrumen yang digunakan yaitu lembar kuesioner visual Fatigue (VT) untuk mengetahui tingkat astenopia kemudian data dikumpulkan dan dianalisis menggunakan uji wilcoxon. Hasil penelitian menunjukkan nilai rata-rata tingkat astenopia sebelum dilakukan senam mata metode bates adalah 5,0. Sedangkan Setelah dilakukan senam mata metode bates nilai rata-rata tingkat astenopia menjadi 3,5. Hasil uji analisis didapatkan ada pengaruh senam mata metode bates terhadap tingkat astenopia pada remaja usia 17-18 tahun di Pondok Pesantren Hafshawaty Zainul Hasan Genggong dengan ρ-value = 0.000 sehingga <α =0.05 Senam mata metode bates efektif untuk melatih fleksibilitas, mengurangi ketegangan otot mata, serta memberikan efek relaksasi sehingga dapat menurunkan tingkat astenopia pada remaja. Latihan ini dapat menjadi solusi sederhana yang dapat diterapkan secara mandiri maupun dalam program kesehatan pesantren untuk meningkatkan kenyamanan visual.
Astenopia, Remaja, Senam Mata Metode Bates, Visual Fatigue
Copyright (c) 2025 Husniyatus Syifa, Dodik Hartono, Iin Aini Isnawati (Author) https://creativecommons.org/licenses/by-nc/4.0
PENGARUH HEALTH COACHING TERHADAP KEPATUHAN DIET RENDAH PURIN PADA PENDERITA ASAM URAT DI DESA TIRIS KECAMATAN TIRIS KABUPATEN PROBOLINGGO
Penyakit asam urat merupakan gangguan metabolisme yang sering dijumpai di masyarakat dan dapat menurunkan kualitas hidup penderita akibat gejala nyeri yang ditimbulkan. Salah satu upaya pengelolaan adalah dengan kepatuhan diet rendah purin. Penelitian ini bertujuan untuk mengidentifikasi pengaruh metode Health Coaching terhadap kepatuhan diet rendah purin pada penderita asam urat.Penelitian ini menggunakan metode pre-eksperimental dengan desain one group pre-test and post-test. Sampel berjumlah 30 responden yang dipilih menggunakan teknik purposive sampling. Pengumpulan data dilakukan menggunakan modul Health Coaching dan kuesioner kepatuhan diet rendah purin sebelum dan sesudah intervensi. Intervensi berupa Health Coaching diberikan selama 4x dalam 1 bulan. Analisis data menggunakan uji Wilcoxon Signed Rank Test.. Hasil penelitian menunjukkan adanya peningkatan kepatuhan diet rendah purin setelah diberikan Health Coaching, dengan hasil uji Wilcoxon Signed Rank Test diperoleh nilai ρ=0,000<α=0,05, yang berarti terdapat perbedaan signifikan antara kepatuhan sebelum dan sesudah diberikan intervensi Health Coaching dengan mengidentifikasi kepatuhan diet rendah purin sebelum dan sesudah dilakukan Health Coaching. Health Coaching efektif meningkatkan kepatuhan diet rendah purin pada penderita asam urat. Health Coaching bertujuan membantu individu meningkatkan kesadaran diri, motivasi, dan kemampuan dalam menerapkan perilaku sehat secara mandiri. Saran untuk peneliti selanjutnya diharapkan dapat diterapkan sebagai edukasi kesehatan yang membantu mengatur pola makan untuk mencegah kekambuhan penyakit asam urat.
Health Coaching, kepatuhan diet, diet rendah purin, asam urat.
Copyright (c) 2025 Izzatul Lailiyah, Rizka Yunita, Iin Aini Isnawati (Author) https://creativecommons.org/licenses/by-nc/4.0
HUBUNGAN SUBJECTIVE WELLL BEING DENGAN PERILAKU PENCEGAHAN KOMPLIKASI PADA PENDERITA HIPERTENSI DI DESA POHSANGIT LERES
Hipertensi merupakan tekanan darah persisten dengan tekanan darah sistoliknya di atas 140 mmHg dan diastoliknya di atas 90 mmHg. Hipertensi sering disebut pembunuh diam-diam (silent killer) karena tidak memberikan gejala yang khas, tetapi bisa meningkatkan kejadian stroke, serangan jantung, penyakit ginjal kronik bahkan kebutaan jika tidak dikontrol dan dikendalikan dengan baik. Tujuan penelitian ini untuk mengetahui Hubungan subjective well-being dengan perilaku pencegahan komplikasi pada penderita hipertensi di Desa Pohsangit Leres Kabupaten Probolinggo. Metode penelitian deskriptif korelasi dengan pendekatan cross sectional yang dilakukan di desa pohsangit leres. populasi pada penelitian ini sebanyak 115 responden dengan besar sampel 96 responden menggunakan Proportionate random sampling. Instrumen penelitian menggunakan lembar kuesioner The BBC Subjective Well being scale (BBC-SWB) dan lembar kuesioner. Analisis data pada penelitian ini menggunakan spearman Rank. Hasil penelitian menunjukkan mayoritas responden menderita hipertensi usia 46-55 tahun. Sebagian besar responden memiliki subjective well-being baik 44 (45.8%). Sedangkan pada perilaku pencegahan komplikasi hipertensi baik 39 (40.6%). Analisis bivariat menunjukkan ada hubungan yang signifikan antara subjective well-being dan dengan perilaku pencegahan komplikasi hipertensi (p-value <0,05). Peningkatan subjective well-being berkontribusi positif terhadap perilaku pencegahan komplikasi pada penderita hipertensi. Edukasi kesehatan yang menekankan peningkatan subjective well-being disarankan untuk mendukung upaya pencegahan komplikasi hipertensi.
