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The purpose of this study was to analyze the relationship between noise levels and work stress among employees at Karunia Kasih Hospital. This study used a cross-sectional design with a population consisting of all employees in the Front Office, Polyclinic Nurses, and Specialist Doctors. The study sample consisted of 80 respondents selected using total sampling technique. Noise levels were measured using a Sound Level Meter, while work-related stress was assessed using a questionnaire. Data analysis was conducted using the chi-square test with a significance level of α = 0.05. The measurement results indicated that 80% of the work areas had noise levels exceeding the NAB 65 dBA threshold. The Outpatient Corridor area had the highest noise level (83 dBA). A total of 65% of workers experienced moderate to severe work-related stress. There was a significant relationship between noise levels and work-related stress (p-value = 0.001). Age (p-value = 0.024) and length of service (p-value = 0.037) also showed a significant relationship with work-related stress. There is a significant relationship between noise levels and work-related stress among workers at Karunia Kasih Hospital. Efforts to control noise levels and comprehensive stress management programs are needed to protect worker health.

This study aims to determine the relationship between individual and environmental factors with the level of eye fatigue in employees. This quantitative study used a cross-sectional design. A total of 60 respondents were selected using total sampling. Data were collected through questionnaires and analyzed using the chi-square test. The variables assessed included age, gender, history of visual impairment, duration of screen use, and lighting intensity in the workplace. The results showed that only gender had a statistically significant association with eyestrain (p = 0.034). Other variables-age (p = 0.859), history of visual impairment (p = 0.482), duration of screen use (p = 0.764), and lighting intensity (p = 0.158)-had no significant association. Most respondents (71.7%) experienced moderate levels of eyestrain. Gender was the only factor significantly associated with eyestrain in administrative workers. While other variables did not show a significant relationship, they are still relevant in the effort to maintain eye health in the workplace.

Sewing workers at CV Cahaya Setia Mulia Abadi perform static and repetitive tasks, such as prolonged sitting in a bent posture and continuous sewing movements. These conditions lead to various physical complaints, including back pain (78%), lower neck pain (75%), upper neck discomfort (73%), as well as shoulder fatigue, wrist tingling, and lower back stiffness. This research is conducted to evaluate the potential risk of musculoskeletal disorders (MSDs) through the application of the Rapid Entire Body Assessment (REBA) method, determine the body parts most frequently affected using the Nordic Body Map (NBM) questionnaire, and develop posture correction strategies based on anthropometric measurements.The REBA results indicate that most sewing activities fall into the medium-risk category (score 5–7), with some in the high-risk category (score 8). The intervention involved adjusting chair dimensions based on anthropometry, and adding seat cushions and backrests. After the simulation of improvements, the REBA score decreased to 2, placing it in the low-risk category. These findings demonstrate that ergonomic chair design and proper working posture significantly reduce physical strain, increase comfort, and help maintain worker productivity. This study offers practical recommendations for creating a healthier and safer work environment in the manufacturing sector.

Preoperative anxiety is common for patients, especially those who will undergo spinal anesthesia. The level of anxiety can vary, from mild anxiety to panic attacks, which can potentially affect the outcome of surgery and the recovery process. To overcome this problem, rose aromatherapy with a diffuser offers a non-pharmacological solution. A study was conducted in the Operating Room of PKU Muhammadiyah Gamping Hospital to determine the effect of rose aromatherapy on the level of anxiety of pre-operative patients with spinal anesthesia. This study used a pre-experimental one group pretest posttest design, which showed that rose aromatherapy can significantly reduce anxiety levels in patients who will undergo surgery with spinal anesthesia. This study involved 30 respondents selected through a purposive sampling technique. Data were collected using a questionnaire and analyzed statistically using the Wilcoxon Signed Rank Test. The results of the analysis showed a significance value of 0.000, which means that there is a significant effect of giving rose aromatherapy on the level of patient anxiety. In other words, the alternative hypothesis (Ha) is accepted and the null hypothesis (H0) is rejected. Conclusion, rose aromatherapy is proven to be effective in reducing pre-operative anxiety in patients with spinal anesthesia at PKU Muhammadiyah Gamping Hospital. This study is expected to be an additional reference for future research and provide valuable information for health workers in pre-operative anxiety intervention efforts.

