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Nausea and vomiting are common conditions experienced during pregnancy, especially in the first trimester, and are considered a normal physiological response that occurs in around 50%-80% of pregnant women. However, if this condition worsens and persists, it can develop into hyperemesis gravidarum, a pregnancy disorder that occurs in around 1 in 1000 pregnant women. This condition is at risk of causing dehydration and electrolyte imbalance and acidoketosis. This study aims to analyze the factors that influence the incidence of hyperemesis gravidarum in BPM Muliyanti, Luengsa Village, Madat District, East Aceh Regency in 2023. The type of research is Descriptive Correlation research with a cross-sectional design. The research sample consisted of 36 respondents, who were selected using a sampling technique with Purposive Sampling. Based on the results of the bivariate analysis using the Pearson Chisquare test, it is known that the p-value is 0.028, so it can be concluded that there is a statistically significant relationship between Maternal Parity and the Incidence of Hyperemesis Gravidarum in Pregnant Women in BPM Muliyanti, Luengsa Village, Madat District. East Aceh Regency Drugs in 2023. 

Appendectomy is a surgical procedure performed to cut the inflamed appendix tissue. The appendectomy procedure can cause anxiety for appendicitis patients before the operation. If the coping usually used is not able to control anxiety, it can have an impact on increasing vital signs and delaying the operation. The aim of this research is to determine the factors related to the anxiety level of pre-operative appendectomy patients in the operating room at RSU Bhakti Asih Tangerang in 2024. The research method is quantitative research with a cross- sectional approach. The research sample was 56 patients using purposive sampling technique. The instrument used in this research was the Amsterdam Preoperative Anxiety and Information Scale (APAIS) surgical anxiety questionnaire in the operating room at RSU Bhakti Asih, Tangerang City. The data were analyzed using the statistical tests used, namely the bivariate test, namely Chi-Square and the multivariate test, namely the Backward logistic regression method. The results of the research show that there are three independent variables on the dependent variable. It shows that there is one dominant variable which has p > 0.05, namely the nurse support variable which can be seen from the OR value of 0.016 times (p < 0.007; 95% CI 0.016-0.521) which means that respondents who support from nurses, the risk will be 16 times greater and can prevent the occurrence of anxiety levels Pre-Appendectomy in the Surgical Room at RSU Bhakti Asih Tangerang, Year 2024. Conclusion, there is a relationship between the analysis of factors related to the level of anxiety of pre-operative appendectomy patients in the operating room at RSU Bhakti Asih Tangerang.    

Background: Diabetic ulcers are complications that occur in clients with Diabetes Mellitus (DM) due to poor glycemic control. The slow healing process of wounds can increase the risk of wound complications, which will affect the duration of healing. Objective: To determine the relationship between knowledge and family support with the level of stress in DM patients with diabetic ulcers at Bhakti Asih General Hospital in Tangerang City. Method: This is a quantitative study with a Cross-Sectional approach. The sample consists of 62 DM patients using purposive sampling technique. The instruments used in this study are questionnaires on knowledge, family support, and the Depression Anxiety Stress Scale 42 (DASS 42). Data were analyzed using Spearman's rho test and presented in the form of frequency distribution tables. Results: The findings show that the majority of the knowledge variable indicates good family support (94.9%), and the stress level variable falls into the moderate stress category (66.7%). The correlation coefficient in this study shows a significant positive correlation between knowledge and family support with the level of stress in DM patients with diabetic ulcers (r = 0.490; p = 0.001), concluding that as family support increases, the level of stress in DM patients with diabetic ulcers improves. Conclusion: There is a relationship between knowledge and family support with the level of stress in DM patients with diabetic ulcers in the Nusa Indah room at Bhakti Asih General Hospital in Tangerang City.  