Subjective Well-Being, Perilaku Pencegahan Komplikasi, Hipertensi
Copyright (c) 2025 Nur Hasanah, Achmad Kusyairi, Nafolion Nur Rahmat (Author) https://creativecommons.org/licenses/by-nc/4.0
PENGARUH EDUKASI GIZI METODE EMO DEMO TERHADAP PERILAKU PEMBERIAN MAKAN ANAK USIA 5-6 TAHUN DI TK DEWI RENGGANIS KRUCIL
Anak usia dini merupakan periode emas dalam proses tumbuh kembang, terutama pada usia 5–6 tahun. Pada masa ini, pemberian makan yang tepat sangat penting untuk mendukung kesehatan dan perkembangan optimal anak. Namun, masih banyak orang tua yang memiliki keterbatasan pengetahuan dan praktik dalam pemberian makan, yang menyebabkan pola makan anak menjadi kurang tepat. Sehingga menyebabkan terjadinya gizi buruk yang dapat mempengaruhi tumbuh kembang anak. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi gizi metode Emo-Demo terhadap perilaku pemberian makan pada anak usia 5–6 tahun. Desain penelitian yang digunakan adalah pra-eksperimen dengan pendekatan one-group pretest-posttest design. Populasi sebanyak 88, dan sampel sebanyak 66 ibu yang dipilih melalui teknik purposive sampling. Intervensi edukasi dilakukan dalam empat sesi yang mencakup pretest, dua kali pemberian edukasi dengan metode Emo-Demo, dan posttest. Instrumen yang digunakan adalah kuesioner perilaku pemberian makan dengan indikator frekuensi makan, jumlah makanan, dan jenis makanan. Analisis data dilakukan menggunakan uji Wilcoxon. Hasil penelitian menunjukkan peningkatan yang signifikan dalam perilaku pemberian makan yang tepat sebelum dan setelah dilakukan intervensi edukasi gizi metode Emo-Demo. Hasil uji statistik didapatkan nilai p-value = 0,000 (p < 0,05), yang berarti ada pengaruh antara edukasi gizi metode Emo Demo terhadap perilaku pemberian makan. Edukasi dengan metode Emo-Demo terbukti efektif dalam meningkatkan perilaku pemberian makan pada anak. Pendekatan ini dapat menjadi strategi edukatif yang menarik dalam upaya pencegahan gizi buruk pada anak.
edukasi gizi, metode Emo-Demo, perilaku pemberian makan, anak usia dini
Copyright (c) 2025 Krisdiya Nursyahriya, Dodik Hartono , Nafolion Nur Rahmat (Author) https://creativecommons.org/licenses/by-nc/4.0
ANALISIS FAKTOR PEMICU YANG BERHUBUNGAN DENGAN GANGGUAN MOTORIK BERDASARKAN MANIFESTASI KLINIS PADA PENDERITA HIPERTENSI PASCA STROKE (DI PUSKESMAS PAJARAKAN)
Gangguan motorik adalah kelainan pada sistem saraf yang menyebabkan gerakan tubuh tidak normal. Gangguan ini bisa berupa kelemahan, kelumpuhan, atau gerakan tidak disengaja. Gangguan motorik bisa disebabkan oleh kerusakan pada saraf motorik di otak dan sumsum tulang belakang. Tujuan penelitian adalah untuk mengetahui faktor apa saja yang mempengaruhi gangguan motorik pada penderita hipertensi pasca stroke di Puskesmas Pajarakan. Desain penelitian ini desain studi analitik korelasional dengan pendekatan cross sectional. Populasi 94 dan Sampel 76 responden pada tanggal 29 juni - 04 juli 2025 dengan penderita hipertensi pasca stroke yang memenuhi kriteria inklusi dan kriteria eksklusi yang diambil dengan cara Simple Random Sampling. Instrumen penelitian menggunakan lembar kuesioner dan lembar observasi. Data yang diperoleh dilakukan uji statistik analisis bivariat dengan uji Spearman’s Rank dan regresi logistic untuk mencari faktor dominan. Hasil penelitian didapatkan variabel perilaku kebiasaan merokok ρ= 0,604, IMT ρ= 0,009, nilai ρ aktivitas fisik = 0,000. Hal ini menunjukkan ada hubungan faktor IMT dan aktivitas fisik. Dan didapatkan faktor dominan yang mempengaruhi gangguan motorik adalah faktor aktivitas fisik dengan nilai wald 22,554. Dari hasil penelitian ini didapatkan faktor yang paling dominan mempengaruhi gangguan motorik pada penderita hipertensi pasca stroke adalah aktivitas fisik. Responden dengan aktivitas fisik rendah perlu secara aktif mengelola kondisi mereka untuk mengurangi terjadinya gangguan motorik. Untuk itu menerapkan gaya hidup sehat sangat penting dalam kehidupan sehari-hari. Selain menjaga pola aktivitas fisik maka perlu untuk mengurangi kebiasaan buruk seperti perilaku kebiasaan merokok, dan mengontrol pola makan.
