Jurnal EduHealth

Evaluation of Pharmaceutical Aspects of Prescription Completeness at Hospital X in Lampung

2026-04-01T04:30:40+00:00

Prescription completeness is an essential component of pharmaceutical services as it is closely related to patient safety and the accuracy of drug therapy. Prescriptions that lack adequate pharmaceutical information may increase the risk of errors during the preparation and administration of medications. This study aimed to evaluate the completeness of prescriptions based on pharmaceutical aspects among outpatients at Hospital X in Lampung Province. A descriptive quantitative study with a cross-sectional design was conducted using secondary data from outpatient prescription records in October 2025. A total of 247 prescriptions were selected using a random sampling technique. Data analysis was performed using univariate analysis to describe the frequency distribution and percentage of completeness for pharmaceutical components, including drug name, dosage form, drug dose, quantity of drugs, and directions for use. The results showed that all prescriptions included the drug name (100%), while the quantity of drugs was documented in 99.2% of prescriptions. However, completeness in other components was still suboptimal, with drug dose documented in 62.8% of prescriptions, dosage form in 43.7%, and directions for use in only 23.5% of prescriptions. These findings indicate that although some pharmaceutical components have been documented, several essential prescription elements remain incomplete and may potentially affect the accuracy of pharmaceutical services. Therefore, improving adherence to prescription writing standards is necessary to support patient safety and the quality of healthcare services.

Implementation of Diabetes Self Management Education (DSME) Towards Reducing Blood Glucose Levels in Patients With Type II Diabetes Mellitus in the Wijaya 4 Room of X

2026-01-17T03:20:40+00:00

Diabetes mellitus type II is a chronic metabolic disease characterized by elevated blood glucose levels and requires effective self-management to prevent complications. This study aimed to describe the effect of Diabetes Self-Management Education (DSME) on reducing blood glucose levels in patients with type II diabetes mellitus in the Wijaya Kusuma 4 Ward of RSUD Dr. Adhyatma, MPH, Central Java Province. A descriptive case study design was used involving two patients with type II diabetes mellitus. Data were collected through interviews, observations, blood glucose measurements, and the Diabetes Knowledge Questionnaire (DKQ-24). DSME was implemented in four structured sessions over three days. The results showed a decrease in blood glucose levels in both patients and an improvement in knowledge after the intervention. These findings indicate that DSME is effective as a non-pharmacological nursing intervention to reduce blood glucose levels in patients with type II diabetes mellitus

Inhalation of Water Vapor and Eucautious Oil to Improve the Clearance of the Airways of Pulmonary Tuberculosis Patients

2026-01-17T03:21:15+00:00

Pulmonary tuberculosis remains a major health problem and is often accompanied by ineffective airway clearance due to excessive sputum production. This case study aimed to describe the effectiveness of warm steam inhalation combined with eucalyptus oil in improving airway clearance among patients with pulmonary tuberculosis. The study involved three patients treated in the Mawar Ward of Dr. Adhyatma, MPH Regional General Hospital using a nursing process approach based on SDKI, SLKI, and SIKI standards. Nursing interventions included warm steam inhalation with eucalyptus oil, semi-Fowler positioning, effective coughing techniques, and adequate fluid intake. The results showed consistent clinical improvement in all patients, indicated by increased oxygen saturation, decreased respiratory rate, reduced dyspnea, and more effective sputum expectoration. These findings suggest that warm steam inhalation combined with eucalyptus oil is an effective non-pharmacological nursing intervention to support airway clearance in patients with pulmonary tuberculosis.

