Welcome to Khatulistiwa Nursing Journal (KNJ). Khatulistiwa Nursing Journal is an open-access scientific journal with registration numbers p-ISSN (2655-772X) and e-ISSN (2798-3897). Khatulistiwa Nursing Journal is a scientific journal of Nursing published by Institute for Research & Community Service STIKes YARSI Pontianak. This journal is a means of publication for researchers in the field of nursing consisting of lecturers, practitioners, researchers and students who want to disseminate the results of their research. Khatulistiwa Nursing Journal was first published in 2019 and published 2 times, namely in January and July every year. Authors who want to submit their manuscript to the editorial office of Khatulistiwa Nursing Journal should follow the writing guidelines. If the manuscript submitted is not appropriate with the guidelines or written in a different format, it will BE REJECTED by the editors before further review. The editors will only accept manuscripts that meet the assigned format. Registration and login are required to submit items online and to check the status of current submissions.
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Hubungan Penggunaan Media Sosial dengan Perilaku Cyberbullying di Sekolah
Background: The phenomenon of cyberbullying and its relationship with the use of social media in school-aged children is an increasingly relevant topic in today's digital era and abroad there are many cases of cyberbullying that have very serious impacts on victims such as suicide. Purpose: This study was conducted to obtain information about the relationship between the use of social media and cyberbullying behavior in schools. Method: This type of research is a cross-sectional survey. The population is 100 elementary school students. Sampling was carried out by random sampling which was analyzed using the chi-square test. Data collection was carried out by filling out questionnaires from previous studies. Results: The results of the study showed that of the 100 respondents, the majority (55%) were female. Most (33%) were in grade 5, most of the use of social media (61%) was positive. And Most did not behave cyberbullying (62%). Conclusion: The results of the chi-square test obtained a p value = 0.016 which means there is a relationship between the use of social media and cyberbullying behavior in other words there is a negative impact on the use of information technology in the form of cyberbullying in the environment. Recommendations to reduce cyberbullying behavior include limiting the use of social media by school-age children, including parental and teacher supervision of social media use at school and at home.
Copyright (c) 2026 Ria Anugrahwati, Junita Silitonga https://creativecommons.org/licenses/by/4.0
Pengaruh Pemberian Aromaterapi Lavender Terhadap Kecemasan Akseptor Kb Implan Di Puskesmas Sapta Taruna Kota Pekanbaru
Background: Contraceptive implants are a highly effective long-term birth control method. However, many prospective users experience anxiety prior to insertion, which can hinder the acceptance and implementation process. Non-pharmacological interventions such as lavender aromatherapy have been recognized for their calming effects and potential to reduce anxiety naturally. Purpose: This study aims to examine the effect of lavender aromatherapy on anxiety levels among contraceptive implant acceptors. Method: A quasi-experimental design was employed using a pretest-posttest one group design approach. Participants were selected based on predetermined inclusion and exclusion criteria. Anxiety levels were measured using a standardized questionnaire administered before and after the aromatherapy intervention. The collected data were analyzed using appropriate statistical tests to assess the significance of changes. Result: The findings revealed a significant reduction in anxiety levels following the administration of lavender aromatherapy. Statistical analysis showed a p-value of 0.000 (p<0.05), indicating a meaningful effect. The mean anxiety score decreased from 21.77 prior to the intervention to 18.90 afterward, with a mean difference of 13.87 points. Conclusion: Lavender aromatherapy is effective in reducing anxiety levels among contraceptive implant acceptors. The therapeutic aroma of lavender is believed to promote relaxation, relieve emotional tension, and enhance comfort during the implant insertion process.
Copyright (c) 2026 rizka mardiya, Tengku Isni Yuli Lestari Putri, Hirza Rahmita https://creativecommons.org/licenses/by/4.0
Dominasi Media Sosial dalam Aktivitas Digital dan Tingkat Ketergantungan Internet pada Remaja
Background: The development of the internet and social media over the past decade has significantly transformer communication, entertainment, and learning patterns, especially among adolescents. High social media usage can lead to addictive behaviors that negatively impact mental health and daily activities. Objective: This study aims to describe internet and social media usage patterns and analyze internet addiction levels among adolescents. Method: This research was conducted using a survey method involving 200 respondents aged 16-18 years from two senior high schools in Pontianak Timur. Data was collected using two types of structured questionnaires. The first instrument was the validated Indonesian version of the Internet Addiction Test (IAT). The second instrument was designed by the researchers to explore patterns of internet and social media use. Data was analysed using quantitative descriptive methods. Result: The result indicate that the majority of respondents were female (66.5%) and 17 years old (53%). The most dominant online activities were accessing social media (93%), chatting (87%), completing school task (83.5%), and watching videos (78%). Instagram, YouTube, and TikTok were the most frequently used social media platforms, while WhatsApp was the main communication application. Based on IAT scores, 47% of respondents were categorized as mild addiction, 46% as normal, and 7% moderate addiction, with an average scire of 29.02. Conclusion: This study concludes that although most adolescent are within the normal usage category, approximately 54% show signs of mild to moderate internet addiction. Therefore, digital literacy, time management, and family support are essential steps to prevent internet addiction.