Kebiasaan Merokok, IMT, Aktivitas Fisik, Gangguan Motorik, Hipertensi Pasca Stroke
Copyright (c) 2025 Novita Novita, Achmad Kusyairi, Nafolion Nur x Nafolion Nur Rahmat (Author) https://creativecommons.org/licenses/by-nc/4.0
THE IMPACT OF STREET FOOD CONSUMPTION ON ADOLESCENTS' NUTRITIONAL STATUS
Makanan jalanan (street food) adalah jenis makanan dan minuman siap saji yang umumnya disiapkan dan dijual di tempat umum seperti di pinggir jalan. Makanan jalanan sangat populer, terutama di kalangan remaja, karena mudah diakses, cepat disajikan, murah, dan memiliki berbagai variasi rasa. Namun, makanan jalanan cenderung rendah kandungan gizinya dan tidak seimbang secara nutrisi. Pola konsumsi yang tidak seimbang dapat menyebabkan kelebihan asupan energi dan berdampak negatif terhadap status gizi, seperti obesitas pada remaja. Penelitian ini bertujuan untuk mengidentifikasi dan menganalisis dampak konsumsi makanan jalanan terhadap status gizi remaja dengan menganalisis tinjauan literatur. Artikel ini ditulis menggunakan metode tinjauan literatur melalui empat tahap, yaitu identifikasi, penyaringan, kelayakan, dan hasil yang diterima. Hasil analisis menunjukkan bahwa mengkonsumsi jajanan yang tinggi karbohidrat, lemak, gula, dan garam akan berdampak negatif terhadap status gizi dan kesehatan. Remaja yang mengkonsumsi jajanan tinggi energi melebihi kebutuhan akan mengalami peningkatan berat badan akibat kelebihan energi, yang selanjutnya akan mempengaruhi kesehatannya. Namun, jika remaja mampu memilih jajanan dengan nilai gizi yang memadai, mengonsumsinya sesuai kebutuhan, serta memperhatikan jenis jajanan yang dikonsumsi untuk mengoptimalkan status gizinya, hal ini akan berdampak positif terhadap kesehatannya. Oleh karena itu, disarankan agar remaja lebih selektif dalam memilih jajanan dengan memperhatikan kandungan gizinya serta mengkonsumsinya dalam jumlah yang sesuai dengan kebutuhan agar status gizi dan kesehatannya tetap optimal.
konsumsi makanan jalanan, status gizi, remaja
Copyright (c) 2025 Dwi Valentin Febiyana, Septa Indra Puspikawati (Author) https://creativecommons.org/licenses/by-nc/4.0
ADOLESCENT REPRODUCTIVE HEALTH: THE RELATIONSHIP BETWEEN SEXUAL LITERACY AND SEXUALLY TRANSMITTED DISEASE PREVENTION
Sexually transmitted infections (STIs) represent a significant reproductive health issue among adolescents both globally and in Indonesia, with particularly high prevalence among individuals aged 15–24 years. Adolescent knowledge of STIs remains limited, and previous studies have often overlooked psychosocial and contextual factors that mediate the relationship between sexual literacy and STI prevention behaviors. This study aims to analyze the extent to which sexual literacy influences STI prevention behaviors among adolescents and to identify the mediating roles of attitudes, self-efficacy, and access to sexual health information. This study employed a Systematic Literature Review (SLR) approach based on the PRISMA 2020 guidelines. Data were collected from the Scopus and Web of Science databases, applying inclusion criteria of empirical articles published in English or Indonesian between 2010–2025, focusing on sexual literacy, STI prevention behaviors, and adolescent populations. Data analysis was conducted using thematic coding and thematic synthesis. Findings revealed that sexual literacy significantly influences STI prevention behaviors, including condom use, routine testing, and open communication. Positive attitudes toward sexual health, high self-efficacy in sexual decision-making, and access to accurate information play crucial mediating roles. The study also confirmed the dominant use of the Theory of Planned Behavior (TPB) and the Health Belief Model (HBM) as theoretical frameworks. Sexual literacy, mediated by attitudes, self-efficacy, and access to information, is a strong predictor of STI prevention behaviors among adolescents. These findings provide an empirical foundation for developing more comprehensive and targeted sexual education programs, taking into account psychosocial and contextual factors to enhance the effectiveness of interventions.