Implementation of Family Emotional Support on the Level of Compliance With a Low Salt Diet in Elderly Hypertension

2026-01-27T13:13:11+00:00

Background: Hypertension, or high blood pressure, is a common non-communicable disease and a leading cause of illness and death worldwide. One way to manage hypertension is through diet, one of which is adopting a low-salt diet. Consuming too much salt can cause high blood pressure. Emotional support from family is crucial in helping the elderly. This support can take the form of attention, affection, empathy, motivation, and moral encouragement provided by family members. Objective: To describe nursing care with the Implementation of Family Emotional Support with the Level of Low Salt Diet Compliance in Hypertensive Elderly at Health Center, Semarang City. Method: Descriptive case study was used as the following type of research, with elderly subjects Mrs. K 71years old female and Mrs. S 75 years old female. Data were collected by conducting interviews, physical examinations and observations, as well as data collection based on documentation studies. Results: Based on the analyzed study on the provision of interventions with a diagnosis of acute pain related to physiological injury agents of hypertension, knowledge deficit related to lack of exposure to information and sleep pattern disorders related to pain and anxiety, there was a significant decrease in high blood pressure in Mrs. K; Pretest: 174/95 mmHg and Posttest 152/82 mmHg, in Mrs. S; Pretest: 184/92 mmHg and Posttest 160/78 mmHg which was carried out for 15 minutes in one meeting. Conclusion: can overcome high blood pressure levels in Mrs. K and Mrs. S with hypertension.

Nurses' Perceptions of Caring Behavior at St. Elizabeth Hospital, Medan 2023

2026-05-01T13:00:30+00:00

Caring is a moral attitude in nursing practice, the caring nature of nurses when dealing with sick people and patient families. Every day must show that nurses really care about the situation. Caring behavior is an action based on caring, compassion, skills, empathy, responsibility, sensitivity, and support. In general, caring behavior is a form of basic nursing practice in which the patient feels comfortable and assisted in carrying out the patient's healing process more quickly. The purpose of this study is to determine nurses understanding of caring behavior This research uses a qualitative approach with the phenomenological method. The data collection is carried out by means of in-depth interviews with 5 questions to dig deeper into the understanding of nurses in caring behavior. Taking participants using simple random sampling technique 5 participants. The data analysis technique used is thematic analysis. Based on the results of direct interviews, the results obtain: Caring is a sense of good interpersonal relationships, being sensitive and concerned about the patient's condition. Caring behavior is when providing nursing care to patients. Caring behavior can be given by showing empathy and sincerity towards patients, trying to overcome patient complaints and not discriminating between patients. Caring behavior is very beneficial for patients so that they feel satisfied and happy with their treatment, build a trusting relationship and improve the quality of nursing care. There are obstacles in the implementation of caring behavior, namely when nurse cares and serves the patient well, but the patient refuses and gets angry.

Association of Infant and Young Child Feeding (IYCF) Practices and History of Infectious Diseases with Nutritional Status Based on Weight-for-Height Indicators Among Children Aged 24–59 Months in the Wates Community Health Center Working Area, Central Lampung Regency, 2026

2026-04-29T14:20:18+00:00

Wasting is an acute nutritional problem that significantly increases the risk of childhood morbidity and mortality. Given that suboptimal Infant and Young Child Feeding (IYCF) practices and infectious diseases are major contributing factors, this study aimed to evaluate their specific associations with the nutritional status of children aged 24–59 months. A case-control study was conducted in the Wates Community Health Center Working Area, Central Lampung Regency, in 2026, involving 62 children (31 wasted cases and 31 non-wasted controls). Nutritional status was assessed using weight-for-height indicators, while variables were collected through structured interviews and anthropometric measurements. Data analysis utilized the chi-square test and Odds Ratios (OR). The results demonstrated a striking disparity: 100% of the wasted children experienced inappropriate IYCF practices, whereas 87.1% of the non-wasted children received appropriate feeding. Statistical analysis revealed that appropriate IYCF practices acted as a substantial protective factor against wasting (p = 0.0001; OR = 0.114). Similarly, a history of infectious diseases was highly prevalent in the case group (87.1%), whereas the absence of infection in the control group (83.9%) was significantly protective (p = 0.0001; OR = 0.028). In conclusion, inappropriate IYCF practices and recurrent infections synergistically drive acute malnutrition. These findings highlight the urgent need for targeted nutritional interventions, particularly during the 6-month complementary feeding transition, coupled with contextual environmental infection control.

