JOURNAL of HEALTH

THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND THE QUALITY OF LIFE OF POST PATIENTS STROKE

Yaumil Hafsani Siregar — 2025-10-08

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.

THE EFFECT OF FAMILY HEALTH EDUCATION ON KNOWLEDGE OF HYPERGLYCEMIC EMERGENCY PREVENTION AT PEKAUMAN PRIMARY HEALTH CENTER, BANJARMASIN

Resty Finary — 2025-10-16

Background: Hyperglycemia is a condition characterized by elevated blood glucose levels that can progress to emergencies such as diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS), both of which carry a high risk of mortality if not promptly treated. A lack of family knowledge in recognizing the signs and symptoms of hyperglycemic emergencies is one of the contributing factors to delayed treatment. This study aimed to determine the effect of health education on family knowledge regarding the prevention of hyperglycemic emergencies. Methods: This study employed a pre-experimental design using a one-group pre-test and post-test approach. The population consisted of 133 family members of patients with type 2 diabetes mellitus at Pekauman Primary Health Center, Banjarmasin. A total of 57 respondents were selected through purposive sampling. The research instrument was a knowledge questionnaire that had been tested for validity and reliability. Results: The findings showed an increase in family knowledge after the health education intervention. Statistical analysis using the Wilcoxon Signed Rank Test revealed a p-value of 0.001 (p < 0.05), indicating a significant effect of health education on improving family knowledge in preventing hyperglycemic emergencies. Conclusion: Health education is effective in enhancing family knowledge, enabling them to be better prepared to handle hyperglycemic emergency situations in patients with diabetes mellitus.

RELATIONSHIP BETWEEN HEALTH CARE SERVICE RESPONSE TIME AND THE LEVEL OF PATIENT FAMILY SATISFACTION IN THE EMERGENCY CENTER OF BHAYANGKARA HOSPITAL, CLASS III, BANJARMASIN

Azalia Nur Fidela Azalia — 2025-11-06

Emergency Department (ED) services require rapid and accurate response times to ensure successful treatment and improve patient families' satisfaction. Purpose: To determine the relationship between healthcare workers' response time and the level of patient families' satisfaction in the Emergency Department of Bhayangkara Hospital Level III Banjarmasin. Methods: This study used a quantitative correlational approach with a cross-sectional design. A total of 137 respondents were selected using accidental sampling. Research instruments included response time observation sheets and family satisfaction questionnaires. The data were analyzed using the Spearman Rank test. Results: The findings showed that most response times were appropriate (98.5%) and the majority of families were satisfied (97.1%). Statistical analysis obtained p=0.000 and r=0.702, indicating a significant and strong correlation between response time and family satisfaction. Conclusion: The faster and more accurate the healthcare workers' response time, the higher the family satisfaction with ED services. These findings are expected to serve as a basis for improving the quality of hospital emergency services through response time optimization.

THE EFFECT OF BRAIN GYM ON THE MEMORY OF STUDENTS AT SD ISLAM SURYA BUANA MALANG

Nisa Zeni Cahya Putri — 2025-12-01

Background: Students’ weak memory retention has been reported to negatively impact their academic performance. Interviews with homeroom teachers indicated that students frequently complain about forgetting previously taught material. Brain gym therapy, which consists of simple body-movement exercises, is believed to enhance cognitive function, including memory. This study aims to determine the effect of brain gym exercises on students’ memory. Method: This research employed a one-group pretest–posttest design without a control group. The independent variable was brain gym exercises, while the dependent variable was students’ memory. The study population consisted of 42 fifth-grade students at SD Islam Surya Buana Malang, from which 30 respondents were selected using the simple random sampling technique. Data were collected through observations of questionnaire scores administered before and after the intervention. Results: Findings showed that before receiving brain gym exercises, most students (66.7%) had an average memory score of less than 20. After the intervention, 73.3% of students achieved a very good score, with an average of 22. Statistical analysis using the Wilcoxon test revealed a significance value of p = 0.000 (p < 0.05). Therefore, H1 was accepted, indicating that brain gym exercises had a significant effect on the memory of fifth-grade students at SD Islam Surya Buana. Conclusion: Brain gym exercises significantly improve memory in school-age children. It is recommended that teachers implement brain gym activities prior to learning sessions to support improvements in students’ academic and non-academic performance.

