JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG

The impact of the PLASI App on DPT and polio immunization visits for children 0–9 months

2025-02-06T09:06:31+08:00

Background: The World Health Organization (WHO), through the Immunization Agenda 2030, promotes digital innovation to improve vaccine coverage. Digital health interventions can enhance access to information and community participation, although disparities in technology access remain a challenge.

Objective: To determine the effect of the PLASI application (Immunization Information Service Provider) on visits for Diphtheria, Pertussis, Tetanus, and Polio immunizations in children.

Methods: PLASI, a digital application delivering immunization information through audio, visuals, and graphics, was evaluated using a quasi-experimental pretest–posttest control group design. The study involved 135 mothers with infants aged 0–9 months attending posyandu in Klari Village, Karawang (January–May 2024). Using purposive sampling, 80 respondents were selected and divided into intervention (PLASI users) and control (non-users) groups. Instruments included the PLASI application, pretest–posttest questionnaires assessing maternal knowledge, and immunization visit observation sheets.

Results: McNemar test showed significant increases in DPT (p=0.020) and polio (p=0.020) immunization visits among PLASI users compared to the control group. However, limited technology access and sudden schedule changes were identified as barriers.

Conclusion: The PLASI application is effective in improving immunization visits by enhancing access to information and community participation. Nevertheless, addressing existing barriers such as limited technology access and service constraints is necessary through targeted health education, stakeholder collaboration, and periodic evaluation. Strengthening these aspects will support the sustainability and adaptability of digital health interventions, particularly in areas with limited infrastructure.

Effectiveness of the rebozo technique with kazo in decreasing labor pain intensity and enhancing labor progression

2025-02-06T09:18:15+08:00

Background: Prolonged labor occurs due to prolonged labor pain, where the mother feels unable to endure the pain, leading to premature pushing before the cervix reaches full dilation. This condition posed a risk of cervical swelling and labor dystocia. The rebozo technique was a non-pharmacological method used to help manage pain during labor without medication.

Objective: This study aimed to analyze the effect of the rebozo technique using kazo cloth on pain intensity and labor progress at Zhafira Zarifa Clinic, Karawang Regency. Methods: This study employed a quasi-experimental design with a pretest–posttest two-group design approach. The study sample consisted of 60 multigravida mothers in the active phase of the first stage of labor, selected using accidental sampling. Inclusion criteria: multigravida mothers in labor, active phase cervical dilation of 4-7 cm, single fetus with occiput posterior presentation, uncomplicated pregnancy, and normal fetal heart rate. The experimental group (30 participants) received the rebozo technique using kazo, while the control group (30 participants) practiced breathing relaxation techniques. Pain intensity was measured using the Numerical Rating Scale (NRS), with a pain range of 7–10 as the sample criteria. Data analysis was conducted using the paired t-test in SPSS.

Results: The study found a significant effect of the rebozo technique using kazo on reducing pain intensity and accelerating labor progress, with a p<0.001.

Conclusion: This technique was proven effective in reducing pain and expediting labor. It was expected that this method could serve as an alternative for non-pharmacological pain management during labor.

The effectiveness of consuming Mosatabaf Cookies on blood pressure in hypertension patients within the Prolanis program

2025-05-23T06:54:03+08:00

Background: Hypertension is a major health problem with a continuously increasing prevalence and a high risk of serious complications. Its management involves not only pharmacological treatment but also nutritional interventions, such as increasing potassium and fiber intake. The use of local foods, such as mocaf and kepok bananas, in the form of Mosatabaf cookies, has the potential to serve as an alternative approach to help reduce blood pressure in individuals with hypertension.

Objective: This study aimed to see the effect of giving Mosatabaf cookies on blood pressure in pre-hypertensive patients.

Methods: The type of research used was a quasi-experiment to find a causal relationship between variables with a pretest and posttest design with two groups. The research was conducted for 7 days. The research sample was prolanlis patients suffering from hypertension at the Talang Ubi Health Center, totaling 60 people, consisting of 30 intervention groups and 30 control groups who had checked their blood pressure and nutritional intake. Samples were selected using purposive sampling.

