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Nurses' compliance in carrying out hand hygiene is very important because infection and disease transmission can be caused by health workers who are not compliant in carrying out hand hygiene every time they carry out health service actions. Health workers' compliance in carrying out hand hygiene both before and after carrying out procedures for providing health services can be a problem that must be considered due to various factors that are closely related to compliance in carrying it out. This research was conducted to analyze factors related to health workers' compliance in implementing hand hygiene at the Peulumat Health Center, South Aceh. The design used is descriptive correlation with a cross sectional approach. The total sample was 80 health workers. Data was obtained by interview using a questionnaire. There is an influence on attitudes with results (p 0.003) and length of service (p 0.002) the availability of hand hygiene facilities (p 0.000) which influences the compliance of health workers in implementing hand hygiene at the Peulumat Health Center in South Aceh. Based on statistical tests, it was found that factors that can influence the health of workers in carrying out hand hygiene consist of attitude, length of service, availability of facilities for carrying out hand hygiene. The implication for recommended services is that supervision and motivation of health workers need to be increased to carry out hand hygiene in accordance with recommendations. The research implication is that it is hoped that there will be research with a larger sample size, involving other people as researchers and using video.

Ngadi Asih Posyandu is one of the Posyandu in the Joglo Village area, Banjarsari District, Surakarta City and is included in the UPT Targeted Area of ​​the Gambirsari Health Center, Surakarta. Ngadi Asih Posyandu activities are routinely held every month on the first Saturday of the week. The number of babies and toddlers in the posyandu is approximately 50 children, and the number of cadres on duty is 20 people. The priority problem found at Posyandu Ngadi Asih Surakarta is that early detection of Mental Health Disorders in children has not been carried out due to limited knowledge and skills of cadres. Apart from that, cadres do not understand Mental Health Disorders in children, and do not have an early detection instrument, the Behavioral and Emotional Problems Questionnaire (KMPE). The focus of this program is training cadres on early detection of Mental Health Disorders or mental emotional and behavioral problems using the Behavioral and Emotional Problems Questionnaire (KMPE), counseling cadres about Mental Health Disorders in children, as well as providing assistance to cadres in post-training posyandu activities. The method used consists of 6 stages, namely Preparation, Apperception, Training, Post-training assistance, Evaluation and Termination of activity results. The results of cadre assistance activities in early detection of mental health disorders in children at the Ngadi Asih Posyandu went well. There was an increase in cadre knowledge by 35% and cadre skills in the good category by 60%. Cadres are committed to carrying out and implementing the results of activities in each posyandu agenda. The PkM team is also willing to provide consultations at any time if cadres need advice or assistance.

Background: Drug storage regulates drugs received to be safe and free from physical or chemical damage, and their quality is guaranteed, per the established requirements. Improper drug storage in health centers can cause drug damage. Damaged drugs can hurt patients and health services themselves.Objective: To determine the suitability of drug storage facilities at the Puskesmas Gondomanan Kota Yogyakarta.Method: The research method used is descriptive non-experimental with a cross-sectional approach. The data needed in this study are observation data. Findings: The study results at Puskesmas Gondomanan Kota Yogyakarta showed that the drug storage facilities were 100% suitable. Conclusion: The suitability of drug storage facilities at the Puskesmas Gondomanan Kota Yogyakarta is by standards based on Permenkes RI Nomor 74 Tahun 2016 and Petunjuk Teknis Standar Pelayanan Kefarmasiaan di Puskesmas Tahun 2019.

Pregnancy is the intrauterine growth and development of the fetus starting from conception and ending until the start of labor. Mothers' low knowledge about balanced nutrition during pregnancy, infants and toddlers causes incorrect feeding and affects nutritional status. This activity aims to increase mothers' knowledge about balanced nutrition for pregnant women, babies and toddlers and increase mothers' motivation. Achieving this goal is carried out through examining the nutritional status of pregnant women and providing nutritional education using lecture and question and answer methods. The implementation of this activity is planned in 3 stages, namely: preparation stage, implementation and evaluation stage. After counseling and inspection activities, monitoring or evaluation is carried out. After this service activity is carried out, it is hoped that mothers will have strong motivation to fulfill nutritional requirements for toddlers and improve mothers' attitudes and actions in providing balanced nutrition to toddlers. This activity can make a positive contribution in reducing nutritional problems in the Mangarobombang Community Health Center Working Area, Takalar Regency. After this service activity is carried out, it is hoped that mothers will have strong motivation to fulfill the nutrition of pregnant women and improve their attitudes and actions in consuming healthy and nutritionally balanced food. This activity can make a positive contribution in reducing nutritional problems.

