Jurnal Ilmiah Kesehatan Sandi Husada

Economic Income as a Cause of Stunting: an Analysis Based on the Perspective of Karl Marx: Literature Review

Sarifudin Andi Latif — 2025-06-01

Introduction: Stunting begins to appear when the child is two years old and begins when the fetus is still in the womb. The increase in child morbidity and mortality is the impact caused by the incidence of stunting. Stunting children will be able to experience disturbances in their intelligence level, susceptibility to diseases, decreased productivity, and stunted economic growth, which impacts poverty.

Method: This study is a literature review using the PRISMA method. Articles published in 2022-2024 were found by conducting database searches (Garuda and Google Scholar) and using the keywords "Stunting" and "Economic Income," and limited to using Chi-Square analysis so that articles meet the criteria for analysis, as many as 10 articles.

Results: The search results for the ten articles were obtained, all stating the relationship between economic income and stunting. The author claims that Karl Marx's point of view highlights this problem as a social problem from a social system that subjugates a particular economic class. Dependence on the wage system, inadequate social security, and the exploitation of labor by capitalism trap many proletarian families in a cycle of poverty. This leaves children in these homes vulnerable to chronic malnutrition, which adversely affects their physical and cognitive development.

Conclusion: The problem of low economic income in society as the cause of stunting is not only technical interventions, such as supplementary nutrition programs, but rather more fundamental structural changes, as seen from a Marxist perspective. Systematic reduction of economic inequality and stunting prevention can be achieved through wealth redistribution, wage system improvement, and labor exploitation elimination.

The mother’s level of education and attitude determines the provision of complete basic immunization in infants

Risna Ayu Rahmadani — 2025-06-01

Introduction: Immunization is an effort to introduce vaccines into the body to increase a person's immunity to prevent a disease. The impact or risk that occurs due to incomplete immunization is that children are more susceptible to illness, are at more risk of infecting family members or the environments, and the quality and life expectancy decrease. During the research, data was found that 19 out of 35 infants did not receive complete immunization. The purpose of this research was to find out the relationship between the motherâ€™s level of education and attitude towards the provision of complete basic immunization in infants at the Tombatu Community Health Center, Winorangian Satu Village.

Methods: Partial analytical observational research with a cross-sectional design with independent variables and dependent variables conducted once at the same time with a sample size of 35 respondents. The analysis method used is Chi square.

Result: The mother's education level was higher in the high category (>junior high school) and the mother's attitude with a frequency of 19 respondents (not supporting <50%). The results of the Chi square test showed that there was a relationship between maternal education level and the provision of complete basic immunization in infants at the Tombatu Community Health Center, Winorangian One Village, p-value = 0.00. The results of the Chi square test showed that there was a relationship between maternal attitudes and the provision of complete basic immunization in infants at the Tombatu Community Health Center, Winorangian Village. One p-value = 0.00.

Conclusion: From the results of the study was found that there is a relationship between the motherâ€™s level of education and the provision of complete basic immunization to babies at the Tombatu Community Health Center. Winorangian Satu Village and there is a relationship between the mother's attitude and the provision of complete basic immunization in infants at the Tombatu Community Health Center, Winorangian Satu Village.

Analysis of the level of human resources competence in the implementation of digital transformation

Zulfausi Wahyu Syahputra — 2025-06-01

Introduction:In the era of Industry 4.0, digital transformation has become a necessity for organizations to remain competitive. However, the success of digital transformation initiatives is highly dependent on the competence of human resources (HR). This study aims to analyze the level of HR competence and its influence on the effectiveness of digital transformation implementation.

Research Methodology:This research employs a quantitative descriptive method using survey data collected from 150 employees across various departments in a mid-sized enterprise undergoing digital transformation. The data were analyzed using statistical tools to measure the correlation between HR competence indicators and digital transformation progress.

Result: Findings indicate that 68% of the workforce possesses basic digital skills, while only 24% demonstrate advanced digital and analytical capabilities. Departments with higher digital competence reported smoother transitions and better performance metrics post-transformation.

Conclusion: The level of HR competence plays a critical role in the success of digital transformation. Organizations must invest in continuous training and development to bridge the competency gap and support a sustainable digital shift

The relationship of nurse therapeutic communication to inpatient satisfaction

Rasi Rahagia — 2025-06-01

Introduction: Patient satisfaction is a key indicator of healthcare service quality. One of the most influential factors in determining patient satisfaction is the quality of communication between nurses and patients. As a purposeful and goal-oriented interaction, therapeutic communication plays a critical role in building trust, reducing anxiety, and improving patient outcomes. This study analyzes the relationship between nurse therapeutic communication and inpatient satisfaction in a hospital setting.