Pregnancy is a critical phase in a woman's life that demands comprehensive support from her closest environment, especially from her husband. This study aims to describe the role of husbands in accompanying their wives during pregnancy, identify factors that influence the level of involvement, and understand the impact on the physical and psychological health of pregnant women. The research approach used was qualitative with the type of phenomenological study, which was conducted in Kotabaru District, South Kalimantan. The main informants consisted of purposively selected pregnant women and postpartum mothers, complemented by triangulation from husbands, health workers, and community leaders. Data were collected through in-depth interviews, non-participatory observation, and documentation, and analyzed thematically. The results showed that husbands' assistance included involvement in pregnancy check-ups, assistance with household chores, provision of financial and emotional support, and roles in preparing for childbirth. However, this involvement was influenced by the husband's knowledge, culture, communication, and working conditions. Intact support from husbands was shown to have a positive impact on pregnant women's sense of comfort, confidence, mental readiness, and physical health. This study emphasizes the importance of holistic involvement of husbands in the pregnancy process and the need for a family and culture-based approach in preparing for childbirth.

Iron deficiency anemia (ADB) is anemia that arises due to reduced iron supply for erythropoiesis, due to empty iron stores (depleted iron stores) which ultimately results in reduced hemoglobin formation. This study aims to determine the effect of giving blood supplement tablets on HB levels in female students suffering from anemia at SMAN 1 Tambakboyo, Tuban Regency. The research design used a pre-experiment using a one group pre test post test approach, with a total sampling technique on a population of 34 female students suffering from anemia in class X and analyzed using the Wilcoxon test. The instruments in this research were Standard Operating Procedures (SOP), hemoglobin level observation sheets and Easy Touch GCU brand hemoglobin measuring equipment. The results of the study showed that the average HB level before 10.17 g/dl and after 15.46 g/dl given blood supplement tablets was normal. The results of the Wilcoxon test obtained a significant value of p=0.000 (p<0.05), which means that there was a significant difference in the HB levels of class X female students before and after being given blood supplement tablets. Health workers, especially in school health offices, should provide blood supplement tablets at the right time so that female students can take the blood supplement tablets regularly and finish them.

Electronic Medical Record (EMR) systems have become a fundamental component of hospital information systems, aiming to improve the quality, efficiency, and continuity of patient care. However, the success of EMR implementation depends largely on user satisfaction. This study investigates user satisfaction with the EMR system implemented at Dr. Soetarto (DKT) Hospital, a mid-tier hospital in Yogyakarta, Indonesia. The research addresses issues related to usability, data accuracy, and system responsiveness that potentially hinder effective EMR usage. The objective is to evaluate user satisfaction using the End User Computing Satisfaction (EUCS) framework, which consists of five dimensions: content, accuracy, format, ease of use, and timeliness. A quantitative approach was applied through a structured questionnaire distributed to 40 healthcare workers, including medical records staff, nurses, pharmacists, and administrative personnel. Data analysis using Spearman correlation revealed significant positive relationships among all EUCS dimensions, with the strongest association found between format and ease of use. The findings indicate that while users are generally satisfied with the system’s performance, improvements are still needed in timely data retrieval and user interface consistency. This study highlights the critical need for continuous system evaluation and end-user involvement to optimize EMR functionality and healthcare service delivery.

Natural and non-natural disasters significantly disrupt healthcare systems, particularly obstetric and gynecological services, which are highly vulnerable to service interruptions and quality decline. Pregnant women, postpartum mothers, and newborns face an increased risk of complications and mortality without adequate medical care. Health professionals play a crucial role in ensuring the continuity of reproductive health services through the implementation of the Minimum Initial Service Package (MISP), emergency management, health education, and intersectoral coordination. However, challenges such as limited resources, psychological pressure, and lack of specialized training hinder optimal performance. Therefore, strengthening the capacity of healthcare workers, enhancing disaster preparedness, providing adequate logistics, and enacting supportive governmental policies are essential to maintain effective obstetric-gynecological care during crises. This literature review comprehensively discusses the role of health workers in ensuring reproductive health services in disaster settings as a strategy to improve access and service quality during emergencies.

