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Readiness for exclusive breastfeeding was important in supporting the development of newborns. Mrs. Priigravida does not know what influences the relationship in the readiness of exclusive breastfeeding. The purpose of this study is to find out the factors that affect the readiness to give exclusive breastfeeding to primigravida. This study uses a quantitative research method with a cross-sectional approach. The sample used was primigravida pregnant women in the Bangetayu Health Center working area of Semarang City. The number of respondents in this study was 50 people, with the technique used being total sampling. The data obtained were processed statistically using the spearmen rank correlation test. The results showed that the majority of respondents at the age of not at risk were 90%, the last education of high school/vocational school was 56%, mothers who were not working were 60%, knowledge of primigravida was high as 100%, family support was good as 98%, nutritional status of primigravida was high as 96%, and spiritual support of primigravida was high by 100%. The results of the statistical test obtained that the factor that most affects the readiness of exclusive breastfeeding in primigravida is spiritual support with a beta score of 0.582. There was a relationship between knowledge, family support, nutriall status, and spiritual support to readiness of exclusive breastfeeding in primigravida. The most powerful factor of influence is spiritual support.

Mother's Milk (breast milk) exclusive breastfeeding was only in babies starting at the age of 0 to 6 months.  When mothers don't know how to manage their lactation, it can stop them from breastfeeding their babies properly.  The goal of this study is to find out what happens when people learn how to breastfeed and how that changes the practice of exclusively breastfeeding in first-time moms.  The quasi-approach and experimental pre-post strategy are used in this study.  Mothers who had their first child at the Bangetayu health center made up the sample, which was made up of 50 people chosen at random from the whole population.  Questionnaires filled out before and after the activity were used to collect data.  The 50 people who filled out the Wilcoxon test showed that mothers' knowledge, attitudes, and skills were different before and after education. The p value of 0.001 (p value <0.05) means that mothers' knowledge, attitudes, and skills on exclusive breastfeeding were different before and after education.  Lactation instruction had an effect on the practice of nursing exclusively for the first six months after giving birth.

Background: The frequency of hypertension continues to increase in line with the low compliance of hypertension sufferers in carrying out their treatment, one of which is a hypertension diet. Family support plays a crucial role in increasing self-confidence, motivation, and life satisfaction of hypertension sufferers. Family involvement in health education programs helps patients with their needs met, understanding when to seek medical help, and support for treatment compliance, which can prevent recurrence and serious complications due to hypertension. In addition, compliance with a hypertension diet is very important to keep blood pressure stable. A good understanding of the benefits of diet and the role of family and health workers in providing support can increase diet compliance. Conversely, low understanding can reduce awareness of the importance of diet, potentially causing ongoing complications. Therefore, hypertension management strategies must involve family support and education about the right diet to achieve optimal health outcomes. This study was conducted to analyze the Relationship Between Family Support and Diet Compliance in the Elderly in Controlling Hypertension at the Kedungmundu Health Center. Methods: This study uses a quantitative method with a correlational approach. Data were collected through demographic questionnaires, family support, and hypertension diet compliance, with a study sample consisting of 90 people using random sampling techniques. Somers' D test was chosen as the statistical analysis method for this research data. Results: Based on the study, it was found that some respondents received quite good family support, with a total of 57 people (63.3%) and were quite compliant with dietary compliance as many as 57 people (63.3%). The results of the Somers' D test showed that the significance value of p = 0.000 <α (0.05), so H0 was rejected. Conclusion: Based on the data analysis, the conclusion obtained is that there is a relationship between family support and dietary compliance in the elderly in controlling hypertension at the Kedungmundu Health Center, Semarang City.

