Journal Title:Jurnal Pengabdian Ilmu Kesehatan (JPIKes) Initials:JPIKes Frequency:Maret, Juli, dan November. Print ISSN: 2827-9212 Online ISSN:2827-9204 Editor in Chief: Dr. apt. Budiastuti, M,.Si. DOI: 10.55606 Publisher: Lembaga Pengembangan Kinerja Dosen Jurnal Pengabdian Ilmu Kesehatan (JPIKes): ISSN: 2827-9212(cetak), ISSN: 2827-9204 (Online) menerima naskah publikasi dari hasil pengabdian kepada masyarakat yang belum pernah dipublikasikan di tempat lain dalam bentuk cetakan maupun digital (e-journal).Jurnal ini terakreditasi SINTA 4 (Surat Keputusan Direktur Jenderal Pendidikan Tinggi, Riset, dan Teknologi Nomor 0173/C3/DT.05.00/2025 tanggal 21 Maret 2025 tentang Peringkat Akreditasi Jurnal Ilmiah Periode I Tahun 2025) dimulai dari Volume 2 Nomor 3 Tahun 2022 sampai Volume 7 Nomor 2 Tahun 2027. Jurnal Pengabdian Ilmu Kesehatan (JPIKes) mencakup pengabdian kepada masyarakat di bidang ilmu kesehatan. Kami menyediakan akses terbuka (open access) bagi para akademisi dan praktisi serta mahasiswa kesehatan yang ingin mendapatkan artikel dalam Jurnal Pengabdian Ilmu Kesehatan (JPIKes). Indexed by: Journal Sponsors and Partners :
Edukasi dan Deteksi Dini Skizofrenia Berbasis Keluarga di Wilayah Kerja Puskesmas Talang Jaya Betung Tahun 2025
Schizophrenia is a chronic mental disorder that significantly impacts social functioning, quality of life, and burdens families and communities. According to data from the Talang Jaya Betung Community Health Center, the number of schizophrenia cases increased from 45 in 2021 to 60 in 2024. This situation highlights the need for promotive and preventive efforts focused on improving public understanding of risk factors and the importance of early detection of schizophrenia. This community service activity aims to increase public and family knowledge about schizophrenia, its risk factors, and prevention efforts through a family-based educational approach. The implementation methods included mental health education, interactive discussions, distribution of educational media, and initial screening for schizophrenia risk factors in the community within the Talang Jaya Betung Community Health Center's work area. The target group was families with members at risk of mental disorders and the general public. Results showed increased public knowledge regarding the signs and symptoms of schizophrenia, risk factors such as family income, parenting styles, and family history, and increased awareness of the importance of the family's role in the prevention and early detection of schizophrenia. Furthermore, this activity also strengthens the role of health cadres in promoting mental health in the community. This community service activity is expected to contribute to reducing the risk of schizophrenia by strengthening the role of families and communities, as well as supporting community health center programs in promotive and preventive mental health efforts.
Copyright (c) 2025 Jurnal Pengabdian Ilmu Kesehatan https://creativecommons.org/licenses/by-sa/4.0
Efektivitas Senam Nyeri Haid (Dysmenorrhea Gymnastics) terhadap Penurunan Intensitas Nyeri pada Remaja Putri
Primary dysmenorrhea is a widespread condition affecting many adolescent girls, taking a serious toll on both their general well-being and their success in the classroom. Non-pharmacological interventions, such as dysmenorrhea exercises, are essential as safe alternatives to mitigate reliance on long-term analgesic use. The primary objective of this study was to evaluate whether dysmenorrhea exercises could effectively mitigate menstrual pain intensity in adolescent girls at SMPN 2 Sleman, Yogyakarta. The research was conducted using a quantitative pre-experimental approach with a one-group pretest-posttest design. The participants consisted of 18 female students selected via purposive sampling based on specific inclusion criteria (aged 12–14 years, experiencing menstrual pain, and having regular menstrual cycles). The exercise intervention was administered over two days, with a duration of 15–30 minutes per session. Pain intensity was measured using the Numeric Rating Scale (NRS). Data was analyzed using the Wilcoxon Signed-Rank Test with a significance level of α < 0.05. The results indicated a significant decrease in the mean pain score from 5.78 (pre-test) to 2.56 (post-test). The statistical test yielded a p-value of 0.000. A clinically meaningful change was observed, where the majority of respondents (88.9%) reported mild pain after the intervention, compared to the pre-intervention condition dominated by moderate pain (77.8%). These findings demonstrate that dysmenorrhea exercises are significantly effective in reducing dysmenorrhea pain intensity among adolescent girls. Consequently, this intervention is recommended as a non-pharmacological pain management strategy in school settings.
