http://journal.gunabangsa.ac.id/index.php/joh/issue/feed Journal of Health (JoH) 2024-01-22T08:44:43+07:00 Dian Wuri Astuti dian_wa@gunabangsa.ac.id Open Journal Systems <p><strong>Journal of Health (JoH)</strong> (p-ISSN 2355-8857 | e-ISSN 2407-6376) publishes research articles, conceptual articles, reports field studies (See Focus and Scope). The articles of this journal are published every six months, that is on January and July (2 issues per year), and published by the Lembaga Penelitian dan Pengabdian Masyarakat STIKES Guna Bangsa Yogyakarta Indonesia.</p> http://journal.gunabangsa.ac.id/index.php/joh/article/view/643 Health Promotion Using Booklet and Leaflet Media in Improving Knowledge of Pregnant Women About Exclusive Breastfeeding 2024-01-22T08:43:59+07:00 Sri Maryati srimaryati143@gmail.com Damai Yanti royasmile@yahoo.com <p><em>Good nutrition is a very important factor in the first two years of a child's life because it can reduce the risk of chronic disease, reduce morbidity, and can encourage better overall development, one of which is breastfeeding. Breastfeeding can also prevent the death of more than 820,000 children under the age of five every year. The purpose of this study was to determine differences in the knowledge of pregnant women about exclusive breastfeeding in the group that was given booklets and leaflets </em>as the control group<em>. This research is a pre-experimental study with a posttest only control group design. The population in this study were pregnant women in the working area of the Batujajar Health Center with a total of 497 pregnant women. The sample in this study were 30 pregnant women. The analysis in this study used an unpaired t test. The results showed that there was no difference in the knowledge of pregnant women about exclusive breastfeeding in the group that was given booklets and leaflets with p = 0.566 &gt; 0.05. It is recommended for public health centre B to use booklets and leaflets as media for health promotion in according to conditions and needs of the local community</em></p> 2024-01-12T09:38:02+07:00 Copyright (c) 2024 Sri Maryati, Damai Yanti http://journal.gunabangsa.ac.id/index.php/joh/article/view/667 Efforts to Increase Knowledge And Attitudes of Young Women About Leucorrhoea Through Health Education with Electronic Comics and Leaflets at SMA N 3 and SMA N 9 South Bengkulu 2024-01-22T08:44:02+07:00 Nova Magrita novamagrita3@gmail.com Sunartono sunartonosekda@gmail.com Fitriani Mediastuti fi_medi@yahoo.com <p><em>60% at the age of 15-22 years and 40% at the age of 23-45 years. According to data from the 2014 Indonesian Youth Reproductive Health Survey (SKRRI), women aged 15-24 years are prone to </em><em>leucorrhoea</em><em>. Analyzing the effect of health education through electronic comics and leaflets to increase the knowledge and attitudes of young women about </em><em>leucorrhoea</em> <em>at SMAN 3 and SMAN 9 </em><em>South Bengkulu.</em> <em>Quasi-experimental research with a pre-test-post-test design with a control group. The population of class XI students was 65 people at SMAN 3 and 90 people at SMAN 9 Bengkulu Selatan, using a purposive</em> <em>sampling method, obtained 41 respondents in the experimental group and 41 respondents in the control group.</em> <em>The results of the independent samples t-test show a p value of 0.008 meaning there is a difference in the average knowledge of the experimental and control groups meaning that there is an increase in the knowledge of </em><em>young women about </em><em>leucorrhoea</em> <em>after the intervention. For the attitude variable, the p value is 0.000. So there is a difference in the average attitudes of the experimental and control groups, meaning there is an increase in the attitudes of </em><em>young women about </em><em>leucorrhoea</em> <em>after the intervention. </em><em>Electronic comic media and leaflets have an effect on increasing the knowledge and attitudes of young women about </em><em>leucorrhoea</em> <em>at SMAN 3 and SMAN 9 </em><em>South Bengkulu.