PRIMA WIYATA HEALTH

EFFECT OF WALKING EXERCISE ON URIC ACID LEVELS AMONG ELDERLY: A QUASI-EXPERIMENTAL STUDY

2026-04-20T20:03:15+07:00

Background: Hyperuricemia is a common health problem among the elderly and may reduce quality of life. One non-pharmacological intervention that can be applied is walking exercise.

Objectives: This study aimed to determine the effect of walking therapy on reducing uric acid levels among elderly individuals at the Elderly Integrated Health Post (Posyandu Lansia) in Warungdowo Village, Pasuruan Regency.

Methods: This study employed a quasi-experimental design with a one-group pretest–posttest approach. A total of 32 respondents were selected using total sampling technique. Uric acid levels were measured using a GCU (Glucose, Cholesterol, Uric Acid) meter. The intervention consisted of a walking exercise program conducted for several weeks, with a frequency of 3–5 times per week and a duration of 20–30 minutes per session. Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05.

Results: The results showed that the mean uric acid level decreased from 7.8 mg/dL before the intervention to 6.2 mg/dL after the intervention. Statistical analysis indicated a significant effect (p = 0.000 < 0.05).

Conclusion: It can be concluded that walking therapy is effective as a non-pharmacological intervention in controlling uric acid levels among the elderly.

ANALYSIS OF FACTORS INFLUENCING PATIENT SATISFACTION LEVELS IN IMPROVING SERVICE QUALITY IN EMERGENCY ROOMS: A SYSTEMATIC LITERATURE REVIEW

2026-02-26T11:22:52+07:00

Background: Patient satisfaction is an important indicator of healthcare service quality, particularly in Emergency Departments (EDs), where rapid and accurate care is essential. Various factors have been reported to influence patient satisfaction, but the findings remain inconsistent across studies.
Objective: This study aimed to identify and analyze the factors influencing patient satisfaction in improving the quality of ED services.
Design: A Systematic Literature Review was conducted following the PRISMA 2020 guidelines.
Data Sources: Literature was searched in PubMed, ScienceDirect, ProQuest, and Google Scholar from January to February 2025. Articles published between 2013 and 2024 were identified using keywords related to patient satisfaction, service quality, and emergency department services.
Review Methods: Original research articles in English or Indonesian and available in full text were included. The selection process involved identification, screening, eligibility assessment, and inclusion stages. Methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist, and data were synthesized narratively.
Results: Of 3,636 identified records, 7 studies met the inclusion criteria. Patient satisfaction was influenced by healthcare provider service quality, communication and information delivery, responsiveness and waiting time, physical facilities and environmental cleanliness, pharmacy services, and supporting healthcare services. Communication and empathy were the most consistently reported factors, while physical facilities (tangibles) showed the strongest influence on patients’ perceptions of service quality.
Conclusion: Patient satisfaction in EDs is influenced by clinical, communication, organizational, and environmental factors. Improving communication skills, reducing waiting times, optimizing digital-based service systems, and enhancing facility cleanliness and comfort are recommended to improve the quality of emergency care services.

THE ROLE OF DIGITAL NUTRITION INFORMATION ACCESS IN SUPPORTING STUNTING PREVENTION: A SYSTEMATIC LITERATURE REVIEW

2026-04-30T22:55:51+07:00

Latar Belakang: Stunting tetap menjadi tantangan kesehatan global utama, terutama di negara berkembang, yang memengaruhi pertumbuhan fisik dan perkembangan kognitif. Meskipun intervensi konvensional telah ada, pertumbuhan pesat teknologi digital menawarkan peluang baru untuk penyampaian informasi kesehatan melalui mHealth dan platform media sosial.
Tujuan: Studi ini bertujuan u

Background: Stunting remains a critical global public health challenge requiring innovative and scalable solutions. The rapid development of digital technologies offers a promising approach to strengthening nutrition communication and health promotion. However, systematic evidence specifically examining the role of digital nutrition information in supporting stunting prevention remains fragmented.

Objective: This study aimed to systematically evaluate the role of digital nutrition information access in supporting stunting prevention.

Design: Systematic Literature Review (SLR) conducted in accordance with the PRISMA 2020 guidelines and registered in PROSPERO (CRD402612345).

