Publication Search

Hyperemesis gravidarum is a common complication in early pregnancy characterized by excessive nausea and vomiting that can negatively affect maternal health and quality of life. Although pharmacological management is widely used, concerns regarding medication safety during pregnancy have increased interest in complementary and non-pharmacological interventions. One such approach is aromatherapy, particularly the use of lavender essential oil, which is known for its calming and antiemetic properties. This study aimed to evaluate the effectiveness of lavender aromatherapy in reducing the frequency of hyperemesis gravidarum among pregnant women at RSUD Tikep. This research employed a quantitative quasi-experimental design with a pretest–posttest approach. A total of 30 first-trimester pregnant women experiencing hyperemesis gravidarum were selected using purposive sampling. The intervention involved inhalation of lavender aromatherapy administered for a predetermined duration and frequency. The frequency of nausea and vomiting was measured before and after the intervention using observation sheets and self-reported records. Data were analyzed using SPSS software, including descriptive statistics, normality tests, and paired sample t-tests. The results demonstrated a significant reduction in the mean frequency of hyperemesis gravidarum following the administration of lavender aromatherapy. Statistical analysis revealed a p-value of less than 0.05, indicating a significant difference between pre-intervention and post-intervention measurements. These findings suggest that lavender aromatherapy effectively reduces the frequency of nausea and vomiting in pregnant women. In conclusion, lavender aromatherapy is a safe, low-cost, and effective complementary therapy for managing hyperemesis gravidarum. Its integration into routine antenatal care may enhance maternal comfort and support holistic, patient-centered maternity services, particularly in regional healthcare settings.

Background: In the competitive healthcare landscape, where human resources are pivotal to organizational success, affective commitment defined as emotional attachment to the workplace is essential for nurse retention and service quality. Satya Negara Hospital in North Jakarta exemplifies the challenges faced by Indonesian healthcare institutions, with a notably high nurse turnover intention of 30% in 2024, signaling low affective commitment and underscoring the urgency to identify its drivers. While person-job fit and career development are established antecedents of commitment, their combined influence within Indonesia’s nursing context, along with the potential moderating role of meritocracy, remains underexplored.. Methods:  Using a quantitative, cross sectional design, data were collected via a validated questionnaire from all 108 nurses at the hospital and analyzed using multiple regression.. Results: The results revealed that person-job fit, career development, and meritocracy collectively explain 96.6% of the variance in affective commitment. Furthermore, when meritocracy was tested as a moderating variable, the explanatory power of the model increased significantly, with the adjusted R² value rising from 96.6% to 98.5%. This indicates that the presence of a meritocratic system substantially amplifies the positive effects of both person-job fit and career development on commitment.. Conclusion: The study concludes that a synergistic combination of job fit, growth opportunities, and a merit-based system is fundamental to fostering nurses’ emotional attachment. These findings contribute to organizational and psychological theory integration and offer practical human resource strategies for enhancing nurse commitment and reducing turnover in healthcare settings.

Hypertension is a major non-communicable disease burden in rural Acehnese communities. Family support plays a critical role in long-term blood pressure control; however, the lived experiences of families caring for hypertensive members in Posbindu PTM settings remain underexplored. This study aimed to explore the meaning and forms of family role and social support in hypertension management among Posbindu PTM participants in Meunasah Timu Village, Aceh. Methods: A descriptive phenomenological design using Colaizzi's method was employed. Twelve family members of hypertensive patients were recruited purposively from Posbindu PTM, Desa Meunasah Timu. In-depth face-to-face interviews were conducted until data saturation. Trustworthiness was ensured through member checking, peer debriefing, and audit trail. Results: Three themes emerged: (1) Emotional and instrumental family support as a cornerstone of hypertension control; (2) Cultural and religious values as mediators of caregiving behavior; and (3) Barriers to consistent family involvement including knowledge deficits and caregiving fatigue. Conclusion: Family support is multidimensional and culturally embedded in hypertension management. Community health nurses and Posbindu PTM programs should integrate family-centered interventions that address knowledge gaps and caregiver well-being to optimize blood pressure control outcomes.

Patient-Centered Care (PCC) is a healthcare approach that places the patient at the center of every interaction and clinical decision-making. However, a preliminary study at Tarumajaya Hospital showed that 58% of healthcare workers had not yet optimally implemented the PCC approach. This study aimed to analyze the influence of self-efficacy and social support on the implementation of Patient-Centered Care, with safety culture as a mediating variable, at Tarumajaya Hospital. The research method used was quantitative analytic with a cross-sectional design. The study sample used a saturated sampling technique of 132 healthcare workers, consisting of doctors, nurses, and medical support staff. Data analysis used Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results showed that self-efficacy and social support had a positive and significant effect on safety culture and PCC implementation. Safety culture also had a positive and significant effect on PCC implementation. Furthermore, safety culture was shown to mediate the influence of self-efficacy and social support on PCC implementation. The coefficient of determination value indicates that the model has strong ability to explain variations in PCC.