Copyright (c) 2026 Fitriah Fitriah, Dodik Limansyah, Meta Aldila Listiya https://creativecommons.org/licenses/by/4.0
Pengembangan Aplikasi Self-Care Audiovisual Footcare Education (SAFE-FOOT) terhadap Peningkatan Perawatan Kaki Dalam Mencegah Diabetic Foot Ulcer
Background: Diabetes mellitus (DM) is a chronic disease that can lead to various complications if not properly managed. One common complication is Diabetic Foot Ulcer (DFU), which can result in disability or even amputation. DFU occurs due to a combination of diabetic neuropathy, ischemia, and untreated infection. Objective: This study aims to determine the effect of the Self-Care Audiovisual Footcare Education (SAFE-FOOT) application on improving foot care to prevent Diabetic Foot Ulcers. Methods: The research design was a quasi-experimental study with a pre-test and post-test non-equivalent control group design. The study sample consisted of 36 type 2 DM patients, divided into 18 in the intervention group and 18 in the control group. Results: The study showed that the average pre-test score of the intervention group was 40.72, with a standard deviation of 6.977. After the intervention, the average post-test score increased to 49.22, with a standard deviation of 7.134. Meanwhile, the average pre-test score of the control group was 45.94, with a standard deviation of 4.746, and the average post-test score increased to 48.33, with a standard deviation of 4.102. A p-value of 0.000 (< 0.05) was obtained for the intervention and control groups, indicating that the Self-Care Audiovisual Footcare Education (SAFE-FOOT) Application had an effect on improving foot care to prevent Diabetic Foot Ulcer. The independent t-test yielded p = 0.650 (p > 0.05), showing no significant difference between the average post-test scores of the two groups. Conclusion: The Self-Care Audiovisual Footcare Education (SAFE-FOOT) Application is effective in improving foot care to prevent Diabetic Foot Ulcer.
Copyright (c) 2026 Ernawati Ernawati, Maelina Ariyanti, Istianah Istianah https://creativecommons.org/licenses/by/4.0
Hubungan Aktivitas Fisik dengan Kualitas Tidur Lansia Penderita Hipertensi
Background: Hypertension is a non-communicable disease with rising prevalence each year and is a major cause of cardiovascular complications in older adults. Age-related physiological changes and common sleep disturbances can further impair blood pressure control and reduce quality of life. Physical activity may improve fitness, circulation, stress levels, and sleep quality in hypertensive older adults. Objective: To analyze the relationship between physical activity and sleep quality among hypertensive older adults in the working area of Purwosari Community Health Center, Surakarta. Methods: A quantitative correlational study with a cross-sectional design was conducted on 159 hypertensive older adults selected using Slovin’s formula and consecutive sampling. Physical activity was assessed using the Physical Activity Scale for the Elderly (PASE) and sleep quality using the Sleep Quality Scale (SQS). Data were analyzed with Chi-square and Spearman’s Rho tests. Results: There was a significant relationship between physical activity and sleep quality (p=0.001), with a positive correlation (r = 0.525). Conclusion: Higher physical activity is associated with better sleep quality among hypertensive older adults and should be optimized in elderly health.
Copyright (c) 2026 Anggun Melinda Sari, Supratman https://creativecommons.org/licenses/by/4.0
Pengaruh Passive Range of MotionTerhadap Perubahan Tanda Vital Pasien Penurunan Kesadaran di Intensive Care Unit
Background: Patients in the intensive care unit who experience decreased consciousness will experience difficulties in fulfilling basic needs independently, one of which is the need for physical mobility. The impact of this disruption can increase the risk of other troubles such as on blood flow or pressure ulcers. Passive Range of Motion (PROM) is a nursing intervention that can be used to meet the physical mobility needs of these patients. Objective: The objective of this study was to analyse the effect of PROM on changes in the vital signs of patients with decreased consciousness. Methods: A quasi-experimental method was used with a one-group pre-test post-test approach on 23 samples who experienced decreased consciousness and had stable haemodynamics. The instruments used were a PROM checklist and vital sign observations. The study was conducted by measuring the patients' vital signs before PROM and then measuring again after intervention, then comparing results. Results: The data were analysed statistically using the Wilcoxon Signed Rank-test due to the abnormal distribution of vital sign data. The results of the pre-test and post-test statistical analysis produced a p-value of 0.014 (p<0.05) with an effect size of -0.873. Conclusion: This study concluded that there was a significant effect of PROM on changes in the vital signs of patients with decreased consciousness in the ICU. The results of this study can be considered in making PROM a routine nursing intervention for patients with decreased consciousness.