</em></p> 2024-01-12T09:40:05+07:00 Copyright (c) 2024 Nova Magrita, Sunartono, Fitriani Mediastuti http://journal.gunabangsa.ac.id/index.php/joh/article/view/702 Design of a Human Health Diagnosis System Through Desktop Application-Based Digital Screening Using Forward Chaining and Neural Network Methods 2024-01-22T08:44:05+07:00 Indis Dwi Agustin indisdwi@student.ppns.ac.id Nurahmad Hadi Cahyadi hadicahyadi30@student.ppns.ac.id Mifta Aulia Ramadhani miftaaulia@student.ppns.ac.id Mujtaba Fa’akuli Zazila mujtabafaakuli@student.ppns.ac.id Am Maisarah Disrinama dokteram@ppns.ac.id <p><em>The problem of hospital services, one of which is queuing, is important because it affects hospital productivity. Hospital queues can be caused by the large number of patients and the length of patient treatment. According to the Regulation of the Minister of Health of the Republic of Indonesia Number 30 of 2022, the standard of patient satisfaction with health services must reach ≥ 90% where one of the indicators is the long waiting time. Long waiting times or queues can cause medical services to be less than optimal, especially for patients who have emergency complaints (Prabowo, 2019). Therefore, to increase the productivity of hospital services, a human health diagnosis system is designed through a desktop application-based digital screening using the forward chaining and neural network methods to make it easier for doctors to diagnose patient diseases. This innovation is also equipped with severity detection and treatment recommendations for patients. The purpose of this study is to create a knowledge model that can predict patient disease. The results of this study were obtained that the accuracy of testing the diagnosis of patient disease reached 86.6% with the functional ability of the designed diagnostic application to function 100%. With this innovation, the diagnosis of symptoms of human disease can be carried out precisely and precisely so that hospital productivity and health status in every community in Indonesia increase.</em></p> 2024-01-12T09:44:47+07:00 Copyright (c) 2024 Indis Dwi Agustin, Nurahmad Hadi Cahyadi, Mifta Aulia Ramadhani, Mujtaba Fa’akuli Zazila, Am Maisarah Disrinama http://journal.gunabangsa.ac.id/index.php/joh/article/view/708 Case Study: Foot Massage with Olive Oil for Fatigue Hemodialysis Patients 2024-01-22T08:44:10+07:00 Nimsi Melati nimsi@stikesbethesda.ac.id Yohana Rambu Anarara Retang anararayohana21@gmail.com Agustin Eka Kristiningsih ekakrist16@gmail.com <p>Chronic kidney disease patients require dialysis therapy, one of which is hemodialysis. Fatigue is a side effect of hemodialysis. 71-92% of patients experience fatigue during hemodialysis. Fatigue is caused by the length of the hemodialysis process, anemia, uremia syndrome, and a decrease in blood pressure due to the effects of hemodialysis. Fatigue causes decreased concentration, emotional disturbances, and sleep disturbances which can affect daily activities and quality of life. The purpose of this research is to determine the effect of foot massage in reducing fatigue in hemodialysis patients. The research method uses quantitative descriptive with case studies.The sampling technique uses purposive sampling with a sample size of one person. The research measuring tool used the Functional Assessment Chronic Illness Therapy (FACIT) Fatigue Scale. The patient underwent three interventions, each intervention was carried out for 15 minutes during intra-hemodialysis. The results of the study showed that there was a reduction in fatigue from a moderate level to a mild level, which means that foot massage was able to reduce fatigue in chronic kidney failure patients who were undergoing hemodialysis. This is because foot massage can increase blood circulation which can increase the supply of oxygen and energy to the body and speed up the removal of metabolic waste from the body so that complaints of fatigue are reduced.