Mando Care Jurnal

Determinasi Readmisi Rumah Sakit pada Pasien Acute Coronary Syndrome Ruang Rawat Inap Pusat Jantung

Syahrul Syahrul — 2025-12-30

Acute Coronary Syndrome (ACS) is a heart disease caused by the disruption of blood flow to the heart, leading to oxygen deficiency. Readmission of ACS patients after hospitalization is common. This study aims to identify factors associated with readmission in ACS patients at the Integrated Heart Center, Dr. Wahidin Sudirohusodo Hospital, Makassar. This quantitative study with a cross-sectional design involved 121 patients. Data were collected using questionnaires to assess medication adherence and physical activity. The results showed that a history of hypertension, diabetes, dyslipidemia, medication adherence, and physical activity were significantly associated with readmission in ACS patients, while age, smoking history, and obesity were not. These findings emphasize the importance of education, therapy adherence, and lifestyle changes to reduce readmissions and improve healthcare quality.

Intervensi Non-Farmakologis untuk Bradikardia Simptomatik: Studi Mobilisasi Progresif dan Manajemen Energi di Ruang High Care Unit

Jurana Jurana — 2025-12-30

Symptomatic bradycardia is a condition of slowed heart rate accompanied by symptoms such as dizziness, fatigue, and activity intolerance. Non-pharmacological interventions such as progressive mobilization and energy management are believed to improve patient hemodynamics. This study aimed to analyze the effects of progressive mobilization and energy management on hemodynamic parameters in a patient with symptomatic bradycardia. A descriptive case study was conducted on a 71-year-old male patient with symptomatic bradycardia, hypertension, and other comorbidities treated in the High Care Unit (HCU) of Dr. Wahidin Sudirohusodo Hospital. Interventions were carried out over three days, including passive exercises, active exercises, sitting, and structured energy-based activity management. Parameters of blood pressure, heart rate, respiratory rate, and oxygen saturation were recorded before and after the intervention. Results showed an increase in Barthel Index score from 2 to 8, stabilization of blood pressure and heart rhythm, and improved respiration. Progressive mobilization and energy management are effective in stabilizing hemodynamics and enhancing activity tolerance in symptomatic bradycardia patients.

Hubungan Kekerasan Verbal dengan Kepercayaan Diri pada Anak Usia Sekolah di UPTD SPF SDN Cindogo 1 Kabupaten Bondowoso

Joan Franco Abrar Dzulfi Zaidhane — 2025-12-30

School-aged children are vulnerable to verbal abuse in educational settings, which can have more serious consequences than physical abuse because it damages mental health and self-confidence. Verbal abuse of school-aged children needs to be addressed immediately because it can damage self-confidence and disrupt emotional and social development at a crucial stage of character formation. A preliminary study at UPTD SPF SDN Cindogo 1 in Bondowoso Regency indicated low self-confidence among students due to verbal abuse. This study aims to analyze the relationship between verbal abuse and self-confidence in school-aged children at UPTD SPF SDN Cindogo 1 in Bondowoso Regency. This study employs a quantitative correlational cross-sectional design. The study population and sample consist of all students at UPTD SPF SDN Cindogo 1 in Bondowoso District, totaling 97 respondents, using total sampling technique. Data were collected through verbal abuse and self-confidence questionnaires, then analyzed univariately and bivariately using the Spearman Rho test with a significance level of α=0.05. It was found that 65% of students experienced moderate verbal abuse, and 35% experienced severe verbal abuse. Regarding self-confidence levels, 56% had moderate self-confidence, 29% had low self-confidence, and 15% had high self-confidence. The Spearman Rho test yielded a p-value of 0.000 (<0.05), indicating a significant relationship. The correlation coefficient obtained was -0.343, indicating a moderate, significant negative correlation between verbal abuse and self-confidence among school-aged children at UPTD SPF SDN Cindogo 1 in Bondowoso District. An increase in verbal aggression is correlated with a decrease in self-confidence. Fostering empathy and making schools safe and enjoyable places will have a positive impact on their mental and social development.