This study aims to determine factors including age, gender, education, tenure, and knowledge associated with the PPE use behavior of health workers at PT Kereta Commuter Indonesia. The study was conducted using a cross-sectional design with a quantitative approach. The sample consisted of 60 employees of the PT Kereta Commuter Indonesia Health Unit selected through total sampling. Primary data was collected using a questionnaire of OHS knowledge and behavior including age, gender, education, tenure and knowledge. Data analysis was performed by chi square test with the limit of significance used (P < 0.05). A total of 91.7% of health workers aged 18-35 years and as many as 98.3% of health workers had good knowledge by univariate analisys. There is a significant relationship between the age factor and the PPE use behavior of health workers with the results (p=0.039) and the knowledge factor with the PPE use behavior of health workers with the results (p=0.006). Age and knowledge of health workers at PT Kereta Commuter Indonesia have an influence on PPE use behavior. The company needs to develop programmed education and training, including supervision, monitoring and evaluation activities by management to increase motivation for implementing OSHs culture.

Background: Incomplete electronic medical record filling by doctors can hinder effective action or treatment by other health workers. This non-compliance problem includes incomplete filling and writing of less specific diagnoses, which can potentially lead to errors in nursing action planning. Purposes: This study aims to test the influence of management commitment and team orientation on compliance in filling electronic medical records with competence as an intervening variable in the inpatient installation of Hermina Hospital, Depok. Methods: This research method is quantitative with a cross-sectional study design. The population is doctors at Hermina Hospital Depok who work in the inpatient installation totaling 133 people. The results of the sample calculation obtained 100 respondents. The data collection technique used a questionnaire, and the analysis method used SEM-PLS. Result: The results of the study showed that management commitment, team orientation, and doctor competence had a simultaneous effect on compliance in filling electronic medical records at Hermina Hospital, Depok. Management commitment and team orientation had a significant effect on doctor competence, which in turn also had a direct effect on compliance in filling out medical records. In addition, doctor competence mediated the relationship between management commitment and team orientation on compliance. Improving doctor competence is the main key to ensuring compliance. Conclusion: The conclusion of this study confirms that to improve compliance in filling electronic medical records at Hermina Hospital, Depok, attention is needed to management commitment and team orientation. Improving doctor competence is the main key in ensuring compliance, with competence functioning as a mediator between management commitment and team orientation towards compliance.

Low Back Pain (LBP) is one of the most common musculoskeletal problems experienced by people in various age groups and work backgrounds. This complaint can be acute, subacute, or chronic, with various causes ranging from mechanical, degenerative, to psychosocial factors. This study aims to examine the characteristics of LBP through a literature review of several previous studies that focus on prevalence, risk factors, and their impact on patients' daily lives. The method used is a narrative literature review, with data sources coming from national and international journals, research reports, and academic repositories. The results of the study show that the prevalence of LBP is very high, with a significant percentage of occurrence in the elderly, pregnant women, administrative workers, and individuals with a sedentary lifestyle and non-ergonomic work posture. In addition to age, female gender, non-ideal body mass index, and long work duration, it was also found that psychosocial characteristics such as low social support and high work pressure play a role in triggering or worsening LBP. A study at Ibnu Sina Hospital Makassar showed that most LBP patients were elderly women with acute pain and radiological results showed lumbar spondylosis as the most common diagnosis. The conclusion of this study emphasizes the importance of prevention through ergonomic education, work stress management, and early intervention based on a healthy lifestyle. These findings are expected to be the basis for designing promotive and preventive strategies for high-risk groups.

This study aims to explore the effectiveness of optimal hydration on brain activity and mental health in students and workers through a biopsychological approach. Five participants (three students and two workers) participated in a hydration intervention by drinking at least 8 glasses of water per day for seven days. The design used was a one-group pretest-posttest, with measurements using the PANAS (Positive Affect Negative Affect Schedule) scale and daily reflection. The results showed an increase in positive emotion scores and a decrease in negative emotion scores after the intervention was carried out in both groups. Participants' daily reflections supported these findings, although some experienced discomfort such as bloating or nausea. Biopsychologically, adequate hydration can contribute to cognitive function, emotional control, and daily productivity. This study confirms that regular drinking habits are a simple but effective strategy in improving mental health and brain function in both students and workers.