Copyright (c) 2026 Sayyidah Rihhadatul 'Aisy, Popon Haryeti, Ayu Prameswari Kusuma Astuti https://creativecommons.org/licenses/by/4.0
Inovasi Program Kesehatan Jiwa *Pojok Healing* Berbasis Terapi Psikoreligius untuk Menurunkan Kecemasan Orang dengan Gangguan Jiwa di Desa Tambe Wilayah Kerja Puskesmas Bolo Kabupaten Bima
Background: The Healing Corner program is an innovative community-based mental health service that integrates psychoreligious therapy to reduce anxiety levels in people with mental disorders. The key points of this study are the mobile service model and community integration, the implementation of psychoreligious therapy, research results and significant impacts, and strategy implementation. Objective: To determine the extent to which the implementation of the Healing Corner program based on psychoreligious therapy can reduce anxiety levels experienced by people with mental disorders. Method: This study used a qualitative descriptive design with a phenomenological study approach. The population in this study were all ODGJ in the Bolo Community Health Center working area who had a history of anxiety. The sample size in this study was 5 participants. The sample was a portion of the population selected based on certain criteria using a purposive sampling technique. Results: The themes found in this study are emotional changes, cognitive changes, coping mechanisms, changes in family function, and changes in social relationships. Conclusion: The Healing Corner program based on psychoreligious dhikr therapy is very effective in improving cognitive abilities in people with mental disorders, especially with problems of hallucinations and social isolation.
Copyright (c) 2026 Arif Munandar, Arif Budiwibowo, Imam Fajlurrahman https://creativecommons.org/licenses/by/4.0
Deskripsi Screen Time pada Anak Usia 6 – 12 Bulan di Wilayah Puskesmas Delanggu
Background: The rapid advancement of digital technology has led to a significant increase in the use of electronic media among young children, including those aged 6–12 months. This phenomenon raises growing concerns regarding its potential impact on various aspects of child development, including, socio-emotional, cognitive, and physical domains. Therefore, it is essential to understand how patterns of digital media use are formed from an early age. Objective: The objective of this study was to comprehensively describe the patterns of screen time among children aged 6–12 months, covering aspects such as media access, frequency of use, content exposure, and the extent of parental supervision during digital device interaction. Method: This research utilized a quantitative method with a descriptive-analytic design. The sample was determined using a total sampling technique involving parents who used digital media with their children in Gatak and Delanggu villages. Data collection was carried out using the SCREEN-Q questionnaire, an instrument formulated in accordance with the guidelines of the American Academy of Pediatrics (AAP) Result: The result showed that most children aged 6–12 months had excessive screen time and high access to digital media, particularly television and smartphones. Screen exposure has become a part of daily routines, with parental supervision still lacking in consistency. Conclusion: Parental involvement and consistent guidance, along with comprehensive education on digital media use, are essential to prevent negative impacts that may affect children's growth and development.
Copyright (c) 2026 Alya Olga Chairina Zahra, Siti Arifah https://creativecommons.org/licenses/by/4.0
Motivasi Lansia dalam Mengikuti Terapi Kesehatan Senam Ling Tien Kung Di Balai Desa Sumberbendo Kediri
Background: The elderly are an age group that is vulnerable to experiencing a decline in physical and psychological health. Ling Tien Kung health therapy is one of the efforts that can help improve the fitness and quality of life of the elderly. The level of participation of the elderly in this therapy is greatly influenced by the level of motivation possessed by each elderly individual. Objective: To understand the motivation of the elderly in participating in Ling Tien Kung health therapy at the Sumberbendo Village Hall, Pare District, Kediri Regency. Method: Descriptive research design, with a population and sample of 39 respondents, using a total sampling technique. The study was conducted from March 27 to April 30, 2025, with the variable being the Motivation of the Elderly in Participating in Ling Tien Kung Health Therapy at the Sumberbendo Village Hall, Pare District, Kediri Regency. The instruments used were interviews and questionnaires; the data were analyzed using percentages and interpreted quantitatively. Result: Most of the respondents have strong motivation at 74%, and almost half of the respondents have moderate motivation at 26%. Strong motivation is influenced by gender, last education level, who they live with, and access to information, while moderate motivation is influenced by age. Conclusion: It is hoped that the elderly who have a strong motivation will maintain their motivation in participating in Ling Tien Kung health therapy, and that the families of elderly individuals with moderate motivation can provide support by accompanying them, reminding them of therapy schedules, and giving appreciation; while therapy instructors can provide education about the benefits of the therapy.
Copyright (c) 2026 Sutiyah Heni, Ira Nur Lailia Fedri Yuniana https://creativecommons.org/licenses/by/4.0
Determinan Remaja dalam Melakukan Penanganan Luka Sederhana Di Surakarta
Background: Injury remains a major cause of mortality worldwide. The World Health Organization (WHO) reports that of 4.4 million injury-related deaths annually, 3.16 million are due to unintentional injuries and 1.25 million to violence. Among individuals aged 5–29 years, three of the top five causes of death are injury-related: road traffic accidents, homicide, and suicide. According to Indonesia’s 2018 Riskesdas, adolescents aged 15–24 years have the third-highest rate of injury (1.3%), with the highest proportion among those with junior high school education (1.5%). Adolescents are physically active, curious, and spend considerable time at school, increasing their risk of injury. Improper wound care can lead to infection, prolonged morbidity, and disability. Objective: This study aimed to identify factors associated with adolescents’ practice of simple wound care at Surakarta. Method: The study used an analytical cross-sectional design with 150 female adolescent respondents, and data were analyzed using logistic regression. Result: Results showed that age (p=0.000) and peer support (p=0.000) were significant factors influencing simple wound care practices, while information sources (p=0.605) and education level (p=0.299) were not. Conclusion: It can be concluded that age and peer support are dominant factors enhancing adolescents’ ability to perform proper simple wound care.
