Publication Search

Pulmonary tuberculosis is an infectious disease that remains a public health problem, especially in developing countries such as Indonesia. The transmission of this disease can be prevented through appropriate behavior, which is influenced by the level of individual knowledge. This study aims to determine the relationship between knowledge level and preventive behavior of pulmonary tuberculosis transmission among patients at a public health center. This study used a quantitative method with a cross-sectional design. The sample consisted of 20 respondents selected using total sampling technique. The research instrument was a questionnaire measuring knowledge and behavior. Data were analyzed using the Chi-Square test. The results showed that most respondents had a good level of knowledge (50.0%) and good preventive behavior (60.0%). The Chi-Square test showed a p-value of 0.000 (p < 0.05), indicating a significant relationship between knowledge level and preventive behavior of pulmonary tuberculosis transmission. In conclusion, there is a significant relationship between knowledge level and preventive behavior, indicating that improving knowledge is essential in preventing tuberculosis transmission.

Pulmonary tuberculosis is an infectious disease that remains a public health problem, especially in developing countries such as Indonesia. The transmission of this disease can be prevented through appropriate behavior, which is influenced by the level of individual knowledge. This study aims to determine the relationship between knowledge level and preventive behavior of pulmonary tuberculosis transmission among patients at a public health center. This study used a quantitative method with a cross-sectional design. The sample consisted of 20 respondents selected using total sampling technique. The research instrument was a questionnaire measuring knowledge and behavior. Data were analyzed using the Chi-Square test. The results showed that most respondents had a good level of knowledge (50.0%) and good preventive behavior (60.0%). The Chi-Square test showed a p-value of 0.000 (p < 0.05), indicating a significant relationship between knowledge level and preventive behavior of pulmonary tuberculosis transmission. In conclusion, there is a significant relationship between knowledge level and preventive behavior, indicating that improving knowledge is essential in preventing tuberculosis transmission.

Needle Stick Injury (NSI) is a serious occupational hazard among healthcare workers due to the risk of transmitting bloodborne pathogens. A preliminary study at Puskesmas X found that 60% of healthcare workers had experienced NSI. This study aimed to analyze the relationship between work standards, skills, and training with the incidence of NSI among healthcare workers (nurses and midwives) at Puskesmas X, East Bolaang Mongondow Regency. An analytical observational study with a cross-sectional design was conducted. A total sampling technique was used, resulting in 37 respondents. Data were collected using a structured questionnaire and analyzed using statistical tests. The results showed majority of respondents were aged 26–34 years (67.6%), female (81.1%), and had experienced NSI (73.0%). Statistical analysis showed a significant association between work standards (p = 0.018), skills (p < 0.001), and training (p = 0.014) with NSI incidence. Poor work standards, inadequate clinical skills, and limited participation in training were strongly associated with higher rates of NSI. Community health centers are recommended to implement regular occupational safety training programs to improve the technical skills of healthcare workers.

Needle Stick Injury (NSI) is a serious occupational hazard among healthcare workers due to the risk of transmitting bloodborne pathogens. A preliminary study at Puskesmas X found that 60% of healthcare workers had experienced NSI. This study aimed to analyze the relationship between work standards, skills, and training with the incidence of NSI among healthcare workers (nurses and midwives) at Puskesmas X, East Bolaang Mongondow Regency. An analytical observational study with a cross-sectional design was conducted. A total sampling technique was used, resulting in 37 respondents. Data were collected using a structured questionnaire and analyzed using statistical tests. The results showed majority of respondents were aged 26–34 years (67.6%), female (81.1%), and had experienced NSI (73.0%). Statistical analysis showed a significant association between work standards (p = 0.018), skills (p < 0.001), and training (p = 0.014) with NSI incidence. Poor work standards, inadequate clinical skills, and limited participation in training were strongly associated with higher rates of NSI. Community health centers are recommended to implement regular occupational safety training programs to improve the technical skills of healthcare workers.