</p> 2024-01-12T09:46:45+07:00 Copyright (c) 2024 Nimsi Melati, Yohana Rambu Anarara Retang, Agustin Eka Kristiningsih http://journal.gunabangsa.ac.id/index.php/joh/article/view/715 Codon Optimization and Construction of Recombinant Plasmid for SARS-CoV-2 RBD Protein on E. coli BL21(DE3) 2024-01-22T08:44:13+07:00 Elly Widyarni Eka Purnamasari ellywidyarniekapurnamasari@mail.ugm.ac.id Dini Wahyu Kartika Sari dini.sari@ugm.ac.id Tenri Ashari Wanahari tenri.wanahari@ulm.ac.id Khairun Nissa khairunnissa1996@mail.ugm.ac.id Asmarani Kusumawati uma_vet@ugm.ac.id <p><em>Coronavirus Disease 2019 (COVID-19), caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) resulted over 7 million deaths worldwide. Comprehensive strategies are necessary to combat this pandemic, especially vaccination to mitigate further infection and devastation. The development of vaccines hinges upon the utilization of immunogenic proteins from the SARS-CoV-2 virus, with particular emphasis on the receptor-binding domain (RBD) located within the spike glycoprotein’s subunit 1. This protein plays a key role in the virus’s interaction with host cells via ACE2 receptor to infect the host along with the subunit 2 to mediate the cell membrane fusion. While there are multiple vaccines in existence, there is a requirement to create more affordable and accessible vaccine alternatives, especially in developing countries. Potential improvements can be implemented within the vaccine development paradigm, including the exploration of recombinant protein-based vaccines as a viable alternative. In the present study, we optimized the RBD gene sequence as the critical step to construct a recombinant plasmid for heterologous prokaryotic protein expression in Escherichia coli BL21(DE3). The optimized codon then inserted into the plasmid vector pET-15b and constructed a recombinant plasmid for transformation into cell host by heat-shock method. The study was evaluated and validated through colony PCR, plasmid isolation, and sequencing. These findings offering a foundational basis for further research in the expression and purification of RBD SARS-CoV-2 protein in E. coli BL21(DE3) as a candidate for subunit recombinant protein vaccine or diagnostic tool in COVID-19 research.</em></p> 2024-01-12T09:49:54+07:00 Copyright (c) 2024 Elly Widyarni Eka Purnamasari, Dini Wahyu Kartika Sari, Tenri Ashari Wanahari, Khairun Nissa, Asmarani Kusumawati http://journal.gunabangsa.ac.id/index.php/joh/article/view/719 Effectiveness of Progressive Muscle Relaxation Therapy and Natural Sound Music Therapy on Final Semester Student Stress Levels 2024-01-22T08:44:17+07:00 Ardhia Redina Cahyani ardhiaredinacahyani017@gmail.com Rian Tasalim rtasalim@gmail.com <p><em>Final year students have academic interests such as a lot of assignments and have many demands from themselves and from external demands which causes students to be more susceptible to experiencing stress. Prolonged and untreated stress can cause physical and psychological disorders. Stress can be treated pharmacologically and non-pharmacologically. There are several non-pharmacological ways that can be done to reduce stress levels, namely progressive muscle relaxation therapy and music therapy.</em> <em>This research generally aims to determine the effect of progressive muscle relaxation therapy and natural sound music therapy on the stress levels of final semester students.</em> <em>This research uses a quantitative approach using a pre-experimental design. The total sample was 8 people taken using accidental sampling technique, based on inclusion and exclusion criteria. The data collection technique uses the PSS questionnaire. The analysis used the Wilcoxon test. The results of the bivariate test showed that there was an effect of progressive muscle relaxation techniques and natural sound music therapy on the stress level of final semester students with a significant value of 0.012.</em> <em>The health sector, especially nursing, is expected to be able to apply progressive muscle relaxation techniques and natural sound music therapy to reduce stress levels.</em></p> 2024-01-12T09:52:33+07:00 Copyright (c) 2024 Ardhia Redina Cahyani, Rian Tasalim http://journal.gunabangsa.ac.id/index.php/joh/article/view/720 The Effect of Progressive Muscle Relaxation Therapy on Reducing Stress Levels in Students of Nursing Stikes Guna Bangsa Yogyakarta 2024-01-22T08:44:20+07:00 Safitri Dara safitridara246@gmail.com Shanti Wardaningsih shatiwardaningsih@gmail.com Rista Islamarida rista.islamarida91@gmail.com <p><em>Students are part of the academic community in a tertiary institution which often has problems that pose a heavy psychological risk. High demands on nursing students often cause academic stress. Handling stress can be done in medical and non-medical ways. One of the non-medical therapies that can be done is progressive muscle relaxation techniques.