Hubungan Quarter Life Crisis dengan Tingkat Harga Diri pada Mahasiswa Fakultas Ilmu Kesehatan Universitas Muhammadiyah Jember

Rizki Ghifari Pratama — 2025-12-30

Quarter life crisis (QLC) is a developmental crisis phase in early adulthood characterized by anxiety, confusion about life direction, and social pressures, all of which can contribute to low self-esteem. Students of the Faculty of Health Sciences at Muhammadiyah University of Jember are also not exempt from this phenomenon, which may impact their psychosocial and academic well-being. This study employed a quantitative design with a cross-sectional approach to analyze the relationship between QLC and the risk of low self-esteem among these students. The study population comprised all active students totaling 553 individuals, with a sample of 232 respondents selected using purposive sampling. Data were collected using the Quarter Life Crisis Scale and Rosenberg Self Esteem Scale questionnaires, and analyzed with the Spearman Rank (Rho) test at a significance level of α = 0.05. The study revealed that most students were in the low QLC category (46%) and had moderate levels of low self-esteem risk (65%). There was a tendency for higher levels of QLC to be associated with higher risks of low self-esteem. The Spearman test showed p = 0.000 (<0.05) with a correlation coefficient of r = 0.523, indicating a significant, strong, and positive relationship between QLC and the risk of low self-esteem. There is a significant relationship between quarter life crisis and the risk of low self-esteem among students of the Faculty of Health Sciences at Muhammadiyah University of Jember. The findings of this study recommend strengthening the role of academic advisors in providing psychosocial support, as well as encouraging active parental involvement through open communication and emotional support to help students cope with Quarter Life Crisis and prevent the risk of low self-esteem.

Pengetahuan, Sikap dan Status Remaja Putri terkait Kurang Energi Kronik (KEK) di SMAN 2 Mamuju

Uswatun Hasanah — 2025-12-30

Chronic Energy Deficiency (CED) among adolescent girls is a serious concern due to its long-term implications for reproductive health. This study aims to describe the knowledge, attitudes, and nutritional status of adolescent girls regarding CED at SMAN 2 Mamuju. A descriptive survey method with a quantitative approach was employed. The sample consisted of 165 female students from grades X and XI, selected through proportional simple random sampling. Data collection was conducted using questionnaires and anthropometric measurements, including Body Mass Index for Age (BMI/Age) and Mid-Upper Arm Circumference (MUAC). The results showed that the majority of respondents had moderate knowledge (50.9%) and a positive attitude (97.6%) toward CED. Nutritional status based on BMI/Age indicated that most adolescents had good nutritional status (81.2%), whereas MUAC measurements revealed that 47.9% were at risk of CED. These findings highlight a discrepancy between knowledge and positive attitudes versus actual practices in maintaining proper nutrition among adolescent girls. Continuous, practice-based nutrition education involving schools, healthcare providers, and families is needed to reduce the prevalence of CED in this population.

Impact of Emo-Demo IYCF Education on Dietary Intake and Growth Indicators in Children Under Two in Rural Area

Irdat Mukaromah — 2025-12-30

Limited maternal knowledge of infant and young child feeding (IYCF) practices contributes to inadequate dietary intake and poor nutritional status among children under two years old. Emotional-Demonstration (Emo-Demo), an educational approach that combines practical demonstrations with emotional engagement, has shown promise in improving feeding behaviors. This study aimed to assess the effect of IYCF education using the Emo-Demo method on children’s energy intake and nutritional status. A quasi-experimental study with a one-group pretest–posttest design was conducted at the East Purwokerto I Health Center between May and August 2024. The intervention consisted of seven educational sessions. Energy intake was measured using a single 24-hour food recall, and nutritional status was assessed using weight-for-age z-scores (WAZ) obtained with a digital baby scale. A total of 18 mothers of children under two were recruited using purposive sampling. Paired t-tests were used for data analysis. Most mothers were aged 20–35 years (77.8%) and were housewives. The Emo-Demo intervention significantly increased mean energy intake (+239.6 ± 239.9 kcal/day, p<0.001, d=0.72) and improved WAZ scores (+0.23 ± 0.27, p=0.002, d=0.23), indicating positive effects on both dietary intake and nutritional status.