Teenage pregnancy remains a reproductive health issue in Indonesia, including in Batam City. According to data from the Batam City Health Office in 2024, there were 18 cases of teenage pregnancy (0.06%) with the Lubuk Baja Health Center being one of the highest areas. Pregnant teenagers are at high risk of complications such as anemia, malnutrition, and low birth weight (LBW), which contribute to high rates of maternal and infant morbidity. This study used a descriptive method with a case study approach on Ny. S, an 18-year-old teenager with a pregnancy in the Lubuk Baja Health Center area of Batam City in 2025. Data collection was conducted through interviews, observations, physical examinations, and SOAP documentation following the 7-step Varney obstetric management. The findings revealed that Ny. S experienced mild complaints such as nausea, reduced appetite, and anxiety about her pregnancy. After three visits, the mother's complaints decreased, appetite improved, anxiety decreased, and nutritional status was within normal limits. Comprehensive midwifery care with a biopsychosocial approach was proven effective in improving both the physical and mental health of pregnant teenagers and preventing pregnancy complications.

Anxiety is a common psychological problem experienced by third-trimester pregnant women, particularly as they approach labor. If left unaddressed, this condition can negatively impact both maternal and fetal health. This community service activity aimed to provide education on deep breathing relaxation techniques as an effort to reduce anxiety among third-trimester pregnant women at Juliana Harahap Clinic in 2025. The methods used included lectures, direct simulation, and question-and-answer sessions supported by leaflet media, involving 20 third-trimester pregnant women as participants. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention and analyzed using the Wilcoxon Signed Rank Test. The results showed that prior to the education, the majority of respondents experienced moderate anxiety (55.0%) and severe anxiety (30.0%). Following the intervention, a significant reduction was observed, with 30.0% of respondents categorized as anxiety-free and 55.0% classified under mild anxiety, with no respondents remaining in the severe anxiety category. Statistical analysis yielded a p-value of 0.000 (p < 0.05), with a decrease in the mean anxiety score from 2.15 to 1.15. It is concluded that deep breathing relaxation education significantly reduces anxiety levels in third-trimester pregnant women and is recommended for integration into routine antenatal care service programs at healthcare facilities.

This study aims to analyze the relationship between public policy paradoxes, healthcare service quality, access to and continuity of postnatal care, and maternal mortality in Pekalongan Regency. A mixed-methods approach with a sequential explanatory design was employed, involving 30 respondents for quantitative analysis using Spearman correlation tests and 5 key informants for in-depth interviews. The results indicate that policy paradoxes are strongly correlated with service quality and with access and continuity of care. Service quality also shows a robust correlation with access and continuity. All variables are significantly associated with maternal mortality, with access and continuity of care demonstrating the strongest correlation. Qualitative findings reveal implementation gaps in Ministry of Health Regulation No. 21 of 2021, where postnatal visits are often conducted only 2–3 times instead of the mandated four visits, with 10 out of 13 maternal deaths occurring during the postnatal period. The persistence of maternal mortality is attributed to inconsistent implementation of standard operating procedures, high workload, and socio-cultural factors. The study highlights the need to strengthen supervision, enhance human resource capacity, and promote cross-sectoral collaboration to optimize postnatal care services.

Type 2 Diabetes Mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to impaired insulin action. Blood glucose control is influenced by various factors, one of which is dietary patterns. Diets that do not adhere to balanced nutrition principles can lead to poor glycemic control and increase the risk of complications. This study employed a quantitative design with a cross-sectional approach. The research sample consisted of 95 patients with Type 2 Diabetes Mellitus at Sari Asih Karawaci Hospital in 2025, selected using purposive sampling techniques. Dietary pattern data were collected using a questionnaire, while blood glucose level data were obtained from medical examination results. Data analysis was conducted using univariate and bivariate analysis with the Contingency Coefficient test. The results showed that most respondents had good dietary patterns (58.9%), and blood glucose levels within the normal category (51.6%). Bivariate analysis using the Contingency Coefficient test indicated a p-value of 0.005, demonstrating a significant relationship between dietary patterns and blood glucose levels in patients with Type 2 Diabetes Mellitus. There is a significant relationship between dietary patterns and blood glucose levels in patients with Type 2 Diabetes Mellitus. Proper dietary management is an important factor in controlling blood glucose levels and should be a primary focus in nursing care and health education for patients with Type 2 Diabetes Mellitus.