Background: Rabies is a fatal zoonotic disease that remains a serious health problem in Bali, with increase case from rabies transmiting animal bite   in 2025. Sobangan Village, area of ??the Mengwi I Public Health Center, has been identified as a high-risk area due to its largest dog population and the second-highest bite incidence in the region. Lack of understanding regarding the initial treatment of bite wounds and vaccination are major risks factor for fatalities. Aim: This community service activity aims to increase the knowledge and awareness of the Sobangan Village community regarding the prevention and initial treatment of Animal Bites. Method: The implementation method included interactive counseling and focused discussions involving 18 village cadre representatives and PKK members, evaluated using pre-tests and post-tests. Result: The results showed a significant increase in the average knowledge score of participants from 11.56 to 12.56. The most increase understanding occurred in identifying the characteristics of rabid dogs (from 55.6% to 94.4%) and the urgency of post-exposure vaccination (from 72.2% to 100%). Conclusion: Community-based health education has been shown to be effective in improving cognitive competence as a preventative measure to reduce the risk of death from rabies in endemic areas.

Anxiety during pregnancy is one of the most common psychological problems experienced by pregnant women, particularly during the third trimester when they face childbirth preparation as well as various physical and emotional changes. If not properly managed, anxiety may adversely affect both maternal and fetal health. This study aimed to describe the level of anxiety among third-trimester pregnant women at Mlati II Public Health Center in 2026. This research employed a descriptive quantitative design with a cross-sectional approach. The study involved 40 third-trimester pregnant women selected using a total sampling technique. Data were collected using the Hamilton Anxiety Rating Scale (HARS) questionnaire and analyzed through univariate analysis in the form of frequency and percentage distributions. The results showed that most respondents were of healthy reproductive age (20–35 years) (92.5%), primigravida (67.5%), had a secondary level of education (70%), and were unemployed (70%). The respondents' anxiety levels were categorized as no anxiety (47.5%), mild anxiety (47.5%), and moderate anxiety (5%), while no cases of severe anxiety or panic were identified. The most dominant anxiety indicators were anxious feelings, tension, respiratory symptoms, and sleep disturbances. These findings indicate that some third-trimester pregnant women still experience anxiety, highlighting the need for early detection, health education, and psychological support through antenatal care services to promote maternal mental well-being during pregnancy.

Introduction: The Beyond Use Date (BUD) is the expiration date for a drug product after its primary packaging has been opened, mixed, or prepared. The BUD differs from the expiration date printed on the manufacturer's packaging and is not always listed on the drug, so many people still don't fully understand this concept.Objective: To evaluate the level of knowledge of Prolanis patients regarding the Beyond Use Date (BUD) at the Purwokerto Utara I Community Health Center before and after being given counseling. Methods: A quantitative descriptive method with a cross-sectional design was used on 20 Prolanis patient respondents. Primary data collection consisted of questionnaires administered before (pretest) and after (posttest) the lecture-based counseling using flyers. Data analysis was performed using univariate analysis. Results: The level of knowledge of Prolanis patients regarding Beyond Use Date before counseling showed that the majority were in the poor category with 16 respondents (80.0%) and the sufficient category with 4 respondents (20.0%). After being given counseling, there was an increase in the good category with 6 respondents (30.0%), but the majority were still in the poor category with 14 respondents (70.0%).Conclusion: The level of knowledge of Prolanis patients regarding Beyond Use Date (BUD) at Purwokerto Utara I Health Center before counseling was mostly in the poor category, and after counseling there was an increase although most were still in the poor category.

