JURNAL KESEHATAN KARTIKA

FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) PADA ANAK SEKOLAH DASAR KELAS III & IV DI RW 018 KECAMATAN BABELAN KABUPATEN BEKASI

Putri Amalia — Tue, 30 Dec 2025 00:00:00 +0700

Background: A healthy lifestyle and hygiene are the result of actions based on self-awareness in preventing health problems. Clean and Healthy Living Behaviors (PHBS) are rooted in an educational process that improves the ability of individuals and families to maintain their health independently and encourages active participation in achieving optimal health. Objective: This study aims to analyze factors related to PHBS behavior among third and fourth grade students in RW 018, North Bekasi Regency. Method: Descriptive analytical with a cross-sectional approach. Data were collected through a structured questionnaire covering the following variables: level of knowledge about PHBS, the role of parents, the role of teachers, the living environment, and the availability of facilities and infrastructure supporting PHBS. Data analysis was performed using the Chi-Square test with a 95% confidence level (α = 0.05). Results: Of the total 32 respondents, 22 students (68.8%) had a good level of knowledge about PHBS, 7 students (21.9%) had adequate knowledge, and 3 students (9.4%) had poor knowledge. Of the five variables studied (knowledge, parental role, teacher role, environment, and facilities and infrastructure), the parental role showed a statistically significant relationship (p = 0.000 < α = 0.05) with PHBS practices. Meanwhile, the other variables showed no significant relationship (p-value > α = 0.05). Conclusion: Parental role is the most influential factor in encouraging the implementation of PHBS in elementary school children. It is hoped that the role of the family in health education will be strengthened so that students have a better understanding and healthy lifestyle habits from an early age.

UPAYA PENYELESIAN MASALAH RISIKO CEDERA PADA IBU MELALUI PEMBERIAN TELUR AYAM KAMPUNG REBUS UNTUK MENINGKATKAN KADAR HEMOGLOBIN PADA IBU HAMIL TRIMESTER II

bekti mutia pertiwi, Parmilah Parmilah, Tri Suraning Wulandari — Tue, 30 Dec 2025 00:00:00 +0700

Background: Anemia in pregnant women during the second trimester is one of the causes of increased risk of injury and complications during pregnancy. Non-pharmacological intervention efforts by providing high-iron foods, such as boiled eggs, are considered effective and easy to implement. Objective: The aim of the study is to determine the effect of consuming boiled eggs on the increase in hemoglobin levels in pregnant women during the second trimester with mild anemia. Method: The research method uses a case study of two pregnant women who experienced anemia with complaints of weakness, pale appearance, anemic conjunctiva, dizziness, and hemoglobin levels below 10.0 g/dL. The intervention was conducted by providing one boiled egg daily for seven days andbhemoglobin levels were measured using a tool easy touch. Results: The analysis showed that after the intervention for 7 days, with the frequency of giving one boiled egg each day, the hemoglobin levels of the pregnant women increased from 9.0 g/dL to 12.4 g/dL and from 9.4 g/dL to 14.4 g/dL. Conclusion: This finding indicates that the consumption of boiled chicken eggs has the potential to increase hemoglobin levels and can be an alternative simple, affordable, and safe nutritional intervention for pregnant women with anemia. It is recommended that health workers consider this approach in nutrition promotion and anemia prevention during pregnancy.

HUBUNGAN PERSEPSI PASIEN TENTANG TENAGA KESEHATAN DALAM MEMBERIKAN PELAYANAN KESEHATAN DENGAN KEPUASAN PASIEN DI PUSKESMAS CITEUREUP

nurul rahmah oktaviani, Setiawati Setiawati, Lilis Rohayani — Tue, 30 Dec 2025 00:00:00 +0700

Background: Health services are services provided both to prevent and treat, including 9 component elements and patient satisfaction is the level of patient feelings that arise as a result of unexpected performance consisting of 5 dimensions, there are 4 dimensions that are problematic in this research, including tangibility, reliability, responsiveness, assurance. Poor service will have an impact on patient satisfaction according to data from the Cimahi City Health Service regarding a community satisfaction survey regarding community health center services in 2024, the highest score was at the Cigugur Tengah Health Center (84.32) and the lowest score was at the Citeureup Community Health Center (80.04). Objective: This study aims to determine the relationship between patient perceptions of health workers in providing health services and patient satisfaction at the Citeureup Community Health Center. Method: Type of research is quantitative with an analytical survey research design in this research method using a cross sectional design. The total sample was 91 people using purposive sampling technique, there were inclusion and exclusion criteria. Data collection uses a questionnaire. Data analysis was carried out, namely univariate and bivariate (Chi-Square). Results: Based on the results of the univariate analysis, it can be seen that 42 people (46.2%) felt the service was poor and 42 people (46.2%) felt less satisfied. Chi-Square test results show that there is a relationship between health services and patient satisfaction with a P value of 0.00 <0.05. Conclusion: There is a relationship between patient perceptions about health workers in providing health services and patient satisfaction. Suggestions for community health centers can be equipped with facilities such as waiting chairs, wheelchairs and crutches and suggestions for future researchers are expected to research "Factors that influence health services.