Diabetes Mellitus sufferers continue to increase. The percentage of patients with type 2 DM in Surakarta city is 24%, this figure exceeds the national target of 20%, with the number of patients in Surakarta as many as 18,833 cases, in Banyuanyar Health Center as many as 2,404. Type 2 DM disease that is not properly managed will lead to complications. Efforts that can be made to prevent these complications by increasing self efficacy in its management.Objective; Knowing the description of self efficacy in patients with type 2 diabetes mellitus. Method; The type of research used is descriptive research, with a total of 86 respondents using purposive sampling technique. The research instrument used the Diabetes Management Self Efficacy Scale (DMSES).Results; From the results of the study, the majority of respondents' characteristics were based on age 40-64 years (74.4%), female gender (65.1%), high school education level (37.2%), self-employed work (43.0%), long suffering from DM ≥5 years (57.0%) and sufficient self efficacy category (41.9%). Conclusion; Self efficacy of patients with Type 2 Diabetes Mellitus in the Banyuanyar Health Center working area is in the moderate category    

This study focuses on the potential development and welfare improvement in Air Putih Village, Talang Empat, Bengkulu Tengah, where local resources have yet to be fully optimized. The primary issues include the lack of youth empowerment programs, limited community participation in religious and social activities, and insufficient economic initiatives utilizing local resources. The objective of this research is to address these challenges through a mosque-based community service program, integrating social, educational, and economic activities. The approach adopted is participatory, involving direct community engagement in planning and executing activities such as health education, economic empowerment through the production of Kalamansi syrup, and environmental sustainability efforts. The results demonstrate increased community participation in both religious and social activities, enhanced academic performance of students, improved youth health awareness, and a boost in local economic income. The success of this program underscores the importance of mosque-centered initiatives in fostering community development and social welfare.

Bed rest is one of the factors that can cause skin integrity disorders. Bed rest for a long time can cause physiological changes in the patient's body system, one of which can cause the appearance of decubitus in the integument system. The treatment technique that can be given is by giving Effleurage Massage with Virgin Coconut Oil. To find out the results of the implementation of Effleurage Massage with Virgin Coconut Oil on the Risk of Decubitus in Bed Rest Patients in the Kartasura Health Center Working Area. This research used a descriptive design on 2 (two) male respondents aged 63 and 78 years which was conducted from 4 June - 6 June 2024 in Singopuran Village, Kartasura, Sukoharjo with each respondent being given massage intervention for 3 consecutive days. join in. The instrument used is the Braden Scale to measure the level of skin integrity score. There was an increase in the Braden scale score between before and after application to Mr. S and Mr. N. The application of Effleurage Massage with Virgin Coconut Oil is effective in increasing the skin integrity score in bed rest sufferers who are at risk of pressure ulcers in Singopuran Village, Kartasura, Sukoharjo.

The frequency of strokes is increasing, with World Health Organization (WHO) data showing that around 15 million people suffer strokes every year. From the increase in the incidence of stroke above, death and disability due to stroke are still the biggest problems from year to year. Stroke can be prevented by early detection of stroke. This research aims to determine the effect of early stroke detection training using the fast method for cadres in Nania Village, Baguala District, Ambon City.This type of research is quantitative research. This research uses a quasi-experiment research design with a pre-post test control group design. Researchers provided an explanation to respondents about the FAST Act for early detection of signs of stroke. The sample in this study was 30 health cadres in the working area of ​​the Nania Community Health Center.The research results of the Pre Test knowledge scores were (10, 12 and 13) out of the highest total score of 20, the lowest score was 8 for 1 person (3.3%) and the highest score was 15 for 1 person (3.3%). Meanwhile, the Post Test Knowledge (17 and 18) of the highest total score was 20. The lowest score was 14, amounting to 1 person (3.3%), and the highest score was 20, amounting to 4 people (13.3%).The conclusion is that there is an influence of early stroke detection training using fast methods for cadres at the Nania Community Health Center, Baguala District, Ambon City. It is hoped that the research results will provide additional knowledge for medical personnel about the importance of preventing complications in diabetes sufferers, so that as much as possible we can help reduce the rate of death or disability in stroke patients.