Stroke is a neurological disorder caused by impaired blood flow to the brain, resulting in brain tissue damage and various functional impairments. One of the common problems experienced by stroke patients is sleep disturbance, which may be influenced by neurological deficits, limited physical mobility, pain, and post-stroke anxiety. Persistent sleep disturbances can delay the recovery process and reduce patients’ quality of life. The long-term use of sleeping medications may lead to adverse effects; therefore, safe and easily applicable complementary therapies are needed. This study aimed to determine the effectiveness of peppermint oil aromatherapy in improving sleep quality among stroke patients in the working area of Barebbo Community Health Center, Bone Regency. The method used was the implementation of complementary therapy through the administration of peppermint oil aromatherapy to stroke patients experiencing sleep disturbances. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention. The assessment results showed that before the intervention, patients experienced poor sleep quality, characterized by difficulty initiating sleep, frequent nighttime awakenings, insufficient sleep duration, and daytime fatigue. After receiving peppermint oil aromatherapy, patients demonstrated increased comfort, reduced anxiety, improved ability to initiate sleep, and better overall sleep quality compared to their condition before the intervention. Therefore, peppermint oil aromatherapy was found to be effective in improving sleep quality among stroke patients and can be used as a complementary non-pharmacological intervention in nursing care.

Vomitus is the forceful expulsion of gastric contents through the mouth, commonly occurring in children as a clinical manifestation of gastrointestinal diseases. Based on medical records of RSUD dr. Soeselo, Tegal Regency, vomitus cases increased to 355 cases in 2025. Therefore, comprehensive nursing care is needed to address problems arising from vomiting in children. This study used a descriptive method in the form of a case study through a nursing process approach, aimed at describing nursing care for a pediatric patient with vomitus. Three nursing diagnoses were identified in An. A with vomitus: Nausea related to gastric irritation/stimulation of the vomiting center, Risk of Fluid Imbalance related to repeated vomiting, and Knowledge Deficit related to lack of information exposure. Nursing interventions provided included Vomiting Management, Fluid Management, and Health Education. After three days of nursing implementation, all three nursing diagnoses were resolved, marked by the disappearance of nausea, improved appetite, normal hydration status (moist mucosa, good skin turgor, pulse 88x/minute), and the patient's mother and patient being able to understand and re-explain health education material about vomitus.

Introduction: Hypertension is an increase in systolic blood pressure ≥140 mmHg and/or diastolic ≥90 mmHg that has the potential to cause serious complications. The prevalence of hypertension in Indonesia is 34.11% (Riskesdas, 2018), in Central Java 37.57%, and in Tonjong Village 15,951 patients aged ≥15 years were recorded (Tonjong Health Center, 2025). Purpose: To provide direct and comprehensive family nursing care to Ny. T, the family of Tn. D, with hypertension in Tonjong Village, Dukuh Kauman RT 03 RW 04, Tonjong District, Brebes Regency. Method: Case study with a nursing process approach. Data were collected through interviews, observation, physical examination, and documentation, conducted on December 26–29, 2025. Results: Assessment revealed that Ny. T complained of dizziness, neck pain, difficulty sleeping, and soreness in both legs with blood pressure of 167/100 mmHg. The family had no knowledge about hypertension. Two diagnoses were established: Acute Pain (D.0077) and Knowledge Deficit (D.0111). Interventions included complementary foot massage therapy to address acute pain and health education on hypertension. After three visits, the Acute Pain diagnosis was partially resolved with a decrease in pain scale from 3 to 2 and blood pressure from 167/100 mmHg to 150/95 mmHg, while the Knowledge Deficit diagnosis was fully resolved. Conclusion: Family Nursing Care with the SDKI, SLKI, and SIKI approach had a positive impact on improving the condition of Ny. T. It is recommended that the client continue foot massage independently, implement the five family health tasks, and routinely utilize health facilities.