Efektivitas Metode Edukasi Partisipatif (Simulasi Dan Role Play) dalam Penguatan Literasi Kesehatan Reproduksi Keluarga pada Calon Pengantin di Kantor Urusan Agama Kota Bandung
Introduction: Premarital reproductive health readiness is a vital foundation for building quality families (Sakinah). The Ministry of Religious Affairs' Marriage Guidance Program serves as a strategic platform for this intervention. This study aims to analyze the effectiveness of participatory education methods in strengthening Prospective Couples' (Catin) literacy and communication skills regarding reproductive health. Method: The activity was conducted in 10 face-to-face sessions throughout 2022 at 10 Religious Affairs Offices (KUA) across Bandung City, involving $\pm 300$ Catins. This research employed a Pure Qualitative Descriptive design. Data were collected through Participatory Observation and Verbal Feedback to analyze the process, interactions, and success of implementing Discussion, Simulation, and Role Play methods. Results: The Marriage Guidance Program proved to be effective in terms of process and interaction. Observation revealed very high Catin participation levels and the significant success of the role play method in breaking down communication barriers regarding sensitive issues. The key finding was the improvement in Catin's practical communication skills, particularly in training husbands' empathetic attitudes toward wives' special conditions and wives' ability to dialogue their health needs, in accordance with religious and health ethics. Conclusion: Participatory education methods are highly effective in transferring psychosocial and communication skills, making The Marriage Guidance Program a sustainable upstream health promotion strategy that deserves reinforcement and institutionalization.
Copyright (c) 2026 Jurnal Pengabdian Ilmu Kesehatan https://creativecommons.org/licenses/by-sa/4.0
Edukasi Kesehatan Remaja dan Pengelolaan Sampah Organik untuk Pencegahan DBD di SMPN 3 Ubud
The health-related issues identified indicate that students have not yet developed sufficient skills in managing the School Health Unit (UKS), and existing health education programs have not been implemented optimally. From an educational perspective, students are proficient in only one foreign language, namely English, which may limit their broader communication competencies. Economically, many students’ parents work as traders and tour guides, highlighting the importance of equipping students with basic entrepreneurial and financial management skills from an early age. Socially and culturally, instances of bullying have been reported, while from an environmental perspective, students demonstrate limited understanding of proper organic and non-organic waste management. Based on fields assessment, the priority issues identified include strengthening adolescent health programs and utilizing school land to support food security initiatives. In response, the community service implementation team formulated integrated solutions addressing adolescent health, environmental health, and economic empowerment. In the health sector, the intervention focused on adolescent health education emphasizing reproductive health, balanced nutrition, and clean and healthy living behaviors. To support environmental health, demonstrations on processing organic waste into compost and using it as planting media for vegetables and fruits within the school environment were conducted, aiming to reduce mosquito breeding and prevent dengue transmission. In the economic sector, mental accounting training was provided to improve students’ financial literacy and personal financial management skills. The activities were delivered through presentations and interactive discussions. The results indicate that the program was effective as a promotive and preventive strategy to improve adolescent health and financial awareness.
Analisis Faktor - Faktor yang Berhubungan dengan Kehamilan pada Remaja Putri di Wilayah Kerja Puskesmas Cerme Kabupaten Gresik Tahun 2025
Cerme District in Gresik Regency has one of the highest rates of adolescent pregnancy, with 187 cases recorded in 2023 and 118 cases in 2024, according to the Gresik Regency Health Office (2025). This indicates that adolescent pregnancy remains a critical issue. Factors contributing to this issue include low reproductive health knowledge, insufficient parental involvement in sexuality education, and negative peer influence. This study used a quantitative approach with a cross-sectional design, focusing on adolescent girls aged 11-20 years in the Cerme Public Health Center area. A sample of 98 respondents was selected through random sampling. Data was collected using structured questionnaires and analyzed using univariate and bivariate analyses with the Chi-Square test (p < 0.05). Results showed that most respondents were aged 14-16 years, with menarche occurring between 11-15 years, and their parents' education level was mainly senior high school. Most adolescents had good knowledge of pregnancy (96.9%), with 53% reporting good parental involvement, and 49% reported poor peer influence. The Fisher Exact Test indicated no significant relationship between knowledge and adolescent pregnancy (p = 0.228), but a significant relationship was found between parental role (p = 0.023) and peer influence (p = 0.006) with adolescent pregnancy. In conclusion, strengthening reproductive health education and improving communication between parents and children are essential to preventing adolescent pregnancy.