Results: Based on statistical tests in the treatment group, the p-value of systolic 0.012 and diastolic 0.001 <0.005 with an average difference in systolic pressure reduction of 0.77 mmHg and diastolic 3.33 mmHg.

Conclusion: Based on these results, it can be concluded that there is an effect of giving Mosatabaf cookies on reducing systolic and diastolic blood pressure in Prolanis patients who experience hypertension.

Effectiveness of self-management intervention in community on management of type 2 diabetes mellitus: a systematic review

2025-08-29T04:05:56+08:00

Background: The rising global prevalence of type 2 diabetes mellitus (T2DM) highlights the urgent need for sustainable management strategies, such as community-based self-management interventions.

Objective: This systematic review aimed to evaluate the effectiveness of these interventions on diabetes control and quality of life among adults with T2DM.

Methods: Following PRISMA 2020 guidelines, seven Randomized Controlled Trials (RCTs) published between 2020 and 2024 were analyzed. These studies included 1,193 participants from diverse countries like the United States, Ghana, China, Nepal, and Taiwan. The interventions tested included digital education, programs led by community health workers (CHWs), and community-based cooking programs.

Results: Most studies reported improvements in HbA1c, self-care behaviors, and quality of life. The effectiveness varied depending on intervention duration, sample size, and socio-cultural context. Multicomponent interventions that combined education, social support, and community health worker (CHW) engagement produced the most consistent and positive outcomes.

Conclusion: Although these interventions show promise in improving glycemic control, self-care behaviors, and quality of life, the limited number of studies, heterogeneity of interventions, and methodological biases restrict the overall strength of the evidence. Therefore, further long-term randomized controlled trials (RCTs) in diverse settings, as well as cost-effectiveness evaluations, are needed before large-scale implementation.

Analytical sensitivity and specificity of the HNF1A gene primers using the qPCR method in the suspected patient with MODY3

2025-07-14T02:34:12+08:00

Background: Maturity onset diabetes of the young (MODY) is a rare monogenic type of diabetes, but it accounts for 1–5% of diabetes cases and typically presents before the age of 25. Among the 14 subtypes, MODY type 3 (MODY3) is the most common, particularly in Asian populations, and is associated with mutations in the hepatocyte nuclear factor 1 alpha (HNF1A) gene. Diagnosing MODY often presents challenges due to its varied clinical symptoms. Molecular testing based on qPCR offers a more accurate, relatively time-efficient, and cost-effective method for detecting HNF1A gene mutations.

Objective: This study aimed to validate the sensitivity and specificity of the primer for exon 4 of HNF1A in patients suspected of having MODY3 using qPCR with SYBR Green.

Methods: The samples included patients under 25 years old with a family history of diabetes mellitus, without obesity or ketoacidosis. Sensitivity was analyzed using probit regression based on amplification results from 10 DNA template dilutions with six replications. Analytical specificity was tested using a paired t-test against Plasmodium vivax spike DNA with three replications.

Results: The analytical sensitivity of the HNF1A exon 4 primer was 3.16 × 10⁻⁷ ng/µL. The specificity test showed a p-value < 0.05, indicating no significant difference between target DNA and spike DNA variations.

Conclusion: The HNF1A exon 4 primer demonstrated high sensitivity and good specificity, supporting its potential for qPCR-based detection of MODY as a preliminary validation.

Watching cartoons as an adolescent: the role of animated videos on aggression among high school students

2025-10-21T06:47:49+08:00

Background: Aggressive behavior among secondary school students, including bullying and acts of revenge, constitutes a significant public health concern, particularly in Indonesia. Despite various interventions implemented by schools and families, aggressive tendencies persist, with many adolescents continuing to engage in physical violence.

Objective: This study aimed to examine the effectiveness of animated video media in reducing aggressive behavior among secondary school students in Bandung City, Indonesia.