Pengaruh Pendidikan Kesehatan tentang Pemanfaatan Rambut Jagung sebagai Antidiabetes Terhadap Tingkat Pengetahuan Pasien Penderita Diabetes Mellitus

Firliyanti Mustapa — 2025-12-30

Diabetes mellitus remains one of the most widely recognized health problems worldwide, with highly diverse morbidity. Therefore, appropriate management and prevention efforts are required, one of which is improving patients’ knowledge through health education interventions using non-pharmacological approaches, such as herbal therapy derived from corn silk (Zea mays L.). This study aimed to determine the effect of health education on the utilization of corn silk as an antidiabetic agent on the knowledge level of patients with diabetes mellitus in Lito Village, Paguyaman Pantai District. This research employed a quantitative approach with a pre-experimental design using a one-group pre-test and post-test method. The sampling technique used was total sampling, involving 38 respondents. The instrument used was a questionnaire, supported by standard operating procedures (SOPs) and leaflet media. The results showed that before the health education intervention, 37 respondents (97.4%) had poor knowledge, while only 1 respondent (2.6%) had good knowledge. After the health education intervention, the respondents’ knowledge level increased, with 36 respondents (94.7%) demonstrating good knowledge and only 2 respondents (5.3%) remaining in the poor knowledge category. The paired sample t-test analysis yielded a p-value of 0.000 (α < 0.05). Therefore, it can be concluded that there is a significant effect of health education on the knowledge level of patients with diabetes mellitus.

Pengaruh Relaksasi Otot Progresif terhadap Kelelahan pada Pasien yang Menjalani Terapi Hemodialisa

Erwin Purwanto — 2025-12-30

Fatigue is one of the most common complaints experienced by patients with chronic kidney disease undergoing hemodialysis. This condition is chronic and recurrent and can reduce the patient's ability to perform daily activities. One way to manage fatigue is through progressive muscle relaxation therapy. This study aimed to determine the effect of progressive muscle relaxation therapy on fatigue levels in patients with chronic kidney disease undergoing hemodialysis. This study used a pre-experimental design with a one-group pre-post test design. The sample size was 24 respondents. Fatigue levels were measured using the Numeric Rating Scale-Fatigue (NRS-F) before and after the intervention. The results showed a decrease in the average fatigue score from 5.00 before the intervention to 3.00 after the intervention, with a p-value of 0.041 (<0.05), indicating a significant difference before and after progressive muscle relaxation therapy. conclusion, progressive muscle relaxation therapy has been proven effective in reducing fatigue levels in patients with chronic kidney disease undergoing hemodialysis.

Efektifitas Pemberian Rebusan Daun Katuk terhadap Produksi ASI pada Post Partum Hari Ketiga

Evy Aprilian — 2025-12-30

Early breastfeeding is beneficial for both mother and child because breast milk plays an important role in supporting the growth, well-being, survival of the baby, causing uterine contractions and preventing postpartum hemorrhage. Based on the results of the 2017 Indonesian Demographic Health Survey (SDKI), only 3.7% of babies received breast milk on the first day, while breastfeeding in the first 2 months of age was 64%, which then decreased in the following period of 3 months of age 45.5%, at the age of 4-5 months 13.9% and 6-7 months 7.8%. Meanwhile, there was an increase in the use of breast milk substitutes (PASI) commonly called formula or formula milk threefold in the period 2015 from 10.8% to 32.4% in 2017. The purpose of this study was to determine the Effectiveness of Giving Katuk Leaf Decoction on Breast Milk Production on the Third Day of Postpartum at the Bantur Community Health Center UPT, Malang Regency. This type of research is quasi-experimental with a nonequivalent control group design. The sample in this study amounted to 30 people consisting of 15 experimental groups and 15 control groups. Conducted in May 2025. The results of the study showed that the average breast milk adequacy in breastfeeding mothers in the experimental group before giving katuk leaves was 6.60 and after giving katuk leaves was 8.47. In conclusion, giving katuk leaves has been proven effective in increasing breast milk adequacy in breastfeeding mothers.