Sexual Literacy, STI Prevention, Adolescents, Self-Efficacy, Attitudes, Information Access
Copyright (c) 2025 Rani Irinericy (Author) https://creativecommons.org/licenses/by-nc/4.0
HEALTH EQUITY IN URBAN SLUMS: BARRIERS TO MATERNAL HEALTHCARE ACCESS AND OUTCOMES IN DEVELOPING MEGACITIES
Access to maternal healthcare remains a critical challenge for women living in urban slums of developing megacities. Rapid urbanization has created densely populated informal settlements with inadequate sanitation, limited healthcare infrastructure, and high maternal mortality. This study systematically reviews social, economic, and structural barriers to maternal healthcare access. Following PRISMA 2020 guidelines, 19 peer-reviewed articles (2010–2025) were analyzed using thematic coding guided by the Social Determinants of Health and Andersen Behavioral Model. Findings reveal that restrictive gender norms, stigma, and low health literacy limit utilization, while poverty, high transportation costs, and lack of insurance further impede access. Structural challenges, including insufficient facilities, poor transport, and non-inclusive policies, exacerbate inequities. These barriers interact, creating compounded challenges for women in urban slums. Addressing them requires integrated interventions, including financial support, community-based services, inclusive digital health solutions, and policy reforms. The study provides evidence-based insights to enhance maternal health equity and advance Sustainable Development Goal 3.
Maternal Healthcare, Urban Slums, Health Equity, Access Barriers, Developing Megacities, Social Determinants of Health
Copyright (c) 2025 Ifania Ifania, Winda Dwi Lestari, Ferawati Ferawati, Sisi Amailia, Dika Maretika Sobari (Author) https://creativecommons.org/licenses/by-nc/4.0
AI DRIVEN NURSING CARE: EXPLORING THE READINESS AND ACCEPTANCE OF ARTIFICIAL INTELLIGENCE IN CLINICAL NURSING PRACTICE
The integration of artificial intelligence (AI) into nursing practice has become an important topic, but nurses’ perceptions of the usefulness and ease of use of this technology remain poorly understood. This study aims to explore how nurses perceive AI in clinical decision-making, as well as the factors that influence their acceptance.This study aims to analyze nurses' perceptions regarding the usefulness and ease of use of AI-based tools in a clinical context, as well as to identify challenges faced in the adoption of this technology.This study uses a systematic literature review (SLR) approach by collecting and analyzing data from peer-reviewed articles published between 2013 and 2024. The selection process follows the PRISMA guidelines, and data analysis is carried out using the thematic synthesis method.Findings indicate that although nurses have positive perceptions of the usefulness of AI in improving accuracy and efficiency, challenges related to ease of use, such as complex interface design and lack of training, hinder the adoption of this technology.This study provides important insights for technology developers and healthcare institutions to design more user-friendly AI systems, and emphasizes the need for better training to increase nurses' acceptance of this technology.
Artificial Intelligence, Nursing, User Perception, Clinical Decision Making, Decision Support System
Copyright (c) 2025 Prima Auditia, Feri Catur Yuliani (Author) https://creativecommons.org/licenses/by-nc/4.0
THE EFFECT OF BULLYING ON INCREASING THE INCIDENCE OF SELF-HARM AMONG ADOLESCENTS IN INDONESIA: A SCOPING REVIEW
Bullying is a widespread issue that significantly affects the mental health of adolescents, particularly in Indonesia. The link between bullying and self-harm behaviors among adolescents has raised concerns, yet a comprehensive understanding of this relationship in the Indonesian context is lacking. To explore the effect of bullying on increasing the incidence of self-harm among adolescents in Indonesia, mapping existing literature and identifying research gaps. A scoping review was conducted following the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. Studies were identified from the database Scopus using the PCC (Population, Concept, Context) framework. The review focused on studies examining the relationship between bullying (physical, verbal, and cyberbullying) and self-harm among adolescents aged 12-18 in Indonesia. The studies included were (n= 6) from 93 publications with search terms. The findings reveal that bullying is a significant factor contributing to increased self-harm behaviors among Indonesian adolescents. Various forms of bullying, including physical, verbal, and cyberbullying, were consistently linked to emotional distress, depression, and self-harm. The lack of adequate social and familial support further exacerbates these behaviors. However, research specifically focusing on cultural factors and long-term effects of bullying on self-harm in Indonesia remains sparse. Bullying plays a critical role in increasing the incidence of self-harm among Indonesian adolescents. This review highlights the need for more in-depth studies on the socio-cultural context of bullying in Indonesia and the development of preventive strategies and mental health interventions to mitigate its impact.