Implementasi Program Pelayanan Kesehatan Posyandu Mawar dalam Menekan Angka Stunting di RW 15 Kecamatan Tarogong Kidul Kabupaten Garut
Stunting is a chronic nutritional problem that impacts children's physical growth and cognitive development and poses a serious challenge to improving the quality of human resources in Indonesia. Garut Regency still faces high stunting rates, particularly in neighborhood unit (RW) 15, Jayaraga Village, Tarogong Kidul District. Through this Community Service Program (PKM), the team is working to reduce stunting rates by implementing health services at the Mawar Integrated Health Post (Posyandu Mawar). This program aims to increase community knowledge about the importance of balanced nutrition, exclusive breastfeeding, and monitoring child growth and development. Activities include outreach, toddler examinations, and training on making supplementary foods using local ingredients, involving Posyandu cadres and local health workers. Results indicate increased public understanding and awareness of stunting prevention and increased community participation in Posyandu activities. This program is considered effective in strengthening the role of Posyandu as the frontline provider of public health services, although program sustainability and cross-sector synergy are still needed to achieve optimal results.
Pengaruh Edukasi PHBS Terhadap Tingkat Pengetahuan Remaja Putri Sebagai Upaya Pencegahan Stunting di SMP ITech Pasim Ar-Rayyan
Stunting remains a major public health problem caused by chronic malnutrition and poor sanitation practices, particularly in developing countries. Adolescents, especially girls, play a crucial role in stunting prevention as future mothers, yet their knowledge related to clean and healthy living behaviors is often limited. This study aimed to analyze the effect of Clean and Healthy Living Behavior (PHBS) education on the knowledge level of adolescent girls as an effort to prevent stunting. A quantitative pre-experimental study with a one-group pretest–posttest design was conducted among 68 female students at SMP ITech Pasim Ar-Rayyan using total sampling. Data were collected through structured pretest and posttest questionnaires, followed by PHBS education delivered through lectures and discussions. Data analysis included univariate analysis and bivariate analysis using the Wilcoxon test. The results showed a substantial increase in the mean knowledge score from 65.22 before the intervention to 98.09 after the intervention, with a statistically significant difference (p < 0.001). These findings indicate that PHBS education significantly improves adolescents’ knowledge regarding stunting prevention. This study implies that structured health education programs in junior high schools are effective strategies to strengthen early stunting prevention efforts and promote long-term healthy behaviors among adolescent girls
Hubungan Tingkat Ansietas dengan Kejadian Tension-Type Headache pada Mahasiswa Rumpun Teknik Fakultas Sains dan Teknik Universitas Nusa Cendana
Tension-Type Headache (TTH) is the most common type of primary headache and is often associated with psychological conditions, particularly anxiety. Engineering students represent a vulnerable population due to high academic demands, stress, and lifestyle factors. This community service activity aimed to increase awareness, knowledge, and early detection of the relationship between anxiety levels and the occurrence of TTH among Engineering students of the Faculty of Science and Engineering, Universitas Nusa Cendana. The activity was implemented through health education sessions, anxiety screening using the Zung Self-Rating Anxiety Scale (SAS), and TTH screening using the Headache Screening Questionnaire (HSQ). A total of 72 Engineering students from the 2022–2024 cohorts participated in the program through proportionate stratified random sampling. The results showed a high prevalence of anxiety (83.3%), predominantly mild to moderate anxiety, and a high prevalence of TTH (66.7%). The screening results indicated a positive tendency between anxiety levels and the occurrence of TTH. This community service activity enhanced students’ understanding of mental health, stress management, and headache prevention. The program is expected to support the development of promotive and preventive mental health initiatives for university students, particularly within engineering education settings.