Background: Early detection of cervical cancer includes an IVA examination or Pap smear. This test is used to identify cervical cancer and in Islam it is also recommended to maintain (hifdz an-nafsa), namely maintaining reproductive health related to offspring (hifdz an-nasl). The aim of this research is to determine the effect of sharia-based audiovisual education on knowledge, behavior and attitudes towards preventing cervical cancer. Purpose: to determine the effect of sharia-based audiovisual education on knowledge, behavior and attitudes towards preventing cervical cancer. Method: This type of research uses quantitative with a quasi-experimental research design in the form of one-group without control and this research uses an accidental sampling technique with 41 respondents. Data was taken before and after the intervention was given and then analyzed statistically using the Wilcoxon test. Results: The results of the Wilcoxon test research showed that z knowledge calculation was -5.667, behavior -4.583, and attitude calculation -5.831 with an asym.sig value of 0.000. This shows that the p value <0.05 was a difference after the pre-test and post-test of providing audiovisual education. Conclision : There is an influence of providing audiovisual education on knowledge, behavior, attitudes, prevention of cervical cancer with early detection in the working area of ​​the Tlogosari Kulon Health Center, Semarang.

Ovarian cysts are a type of reproductive disease that often attacks women. Ovarian cysts are collections of fluid in the ovaries or fallopian tubes that accumulate and are surrounded by a membrane formed from the outer layer of the ovaries. Many people, especially women of childbearing age, do not know the factors that cause ovarian cysts themselves. Cyst Factor Analysis aims to increase public knowledge for early prevention. This research is a type of quantitative research using a cross sectional approach. The sample used was 109 respondents and anticipated drop out was 121 respondents in the work area of the Tlogosari Kulon Semarang Health Center. The sample was taken using a probability sampling technique with a simple random sampling type. The comparative test used was the Chi-Square test. The results of research using the Chi-Square test proved that the p value of the ovarian cyst factors was <0.05. This shows that there is a significant and strengthening relationship between age, menstrual cycle, genetic history, parity, economic status, history of previous cysts, menarche, hypothyroidism. There is a relationship between age, menstrual cycle, genetic history, parity, economic status, history of previous cysts, menarche, hypothyroidism on the incidence of ovarian cysts in women of childbearing age at the Tlogosari Kulon Semarang Community Health Center, and factors that have a significant influence are genetic history with a p-value <0.050.

Background: Diarrhea is a condition in which a person experiences bowel movements more than three times a day with liquid-textured feces, often accompanied by mucus or blood, and occurs more often than usual. The purpose of this study was to determine the determinants of diarrhea in toddlers in the work area of ​​the Paal V Health Center in 2024. This study is a quantitative study using a Cross Sectional approach method. The sample in this study was 167 mothers of toddlers with a purposive sampling technique. The study was conducted from August 2024 to January 2025. The research instrument used a questionnaire and observation sheet. The variables used were CTPS habits, exclusive breastfeeding, visits to integrated health posts, maternal employment status, clean water sources, healthy toilets. Cronbach's results Validity Test Diarrhea incidence (0.404), CTPS habits (0.632), exclusive breastfeeding (0.636), visits to integrated health posts (0.690). The results of the CTPS habit analysis obtained p-value (0.034), exclusive breastfeeding (0.016), visits to integrated health posts (0.107), maternal employment status (0.042), clean water sources (0.154), healthy toilets (1.000). There is a relationship between CTPS habits, exclusive breastfeeding, maternal employment with the incidence of diarrhea in toddlers. There is no relationship between visits to integrated health posts, clean water sources, healthy toilets with the incidence of diarrhea.

Self-care is an individual's effort to manage their health condition, especially for people with diabetes mellitus, to keep blood sugar levels under control. One element that influences the effectiveness of self-care is family support. This support can take various forms, such as emotional support, practical assistance, information, and evaluative feedback. This study aims to explore the relationship between family support and self-care practices in elderly people with type 2 diabetes mellitus at the Kedungmundu Health Center. This study design is correlational with a cross-sectional approach. The sample taken consisted of 68 elderly people with type 2 DM who visited the Kedungmundu Health Center. The sample selection used a purposive sampling technique. The inclusion criteria involved outpatients who lived with their families. The instruments used in this study were a questionnaire about family support and SDSCA (Summary of Diabetes Self-Care Activities). To analyze the data, the chi-square test was used in bivariate analysis. The results showed that 60.3% of respondents received positive family support, while 48.5% of respondents showed good self-care practices. Further analysis showed a significant relationship between family support and self-care practices with a p value of 0.000 (p <0.05). Conclusion: Based on the results found, it can be concluded that family support plays an important role in improving the quality of self-care in elderly people with type 2 diabetes mellitus.