Research Methodology: This research used a quantitative, cross-sectional design. Data were collected through questionnaires distributed to 120 inpatients across medical and surgical wards in a general hospital. The instrument measured nurse therapeutic communication using a standardized scale and patient satisfaction using a validated satisfaction questionnaire. The data were analyzed using the Pearson correlation test and multiple linear regression to determine the strength and significance of the relationship.

Result: The study found a significant positive correlation between nurse therapeutic communication and inpatient satisfaction (r = 0.68, p < 0.001). Regression analysis showed that therapeutic communication contributed to 46% of the variance in patient satisfaction (RÂ² = 0.46). Empathy and active listening were the strongest predictors of patient satisfaction among the dimensions of therapeutic communication.

Conclusion: Therapeutic communication by nurses has a strong and significant relationship with inpatient satisfaction. Enhancing nursesâ€™ skills in empathetic interaction, active listening, and clear communication may improve overall patient experiences and satisfaction levels.

Effect of implementing childbirth preparation classes on women's self-efficacy and pregnancy outcomes

Awatiful Azza — 2025-06-01

Introduction: Childbirth preparation classes play a crucial role in equipping pregnant women with the knowledge and skills necessary to face labor with confidence. Low maternal self-efficacy is often associated with increased anxiety, longer labor duration, and negative birth experiences. This study examines how implementing childbirth preparation classes affects womenâ€™s self-efficacy and pregnancy outcomes.

Research Methodology: This quasi-experimental study used a pre-test and post-test control group design. 60 pregnant women in their third trimester were recruited and randomly assigned to either the intervention group (n=30), who received childbirth preparation classes, or the control group (n=30), who received standard antenatal care. The classes were conducted over four sessions, covering the labor process, pain management, relaxation techniques, and postpartum care. Self-efficacy was measured using the Childbirth Self-Efficacy Inventory (CBSEI), while pregnancy outcomes were assessed through medical records and post-delivery interviews.

Result: The results showed a statistically significant increase in self-efficacy scores in the intervention group compared to the control group (p < 0.01). Additionally, women in the intervention group experienced shorter labor durations, lower cesarean section rates, and higher satisfaction with their birth experience. There were no significant differences in neonatal outcomes between the two groups.

Conclusion: Implementing childbirth preparation classes positively influences maternal self-efficacy and improves several pregnancy outcomes. Integrating such programs into routine antenatal care can enhance maternal confidence and promote safer, more positive birth experiences

Community Nurses' Strategies for Overcoming Stunting Through a Family Approach

Ari Setiawati — 2025-06-01

Introduction: Stunting is a public health problem that is still high in Indonesia, especially in rural areas. This condition has a long-term impact on a child's physical growth, cognitive development, and quality of life. Community nurses have an important role to play in stunting prevention and management efforts, particularly through a more holistic and sustainable family-based approach. Research Objectives To identify and analyze the strategies used by community nurses in tackling stunting through a family approach, as well as to understand the challenges faced in implementing these strategies at the community level.

Research Methodology: Penelitian ini menggunakan desain kualitatif deskriptif dengan pendekatan studi fenomenologi. Sebanyak 10 perawat komunitas di wilayah dengan prevalensi stunting tinggi diwawancarai secara mendalam. Teknik purposive sampling digunakan dalam pemilihan partisipan, dan data dianalisis menggunakan metode tematik untuk mengidentifikasi strategi utama yang diterapkan dalam pendekatan keluarga.

Result: Hasil penelitian menunjukkan bahwa perawat komunitas menerapkan beberapa strategi utama, yaitu: (1) edukasi kesehatan kepada keluarga tentang gizi, sanitasi, dan perawatan anak, (2) kunjungan rumah secara berkala untuk pemantauan pertumbuhan dan pembinaan keluarga, (3) kolaborasi dengan kader posyandu dan tokoh masyarakat dalam pelaksanaan program, serta (4) pemberdayaan ibu melalui kelompok pendampingan dan konseling. Perawat juga menekankan pentingnya membangun hubungan kepercayaan dengan keluarga untuk mendorong perubahan perilaku. Kendala yang dihadapi meliputi rendahnya kesadaran keluarga, budaya lokal yang bertentangan dengan praktik sehat, dan keterbatasan sumber daya.