Pengaruh Edukasi Kesehatan Berbasis Pendekatan Health Belief Model (HBM) terhadap Peningkatan Motivasi Minum Obat pada Pasien TB Paru di Kelurahan Sindangsari
Pulmonary tuberculosis remains a major public health problem, with medication non-adherence being a key challenge in achieving optimal treatment outcomes. Low motivation to take medication regularly increases the risk of treatment failure and drug resistance. This study aimed to analyze the effect of health education based on the Health Belief Model (HBM) on improving medication-taking motivation among pulmonary tuberculosis patients. A quantitative pre-experimental study with a one-group pretest–posttest design was conducted at Cikundul Public Health Center from October 2025 to January 2026. The study involved 15 pulmonary tuberculosis patients selected using total sampling. Data were collected using a validated and reliable motivation questionnaire administered before and after HBM-based health education. Data analysis included univariate analysis and bivariate analysis using the Wilcoxon Signed Rank Test. The results showed a significant increase in patients’ motivation to take medication after the intervention, with all respondents reaching a good motivation level in the posttest. Statistical analysis revealed a significant difference between pretest and posttest motivation scores (p < 0.001). These findings indicate that HBM-based health education has a significant positive effect on improving medication-taking motivation among pulmonary tuberculosis patients. The study implies that integrating HBM-based educational interventions into routine tuberculosis care may enhance treatment adherence and support the success of tuberculosis control programs.
Cognitive impairment is a common post-stroke consequence that has a significant impact on the patient's daily functioning and quality of life. This article presents a literature review of six recent studies, consisting of three multicenter cohort studies, two systematic review studies and meta-analysis, and one cross-sectional study, to examine the characteristics and implications of post-stroke cognitive decline. The findings show that post-stroke cognitive impairment is strongly correlated with activity limitations in both the early and long-term phases, as well as restrictions on participation in community life. In addition, cognitive impairment contributes to a higher functional load and decreases the patient's social adaptability. The various cognitive assessment instruments used in these studies emphasized the importance of early cognitive evaluation to detect cognitive impairment, predict functional outcomes, and design targeted rehabilitation interventions. The clinical implications of this review emphasize the need to integrate cognitive assessment into stroke care standards to improve rehabilitation effectiveness, support patient self-recovery, and improve long-term quality of life.
Kegiatan Sosialisasi Penyakit Lepra dalam Upaya Menurunkan Kasus Kejadian Lepra di Wilayah Kerja Puskesmas Kresek, Kecamatan Kresek, Kabupaten Tangerang, Provinsi Banten
Leprosy is a neglected tropical disease with more than 200,000 new cases annually. Indonesia ranks third with the most cases. The Banten Provincial Health Office recorded 7 new cases of leprosy in June 2024. Early diagnosis and immediate treatment can prevent disability, and early detection and prevention can break the chain of transmission. This study aimed to reduce the number of new cases and carry out leprosy prevention efforts in Puskesmas Kresek area, Kresek District, Tangerang Regency, Banten Province. The method of this social activity used an active participatory and health education approach that involve the active participation of activity participants. The activity stages include coordination with stakeholders, knowledge surveys, development of socialization materials, provision of socialization materials, and activity evaluation. Based on the results of the activity, it shows a significant increase in participant knowledge (p value <0.05) as examined by the post-test results, namely, 24 (92.30%) of 26 participants and the screening results found one new case of leprosy. Lifestyle factors are the main cause of the increase in new cases of leprosy in the Puskesmas Kresek area. Therefore, this social activity is expected to increase public knowledge about leprosy and how to prevent it, thereby breaking the chain of transmission and reducing the number of new leprosy cases.
Managing Excessive Gum Display Caused By Hyperactive Lip Movement with Coronally Placed Vestibulum
An excessive gum display (EGD) refers to a smile that displays more than 2 mm of visible gingiva. Among dental patients, it is a prevalent aesthetic issue. It influences both psychological and aesthetic status since it typically lowers self-confidence. EGD is considered unaesthetic when smiling, thus many patients seek treatment to manage this condition. The etiology of EGD varies, with hypermobile upper lip (HUL) as the most predominant. HUL is defined as more than 8 mm of upper lip movement from rest to maximum smile. This article will discuss about the management of EGD caused by HUL, treated with coronally placed vestibulum. Case: A 28-year-old male patient came with a complaint of disproportionate gingival display. The patient felt that his gums were exposed too much when smiling. The patient was not confident with the condition. On maximum smile, 6 mm of gingiva was displayed due to hypermobile upper lip. The diagnose of excessive gum display was established. The treatment was coronally placed vestibulum, which done by relocating the attachment between the mucosa and the attached gingiva closer to the coronal. Follow-up results after 3 months showed a noticeable decrease in excessive gingival display. Discussion: Coronally placed vestibulum is performed on cases of EGD with the etiology of HUL. Through this procedure, the vestibule's limiting muscular pull is narrowed, reducing gingival display when smiling. Conclusion: Coronally placed vestibulum is a less-invasive treatment of choice for EGD caused by HUL.