Dementia is a progressive neurocognitive disorder often accompanied by behavioral and psychological symptoms such as agitation, anxiety, and depression. Pharmacological treatments provide only modest benefits while introducing significant risks, which highlights the need for safer, non-pharmacological alternatives. This literature review examines the role of virtual reality in dementia care, with a focus on its integration with therapies such as music, reminiscence, sensory stimulation, and cognitive training. Evidence from prior research suggests that virtual reality can enhance cognitive functions, reduce symptoms, and improve emotional well-being while also strengthening patient–caregiver interaction. However, challenges related to usability, accessibility, cost, and long-term effectiveness continue to limit adoption. Gaps in research, including limited cultural diversity, inconsistent reporting of intervention design, and a lack of large-scale longitudinal trials, emphasize the need for future work exploring cross-cultural feasibility and AI-driven personalization. Overall, virtual reality represents a promising and evolving non-pharmacological intervention that has the potential to transform dementia care by improving quality of life and reducing reliance on medication.

This study examines the experience of access to health services and resilience strategies in adolescents with unplanned pregnancies in Makassar, Indonesia. Access to quality reproductive health services is important for adolescents' well-being, but they often face systemic barriers that affect access to health services and outcomes. The study used an Interpretative Phenomenological Analysis (IPA) approach on seventeen adolescent girls aged 15–19 years who had an unplanned pregnancy between June–November 2023. Data were collected through in-depth semi-structured interviews, recorded, verbatim transcribed, and analyzed by a six-stage science process. Two main themes were found: Navigating Closed Doors: Systematic Barriers to Care and Finding Light in Darkness: Resilience and Agency. Participants faced a variety of layered barriers, including a lack of information about health services and rights, geographical and economic constraints, age-based discrimination, parental notification obligations, fear of legal consequences especially related to abortion, family control over decisions, and limitations in adolescent-friendly services. Nonetheless, adolescents show resilience through seeking strategic help, resistance to pressure, spiritual and religious coping, peer support, gradual acceptance of maternal identity, educational sustainability, and positive meaningfulness of difficult experiences. These findings point to the need for a transformation of the health system that not only improves attitudes of health workers, but also addresses structural barriers such as confidentiality, age discrimination, and service availability, while strengthening agency and adolescent coping strategies.

The use of cosmetics, especially day creams, is increasing along with the high public interest in facial skin care. However, day cream products are still found to potentially contain hydroquinone, a skin whitening agent whose use is restricted because it can cause harmful side effects on skin health. This study aims to identify the presence and determine the levels of hydroquinone in day cream products circulating in District X, Sukoharjo Regency, and to assess their compliance with the regulations of the Food and Drug Monitoring Agency (BPOM). This study was a descriptive analytical study using a purposive sampling technique. A total of 15 day cream products were analyzed, consisting of 8 BPOM-registered products and 7 products not registered with BPOM. Qualitative analysis was conducted using color reaction tests with FeCl₃, Benedict’s, and o-phenanthroline reagents. Furthermore, quantitative analysis was performed using the High Performance Liquid Chromatography (HPLC) method to accurately and specifically confirm the presence and determine the levels of hydroquinone. The results showed that the color reaction test has limitations in specifically identifying hydroquinone. HPLC confirmation revealed the presence of hydroquinone in several day cream samples, with concentrations ranging from 0.024% to 0.150%. These findings indicate the need for stricter monitoring of day cream distribution to ensure the safety of cosmetic products for the wider public.

This study examines the utilization of Aloe vera as a herbal medicine by the community of Sobawagoli Village, Indonesia. The research aims to document local knowledge related to the processing, application, and perceived benefits of Aloe vera in traditional healthcare practices. A qualitative descriptive approach with a case study design was employed. Data were collected through direct field observations, in-depth interviews with community members, and documentation of preparation methods. The findings reveal that Aloe vera is widely used for both internal and external treatments, including digestive disorders, internal heat, hypertension, burns, skin inflammation, and natural skin and hair care. The plant is processed through simple methods such as boiling, blending, and direct topical application, reflecting the accessibility and practicality of herbal medicine in rural settings. Community perceptions toward Aloe vera are highly positive, viewing it as a safe, effective, and culturally embedded alternative to chemical medicines. These practices are supported by empirical experiences and align with recent scientific studies highlighting the therapeutic properties of Aloe vera. The study underscores the importance of preserving indigenous herbal knowledge and integrating it with modern health education to promote sustainable, community-based healthcare systems.