Pulmonary tuberculosis (TB) is a public health problem of concern because of its contagious nature. Success in treating pulmonary TB, which is very important to prevent drug resistance, is largely determined by patient compliance in taking medication regularly. However, the most important factor in the diagnosis of this disorder is the extent to which recommendations are followed. Therefore, the task of the family exercise monitor (PMO) is very important in helping the patient accept the forced teaching. The aim of this research is to analyze family members on the health status of pulmonary tuberculosis patients who come to take medication at the Tlogosari Kulon Health Center. The design in this research analysis is cross-sectional correlation, specifically to test the relationship between two variables at the same time. This sample consisted of 71 cases of pulmonary tuberculosis registered at Balai Tlogosari Kulon. At this institution, a cross-sectional correlation analysis design is used to analyze the relationship between two variables over a period of time. The sample in this study was 71 TB patients registered at the Tlogosari Kulon Health Center. Purposive sampling is a sample collection technique used, where respondents are carefully selected based on predetermined criteria to ensure they meet the research objectives. The tool used to accumulate data is a questionnaire, which is designed to collect information about the variables studied. The data obtained from the questionnaire was then analyzed using the Chi-square test to analyze whether there was a significant relationship between these variables. The results of the study explained that the majority of respondents, namely 40 people (56.3%), rated the family's role as Medication Monitoring Supervisor (PMO) in the good category, while 28 respondents (39.4%) showed good compliance in taking medication. The Chi-square test results show that the significance value is p = 0.003, (<0.05). This shows that the null hypothesis (H0) is rejected. This research can be concluded that there is a relationship between the role of the family and compliance with taking medication for pulmonary TB clients at the Tlogosari Kulon Community Health Center.

Background: Dengue Hemorrhagic Fever is a health problem that is very rapidly transmitted, especially in endemic areas in Indonesia, one of which is in Jambi City. Indicators of DHF control activities are measured by the incidence rate per 100,000 population (IR) and the mortality rate (CFR). IR in 2018 was 23.28 per 100,000 population and CFR in 2018 was 0.36%. Although there has been a decrease in CFR every year, the incidence of DHF cases and deaths due to DHF still occur every year in 11 districts/cities in Jambi Province. Method: This study aims to analyze the determinants of the incidence of Dengue Hemorrhagic Fever (DHF) in the Aur Duri Health Center Working Area in 2024. The case control study design, the study was conducted from February to September 2024. This study used primary data from 2024 with a sample of 68 respondents. The variables used are Gender, Residential Density, House Condition, Hanging Clothes Habits, 3M Plus Behavior and Cleaning Water Reservoirs. Conclusion: This study found that the variables related to the incidence of DHF in the Aur Duri Health Center work area in 2024 were the variable of hanging clothes ( p-value = 0.012); 3M Plus Behavior ( p-value = 0.001); and the habit of cleaning water reservoirs ( p-value = 0.007). For the community, it is necessary to always increase self-protection efforts and for the Aur Duri Health Center, it can provide training or movements to eradicate or stop the transmission of DHF.

Type 2 Diabetes Mellitus which is increasingly common is often accompanied by complications and psychological problems such as stress. The level of stress in diabetes patients can be influenced by family support which plays a crucial role in improving their quality of life. This study aims to examine the relationship between the level of family support and stress levels in patients with type 2 diabetes mellitus. The method used in this study is a quantitative approach with a cross-sectional research design. A total of 132 type 2 DM patients registered at the Genuk Health Center, Semarang, were randomly selected as samples. Data were analyzed using the Chi-Square test, and the results showed a significant relationship between family support and patient stress levels (p-value = 0.047). This indicates that adequate family support plays an important role in reducing stress in type 2 diabetes patients.