Peran Kepala Ruangan dalam Peningkatan Kepuasan Kerja Perawat
Continuous changes in society and its environment require the nursing profession to adapt and evolve. Nursing, as an integral part of society, will become irrelevant if it does not renew itself in terms of managing and organizing its professional life. This study aims to analyze the influence of the role of the head nurse on the performance of nurses in providing nursing care. The research method used is an analytical survey with a cross-sectional approach. Data collection was carried out using a questionnaire, then analyzed with a linear regression test at a significance level of α < 0.05. The results of the analysis show that the role of the ward head has an influence on the performance of practicing nurses in providing nursing care, which includes the functions of planning (ρ = 0.007), organizing (ρ = 0.005), directing (ρ = 0.008), and supervising (ρ = 0.006). These findings indicate that the managerial functions of the ward head play an important role in supporting the improvement of the performance of practicing nurses. Therefore, it is necessary to improve the managerial skills of ward heads in managing nursing services, provide ward management training for ward heads who do not yet have certification, and develop a competency-based ward head selection and appointment policy.
Evaluasi Penggunaan Obat Rumah Tangga di Kabupaten Bandung dan Kabupaten Bandung Barat
Irrational drug use in the community remains a significant health problem. Different geographic and demographic characteristics can influence drug use patterns and the problems that arise. This study aims to evaluate and compare household drug use patterns between Bandung Regency and West Bandung Regency. The study was conducted in January 2026 using a cross-sectional method with a door-to-door approach in Ibun Village (Bandung Regency, n=44) and Cibodas-Langensari Village (West Bandung Regency, n=26). Data were collected through structured interviews covering drug types, usage problems, and education provided. Analysis was conducted descriptively and comparatively. Significant differences were found between the two regions. Bandung Regency was dominated by analgesic-antipyretic drugs (34.1%) for acute diseases, while West Bandung Regency had more antihypertensive drugs (14.6%) and antidiabetic drugs (8.0%) for chronic diseases (45.1% of households owned chronic disease medications). The problem of incorrect dosage in West Bandung Regency (76.9%) was significantly higher than in Bandung Regency (31.8%). Non-prescription drug use was higher in Bandung Regency (31.8% vs. 11.5%). Education was tailored to the problem profile of each region. Differences in health profiles and drug use patterns between the two regions require tailored intervention approaches. Bandung Regency requires education on prescription drug use and access to healthcare, while West Bandung Regency requires a specific program for chronic disease management and intensive drug dosage education.
Optimalisasi Layanan KB, Reproduksi Remaja Melalui Manajemen Keperawatan Primer
Family Planning (FP) and reproductive health consultation and counseling are essential strategies to improve adolescents’ knowledge, attitudes, and skills in preventing unintended pregnancy, sexually transmitted infections, and other reproductive health problems. This community service activity was conducted in Pupuan, Tabanan, on August 19th, 2025, using a nursing management–based approach in primary health care services, including planning, organizing, implementation, and evaluation of FP and reproductive health consultation and counseling for adolescents. The methods consisted of group health education, interactive discussions, and individual counseling delivered in structured service areas (registration and IEC desk, waiting area, private counseling room, interactive education room, and digital information booth) supported by presentation media, educational videos, and printed materials. The results showed an increase in adolescents’ knowledge and understanding regarding FP concepts, contraceptive methods, physical and psychosocial changes during adolescence, and the importance of maintaining reproductive health, as reflected in higher post-test scores and active participation during the sessions. Implementation of nursing management principles in service flow arrangement and nurses’ roles supported service quality, indicated by more orderly service flow, comfortable counseling atmosphere, and positive feedback on the clarity of information and the friendliness of providers. This program recommends strengthening and replicating FP and reproductive health consultation and counseling models based on nursing management in other primary health care centers as part of efforts to improve primary health care quality and achieve national FP and reproductive health targets.
Pelvic Congestion Syndrome in a Post-Cesarean Section and Postpartum Patient
Pelvic Congestion Syndrome (PCS) is a recognized cause of chronic pelvic pain resulting from impaired venous drainage and is most commonly observed in multiparous women. Pregnancy, hormonal changes, and cesarean delivery are known risk factors for this condition. This study was designed as a descriptive case study to illustrate the clinical identification and multidisciplinary management of PCS in a postpartum patient following cesarean section. We report the case of a 38-year-old woman (P3A0) who presented 24 hours after cesarean section with abdominal bloating and leg swelling. Physical examination revealed a well-healed surgical incision, a uterine fundal height two fingerbreadths above the symphysis pubis, mild lower-limb edema, and pelvic tenderness. Pelvic ultrasonography demonstrated dilated and tortuous adnexal veins, more prominent on the left side, findings consistent with PCS. Multidisciplinary management involving obstetrics, internal medicine, and radiology played a crucial role in establishing an accurate diagnosis and initiating effective treatment. Early recognition and coordinated care were essential in preventing progression to chronic pelvic complications. This case highlights the importance of considering PCS in postpartum women presenting with unexplained pelvic pain or edema, as timely diagnosis and appropriate management can improve outcomes and reduce long-term morbidity.
