JOURNAL of HEALTH

THE EFFECT OF BENSON RELAXATION THERAPY ON PAIN REDUCTION AMONG POSTOPERATIVE FRACTURE PATIENTS IN THE NILAM 3 WARD OF DR. H. MOCH. ANSARI SALEH REGIONAL GENERAL HOSPITAL, BANJARMASIN

Linda — 2026-07-08

Background: The bone healing process following fracture surgery is a complex biological process. Patients commonly experience pain due to tissue damage resulting from surgical incision. Pain is defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage. This pain can be managed through non-pharmacological approaches, one of which is the Benson relaxation technique, which promotes a state of relaxation through the repetition of calming words or phrases. Objective: This study aimed to determine the effect of Benson relaxation therapy on pain reduction among postoperative fracture patients in the Nilam 3 Ward of dr. H. Moch. Ansari Saleh Regional General Hospital, Banjarmasin. Methods: This study employed a pre-experimental design with a one-group pre-test and post-test approach. The sample consisted of 34 postoperative fracture patients selected using an accidental sampling technique. Data were collected using a pain scale assessment and analyzed using the Wilcoxon Signed Rank Test. Results: Prior to the intervention, the majority of patients experienced moderate pain (91.2%). Following the intervention, most patients reported a reduction in pain intensity to mild pain (76.5%). The results of the Wilcoxon Signed Rank Test showed a p-value of 0.001 (p < 0.05), indicating a statistically significant effect of Benson relaxation therapy on reducing pain levels. Conclusion: Benson relaxation therapy was effective in reducing pain levels among postoperative fracture patients.

THE RELATIONSHIP BETWEEN DIETARY ADHERENCE AND QUALITY OF LIFE AMONG PATIENTS WITH CONGESTIVE HEART FAILURE AT REGIONAL GENERAL HOSPITAL

Anita Agustina — 2026-07-14

Background: Congestive heart failure (CHF) is a chronic cardiovascular disease that significantly affects patients’ physical, psychological, and social well-being. Dietary adherence is considered one of the essential components of self-care management in patients with CHF, particularly in controlling symptoms, preventing complications, and improving quality of life. However, adherence to dietary recommendations among CHF patients remains a major challenge. Objective: This study aimed to analyze the relationship between dietary adherence and quality of life among patients with congestive heart failure. Methods: This study employed a quantitative correlational design with a cross-sectional approach. The study was conducted at Ulin Regional General Hospital involving 60 patients with congestive heart failure selected using purposive sampling. Data were collected using a dietary adherence questionnaire and the Minnesota Living with Heart Failure Questionnaire (MLHFQ) to assess quality of life. Statistical analysis was performed using the Chi-square test with a significance level of p < 0.05. Results: The findings showed that most participants had moderate dietary adherence (46.7%) and moderate quality of life (50.0%). Statistical analysis demonstrated a significant relationship between dietary adherence and quality of life among patients with congestive heart failure (p = 0.001). Patients with better dietary adherence tended to have better quality of life compared to those with poor dietary adherence. Conclusion: Dietary adherence is significantly associated with quality of life among patients with congestive heart failure. Adequate dietary management may help improve physical functioning, reduce symptom severity, and enhance overall well-being. Holistic nursing interventions involving continuous education, counseling, and family support are recommended to improve dietary adherence and quality of life among CHF patients.

IMPROVING ELDERLY KNOWLEDGE ABOUT OBESITY PREVENTION THROUGH PHYSICAL ACTIVITY EDUCATION

Muhammad Ra'uf — 2026-07-14

Background: Obesity among the elderly is a growing health problem associated with increasing age and declining physical activity. Objective: This community service activity aimed to improve the elderly’s understanding of the importance of physical activity in preventing obesity through direct education within the community setting. Methods: The method used was an interactive lecture supported by informative and easy-to-understand leaflets. The activity was conducted at Mushola Darul Hijrah and involved 12 elderly participants. Results: The evaluation results showed an increase in participants’ knowledge regarding the definition of obesity, its causes, and the benefits of light exercises such as aerobics, walking, and stretching in maintaining an ideal body weight. Conclusion: The direct educational approach proved effective in raising awareness and encouraging the elderly to adopt an active and healthy lifestyle. Family support and the social environment were also identified as important factors in sustaining physical activity practices among the elderly.

THE IMPLEMENTATION OF PURSED LIPS BREATHING AND PRONATION BREATHING EXERCISES ON BREATHING PATTERNS IS INEFFECTIVE IN COPD PATIENTS

Nadia Regita — 2026-07-23

Chronic Obstructive Pulmonary Disease (COPD) is a prevalent chronic respiratory condition characterized by irreversible airflow limitation. A common clinical manifestation among individuals with COPD is the presence of ineffective breathing patterns, which may precipitate significant complications such as hypoxemia and hypercapnia. Non-pharmacological strategies, including pursed-lip breathing and pronation techniques, have demonstrated efficacy in enhancing pulmonary function and respiratory mechanics. Purpose: This case study aims to describe the nursing management of a COPD patient exhibiting dysfunctional breathing patterns who was given pursed lips breathing and pronation breathing exercises as part of their therapy regimen.Method: This investigation employed a descriptive methodology within a case study framework. Result: The subject was a patient diagnosed with chronic obstructive pulmonary disease (COPD) who exhibited ineffective breathing patterns and who was managed in the emergency department of Gemolong Regional General Hospital on February 4, 2025. Data collection involved monitoring oxygen saturation levels (SpO₂) and respiratory rate. The findings revealed that administering pursed-lips breathing and positional pronation interventions over six hours, consisting of 15-minute pursed-lips breathing sessions and one-hour pronation, significantly improved respiratory function. Specifically, the SpO₂ level increased from 88% to 97%, while the respiratory rate decreased from 36 to 22 breaths per minute.