</em> <em>To determine the effect of progressive muscle relaxation therapy on reducing stress levels in STIKES Guna Bangsa Yogyakarta nursing students.</em><em> This study uses the Quasi Experiment model Nonequivalent control group design. The population was nursing students at STIKES Guna Bangsa Yogyakarta with a sample of 36 respondents who were divided into intervention and control groups. The sampling technique used random sampling. The measuring tool used is the student-life Stress Inventory (SSI) questionnaire. Bivariate test using parametric paired t-test. </em><em>The stress level in the intervention group before the intervention was in the low stress category of 50.0% and after the intervention was in the low stress category of 61.1%. The stress level in the control group at the beginning of the measurement was in the low stress category of 50.0% and at the end of the measurement was in the moderate stress category of 50.0%. The results of the analysis test using the paired sample T-test in the intervention group showed a significance of 0.000. While in the control group showed a significance of 0.310. There is an effect of progressive muscle relaxation on reducing stress levels in STIKES Guna Bangsa Yogyakarta nursing students</em></p> 2024-01-12T09:54:27+07:00 Copyright (c) 2024 Safitri Dara, Shanti Wardaningsih, Rista Islamarida http://journal.gunabangsa.ac.id/index.php/joh/article/view/726 Application of Health Promotion Brainstorming Method to Pregnant Women's Knowledge About Danger Signs of Pregnancy 2024-01-22T08:44:24+07:00 Sri Wahyuni uni.budiluhur@yahoo.com Sri Maryati srimaryati143@gmail.com <p><em>One indicator that can show the well-being of a country's population is the number of maternal and infant deaths. Hemorrhage, hypertension during pregnancy, and diseases of the circulatory system are the leading causes of maternal mortality. One of the factors that contribute to a mother's ability to identify early signs of pregnancy danger and conduct early treatment is her knowledge. One way to encourage health promotion is to use an appropriate method, namely brainstorming. This study aims to improve the knowledge of pregnant women about the danger signs of pregnancy before and after receiving health promotion through the Brain Storming method. In this study, researchers used a pre-experimental design with a one group pretest postest design. This study involved pregnant women consisting of 30 people to undergo pregnancy checks in the Cipeundeuy Health Center area through purposive sampling method. In collecting data, author used a questionnaire which was used to ask what pregnant women knew about danger signs that might occur during pregnancy. The marginal homogeneity test was used to analyze the data. The results showed that the brainstorming method was effective for improving the knowledge of pregnant women, with a p-value: 0.000 (p &lt; 0.05). </em>Brainstorming can increase maternal knowledge because in its implementation the client participates in expressing opinions and experiences. <em>Therefore, health centers can use the brainstorming method to improve clients' knowledge about danger signs during pregnancy to prevent complications.</em></p> 2024-01-12T09:59:50+07:00 Copyright (c) 2024 Sri Wahyuni, Sri Maryati http://journal.gunabangsa.ac.id/index.php/joh/article/view/729 Service Quality On The Blood Donors Satisfaction 2024-01-22T08:44:28+07:00 Arif Tirtana atirtana89@gmail.com Marchiana Priska Idang marchianapriska.i@gmail.com Ikrimah Nafilata nafilataikrimah@gmail.com <p><em>Service quality is action that plays an important role in a health service institution. This study aims to determine quality of donor selection and blood collection services on the satisfaction of blood donors in PMI Yogyakarta Special Region.