Copyright (c) 2026 Tri Susilowati, Eska Dwi Prajayanti, Yuyun Triani https://creativecommons.org/licenses/by/4.0
Model Health Literacy Berbasis Telehealth dalam Promosi Kesehatan Mengenai Perilaku Makan pada Pertumbuhan Remaja Cegah Stunting
Background: Nutrition and stunting issues in Indonesia cannot be underestimated, especially considering the health conditions of adolescents that influence stunting rates in the future. Adolescence is a crucial period in individual growth and development, where many behaviors and habits, including eating patterns, are formed. Good health literacy allows adolescents to understand health information related to nutrition and a healthy lifestyle. This shows that understanding and knowledge about balanced nutrition are crucial to reduce the risk of long-term stunting and ensure maternal and child health. The gap in knowledge and nutritional literacy among adolescents is a major challenge that needs to be addressed. A telehealth-based health literacy model is expected to improve understanding and healthy eating behavior among adolescents, as an automotive step in stunting prevention. Objective: The purpose of this study is to develop a telehealth-based Health Literacy model to improve healthy eating behavior among adolescents by focusing on strengthening their understanding of the importance of a healthy diet. Method: This study used the Research and Development method combined with a Randomized Control Trial. The sample in this study were adolescents attending high schools in Mataram City. Results: Statistical analysis showed a significant intervention effect with p<0.01. The proportion of improvement in the intervention group was more than double that in the control group. Conclusion: The Telehealth-based Health Literacy Model intervention was effective in improving adolescents' dietary knowledge and behavior.
Copyright (c) 2026 Melati Inayati Albayani, Marthilda Suprayitna, Zuhratul Hajri, Henny Yolanda https://creativecommons.org/licenses/by/4.0
Pendekatan Keperawatan dengan Model Telehealth dalam Manajemen Deteksi dan Intervensi Weight Faltering untuk Mengurangi Resiko Stunting
Background: The urgency of the research is based on the high prevalence of children with stunting in NTB, which is even ranked fourth nationally. In addition to causing growth disorders, stunting causes decreased cognitive, motoric, and work performance abilities. The early detection process is very important to prevent stunting induced by non-compliance with nutritional guidelines. The main problem in the detection and intervention of weight faltering lies in the complexity of recognizing and implementing appropriate interventions, resulting in a slow response to nutritional problems in children. The limitations of the monitoring system encourage the need for a telehealth-based nursing approach in weight faltering management. Objective: This study aims to develop a telehealth model in the management of weight faltering detection and intervention to reduce the risk of stunting. Method: This study uses the Research and Development (R&D) method, namely a systematic approach to nursing approaches through telehealth to produce website design products in Weight Faltering Detection Intervention Management. Results: The results of statistical tests show that the majority of respondents showed SUS results with an acceptable category of 77.6%. Conclusion: The website https://tumbuhkembang.id can be used as a telehealth model in the management of weight faltering detection and intervention to reduce the risk of stunting.
Copyright (c) 2026 Henny Yolanda, Raden Ahmad Dedy Mardani, Zul Hendry https://creativecommons.org/licenses/by/4.0
Hubungan antara Turnover Intention dengan Motivasi Kerja Perawat di Ruang Intensive Care RS X
Background: Turnover intention is the desire to leave one’s job due to high workload, stress, and low job satisfaction, which poses a risk of reducing experienced human resources and lowering work motivation. Low motivation can affect the quality of service. Objective: This study aims to determine the relationship between turnover intention and work motivation among nurses in the intensive care unit of RS X. Methods: This research uses a quantitative design with a cross-sectional approach. The sample was obtained using a total sampling technique, consisting of all nurses working in the ICU, NICU, and HCCU of RS X, totaling 60 respondents. The instruments used were the turnover intention questionnaire and the work motivation questionnaire. Data were analyzed using univariate and bivariate methods with the Spearman correlation test. Results: The results showed a weak but statistically significant negative relationship between turnover intention and work motivation among nurses (r = -0,327; p = 0,011). This indicates that the higher the nurses' turnover intention, the lower their work motivation tends to be. Conclusion: There is a significant relationship between turnover intention and nurses’ work motivation.