bullying, self-harm, adolescents, Indonesia, mental health
Copyright (c) 2025 Ryka Widyaningtyas, Meidiana Dwidiyanti (Author) https://creativecommons.org/licenses/by-nc/4.0
PATIENT CENTERED CARE MODELS: A SYSTEMATIC REVIEW OF IMPLEMENTATION AND IMPACT ON HEALTH OUTCOMES
This research aims to explore the impact of implementing the model patient-centered care (PCC) on patient satisfaction and involvement in health services. By using the approach systematic literature review, this study analyzes studies measuring the effects of PCC in various care settings. The results showed that implementing PCC significantly increased patient satisfaction and engagement, despite challenges in implementation, such as lack of resources and cultural barriers. The implications of this research provide insight for health care policy and practice to improve service quality through the implementation of a more inclusive and patient-based PCC model.
patient-centered care, patient satisfaction, patient involvement, systematic literature review, health care
Copyright (c) 2024 Ummi Rahmah, Feri Catur Yuliani (Author) https://creativecommons.org/licenses/by-nc/4.0
THE EFFECTIVENESS OF HEALTH PROMOTION PROGRAMS IN PREVENTING CHRONIC DISEASES: A META-ANALYSIS
Chronic diseases are a major global health challenge with significant economic and social burden. This study aims to identify the types of health promotion programs that are most effective in preventing chronic diseases and evaluate their effectiveness in various population groups. By using a systematic literature review approach based on PRISMA guidelines, this study analyzed 27 peer-reviewed articles published in the last 12 years. Results show that community and technology (e-health)-based programs have high effectiveness, especially when tailored to the characteristics of the target population. These findings provide important recommendations for policy development and implementation of evidence-based health interventions.
chronic disease, health promotion, systematic literature review, program effectiveness, target population
Copyright (c) 2024 Andro Ruben Runtu (Author) https://creativecommons.org/licenses/by-nc/4.0
Daya Hambat Ekstrak Daun Mangga Podang Urang (Mangifera indica L.) Kediri Terhadap Pertumbuhan Bakteri Staphylococcus aureus
Permasalahan kesehatan gigi dan mulut pada tahun 2018 meningkat mencapai 57,6%, salah satunya abses. Bakteri penyebab abses adalah Staphylococcus aureus. Salah satu obat alternatif yang digunakan sebagai antibakteri adalah daun mangga podang urang. Daun mangga podang urang mengandung flavonoid, alkaloid, tanin, saponin, fenol dan triterpenoid. Untuk mengetahui zona hambat minimum ekstrak daun mangga podang urang (Mangifera indica L.) Kediri terhadap pertumbuhan bakteri Staphylococcus aureus.Penelitian ini berjenis eksperimental laboratoris dengan rancangan post test only control group design. Penelitian menggunakan metode difusi cakram, jumlah sampel sebanyak 11 sampel, yaitu konsentrasi 0,195%, 0,39%, 0,781%, 1,56%, 3,125%, 6,25%, 12,5%, 25%, 50%, 100% dan kontrol negatif. Penelitian ini dilakukan 3 kali pengulangan. Hasil dilakukan untuk mengetahui zona hambat minimum yang terbentuk media Muller Hilton Agar menggunakan uji normalitas Shaphiro-Wilk. Selanjutnya diuji statstik non parametrik menggunakan uji Kruskal Wallis dan dilanjutkan dengan uji Tukey (HSD). Uji Shapiro-Wilk menunjukkan nilai p > 0,05 pada semua konsentrasi dan data berdistribusi normal, namun saat diuji homogenitas data tersebut tidak homogen sehingga dilanjutkan uji statistik non parametrik menggunakan uji Kruskal Wallis menunjukkan nilai P < 0,05. Ekstrak daun mangga podang urang (Mangifera indica L.) Kediri memiliki zona hambat minimum terhadap pertumbuhan bakteri Staphylococcus aureus pada konsentrasi 6,25%.
Daun Mangga Podang Urang, Staphylococcus aureus, zona hambat minimum
Copyright (c) 2024 Sawitri Dwi Indah Pertami, Nikmatus Sa’adah, Ernita Sari, Putri Dwi Oktaviani (Author) https://creativecommons.org/licenses/by-nc/4.0
Effectiveness of Preventive Health Programs in Mitigating Chronic Diseases: A Meta-Analytical Review
This study aims to examine the effectiveness of digital health interventions in improving the scalability and sustainability of preventive health programs for chronic disease prevention. Using meta-analysis methods, this research synthesizes the results of various studies evaluating preventive health programs involving digital technology, and compares them with traditional approaches. Meta-analysis results show that digital health interventions significantly improve program effectiveness in reducing chronic disease risk, with significant contributions to population reach and sustainability of interventions. These findings provide important insights for the development of more inclusive and sustainable preventive health programs, and recommend the adoption of digital technologies in health systems to improve public health outcomes.