Background: Exclusive breastfeeding is essential for infant growth, immunity, and overall health. However, many breastfeeding mothers experience difficulties in maintaining exclusive breastfeeding due to improper breastfeeding techniques, low maternal knowledge, and lack of guidance from health workers. Proper application of breastfeeding techniques, including correct latch-on, positioning, and frequency, can improve breastfeeding consistency and prevent early weaning (Sari, 2020; Putri, 2021). Objective: This study aimed to determine the effect of the application of breastfeeding techniques on the consistency of exclusive breastfeeding in breastfeeding mothers at the Dambalo Community Health Center. Methods: A quantitative, pre-experimental study with a one-group pretest-posttest design was conducted. Thirty breastfeeding mothers were selected using purposive sampling based on inclusion criteria, including mothers of infants aged 0–6 months who were willing to participate and had no medical conditions preventing breastfeeding. Results: All 30 participants (100%) applied the recommended breastfeeding techniques after the intervention. Following the intervention, 27 mothers (90%) consistently practiced exclusive breastfeeding, while three mothers (10%) showed partial improvement. Statistical analysis using the Wilcoxon signed-rank test revealed a significant difference in exclusive breastfeeding consistency before and after the intervention (p = 0.000), indicating that the application of proper breastfeeding techniques significantly improved breastfeeding practices. Conclusion: The application of breastfeeding techniques has a significant positive effect on the consistency of exclusive breastfeeding among mothers at the Dambalo Community Health Center. Structured guidance and practical support from health workers, particularly midwives, are essential to improve maternal skills, reinforce proper practices, and ensure the health and growth of infants.

The hospital has a health promotion function for the community. During the pandemic, the health sector underwent many changes, one of which was the use of media. Health promotion is carried out through the activities of providing information, influencing, and helping the community improve their health status. At this time, digital media was more dominantly used in health promotion activities. Canva is an application for producing digital content that is commonly used today. Training on making health promotion media with the Canva application is the goal of implementing this activity, so that later partner health workers can have the knowledge and skills to produce health promotion content digitally. This activity is a community service program carried out at PKU Muhammadiyah Kartusara Hospital in July 2023. Based on the results of this training activity, it can be concluded that the use of digital content in health promotion activities has not been implemented. It is necessary to strengthen the capacity of health workers, especially in training for creating digital content for health promotion.

The development targets in the Health sector in the 2020–2024 National Medium-Term Development Plan (RPJMN) place one of the main targets for maternal and child health is to reduce the incidence of children under five years old (toddlers) stunting (low height / short) by 30.8% (2018) to 19% in 2024. Optimal Health Status must be prepared since a woman before marriage. Then continued when the woman is pregnant, and while breastfeeding. Childhood is the foundation for growth and development in the next stage, if there are nutritional problems then the consequences that arise are permanent. The risk of stunting by 7x can occur in women 15-49 years who experience anemia and when they become pregnant will be at risk of giving birth to stunted babies. In women of childbearing age aged 15-49 years is the foundation for growth and development in the next stage, if during this period women experience nutritional problems then the consequences that arise can be permanent or irreversible. Its essence is a critical period when a system is plastic and sensitive to its environment, followed by a permanent loss of plasticity and functional capacity (Ummi Kalsum et al., 2021). Before education was provided, most adolescents showed a low level of understanding, namely 31 respondents (56.7%), and awareness of the importance of monitoring nutritional status during adolescence was also minimal. However, after interactive counseling with an easy-to-understand approach, there was a significant increase in knowledge, with 41 respondents (68.3%) showing an increase in understanding, reflected in a change in the knowledge category to a better level. This activity emphasizes the importance of promotive and preventive interventions in areas at high risk of nutritional problems. The implementation of direct and participatory education involving cadres and health workers has proven effective in increasing awareness and forming healthy lifestyle behaviors in adolescents. Therefore, similar education programs need to be implemented continuously to reduce anemia rates to prevent stunting and prevent stunting from adolescence.

E-Puskesmas is a solution to problems caused by manual systems. It was created to streamline the method of reporting data to the Health Office and digitize the process of providing health services to the community at the Puskesmas. In addition, the online reporting system facilitates the dissemination of information effectively and efficiently. This study aims to determine the impact of using E-Puskesmas in improving the effectiveness of health services at the Pancur Community Health Center in Tanjungpinang City. The research method used is descriptive research with a qualitative approach conducted through observation, interviews, and documentation. The results of the study indicate that the implementation of E-Puskesmas has brought significant improvements in managing patient data, appointment scheduling, and reporting processes to the Health Office. Health workers find the system beneficial for storing accurate data, reducing paperwork, and enabling faster coordination with other health facilities. However, the use of the system is still hampered by unstable or slow internet or Wi-Fi networks, which often delay data input and retrieval during busy operational hours. This issue not only reduces efficiency but also causes frustration among staff who rely on the system for daily activities. The conclusion of this study highlights that the use of E-Puskesmas is effective in supporting digital health services but remains suboptimal due to technical challenges. Improving internet connectivity is critical to ensuring seamless operation and maximizing the benefits of the system. The study recommends that the local government and relevant stakeholders enhance the quality of network infrastructure and provide regular technical support and training for Puskesmas staff. By addressing these challenges, the Pancur Community Health Center can improve the stability of its operations and ensure that the E-Puskesmas application delivers optimal results in supporting high-quality, efficient, and technology-driven health services for the community.