Respon Medis Terpadu dan Pelayanan Kesehatan Darurat Pasca Bencana Banjir di Kecamatan Barus Kabupaten Tapanuli Tengah
Floods and landslides in Central Tapanuli Regency have paralyzed health infrastructure and increased the risk of infectious diseases among vulnerable groups. This community service aims to restore access to health services and prevent outbreaks through a comprehensive medical response. The method utilized a collaborative Comprehensive Emergency Response approach, including curative medical services (mobile clinic), pharmaceutical logistics distribution, nutritional intervention, and psychosocial support. The activities were conducted in the working area of Barus Public Health Center (Puskesmas) in December 2025. The results showed that the medical team successfully treated over 245 patients, predominantly suffering from URI and dermatitis, and performed circumcision for 12 children. In addition to medical services, 38,802 units of medicine, 1,538 units of medical equipment, and 300 packages of supplementary food for pregnant women and toddlers were distributed. This intervention not only reduced physical morbidity and psychological trauma but also revitalized the functionality of the local Puskesmas through logistical stock support. It is concluded that the integration of mobile medical services and supply chain strengthening is effective in mitigating the impact of disasters in isolated areas.
Hubungan Antara Tingkat Kecemasan, Pola Makan, dan Indeks Massa Tubuh (IMT) Terhadap Gangguan Siklus Menstruasi pada Remaja Putri Kelas 12 di SMAN 1 Praya
Menstrual cycle disorders are a reproductive health problem frequently experienced by adolescent girls and are influenced by psychological factors and nutritional status. This study aims to analyze the relationship between anxiety levels, diet, and body mass index (BMI) with menstrual cycle disorders in 12th-grade female adolescents at SMAN 1 Praya. The study used a cross-sectional design with 183 respondents selected by purposive sampling. Data were collected through the DASS-21 (Anxiety Spectrum) questionnaire, FFQ (Food Frequency Questionnaire), anthropometric measurements, and menstrual cycle questionnaires, then analyzed using the Spearman Rank test (α = 0.05). The results showed that 37.2% of respondents experienced menstrual cycle disorders. There was a significant relationship between anxiety (rs = 0.420; PR = 2.31), diet (rs = −0.395; PR = 2.80), and BMI (rs = 0.188; PR = 2.20) with menstrual cycle disorders (p < 0.05). It was concluded that anxiety, diet, and BMI play a role as risk factors for menstrual cycle disorders in adolescent girls, so that promotive interventions are needed through mental health education, nutritional improvement, and monitoring of nutritional status in schools.
Intervensi Edukasi Penanggulangan Stunting di Desa Oben
Stunting in children under five is a public health problem that has an impact on physical growth, cognitive development, and the quality of human resources in the future. Stunting prevention efforts require the active involvement of the community, especially mothers as the main caregivers, to increase understanding of balanced nutrition and healthy living behaviors. This community service activity aims to increase the knowledge and awareness of mothers under five about stunting prevention through a health education intervention which was held on November 30 in Oben Village involving 50 mothers under five. The method used is a group design with a pre-test and post-test approach. The stages of the activity include filling out a pre-test questionnaire, providing educational materials about the definition, causative factors, impacts, and efforts to overcome stunting using the lecture method and leaflet media, then ending with filling out a post-test questionnaire. The results of the evaluation showed an increase in the knowledge score of mothers under five after the educational intervention. This indicates that community-based health education with the support of leaflet media is effective in increasing the understanding of mothers under five related to stunting prevention. This program can be a sustainable promotive-preventive strategy to improve the health status of toddlers and strengthen the role of the family in maintaining children's growth and development.