Background: Gout arthritis is a metabolic disease caused by excessive uric acid levels in the blood (hyperuricemia), which leads to monosodium urate crystal deposition in the joints. Globally, the prevalence of gout arthritis ranges from 1–4% of the general population. In Indonesia, the national prevalence reaches approximately 7.3% based on medical diagnosis, and in Brebes Regency, cases reach 62.4%. At the Tonjong Health Center service area, the prevalence of gout arthritis in Karanganyar Hamlet, Tonjong Village, reaches 2.04%. Gout arthritis requires comprehensive nursing care including pain management and health education to prevent recurrence. Objective: To implement nursing care for Ny. S, family of Tn. S, with musculoskeletal system disorder: gout arthritis in Karanganyar Hamlet, Tonjong Village, Tonjong District, Brebes Regency. Method: This study used a case study design with a single patient/family subject. Data collection was conducted through interview, observation, physical examination, and study documentation on December 26–27, 2025 at the patient's home. Results: Assessment revealed Ny. S (72 years) experienced acute pain in the right knee joint with a pain scale of 3/10 and uric acid level of 7.3 mg/dL, along with knowledge deficit regarding gout arthritis. Two nursing diagnoses were established: acute pain and knowledge deficit. Nursing interventions included pain management education, non-pharmacological therapy (turmeric decoction), pharmacological therapy (allopurinol), and health education. Implementation was conducted over two visits. Evaluation results showed that acute pain was partially resolved (pain scale reduced to 2/10, uric acid 7.2 mg/dL) and knowledge deficit was resolved. Conclusion: Nursing care for patients with gout arthritis through pain management and health education can reduce pain intensity and improve family knowledge about the disease. Non-pharmacological intervention with turmeric decoction contributed to decreasing uric acid levels and pain. Keywords: gout arthritis, acute pain, knowledge deficit, family nursing care, non-pharmacological therapy

Vector-borne infectious diseases remain a public health concern, particularly in tropical regions such as Indonesia. Sanitation clinics at public health centers (Puskesmas) play a role in identifying environmental risk factors and planning interventions to support vector-borne disease control. This study aimed to evaluate the performance of sanitation clinics in environmental intervention planning. The method used was a literature review of scientific articles, journals, and related documents published between 2015-2025. Data were analyzed descriptively to identify forms of environmental interventions and their effectiveness. The results showed that sanitation clinics play an important role in environmental health counseling, sanitation inspections, health education, and environmental intervention planning. However, their implementation still faces challenges, including limited numbers of sanitarians, inadequate facilities and infrastructure, and suboptimal environmental interventions. Nevertheless, sanitation clinics continue to contribute to the prevention of environment-based diseases and vector control. Therefore, strengthening resources and improving the quality of intervention planning are necessary to enhance the effectiveness of sanitation clinic programs.

Diabetes Mellitus is a non-communicable disease with an increasing prevalence and has become a major public health concern globally and nationally. The incidence of diabetes mellitus is influenced by various individual and environmental factors. This study aimed to analyze the relationship between age, gender, and residential proximity to landfill areas and the incidence of diabetes mellitus in Bendosari District. A quantitative analytic observational design with a cross-sectional approach was employed. The study population consisted of 1,890 patient visit records recorded in the Management Information System of Bendosari Public Health Center in 2025. A total of 363 respondents were selected using proportionate stratified random sampling. Data were analyzed through univariate analysis, bivariate analysis using the Chi-Square test, and multivariate analysis using multiple logistic regression. The findings showed that age was significantly associated with diabetes mellitus incidence (p=0.000; OR=79.790; 95% CI=53.511–118.974). Gender was also significantly related to diabetes mellitus incidence (p=0.000; OR=0.298; 95% CI=0.203–0.435), indicating that females had a higher risk than males. In contrast, residential proximity to landfill areas was not significantly associated with diabetes mellitus incidence (p=0.308; OR=1.247; 95% CI=0.439–3.540). Multivariate analysis revealed that age and gender were the dominant factors influencing diabetes mellitus incidence, with the model explaining 56.1% of the variation. The study concludes that age and gender are significant determinants of diabetes mellitus incidence, whereas residential proximity to landfill areas has not been proven to significantly affect its occurrence.