The postpartum period is a critical period for mothers and babies because a other does not only focus on herself,, but also on caring for her baby. Problems arise in postpartum service visits results in minimal information on ppostpartum vare. Community empowerment through improving the skills of cadres as companions for postpartum mothers is expected to solve problems in postpartum mothers. Community service activities will be carried out for 3 face to face meetings in Bandengan Village involving 6 active Posyandu with 21 people attending. Improving the knowledge and skills of cadres is carried out using a case study approach, group discussions, lectures and simulations. Assistance will be carried out by scheduling visits to postpartum mothers and conducting evaluations. There has been an increase in the knowledge and skills of cadres in assisting postpartum mothers. It is hoped that healthy cadres can become an extension of health workers in monitoring postpartum mothers and their babies, so that problems can be reduced.

Obesity in women of childbearing age is a growing health problem, not only due to dietary patterns and lack of physical activity, but also due to the influence of social and cultural factors. This study aims to gain a deeper understanding of the experiences, perspectives, and habits of women of reproductive age who are obese within the context of local social and cultural norms. Using a qualitative phenomenological approach, data was collected through in-depth interviews with five primary informants who are obese, as well as triangulation informants from community health workers and healthcare professionals. The results of the study indicate that perceptions of obesity are still predominantly viewed from the perspective of physical appearance rather than health. Social factors such as family eating patterns, snacking habits, comments from others, and lack of physical activity are triggers for obesity. Meanwhile, local culture has a varied influence—some communities are beginning to adopt slim body ideals, while others remain neutral. Obesity also impacts self-confidence, social stigma, and limitations in daily activities. However, most informants expressed hope for a healthier life. This study recommends interventions that consider local cultural values and involve family and community support in obesity prevention effort.

The use of formula milk for infants is still common in the early stages of life and has the potential to hinder successful breastfeeding, even though the benefits of breast milk have been widely proven. Education and lactation counseling are considered important strategies to support breastfeeding practices and reduce the unnecessary use of formula milk. However, empirical evidence on the effectiveness of lactation counseling in reducing the intensity of formula milk use is still limited, especially in the context of primary health care in Indonesia. This study aims to analyze the effectiveness of lactation counseling in reducing the intensity of formula feeding in infants. This study uses a quantitative approach with a one-group pretest–posttest pre-experimental design. The sample consisted of 20 mothers who had infants and met the inclusion criteria in the Popayato Community Health Center working area, selected using total sampling technique. The intervention took the form of structured lactation counseling provided by health workers. The intensity of formula feeding was measured before and after the intervention using a structured questionnaire. Data analysis was performed descriptively and bivariately using the Wilcoxon Signed Rank Test. The results showed a decrease in the intensity of formula feeding after lactation counseling. The Wilcoxon test showed a significant difference between the intensity of formula feeding before and after education (p = 0.000). Lactation counseling was proven to be effective in reducing the intensity of formula feeding in infants. This educational intervention has the potential to be an important promotional strategy in maternal and child health services to support more optimal breastfeeding practices..

Danger signs of pregnancy are signs or symptoms indicating that the mother or fetus is in danger. Knowledge of danger signs of pregnancy is a factor that influences the high Hamilton Anxiety Rating Scale (HARS) score of mothers in labor. This study aims to determine the relationship between mother's knowledge about pregnancy danger signs and HARS scale scores for mothers in childbirth in the Lamasi Health Center Work Area. This is a quantitative study using an observational cross-sectional approach. The population and sample were 32 people using total sampling technique. Data collection used questionnaires and observation sheets. Analysis used chi-square test. The results showed that there was a relationship between the mother's knowledge of pregnancy danger signs and HARS scale scores of mothers in labor in the Lamasi Health Center Work Area with a p value = 0.021 < α value = 0.05. It is hoped that health institutions can increase the knowledge of health workers and the community regarding pregnancy danger signs and the HARS score of mothers in labor.