Pengabdian Kepada Masyarakat Melalui Edukasi Pengelolahan Sampah Menjadi Nilai Ekonomis di RW 13 Bekasi
Waste is the residue of human activities or materials that are no longer used and are discarded. In various countries, especially in Indonesia, the waste problem remains a major issue that is difficult to resolve because people are not yet aware of the dangers that can be caused by waste. Plastic waste can be created into various handicrafts such as tissue holders, cup holders, accessories and other home decorations. The purpose of this activity is to increase the community's knowledge and skills in managing plastic waste in the home and surrounding environment. This goal is achieved through the implementation of socialization of plastic waste utilization involving housewives from the Family Empowerment and Welfare Group (PKK) to teach how to process the waste. This activity is taught using the reuse method, where waste found in the home and the surrounding environment is reprocessed into products that are useful and have economic value. Participants in the socialization are taught to process waste into various handicrafts such as wall hangings, flower vases, bags, wallets, etc. These crafts can be used at home and can be sold, the proceeds of which can be used to support the PKK activities themselves, including for purchasing consumption activities carried out by the PKK Group. This activity successfully increased the knowledge of the participants, as evidenced by the results of a questionnaire distributed to show that 85% of participants had a very good understanding of the handicraft making techniques taught. This activity was integrated into Family Welfare Movement (PKK) activities to support the skills of housewives and future community empowerment.
Kampanye Advokasi Kesehatan Berbasis Precede-Proceed untuk Pencegahan dan Pengendalian Hipertensi di Wilayah Kerja Puskesmas Pannambungan Makassar
Hypertension is a significant public health problem in the working area of Puskesmas Pannambungan Makassar. Data indicates high prevalence of hypertension with low case detection and treatment rates in the community, highlighting the need for comprehensive health education and advocacy efforts. This community service activity aims to implement a health advocacy campaign based on the PRECEDE-PROCEED framework to improve community knowledge, attitudes, and behaviors in hypertension prevention and control in the working area of Puskesmas Pannambungan Makassar. Community service was carried out using a participatory approach applying the PRECEDE-PROCEED framework through several stages: (1) community needs analysis, (2) stakeholder mapping, (3) design and implementation of multi-channel campaigns, and (4) monitoring and evaluation. Activities involved the community, Puskesmas Pannambungan health workers, health cadres, and local stakeholders. Community service activities successfully identified six critical hypertension issues in the target area, conducted Posbindu health cadre training, blood pressure screening campaigns, healthy lifestyle counseling, and multi-channel educational media dissemination. Active community participation and cross-stakeholder synergy significantly improved program outcomes. PRECEDE-PROCEED based health advocacy campaigns are effective as a systematic approach to improving hypertension awareness and control in the working area of Puskesmas Pannambungan Makassar. Program sustainability requires commitment from all stakeholders and adequate resource allocation.
Efektivitas Implementasi Ronde Keperawatan terhadap Kualitas Asuhan Keperawatan dan Kepuasan Kerja Perawat di Ruang Rawat Inap Rumah Sakit: Literatur Review
Nursing rounds are a nursing management strategy aimed at improving the quality of nursing care through structured clinical communication, continuous evaluation, and active nurse involvement in clinical decision-making. Previous studies have reported that the implementation of nursing rounds can enhance nursing performance, patient safety, and nurses’ job satisfaction; however, research findings remain inconsistent.This literature review aimed to analyze the effectiveness of nursing round implementation on the quality of nursing care and nurses’ job satisfaction. MethodsThis study employed a literature review design by analyzing 20 national and international journal articles published between 2020 and 2025. Articles were retrieved from Google Scholar, PubMed, ProQuest, and ScienceDirect using keywords related to nursing rounds, quality of nursing care, and nurses’ job satisfaction. Article selection followed inclusion and exclusion criteria and adhered to PRISMA guidelines.The synthesis revealed that nursing round implementation was generally effective in improving the quality of nursing care, as indicated by enhanced nursing performance, patient safety, and continuity of care. In addition, most studies reported an improvement in nurses’ job satisfaction, particularly in terms of professionalism, practice autonomy, and teamwork. Nevertheless, several observational studies reported non- significant effects on certain clinical outcomes, which were influenced by study design variations and implementation quality.The implementation of nursing rounds is effective in improving the quality of nursing care and nurses’ job satisfaction when conducted in a structured and consistent manner with adequate managerial support. Nursing rounds are recommended as an evidence-based strategy to improve nursing service quality in hospital settings.