TB is an infectious disease caused by infection with the bacteria Mycobacterium Tuberculosis which can attack the lungs. However, it is not automatically transmitted because transmission depends on several factors such as: body resistance, air circulation conditions, ventilation and contact with people with TB. Based on hospital data in 2024 in the last 3 months, there were 317 cases of pulmonary TB, with 176 cases of patients diagnosed with TB. Treatment can be effective if patients comply with the rules for using drugs prescribed by doctors and from the results of the analysis there is a significant relationship between compliance with taking medication and the rate of recovery of tuberculosis patients. This figure is the third largest case of the disease after type 2 Diabetes Mellitus and Hypertension that occurred at Bhakti Asih Hospital. The purpose of the study was to determine the relationship between stigma and the level of patient compliance in TB treatment at Bhakti Asih Hospital, Ciledug. The research method used was Random Sampling with a sample size of 44 respondents and a measurement method using a questionnaire. The results of the analysis using the chi-square test showed that there was a significant relationship between stigma and compliance with taking pulmonary tuberculosis medication in lung patients at Bhakti Asih Hospital.    

Dyspepsia is a collection of symptoms in the form of discomfort in the upper abdomen, pain, nausea, and vomiting as well as the stomach feels full quickly when eating and feels bloated. One of the factors that causes dyspepsia is psychosocial factors, namely stress. The purpose of the study was to determine the Relationship between Stress and Pain in Dyspepsia Patients in the Nusa Indah Room at Bhakti Asih Hospital, Tangerang, August - October 2024. Quantitative research method with a Cross Sectional approach. The research sample was 53 respondents using a purposive sampling technique. The stress measurement instrument used the DASS-42 questionnaire and Pain measurement. Data were analyzed using the chi-square test. The results showed that the majority of Anemia was Severe (93.8%) and the quality of life variable was in the Good category (76.9%). Based on statistical tests using the Spearman rank correlation test, a significance level of p-value = 0.000 was obtained with an OR value of 0.548, which means that the relationship between these two variables was moderate and inversely related. Conclusion, there is a relationship between stress levels and pain in patients with dyspepsia in the Nusa Indah Room at Bhakti Asih Hospital, Tangerang, August - October 2024. The results of this study for the stress level variable, the majority of the stress levels are mild (54.5%) and the pain variable is in the moderate category (90.9%). Based on statistical tests using the chi square correlation test, a significance level of p-value = 0.001 was obtained, so it can be concluded that there is a relationship between stress levels and pain in patients with dyspepsia in the Nusa Indah Room at Bhakti Asih Hospital, Tangerang, August - October 2024.      

Diabetes Mellitus Type 2 is a metabolic disorder characterized by increased blood sugar levels (hyperglycemia). Diabetes can affect the quality of life with several aspects, namely diabetes care, symptoms of diabetes, and chronic complications that cause high morbidity and mortality.. Objectives: This is to find outDeterminant Factors of Quality of Life of Type 2 Diabetes Mellitus Patients at Bhakti Asih Hospital Tangerang in 2024. The research method is quantitative research with a Cross Sectional approach. Methods: sample was 55 patients using a purposive sampling technique. The knowledge level instrument usedDKQ-24 questionnaire (Diabetes Knowledge Questionnaire), Diet pattern questionnaire using FFQ, Activity pattern questionnaire using GPAQ (global physical activity questionnaire), Medication adherence questionnaire using Medication Adherence Report Scale (MARS),measurement of quality of life using the Diabetes Quality Of Life (DQOL) questionnaire. Data were analyzed using the Statistical Test used was the bivariate test, namely Chi-Square and the multivariate test, namely the Backward logistic regression method.  Results: shows that the Physical Activity variable has the largest coefficient B value and OR value, which means that among the four variables, the Physical Activity variable is the most dominant factor related to the Quality of Life of Type 2 Diabetes Mellitus Patients. Based on the results of the model analysis, the Negelkelke R Square value is 49.9%, meaning that the variables of Knowledge Level, Diet, Physical Activity, and Blood Sugar Level Examination on the Quality of Life of Type 2 Diabetes Mellitus Patients are 49.9% and the rest can be explained by other variables outside this study.Conclusion,In this study, the level of knowledge, diet, physical activity, and blood sugar level examinations were related to the quality of life of type 2 diabetes mellitus patients.    

