Heart attacks are caused by a blockage that keeps blood from flowing to the heart and to the brain, resulting in further complications such as failure of the heart muscle to get oxygen supply which results in a person's death. Therefore, patients with heart disease require Percutaneous Coronary Intervention to deal with their treatment. PCI is also known as cardiac angioplasty or percutaneous coronary intervention. PCI installation in patients with heart disease can affect physical activity so that patients really need family support. Family support will increase self-confidence and motivation to face problems and increase the standard of living to improve the patient's quality of life. This type of research uses a quantitative technique with a cross sectional approach. Sampling was carried out by purposive sampling technique with a total sample of 54 people.The results showed that the majority of respondents had good family support, with all dimensions of family support having a good percentage which showed a significant good percentage (100.00%), and had a very good quality of life (75.93%) , with those who have a good quality of life (24.07%). There is a significant relationship between family support and the quality of life of post-percutaneous coronary intervention (PCI) patients in the cardiac clinic room of Raden Mattaher Hospital, Jambi, with the Sig. (2-tailed) is 0.032 less than α (0.05). In addition to the analysis significance value, a correlation coefficient (cc) value of 0.293* was also obtained.The relationship between family support and quality of life of post-percutaneous coronary intervention (PCI) patients in the cardiac clinic room at Raden Mattaher Hospital Jambi in 2023 resulted in a relationship that was sufficient or strong enough and led to a positive relationship, that is, better family support.

Facts show that more than 350,000 worldwide die every year due to complications of pregnancy and childbirth. Indonesia's National Maternal Mortality Rate (MMR) in 2017 and 2019 did not change, namely 305 per 100,000 live births. Prospective brides and grooms are a strategic target group in efforts to improve their health before pregnancy. The aim of the research is to determine the relationship between the level of knowledge and age of the prospective bride and groom with preparation for their first pregnancy in KUA, Tanjung Agung District, Muara Enim Regency. The research method is descriptive analytical with a cross sectional approach. This research began in April – June 2023 at KUA, Tanjung Agung District, Muara Enim Regency. Sampling technique using a total sampling of 50 respondents. The data collection method in this research uses a questionnaire. Data analysis used the Chi-Square test. The results of this study show that there is a relationship between knowledge (p= 0.000) and age (p= 0.004) of the prospective bride and groom and preparation for their first pregnancy in KUA Tanjung Agung District, Muara Enim Regency. The conclusion is that knowledge and age are related to preparation for the first pregnancy.

Cervical cancer is the second largest cancer in women with an estimated 445,000 new cases (84% of new cases in the world) and causes 87% of deaths in women in developing countries. This is due to the behavior of women who do not routinely detect cervical cancer, one of which is the IVA method. The coverage of IVA examinations in West Java province until 2016 was 205,421 people (3%). In Cirebon Regency from 2015-2016, 289 people were recorded who had been examined for early detection of cervical cancer, which means that the coverage of early detection examinations in Cirebon district was still below 1%. This research is a type of analytic observational research. The design used is cross sectional. The sample of this research is 40 respondents. The research instrument used was a questionnaire. The results showed that there was a significant relationship between the level of knowledge, attitudes, age characteristics and employment status with early detection of cervical cancer. There is no significant relationship between education and parity with early detection of cervical cancer. The conclusion from this study is that there is a significant relationship between the level of knowledge and characteristics of WUS with early detection behavior. It is hoped that midwives can carry out health promotion efforts to increase knowledge so that women of childbearing age carry out early detection of cervical cancer to prevent cervical cancer.

One of the strategies for the Family Planning (KB) program to reduce maternal and infant mortality is to minimize the 4T conditions. Contraceptive use is still dominated by short-term contraceptive methods, especially injections and pills. Only a quarter of family planning participants use long-term methods of contraception, such as IUDs and implants. The Research objective is to analyze the need for long-term contraceptive methods for injection acceptors based on rational contraceptive use at the Wirang Public Health Center. The method is types of descriptive research. Time of study January 2023. The sample is 168 people. The data source for this research was secondary data in October 2022 regarding injecting birth control acceptors which were analyzed univariately. This study obtained the results of MKJP contraceptive needs based on the phase of contraceptive use (rational contraception), is in the phase of ending the pregnancy as many as 93 people (55.36%). Concluded that contraceptives used by WUS injecting family planning acceptors are not in accordance with rational use of contraception. With age > 35 years or having > 2 children and the pregnancy termination phase, the contraceptive method needed is MKJP contraception.

