Jurnal Sehat Masada

ANALISIS IMPLEMENTASI PENANGGULANGAN HIV AIDS DI DINAS KESEHATAN PROVINSI JAWA BARAT

Gugum Pamungkas, Gultom Oktavia Indah — Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

As of 2024, West Java Province recorded 80,060 HIV cases and 17,668 AIDS cases. To support the Ending AIDS 2030 target, the West Java Provincial Health Office has implemented various HIV control strategies in accordance with the policies of the Indonesian Ministry of Health through the Getting Three Zero approach. This study aimed to analyze the implementation of the HIV/AIDS control policy based on George C. Edwards III’s public policy implementation framework, which comprises communication, resources, disposition, and bureaucratic structure. A qualitative approach with a descriptive-evaluative design was employed. Data were collected through in-depth interviews, observations, and document analysis, and were analyzed using an inductive approach. The findings indicate that communication has been conducted through multiple channels; however, its clarity and consistency remain uneven, particularly across sectors. Human resources, budget allocation, and policy-related information were found to be insufficient relative to the program's geographic coverage and complexity. Although implementers demonstrated a positive disposition, the use of evidence-based data in decision-making has not yet been fully optimized. The bureaucratic structure is supported by clear standard operating procedures (SOPs), but cross-sectoral coordination has weakened since the Provincial AIDS Commission became inactive. Overall, the implementation of the HIV/AIDS control policy has progressed reasonably well; however, strengthening cross-sectoral collaboration, resource capacity, and communication is essential to improve policy effectiveness.

HUBUNGAN USIA DAN LAMA BEKERJA PERAWAT DENGAN GAYA MANAJEMEN KONFLIK DI PUSAT MATA NASIONAL RUMAH SAKIT MATA CICENDO BANDUNG

Yunita Fitri Rejeki, Sari Nurrita — Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

Background : Conflict within healthcare organizations, particularly in hospital settings, is an unavoidable phenomenon that significantly impacts performance and service quality. Differences in nurses' age and length of service are thought to influence the conflict management styles they employ.

Objective: To analyze the relationship between nurses' age and length of service and their conflict management styles at the Cicendo Eye Hospital National Eye Center in Bandung. Methods: This study employed a quantitative approach with a descriptive-correlational and cross-sectional design. A sample of 91 nurses was selected using purposive sampling. The instruments used were a demographic questionnaire and the Rahim Organizational Conflict Inventory-II (ROCI-II). Statistical analysis involved Chi-square and Fisher's Exact tests with a significance level of 0.05.

Results : The majority of respondents were aged 30–50 years (73.6%) and had 11–20 years of work experience (46.2%). The dominant conflict management styles used were integrating (78.0%) and compromising (18.7%). Statistical test results showed a significant relationship between age and conflict management style (p = 0.042), but no significant relationship between length of service and conflict management style (p = 0.321; p > 0.05).

Conclusion : Nurses' age is significantly associated with the conflict management style employed. These findings underscore the importance of considering age as a factor in training planning and nursing human resource management.

PERBANDINGAN EFEKTIVITAS AKUPRESUR PADA TITIK PERIKARDIUM 6 (PC6) DAN ZU SAN LI (ST36) DALAM MENGATASI INTENSITAS MUAL MUNTAH PADA IBU HAMIL TRIMESTER I DI KLINIK AMI MEDIKA KABUPATEN SUKABUMI

Yeti Hernawati, Agustin Yuniava Sidiq, ida suryani, Oktarina Sri Iriani — Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

Nausea and vomiting during the first trimester of pregnancy are common complaints experienced by pregnant women, which can disrupt daily activities and maternal nutritional status. One intervention to overcome nausea and vomiting is acupressure. This study aimed to compare the effectiveness of acupressure at the PC6 and ST36 points in reducing the intensity of nausea and vomiting among first-trimester pregnant women at Ami Medika Clinic, Sukabumi Regency. The research method used was a Quasi-Experimental design with a Pretest–Posttest Two Group Design. The sample consisted of 30 respondents first-trimester pregnant women experiencing nausea and vomiting, divided into two treatment groups: 15 respondents the PC6 acupressure group and 15 respondents the ST36 acupressure group. The intensity of nausea and vomiting was measured using the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE) scale before and after the intervention. The results of the study comparing the effectiveness of PC6 and ST36 acupressure showed that both had a significant effect on reducing nausea and vomiting in pregnant women in the first trimester (P=0.000). However, in terms of the average reduction and range of Confidence Interval values, PC6 showed higher effectiveness (95% CI: 4.660-7.340) compared to ST36 (95% CI: 4.644-6.356). This indicates that acupressure intervention at the PC6 point is more effective in reducing nausea and vomiting in pregnant women in the first trimester compared to ST36. It is recommended that healthcare providers teach this acupressure technique as a non-pharmacological approach to managing nausea and vomiting during pregnancy.