Data Sources: Electronic databases: PubMed, ScienceDirect, Google Scholar, and Garuda. Literature search was conducted in January 2026 for studies published between 2016 and 2026.

Review A total of 300 records were identified. After duplicate removal, title/abstract screening, and full-text eligibility assessment, 13 original research articles met the inclusion criteria. Methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Tools and Cochrane Risk of Bias 2 (RoB 2). Findings were synthesized using a narrative synthesis because of heterogeneity across interventions and outcomes.

Results: Thirteen studies evaluated various digital interventions including mobile applications (38.5%), educational videos (23.1%), online learning platforms (15.4%), SMS (15.4%), and social media campaigns (7.6%). Eleven studies reported significant improvements in maternal nutrition knowledge, ten demonstrated improved complementary feeding practices, and eight showed protective effects against growth faltering. Mobile application interventions were associated with a 22% reduction in stunting risk (RR = 0.78).

Conclusion: Digital nutrition information has the potential to contribute to stunting prevention by improving maternal nutrition literacy and optimal child-feeding practices. However, digital interventions should complement—not replace—comprehensive multisectoral public health strategies and investments in digital infrastructure to reduce inequities in access and achieve sustainable improvements in child growth.

ntuk menganalisis peran akses informasi gizi digital dalam mengurangi stunting melalui tinjauan literatur sistematis.
Metode: Tinjauan Literatur Sistematis dilakukan mengikuti pedoman PRISMA. Pencarian literatur dilakukan pada tahun 2026 di seluruh basis data PubMed, ScienceDirect, Google Scholar, dan Garuda untuk artikel yang diterbitkan antara tahun 2016 dan 2026. Kriteria inklusi meliputi penelitian asli yang berfokus pada intervensi gizi digital dan hasil stunting. Data dari lima belas artikel terpilih dianalisis menggunakan sintesis naratif deskriptif dan pendekatan tematik.
Hasil: Tinjauan tersebut mengidentifikasi berbagai intervensi digital, termasuk aplikasi seluler (40%), video pendidikan (20%), pendidikan daring (20%), layanan pesan singkat (10%), dan kampanye digital (10%). Tiga belas studi melaporkan peningkatan signifikan dalam pengetahuan gizi ibu. Sebelas studi menunjukkan peningkatan praktik pemberian makan anak. Yang terpenting, delapan studi menunjukkan korelasi signifikan antara intervensi digital dan pengurangan risiko stunting. Misalnya, penggunaan aplikasi seluler dikaitkan dengan risiko relatif 0,78 untuk stunting. Temuan utama menunjukkan bahwa akses digital meningkatkan literasi gizi dan perubahan perilaku dalam praktik pemberian makanan pendamping.
Kesimpulan: Akses ke informasi gizi digital secara efektif meningkatkan literasi gizi dan memperbaiki perilaku pemberian makan, berkontribusi pada pengurangan stunting. Namun, teknologi digital bukanlah solusi tunggal dan harus diintegrasikan dengan pendekatan multisektoral dan infrastruktur yang memadai untuk mencapai hasil pertumbuhan yang optimal.
Kata kunci: Stunting, Informasi Digital, Pengetahuan Ibu, mHealth, Literasi Gizi.

FAMILY ROLE AND MENTAL HEALTH AMONG COMMUNITY-DWELLING OLDER ADULTS: A CORRELATIONAL STUDY IN INDONESIA

2026-07-20T16:36:29+07:00

Background: Population ageing has become a major public health concern, particularly in low- and middle-income countries where older adults are at increased risk of mental health problems. Family plays a central role in providing emotional, social, and practical support that may contribute to maintaining psychological well-being among older adults. However, evidence regarding the relationship between family role and mental health among community-dwelling older adults in Indonesia remains limited.

Objectives: This study aimed to examine the relationship between family role and mental health among community-dwelling older adults in Indonesia.

Methods: A community-based correlational study with a cross-sectional design was conducted among older adults residing in Indonesia. Participants were selected using a probability sampling technique and met the predefined inclusion criteria. Data on family role and mental health status were collected using validated structured questionnaires. Descriptive statistics were used to summarize participant characteristics, while the relationship between family role and mental health was analyzed using Spearman's rank correlation test. Statistical significance was determined at p < 0.05.