The postpartum period is a recovery period, postpartum care is needed so that mothers can make psychological adaptations in the postpartum period, Postpartum depression is depression that occurs in women after giving birth, which occurs within a period of 4 (four) weeks, several months or even several years if not treated, the purpose of this community service is to provide education to pregnant women and postpartum mothers regarding the prevention of the dangers of postpartum depression, this activity is to increase mothers' understanding of the dangers of postpartum depression. This community service activity was attended by pregnant women and postpartum mothers at the Kassi-Kassi Health Center which was attended by 18 people. This activity method was carried out twice by providing a pre-test, lecture and continued post-test by filling out a questionnaire. In the evaluation, interviews were conducted with pregnant women and postpartum mothers to determine the dangers of postpartum depression. The results achieved in community service activities at the Kassi-Kassi Health Center were that postpartum mothers gained knowledge about the dangers of postpartum depression and there was an increase in knowledge about the dangers of postpartum depression. The pre-test results were 58.82%, there was an increase in the post-test which showed post-test knowledge of 82.35%. The conclusion is that education for pregnant and post-partum mothers can prevent post-partum depression.

Background: Indonesia is included in the category of gout arthritis sufferers which is quite high at 35% in the world, while in Central Java it reaches 7.3% while based on symptom diagnosis it is 24.7%, for the prevalence of gout arthritis in Sukoharjo City is 21.04%. The highest number of gout arthritis patients at the Sukoharjo Health Center is 134 sufferers, from the high value of gout arthritis in Indonesia if not treated cause pain and tingling in the joint area. For this reason, efforts are needed to control gout. One of the treatment is to do a warm compress of cinnamon. Purpose: Determine the pain scale before and after the administration of cinnamon warm compresses and see the effect of cinnamon warm compresses on pain in patients with gout arthritis. Method: This type of application uses a descriptive research method and by observing 2 respondents with a history of gout arthritis and given the implementation of a warm cinnamon compress. Result: The scale of pain after being given a warm cinnamon compress is mild pain. Conclusion: There is an effect of giving cinnamon warm compresses on pain in people with gout arthritis.

The community of Keban Agung Village faces significant challenges related to social welfare and religious engagement. Despite the central role of the mosque as a community hub, participation in religious activities and access to social programs remain limited. This study aimed to enhance social welfare and religious commitment through a mosque-based community service program. The program included activities such as religious competitions, educational support, health services, and social welfare initiatives. A participatory approach was employed, involving local residents and mosque management in the design and implementation of activities. Data were collected through direct observation, interviews, and documentation, and were analyzed descriptively. The results indicated a marked improvement in community participation in religious and social activities, contributing to both social cohesion and spiritual growth. The study highlights the importance of mosque-centered initiatives in addressing community needs and fostering a stronger sense of collective well-being.

Hypertension is a growing epidemic in the United States, with more than 40% of adults aged 45-64 years and more than 70% of adults aged 65 years and older diagnosed with this condition. Hyperglycemia and high cholesterol contribute to damage to blood vessel walls which triggers hypertension. Physical damage due to hypertension is cumulative, so compliance with treatment is the key to preventing serious illnesses such as end-stage kidney disease. In an effort to improve self-management of elderly people with hypertension, health education activities were carried out at the Wesabbe Complex, working area of ​​the Tamalanrea Community Health Center, Makassar, involving 30 participants. The activity lasted for two days and included lectures, discussions, distribution of leaflets, and blood pressure checks. The results showed an increase in self-management, where before the activity, 66.7% of participants had poor self-management, but after education, 86.7% of participants showed a significant increase in self-management. The evaluation showed an increase in participants' knowledge in hypertension management, including the ability to control blood pressure and recognize signs of increased blood pressure. Conclusion: Health education has proven effective in improving self-management of elderly people with hypertension, which has an impact on increasing their ability to control blood pressure and make health decisions independently. It is recommended that more adequate facilities and infrastructure be provided to support activities to improve public health in the Wesabbe Complex in the Tamalanrea Makassar Health Center Working Area.

Hyperemesis Gravidarum is excessive nausea and vomiting during pregnancy, more than 8 times in 24 hours or at any time which can cause symptoms of dehydration, electrolyte imbalance and weight loss. The nature and level of nausea and vomiting can vary, from mild to severe. One of the first alternatives is PC6 acupressure, while the second alternative is using lemon aromatherapy. Objective: To determine the effect of PC6 acupressure therapy with lemon aromatherapy on the frequency of nausea and vomiting in first-term pregnant women with hyperemesis gravidarum in the Cianjur Community Health Center area in 2023. Method: This research is a type of quasi-experimental research with a two group comparison pretest-posttest design. The sampling technique used purposive sampling with a total research sample of 30 respondents. Results: research from post-test measurements P-Value = 0.001 Independent Sample T-Test Ho was rejected and the sample supported the existence of a significant influence. Conclusion: There is an effect of PC6 acupressure with lemon aromatherapy on the incidence of nausea and vomiting in first trimester pregnant women with hyperemesis gravidarum in the Karangtengah Cianjur health center area in 2023.