Copyright (c) 2026 Khatulistiwa Nursing Journal
Studi Eksplorasi Alasan Terbentuknya Perilaku Lelaki Seks Lelaki Sebagai Kelompok Risiko Tinggi HIV/AIDS pada LSLdi Rumah Sakit Umum Daerah Kota Bandung
Background: Men who have sex with men (MSM) is a sexual behavior that occurs between men and men. This sexual behavior of MSM makes MSM a group at high risk of contracting HIV/AIDS. This male-to-male sexual behavior is certainly influenced by both internal and external factors. Objective: This study aims to gain a deeper understanding of the causes of men who have sex with men sexual behavior among MSM at the Bandung City Regional General Hospital. Method: This study uses a qualitative method through in-depth interviews with research informants, which are useful for analyzing the formation of male-to-male sexual behavior in greater depth. This study was conducted on five informants. Result: The interview showed that the factors contributing to the formation of male-to-male sexual behavior were lack of knowledge, dissatisfaction with partners, the desire to try new things, family factors, and social factors. Conclusion: Being a male sex worker is certainly influenced by various factors ranging from internal factors and external factors. This research is expected to build awareness from health workers to be able to overcome the causes of the formation of this male sex behavior so that it can have an impact on reducing the prevalence of HIV/AIDS.
The Effect of Online Health Education Using Animated Videos and Booklets on Parents' Knowledge of Motor Development Stimulation in Preschool Children
Background: Parental stimulation plays an important role in supporting the motor development of preschool children, but many parents still lack understanding of age-appropriate stimulation. Objective: This study aimed to determine the effectiveness of animated videos combined with digital booklets in improving parental knowledge about motor development stimulation in preschool children. Method: A quasi-experimental pretest-posttest control group design was used, involving 120 parents selected through purposive sampling, with 60 parents assigned to the intervention group and 60 parents assigned to the control group. Results: Knowledge was measured using a structured questionnaire and analyzed using paired and independent t-tests (p<0.05). The findings indicate that the use of animated videos combined with booklets has a significant impact on improving parental understanding. Conclusion: This study shows that multimodal educational media can improve understanding more effectively than conventional print media. These findings highlight the importance of educational approaches that are accessible, engaging, and user-friendly for parents, with implications for health education programs in early childhood settings.
Pengaruh Edukasi Kesehatan Nutrisi dan Pola Diet Sehat Terhadap Pengetahuan Sikap Pencegahan Diabetes Melitus pada Lansia
Background: Preventing diabetes mellitus, a chronic metabolic condition, especially in the elderly, requires more education and lifestyle adjustments. Improving the knowledge and attitudes of older adults to prevent diabetes mellitus can be achieved through health education programs that focus on nutrition and healthy eating habits. Objective: To determine how much older adults learn and how confident they are about how to avoid diabetes mellitus through health education programs that focus on nutrition and healthy eating habits. Method: This study used a pre-experimental design with a one-group pre-test and post-test design method, a population of 130 respondents with type 2 diabetes. From this number of researchers, determined a sample of 30 as respondents, including elderly people. A purposive sampling strategy was used to select these participants. The instrument used was a questionnaire that measured knowledge and attitudes. Results: There was a significant difference between pre-test and post-test scores (p<0.001). Before education, the majority of respondents' knowledge was low (86.7%) and attitudes were sufficient (63.3%). After education, 90% of respondents' knowledge was good and 90% showed good attitudes. Conclusion: Evidence suggests that health education can help older adults learn more about good nutrition and change their attitudes in this regard. Before and after health education, there were significant changes.
The Relationship Between Diet And Cholesterol Levels In The Elderly In The Kartasura Community Health Center Work Area
Background: Of several health problems, high cholesterol is found to be more common in the elderly. High-Density Lipoprotein (HDL) and Low-Density Lipoprotein (LDL) are the two main types of cholesterol. Hypercholesterolemia occurs when blood cholesterol levels are higher than the normal range, which is <200 mg/dL. Objective: The study was conducted to identify the relationship between dietary patterns and cholesterol levels in the elderly. Method: This study used a quantitative correlational design based on a cross-sectional approach. 50 samples were selected by purposive sampling with the criteria of being ≥60 years old, willing to fill out the questionnaire, communicative, and individuals registered administratively/civilly as residents of the Kartasura Community Health Center Work Area. Dietary patterns were assessed through a dietary questionnaire and cholesterol levels were measured using a GCU device. Result: The Chi-Square test showed a significant relationship between diet and cholesterol levels with a weak correlation. The Continuity Correction value (p-value=0,046) and Contingency Coefficient were 0,311 (r=0,311). Conclusion: In the Kartasura Community Health Center Work Area, there is a correlation between dietary patterns and cholesterol levels in the elderly.
Hubungan Paparan Asap Batu Bata dan Karakteristik Individu Pekerja Terhadap Kapasitas Paru
Background: The brick industry produces combustion smoke containing hazardous substances and can disrupt workers' respiratory health. Objective: This study aims to determine the relationship between smoke exposure and respiratory complaints with lung capacity in brick industry workers in Kemangkon District. This study was a quantitative analytical study with a cross-sectional approach conducted in July 2025. Data were collected through questionnaires and lung capacity measurements using a Peak Flow Meter. Results: The study showed that most workers were exposed to smoke for 5–8 hours per day (79.2%), with the majority experiencing severe lung capacity impairment (67.5%). A Chi-square test showed that the duration of smoke exposure was not significantly associated with lung capacity (p=0.895), while respiratory complaints such as coughing, shortness of breath, chest pain, and excessive phlegm were significantly associated with decreased lung capacity (p<0.05). Conclusion: Respiratory complaints have a significant relationship with lung capacity in brick industry workers, while the duration of smoke exposure did not have a significant effect.