PREVALENSI DAN FAKTOR RISIKO COMPUTER VISION SYNDROME PADA ANAK

Anggit Nugroho, Motris Pamungkas, Feranita Alisha Hendra — Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

Intensive use of digital devices among school-aged children has increased the risk of vision-related disorders. This study aimed to identify the signs and symptoms of Computer Vision Syndrome (CVS), estimate its prevalence according to demographic characteristics, analyze associated risk factors, and examine the relationship between CVS and myopic refractive errors in children. A literature review was conducted by synthesizing evidence from reputable electronic scientific databases focusing on children aged 8–18 years. The selected studies were analyzed using a descriptive-comparative approach. The findings indicate that the prevalence of CVS among school-aged children exceeds 60%, with the most commonly reported symptoms including eye strain, red eyes, blurred vision, and headaches. Significant risk factors include prolonged screen time, poor ergonomic posture, and inadequate lighting conditions. Individual characteristics contribute to symptom variation, with boys more frequently reporting acute visual complaints. The evidence further suggests that myopia is not a direct causal factor of CVS but rather a secondary condition that may be aggravated by prolonged and inappropriate screen-viewing habits. CVS has substantial physiological and psychological impacts on children. These findings highlight the importance of early eye health education and preventive interventions. Parents, educators, and eye care professionals should promote ergonomic practices, implement the 20-20-20 rule, limit screen exposure, and encourage regular eye examinations to reduce the burden of CVS in children.

ANALISIS HASIL DETEKSI DINI GANGGUAN PENGLIHATAN DAN PEMERIKSAAN KELAINAN REFRAKSI PADA MASYARAKAT PULAU TIDUNG, KEPULAUAN SERIBU

Arief Witjaksono, Anggit Nugroho, Motris Pamungkas — Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

Limited access to eye care services in island communities contributes to a high prevalence of undiagnosed visual impairment. This study aimed to analyze the outcomes of early detection of visual impairment and refractive errors among residents of Pulau Tidung, Kepulauan Seribu, Indonesia, as a basis for developing sustainable eye health programs. A descriptive observational study with a quantitative approach was conducted involving 184 participants selected through purposive sampling. Eye examinations included visual acuity screening using a Snellen chart, objective refraction with an autorefractometer, and subjective refraction using a trial frame and corrective lenses. Data were analyzed descriptively using frequency distributions and percentages. The results showed that presbyopia was the most prevalent condition (53.6%), followed by astigmatism (33.8%), myopia and myopic astigmatism (14.7% each), and hyperopia (3.8%). Refractive errors were more common among participants aged 46–55 years and among females. Overall, 90.7% of participants required corrective spectacles, which were provided on-site during the screening program. The high prevalence of refractive errors highlights the need to strengthen eye care services through regular community-based screening, public education, and the sustainable provision of vision correction services in island communities.

EVALUASI TINGKAT PENGETAHUAN MAHASISWA TINGKAT TIGA DIPLOMA III OPTOMETRI STIKES DHARMA HUSADA TENTANG ANATOMI MATA

Desi Utami Helisarah, Fiqria Nur Rizqiyanti — Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