Job satisfaction is one of the important factors that affect the quality of health services, especially in the context of care provided by nurses in hospitals. High job satisfaction can have a positive impact on motivation, performance, and nurse retention, thereby contributing to improved healthcare service quality. Conversely, low job satisfaction can lead to high turnover rates, which can disrupt service continuity and negatively impact patients. This study aims to analyze the relationship between years of service, employment status, and job satisfaction among nurses at RSUD Malingping 2025. The research method used is a quantitative descriptive research method. The population in this study consists of 83 nurses at RSUD Malingping, with a total sampling method applied to collect data from all 83 nurses. The analysis used the Chi-Square test. The results of the test showed that there is a significant relationship between length of service and job satisfaction among nurses (P = 0.007), as well as a significant relationship between employment status and job satisfaction among nurses (P = 0.000). The conclusion drawn is that there is a relationship between length of service and employment status with job satisfaction among nurses at RSUD Malingping in 2025. Recommendations for the hospital include paying more attention to the job satisfaction of nurses and other staff, so that healthcare services at RSUD Malingping can be more optimal.

The mental health crisis in Indonesia is increasingly alarming, exacerbated by the COVID-19 pandemic, social stigma, and unequal access to professional services. A clinical approach alone is not enough to address this complex problem. This study offers a novelty in the form of an integrative approach: revitalizing the role of families and communities based on Islamic values (rahmah, ta'awun, shabr, syura, tarbiyah ruhiyah) combined with the use of digital social communities as a medium for education, discussion, and support systems. The research method used is a literature study with a descriptive qualitative approach, reviewing national and international literature, social support theory (Cohen & Wills, 1985), religious coping (Koenig, 2012), and Bronfenbrenner's ecological theory (1979). The results of the study show that families play a strategic role in the prevention, assistance, and referral of mental health cases, while digital communities are effective as spaces for education and emotional validation, with scalability and anonymity as their main strengths. Concrete strategies offered include family education, stigma-free campaigns on social media, spiritual care hotlines, and cross-sector collaboration. This approach is in line with the collectivist culture of Indonesian Muslim society and is more adaptive in the digital era. This research is expected to serve as a conceptual foundation for practical programs, public policy, and further research to create a more caring, stigma-free, and resilient society in the face of mental health crises.

Nosocomial infections, also known as Healthcare-Associated Infections (HAIs), are infections acquired by patients during their stay in healthcare facilities. These infections remain a serious problem because they can increase morbidity and mortality rates, prolong the length of hospital stay, and raise healthcare costs. One classical yet highly relevant approach to preventing nosocomial infections is Florence Nightingale’s Environmental Theory. This theory emphasizes the importance of maintaining a clean environment, adequate ventilation, proper lighting, effective sanitation, and good personal hygiene to support patient recovery and reduce infection risks. Nightingale believed that environmental factors play a crucial role in improving patient health outcomes and preventing disease transmission. In modern nursing practice, the principles of Nightingale’s theory are still widely applied through infection prevention and control programs, environmental cleanliness standards, and patient-centered care. Therefore, understanding and implementing environmental management in healthcare settings remain essential strategies to reduce nosocomial infection rates and improve the overall quality of healthcare services.

Malnutrition and stunting among children under five remain major public health challenges in developing countries, including Indonesia. These conditions are associated with increased morbidity, mortality, impaired cognitive development, and reduced productivity in adulthood. Stunting reflects chronic nutritional deficiencies, while severe malnutrition indicates acute or prolonged inadequate nutrient intake, often exacerbated by infections, poor caregiving practices, and unfavorable socioeconomic conditions. This case report aims to describe the clinical condition, contributing factors, management, and outcomes of a 14-month-old female toddler diagnosed with severe malnutrition and stunting without complications in Blang Dalam Geuteung Village, Nisam Subdistrict, North Aceh Regency. The assessment was conducted using a family medicine approach, incorporating detailed history taking, physical examination, anthropometric measurements, and nutritional status evaluation based on World Health Organization Z-score indicators. Interventions included nutritional rehabilitation through appropriate dietary intake, family education on balanced nutrition and proper feeding practices, routine growth monitoring, and optimization of primary healthcare services. The results showed gradual improvement in the child’s nutritional status, evidenced by weight gain, better appetite, and improved feeding patterns following the intervention. This case highlights the importance of early detection, comprehensive family-centered management, and continuous monitoring in addressing malnutrition and stunting at the primary care level. Strengthening community-based interventions, improving caregiver knowledge, and enhancing collaboration between healthcare providers and families are essential to reduce the burden of malnutrition and support optimal child growth and development.