Analysis of Factors Affecting Nurse Job Satisfaction at Murni Teguh Horas Insani Hospital Pematangsiantar in 2025

2026-04-23T12:03:04+00:00

Nurse job satisfaction is an important factor that influences the quality of healthcare services, staff retention, and hospital performance. Job satisfaction is affected by various organizational and workplace factors such as salary, work environment, coworker relationships, leadership, and workload. This study aimed to analyze the factors affecting nurse job satisfaction at Murni Teguh Horas Insani Hospital, Pematangsiantar, in 2025. This research used a quantitative approach with a descriptive correlational design. The study population consisted of nurses working at Murni Teguh Horas Insani Hospital Pematangsiantar, with a sample of 42 respondents selected using total sampling based on inclusion criteria. Data were collected using a Likert-scale questionnaire and analyzed using multiple linear regression. The results showed that simultaneously salary, work environment, coworker relationships, leadership, and workload had a significant effect on nurse job satisfaction (F = 10.332; p = 0.000). Partially, leadership had a positive and significant effect on nurse job satisfaction (B = 0.688; p = 0.000) and was the most dominant factor. Meanwhile, salary, work environment, coworker relationships, and workload did not show a significant partial effect. The regression model met classical assumption tests including normality, multicollinearity, heteroscedasticity, and autocorrelation. It can be concluded that improving leadership quality is the key factor in increasing nurse job satisfaction. Hospital management is recommended to strengthen supportive and participative leadership styles to enhance nurse satisfaction and performance.

Factors Associated with the Incidence of Hypertension Among Employees of PT. X in South Jakarta in 2025

2026-05-13T16:11:40+00:00

Hypertension remains one of the most common occupational health problems and may reduce employee productivity, quality of life, and overall well-being. This study aimed to analyze the factors associated with the incidence of hypertension among employees of PT. X in South Jakarta. The study applied a quantitative method with a cross-sectional design. Data were collected through questionnaires, anthropometric measurements, and company medical check-up records. The variables examined included age, physical activity, Body Mass Index, smoking habits, workload, and work stress. Data analysis was conducted using univariate and bivariate statistical tests to identify the relationships between independent variables and hypertension incidence. The findings showed that hypertension was highly prevalent among employees. Age, Body Mass Index, and smoking habits were significantly associated with hypertension incidence, indicating that biological and lifestyle-related factors play important roles in increasing hypertension risk among workers. Meanwhile, physical activity, workload, and work stress were not significantly associated with hypertension incidence. The study concludes that hypertension among employees is influenced by multifactorial conditions, particularly modifiable lifestyle factors. Therefore, workplace health promotion programs, regular health screening, smoking cessation interventions, nutrition education, and healthy lifestyle campaigns should be strengthened to improve employee health and reduce the risk of hypertension in the workplace.

Implementation of Deep Breathing Relaxation and Early Mobilization to Overcome Pain and Mobility Problems in Post-Section Caesarean Mothers Indicated with Premature Rupture of Membranes in Patient, Mrs. R P3a0 at Rskb Columbia Asia

2026-04-30T08:14:19+00:00

Sectio Caesarea is a surgical procedure performed to deliver a baby through an incision in the abdominal wall and uterus. This procedure may cause several NERS ing problems in the mother, such as acute pain, limited physical activity, and breastfeeding difficulties. In addition, infants born through surgical delivery may experience early adaptation problems, including the risk of ineffective thermoregulation, risk of infection, and risk of impaired attachment processes. Therefore, comprehensive NERS ing care is required to support maternal recovery and assist newborn adaptation. The purpose of this case study is to describe the implementation of NERS ing care for a post–Sectio Caesarea mother and her newborn using the NERS ing process approach, which includes assessment, NERS ing diagnosis, intervention planning, implementation, and evaluation. The method used in this study is a case study conducted on Mrs. M with post–Sectio Caesarea at the inpatient ward. The assessment results showed several NERS ing problems in the mother, including acute pain related to the surgical procedure, activity intolerance related to postoperative physical weakness, and ineffective breastfeeding related to breast engorgement and lack of optimal breastfeeding stimulation. In the newborn, the identified NERS ing problems included the risk of ineffective thermoregulation, risk of infection related to immature immune defense and umbilical cord care, and risk of impaired attachment process due to mother–baby separation. NERS ing interventions implemented included pain management, gradual mobilization, breastfeeding education, monitoring the baby's body temperature, umbilical cord care, and facilitating mother–infant bonding. After two days of NERS ing care, the condition of both mother and baby showed improvement, indicated by decreased pain levels, improved maternal activity tolerance, the initiation of breast milk production, stable neonatal temperature, and the beginning of mother–infant interaction. In conclusion, the implementation of a comprehensive NERS ing process can improve recovery in post–Sectio Caesarea mothers and support the physiological and psychological adaptation of newborns.