Conclusion: Strategi yang dilakukan oleh perawat komunitas melalui pendekatan keluarga terbukti efektif dalam upaya menanggulangi stunting. Pemberdayaan keluarga dan kolaborasi lintas sektor menjadi kunci keberhasilan. Diperlukan dukungan berkelanjutan untuk memperkuat kapasitas perawat komunitas dalam menjalankan peran ini secara optimal.

Monitoring 30Â° Head Elevation to Enhance Cerebral Perfusion in Traumatic Brain Injury Patients

Syaharuddin Syaharuddin — 2025-06-01

Introduction: Traumatic Brain Injury (TBI) is one of the critical conditions that requires quick and appropriate treatment to prevent further damage to brain tissue. One non-invasive approach that can be applied is a head elevation of 30Â°, which is believed to increase cerebral tissue perfusion and reduce intracranial pressure. This study aims to evaluate the effectiveness of monitoring and the application of 30Â° head elevation in improving cerebral perfusion in patients with captive trauma.

Research Methodology: This study uses an observational design with a pre-post test approach. The study subjects were patients with capitis trauma who performed a 30Â° head elevation action. Parameters observed before and after the intervention included the Glasgow Coma Scale (GCS), blood pressure, body temperature, pulse, pain, frequency of vomiting, nausea intensity, and dizziness level.

Result: After applying a head elevation of 30Â°, the patient's GCS remained stable at a value of 15 (composmentis). Body temperature decreased from 38.6Â°C to 36.8Â°C, and pulse rate from 118x/min to 80x/min. The pain scale decreased from 8 to 3, vomiting from 5x/day to 1x/day, nausea from a score of 5 to 1, and dizziness from a score of 4 to 1. Blood pressure did not change significantly (140/90 mmHg).

Conclusion: The application and monitoring of 30Â° head elevation are effective in increasing the perfusion of cerebral tissue and lowering clinical symptoms related to capitis trauma. This intervention can be used as the first step in the nursing management of TBI patients.

Disease Perception and Duration of Suffering with Self-Care Management in Patients with Diabetes Mellitus

Wibowo Wibowo — 2025-06-01

Introduction: Diabetes Mellitus (DM) is a chronic metabolic disorder requiring continuous medical care and patient self-management to prevent complications. Perception of disease and the duration of suffering may influence how patients manage their condition through self-care behaviors. Understanding this relationship is crucial for developing targeted interventions to improve patient outcomes. This study examines the relationship between disease perception and duration of illness with self-care management in patients with diabetes mellitus.

Research Methodology: This quantitative analytical study employed a cross-sectional design involving 150 patients diagnosed with diabetes mellitus at a public health center. Data were collected using validated questionnaires assessing disease perception and self-care management, along with patient medical records to determine the duration of the disease. Statistical analysis was performed using Pearson correlation and multiple regression tests to examine the relationship between disease perception, duration of suffering, and self-care management.

Result: The study found a significant positive correlation between disease perception and self-care management (r = 0.62, p < 0.01). Additionally, patients with a longer duration of suffering demonstrated better self-care practices (r = 0.45, p < 0.05). Multiple regression analysis revealed that disease perception was a stronger predictor of self-care management than duration of illness (Î² = 0.58, p < 0.01).

Conclusion: A higher perception of the seriousness and controllability of diabetes mellitus positively influences patients' self-care management. Duration of illness also contributes, though to a lesser extent. Health practitioners should enhance patientsâ€™ understanding and perception of their disease to improve self-care outcomes.

Optimizing the Role of Family Nurses in Improving Community Health A Holistic Approach: Literature Review

Hijrah Hijrah — 2025-06-01

Introduction: Community health is an important foundation in improving the quality of life of the community as a whole. Family caregivers are the vanguard in promoting health, preventing disease, and empowering families to be agents of change. A holistic approach focusing on physical, emotional, social, and environmental aspects has optimised community health outcomes. This study aims to analyze a wide range of literature on family nursing interventions with a holistic approach to improving community health.

Methods: This study uses a systematic literature review method. The studied articles were obtained from electronic databases such as PubMed, Scopus, and CINAHL, with a publication range between 2015 and 2025. The keywords include family nursing, community health, holistic approach, and nursing intervention. Selection was made based on inclusion criteria: empirical research articles, a focus on the role of family caregivers, and the application of a holistic approach. A total of 35 selected articles were analyzed using a narrative synthesis approach to identify key themes.

Results: The study shows that a holistic approach in family nursing practice consistently contributes to improved healthy living behaviours, family-based management of chronic diseases, and increased access to primary health services. Key success factors include strengthening therapeutic relationships between nurses and families, using empathy-based communication, and actively involving families in the health decision-making process.