Understanding ocular anatomy is a fundamental competency that optometry students must master as the foundation for comprehensive eye examinations and eye care services. This study aimed to evaluate the level of knowledge of third-year students enrolled in the Diploma III Optometry Program at STIKes Dharma Husada Bandung regarding ocular anatomy. A quantitative descriptive study with a cross-sectional approach was conducted. The sample consisted of 34 students selected using a total sampling technique. Data were collected using a validated closed-ended questionnaire comprising 10 multiple-choice questions and analyzed descriptively using frequency distributions and percentages. The findings revealed that the students' overall level of knowledge was relatively low, with a mean score of 43%. A total of 73.5% of respondents demonstrated poor knowledge, 17.7% had moderate knowledge, and only 8.8% achieved a good level of knowledge. Based on anatomical domains, the lowest level of understanding was observed in the anterior segment of the eye (91% poor category), followed by the posterior segment (64.5%), whereas knowledge of the extraocular muscles was comparatively better. These findings indicate the need for curriculum evaluation and the implementation of more innovative and interactive teaching strategies, including the use of visual learning media, three-dimensional anatomical models, and digital simulation technologies, to improve ocular anatomy comprehension among optometry students.

HUBUNGAN PENGETAHUAN IBU HAMIL DENGAN MINAT PENGGUNAAN IUD POST PLACENTA DI WILAYAH KERJA DESA BUNIASIH KABUPATEN TASIKMALAYA TAHUN 2025

Lilis Siti Rukoyah, Naili Rahmawati, Roni Rowawi, Siti Sugih Hartiningsih — Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

A post-placental intrauterine device (IUD) is a contraceptive method inserted immediately after placental delivery. In the Buniasih Village health service area, Tasikmalaya Regency, IUD utilization remained low in 2024 (7.99%) compared with other contraceptive methods, which may be attributed to limited maternal knowledge and concerns regarding post-placental IUD insertion. This study aimed to examine the relationship between pregnant women's knowledge and their interest in using a post-placental IUD. A quantitative descriptive study with a bivariate approach was conducted using purposive sampling, involving 34 respondents. Data were analyzed using univariate and bivariate statistical methods. The results showed that 61.8% of respondents had a good level of knowledge, while interest in post-placental IUD use was evenly distributed, with 50% reporting high interest and 50% reporting low interest. Bivariate analysis revealed a significant positive relationship between pregnant women's knowledge and their interest in using a post-placental IUD in the Buniasih Village health service area, Tasikmalaya Regency.

ANALISIS PENGETAHUAN DAN SIKAP MASYARAKAT TERHADAP PENYAKIT KATARAK DI DESA CIBURIAL KECAMATAN CIMENYAN, KABUPATEN BANDUNG

Mayarani Mayarani, Fitri Kustiawati — Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

Cataract disease is the leading cause of global visual impairment that can result in blindness if not treated early. In Ciburial Village, Cimenyan District, Bandung Regency, the highlands characteristics coupled with intense outdoor activities increase the risk of ultraviolet radiation exposure for the community. This study aims to analyze the level of knowledge and attitudes of the community in Ciburial Village toward the prevention and management of cataract disease. This study employed a descriptive quantitative method with a cross-sectional approach. The research population included residents of RT.05 RW.01 Ciburial Village, totaling 437 people. The sample was selected using a probability sampling technique with the Slovin formula, obtaining 100 respondents. Data were collected through structured questionnaires and analyzed using univariate analysis via percentage frequency distribution. The analysis showed that respondents' characteristics were dominated by the 17–25 age group (73%) and high school education level (52%). A total of 67% of respondents had a moderate level of knowledge, 30% were in the good category, and 3% were in the poor category. Regarding attitudes, the majority of respondents demonstrated a good attitude (73%), followed by very good (13%), poor (9%), and very poor (5%) categories. In general, the community of Ciburial Village possesses moderate knowledge and a good attitude toward cataract disease. However, the presence of older age groups and those with lower education levels requires more specific interventions. Healthcare professionals, such as optometrists, are advised to enhance health education using applicable media, facilitate routine free eye screening programs, and train village health volunteers to reduce the risk of blindness due to delayed cataract management.