Implementation of Operating Wound Care Intervention in Post-Laparatomy Sectio Caesarean Patients at Rsud X

2026-04-27T15:41:21+00:00

Sectio Caesarea (SC) is a surgical procedure that carries the risk of causing post-operative complications such as acute pain, impaired skin and tissue integrity, and surgical wound infection, so that appropriate and comprehensive wound care is needed to accelerate the healing process and improve patient comfort. This Final Scientific Paper for Nurses uses a case study design with a nursing process approach in five post-operative laparotomy sectio caesarea patients treated in the Bougenville (Postpartum) Room of RSUD X, with data collection through interviews, observations, physical examinations, and wound observations using the REEDAN approach. The results of the study indicate that the main nursing problems are impaired skin and tissue integrity and acute pain, and after the implementation of wound care interventions that include monitoring wound characteristics, applying sterile techniques, infection prevention, pain management, self-care wound education, and collaboration with medical therapy, the condition of the wound has improved as indicated by clean and dry wounds, no signs of infection, and decreased pain intensity. It can be concluded that the implementation of surgical wound care interventions comprehensively and according to nursing care standards is effective in accelerating wound healing and improving the comfort of post-sectio caesarea patients .

A Multidisciplinary Approach to Children with Speech Delay and Its Implications for Primary Care: A Narrative Review

2026-04-13T08:18:32+00:00

Speech delay is a common developmental issue in early childhood that can impact communication skills, social interactions, and learning readiness. This article aims to review the basic concepts of speech delay, the principles of early intervention, the collaborative role of various professions in improving children's communication and social participation, and its implication to primary care. This study focused on a narrative review of several database sources, such as Google Scholar, PubMed, and Scopus. The results of the narrative review indicate that speech delay cannot be treated by a single professional. A collaborative approach involving pediatricians, physiatrist, speech therapists, occupational therapists, psychologists, and other rehabilitation professionals provides a more comprehensive picture of a child's needs. Speech delay can be triggered by a combination of biological factors, lack of stimulation, and increased use of gadgets. The role of healthcare professionals in conducting routine screenings, providing education, and determining referral needs is crucial because most cases are first identified in primary healthcare settings. Language stimulation at home with parental involvement has also been shown to be a strong supporting factor. Interventions initiated at a younger age, particularly before the age of five, yield better developmental outcomes due to the child's still-developing brain's ability to adapt.

Nutritional Management in Pregnant Patient with Severe Preeclampsia: A Case Study

2026-05-10T13:54:38+00:00

Preeclampsia is a serious pregnancy complication and a leading cause of maternal mortality, often contributing to preterm birth and low birth weight. This condition increases the risk of edema and nutritional deficiencies, which negatively impact both maternal and fetal health. This descriptive case study aims to evaluate the effectiveness of the Nutrition Care Process (NCP) in improving nutrient intake and clinical outcomes in a pregnant patient with severe preeclampsia. The methodology follows a standardized five step nutrition care process, including screening, assessment, diagnosis, intervention, monitoring and evaluation, with nutritional requirements calculated based on ESPEN (2021) guidelines. Interventions included the DASH and preeclampsia diets with an oral soft consistency, administered gradually from 50% to 100% of energy needs. Monitoring results demonstrated a significant increase in daily intake: energy (47.7% to 95%), protein (54.3% to 123%), fat (50.6% to 110%), and carbohydrates (40.3% to 85.8%). These improvements were accompanied by better food tolerance, reduced edema, and stabilized blood pressure. In conclusion, the structured application of NCP is effective in enhancing nutrient intake and supporting the clinical management of patients with severe preeclampsia. These findings highlight the importance of standardized nutrition therapy as a critical component in reducing the risk of complications in high risk pregnancies.