Satisfaction is very important in assessing service quality, especially in health services. Physiotherapy services are one of the medical rehabilitation services in hospitals aimed at individuals to restore movement and body functions are required to provide the best service. Dr. Hafiz Hospital (RSDH) Cianjur is the first private hospital in Cianjur, which strives to improve the quality of services in all types of services including physiotherapy services. However, the data on quality indicators of the Physiotherapy Unit showed a decrease in visits. The complaint data that is often received is about administration, service procedures, communication and attitude of officers and others. This study aims to find out the picture of patient satisfaction with physiotherapy services at Dr. Hafiz Cianjur Hospital . This type of research is quantitative with a descriptive method, the population in this study is 87 physiotherapy patients obtained using purposive sampling techniques. Data was obtained using a questionnaire, then the data was processed and univariate analysis. The results showed that satisfaction based on physical evidence (tangible) included high (41.4%), reliability had high satisfaction (41.4%), accuracy (resvonsiveness) had high satisfaction (43.7%), assurance had moderate satisfaction (44.8%), and care (empathy) have moderate satisfaction (47.1%). The hospital is advised to evaluate the quality of service to meet patient satisfaction, so that it can determine the next steps to be taken in measuring wisdom in the future.

The impact that can occur when parents do not immediately provide first aid for febrile seizures is that it can increase the risk of damage to the brain, delays in development and the emergence of symptoms of epilepsy.  Parents should know information regarding the treatment that needs to be given to children who experience febrile seizures.  Because if parents have a minimal attitude and do not immediately take their child to a health worker, it will cause the child to experience the effects of febrile seizures, one of which is brain damage and death. The aim of this research is to analyze the influence of simulation methods on knowledge and skills of first aid for seizures in children in Kutakerangan Village, Simpang Kanan District, Aceh Singkil Regency, Aceh Province in 2024. The type of this research is Quasy Experimental Research with a one group pretest-posttest research design which consists of 1 experimental group carried out in Kutakerangan Village. The population in this study were mothers who had babies aged 0-12 months, totaling 33 respondents. The sampling technique used is Total Sampling. As well as bivariate analysis using the Wilcoxon test. In conclusion, the p-value was obtained: 0.00 <0.05, which means there is an influence between knowledge and first aid on seizures and the p-value: 0.003 <0.05 means there is an influence between skills and first aid on seizures in Kutakerangan Village, Simpang Kanan District, Aceh Singkil Regency, Aceh Province in 2024.

Post-stroke hemiparesis is a weakness or inability to move on one side of the body, making it difficult to do daily activities, such as eating or dressing. Weakness on one side of the arm and leg can cause loss of balance in walking, impaired ability to pick up objects, decreased precision of movement, muscle weakness, and lack of coordination. Motor Relearning Program (MRP) focuses on relearning certain movements, tasks and motor skills that lead to the ability to perform a task. The motor relearning approach emphasizes training in motor tasks. This technique provides functional training and identification of key motor tasks, such as sitting, standing or walking. Objective: This study was conducted to determine the effect of increasing functional ability using the Motor Relearning Program (MRP) on Post-Stroke Hemiparesis patients at the Nur Medika Luwuk Clinic. Method: The research design used was an experimental method with a One-Group Pre-test and Post Test design model. The sample determination used the total sampling technique with a sample size of 10 respondents aged 45-65 years. The Barthel Index was measured to determine the functional ability of the respondents. The results of the study were analyzed using the Shapiro-Wilk normality test and the Wilcoxon sign rank test. Results: The results of the Wilcoxon sign rank test obtained an Asymp.Sig. (2-tailed) value of 0.003 <0.05, which means that there is an effect of the Motor Relearning Program (MRP) on improving the functional abilities of hemiparesis patients at the Nur Medika Luwuk Clinic.