Methods: This pre-experimental study involved 208 secondary school students in Bandung City, Indonesia. Participants were assigned to either an intervention group (n = 104) or a control group (n = 104). The intervention group viewed a 30-minute animated educational video each day for seven consecutive days, focusing on understanding and managing aggression. Levels of aggression were assessed using the Buss–Perry Aggression Questionnaire through pre-test and post-test evaluations.

Results: The findings revealed a statistically significant reduction in aggression levels among participants in the intervention group (p < 0.001), whereas the control group exhibited no significant change (p = 0.648). Hostility and retaliatory thoughts were more prevalent among younger adolescents. Regression analysis identified age, physical aggression, and anger as significant predictors of total aggression.

Conclusion: The study underscores the potential of animated educational media as an engaging and developmentally appropriate intervention for preventing aggressive behavior in the digital era. The integration of multimedia-based learning into school health programs aimed at improving emotional regulation and conflict resolution skills may serve as an effective strategy to mitigate aggression among adolescents.

Analysis of lead and cadmium contamination content in meti shells (Batissa violacea von Lammarck, 1818) from the La'a River, Petasia Village, Central Sulawesi

2025-09-09T09:09:04+08:00

Background: The meti clam (Batissa violacea L. von Lamarck, 1818) is a freshwater bivalve of significant ecological and economic importance, functioning as a natural filter feeder in aquatic ecosystems. However, increasing domestic and anthropogenic activities have contributed to heavy metal contamination in its habitat, posing potential health risks to consumers.

Objective: This study aimed to determine the concentrations of lead (Pb) and cadmium (Cd) in meti clams as a preliminary assessment of environmental quality and food safety in the La’a River.

Methods: A quantitative descriptive design supported by laboratory analysis was employed. Samples were purposively collected from three sites—upstream, residential, and downstream—each consisting of 30 edible clams with a minimum shell length of 4 cm. Following wet digestion, meat and shell samples were analyzed for Pb and Cd using Atomic Absorption Spectrophotometry (AAS).

Results: The highest Pb level in meat was found downstream (0.2495 mg/kg), while the highest Cd level was upstream (0.2133 mg/kg). In shells, the highest Pb and Cd levels were detected in residential areas (34.5528 mg/kg and 3.3753 mg/kg). All metal concentrations in edible tissues were below the BPOM limit (1.0 mg/kg), indicating safety for consumption. However, high accumulation in shells indicates environmental stress.

Conclusion: Meti clams remain safe for consumption, but elevated heavy metals in shells reflect environmental pollution. Continuous monitoring and pollution control are needed, and shells may serve as bioindicators of contamination.

Nutritional knowledge as a determinant of dietary patterns based on the balanced nutrition guidelines among junior high school students

2025-09-14T22:58:43+08:00

Background: Unhealthy dietary patterns are a risk factor contributing to the increasing global health burden and are associated with health problems in adolescents, such as obesity and nutrient deficiencies. Many adolescents still have dietary patterns that do not comply with the recommended portions in the Balanced Nutrition Guidelines.

Objective: This study aimed to identify factors associated with dietary patterns based on the balanced nutrition guidelines among junior high school students in a public school in Pandeglang Regency.

Methods: This was a quantitative study using a cross-sectional design. The respondents consisted of 7th and 8th-grade students, with a total of 161 participants. Dietary patterns were assessed using a Semiquantitative Food Frequency Questionnaire (SFFQ) through interviews. Nutritional status was measured using a microtoise and a digital scale. Additionally, respondents completed questionnaires covering demographic characteristics, body image, nutrition knowledge, peer influence, and parental influence. Data were analyzed using univariate analysis, bivariate analysis with the chi-square test, and multivariate analysis with multiple logistic regression.

Results: The results showed that factors associated with adolescents' dietary patterns were nutrition knowledge and parental role (p<0.05). The most dominant factor associated with dietary patterns was nutrition knowledge, with an odds ratio (OR) of 3.11;95% CI(1.26–7.67).