Outpatient services are an important part of health services provided by hospitals. However, some BPJS hospitals experience obstacles in providing efficient and quality outpatient services, such as long queues, long waiting times, and lack of a good management system. the application of Lean Management to the outpatient services of BPJS patients in hospitals can help hospitals improve operational performance, so as to increase public trust in BPJS Health. This study aims to analyze the application of Lean Management to the outpatient services of BPJS patients in hospitals. This research uses a literature study method or Systematic Literature Review using the Google Scholar search engine and journal databases, such as Researchgate. The results showed that most outpatient service activities for BPJS patients still have patient waiting times below the established service standards. In analyzing the flow that patients go through, each activity is identified into two groups, namely Value Added (VA) as an activity that is considered necessary and profitable and Non Value Added (NVA) as an activity that is considered unnecessary. Based on the percentage of waste in the form of the largest waiting time can be described, namely, 35.1% in the registration process, 30.2% in the poly examination process, and 20.7% in the process of receiving drugs in the pharmaceutical installation

One of the easiest ways to detect cervical cancer early is with a visual examination of acetic acid. Early detection of cervical cancer by visual examination with acetic acid is guaranteed by the government, namely BPJS Kesehatan, and is included in the national health insurance program. The purpose of the study was to determine the low participation of women of childbearing age in acetic acid visual examination by UPT Puskesmas Timpah. The method used in this study is descriptive research. Questionnaires made by purposive sampling technique are used as data collection instruments; The maximum number of samples in the study sample is 30 samples. The respondents of this study were women of childbearing age. The results showed that based on respondents' knowledge of information, 26 respondents were uninformed (86.66%), 20 respondents (93.33%) did not support men. In the field of education, 21 people were found to have elementary and junior high school education as much as 70%, in the support of officers it was found that 20 people did not support (66.67%). Regarding access to information, it is known that 22 people did not get any assistance to get information (73.33%).
 
 

Infectious diseases in infants are one of the causes of high infant mortality. The infectious diseases are hepatitis B, polio, tuberculosis, diphtheria, pertussis, tetanus, and measles. Since 1991, pertussis cases have emerged as a frequently reported case in Indonesia, about 40% of pertussis cases affect toddlers. The purpose of the study was to analyze the factors that influence parental motivation in the implementation of the Bias Program at the Salam Babaris Health Center. Analytical survey research method with cross sectional approach. The sample in this study was 50 mothers. Primary data collection was analyzed using descriptive test and chi square test. The results of the study showed that most respondents had good knowledge as many as 30 people (60%), higher education (SMA / PT) as many as 35 people (70%), age not at risk (20-35 years) as many as 36 people (72%), good parental motivation as many as 21 people (42%). There is an influence of knowledge on parental motivation in the implementation of the Bias program (pvalue: 0.011<0.05). There is an influence of education on parental motivation in the implementation of the Bias program (pvalue: 0.000<0.05). There is an influence of age on parental motivation in the implementation of the Bias program (pvalue: 0.025<0.05).
 
 

Childbirth is a series of events when a baby is released from the mother's womb, followed by the release of the placenta and fetal membranes from the mother's body (Fitriana and Nurwiyandani, 2018). Experimental research method with a design that is Control group pre test-Post test. The population in this study were all primigravid postpartum patients without complications during the first active phase in the working area of ​​the Halilulik Health Center, Naitimu Village, West Tasifeto District, East Nusa Tenggara, Using a purposive sampling technique, a sample of 16 people was obtained with a distribution of 8 people for the back rubbing massage treatment using the Power Massager (group 1) and 8 people for the back rubbing massage treatment using the hands (group 2). The results showed that the back rubbing massage treatment using a power massager obtained an average decrease in pain of 2.375, while the treatment of back rubbing massage using hands obtained an average decrease in pain of 1.250, obtained P count of 0.0013 P <0.05, So it can be concluded that back rubbing massage using a power massager is more effective than using hands in reducing pain in primigravida in parturient patients in the active phase 1. In conclusion, back rubbing massage using a power massager is more effective in reducing pain in primigravid patients in labor in the first active phase.

Teenagers experience problems due to not achieving needs, for example they want to be recognized as adults but their behavior still looks like children.  If adolescents fail to develop a sense of identity, then adolescents will lose their way and have a bad impact on their development. Frustration can lead the individual to aggressive behavior because frustration for the individual is an unpleasant situation and the individual wants to overcome or avoid it in various ways, notonly in an aggressive way.  The purpose of the study was to determine the factors causing the emergence of prejudiced and frustrated relationships with aggressive behavior of adolescents.  This study utilizes the study literatur review. Based on the results of the study, it is stated that the causes of adolescents to take aggressive actions are due to: (1) Internal Factors (a) Weak Self-Control can be difficult to control emotions, therefore a person who has  weak self-control will easily act aggressively on anyone. (b) The occurrence of frustration Because a bad event causes the subject to become frustrated with his current life. (c) Gender differences.

Elderly is a group of people over 60 years old which is one of the phases that all humans go through. In this phase there will also be various complex problems, especially falls. Falls are the main cause and often cause morbidity and mortality, especially in the elderly over 65 years. The purpose of this study was to see the effectiveness of reducing the risk of falling by implementing the Otago Exercise Program in the elderly. The method used is a case study conducted in February 2023. The duration of the Otago Exercise intervention is 3x a week for 2 weeks. Based on the results of the EOP implementation, it was found that there was a decrease in the Morse Fall Scale value from 90 to 75 (high risk category of falling). There was also a decrease in the TUG value before and after the exercise was carried out. In conclusion, the application of the Otago Exercise Program can reduce the risk of falling in the elderly.