PREVALENSI GANGGUAN PENGLIHATAN PADA MASYARAKAT DI PONDOK PESANTREN PESISIR IBNU BATUTAH PAKISJAYA, KABUPATEN KARAWANG, PROVINSI JAWA BARAT

Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

Visual impairment in coastal areas is frequently overlooked due to limited access to eye care services and extreme environmental exposure. This study aimed to determine the prevalence of visual impairment among the community at the Ibnu Batutah Coastal Islamic Boarding School (Pondok Pesantren), Pakisjaya, Karawang Regency, West Java Province. This descriptive quantitative study utilized a cross-sectional design. Out of a target population of 307 people, a sample of 289 participants who met the inclusion criteria was obtained using a total sampling technique. Clinical data collection was conducted through visual acuity testing (Snellen chart), objective refraction (autorefractometer) and subjective refraction, screening for organic ocular abnormalities, and blood pressure measurements. Data analysis was performed using descriptive statistics to determine frequency distribution percentages. The majority of respondents were emmetropic (81%), while the remaining 19% presented with ametropia (refractive error). The prevalence of presbyopia was found to be remarkably high, affecting 76% of the examined participants. Furthermore, 8% of the participants were identified as having suspected organic ocular abnormalities, including cataracts, pterygium, and conjunctivitis. Direct interventions were provided in the form of free corrective eyeglasses for those with ametropia and presbyopia, alongside medical referrals to secondary healthcare facilities for participants with suspected organic conditions. There is a significant prevalence of refractive errors, presbyopia, and suspected ocular pathologies within this coastal boarding school community. Integrated periodic screening programs and the provision of visual aids are highly recommended to prevent decline in quality of life and to reduce avoidable blindness in coastal regions.

EFEKTIFITAS PENGGUNAAN AROMATERAPI LAVENDER TERHADAP TINGKAT NYERI PADA IBU BERSALIN KALA I FASE AKTIF DI PUSKESMAS BANJARWANGI KABUPATEN GARUT

Oktarina Sri Iriani, Seni Putri Agustiani, Mira Meliyanti, Dian Purnama Sari — Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

Labor pain is a physiological condition experienced by women during childbirth, caused by uterine contractions. If not properly managed, labor pain can lead to decreased effectiveness of uterine contractions, prolonged labor, and even fetal distress. Lavender aromatherapy is one of the non-pharmacological methods that can be used to reduce pain, promote relaxation, decrease tension and anxiety, and provide comfort for laboring women. The purpose of this study was to determine the effectiveness of lavender aromatherapy on pain levels in women during the active phase of the first stage of labor at Banjarwangi Community Health Center, Garut Regency, in 2026. This study employed a pre-experimental design using a one-group pretest-posttest approach. The sample consisted of 32 women in the active phase of the first stage of labor, selected through consecutive sampling. Data were analyzed using univariate and bivariate analyses, with the Wilcoxon Signed Rank Test used to determine the effectiveness of lavender aromatherapy on labor pain levels. The results showed that before the administration of lavender aromatherapy, the majority of respondents experienced moderate pain, accounting for 28 respondents (87.5%), while 4 respondents (12.5%) experienced severe pain. After the administration of lavender aromatherapy, a reduction in pain intensity was observed, with 21 respondents (65.6%) experiencing moderate pain and 11 respondents (34.4%) experiencing mild pain. The results of the Wilcoxon Signed Rank Test indicated a p-value of < 0.001 (p < 0.05), demonstrating a statistically significant difference in pain levels before and after the administration of lavender aromatherapy. In conclusion, lavender aromatherapy is highly effective in reducing the active phase of first-stage labor pain.

ANALISIS KOMPLIKASI YANG DIHASILKAN OLEH PENGGUNAAN LENSA KONTAK

NUraisah Nuraisah, Motris Pamungkas, Titin Purbaningrum — Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

The trend of contact lens usage for both aesthetics and refractive correction is increasing rapidly, yet it is accompanied by the risk of ocular complications due to negligence in usage procedures. This study aims to analyze the types, risk factors, and incidence rates of ocular complications resulting from contact lens use. This descriptive study utilized a literature review approach. Secondary data were collected through a search of scientific articles from various national and international databases published over the last ten years (2014–2024). Data analysis was conducted descriptively using a narrative approach. The main findings indicated that the most frequent complications are corneal abrasion, red eyes (conjunctival hyperemia), conjunctivitis, giant papillary conjunctivitis (GPC), irritation, and dry eye syndrome. The primary risk factors triggering these complications include excessive daily wear duration, use during sleep or showering, and non-compliance with hand hygiene and lens cleaning procedures. The level of user knowledge is not always directly proportional to compliance with proper care behavior. Contact lens complications are closely related to unhygienic care behavior that does not align with standard operating procedures. The implications of these findings emphasize the importance of routine monitoring. It is recommended that optometrists and healthcare institutions expand sustainable promotive and preventive education regarding safe contact lens care procedures to reduce the incidence of ocular complications in the community.