Pengaruh Kombinasi Fe dan Pisang Ambon terhadap Kadar Hemoglobin Ibu Hamil Anemia di Klinik Dafa Husada Malang

Reshinta Dwi Sumbawati — 2025-12-30

Background: Efforts to increase Hb levels by consuming Ambon bananas, which contain vitamin C, vitamin B6, and iron, can help stimulate hemoglobin production in the blood of people with anemia. Objective: This study aimed to determine the effect of the combination of Fe and Ambon bananas on hemoglobin levels in anemic pregnant women. Method: A quasi-experimental pretest–posttest design with a control group. The study was conducted at the Dafa Husada Clinic in Malang. The sampling technique used purposive sampling. A total of 15 pregnant women with anemia were sampled, divided into two groups: the experimental group and the control group. Data analysis used paired t-tests and independent samples t-tests. Results: The average Hb level in the experimental group before being given Ambon bananas was 10.687 g/dL, and after being given Ambon bananas, it was 12.313 g/dL. Meanwhile, in the control group, before the intervention, it was 10.720 g/dL, and after being given Fe tablets alone, it was 11.648 g/dL. The independent t-test showed a p-value of 0.000 < 0.05. The combination of Fe and Ambon bananas significantly affected hemoglobin levels in anemic pregnant women, and there was a difference in hemoglobin levels between the experimental and control groups after the intervention. Recommendation: Pregnant women should increase their knowledge about how to increase hemoglobin levels so they can manage anemia independently by regularly consuming Ambon bananas

Analisis Faktor Sosiodemografi yang Mempengaruhi Beban Pengasuhan Keluarga pada Lansia dengan Hipertensi

Nur Ayun R Yusuf — 2025-12-30

Hypertension is the leading cause of premature death globally, with a prevalence of approximately 1.5 billion cases among adults worldwide. This condition affects not only patients, but also their family members who care for them. This study aims to analyze the relationship between sociodemographic factors (occupation, income, family relationships) and caregiving characteristics (length of care) with the burden of family caregiving for elderly people with hypertension in the Kabila Community Health Center working area. The study used a quantitative cross-sectional design involving 107 primary caregivers selected through purposive sampling. Inclusion criteria included caregivers aged ≥18 years, living with the elderly person, and able to communicate well; exclusion criteria were caregivers with cognitive impairment or unable to complete the questionnaire independently. The instrument used was the modified 22-item Zarit Burden Interview (ZBI), and data analysis was performed using the Chi-Square test with a significance level of p<0.05. The results showed that 57% of respondents experienced a light burden, and all independent variables showed a significant relationship with the burden of caregiving: occupation (p=0.000), income (p=0.000), family relationships (p=0.002), and duration of care (p=0.005). This study concluded that several sociodemographic factors and care characteristics were significantly associated with the burden of family caregiving, thus requiring more comprehensive family-based health services to assist caregivers of elderly people with hypertension.