Clean and healthy living habits (PHBS) is the essence and human right to maintain the continuity of life. Clean and healthy living habits is a set of behaviors that are practiced on the basis of awareness as a result of learning, which makes a person, family, group or community able to help themselves (independently) in the health sector and play an active role in realizing public health. The impacts of families who do not practice PHBS are numerous, this problem comes from unhealthy behavior and environments. Clean and Healthy Living Behavior in Cemparam Lama Village, Bener Meriah Regency, based on the results of observations made by the Mesidah District Health Center, Bener Meriah Regency, in 2022 is 1.8%. The aim of this research is to see the description of clean and healthy living behavior in the household structure in Cemparam Lama Village, Mesidah District, Bener Meriah Regency. This type of research is purely descriptive which aims to see the description of clean and healthy living habits in the family structure in Cemparam Lama Village, Bener Meriah Regency. Results of this research were good knowledge of respondents with a percentage of 93.9%, positive attitudes of respondents with a percentage of 95.6%, and good actions of respondents with a percentage of 94. 7%. Conclusion of this research is that the majority of families in Cemparam Lama Village, Mesidah District, Bener Meriah Regency have a good description of characteristics, knowledge, attitudes and actions regarding Clean and Healthy Living Habits.  

Hypertension is one of the most common chronic diseases encountered in primary healthcare and may lead to serious complications if left uncontrolled. This case report aims to describe the management of a 48-year-old female patient with grade II hypertension through a family medicine approach at Nisam Primary Health Center, North Aceh Regency. The patient presented with intermittent headaches for one week, which worsened after physical activity and were accompanied by numbness in both legs. She had a five-year history of hypertension with poor adherence to antihypertensive medication. Physical examination revealed a blood pressure of 165/70 mmHg, leading to a diagnosis of grade II hypertension. Comprehensive management was conducted using patient-centered and family-centered approaches, including education regarding hypertension, lifestyle modification, DASH diet implementation, physical activity, medication adherence, and family support through home visits and family folders. The interventions were expected to improve blood pressure control, prevent complications, and enhance the patient’s quality of life. A family medicine approach plays an important role in comprehensive hypertension management at the primary healthcare level.

Telepharmacy is a digital-based pharmaceutical service innovation aimed at improving access to healthcare services and enhancing the quality of pharmaceutical care, particularly in areas with limited healthcare resources. This study aimed to evaluate the implementation of telepharmacy services at Sehat Plus Pharmacy based on the six healthcare quality dimensions established by the World Health Organization (WHO), namely safety, effectiveness, timeliness, efficiency, equity, and patient-centeredness, and to analyze their association with respondent characteristics. A quantitative descriptive-analytic study with a cross-sectional design was conducted. The study involved 35 respondents selected using a total sampling technique. Data were collected through a structured Likert-scale questionnaire and analyzed using univariate analysis and Spearman correlation tests with a significance level of α = 0.05. The results indicated that the overall implementation of telepharmacy services was categorized as very good (88.8%), with the safety dimension achieving the highest evaluation score among all quality dimensions. Most respondents were female and aged between 21 and 25 years. Statistical analysis revealed a significant association between age and perceptions of telepharmacy implementation (p = 0.004; r = -0.471), indicating a moderate negative correlation. In contrast, gender, educational level, and occupation showed no significant association with service implementation (p > 0.05). It can be concluded that telepharmacy services at Sehat Plus Pharmacy have met WHO healthcare quality standards and provide positive user experiences, while age remains an important factor influencing service perception and acceptance.

Complementary feeding plays a vital role in meeting the nutritional needs of infants and toddlers. However, food safety remains a concern, particularly for homemade commercial complementary foods. This study aimed to assess the microbiological quality and hygiene sanitation practices of homemade commercial complementary foods vendors in the service area of Karangandong Public Health Center, Gresik. A quantitative descriptive approach with a cross-sectional design was employed. Four homemade commercial complementary foods samples were collected from different vendors and tested for Total Plate Count (TPC) and Escherichia coli contamination. Observations and interviews were also conducted to evaluate the vendors' hygiene and sanitation practices. The results showed that three out of four homemade commercial complementary foods samples exceeded the maximum limit for microbial contamination (1 × 10² CFU/g). Two of the four samples tested positive for Escherichia coli contamination. The hygiene and sanitation practices of the vendors showed several non-conformities, categorized as minor, major, and critical. In conclusion, most homemade commercial MP-ASI products in this study did not meet established microbiological safety standards and reflected hygiene and sanitation practices that require improvement.