PENGARUH EDUKASI MEDIA GAMIFIKASI TENTANG MENARCHE TERHADAP KESIAPAN REMAJA PUTRI PRAPUBERTAS DI SDN PASIRLUHUR KABUPATEN BANDUNG

Dara Ayunda, Dian Purnama Sari, Melati Yuliandari, Haidir Syafrullah — Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

Remaja putri mengalami menarche sebagai tanda awal pubertas, namun banyak yang belum siap secara fisik, psikologis, sosial dan kognitif. Data SDKI menunjukkan usia rata-rata menarche 13–14 tahun. Studi di SDN Pasirluhur menunjukkan 87% siswi belum siap. Ketidaksiapan dapat menimbulkan kecemasan, dismenore, dan perilaku kurang sehat. Edukasi sejak dini penting agar remaja siap secara emosional dan mampu menjaga kesehatan reproduksi. Media gamifikasi menjadi alternatif yang menarik, interaktif, dan mudah dipahami bagi anak dengan usia prapubertas. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi media gamifikasi tentang menarche terhadap kesiapan remaja putri prapubertas di SDN Pasirluhur Kabupaten Bandung. Metode yang digunakan pada penelitian ini adalah pendekatan kuantitatif dengan desain pre-eksperimen, yaitu pretest-posttest one group. Sampel sebanyak 79 orang dengan teknik total sampling 79 responden. Hasil penelitian menunjukan bahwa sebelum intervensi 8,9% siswa memiliki kesiapan, sedangkan setelah intervensi, presentase tersebut meningkat menjadi 97,5%. Analisis data menggunakan analisis Uji Wilcoxon Signed Rank Test dengan menunjukan nilai p value= 0.000 a= 0,05. Hasil penelitian ini menunjukan p value= 0.000 dengan taraf signifikan 0.05. Berdasar atas hasil penelitian, dapat disimpulkan terdapat pengaruh kesiapan siswi setelah diberikan edukasi melalui media gamifikasi tentang menarche.

PENGETAHUAN PASIEN TENTANG PERAWATAN KACAMATA DI OPTIK KING RANCAEKEK KABUPATEN BANDUNG 2025

Hotman P Simanjuntak, Syaripah Mudaim Rahmawati — Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

Proper eyeglass care is an important factor in maintaining visual quality, ensuring user comfort, and preserving the optical performance and durability of lenses. However, many patients still lack adequate knowledge regarding appropriate eyeglass care, which may reduce lens quality and shorten the lifespan of their glasses. This study aimed to assess patients' level of knowledge regarding eyeglass care at King Optical Rancaekek, Bandung Regency, in 2025.This study employed a quantitative descriptive design with a cross-sectional approach. The sample consisted of 50 eyeglass users selected using a purposive sampling technique. Data were collected using a structured questionnaire comprising 15 items covering eyeglass cleaning, storage, use, and maintenance. Data were analyzed using univariate analysis to describe the frequency distribution of respondents' knowledge levels.The results showed that most respondents had a moderate level of knowledge (30 respondents, 60%), followed by a good level (13 respondents, 25%) and a poor level (7 respondents, 15%). Variations in knowledge levels were observed across respondents' age, educational level, and duration of eyeglass use. In conclusion, most patients demonstrated a moderate level of knowledge regarding proper eyeglass care. However, continuous educational efforts are still needed to improve patients' understanding. Opticians are encouraged to provide brief education on appropriate eyeglass cleaning, storage, and usage during every patient encounter to help maintain visual quality and extend the lifespan of eyeglasses.