Digital health interventions, preventive health programs, chronic diseases, scalability, sustainability, meta-analysis.
Copyright (c) 2024 Saeful Amin (Author) https://creativecommons.org/licenses/by-nc/4.0
The Health Education Models in Reducing Child Mortality Rate of Vulnerable Communities
Culturally adapted health education plays a crucial role in reducing child mortality in vulnerable communities with diverse cultural backgrounds. This article conducts a systematic review of existing literature to evaluate the effectiveness of health education models adapted to local cultural contexts. Through a systematic literature review approach, this research identifies and synthesizes scientific evidence regarding the impact of cultural adaptation models on child health outcomes. Key findings show that interventions that take into account community-specific cultural values ​​and practices have a significant positive impact on reducing child mortality. However, the effectiveness of this model is highly dependent on the extent to which cultural elements are integrated in health education strategies and implementation contexts. This article provides practical implications for policy makers, health practitioners, and researchers, and identifies research gaps that need further exploration. Recommendations for future research include longitudinal studies, broader context-based research, and integration of qualitative methods to increase understanding of cultural adaptation in health education.
Health Education, Cultural Adaptation, Child Mortality Rates, Vulnerable Communities, Systematic Literature Review, Health Interventions.
Copyright (c) 2024 Jose Dionisio Ximenes, Joaquim Pinto, Eduardo C Gaio, Maria Manuela Alves (Author) https://creativecommons.org/licenses/by-nc/4.0
The Role of Local Wisdom in Reducing Toddler Morbidity and Mortality Rates Through Health Promotion Strategies
This research explores the role of local wisdom in reducing morbidity and mortality among children under five through health promotion strategies using a systematic literature review approach. Local wisdom, which includes knowledge, practices and traditions passed down from generation to generation, has been proven to have a significant contribution in increasing the effectiveness of health interventions by adapting health programs to the community's cultural context. This study analyzes how local wisdom is applied in various health promotion strategies, including community empowerment, social support, and advocacy. The findings show that the integration of local wisdom in health programs can increase community acceptance and participation, and has the potential to reduce infant mortality and morbidity rates. However, this study also identified limitations in the existing literature, including variability in study quality and data limitations. Recommendations for policy and practice include developing local wisdom-based programs, training health workers, partnerships with community leaders, and ongoing evaluation. This research makes an important contribution to understanding how local wisdom-based approaches can be integrated to achieve better health outcomes.
Local wisdom, health promotion, under-five morbidity, under-five mortality, community empowerment, social support, advocacy, systematic literature review
Copyright (c) 2024 Joaquim Pinto, Acacio de Jesus, Herminio Noronha, Ostelino da Silva Belo, Manuel Francisco da Costa (Author) https://creativecommons.org/licenses/by-nc/4.0
Behavior and Health Promotion in an Effort to Reduce Morbidity and Mortality Among Children Under Five
Health behavior and promotion are key factors in reducing morbidity and mortality in children under five years of age, which remains a significant challenge worldwide. Factors such as stunting, malnutrition, acute respiratory infections (ARI), diarrhea, and pneumonia contribute to this problem. This study aims to explore the role of parental involvement in community-based health promotion programs in reducing morbidity and mortality in children under five years. The method used is a systematic literature review with the PRISMA approach, identifying and analyzing articles from reputable international databases. Findings show that parental involvement can significantly increase the effectiveness of health programs, with a positive impact on reducing child morbidity and mortality rates. The implications of this research emphasize the need for policies that support community-based prevention programs, integration of health strategies with parental involvement, and increased awareness of the role of parents in children's health.
parental involvement, community-based health promotion, child morbidity, child mortality
Copyright (c) 2024 Joaquim Pinto, Joaquim Gregorio de Carvalho, Ermelinda da Costa Monteiro, Carlos Boavida Tilman (Author) https://creativecommons.org/licenses/by-nc/4.0
Healthcare Quality Improvement Strategies: A Meta-analysis of Their Impact on Patient Safety and Satisfaction
Technology-based health service quality improvement strategies aim to increase efficiency, effectiveness and quality of health services. However, key challenges in improving patient satisfaction and safety require further attention. This study aims to evaluate the effectiveness of technology-based strategies in improving patient satisfaction and safety. The research method uses a meta-analysis approach by collecting articles from databases such as Scopus and PubMed, and applying the PRISMA method for filtering articles. The research results show that the use of technology such as wearable devices, artificial intelligence (AI), and the Internet of Things (IoT) has a significant positive impact on patient safety and satisfaction. Implications of this research include recommendations for health policy, clinical practice, training and education, as well as increasing patient involvement in the care process.