Ketika Anak Sulit Makan: Hubungan Perilaku Makan Selektif dan Status Gizi Anak Prasekolah
Background: Malnutrition is a common problem in children. If not addressed, it will impact the child's growth and development process. The cause of malnutrition is something that must be explored to find the root of the problem, one of the causes is selective eating behavior. Objective: The purpose of this study was to identify the relationship between selective eating behavior and nutritional status in preschool children. Method: The study used a cross-sectional approach. The study was conducted at PAUD in Tabukan sub-district. The population in this study was PAUD in Tabukan sub-district, consisting of 13 PAUDs with 409 students. The sample was parents/guardians of 137 respondents. The sample selection used Cluster Random Sampling, which was conducted by drawing lots at 13 PAUDs in Tabukan sub-district, resulting in 2 schools, namely PAUD Nusa Indah and PAUD Kuncup Mekar. Data collection used 2 research instruments, namely the Children's Eating Behavior Questionnaire and anthropometric measurements. Result: The results of the analysis with (sperman rank) found that there was a relationship with a value of p=0.000 (p<0.05) with a Correlation Coefficient of 0.799 which means the direction of the relationship in this study is "strong", the probability results are 70.15% of children who fall into the non-selective category have the opportunity to fall into the good nutrition category and 27.14% of children who fall into the selective category have the opportunity to fall into the malnutrition category. Conclusion: There is a significant relationship between selective eating behavior and nutritional status in preschool children.
Gambaran Tingkat Pengetahuan Anak Mengenai Perundungan di SD Negeri 5 Puhu
Background: Bullying is a maladaptive behavior that negatively affects children’s physical, emotional, and psychological development and remains prevalent in school settings. This behavior may interfere with classroom learning activities and compromise students’ overall well-being. Objective: This study aimed to assess the level of students’ knowledge concerning bullying at SD Negeri 5 Puhu, Payangan, Gianyar. Methods: A quantitative descriptive study with a cross-sectional design was conducted. The study population comprised 105 students, of whom 93 were selected as respondents using probability sampling with a stratified random sampling technique. The inclusion criteria included students in grades III–VI who were present during data collection, while students who were absent at the time of the study were excluded. Results: The results showed that the majority of students had a moderate level of knowledge regarding bullying, with 76 students (81.7%), followed by a low level in 9 students (9.7%) and a good level in 8 students (8.6%). Based on age groups, students aged 8–10 years demonstrated a higher proportion of good knowledge compared to those aged 11–12 years. In terms of gender, female students tended to have a better level of knowledge about bullying than male students, although most respondents in both groups remained in the moderate knowledge category. Conclusion: The results suggest that a considerable proportion of students still lack sufficient knowledge about bullying. Therefore, comprehensive, continuous, and integrated educational interventions are needed within school health programs to improve students’ understanding and to promote a safe, supportive, and bullying-free school environment.
Pengembangan Aplikasi Digital ‘SiJiwaCare’ untuk Meningkatkan Kapasitas Kader Kesehatan dan Perawat dalam Recovery serta Deteksi Dini Gangguan Jiwa di Masyarakat
Background: Schizophrenia requires continuous monitoring to prevent relapse; however, the capacity of community health workers and nurses in early detection and recovery support remains limited. The SiJiwaCare application was developed to enhance the competence of community mental health providers. Objective: To evaluate the effectiveness of SiJiwaCare in improving the knowledge and skills of community health workers and nurses related to early detection and recovery support for individuals with schizophrenia. Methods: A mixed-method study with a sequential exploratory design was conducted. The qualitative phase involved Focus Group Discussions to explore user needs and acceptability of the application. The quantitative phase utilized a one-group pre-test post-test design involving 22 respondents (2 nurses and 20 community health workers). Instruments included a knowledge questionnaire, a skill observation checklist, and the System Usability Scale (SUS). Quantitative data were analyzed using the Wilcoxon Signed Rank Test and Spearman correlation, while qualitative data were thematically analyzed. Results: Significant improvements were observed in knowledge (p=0,001) and skills (p=0,001) after the intervention. Spearman correlation showed a moderate positive relationship between knowledge and skill improvement (ρ=0.46; p=0.028). The SUS score of 78 indicated the application was rated as good and easy to use. Qualitative findings supported the benefits and acceptability of the application in the community setting. Conclusion: SiJiwaCare is effective in enhancing the capacity of community health workers and nurses in early detection and recovery support for individuals with schizophrenia. Further development is recommended, including offline features and wider implementation.