The Effect of Warm Rice Compresses on Breast Engorgement in Postpartum Womens

2026-04-29T14:19:44+00:00

Breast engorgement in postpartum breastfeeding mothers is a common problem frequently encountered. One management strategy that can be applied is a non-pharmacological method using warm rice compresses. This study aims to determine the effect of warm rice compresses on breast engorgement in postpartum breastfeeding mothers. The study design employed a quasi-experimental approach using a pretest-posttest model with a control group. The study sample consisted of 20 breastfeeding postpartum mothers who met the inclusion criteria and were selected using purposive sampling. The measurement tool used was the Six-Point Engorgement Scale (SPES) to assess the level of breast engorgement. The results showed a significant decrease in the level of breast engorgement in the intervention group after the application of warm rice compresses. Statistical analysis yielded a p-value < 0.05, indicating that warm rice compresses have an effect on breast engorgement in postpartum mothers.

Analysis of Occupational Risk Factors of Hot Work at PT Industri Kapal Indonesia (Persero)

2026-05-18T12:39:02+00:00

Hot work in shipyards is a high-risk activity that can cause fires, explosions, injuries, and health issues due to exposure to dust and welding fumes. This study aims to describe the risk factors of hot work through the implementation of Job Safety Analysis (JSA) and safety patrol activities at PT Industri Kapal Indonesia (Persero). The research employed a qualitative descriptive approach with field observations conducted during the internship period from Agustus 2025 to October 2025. Primary data were collected through direct observation during safety patrols and analyzed using the JSA method to identify potential hazards, assess risks, and formulate appropriate control measures. The results indicate that each stage of hot work welding, cutting, and grinding has specific risks, including fires, burns, respiratory problems, injuries from metal sparks, and fall hazards. Safety patrols identified non-compliances in the field, such as inconsistent use of personal protective equipment (PPE), work areas near flammable materials, and emergency facilities that require improvement. The integration of JSA and safety patrols effectively enhances risk control and strengthens the safety culture while ensuring compliance with SMK3 regulations and hot work permit procedures.

Phytochemical Screening and Antioxidant Activity Test of Ethanol Extract of Nelambosuon (Rubiaceae) Leaves Using the DPPH Method

2026-05-05T01:06:25+00:00

Indonesia is recognized as one of the world’s megabiodiversity countries, possessing a vast diversity of medicinal plants that have long been utilized in traditional medicine. Nelambo suon (Rubiaceae) is an indigenous plant traditionally used by the Tehit Imian tribe in South Sorong, Southwest Papua, for treating wounds, skin infections, and inflammatory conditions. However, scientific information regarding its phytochemical profile and antioxidant activity remains limited. This study aimed to evaluate the phytochemical constituents and antioxidant activity of the ethanol extract of Nelambo suon leaves using the DPPH method. Fresh, undamaged green leaves were dried at room temperature without direct sunlight and extracted by maceration using 96% ethanol. Phytochemical screening was performed to identify major secondary metabolites, while antioxidant activity was assessed using the DPPH free radical scavenging assay and expressed as IC₅₀ values. The phytochemical screening revealed the presence of flavonoids and tannins in the ethanol extract, whereas alkaloids, saponins, steroids, and terpenoids were not detected. The antioxidant assay demonstrated a concentration-dependent increase in radical scavenging activity. The ethanol extract of Nelambo suon leaves exhibited an IC₅₀ value of 83.7 µg/mL, indicating strong antioxidant activity. These findings suggest that Nelambo suon leaves are a promising source of natural antioxidants, likely attributed to their flavonoid and tannin contents. This study provides preliminary scientific evidence supporting the traditional use of Nelambo suon and highlights its potential for further development as a natural antioxidant agent in pharmaceutical and herbal product applications.