FAKTOR ORANG TUA YANG BERHUBUNGAN DENGAN STATUS IMUNISASI MEASLES RUBELLA (MR) PADA SISWA DI SD INSAN UTAMA

Yolanda Yolanda, Risnawati Risnawati, Hestri Hestri, Ridha Ridha — Tue, 30 Dec 2025 00:00:00 +0700

Background: The Measles–Rubella (MR) vaccine is a combination vaccine administered to prevent two infectious diseases—measles and rubella—which are particularly dangerous for children and pregnant women. The coverage of Measles–Rubella (MR) immunization remains below the national target and the increasing number of measles–rubella cases highlights the need to identify parental factors influencing immunization uptake to prevent outbreaks and their impact on children. Objective: To analyze parental factors associated with the Measles–Rubella (MR) immunization status of students at Insan Utama Elementary School. Method: This study used a cross-sectional design, conducted from June 25 to July 25, 2025, with a sample size of 63 people selected using purposive sampling. Knowledge and attitude variables were measured using a questionnaire. Data analysis was performed using univariate and bivariate analysis with the Chi-Square test. Results: Of the 63 respondents, the majority had good knowledge (51 people; 81%) and were supportive of MR immunization (50 people; 79%), but only 32 respondents (51%) had complete MR immunization status, and the Chi-Square test showed no significant relationship between parental factors and MR immunization status (p = 0.367). Conclusion: Parental factors that influence the administration of Measles Rubella (MR) immunization are education, occupation, knowledge, and attitude.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KINERJA KADER DALAM PEMBERDAYAAN MASYARAKAT DI POSYANDU BERBASIS INTEGRASI LAYANAN PRIMER (ILP) PUSKESMAS MARGAHAYU RAYA KOTA BANDUNG

AGUS RIYANTO, Gunawan Irianto, Ayu Laili, Asep Dian Abdillah, Aulia Safitri — Tue, 30 Dec 2025 00:00:00 +0700

Background: Posyandu cadre performance plays an important role in supporting the successful implementation of the Primary Service Integration (ILP) program, especially in community empowerment efforts in the health sector. Based on data in the working area of Margahayu Raya Health Center, Bandung City, the achievement of mosquito larvae-free houses shows fluctuations that have not consistently reached the target of above 95% every month. This indicates challenges in achieving optimal cadre performance. Cadre performance can be caused by several factors including education, length of service, knowledge, attitude, motivation, workload and training. Objective: The purpose of this study was to determine factors related to cadre performance in Community Empowerment at Integrated Primary Service Posts (ILP) of Margahayu Raya Health Center, Bandung City. Method: This study uses a quantitative approach using a Cross Sectional design. The sample in this study was 110 people. Data analysis using the chi square test. Results: The results showed that most cadres had good performance (58.2%). There was a significant relationship between length of service (p = 0.015), knowledge (p = 0.036), attitude (p = 0.0001), motivation (p = 0.0001), and workload (p = 0.001) with cadre performance. Meanwhile, the variables of education (p = 0.069) and training (p = 0.547) did not show a significant relationship. Conclusion: There is a significant relationship between length of service, knowledge, attitude, motivation, and workload with cadre performance. In relation to this study, the author suggests that health centers conduct ongoing coaching, increase motivation, and strengthen the capacity of cadres to support the effectiveness of the implementation of Integrated Primary Service-based Posyandu.

GANGGUAN DEPRESI SELAMA PANDEMI COVID 19 PADA MAHASISWA KEPERAWATAN: PRELIMINARY STUDY

Galih Jatnika — Tue, 30 Dec 2025 00:00:00 +0700

Background: Depression is the leading cause of mental disorders in Indonesia. The prevalence of depression, particularly among adolescents, continues to increase, particularly among nursing students, in line with the mental stress caused by the prolonged Covid 19 pandemic. Objective: This preliminary study aims to examine depressive symptoms in nursing students during Covid 19 pandemic. Method: This study used a descriptive method. A total of 108 nursing students were recruited. The Beck Depression Inventory (BDI) with 21 items was used to assess depressive symptoms. Data collection used Google Forms to assess depressive symptoms. Data analysis used frequency distributions. Results: The study showed that 64.8% of nursing students experienced depressive symptoms during the Covid 19 pandemic. The distribution of depression levels indicated that 20.4% experienced mild depression, 24.0% experienced moderate depression, and 20.4% experienced severe depression. Conclusion: The incidence of depressive symptoms among nursing students has increased in line with the Covid 19 pandemic. Nurses in educational settings are expected to recognize the symptoms of depressive disorders, implement preventive measures, and design nursing interventions for the management of depressive disorders.