Penerapan Mindfulness-Based Cognitive Therapy Menurunkan Tingkat Stress Pasien Hipertensi: Internalisasi Ontologi Epistemologi, Aksiologi
Background: A significant worldwide health concern that raises morbidity and death, particularly in older persons, is hypertension. Psychological stress can worsen blood pressure, making non-pharmacological approaches such as Mindfulness-Based Cognitive Therapy (MBCT) valuable. This study applies MBCT using the Neuman Systems Model while integrating ontological, epistemological, and axiological principles of nursing. Objective: To assess how well MBCT reduces stress in people with hypertension and to identify the integration of nursing philosophical values in the intervention. Methods: The intervention was carried out over three days at Puskesmas Simpang Tiga, Pekanbaru. Activities included education on stressors, guided mindfulness meditation, and reflective stress-management sessions. Stress and mindfulness levels were assessed before and after the intervention using the Perceived Stress Scale (PSS-10) and the Mindful Attention Awareness Scale (MAAS). Results: Most participants showed reduced blood pressure and decreased stress scores after the intervention. Mindfulness levels also increased. Ontological values were reflected in viewing patients as holistic beings; epistemological values through evidence-based practice; and axiological values through empathy and ethical nursing care. Conclusion: When used as a non-pharmacological treatment, MBCT helps individuals with hypertension feel less stressed. The intervention strengthens holistic nursing practice grounded in ontological, epistemological, and axiological principles.
Kepatuhan Menjalani Rehabilitasi dengan Kemandirian Pasien Pasca Stroke: Studi Cross-Sectional
Background: Patient adherence to rehabilitation is very important in supporting the recovery process and independence of post-stroke patients. Non-adherence can slow the improvement of motor function and hinder the patient’s ability to regain independence in activities of daily living. Objective: This study aims to identify the relationship between patient adherence to rehabilitation and the level of independence among post-stroke patients. Method: This study used a cross-sectional design. A total of 90 post-stroke patients were selected using purposive sampling. The study was conducted at RSUD Dr. Moewardi. The level of patient independence was assessed using an activities of daily living independence instrument. Meanwhile, adherence was measured using the MMAS-8 (Morisky Medication Adherence Scale) questionnaire. Result: There was no statistically significant correlation between rehabilitation adherence and the level of independence among post-stroke patients, based on the Chi-Square test results, which yielded a value of 1.005 (df=1) and a p-value of 0.316 (p>0.05). Conclusion: It can be concluded that there is a statistically significant association between patients’ level of adherence to the rehabilitation program and the level of independence of post-stroke patients.
Pengaruh NurseTheraCom Berbasis Microlearning terhadap Keterampilan Komunikasi Terapeutik Mahasiswa Keperawatan
Background: Therapeutic communication is a mandatory skill for nurses. This study examines the microlearning method "NurseTheraCom," a web platform containing materials, quizzes, and videos designed to improve the competency of nursing students. Objective: This study aims to examine the effect of the NurseTheraCom micro-learning method on improving students' knowledge and therapeutic communication skills. Method: This research is a quasi-experimental study with a pretest and posttest nonequivalent control group design. The respondents in this study were nursing students from STIKes YARSI Pontianak, selected using purposive sampling technique. The inclusion criteria for respondents are active nursing students at STIKes YARSI Pontianak who have already taken the nursing communication course. A total of 60 nursing students participated in a microlearning intervention, with skills assessed thru questionnaires before and after the intervention and analyzed using a paired t-test. Results: There was a significant increase in knowledge (high category from 23.3% to 81.67%) and skills (high category from 15.0% to 78.33%). The average skill score increased from 20.00 to 32.67 (p=0.002). Conclusion: The NurseTheraCom microlearning method is effective in improving nursing students' knowledge and therapeutic communication skills, potentially serving as a tool for continuous training to enhance service quality.
Pengembangan Learning Management System First Aid Berbasis Mnemonic SAMBAS untuk Meningkatkan Pengetahuan dan Keterampilan Pertolongan Pertama
Background: Traffic accidents are one of the world's problems with high mortality rates. The high mortality rate of traffic accident victims is related to the slow and poor quality of first aid provided by first responders. Therefore, it is necessary to improve the knowledge and skills of first responders in providing initial treatment. Objective: The objective of this study was to develop a First Aid learning management system using the SAMBAS mnemonic approach that can be used to improve students' knowledge and skills in providing first aid in accidents. Method: This was a quasi-experimental study using a pretest-posttest approach without a control group and quota sampling. Results: The results of the statistical test using the Wilcoxon test showed a value of p = 0.000 (p < 0.05) in both knowledge and skills in providing first aid in accident cases with the First Aid learning management system. Conclusion: The First Aid learning management system with the SAMBAS mnemonic can improve knowledge and skills in providing first aid in accident cases.