The Ipswich Touch Test (IpTT) Method for Early Detection of Neuropathy in Patients with Type 2 Diabetes Mellitus at General Practice of Dr. Rewin Dhillon, MBBS, Berastagi
Type 2 diabetes mellitus (T2DM) is a chronic metabolic disease characterized by hyperglycemia resulting from insulin resistance or impaired insulin secretion. One of the most common long-term complications is diabetic neuropathy, which causes peripheral nerve damage and may lead to sensory and motor disturbances, foot ulcers, and amputations. Early detection is essential to prevent disease progression. The Ipswich Touch Test (IpTT) is a simple, non-invasive, and practical screening method suitable for primary care settings. This descriptive study involves 57 patients with T2DM who met the inclusion criteria (aged >20 years, no foot ulcers, and cooperative). Samples are selected using accidental sampling. Neuropathy screening is conducted using the IpTT at six points on both feet with an observation sheet. Data are analyzed univariately and presented as frequencies and percentages. Of the 57 respondents, 50 patients (87.7%) show no signs of neuropathy, while 7 patients (12.3%) are identified as having neuropathy based on IpTT results. Most patients without neuropathy have a duration of diabetes of less than five years (82%), whereas neuropathy was more commonly found in patients with a diabetes duration of five years or more. The prevalence of diabetic neuropathy among patients with T2DM in this practice is relatively low. The duration of diabetes is presumed to be associated with neuropathy due to prolonged exposure to chronic hyperglycemia. Routine use of the IpTT in primary care is recommended for early detection and prevention of diabetic foot complications.
Hubungan Neutrophil-Lymphocyte Ratio dengan Kejadian Deep Vein Thrombosis Berdasarkan Temuan Ultrasonografi Periode Tahun 2022-2024 di RSUP Haji Adam Malik Medan
Deep vein thrombosis (DVT) demonstrates a complex correlation between thrombosis formation and inflammation, leukocytes (monocytes, lymphocytes, and neutrophils), and platelets, indicating the potential contribution of blood cellular components to the initiation and spread of DVT. Therefore, Neutrophil-Lymphocyte Ratio (NLR) has potential as a diagnostic marker for DVT. This study aimed to evaluate the relationship of NLR to the occurrence of DVT based on ultrasonography (USG) findings. This study was a retrospective, cross-sectional analytical study conducted at medical records department of Haji Adam Malik General Hospital, Medan, of patients with DVT who underwent USG and complete blood counts examination over a 2-years period, from 2022 to 2024. Descriptive statistical analysis was used to determine frequency distribution of demographic data. Inferential statistical analysis was performed to assess correlation between two variables. To determine the ability of NLR as a diagnostic marker for DVT, a Receiver Operating Characteristic (ROC) curve analysis was performed. The NLR value was significantly higher in DVT group (10.26 ± 8.51 vs. 4.26 ± 3.15; p < 0.001). The association between NLR and DVT incidence was statistically significant (p < 0.001), with patients with an NLR ≥4.35 having a 1.747-fold greater risk of developing DVT compared to patients with an NLR below that threshold. The best cutoff value for NLR as a DVT diagnostic tool was 4.35, with a sensitivity of 72.7%, specificity of 66.7%, a positive predictive value (PPV) of 82.8%, a negative predictive value (NPV) of 52.6%, with a diagnostic accuracy of 70.8%. NLR is a simple, inexpensive, and readily accessible inflammatory biomarker that can aid in risk stratification or an initial diagnostic approach to DVT.
Efektifitas Penerapan MAKP Primary Nursing dalam Meningkatkan Mutu Pelayanan dan Kepuasan Pasien: Literature Review
The Primary Nursing Professional Care Model (MAKP) is an approach to providing nursing care that emphasizes responsibility, continuity, and professionalism of nurses in delivering comprehensive care. The application of this method is believed to improve the quality of nursing services and patient satisfaction; however, research findings remain diverse, indicating the need for further study. Purpose: This literature review aims to analyze the effectiveness of the implementation of MAKP Primary Nursing in improving the quality of nursing services and patient satisfaction, assessed through pre- and post-intervention comparisons. Method: The study uses a literature review approach with the PICOT framework (Population, Intervention, Comparison, Outcome, Time). Data were collected from primary sources indexed in databases such as Google Scholar and PubMed. Inclusion criteria consisted of quantitative studies published between 2020 and 2025 that discuss MAKP Primary Nursing, nursing service quality, and patient satisfaction. Irrelevant studies were excluded, and the selected articles were analyzed using descriptive and thematic methods. Results: The findings indicate that the implementation of MAKP Primary Nursing has a positive impact on improving nursing service quality, particularly in continuity of care, therapeutic communication, patient safety, and documentation. In addition, most studies report a significant increase in patient satisfaction, especially in empathy, responsiveness, and service reliability. Conclusion: MAKP Primary Nursing is effective in improving the quality of nursing services and patient satisfaction, and it is recommended for continuous implementation in healthcare settings to enhance service quality and nurse professionalism.