Conclusions: This literature review reinforces the evidence that optimizing the role of family caregivers through a holistic approach can improve community health effectively and sustainably. To support the sustainability of these practices, there is a need for specialized training for family nurses and the integration of family-based strategies in community health policies.

The Effectiveness of Pregnant Women's Class on the Success of Exclusive Breastfeeding

Indrawati Aris Tyarini — 2025-06-01

Introduction: Exclusive breastfeeding (EBF) during the first six months of life plays a crucial role in infant survival, growth, and development. However, the global rates of EBF remain below the recommended targets. Pregnant women's classes are designed to provide education, support, and skills necessary for successful breastfeeding practices. This study aimed to analyze the effectiveness of pregnant women's classes on the success rate of exclusive breastfeeding.

Methods: A quasi-experimental design with a posttest-only control group was employed. The study involved 120 pregnant women in their third trimester, selected through purposive sampling from two community health centers. The intervention group (n=60) participated in a structured pregnant women's class, while the control group (n=60) received standard antenatal care without additional courses. Data on breastfeeding practices were collected three months postpartum using structured interviews and analyzed using the Chi-square test and logistic regression.

Results: The study found a significantly higher rate of exclusive breastfeeding in the intervention group (78.3%) compared to the control group (53.3%) (p<0.01). Attendance in the pregnant women's class was associated with a 2.9 times higher likelihood of practicing exclusive breastfeeding (OR=2.9; 95% CI: 1.5â€“5.6). Key factors contributing to success included increased maternal knowledge, self-efficacy, and support from health educators during antenatal.

Conclusions: Participation in pregnant women's classes effectively increases the success rate of exclusive breastfeeding. Integrating structured breastfeeding education into routine antenatal care is recommended to improve maternal practices and promote better infant health outcomes.

Analysis of the causes of diabetes mellitus occurrence in the chronic disease management program

Nur Sabriyah Latif — 2025-06-02

Introduction: The Chronic Disease Management Program (Prolanis) is a health service system carried out with a proactive approach whose implementation involves participants, health facilities, and BPJS health for chronic disease sufferers. The purpose of this study was to determine the factors that influence the incidence of diabetes mellitus in Prolanis participants at the Pangkajene Health Center, Sidrap Regency.

Research Methodology: The type of research used is cross-sectional study research, which is a study where independent variables/causal factors/physical factors and dependent variables/consequential factors/effect factors are collected at the same time, which was carried out at the Pangkajene Health Center, Sidrap Regency, in the period March-April 2024 with a total of 68 participants.

Result: The results of the study showed that the variables of age (Ï=0.031), obesity (Ï=0.002), diet (Ï=0.026), and genetic history (Ï=0.005) had an influence on the incidence of diabetes mellitus in Prolanis participants at the Pangkajene Health Center, Sidrap Regency.

Conclusion: The age variable is the variable that most influences the incidence of Diabetes Mellitus. There is a need for early detection in people who have a genetic history of diabetes mellitus and increasing community participation in Prolanis activities in order to be able to monitor degenerative diseases

The level of public knowledge on the use of mefenamic acid painkillers

Muhammad Farid Hasyim — 2025-06-02

Introduction: Mefenamic acid is a non-steroidal anti-inflammatory drug (NSAID) with analgesic, anti-inflammatory, and antipyretic effects. This medication is used for mild to moderate pain, including headaches, toothaches, postoperative and postpartum pain, dysmenorrhea, and osteoarthritis. This study aims to provide an overview of public knowledge about mefenamic acid pain relievers.

Method: This study uses quantitative descriptive research, which conducts direct research on respondents (the community) who are taken as research subjects. This study describes the level of public knowledge about mefenamic acid anti-pain.

Results: The most users of mefenamic acid are women, which is 49 people (62.12%), with the most vulnerable age, namely 17-25 years old, as many as 26 people (35.62%), with the most work, which is not working as many as 37 people (50.68%), with the last education of each respondent in high school, which is 35 people (47.95%). Patient knowledge about the use of mefenamic acid reached 75.02%, which was obtained from the processing of data from community research on mefenamic acid, including quite good knowledge.

Conclusion: Mefenamic acid is more commonly found in women, especially in young age groups. Most users are unemployed and have a high school-level education background. The level of public knowledge about the use of mefenamic acid is quite good, but further educational efforts are still needed to increase a more comprehensive understanding of the use of the drug. It is recommended that regular counseling be carried out on the appropriate and rational use of drugs, especially for young age groups and people who do not have a background in health education.