Background: Hypertension in pregnancy is the leading cause of maternal death due to preeclampsia in pregnancy. Preeclampsia screening in the maternal and child health (MCH) book can be done by cadres. The eradication program involving cadres has not run optimally this is because there are still few cases of pregnancy with preeclampsia detected by Health cadres. Good knowledge is expected to increase cadre action in order to conduct early detection of preeclampsia. Data from the Banyudono Health Center showed that the detection rate of high risk by the community in December 2023 was 10.9%, still far from the target of 20%. Puskesmas Banyudono consists of 6 villages where the village with the most high-risk pregnancies is Kuwiran Village, namely 107 (32.7%) pregnant women in 2023. The purpose of the study was to determine the effect of health education with leaflet media on knowledge about preeclampsia in health cadres in Kuwiran Village, Banyudono Boyolali District. This research design is a pre-experiment with a one group pre-test post-test design. The population of this study were all health cadres in Kuwiran Village, Banyudono Boyolali District in June 2024, totaling 31 respondents. The sampling technique used in this study was total sampling, the research instrument used SAP, leaflets and questionnaires. Data analysis with Wilcoxon. Research results: The age of most cadres is more than 35 years, namely 25 respondents (80.6%), the education is mostly secondary, namely 22 respondents (71.0%), the majority are working, namely 23 respondents (73.2%), the knowledge of health cadres before The majority of health education had sufficient knowledge, namely 16 respondents (51.6%), after health education was in the good category, 20 respondents (64.5%). Statistical test results with Wilcoxon p-value 0.000 <0.05. Conclusion: There is an influence of health education using leaflet media on knowledge about early detection of preeclampsia among health cadres in Kuwiran Village, Banyudono Boyolali District.

This study aims to examine and analyze empirically the influence of self esteem and self confidence on psychological well being cervical cancer patient post hysterectomy at RS Dr. Cipto Mangunkusumo Jakarta. The method used in this research is quantitative research while the data collection technique is done through observation, interview and questionnaires. The research design method was cross sectional and the sample size was 100 respondents using accidental sampling technique. The data of this study were collected with self esteem scale, self confidence scale and psychological well being scale with a Likert scale model. Self report technique is used in collecting instrumen data. The data collected was analyzed with a multiple regression test with the help of the Statistical Package for Social Sciences (SPSS) program 20.0 for Windows. The results of the research showed the influence of self esteem and self confidence on psychological well being is very significant, so that the level of psychological well being patient can be seen from level self esteem and self confidence. The recomendation from this study is that respondents can maintain and increase self esteem and self confidence to improve psychological well being.

Background: Fulfillment of nutrition for children should be carried out not only from birth but from the time the child is still in the womb. According to the Ministry of Health, stunting is a condition where the body and brain fail to grow due to malnutrition for a long time. So the child is shorter than normal children of his age and has obstacles in thinking. With this incident, it is clear that the nutritional intake provided by children will influence or have an impact on the child's growth and development. Purpose: To determine the level of knowledge of mothers regarding toddler nutrition in the Working Area of ​​Sungai Tabuk Community Health Center 1, Sungai Tabuk Village, City Rt 01, Banjar Regency  Methods: The type of research used in this research is pre-experimental research with a one-group pretest-posttest design, that is, cause and effect relationships will be revealed by involving one group of subjects who are observed before the intervention is carried out, then observed again after the intervention. Results: The results of the pretest filling out the questionnaire before education was carried out on the mother's level of knowledge about toddler nutrition. Of the total 15 respondents, there were 11 respondents (73.3%) who had a poor level of knowledge, and there were 4 respondents (26.7%) who had a good level of knowledge. From the total of 15 respondents, there were 2 respondents (13.4%) who had a poor level of knowledge, and there were 13 respondents (86.6%) who had a good level of knowledge, so it can be concluded that there is an increase in knowledge before and after being given education Conclusion: The conclusion shows that there are differences in results before being given education and after being given education

Occupational Safety and Health (K3) is an aspect of activities in the work environment as a form of implementation of safe and comfortable work to achieve an organizational goal, namely zero incidents so as to increase effectiveness and productivity in the workplace. Workplace accidents can be caused by two things, namely unsafe actions and unsafe conditions. From work accident data, it is estimated that 85% of work accidents occur due to unsafe work behavior and the average accident is caused by human factors. PT. Pelabuhan Indonesia (Persero) Terminal Petikemas Kendari is an Indonesian State-Owned Enterprise engaged in port services, specifically container services. In the past year, there have been 21 accidents involving operators who experienced incidents classified as light at PT. Pelindo. The purpose of this study was to determine the factors related to work accidents among operators at PT. Pelabuhan Indonesia (Persero) Kendari Container Terminal in 2024. The design of this study was cross-sectional using quantitative research methodology. Using a total sampling of 49 peoples. The data analysis technique used the chi-square test and fisher's exact test on the SPSS application. The results showed that there was a relationship between K3 knowledge (0.011), behavior (0.035), use of PPE (0.001) and there was no relationship between supervision (1.000) and work accidents among operators at PT. Pelabuhan Indonesia (Persero) Kendari Container Terminal. The researcher advised the company to improve K3 knowledge, provide rewards as motivation, and carry out punishments to discipline workers.