Studi Kualitatif tentang Dinamika dan Tantangan Pengelolaan Aset di Lingkungan Dinas Kesehatan Kabupaten Toraja Utara

Yasri Pasapan — 2025-12-30

Regional asset management is a vital component in supporting the efficiency and quality of public services, particularly in the health sector. According to the 2024 Audit Report by the Audit Board of Indonesia (BPK), significant weaknesses remain in the inventory and documentation of regional assets. This study aims to explore the dynamics, challenges, and strategies of asset management within the Health Office of North Toraja Regency. A qualitative approach with a case study design was employed, collecting data through in-depth interviews with key informants, including the head of the office, asset managers, heads of community health centers, and technical staff. Thematic analysis was applied through data reduction, categorization, and conclusion drawing. The results reveal that asset management faces challenges related to technical aspects, coordination mechanisms, and human resources. Key obstacles include the absence of standardized technical SOPs, limited staff capacity, and infrequent data updates. Strategies implemented include the formation of an inventory team and the issuance of a regulatory decree by the Regent. The study recommends strengthening the capacity of asset managers, developing specific SOPs for health assets, and establishing a more integrated and transparent asset information system. These efforts are essential to ensure optimal asset management that supports quality health services in mountainous regions.

Pengaruh Edukasi Kesehatan Berbasis Flipbook Digital terhadap Tingkat Pengetahuan Anemia pada Ibu Hamil

Rizki Dyah Haninggar — 2025-12-30

The high prevalence of anemia among pregnant women remains a major public health problem that adversely affects maternal and neonatal health, particularly in areas with limited access to health information. Innovative digital-based educational media are needed to improve pregnant women’s understanding of anemia effectively. This study aimed to analyze the effect of digital flipbook-based health education on changes in anemia knowledge among pregnant women. This study employed a quasi-experimental one-group pre-test and post-test design conducted at Binanga and Bambu Primary Health Centers, Mamuju Regency, from May to December 2025. A total of 34 pregnant women were selected using purposive sampling based on predetermined inclusion and exclusion criteria. Anemia knowledge was assessed using a structured questionnaire consisting of 12 questions administered before the intervention and two weeks after digital flipbook-based education. Data analysis was performed using the Paired Samples t-Test after confirming normal data distribution. The results showed that the mean anemia knowledge score increased from 9.44 ± 1.56 before the intervention to 10.76 ± 1.13 after the intervention. A statistically significant difference was observed between pre-test and post-test knowledge scores (t = 5.656; p < 0.001), with a mean difference of 1.32 points. Digital flipbook-based health education was proven effective in improving anemia knowledge among pregnant women and can be recommended as an alternative educational medium in maternal health services.

Budaya Organisasi dan Mindset Tenaga Perawat dalam Melayani Pasien GAKIN Rawat Inap di Puskesmas Campalagian

Saktiawan Hafid — 2025-12-30

Along with the shift in government paradigms and the evolving paradigm of healthcare development, health service organizations at the regional level are required to continuously improve performance and responsiveness to environmental changes. Primary Healthcare Centers (Puskesmas), as the frontline of basic healthcare services, play a strategic role in delivering equitable and quality services, particularly for low-income families (GAKIN). This study aims to describe the organizational culture and the mindset of nurses in providing inpatient services for GAKIN patients at UPT Puskesmas Perawatan Campalagian. A qualitative research approach supported by quantitative data was employed. Quantitative data were collected through questionnaires, while qualitative data were obtained from in-depth interviews and observations. The findings reveal that the dominant organizational culture is role culture (58.43%), and the most desired culture among respondents is also role culture (43.92%). The nurses’ mindset in serving GAKIN inpatients reflects a strong customer value mindset, characterized by empathy, responsibility, and patient-centered service orientation. It is recommended that organizational effectiveness and efficiency be enhanced through a gradual transformation of organizational culture from role culture to task culture by means of continuous organizational learning, while maintaining and strengthening the existing customer value mindset among nurses.