Complication rates among patients with Type 2 DM are increasing and worsening due to their inability to implement self-care management. However, this cause can be minimized if patients have good knowledge, self-efficacy, and family support. The study used a quantitative approach with a cross-sectional design. The sample consisted of 147 respondents with type 2 diabetes in Bandarharjo Community Health Center Semarang, who were selected using purposive sampling technique. The test used was chi square test. The study showed that most respondents had low knowledge (47.6%), poor self efficacy (44.2%), adequate family support (49.7%) and good self care management (46.3%). The results showed a relationship between knowledge, self efficacy and family support on self care management in Type 2 DM patients at Bandarharjo Semarang Health Center (p<?). The results showed that there is a relationship between knowledge, self efficacy and family support on self care management in patients with Type 2 DM at Bandarharjo Community Health Center Semarang.

Husband support and spiritual values are very useful to accelerate recovery and can reduce the risk of complications during pregnancy or other postpartum problems such as postpartum depression in the mother. The purpose of this study is to find out the influence of husband support and spirituality values on postpartum maternal depression. This research is a type of quantitative research with a cross-sectional approach. The sample used was postpartum mothers on the 3rd - 2nd day postpartum in the work area of the Rembang Health Center. The number of respondents in this study amounted to 85 people with the technique used being total sampling. The data obtained were processed statistically using the sommers'd correlation test. The results of this study show that the majority of respondents at the age of risk are 67.1%, the majority of mothers' education is at the high school/vocational education level as much as 48.2%, the majority of mothers' employment as IRT is 71.8%, the majority of children owned by mothers are 1 child as much as 50.6%, mothers who get the support of supportive husbands as much as 91.8%, mothers who have high spiritual value as many as 95.3%,  and mothers who do not experience depression (normal) as many as 38.8%. the results of the test of the relationship between husband support and postpartum maternal depression using the Somers'd test obtained a value of p = 0.003 (p < 0.05) and a value of r = 0.795 (0.60 – 0.799), the results of the test of the relationship of spiritual value to postpartum maternal depression using the Somers'd test obtained a value of p = 0.032 (p < 0.05) and a value of r = 0.827 (0.80 – 1.00), The results of the multivariate test of husband support and spiritual value on maternal depression using a multiple linear regression test on husband support obtained a value of p = 0.007 (p < 0.05) so that it can be concluded that husband support is the dominant factor influencing maternal depression. In conclusion , there is an influence of meaningful relationships with husband support and spiritual values on postpartum maternal depression.  

Background: A low-purine diet is one of the treatments that can be carried out by elderly who suffer from gout to control their uric acid levels. This study aims to determine the effectiveness of low purine diet education on the knowledge level of elderly with gout. Methods: This research used a quasi-experimental design with a non-equivalent control group approach. This research was carried out on May 16th – 20th 2024 in the Harapan Raya Health Center working area, Pekanbaru City with a total sample of 34 respondents selected based on inclusion criteria using purposive sampling technique. The analysis used is univariate and bivariate analysis with the Wilcoxon test and Mann-Whitney test. This research used a low-purine diet knowledge questionnaire and a flip sheet containing material about a low-purine diet. Result: There is an increase on knowledge in the experimental group by 29% with the majority of respondents having a level of knowledge in the good category of 47.1% after being given low-purine diet education. Statistical tests obtained the results of the p value (0.000) < α (0.05) which means that there is an increase in knowledge after the intervention. Conclusion: Low-purine diet education is effective on the knowledge of elderly suffering from gout.