THE RELATIONSHIP BETWEEN ANXIETY LEVELS AND SLEEP QUALITY IN CONGESTIVE HEART FAILURE PATIENTS

Yaumil Hafsani Siregar — 2026-07-23

Stroke is a disease that occurs due to blockage or rupture of blood vessels in the brain, which not only impacts physical health but also the quality of life of patients, making them dependent on family or caregivers in carrying out daily activities. The incidence continues to increase globally, including in Indonesia, family support and appropriate treatment are key factors in improving the quality of life of stroke patients and reducing the social and economic burdens caused. This study aims to analyze the relationship between family support and the quality of life of post-stroke patients at Mitra Medika Tanjung Mulia Hospital. This research design uses the methodanalytical surveywith the approachcross-sectional using the testChi-square. The sampling used ispurposive sampling. using the formulaSlovinA sample of 90 respondents was obtained. The types of data used were primary, secondary, and tertiary data, while the analysis used was univariate and bivariate analysis. The results of the study showed that stroke patients who frequently received family support tended to have a better quality of life (76.7%). Of the 90 patients studied, 81 (90%) had a good quality of life, withp-value0.000, indicating a significant relationship between family support and patient quality of life. The conclusion of the study is that there is a significant relationship between family support and the quality of life of post-stroke patients at Mitra Medika Tanjung Mulia Hospital in 2025.

IMPLEMENTATION OF INTEGRATED EMERGENCY HEALTH SERVICES THROUGH MOBILE HEALTH UNITS FOR FLOOD-AFFECTED COMMUNITIES IN ACEH PROVINCE, INDONESIA

Meitria Syahadatina Noor — 2026-08-03

Background: Flood disasters disrupt healthcare systems and increase the risk of communicable diseases, chronic disease complications, malnutrition, and psychosocial problems among affected communities. An integrated emergency health response is essential to restore healthcare access during disaster situations. Objective: This study aimed to describe the implementation of an integrated emergency health response through Mobile Health Units (MHUs) for flood-affected communities in Pidie Jaya Regency, Aceh Province, Indonesia. Methods: A retrospective descriptive implementation study was conducted using routine program records from an emergency health response implemented in Buangan and Lueng Bimba villages following the 2025 flood disaster. Data were collected from medical records, service reports, logistics distribution records, psychosocial intervention reports, and monitoring documents. Quantitative data were analyzed descriptively using frequencies and percentages, while qualitative findings were summarized narratively. Results: A total of 763 patients received comprehensive healthcare services through Mobile Health Units. The intervention included medical consultations, nursing care, maternal and child health services, portable ultrasonography, point-of-care laboratory testing, nutritional support, psychosocial interventions, pharmaceutical services, and referral of high-risk patients. The most common health conditions were acute respiratory infections, skin diseases, diarrhea, hypertension, and diabetes mellitus. Conclusion: The integrated emergency health response effectively restored access to essential healthcare services and addressed the multidimensional health needs of flood survivors. Strengthening multidisciplinary Mobile Health Units and multisectoral collaboration may enhance disaster preparedness and improve the resilience of primary healthcare services.

DEVELOPMENT OF A RISK BEHAVIOR DIAGNOSTIC QUESTIONNAIRE FOR ANEMIA IN WOMEN OF REPRODUCTIVE AGE

Sudjatmiko Setyobudihono — 2026-08-03

The fact that anemia symptoms are sometimes perceived as mild and non disruptive has led adolescents to be less concerned and appear to take it lightly. The aim of this study was to develop a questionnaire for the risk behavior diagnosis for anemia in women of reproductive age. A direct order from a husband is generally something that pregnant women cannot refuse. There is no validated questionnaire for risk behavior diagnosis for anemia in women of reproductive age in Indonesia. Based on the Extended Parallel Processing Model (EPPM), an initial questionnaire was prepared with 60 statement items divided into 6 constructs, namely: Perceived severity, Perceived susceptibility, Self efficacy, Response efficacy, Danger control responses, and Fear control responses. The initial questionnaire was tested for content validity by involving 10 experts in the fields of nursing, public health, and psychology. Using the content validity ratio and content validity index, 43 items were produced with a
content validity ratio value above 0.62 and a content validity index value above 0.78. Five women of reproductive age were included in the cognitive interview session after the questionnaire modification was carried out. This questionnaire
can be used as the primary subject for further factor analysis. The developed items are the result of ongoing research, and it is hoped that this questionnaire will be a robust instrument that can be used elsewhere.