&nbsp; Type of research is quantitative research with a cross sectional approach. The population in this study is voluntary blood donors who donate blood at PMI and have met the criteria for donor selection and blood collection. Sampling is done by Accidental sampling technique. The study population is all voluntary blood donors who came to UDD PMI Sleman Regency and UDD PMI Kota in August 2023. The number of samples used in this study is 100 respondents. The data collection technique used study was using a questionnaire with a Likert scale. Data analysis techniques carried out using statistical test analysis using chi square. Based on the analysis of the data obtained, characteristics of male blood donors were obtained as many as 79 people (79%). The results of donor satisfaction were obtained 87 (87%) very satisfied, based on donor selection services 51 (51%) Appropriate and blood services 53 (53%) in accordance with donor satisfaction. The results of the chi-square test were obtained in donor selection obtained p-veliu results (0.002) &lt; 0.05 and in the results of the chi-square test blood draw obtained p-veliu results (0.154) &gt; 0.05.&nbsp; means that blood donor satisfaction is influenced by the quality of donor selection services and donor satisfaction is not influenced by the quality of blood collection services.</em></p> 2024-01-12T10:10:52+07:00 Copyright (c) 2024 Arif Tirtana, Marchiana Priska Idang, Ikrimah Nafilata http://journal.gunabangsa.ac.id/index.php/joh/article/view/740 Application of Effective Cough on Increasing Oxygen Saturation (SPO2) on Patients with Tuberculosis at Paru Center RSUD Ulin Banjarmasin 2024-01-22T08:44:32+07:00 Noor Mahmudianti noormahdianti@gmail.com Muhammad Riduansyah riduan21.mr@gmail.com Angga Irawan angga_irawan10@yahoo.co.id <p><em>Tuberculosis is an infectious disease caused by bacteria called Mycobacterium Tuberculosis which indicated by a few symptoms such as prolonged cough up to 2-3 weeks. However, a problem which usually occur is difficulty of excreting sputum and therefor, patients would experience difficulty of breathing which then resulting in decreasing oxygen saturation. </em><em>After collecting secondary data of pressure ulcers at Paru Center RSUD Ulin Banjarmasin, it was found that there where 63 patients experiencing tuberculosis since April to June 2023.</em> <em>Identifying</em> <em>the application of effective cough on increasing oxygen saturation (SPO<sub>2</sub>) on patients with tuberculosis at RSUD Ulin Banjarmasin.</em><em> This study used descriptive design. Sample on this study was selected using the total sampling technique. Data was collected using an observation sheet and the standard operating procedure of effective cough which was already provided at Paru Center. Before applicating the intervention, 2 patients had 95% of oxygen saturation, 5 patients with 96% oxygen saturation, 4 patients with 97% oxygen saturation, and 1 patient with 98% oxygen saturation. After the intervention was aplicated, 1 patient had 96% of oxygen saturation, 4 patients with 97% of oxygen saturation, 4 patients with 98% of oxygen saturation, and 3 patients had 99% of oxygen saturation. </em><em>The lowest oxygen saturation before intervention was 95% and the highest oxygen saturation was 98%. However, after intervention, the lowest oxygen saturation was 96% and the highest oxygen saturation was 99%. It is expected for nurses to educate patients about effective cough according to the </em><em>standard operating procedure.</em></p> 2024-01-12T10:12:29+07:00 Copyright (c) 2024 Noor Mahmudianti, Muhammad Riduansyah, Angga Irawan http://journal.gunabangsa.ac.id/index.php/joh/article/view/762 The Effect of Acupressure on Breast Acupoints CV 17 and ST 18 on Breastmilk Ejection Time in Breastfeeding Mothers 2024-01-22T08:44:35+07:00 Dian Monalisa Rusliani dianmonalisaa@gmail.com Zesika Intan Navelia zesikanavelia@gmail.com Novita Puspita Dewi poes.pite@gmail.com <p><em>Exclusive Breastmilk is given at the babies’ age 0-6 months, it is the best food for babies can’t be replaced by any food and drink, and it’s given until 2 years old of babies. Some problem the can obstructed the breastfeeding process, such as the time current of breast milk. It may overdue of oxytocin and prolactin hormone. One example to stimulate and incase the breastmilk time production are acupressure. CV 17 and ST 18 are the dots of acupressure can increase the production of breastmilk. This research means to determine the effectiveness of acupressure breast acupoint on CV 17 ang ST 18 for time production of breastmilk in breastfeeding mother. The method of this research is true experiment one control post-test design with, the sample is 44 breastfeeding mother which have problem with late production of breastmilk chosen by purposive sampling.