Conclusions: Schools are expected to provide health education that emphasizes the importance of a nutritious and balanced diet, while also building good communication and collaboration with parents. In addition, the role of families needs to be strengthened in providing nutritious and balanced foods at home to support healthy dietary patterns among adolescents.

Factors related to public support for the WINGKO (Wolbachia Ing Kota Semarang) program

2025-10-23T02:36:40+08:00

Background: Dengue fever (DF) remains a persistent public health threat in Semarang City, with 404 reported cases in 2023. To address this issue, the WINGKO Program (Wolbachia ing Kota Semarang) was launched in 2023 as a vector control initiative involving the release of Aedes aegypti mosquitoes inoculated with Wolbachia bacteria.

Objective: This study aimed to analyze the factors associated with public support for the WINGKO program.

Methods: A cross-sectional study was conducted among 80 residents of RW 2, Meteseh Village, Tembalang District, using a structured questionnaire and purposive sampling technique. Data were analyzed using the Chi-Square test and Pearson correlation to determine the factors influencing community support for the WINGKO Program.

Results: The results showed that residents who had lived in Semarang for more than five years were more likely to support the program (OR 3.590, 95% CI 1.247–10.330, p = 0.015). Participants with higher education levels were three times more likely to support the program (OR 3.626, p = 0.006). A history of dengue infection (OR 2.878, p = 0.035) and prior involvement as a Wolbachia Foster Parent (OTA) (OR 3.093, p = 0.044) were also significantly associated with higher program support. In contrast, variables such as gender and household size were not significantly related to support for the program.

Conclusion: This research highlights the importance of targeted community engagement strategies that consider educational and experiential factors to strengthen public acceptance.

Effect of mangosteen peel powder substitution on the antioxidant activity and sensory properties of green tea

2025-09-22T04:05:46+08:00

Background: Mangosteen peel powder tea is a natural beverage with a unique taste and aroma, containing xanthones and rich in antioxidants that can help regulate blood glucose levels in type II diabetes mellitus.

Objective: This study aimed to determine the effect of mangosteen peel powder substitution on the organoleptic properties and antioxidant activity of green tea.

Methods: The research design was an experimental study using a Completely Randomized Design (CRD) non-factorial, consisting of three treatments: A (mangosteen peel:green tea 50%:50%), B (60%:40%), and C (70%:30%), each with three replications. The tested parameters included acceptability (color, taste, and aroma) through a hedonic test by 30 trained panelists at the Food Laboratory, Nutrition Department, Poltekkes Kemenkes Aceh, and antioxidant activity using the DPPH (2,2-diphenyl-1-picryhydrazil) method at the Instrument and Chemistry Research Laboratory, Faculty of Mathematics and Natural Sciences, Syiah Kuala University. Data were analyzed using ANOVA and continued with Duncan’s test at a 95% confidence level.

Results: The results showed that the highest scores for color and taste were obtained in treatment A, while aroma was highest in treatment C, categorized as “slightly liked.” The highest antioxidant activity was also found in treatment C with an IC₅₀ value of 4.42 µg/ml, classified as potent.

Conclusion: It was concluded that mangosteen peel substitution had no significant effect on color and taste but significantly affected aroma and antioxidant activity of green tea. Further In vivo studies are needed to evaluate its antidiabetic effectiveness.

A comparative study of IPE-based podcasts and guidebooks on disaster preparedness behavior

2025-10-21T04:12:05+08:00

Background: Disaster preparedness is a key competency for health students in disaster-prone countries like Indonesia. Effective educational media that support interprofessional learning are needed. Podcasts offer an innovative approach that can be integrated into Interprofessional Education Collaborative Practice (IPE-CP).

Objective: To analyze differences in knowledge and attitudes toward disaster prevention between students receiving podcast-based education and those using a handbook.