Background: DM cases in Central Java are in fifth highest positian in Indonesia with a prevalence of 2.0%. Pucangsawit Community Health Center is a sub-district with 979 DM sufferers in 2022. The most cases are in Pucangsawit Village with 421 cases of DM. DM sufferers, especially the elderly, experience complications from mild to severe neuropathy complications resulting in loss of sensation in the lower extremities due to impaired blood circulation in the leg area. Loss of sensation the periphery of the feet is an early early symptom of diabetic ulcer. Objective: To describe the results of implementation before and after the application of kombması therapy, foot exercises and warm water soaks on foot sensitivity in elderly people with DM. Method: This type of research is a descriptive case study. Results: Before the combination therapy, the foot sensitivity of both respondents was low, after the combination therapy, the foot sensitivity of both respondents experienced an increase with the score of each respondent being 4. Conclusion: There is a comparison of the number of increases in the number of foot sensitivity scores of both respondents the increase in the number of respondent 1 is bigger than for respondent 2 with a difference of 1 point in both legs

The quality of health services is very important to measure how far the Community Health Center is in providing services to patients by looking at the number of BPJS patient visits at the Bukit Lawang Community Health Center, Langkat Regency, which only reached 82.00% in 2020, 77.9% in 2022 and 76.9% in 2023 compared to the target of 95%. Data from the Bukit Lawang Community Health Center, Langkat Regency for the period 2021-2023 showed fluctuations in the number of BPJS patient visits every month. The purpose of this study was to analyze the effect of the quality of public health services on patient satisfaction at the Bukit Lawang Health Center, Langkat Regency in 2023. The research design used a quantitative method with a cross-sectional study approach. The population in this study were all patients who visited the Bukit Lawang Health Center, Langkat Regency in 2023 with an average number of visits of 292 patients per month, the number of samples of 75 people was obtained using a purposive sampling technique. Data analysis used univariate, bivariate and multivariate analysis with logistic regression tests. The results of the study using the chi-square test showed that the variables reliability, assurance, tangible, empathy and responsiveness had a p-value <0.05. The results of the study using the logistic regression test showed that the variables reliability, empathy and responsiveness had a sig. <0.05 and the variables assurance and tangible had a sig.> 0.05. The conclusion of the study is that the variables that significantly affect patient satisfaction are the variables reliability, empathy and responsiveness and the variable that most significantly affects patient satisfaction is the variable reliability.

  Abstract: The Social Security Administering Body (BPJS) is an organizing body whose membership is mandatory. Every company is required to register its workers for a minimum of 6 months, while those who do not work for a company are required to register themselves and their family members with BPJS. Each BPJS participant will be charged a contribution, the amount of which will be determined later. Inactive BPJS membership is a participant whose registration process is hampered and services become payable independently. The aim of the research is to review the causes of Non-active BPJS participants in Cengkareng sub-district. The research method is a quantitative approach. The technique uses saturated sample observations. The research results showed that there were 75 Non-active participants. Of the 75 samples, there were 34 participants who were inactive due to premiums (45.33%), 13 participants because they left of their own accord (17.33%), 7 participants because their children were PPU> 21 years (9.33%), 10 participants were not covered (13 .33%), 11 participants with double data (14.66%). Follow-up of Inactive BPJS membership at the Cengkareng Community Health Center, there were 65 participants (86.67%) taking care of returning BPJS participants and 10 participants (13.33%) continuing at their own expense. Of the number of BPJS participants who registered for treatment at the Cengkareng sub-district health center, their membership status was inactive due to premiums being one of the highest. The follow-up is to pay all arrears and take care of returning the membership to the nearest BPJS. Suggestions In accordance with the vision and mission of BPJS Health to be able to improve the quality of service to participants, BPJS Health must be able to improve the quality of service, especially in the field of information technology which can be made to remind BPJS Health participants, especially those whose membership status is inactive, by using E-mail and Whatsapp.