EFEKTIVITAS PEMBERIAN MAKANAN TAMBAHAN LOKAL TERHADAP KENAIKAN BERAT BADAN DAN TINGGI BADAN PADA BALITA BERESIKO STUNTING DI WILAYAH KERJA PUSKESMAS CIBEUNYING KABUPATEN BANDUNG

Maya Indriati, Ida Suryani, Oktarina Sri Iriani — Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

Nutritional problems in Indonesia include malnutrition (stunting, wasting, underweight). The government is addressing toddler nutrition issues through supplementary feeding (PMT), outreach, prenatal classes, and nutrition posts. Cibeunying Community Health Center is one of the health centers participating in the government program to provide local supplementary feeding to toddlers at risk of stunting. According to health center data from June 2024, 75 toddlers at risk of stunting received PMT for 56 days. The aim of this study was to determine the effectiveness of providing local supplementary food on weight and height gain in toddlers at risk of stunting. Data collection began on February 10 to March 30, 2025. The type of research used is Quantitative Observational. The population in this study was 75 toddlers. The data was then analyzed using the Wilcoxon test. Signed Rank Test with p-value ≤ 0.05 . The results of the statistical test show that providing local supplementary food is effective in increasing the weight and height of toddlers at risk of stunting with a p-value of 0.000 <0.05.

PENGARUH BABY SPA TERHADAP KUALITAS TIDUR BAYI USIA 3 – 6 BULAN DI OVERJOY MOM & BABY SPA KOTA BANDUNG TAHUN 2026

Aina Aina, Dyah Triwidiyantari, Sheli Riani, Naili Rahmawati — Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

ABSTRACT

Sleep disturbances remain one of the most common health problems among infants and may adversely affect growth and neurological development. Baby spa is a non-pharmacological intervention that is presumed to improve infants' sleep quality. This study aimed to determine the effect of baby spa on the sleep quality of infants aged 3–6 months at Overjoy Mom & Baby Spa, Bandung City, in 2026. This study employed a pre-experimental design using a One Group Pretest–Posttest Design. The sample consisted of 33 infants aged 3–6 months selected using the total sampling technique. Data were collected using the Brief Infant Sleep Questionnaire (BISQ), and data were analyzed using univariate and bivariate analyses with the Wilcoxon Signed Rank Test at a significance level of p≤0.05. Before the intervention, 17 infants (51.5%) had disturbed sleep, while 16 infants (48.5%) had normal sleep quality. After the baby spa intervention, all infants (100%) demonstrated normal sleep quality. The Wilcoxon Signed Rank Test showed a p-value of 0.000 (p<0.05), indicating that baby spa had a significant effect on improving the sleep quality of infants aged 3–6 months. Therefore, baby spa may be considered a non-pharmacological intervention to help improve infant sleep quality.

EFEKTIVITAS PENGGUNAAN GYMBALL TERHADAP INTENSITAS NYERI PERSALINAN KALA I FASE AKTIF DI PUSKESMAS GANTAR KABUPATEN INDRAMAYU TAHUN 2026

Dasih Purnama Dewi, Mira Meliyanti, Dyah Triwidiyantari, Ida Suryani — Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

Labor pain is a physiological response resulting from uterine contractions and cervical dilatation during the childbirth process. Inadequate pain management may increase maternal anxiety and tension, impair the effectiveness of uterine contractions, and contribute to prolonged labor. At the Gantar Community Health Center (UPTD Puskesmas Gantar), Indramayu Regency, cases of prolonged labor are still encountered and are presumed to be associated with suboptimal labor pain management, leading to increased maternal anxiety, reduced uterine contractility, and, in some cases, the need for referral to higher-level healthcare facilities. One of the non-pharmacological interventions that may help reduce labor pain intensity is the use of a gym ball. This study aimed to evaluate the effectiveness of gym ball use in reducing labor pain intensity during the active phase of the first stage of labor at the Gantar Community Health Center, Indramayu Regency, in 2026. A quasi-experimental study employing a one-group pretest–posttest design was conducted. The study included 36 women in the active phase of the first stage of labor who were selected using purposive sampling. Labor pain intensity was assessed before and after the intervention using a standardized pain observation scale. Before the intervention, most participants experienced severe pain (61.1%), while the remaining 38.9% reported moderate pain. Statistical analysis using the Wilcoxon Signed Rank Test revealed a significant reduction in labor pain intensity following the gym ball intervention (p = 0.001; p < 0.05). These findings demonstrate that gym ball use is an effective non-pharmacological intervention for reducing labor pain during the active phase of the first stage of labor and has the potential to improve maternal comfort throughout the childbirth process.