Improving the quality of health services, health technology, patient safety, patient satisfaction
Copyright (c) 2024 Jasmin Ambas (Author) https://creativecommons.org/licenses/by-nc/4.0
Effectiveness of Telemedicine Interventions in Improving Healthcare Access and Outcomes: A Systematic Review
This study examines the effectiveness of telemedicine interventions in improving access to health services and health outcomes in rural and remote areas of developing countries. Through the systematic literature review method, articles from international databases such as PubMed, Scopus, and Web of Science are collected and analyzed using the PRISMA framework. The results show that telemedicine can significantly increase the accessibility of healthcare services, reduce costs and travel time, and improve chronic disease management and overall patient health outcomes. The implications of this research support further adoption of telemedicine to reduce disparities in health services in remote areas.
Telemedicine, access to health services, rural areas, developing countries, effectiveness
Pandemic on Public Health: A Systematic Review
The COVID-19 pandemic has had a significant impact on the global public health system, with developing countries left vulnerable due to limited infrastructure and resources. This research aims to explore the effectiveness of health communication strategies in increasing public compliance with health protocols during a pandemic in developing countries. The research method used is a systematic review using the PRISMA method. The research results show that an integrated health communication strategy, including the use of mass media and social media, can increase health literacy and promote healthy behavior amidst existing infrastructure challenges. The implication of this research is the importance of developing adaptive communication strategies to support an effective public health response, with a focus on strengthening health infrastructure and supporting frontline health workers. Future research could expand understanding of the use of new technologies in health communication and deepen understanding of the psychological, social, and economic factors that influence adherence to health protocols.
COVID-19, health communication strategies, health protocol compliance, developing countries, social media, systematic review
Copyright (c) 2024 Betriani Disik, Lucia Yogyana Suramas, Hayuti Windha Pagiu (Author) https://creativecommons.org/licenses/by-nc/4.0
The Impact of Media Social on Mental Health
Excessive social media use has been linked to increased anxiety, depression, and stress in teens. This study aims to examine the influence of the intensity of social media use on levels of anxiety and depression in adolescents. The research method used was a systematic literature review using PRISMA guidelines, which involved in-depth analysis of articles obtained from reputable international databases. The research results show that intense use of social media, especially image-based platforms such as Instagram, contributes significantly to increased anxiety and depression in adolescents. The implications of this research indicate the importance of developing effective and evidence-based mental health interventions to reduce the negative impact of social media on the mental well-being of adolescents.
Social Media, Mental Health, Anxiety, Depression, Adolescents, Systematic Literature Review
Copyright (c) 2024 Puti Amalia, Feri Catur Yuliani (Author) https://creativecommons.org/licenses/by-nc/4.0
Pengaruh balance Exercise Terhadap Peningkatan kekuatan Otot Lansia dengan Stroke Non Hemorgaik
Penderita stroke non hemoragik memerlukan penanganan baik untuk mencegah kecacatan fisik dan mental. Apabila pasien tidak mendapatkan penanganan yang maksimal akan terjadi kecacatan atau kelemahan fisik. Penderita stroke non hemoragik yang mengalami penurunan kekuatan otot akan diberikan terapi untuk meningkatkan kekuatan ototnya. Terapi yang digunakan untuk meningkatkan kekuatan otot pada penderita stroke non hemoragic adalah pemberian balance exercise. Tujuan penelitian ini untuk Mengetahui pengaruh balance exercise terhadap kekuatan otot lansia dengan stroke non hemoragik. Pada penelitian ini menggunakan metode pre eksperimen two group design dengan rancangan case control. Sampel dalam penelitian ini adalah sebanyak 14 orang. Hasil penelitian menunjukan bahwa ada pengaruh balance exercise terhadap kekuatan otot lansia dengan stroke non hemoragik.
Balance Exercise, Lansia, Stroke Non Hemoragik
Copyright (c) 2024 Musmuliadin Musmuliadin (Author) https://creativecommons.org/licenses/by-nc/4.0
The Effectiveness of Telemedicine in Improving Access to Healthcare: A Systematic Review
Telemedicine has become a promising solution for increasing access to health services, especially for underserved populations and in remote areas. This research aims to test the effectiveness of telemedicine in increasing public health access and explore its integration in strengthening health-related digital literacy. This study was conducted in the context of systematic literature research, using the PRISMA method to collect and evaluate articles from reputable international databases. The results of the literature review show that telemedicine is effective in overcoming geographic barriers and limited health infrastructure, especially during crises such as the COVID-19 pandemic. However, the challenges of policy implementation, technology infrastructure, and equality of access remain important issues that need to be addressed. On the other hand, digital literacy plays a crucial role in strengthening access to health information and informed decision making. It is hoped that the integration of telemedicine with increasing digital health literacy can increase equitable access to health. The implications of this research include providing new insights for policy makers and health practitioners in optimizing the use of telemedicine to overcome access barriers and increase digital literacy among the public.
Telemedicine, Health Access, Digital Literacy, Health Literacy, Systematic Literature Research.