Hypertension is a non-communicable disease that is often referred to as "the silent killer" because of its asymptomatic nature. Surgical education plays an important role in providing important information and motivational support to hypertensive patients, which has the potential to increase the effectiveness of treatment. In addition, family involvement is the main foundation for successful monitoring and prevention of complications, because hypertension management is highly dependent on effective self-care management. This study used a quantitative descriptive correlational research design with a cross-sectional approach. Data collection used a questionnaire given to 75 participants registered in the Hypertension Chronic Disease Management Program in the Bangetayu and Tlogosari Kulon Health Centers. Statistical analysis used the Somer'd correlation test. Among the 75 study respondents, 92% (n = 69) rated the role of nurses as good educators, while 88% (n = 66) reported good family support, and 84% (n = 63) showed good self-care management. Statistical analysis revealed a significant correlation between the role of nurses as educators with self-care management of hypertension patients (p=0.016, correlation coefficient=0.525). Likewise, family support showed a significant relationship with self-care management (p=0.01, correlation coefficient=0.491). This study shows that there is a significant relationship between the role of nurses as educators and family support with self-care management in hypertension patients in the working areas of Bangetayu Health Center and Tlogosari Kulon Health Center.

Exclusive breastfeeding was a good investment for children. Breast milk (ASI) is food that can be given to babies aged 0-6 months and breast milk has many benefits. Therefore, mothers must have good knowledge, attitudes and self-confidence towards exclusive breastfeeding. To determine the relationship between knowledge and attitudes in giving exclusive breastfeeding to Prenatal Breastfeeding Self-Efficacy in the Bandarharjo Community Health Center Working Area, Semarang City. Type of quantitative research with a cross sectional approach. The sample was pregnant women. The technique used was purposive sampling of 100 respondents. The correlation test used was the Spearman rho test. Using the Spearman correlation test of maternal knowledge on PBSE, the p-value was 0.014 (<0.05). There was a significant relationship between mother's knowledge of PBSE with a correlation of 0.246, which was weak with a positive correlation or close relationship. Meanwhile, attitudes towards PBSE resulted in a p-value of 0.000 (<0.05). There is a significant relationship between the mother's attitude towards PBSE, a correlation of 0.358, namely moderate with a positive correlation or close relationship. There was a relationship between knowledge and attitudes in giving exclusive breastfeeding to prenatal breastfeeding self-efficacy.

Background : When insulin production drops too low, metabolic abnormalities in the pancreas cause hyperglycemia, or high blood sugar. This condition is known as diabetes mellitus (DM). Patients with diabetes mellitus will require care and support from their loved ones because of the disruption in their self-concept caused by the disease. It is our responsibility as nurses who provide care management to educate our patients and their loved ones about self-care actions they can take to control their blood sugar levels. Objectives: to determine demographic information (gender, age, occupation, education level), create a family care catalog for DM patients, create a self-efficacy catalog after family care, and analyze the relationship between family care and self-efficacy for DM patients. Methods: Cross-sectional research concept with total sampling technique, the number of respondents was 50 people with a questionnaire sheet instrument Results: There were 36 female respondents (72%) and 14 male respondents (28%). The age of the majority of respondents was 56-75 years, 31 people (62%). The highest level of respondent education was high school, 22 people (44%). The majority of respondents who are no longer working are 36 people (72%). The average respondent has suffered from DM for more than 5 years is 30 people (60%). Based on the analysis of family care and self-efficacy, 36 people received good and supportive family care, and 32 people also had high self-efficacy. This study shows the results of statistical tests with the chi-square test and obtained a p value of 0.000 or p <0.05 so that Ho is rejected and Ha is accepted. Conclusion: It can be concluded that there is a relationship between family care and self-efficacy of diabetes mellitus clients at Sayung 1 Health Center