Pengaruh Kesehatan Mental Ibu terhadap Status Gizi Anak Usia Pra-Sekolah di Kabupaten Polewali Mandar

Syamsidar Syamsidar — 2025-12-30

The nutritional problems of pre-school children, especially stunting and underweight, are still a public health challenge in Polewali Mandar Regency which has a relatively high prevalence of stunting. So far, stunting reduction interventions have been more focused on physical and biological factors, while the psychosocial factors of mothers as the main caregivers of children have received less attention. This study aims to analyze the influence of maternal mental health on the nutritional status of pre-school children (36–59 months) in Polewali Mandar Regency. This study uses a quantitative design with a cross-sectional approach and is carried out in the working area of the Stunting Locus Health Center. The sample consisted of 210 mother-child pairs selected using the proportional random sampling technique. Maternal mental health was measured using the Self-Reporting Questionnaire (SRQ-20), while the child's nutritional status was determined based on the indicators of height by age (TB/U) and body weight by age (BB/U) according to WHO standards. Data analysis was carried out descriptively, bivariate using chi-square test, and multivariate using multiple logistic regression. The results showed that the prevalence of maternal mental health disorders was 39.0%, with the proportion of stunting and underweight children at 24.8% and 21.9%, respectively. Mothers with mental health disorders have a higher risk of having stunted and underweight than mothers without mental disorders. Maternal mental health is an important determinant of the nutritional status of pre-school children so it needs to be integrated into family and community based nutrition intervention and stunting reduction programs.

Hubungan Asupan Energi terhadap Pertumbuhan dan Perkembangan Balita Usia 24 - 59 Bulan

Rizky Febriyanti Supriadi — 2025-12-30

Early childhood is a critical period for cellular growth that highly depends on adequate nutritional intake to prevent irreversible impacts on physical and cognitive capacities. This study aims to analyze the correlation between energy intake and the growth and development status of toddlers in Mamuju Regency. This was an analytical observational study with a cross-sectional design involving 30 toddlers aged 24–59 months selected through purposive sampling. Energy intake data were collected using a 7-day food record method, growth was measured via anthropometry (Z-score), and development was assessed using the KPSP (Developmental Pre-Screening Questionnaire) instrument. Data were analyzed using Spearman’s Rho correlation and Fisher’s Exact significance tests with a 95% confidence level. The results showed that the majority of respondents experienced an energy deficit, particularly in the 4-5 year age group (80%). There was a strong significant correlation between energy intake and WAZ (Weight-for-Age) indices (p=0.01; r=0.642), HAZ (Height-for-Age) indices (p=0.000; r=0.684), and child development levels (p=0.023; r=0.524). However, no significant correlation was found between energy intake and body proportionality or the WHZ (Weight-for-Height) index (p=0.545), indicating a homeostatic adaptation phenomenon of being short but proportional. This study concludes that daily energy intake is a primary determinant that simultaneously dictates the quality of physical growth and the maturity of central nervous system functions in toddlers.

Pengaruh Pemberian Makanan Tambahan (PMT) Berbahan Pangan Lokal terhadap Status Gizi Balita: Studi Pra-Eksperimental di Puskesmas Minasatene Kabupaten Pangkep

Halisah Halisah — 2025-12-31

Nutritional problems in toddlers remain a public health challenge, especially in areas with a high prevalence of stunting and malnutrition, such as Pangkep Regency. One of the interventions implemented by the government is the provision of supplementary feeding (PMT) made from local foods to improve the nutritional status of toddlers. This study aims to determine the effect of providing PMT made from local foods on the nutritional status of toddlers in the working area of the Minasatene Community Health Center, Pangkep Regency. This study used a quantitative design with a pre-experimental one-group pretest–posttest approach. The study was conducted in August 2025 with a sample of 49 toddlers who received PMT, using a total sampling technique. Data were collected by measuring body weight before and after the PMT intervention for 60 days, then analyzed using a paired t-test. The results showed an increase in toddler body weight after PMT administration, with a change in nutritional status from undernutrition and severe malnutrition to mostly normal nutrition. Statistical tests showed a significant difference between body weight before and after the intervention (p<0.05). It can be concluded that the provision of PMT made from local foods has a significant effect on improving the nutritional status of toddlers in the working area of the Minasatene Community Health Center, Pangkep Regency.