The Impact of Lifestyle Factors on the Human Microbiome
The conclusions of this study highlight the complexity of the relationship between lifestyle and human microbiome composition, which is based on the results of a systematic literature review. Findings from the literature show that lifestyle factors such as diet, physical activity, and sleep habits have a significant impact on the composition and diversity of the human microbiome, both in the digestive system, skin, and oral cavity. These factors interact and influence each other, forming a complex network of relationships that influence the health and balance of the human microbiome. The implications of these findings are very important in the context of preventing and treating various microbiome-related diseases, such as obesity, diabetes, and inflammatory bowel disease. By understanding the relationship between lifestyle and the human microbiome, we can develop more effective and targeted intervention strategies, both in terms of behavior change and the development of therapies focused on modulating the microbiome. For future research, it is recommended to further explore the mechanisms underlying the interaction between lifestyle and the human microbiome, and involve more comprehensive and longitudinal analysis.
Lifestyle, human microbiome composition, systematic literature review, interaction of lifestyle factors, health implications.
Copyright (c) 2024 Arif Rachman (Author) https://creativecommons.org/licenses/by-nc/4.0
Precision Medicine: The Future of Medicine Tailored to Individual Patients
Genome sequencing technology and genomic analysis have become important tools in the realm of personalized medicine, revolutionizing diagnostic and treatment strategies tailored to each patient individually. This systematic literature review explores the implications of genome sequencing and analysis technologies in the context of personalized medicine, with the aim of clarifying their potential and challenges. Through a thorough examination of the relevant literature, including studies of genome sequencing technologies, pan-genome analysis, and the integration of genomic data in clinical decision making, this review provides insight into the current state and future directions of personalized medicine. These findings underscore the importance of genomic literacy, cross-disciplinary collaboration, and ethical considerations in realizing the full potential of personalized medicine. By highlighting advances, limitations, and implications of genome sequencing and analysis, this review contributes to the ongoing discourse on precision medicine and informs research and clinical practice in this rapidly developing field.
Genome sequencing, Pan-genome analysis, Personalized medicine, Clinical decision making, Precision medicine, Interdisciplinary collaboration, Ethical considerations.
Copyright (c) 2024 Ermelinda da Costa Monteiro, Joaquim Pinto (Author) https://creativecommons.org/licenses/by-nc/4.0
The Next Pandemic: Preparing for Future Global Health Threats
This research aims to conduct a systematic review of global health preparations in facing future pandemics. By following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) method, relevant articles were collected from international databases such as PubMed, Web of Science, and Scopus. The review results show that the COVID-19 pandemic has highlighted the lack of global health preparedness and emphasized the importance of comprehensive preparedness planning, effective early detection systems, and adequate resource allocation. The implications of this research are the importance of increasing international cooperation, investment in research and development, and improving health infrastructure and resources to strengthen global health preparedness in the future.
global health preparation, pandemic, PRISMA, international cooperation, research and development, health infrastructure, health resources.
Challenging Aging: Extending Lifespan and Improving Quality of Life with Science and Technology
The recent integration of gene therapy, cell therapy, and nanomedicine technologies has become a promising research focus in extending lifespan and improving quality of life in aging populations. This study aims to conduct a systematic review of the latest literature discussing the application of these three technologies in the context of aging. The research method used is a systematic analysis of articles selected from international databases such as PubMed, Scopus, and Web of Science, using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) method as a guide. The results of the discussion show that the integration of gene therapy, cell therapy, and nanomedical technology has great potential in overcoming various aging problems and improving the quality of life in the elderly population. The implication of this research is the importance of continuing to develop integrated therapeutic approaches to respond to the challenges of aging, taking into account ethical, social and safety aspects in their application in clinical practice and the development of appropriate health policies.
Gene therapy, Cell therapy, Nanomedical technology, Aging, Quality of life, Elderly population.
Copyright (c) 2024 Joaquim Pinto (Author) https://creativecommons.org/licenses/by-nc/4.0
The AI Revolution in Medicine: Predicting, Preventing, and Curing Diseases with Artificial Intelligence
This research aims to explore the use of artificial intelligence (AI) in disease risk prediction and disease prevention through a systematic review of literature from 2019 to 2024. The research method used is an analysis of scientific articles published in international journals Scopus Q1. The research results show a significant increase in the use of AI in disease risk prediction, especially in the context of neurodegenerative diseases, cardiovascular conditions, cancer, and autoimmune diseases. The implications of this research include the potential of AI in improving the accuracy of disease risk predictions, providing timely interventions, and improving the clinical management of patients. However, the use of AI in disease risk prediction is also faced with various ethical challenges and impacts, including limited available health data, the complexity of AI models, complex interpretation of results, and privacy and fairness issues. The practical implication of this research is the need for a holistic and sustainable approach in the development and implementation of AI models in disease prevention, which takes into account the complex challenges and opportunities associated with the use of AI in health contexts.
Artificial Intelligence, Disease Risk Prediction, Disease Prevention, Systematic Review, Medical Literature, Challenges, Ethical Impact