Results: The findings demonstrated that participants who perceived stronger family roles tended to have better mental health status. Statistical analysis revealed a significant positive correlation between family role and mental health among community-dwelling older adults (p < 0.05). Older adults who received adequate emotional support, effective communication, and active family involvement exhibited better psychological well-being and fewer symptoms of emotional distress than those with limited family support.

Conclusion: Family role is significantly associated with mental health among community-dwelling older adults. Strengthening family involvement through supportive communication, emotional care, and active participation in daily living may contribute to improved mental well-being in older adults. Family-centered interventions should be incorporated into community health programs to promote healthy ageing and prevent mental health problems among older populations.

FACTORS ASSOCIATED WITH DELAYS IN BPJS HEALTH E-CLAIM SUBMISSION AT A GOVERNMENT HOSPITAL IN SRAGEN REGENCY

2026-05-17T17:16:05+07:00

Background: Delays in BPJS Health e-claim submission remain an administrative challenge that may affect hospital cash flow and operational sustainability. The complexity of claim processes requires effective management of human resources, medical documentation, information systems, regulations, and organizational support.

Objectives: This study aimed to identify factors associated with delays in BPJS Health e-claim submission at a government hospital in Sragen Regency.

Methods: This quantitative study used a cross-sectional design involving 19 officers directly involved in the BPJS e-claim process. Total sampling was applied. Data were collected using Likert-scale questionnaires and claim document observations. Variables included human resource quality, completeness of medical documents, information system quality, BPJS regulations, and hospital management support. Data were analyzed using descriptive analysis and Fisher’s Exact Test due to the small sample size.

Results: Most respondents were aged 31–40 years (52.6%), female (68.4%), had a bachelor’s degree (52.6%), and had long work experience (42.1%). Fisher’s Exact Test showed significant associations between claim delays and human resource quality (p=0.000), completeness of medical documents (p=0.001), information system quality (p=0.045), and hospital management support (p=0.018). No significant association was found between BPJS regulations and claim delays (p=0.650). The most prominent factors related to claim delays were human resource quality and medical document completeness.

Conclusion: Delays in BPJS Health e-claim submission were associated with human resources, medical document completeness, information system quality, and hospital management support. Strengthening staff competency, improving real-time medical record completeness monitoring, and optimizing BPJS e-claim system integration are recommended to improve claim submission efficiency and hospital financial management.

SOCIOECONOMIC FACTORS AND ACCESS TO NUTRITION INFORMATION ASSOCIATED WITH STUNTING AMONG CHILDREN UNDER TWO YEARS IN MALANG CITY

2026-04-20T12:41:10+07:00

Background: Stunting remains a major chronic nutritional problem in developing countries, including Indonesia. It results from long-term nutritional deficiency during the first one thousand days of life, leading to impaired physical growth and cognitive development. Socio-economic factors and access to nutrition information are key determinants association child nutritional status.

Objectives: To analyze the influence of socio-economic factors and access to nutrition information on the prevalence of stunting among children under two years old in Malang City.

Methods: An observational analytic study with a case-control design was conducted from June to July 2025 in Malang City. A total 152 respondents (76 stunted cases and 76 non-stunted controls), selected through multistage random sampling across five randomly selected primary health centers representing five districts in Malang City. Data were collected using a self-developed, expert-validated, and reliable questionnaire (Cronbach’s Alpha=0.718). Data were analyzed using SPSS Statistics software version 22. The chi-square test was applied to determine associations, with a 95% confidence interval and a significance level of α=0,05, and multivariate analysis was performed using multiple logistic regression.

Results: Bivariate analysis showed that maternal education p=0.008 (OR=2.485; 95%CI: 1,266–4,878), family income p=0.001 (OR=3.198 95%CI; 1,633–6,262), family size p=0.000 (OR=3.563; 95%CI: 1,815–6,993), and nutrition information exposure p=0.015 (OR=2.242; 95%CI: 1,168–4,303) were all significantly associated with stunting. However, after adjustment in the multivariate model, only family size remained an independent, significant determinant (aOR=3.03; 95% CI: 1.491–6.166; p=0.002); toddlers from households with more than four members had approximately three times higher risk of stunting compared to those from smaller households. The model explained 18.2% of the variance in stunting occurrence (Nagelkerke R²=0.182), with an overall classification accuracy of 72.4%.