The aging population will be a problem if the elderly have problems. The increasing number of problems elderly people confront may turn them into persons who need help to maintain their standard of living. Government-run institutions include the Tresna Werdha Social Service Center (BPSTW), where social workers play a crucial role in the delivery of social services. Social facilities for the elderly frequently face challenges with their residents' mobility, emotional and physical health, need for caregivers for daily activities, trouble adjusting, and lack of social interaction. Because it explains the role that social workers play in assisting the elderly, researchers are interested in studying "The Role of Social Workers in Providing Social Services to the Elderly in PSTW". The strategy used gives an objective account of the reality in the field. The descriptive "Qualitative" approach is a research methodology intended to offer a comprehensive examination of the function social workers perform in providing social support to the elderly. To understand and explain the phenomenon is its aim. This study's author focuses on the role that social workers play and the difficulties that they face in providing social services to WBS. Among the research findings gleaned from the interviews are social    

This study aims to analyze the effect of service quality at Puskesmas Pulorejo, Ngoro District on patient satisfaction. Variables that affect patient satisfaction at Puskesmas Pulorejo, Ngoro sub-district are room facilities, doctor services, nurse / officer services. This study uses associative quantitative research methods. Data collection techniques in this study using questionnaires, observation and documentation. This data was obtained by distributing questionnaires directly to patients visiting the Pulorejo puskesmas in Ngoro sub-district.  The population in this study were patients who sought treatment at the Pulorejo Health Center, Ngoro sub-district, sampling using purposive sampling. The analytical test tool in this study used SPSS with the analysis method of classical assumption test, multiple linear regression, hypothesis testing, and R2 determination coefficient test. In this study, it was stated that there was a positive and significant effect on patient satisfaction at the Pulorejo Health Center, the doctor's service variable had an effect on patient satisfaction, the nurse / officer service had a persial effect on patient satisfaction at the Pulorejo health center, and the variable room facilities, doctor services, and nurse / officer services had a positive and significant effect on patient satisfaction.

Background: Sectio Caesarea (SC) is a surgical procedure to deliver a fetus by making an incision to open the abdominal wall and uterine wall or a hysterotomy to remove the fetus in the mother's womb. In recent years, normal delivery has been considered a difficult way of giving birth and tends to be dangerous for the mother and her baby. The use of Caesarean section is increasing globally, and now accounts for > 1 in 5 (21%) of all births. This number is predicted to continue to increase, almost a third (29%) of all births are estimated to be carried out via sectio in 2030. Method: This type of research is quantitative with a quasi-experimental approach. The research was conducted at the Lake Paris Health Center, Aceh Singkil Regency in 2024. The research population was all post partum mothers with cesarean sections at the Lake Paris Health Center, Aceh Singkil Regency, namely 30 people. The sampling technique used was simple random sampling. The data analysis used was univariate analysis and bivariate analysis, the analysis used was the Non-Parametric Test (Man-Whitney) with α = 0.05. Results: The results of the study showed that before the intervention was carried out, there were 3 respondents experiencing mild pain (10.0%), 14 respondents experienced Moderate pain (46.7%), and 13 respondents experienced severe pain (43.3%). After the intervention, 2 experienced no pain (6.7%), 13 experienced mild pain (43.3%), 2 experienced moderate pain (6.7%), 13 experienced severe pain (43.3%). Conclusion: The results of statistical tests obtained P value = 0.000 < 0.05, meaning that there was a significant difference before and after giving early mobilization treatment to mothers post cesarean section at the Lake Paris Health Center, Aceh Singkil Regency in 2024

Hypertension is a health problem that is quite dangerous in the world, because it is a major risk factor for cardiovascular disease. Hypertension can be treated with nonpharmacological therapies, such as hypertension exercise and natural music therapy. The purpose of this study was to determine the effect of a combination of hypertension exercise and natural sound music therapy on reducing blood pressure in hypertension sufferers in the working area of ​​the Modo Health Center. The research design used a pre-experimental one group pre-post test design on 52 hypertensive patients who were selected using a consecutive sampling technique from a total population of 109. The intervention was in the form of giving a combination of hypertension exercise and natural sound music for 10-15 minutes according to the SOP for hypertension exercise and natural sound music. After that, it was analyzed using paired t-test. The results showed that the average blood pressure before treatment was 168.77/95.12 mmHg. After being given treatment the average blood pressure was 156.69/85.88 mmHg. The results of the pre-post systolic and pre-diastolic statistical tests obtained a significance value of p=0.000 (p<0.005), which means that there is an effect of a combination of hypertension exercise and natural sound music therapy on reducing blood pressure. The mechanism for reducing blood pressure after exercise is because exercise can relax blood vessels, so that by dilating blood vessels blood pressure will decrease. Providing natural sound music therapy can cause relaxation of arteriolar smooth muscles which play an important role in maintaining blood pressure. It is hoped that the combination of hypertension exercise and natural sound music therapy can be applied as an intervention at the Prolanis Health Center in Modo.