This meta-analysis examined the relationship between social support and medication adherence among multiple sclerosis (MS) patients through a synthesis of 47 studies (N=12,356). The findings confirmed a significant positive correlation (r=0.42, p<0.001, 95% CI [0.38, 0.46]) with substantial heterogeneity (I²=84.0%). Contrary to Cohen et al.'s (2019) finding that informational support was the strongest predictor, our moderator analyses revealed emotional support as the most robust predictor (β=0.39, p<0.001). Furthermore, this research demonstrated that the effects of social support on MS medication adherence were stronger among women (β=0.18, p=0.023) and patients with longer disease duration (β=0.24, p=0.009), extending Franqueiro et al.'s (2023) findings regarding gender differences in social support effectiveness. Family support showed the largest effect (r=0.48, p<0.001), followed by friends (r=0.40, p<0.001) and healthcare providers (r=0.35, p<0.001). Moreover, mediation modeling revealed a significant role of self-efficacy (indirect effect=0.21, 95% CI [0.17, 0.25]), expanding upon Bandura's (2018) model. Supporting Lavorgna et al.'s (2018) findings, our results confirmed that online social support proved equally effective as offline support (Q=1.87, p=0.171). These findings demonstrated robustness through sensitivity analyses and trim-and-fill procedures, confirming resilience against publication bias (adjusted r=0.39, 95% CI [0.35, 0.43]). The novelty of this research lies in its comprehensive identification of key moderators and underlying mechanisms in the social support-medication adherence relationship and the first empirical testing of an integrated mediation model incorporating social support, self-efficacy, and medication adherence in the MS context.

This meta-analysis investigated the effect of life satisfaction on Sarcoidosis treatment outcomes across 47 studies encompassing 8,932 patients. The findings revealed a significant positive correlation between life satisfaction and treatment success (r = 0.62, p < 0.001). Patients with high life satisfaction scores (>7.5/10) demonstrated a 73% higher likelihood of achieving remission compared to those with low scores (<5/10) (OR = 2.84, 95% CI: 2.31-3.49). Regression analysis indicated that each one-point increase in life satisfaction scores was associated with an 18% reduction in Sarcoidosis relapse rates (β = -0.18, p = 0.002). Treatment adherence and health behaviors were found to mediate the relationship between life satisfaction and Sarcoidosis treatment outcomes, accounting for 42% and 35% of the variance, respectively. Moderator analyses demonstrated stronger effects among patients with disease duration <5 years (p = 0.011) and those with mild to moderate disease severity (p = 0.003). These findings extend the work of Lee et al. (2020) and Martínez-García et al. (2021) by demonstrating a more pronounced effect of life satisfaction on Sarcoidosis treatment compared to other chronic conditions. Notably, contrary to Saketkoo et al (2021) previous study, the effect of life satisfaction remained significant even after controlling for patients' socioeconomic factors (β = 0.41, p < 0.001). These results underscore the crucial role of psychosocial interventions in enhancing Sarcoidosis treatment efficacy, offering new perspectives in the management of this chronic condition.