Signs of danger in the third trimester of pregnancy are important indicators for preventing obstetric complications that can potentially increase the risk of maternal morbidity and mortality. However, the level of awareness and preparedness of mothers in recognizing signs of danger often depends on access to education and the quality of information received during pregnancy. Maternity classes are one of the educational strategies recommended in antenatal care to improve mothers' attitudes and understanding of pregnancy health. This study aims to analyze the effect of antenatal classes on mothers' attitudes toward danger signs in the third trimester at the Galala Inpatient Health Center. This study used a quantitative analytical design with a post-test only design approach. The study sample consisted of 30 pregnant women in their third trimester who were selected using total sampling technique. Data collection was conducted using a closed-ended questionnaire based on a Likert scale that had been tested for validity and reliability (α = 0.82). Data analysis was performed descriptively because the distribution of respondents' attitude scores was homogeneous. The results showed that all respondents (100%) had a fairly positive attitude towards pregnancy danger signs after attending the pregnancy class. These findings indicate that pregnancy classes play a role in increasing mothers' awareness of health risks during pregnancy, although they have not yet reached the optimal attitude category. The conclusion of this study confirms that pregnancy classes contribute to improving maternal attitudes and need to be improved through a variety of educational methods and increased frequency of meetings to support stronger attitude change.

Perineal wounds due to spontaneous tears or episiotomy are common conditions experienced by postpartum mothers and have the potential to cause complications if not properly cared for. Low knowledge and compliance of postpartum mothers in performing perineal wound care remains a problem in primary health care. This study aims to analyze the effect of perineal wound care education on the level of knowledge and compliance of postpartum mothers at the Laiwui Community Health Center, South Halmahera. The study used a quasi-experimental design with a one-group pretest–posttest approach. The study sample consisted of 40 postpartum mothers with perineal wounds and were selected using a total sampling technique. The intervention in the form of perineal wound care education was provided in a structured manner through counseling, leaflets, and live demonstrations. The level of knowledge and compliance was measured before and after the intervention using a standardized questionnaire. Data analysis was performed univariately and bivariately using the Wilcoxon Signed Rank Test. The results showed an increase in the level of knowledge and compliance of postpartum mothers after being provided with education. The Wilcoxon test showed a significant difference between knowledge levels before and after education (p < 0.05), as well as a significant difference in postpartum maternal compliance (p < 0.05). It can be concluded that perineal wound care education has a significant effect on increasing postpartum maternal knowledge and compliance. Structured and applicable education is recommended to be integrated as part of the standard postpartum care in primary health care to support maternal recovery and prevent postpartum complications.

Because breast milk contains a wide range of chemicals and protective elements that are essential for the growth and development of newborns and reduce infant morbidity and mortality, breast milk is the healthiest nutrient for babies. With hundreds of bioactive chemicals that can protect babies from disease and aid in the development of the ideal immune sistem, its composition is very comprehensive and complex. The purpose of this study is to find out how much motivation postpartum mothers at pujon Health Center, Central Kalimantan are to breastfeed after receiving information about exclusive breastfeeding. Quantitative research with a quasi experimental design using pretest and posttest with uneven control groups is the research methodology used. Both pretest and posttest are given before and after the intervention. WHO or UNICEF nursing observation sheets, lactation method films, and questionnaires are the tools used. Data analysis was carried out using the Mann Whitney bivariate test and the univariate test for education, parity, and knowledge. 

Breast milk production in the early postpartum period often experiences obstacles due to physiological and psychological factors, which can affect the success of exclusive breastfeeding. Non-pharmacological interventions such as oxytocin massage are known to help stimulate the milk ejection reflex, but their application in primary health facilities is still limited. This study aims to determine the effect of oxytocin massage on breast milk production in breastfeeding mothers. The study design used a quasi-experimental approach with a one-group pretest–posttest design. The study sample consisted of 30 breastfeeding mothers who met the criteria and were selected using total sampling technique at the Galala Inpatient Health Center. Breast milk production was measured based on volume and clinical signs of breast milk production before and after the oxytocin massage intervention. Data analysis used the Wilcoxon Signed Rank Test. The results showed a significant increase in breast milk volume and signs of production after the intervention with a p-value < 0.001. This indicates that oxytocin massage is effective in increasing breast milk production through a neurohormonal stimulation mechanism that enhances the let-down reflex. In conclusion, oxytocin massage can be recommended as a lactation support intervention in primary care facilities to support successful exclusive breastfeeding.