</em></p> 2024-01-12T10:19:07+07:00 Copyright (c) 2024 Dian Monalisa Rusliani, Zesika Intan Navelia, Novita Puspita Dewi http://journal.gunabangsa.ac.id/index.php/joh/article/view/635 The Effect of Boiled Egg Consumption on Post Sectio Caesarea Wound Healing in Postpartum Mothers at dr. Darsono Pacitan Hospital 2024-01-22T08:44:37+07:00 Dian Tatariandari diantatariandari@gmail.com Titik Kurniawati titik.kurniawati14@gmail.com Yustina Ananti yustina010311@gmail.com <p>A sectio caesarea is a delivery in which the wall of the uterus is slashed surgically in order to deliver a fetus. The healing process for wounds is greatly influenced by nutrition, particularly protein. One of the most nutrient-dense foods, eggs are a type of animal protein side dish that are inexpensive, easy to find, and economical.This research is a quantitative research with quasy experimental method with a Nonequivalent group design. The research population is all caesarea postpartum mothers at dr. Darsono Pacitan Hospital. The sampling technique uses purposive sampling. The total sample was 36 post-SC postpartum mothers divided into two groups. Univariate data analysis with frequency distribution table, bivariate analysis with Chi-Square test. The duration of post sectio caesarea wound healing in postpartum mothers who consumed boiled eggs 18 mothers (100%) belonged to the category of fast healing (healed ≤ 7 days). The duration of post sectio caesarea wound healing in postpartum mothers who do not consume boiled eggs is dominated by mothers who belong to the category of slow healing wounds (healed &gt; 7 days) as many as 10 mothers (55.6%). The Chi–Square test result obtained the value ρ value = 0.000. Based on this figure, ρ &lt; 0.05, there is an influence of boiled egg consumption on the healing of post sectio caesarea wounds in postpartum mothers at dr. Darsono Pacitan Hospital.</p> 2024-01-12T00:00:00+07:00 Copyright (c) 2024 Dian Tatariandari, Titik Kurniawati, Yustina Ananti http://journal.gunabangsa.ac.id/index.php/joh/article/view/759 Spiritual Emotional Freedom Technique (SEFT) to Lower Blood Pressure in Hypertension Sufferers: A Systematic Review 2024-01-22T08:44:40+07:00 Jumain jumainmain55@gmail.com Agustinus Talindong agustinustalindong@gmail.com Wahyu wahyupraditya99@yahoo.co.id Parmi parmi.aldi73@gmail.com Mutmainnah HS mutmainnah.flo@gmail.com <p><em>Spiritual Emotional Freedom Technique (SEFT) is a technique that combines body system techniques and spiritual therapy using pressure on certain points on the body. SEFT includes helping individuals free from emotional stress (negative energy), which is the cause of increasing blood pressure in hypertensive patients. Hypertension is a condition where there is an increase in blood pressure, characterized by symptoms that will progress to a target organ, such as stroke, coronary heart disease and right ventricular hypertrophy. This systematic review aims to assess the effects of the Spiritual Emotional Freedom Technique (SEFT) with the result of reducing blood pressure in hypertensive sufferers. Using a systematic review by utilizing four electronic databases for searching: Pubmed, Science Direct, Google Scholar and Garuda Portal. Randomized Control Trial and Quasy Experiment studies that conducted research on SEFT were used as inclusion criteria. This systematic review contained ten studies meeting the criteria for a full text review. The findings in this study show that SEFT is very effective in reducing blood pressure in people with hypertension. Non-pharmacological intervention, namely SEFT (Spiritual Emotional Freedom Technique), has a good impact on hypertension to reduce blood pressure. So, it can be used as a good complementary therapy for hypertension sufferers.</em></p> 2024-01-16T13:45:41+07:00 Copyright (c) 2024 Jumain, Agustinus Talindong, Wahyu, Parmi, Mutmainnah HS