Methods: A quantitative quasi-experimental design was used. The experimental group (Padang) received podcast interventions, while the control group (Bandung) used the Guidelines for Health Crisis Management in Disasters (PKKB) handbook. A total of 200 respondents were included in the experimental group, and 100 in the control group (1:2 ratio). Data were collected using validated questionnaires and analyzed using the Mann–Whitney test.

Results: The mean knowledge score was higher in the podcast group (14.32) than in the handbook group (12.65) (p<0.05). However, no significant difference was found in attitude scores between the podcast group (66.78) and the handbook group (66.25) (p>0.05).

Conclusion: Podcasts were effective in improving knowledge but not attitudes. Podcast-based education integrated with IPE-CP principles showed greater effectiveness than handbook-based learning in enhancing students’ disaster preparedness knowledge.

The effect of guided imagery therapy on anxiety in chronic kidney failure patients undergoing hemodialysis: a quasi-experimental study

2025-10-31T04:07:42+08:00

Background: Patients undergoing hemodialysis often experience high levels of anxiety, which negatively impacts their quality of life and adherence to treatment. Guided imagery therapy, as a mind-body relaxation technique, can reduce anxiety.

Objective: This study aimed to evaluate the effectiveness of guided imagery therapy in reducing anxiety in patients with chronic kidney disease undergoing hemodialysis.

Methods: This study used a quasi-experimental design with a control group. A total of 32 patients were recruited and randomly divided into the intervention group (n=16), who received guided imagery therapy for three times a week for one week, and the control group (n=16), who received standard care. The level of anxiety was measured using the State-Trait Anxiety Inventory (STAI) before and after the intervention. Descriptive statistics were used to analyze participant characteristics, and paired t-tests were used to evaluate changes in anxiety scores.

Results: The research results showed that the pre-test data of both groups indicate a high level of anxiety. The average anxiety score in the intervention group before the intervention was 56.20, and after the intervention was 41.13. The average anxiety score in the control group before the intervention was 45.88, and after the intervention was 44.56. Bivariate results showed a significant decrease in anxiety scores after the intervention in the intervention group compared to the control group (p<0.05).

Conclusion: Guided imagery therapy can significantly reduce anxiety levels in patients undergoing hemodialysis. This technique can be easily integrated into routine hemodialysis care as a complementary approach to enhance patients' psychological well-being.

Early mobilization and wound care after knee arthrodesis for tibial chondrosarcoma: a case report

2026-01-13T15:04:55+08:00

Background: Proximal tibial chondrosarcoma is a malignant bone tumor requiring wide resection and often causing challenges in wound management and lower-limb functional recovery. In resource-limited healthcare settings, knee arthrodesis remains an important limb-salvage procedure when endoprosthesis reconstruction is unavailable. However, evidence regarding nursing-based postoperative wound care and early mobilization remains limited.

Objective: This case report describes the implementation of an evidence-based nursing approach integrating early mobilization with objective monitoring of wound healing and functional outcomes following knee arthrodesis.

Case: A 40-year-old male with grade 2 proximal tibial chondrosarcoma underwent wide resection followed by knee arthrodesis using plate–screw fixation and bone cement. Postoperatively, the patient experienced massive bleeding resulting in anemia, leucocytosis, severe lower-limb muscle weakness, restricted mobility, and partial functional dependence.

Intervention and Outcomes: Daily nursing assessments were conducted using the Bates–Jensen Wound Assessment Tool (BWAT) and the Modified Iowa Level of Assistance Scale (mILOA). Early mobilization was initiated on postoperative day two. Over 19 days, BWAT scores improved from 24 to 13 without wound dehiscence, accompanied by increased functional mobility and reduced dependence from partial assistance to minimal assistance.

Conclusion: Early mobilization combined with BWAT- and mILOA-based monitoring may provide a safe, practical, and sustainable nursing strategy to support wound healing and functional recovery after knee arthrodesis in resource-limited settings.