Impact of PPE availability and safety training on occupational health implementation in rural construction projects: a cross-sectional study

Yusriyanto Yusriyanto — 2025-06-10

Introduction: The construction sector remains one of the most hazardous industries worldwide, with significantly higher rates of fatal and major injuries. In Indonesia, construction accidents contribute to a considerable proportion of national occupational incidents. This study evaluates the implementation of Occupational Health and Safety (OHS) programs in a rural water supply infrastructure project.

Method: A cross-sectional quantitative study was conducted involving 54 construction workers selected through total sampling. The study assessed three key variables: availability of Personal Protective Equipment (PPE), PPE usage, and OHS training participation. Data were collected through structured interviews and direct observation. Statistical analysis was performed using the Chi-Square test with a significance level 0.05.

Results: The study found significant associations between OHS program implementation and PPE availability (p = 0.003), PPE usage (p = 0.001), and OHS training (p = 0.008). Workers with complete PPE availability and proper usage and those who had received safety training demonstrated a higher adherence to OHS protocols.

Conclusion: The successful implementation of OHS programs in construction sites, particularly in rural water infrastructure projects, relies heavily on the availability and use of PPE and structured safety training. Strengthening these components can lead to a safer work environment and significantly reduce workplace accidents

Level of public knowledge on the principle of DAGUSIBU in antacid drugs at thalhah pharmacy

Herman Herman — 2025-06-17

Introduction: Antacids are commonly used over-the-counter medications for treating gastritis, yet public knowledge regarding their proper use remains limited. The DAGUSIBU (Obtain, Use, Store, Dispose) campaign by the Indonesian Pharmacists Association aims to improve rational drug use among the community. However, initial observation at Thalhah Pharmacy in Makassar revealed a lack of counseling related to DAGUSIBU principles. This study aims to assess the level of public knowledge regarding the DAGUSIBU principles related to antacid use at Thalhah Pharmacy.

Method: This was a descriptive study using a survey method. A total of 48 respondents were selected from 90 pharmacy visitors through accidental sampling using the Slovin formula. Data were collected using a Likert-scale questionnaire and analyzed using Microsoft Excel, with results presented in percentage tables and categorized into three levels: good, fair, and poor.

Results: Findings show that 73.25% of respondents had good knowledge, 20.82% had fair knowledge, and 5.91% had poor knowledge of DAGUSIBU principles. Knowledge of obtaining antacids was good (77.8%), while use (59%), storage (58%), and disposal (43.7%) scored moderately.

Conclusion: The public demonstrates adequate knowledge in obtaining antacids, but further education is needed in the areas of usage, storage, and disposal to support safe and responsible self-medication practices

Effect of family history on the incidence of hypertension in the pre-elderly

Susniati Susniati — 2025-06-19

Introduction: Hypertension is a significant public health issue, particularly in pre-elderly populations, and can lead to various chronic diseases if not properly managed. This study aims to investigate the effect of family history on the incidence of hypertension in the pre-elderly population.

Method: A quantitative research design with a case-control approach was employed, involving 42 respondents (21 cases and 21 controls). Data were collected using a questionnaire and analyzed with the Chi-square test.

Results: The findings revealed a significant association between family history and the occurrence of hypertension in the pre-elderly, with a p-value of 0.000. Conversely, no significant relationship was found between physical activity and hypertension incidence (p-value = 0.634).

Conclusion: The study concludes that family history is a significant risk factor for hypertension in the pre-elderly. At the same time, physical activity does not appear to influence the condition in this group. Regular monitoring and management of blood pressure, particularly for those with a family history of hypertension, are crucial for preventing the development of hypertension in the pre-elderly population

The relationship between knowledge and parity with parental participation in child developmental screening

Titin Novayanti Dey — 2025-06-23

Introduction: Child development is a fundamental aspect determining their future quality of life. Stunting, as a long-term nutritional disorder, remains a significant health issue in Indonesia, with a prevalence of 30.8%, according to Riskesdas 2018. Developmental check-ups play a key role in detecting developmental deviations. Yet, parental involvement remains low and is closely related to the level of understanding and number of children they have.

Method: his research employed a cross-sectional approach using a questionnaire on parental knowledge and participation in child development screening, involving 47 respondents.

Results: Chi-square test results showed a significant correlation between knowledge level and parental participation (p=0.01), while parity was not significantly associated with parental involvement (p=0.60).

Conclusion: The analysis results indicate a significant relationship between knowledge and parental participation in child developmental screening, whereas parity does not show a statistically significant relationship with parental involvement.