PENGARUH SENAM HAMIL TERHADAP PENURUNAN NYERI PUNGGUNG BAWAH PADA IBU HAMIL TRIMESTER III

Ira Kartika, Riska Rahmawati — Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

Pregnancy brings about physical and psychological changes in expectant mothers. One common complaint among pregnant women—particularly those in the third trimester—is back pain. Engaging in light exercise, such as prenatal gymnastics, is one way to improve health during pregnancy. A preliminary survey at the Rajamandala Community Health Center (Puskesmas) revealed that 37 (41.1%) third-trimester pregnant women suffered from lower back pain. This study aimed to determine the effect of prenatal gymnastics on reducing lower back pain in third-trimester pregnant women. A pre-experimental research method utilizing a One-Group Pretest-Posttest Design was employed. The study involved 30 respondents who participated in prenatal gymnastics sessions twice a week for a period of two weeks. Pain levels were measured using the Numerical Rating Scale (NRS), and the data were analyzed using the Paired Sample T-test. The results showed that the mean pain score was 4 (moderate pain) prior to the exercises and dropped to 3 (mild pain) afterward. The analysis yielded a p-value of 0.001, indicating a significant effect of prenatal gymnastics on back pain. In conclusion, prenatal gymnastics has an effect on lower back pain in third-trimester pregnant women. It is recommended that pregnant women perform these exercises regularly to help alleviate lower back pain.

PENGEMBANGAN INTERVENSI PROMOSI KESEHATAN UNTUK MENINGKATKAN KESIAPSIAGAAN BENCANA KEBAKARAN DI SEKOLAH MENENGAH

Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

Introduction: The high incidence of fire disasters in Bandung—198 cases in 2017, averaging 16.5 incidents per month and affecting an area of 3,316 m²—underscores the urgent need for promotive interventions in fire prevention and preparedness, particularly in school settings. Schools, as densely populated and high-risk environments, require health promotion-based approaches to enhance awareness and emergency response capacity among students. This study aimed to assess students' knowledge of fire disaster preparedness at SMK Negeri 8 Bandung and to develop a health promotion intervention. The intervention included the establishment of a school disaster preparedness team, fire response training, development of infographic-based educational media, and hands-on practice using fire extinguishers (APAR). Methode: A mixed-method approach with a Research and Development (R&D) design was employed. Results showed that students' knowledge was initially low. Results: Post-intervention, there was a significant increase in knowledge (Wilcoxon test, p = 0.002). Students demonstrated the ability to correctly and safely operate fire extinguishers. A formal disaster preparedness team was established through a school decree and is currently implementing an action plan. The educational media received highly positive evaluations (average score: 97.8). Conclusion: These findings indicate that comprehensive health promotion interventions can significantly improve school fire preparedness. Continued support for training, educational materials, and preparedness infrastructure is essential as part of sustainable promotive and preventive strategies in educational institutions.

PENERAPAN TEKNIK VOCALIZATION DAN DEEP BREATHING UNTUK MENGATASI NYERI KALA I PERSALINAN PARTUS MATURUS: STUDI KASUS

Raden Nety Rustikayanti, A Azis, Inggrid Dirgahayu, Tri Nur Jayanti — Thu, 30 Jul 2026 00:00:00 SE Asia Standard Time

Background: Normal labor is characterized by uterine contractions that increase as cervical dilation increases. Increasingly frequent and strong contractions are perceived as labor pain that affects the comfort and psychology of the mother giving birth. One intervention that can be given is the application of deep breathing-vocalization techniques. The purpose of this study was to analyze the application of deep breathing-vocalization techniques in patients with labor pain. Method: This type of research is qualitative with a case study approach. Data collection techniques through interviews, observations, physical examinations, and documentation studies. The sample consisted of 2 mothers giving birth in the active phase of the first stage, namely Mrs. A (G2P1A0) and Mrs. D (G1P0A0). Labor pain was perceived using the Numeric Rating Scale (NRS). Result: Before intervention, Mrs. A and Mrs. D both reported severe labor pain with an NRS score of 8. After the application of deep breathing and vocalization, Mrs. A showed a decrease in pain from 8 to 7, while Mrs. D decreased from 8 to 6. Both clients appeared more relaxed, were better able to regulate breathing, and showed improved behavioral control during contractions. Conclusion: Deep breathing and vocalization may help reduce first-stage labor pain and improve maternal comfort. These techniques can be considered as independent nursing interventions and may be combined with other non-pharmacological strategies based on maternal needs.