HUBUNGAN USIA, LAMANYA PEMAKAIAN SUNTIK PROGESTIN DENGAN KEJADIAN HIPERTENSI PADA AKSEPTOR KB SUNTIK PROGESTIN DI TEMPAT PRAKTEK MANDIRI BIDAN A KABUPATEN KARAWANG 2024

Tri Setiowati, Bdn. Sri Yuniarti,S.Psi.,SST.,MKM, Intan Amelya Hidayat — Tue, 30 Dec 2025 00:00:00 +0700

Background: The use of injectable hormonal contraceptives, especially those based on progestin, is the most popular method of family planning in Indonesia. However, the long-term side effect of increased blood pressure remains a major concern as it can increase the risk of hypertension. Hypertension remains a serious health problem, including among women of reproductive age who use hormonal contraceptives. There is still limited research that specifically assesses whether age and duration of progestin injection use directly contribute to the incidence of hypertension in FP acceptors. Objective: This study aims to determine the relationship between age and duration of progestin injection use and the incidence of hypertension in progestin injection FP acceptors at the Independent Midwife Practice (TPMB) A in Karawang Regency in 2024. Methods: This study is a quantitative study with a cross-sectional design. The population consisted of all progestin injection contraceptive users at TPMB A in 2023, totaling 131 people, and the entire population was sampled using total sampling technique. Secondary data were obtained from the contraceptive register. Data analysis was performed using univariate and bivariate analysis with the Chi-Square test at a significance level of 0.05. Results: Most respondents were aged 18–40 years (74.8%), had been using progestin injections for ≥2 years (63.3%), and experienced hypertension in 40.5% of cases. The Chi-Square test results showed a significant relationship between age and the incidence of hypertension (p=0.000; OR=53.545) and between the duration of progestin injection use and the incidence of hypertension (p=0.000; OR=22.727). Conclusion: Age ≥40 years and duration of progestin injection use ≥2 years are significantly associated with an increased incidence of hypertension. It is recommended that midwives provide education and regular blood pressure monitoring for long-term progestin injection users.

PENGARUH GADGET DAN BOOKLET TERHADAP KUALITAS TIDUR ANAK DI SD NEGERI LINGGABUDI CIMAHI

MONA MEGASARI, Sri Maryati, Devila Septiani — Tue, 30 Dec 2025 00:00:00 +0700

Latar Belakang: Kualitas tidur merupakan tingkat kepuasan tidur seseorang ketika seseorang bangun dari tidur malam, mereka akan merasa segar dan bugar. Namun, kurang tidur dapat menyebabkan ketidak seimbangan fisik dan mental. Anak-anak di dalam usia sekolah membutuhkan tidur yang cukup, menurut American Academy of Pediatrics sebuah organisasi yang menangani masalah anak usia sekolah. Menurut temuan penelitian, anak usia sekolah yang tidak cukup tidur lebih mungkin menderita sejumlah efek yang merugikan, termasuk masalah belajar dan ingatan. Tujuan: Mengetahui pengaruh edukasi penggunaan gadget menggunakan media booklet terhadap kualitas tidur anak di SD Negeri Linggabudi Cimahi. Metode: Penelitian ini menggunakan desain pre-eksperimental dengan rancangan one-group pretest-posttest. Jumlah sampel sebanyak 20 siswa kelas VI yaitu dari kelas a 10 orang dan b 10 dengan Teknik pengambilan sampel melalui teknik cluster random sampling. Intervensi diberikan selama 3 kali dalam 1 minggu dengan menggunakan Instrumen yang digunakan adalah kuesioner Pittsburgh Sleep Quality Index (PSQI). Data dianalisis menggunakan uji McNemar. Hasil: Kualitas tidur anak sebelum diberikan edukasi sebagian besar tergolong buruk. Setelah diberikan edukasi menggunakan media booklet selama 7 hari, terjadi peningkatan kualitas tidur yang signifikan. Hasil uji statistik menunjukkan nilai p = 0,0001 (p < 0,05) yang berarti terdapat pengaruh yang signifikan antara edukasi penggunaan gadget menggunakan media booklet terhadap kualitas tidur anak. Kesimpulan: Edukasi penggunaan gadget menggunakan media booklet efektif meningkatkan kualitas tidur anak. Saran: Diharapkan media booklet dapat dijadikan sebagai salah satu intervensi edukatif dalam meningkatkan perilaku sehat anak, khususnya dalam penggunaan gadget yang bijak.