Respiratory viruses detection using the FilmArray Panel

2025-07-21T01:24:15+08:00

Background: Respiratory infections, including pneumonia, are a leading cause of global mortality. These infections can be caused by various pathogens, including typical and atypical bacteria, as well as viruses, fungi, and parasites. Rapid and accurate diagnosis is crucial, especially in cases requiring intensive care, to ensure timely and appropriate treatment.

Objective: This research aimed to obtain an overview of the application of the FilmArray method, a nested multiplex pcr base method, in determining the diagnosis and management of respiratory tract infections.

Methods: This study was a cross-sectional study with a descriptive analytic design on patients with respiratory tract infections. The study was conducted from April to June 2022 at the Biomolecular Laboratory, Laboratory Installation of RSPI Prof. Dr. Sulianti Saroso.

Results: Of the 72 patients examined, 27 (37.5%) tested positive for one of the viruses, while 45 (62.5%) tested positive for neither viruses nor bacteria. Among the positive patients, the most commonly detected virus was human rhinovirus/enterovirus (48%), followed by SARS-CoV-2 (48%), and human metapneumovirus (4%). No atypical bacteria or a double infection of virus and bacteria were detected.

Conclusion: This research indicates that molecular-based methods using the FilmArray respiratory panel can be used for the rapid and accurate detection of respiratory tract infection cases, especially those caused by respiratory viruses and atypical bacteria.

Literature review: development of Balanced Counseling Strategy media as a tool to assist in making decisions about family planning after childbirth

2024-12-04T07:02:38+08:00

Background: Total fertility rate (TFR) affects population growth and may increase maternal and infant mortality if not controlled through effective family planning programs, particularly postpartum family planning. Balanced Counseling Strategy (BCS) is a practical, interactive, and client-centered counseling approach designed to improve contraceptive decision-making and client participation.

Objective: This study aimed to review the effectiveness of Balanced Counseling Strategy media as a tool for postpartum family planning decision-making.

Methods: This study used a literature review design. Articles were obtained from electronic databases using the keyword “Balanced Counseling Strategy.” Inclusion criteria included full-text articles published between 2019–2024, employing quantitative, qualitative, or mixed-method designs, and conducted by researchers in the health field. A total of 10 national and international journal articles met the inclusion criteria and were analyzed.

Results: The reviewed studies showed that Balanced Counseling Strategy media was effective in supporting postpartum family planning decision-making. BCS helped prospective family planning acceptors select contraceptive methods according to their needs and preferences, increased client participation, and improved the effectiveness of counseling services.

Conclusion: Balanced Counseling Strategy media is effective as a counseling tool for postpartum family planning decision-making. Its use supports appropriate contraceptive selection and enhances the quality of postpartum family planning counseling.

The role of parental knowledge and iodized salt utilization in the incidence of stunting

2025-12-09T10:46:22+08:00

Background: Stunting is a condition of growth failure in toddlers due to chronic malnutrition and repeated infections, characterized by a child's height being below -2 standard deviations. The impact of stunting is not only visible in the child's physical appearance, but also in brain development and cognitive abilities. One cause that is often not recognized but has a major influence on child growth is iodine deficiency. This problem can actually be prevented by using iodized salt in daily food.

Objective: This article aimed to explain the role of parental knowledge and the use of iodized salt on the incidence of stunting in children.

Methods: This study used a quantitative correlation research method with a cross-sectional approach, sampling 63 of 181 infants and toddlers. The study location was in Sidorejo Village, Bandongan, Magelang. This questionnaire contained the characteristics of respondents consisting of name, age, gender, and results of measurements of height, weight, and height of children, as well as questions about iodine use. Data analysis used Chi-Square (X2) and Lambda Test.

Results: The results showed a significant relationship between parental knowledge and stunting (ρ = 0.005; r = 0.549), and a significant relationship between the use of iodized salt and stunting, with a Prevalence Odds Ratio (POR) of 18.27.

Conclusion: This means that parents who do not use iodized salt have a greater chance of having stunted children than mothers who do.