This study investigates the role of emotional intelligence (EI) in cystic fibrosis (CF) treatment through a comprehensive meta-analysis of 47 studies involving 5,823 CF patients. Results affirm a significant positive correlation between EI and treatment adherence (r = 0.62, p < 0.001), as well as improved quality of life (QoL) for CF patients (β = 0.58, 95% CI [0.49, 0.67]). Regression analysis revealed that EI predicts 37% of the variance in lung function (FEV1) (R² = 0.37, F(1, 5821) = 3421.76, p < 0.001). Furthermore, patients with high EI scores exhibited significantly reduced levels of anxiety (d = -0.79) and depression (d = -0.83) compared to control groups. These findings extend previous research by Salovey et al. (2002) and Ceyhan et al. (2024) by identifying specific EI mechanisms influencing CF treatment outcomes. Unlike Cox et al.'s (2020) study focusing on the general population, our findings specifically demonstrate the effectiveness of EI-based interventions in improving clinical outcomes for CF patients, with an average FEV1 increase of 12% after 6 months of intervention. Lastly, mediation analysis indicated that emotion regulation (β = 0.31, p < 0.001), adaptive health behaviors (β = 0.28, p < 0.001), and utilization of social support (β = 0.22, p < 0.001) mediated the relationship between EI and CF treatment outcomes. These findings underscore the importance of integrating EI training into standard CF care protocols to enhance holistic treatment outcomes.

Background: A malignant tumor known as cervical cancer attacks the female reproductive organs around the vaginal mucosa and the cervical canal mucus, also known as the lower part between the vagina and the uterus. Those diagnosed with cervical cancer must receive a variety of treatments, including chemotherapy, radiation therapy, surgery, or multitherapy. The study evaluated the correlation between treatment and sexual function in patients with cervical cancer at Dr. Kariadi's Hospital in Semarang. This cross-sectional research used consecutive sampling to collect samples from 69 participants from March to April 2024. This study used a questionnaire from the Women's Sexual Function Index. (FSFI). The research results showed that of the 69 respondents, the age group that experienced the most sexual dysfunction was 46-55 years old, with 24 respondents (34.8%), the most common treatment for cervical cancer patients was multitherapy treatment with 49 respondents (71%) , and respondents who experienced sexual dysfunction were 64 respondents (92.8%).The results found a significant correlation between treatment and sexual function in patients diagnosed with cervical cancer. The p-value is 0.004 (p < 0.05), and the correlation coefficient is 0.342, indicating an insignificant correlation. Research suggests that interventions can improve the sexual function of cervical cancer patients.

This article discusses the advancement of reproductive technology, especially in vitro fertilization (IVF) and surrogate motherhood, and their legal, ethical, and religious implications. IVF and surrogate motherhood are technologies that offer solutions for couples facing infertility problems, but also pose major challenges in social and moral aspects. This article uses a descriptive approach to analyze various perspectives related to these practices, including the Islamic view that tends to allow IVF with certain conditions, but rejects surrogate motherhood. This study finds that although reproductive technology offers new hope, it is important to adjust regulations by considering legal, medical, and religious values ​​so that this technology can be applied wisely and humanely.

Executive polyclinic in the hospital provides premium health services for middle to upper-socioeconomic patients. However, the low utilization of executive polyclinic services is a concern for hospital management. This study uses the Theory of Planned Behavior framework to understand the factors that influence patient intention to visit the executive polyclinic. This study aims to analyze the effect of subjective norms and brand image on visiting intentions through attitudes toward visiting the Executive Polyclinic of dr. Sitanala Central General Hospital. The quantitative causal research method is to determine the relationship between variables based on previous hypotheses. Data were collected through questionnaires from 135 patients and visitors who had never visited the Executive Polyclinic of dr. Sitanala Central General Hospital was selected using Stratified Random Sampling. The analysis was carried out using SEM-PLS. The results showed that subjective norms and brand image influenced visiting attitudes and visiting intentions, and visiting attitudes influenced visiting intentions. In addition, attitudes mediate the influence of subjective norms on visiting intentions and brand image on visiting intentions. In a managerial context, this research can be a basis and reference for hospital management to improve communication and information systems, human resource (HR) management for medical personnel, patient experience management systems, and patient education systems.

Stress is a common phenomenon experienced by university students due to academic and social pressures in the campus environment. This study aims to analyze the factors causing stress among students and its impact on their mental health. Using a phenomenological approach, data were collected through in-depth interviews and field observations with students from various backgrounds. The findings reveal that factors such as academic workload, adaptation to new environments, financial issues, and social pressures are primary sources of stress. This stress can lead to mental health issues, including anxiety, depression, and reduced academic performance. The study highlights the importance of campus interventions in providing mental support and developing stress management programs for students. With this understanding, students are expected to better manage stress, maintain mental balance, and improve their quality of life in academic settings.