Hubungan Pengetahuan Ibu tentang Stimulasi Tumbuh Kembang terhadap Perkembangan Anak Usia di Bawah Dua Tahun
Background: Children under two years old are in a golden age, a time of rapid development. Efforts to achieve optimal development must be balanced with optimal growth and developmental stimulation. However, many mothers still do not know how to stimulate growth and development in children. The role of a mother in providing stimulation to children has a significant influence, so it’s very importand to have a good knownledge to encourage children growth optimally. Objective: The purpose of this study was to analyze the relationship between maternal knowledge about growth and development with the developmental status of children under two years old. Method: The study design used a cross-sectional. The study was conducted at the Banjar Serasan Community Health Center with a sample of 77 mothers who had children under two years old selected accidental sampling with the inclusion criteria of this study, namely with the inclusion criteria of mothers who had children aged 0-24 months, mothers who attended posyandu activities and were willing to be respondents, while the exclusion criteria were mothers with children with special needs. Data collection used research instruments consisting of a maternal knowledge questionnaire and KPSP. Result: The results of statistical tests using the Spearman Rank test showed that there was a positive relationship between maternal knowledge about growth and development stimulation and the development of children under two years of age with a p value of 0.010 (p<0.05) and a correlation coefficient (R) of 0.292. Conclusion: There was a significant relationship between maternal knowledge and the development of children under two years old.
Hubungan Pola Pemberian Makan Orang Tua dengan Kejadian Stunting pada Balita di Puskesmas Kedungwungu
Background: Stunting is a complex health problem with long-term impacts, characterized by a child's height being lower than the age standard due to chronic malnutrition and repeated exposure to infections. One factor suspected to play a role is the lack of effectiveness of parents in implementing child feeding practices. Objective: This study aims to analyze and identify the relationship between parental feeding patterns and the incidence of stunting in toddlers. Method: This study applied a quantitative approach with a descriptive analytical design and involved 30 respondents, namely mothers of toddlers experiencing stunting, who were selected using a total sampling technique. The data collection tool used was the Child Feeding Questionnaire (CFQ), which was developed based on guidelines from the American Academy of Pediatrics (AAP). Data collection was carried out by filling out the questionnaire and measuring the toddlers' height. Furthermore, the data were tested for normality and analyzed using the Spearman correlation test. Results: Based on the analysis, a correlation coefficient value of -0.015 was obtained with a significance level of 0.939 (p>0.05), which indicates that there is no significant relationship between feeding patterns and the incidence of stunting in toddlers. Thus, feeding patterns have not become the main factor in efforts to prevent stunting so that efforts to prevent stunting need to consider other factors including the quality of nutrient consumption, environmental health, and family socio-economic conditions. Conclusion: Feeding patterns cannot be said to be a factor that can have a direct impact on children's nutritional status, so efforts to prevent stunting need to consider other factors such as the quality of nutrient consumption, environmental health, and family socio-economic conditions.
Hubungan Dukungan Sosial dengan Burnout pada Perawat Intensive Care Di RSUD X
Background: Nurses working in intensive care units have high job demands and continuous emotional pressure, making them prone to burnout. Social support itself is believed to play an important role in maintaining nurses' psychological resilience, as it can provide a sense of security, appreciation, and increased motivation, thereby reducing the impact of excessive work stress. Objective: This study aims to determine the relationship between social support and burnout among intensive care nurses at X Regional General Hospital. Method: This study used a quantitative approach with a correlational method and cross-sectional design. The study population consisted of 60 nurses working in the ICU, NICU, and HCCU, using total sampling technique. Data collection was conducted using the Multidimensional Scale of Perceived Social Support (MSPSS) instrument to measure social support and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) to measure burnout levels, which had been translated by the researchers beforehand. Result: The Spearman's Rank Correlation test results obtained a p value of 0.000 (p < 0.05) and a Spearman's correlation coefficient ρ (rho) of –0.767, indicating a strong and significant negative relationship between social support and burnout. This means that the higher the level of social support received by nurses, the lower their level of burnout. Conclusion: There is a relationship between social support and burnout among intensive care nurses.
Pengaruh Pemberian Terapi Musik Terhadap Penurunan Ansietas pada Remaja yang Mengalami Kekerasan Verbal di SMA X Jakarta
Background: Anxiety among adolescents, which continues to increase every year, can interfere with the process of self-discovery in adolescents. A common problem is verbal abuse from parents and the surrounding environment. This abuse of children can increase the risk of poor mental health in adolescents, especially anxiety. One complementary therapy that can help influence a person's tense or relaxed state is music therapy. Objective: The purpose of this research is to determine the influence of music therapy on anxiety deravation in adolescents who experience verbal abuse at SMA X Jakarta. Method: The research design used a quasi-experimental pre-test and post-test with a control group, which was then analysed using the Wilcoxon signed-rank test. The research was conducted at SMA X Jakarta, with 76 respondents from grade 10 selected using non-probability sampling with purposive sampling. Data collection used a research instrument consisting of the HARS (Hamilton Anxiety Rating Scale) questionnaire, which had been transcribed by the researcher previously. Result: The results showed that music therapy significantly reduced anxiety levels (p<0.05). Conclusion: This shows that classical music therapy can be used to reduce anxiety levels in adolescents.