Hypertension, a global health issue, is increasingly prevalent and significantly contributes to morbidity and mortality. It often coexists with obesity, a key risk factor for hypertension and vascular complications. The combination of hypertension and obesity leads to metabolic changes, chronic inflammation, and oxidative stress that damage retinal blood vessels, directly affecting visual acuity. This literature review examines the relationship between hypertension, obesity, and visual acuity, analyzing 20 articles published between 2021 and 2025, sourced from PubMed, Google Scholar, and ScienceDirect. The study found a significant association between hypertension and obesity with decreased visual acuity. Obesity not only serves as a comorbidity but also as a mediator, worsening hypertension's effects through mechanisms like insulin resistance and endothelial dysfunction. Longitudinal studies indicate that visual impairment is progressive, while cross-sectional studies highlight its high prevalence in hypertensive obese populations. The review emphasizes the need for routine eye exams, blood pressure control, and weight management as preventive measures. In conclusion, hypertension and obesity together significantly increase the risk of visual impairment, necessitating a multidisciplinary approach to care and promoting preventive strategies to preserve eye health and enhance patients' quality of life.

This study aims to assess the quality of patient care at the Emergency Unit of Sentani City Community Health Center, Jayapura Regency, by examining the experiences and perceptions of patients, their families, and healthcare workers regarding the service. The study used a qualitative approach with a descriptive design. Informants were selected using purposive sampling involving ER patients, their families, and healthcare workers involved in the ER service process at Sentani Community Health Center. Data were collected through in-depth interviews, non-participatory observation, and documentation studies. The data obtained were analyzed qualitatively through the stages of data reduction, data presentation, and conclusion drawing. The research analysis refers to seven dimensions of service quality, namely direct evidence (tangibles), reliability, responsiveness, assurance, empathy, service accessibility, and service systems and flows. The results of the study showed that service quality at the Sentani Community Health Center ER was in the fairly good category, especially the dimensions of empathy, reliability, and responsiveness of healthcare workers. Healthcare workers were friendly, responsive, and provided fair services without discriminating against patient backgrounds. However, a number of obstacles are still found that affect the optimization of services, including limited facilities and infrastructure, the number of health workers that is not commensurate with the service load, patient waiting times in certain conditions, the operating hours of the Emergency Room that are not yet 24 hours, and the low understanding of some patients regarding the applicable service system and flow.

Based on the 2017 Indonesian Demographic and Health Survey (SDKI), one of the SDGs targets by 2030 is to reduce the maternal mortality rate to 70 per 100,000 live births. The maternal mortality rate in Indonesia is 305 per 100,000 live births (Ministry of Health, 2017). This community service activity aims to determine the effect of postpartum care counseling on postpartum mothers' knowledge about the use of the KIA handbook. The implementation method involved community outreach and counseling in the target area, with the active participation of community leaders and residents. The results showed that education influenced postpartum mothers' knowledge. Counseling provided to postpartum mothers increased knowledge, leading to changes in knowledge before and after counseling. This activity is expected to be sustainable as a promotive and preventive effort in public health

Health anxiety is a psychological condition characterized by excessive and persistent worry about having or developing a serious illness despite the absence of objective medical evidence. Among adolescents, health anxiety often manifests through recurrent somatic complaints that lead to repeated visits to primary health care services. This study aims to describe the dynamics of health anxiety in an adolescent and to examine the early response to a cognitive behavioral therapy (CBT) intervention delivered in a primary health care setting. This research employed a clinical case study design with a descriptive qualitative approach supported by quantitative assessment data. The participant was an adolescent presenting with recurrent physical complaints without identifiable medical pathology. Data were collected through clinical interviews, behavioral observation, and standardized psychological instruments, namely the Short Health Anxiety Inventory (HAI-18) and the Patient Health Questionnaire-15 (PHQ-15). Quantitative analysis focused on pre- and post-intervention score comparison, calculation of change scores, and the Reliable Change Index to evaluate individual-level change. The findings revealed a high level of health anxiety accompanied by low severity of somatic symptoms, indicating that psychological distress was primarily driven by maladaptive cognitive interpretations rather than physical pathology. Following the CBT intervention, a reduction in health anxiety scores was observed, reflecting an early improvement, although the change did not reach statistical significance based on the Reliable Change Index. These results suggest that CBT may produce meaningful early changes in health anxiety when implemented in primary health care settings, even with brief intervention formats. The study highlights the importance of early psychological assessment and intervention for adolescents with recurrent somatic complaints and supports the integration of mental health services within primary health care. However, findings should be interpreted cautiously due to the single-case design, and further research with larger samples and longitudinal follow-up is recommended