Stunting remains a major public health challenge in Indonesia, requiring systematic early detection and community-based interventions. This community service activity aimed to implement early stunting detection through parental health education and anthropometric measurements of children under five at Posyandu Pasir Putih, Kelurahan Baurung, Kecamatan Banggae Timur, Kabupaten Majene, West Sulawesi. A participatory approach was used, combining interactive health education sessions with standardized anthropometric screening (weight, height/length, mid-upper arm circumference, and head circumference) for 35 toddlers aged 0–59 months. Parental knowledge was assessed using pre-test and post-test questionnaires administered to 38 parents. Results showed a significant increase in parental knowledge, from a mean pre-test score of 52.4 (poor category) to 81.6 (good category) on post-test. Anthropometric assessment revealed that 13 out of 35 toddlers (37.1%) were identified as stunted (25.7% stunted; 11.4% severely stunted). All identified cases were referred to the local health center (Puskesmas) for specific nutritional interventions including supplementary feeding and intensive nutrition counseling. These findings indicate that integrated anthropometric screening combined with targeted parental education is an effective strategy for early stunting identification at the community level. Posyandu plays a crucial role as a platform for translating anthropometric data into meaningful risk communication and promoting sustained community engagement in child growth monitoring

This research is grounded in the understanding that employees are the core of organizational sustainability, and their job satisfaction is shaped not only by daily tasks but also by the organization’s ability to manage workload and support balance between work demands and personal life. This study aims to analyze the effect of workload and work-life balance on employee job satisfaction at the Class I Correctional Center (Bapas) Makassar. Using a quantitative approach, data were collected through questionnaires distributed to 54 employees and analyzed using multiple linear regression assisted by SPSS Statistics 25. The research variables consist of workload and work-life balance as independent variables, and job satisfaction as the dependent variable. The findings indicate that workload has a positive and significant effect on job satisfaction, suggesting that employees’ perception of being able to complete tasks effectively can increase their comfort and confidence at work. Work-life balance also shows a positive and significant influence, indicating that the ability to manage both work responsibilities and personal life contributes directly to greater feelings of satisfaction, stability, and motivation in performing duties. Simultaneously, both variables significantly affect job satisfaction, emphasizing the importance for organizations to regulate workload proportionally while providing space for employees to maintain a healthy life balance. These findings highlight that effective workload management and support for work-life balance are crucial organizational investments to foster a healthy, productive, and employee-centered work environment.

Pregnancy complications remain a leading cause of maternal morbidity and mortality in Indonesia. Pregnant women's limited knowledge of pregnancy danger signs and suboptimal participation in antenatal care (ANC) services can increase the risk of delayed detection and management of pregnancy complications. The Kinovaro Community Health Center (Puskesmas) in Sigi Regency is one of the areas requiring maternal health information and activities that can increase pregnant women's participation in health education activities. This community service activity aims to improve pregnant women's knowledge and preparedness in preventing pregnancy complications through mentoring based on Pregnant Women's Classes. The activity involved eight pregnant women in their second and third trimesters. The methods used included health education, interactive discussions, simple pregnancy check-ups, pregnancy exercise demonstrations, and evaluation using pre- and post-tests. The results showed that all participants actively participated in the activity and had a good level of knowledge after participating. The average knowledge score increased from 77.5 to 80.0, an increase of 3.2%. In addition, participants were able to identify pregnancy danger signs, understand the importance of standard ANC visits, and practice pregnancy exercise movements independently. This activity demonstrates that mentoring through the Pregnant Women's Class can strengthen maternal health literacy, increase pregnant women's preparedness in recognizing pregnancy complications, and support the strengthening of maternal health services at the community level.