Conclusion: Family size was the most dominant and independent determinant of stunting among toddlers in Malang City, while maternal education, family income, and nutrition information access appeared to operate indirectly through this structural pathway. These findings suggest that stunting reduction strategies in urban settings such as Malang City should move beyond nutrition education alone and integrate family planning and per-capita income-based social protection programs into multisectoral stunting convergence efforts.

THE EFFECT OF BREAST CARE ON BREAST ENGORGEMENT AMONG IN POSTPARTUM MOTHERS AT AULIA GENERAL HOSPITAL, BLITAR REGENCY

2026-06-24T21:37:57+07:00

Background: A common problem for breastfeeding mothers is breast milk engorgement. According to the WHO in 2021, 36.12% of breastfeeding mothers experienced breast milk engorgement. One contributing factor is increased prolactin hormone levels. Breast milk engorgement can be prevented through proper breast care.

Objectives: The purpose of this study was to determine the effectiveness of breast care intervention in reducing breast engorgement at Aulia General Hospital, Blitar Regency.

Methods: The research design was the one group pretest-posttest design without using a control group. The number of research samples was 25 respondents using the Total Sampling method. The research instrument used a demographic data questionnaire, breast care SOP and breast engorgement observation sheet. The intervention was carried out for 2 days, twice daily, by health workers. Data analysis used the Wilcoxon Signed Rank Test.

Results: The statistical test results obtained a p value = 0.001 where p <0.05 alpha, wich indicated that before treatment 56% were in the moderate engorgement category and 44% were in the severe category. After treatment, 100% of breast milk engorgement was absent. The analysis concluded that breast care had an effect on breast engorgement in postpartum mothers at Aulia General Hospital, Blitar Regency.

Conclusion: Based on the research results and discussions conducted regarding the effect of breast care on breast milk engorgement in postpartum mothers at Aulia General Hospital, Blitar Regency, it can be concluded that 100% of postpartum mothers were categorized as having no engorgement after receiving breast care intervention.

THE RELATIONSHIP BETWEEN SELF-CONFIDENCE AND NURSING ENGLISH ORAL COMMUNICATION PROFICIENCY AMONG SECOND-YEAR NURSING STUDENTS

2026-05-03T09:35:17+07:00

Background: In the globalized healthcare sector, nursing students are increasingly required to possess strong English oral communication skills. Despite the urgency, many students encounter psychological barriers, specifically communication apprehension and a lack of self-confidence, hindering their professional interaction in clinical settings.

Objectives: This study aims to investigate the relationship between self-confidence and oral communication proficiency in Nursing English among second-year nursing students, and to determine how self-perceived confidence acts as a predictor for clinical speaking performance.

Methods: This research employed a cross-sectional correlational design. Using a total sampling technique, 105 fourth-semester nursing students from the College of Health Science of Husada Jombang participated. Data were collected using a validated 20-item Self-Confidence Questionnaire (Cronbach’s Alpha = 0.85) and an Objective Structured Clinical Examination (OSCE)-based oral communication test assessed by two independent raters. Data were analyzed using descriptive statistics and Pearson Product-Moment Correlation via SPSS version 26.0, chosen because the data met the assumptions of normality and linearity.

Results: The descriptive analysis revealed a mean Self-Confidence score of 72.45 (SD = 9.12) and a mean Oral Communication Proficiency score of 76.10 (SD = 8.45). The normality test using Kolmogorov-Smirnov showed that data were normally distributed (p > 0.05). The Pearson correlation coefficient was $r = 0.684$ with a significance value of $p = 0.000$ (p < 0.05), indicating a strong positive correlation. The coefficient of determination ($R^2$) was 0.467.

Conclusion: There is a strong and significant positive relationship between self-confidence and Nursing English oral communication proficiency. The findings imply that integrating psychological interventions and confidence-building simulations in the Nursing English curriculum is essential to enhance students' clinical communication readiness.