IMPLEMENTATION OF SLOW STROKE BACK MASSAGE AND EARLY MOBILIZATION IN PATIENTS WITH PHYSICAL MOBILITY IMPAIRMENT AFTER STROKE: A CASE STUDY

Milasari — 2026-01-08

Background: Stroke is a major cause of long-term disability and is commonly associated with physical mobility impairment resulting from neuromuscular dysfunction. Decreased muscle strength and limited mobility can reduce functional independence and increase the risk of complications. Nursing-led non-pharmacological interventions, such as therapeutic massage and early mobilization, have the potential to support early functional recovery; however, detailed clinical descriptions of their combined application in post-stroke nursing care are still limited. Methods: This study employed a case study design using a nursing care approach. The subject was one post-stroke patient diagnosed with physical mobility impairment. The nursing intervention consisted of Slow Stroke Back Massage followed by early mobilization, implemented twice daily over six consecutive days. Muscle strength was assessed using Manual Muscle Testing (MMT), while physical mobility and activity tolerance were evaluated through direct observation. Data were analyzed descriptively using a case analysis approach. Results: After six days of intervention, the patient demonstrated progressive improvement in muscle strength and mobility. The affected upper extremity showed improvement from minimal muscle contraction to active movement with gravity eliminated, while the affected lower extremity improved from movement with gravity eliminated to active movement against gravity. The patient also showed increased participation in mobilization activities and improved tolerance to physical movement, with stable vital signs throughout the intervention period. Conclusion: This case study indicates that the combined application of Slow Stroke Back Massage and early mobilization may contribute to improvements in muscle strength and physical mobility in post-stroke patients with physical mobility impairment. These findings support the potential role of holistic, nursing-led interventions in early stroke rehabilitation. Further studies with larger samples and controlled designs are recommended.

MATERNAL KNOWLEDGE, ATTITUDES, AND AGE IN RELATION TO LOW BIRTH WEIGHT RISK: EVIDENCE FROM PRIMARY HEALTH CENTERS IN BATU AMPAR DISTRICT, TANAH LAUT REGENCY

Abd. Basid — 2026-01-09

Background: Low Birth Weight (LBW) is one of the important indicators of infant health that contributes to the increase in neonatal morbidity and mortality. Factors that affect the incidence of LBW include the mother's knowledge, attitude, and age during pregnancy. Objective: This study aims to determine the relationship between knowledge, attitudes, and maternal age to the incidence of LBW in the working area of the Tajau Pecah Health Center and the Durian Bungkuk Health Center, Batu Ampar District in 2025. Methods: This study used an observational analytical design with a cross-sectional approach. The study population was all mothers who gave birth in the working area of the two health centers with a sample of 115 people selected in total sampling. Data were collected through questionnaires and analyzed using the Fisher Exact test with a significance rate of 95% (α = 0.05). Results: The results showed that there was a significant relationship between maternal knowledge and the incidence of LBW (p = 0.002) and between maternal attitudes and the incidence of LBW (p < 0.001). Meanwhile, there was no significant relationship between maternal age and LBW incidence (p = 0.525). Conclusion: Knowledge and attitudes of pregnant women have an important role in preventing the occurrence of LBW, while the age of the mother in this study did not show a meaningful relationship. It is recommended to health workers to improve education and coaching of pregnant women to strengthen knowledge and positive attitudes during pregnancy.

THE RELATIONSHIP BETWEEN PARENTING PATTERNS OF PARENTS UNDERGOING LONG DISTANCE MARRIAGE (LDM) AND THE INDEPENDENCE OF PRESCHOOL AGE CHILDREN IN ANGKASA VI ABDULRACHMAN SALEH KINDERGARTEN MALANG

Abrilia Diah Ayu Saputri — 2026-01-15

Background: Independence in preschool-aged children is an important aspect of personal-social development, and parenting style is thought to influence the level of child independence, especially in parents who practice Long Distance Marriage (LDM). Objective: This study aimed to determine the relationship between parenting style of LDM parents and the independence of preschool children at TK Angkasa VI Abdulrachman Saleh Malang. Methods: The study employed a quantitative analytic correlational design with a cross sectional approach, involving all 60 children as the sample through total sampling. Data were collected using a parenting style questionnaire and a child independence questionnaire , with validity and reliability tested by Maulidyah (2018). Results: The results showed that most parents applied an authoritarian parenting style (27 respondents, 45.0%), followed by democratic (17 respondents, 28.3%) and permissive (16 respondents, 26.7%), while the majority of children were classified as having low independence (42 children, 70.0%), and 18 children (30.0%) had good independence. The Chi-Square test indicated P = 0.000, showing a highly significant relationship between parenting style and child independence. Conclusion: In conclusion, parenting style is significantly associated with the independence of preschool-aged children at TK Angkasa VI Abdulrachman Saleh Malang.

MANAGEMENT OF PENDING BPJS INPATIENT CLAIMS HANDLING

Firda Apriyanti — 2026-01-15

Background: Pending claims refer to claim returns for which no agreement has been reached between BPJS Kesehatan and the Advanced Referral Health Facility. At Mawar General Hospital Banjarbaru, in 2023, claim returns by BPJS Kesehatan occurred from January to September. Thus far, the hospital’s response has been limited to revising the pending claims. Consequently, the implementation of appropriate management strategies is deemed essential in addressing these cases. Purpose: This study aims to analyze the management of inpatient pending BPJS claims at Mawar General Hospital Banjarbaru using the POAC (Planning, Organizing, Actuating, Controlling) framework. Method: This research employed a qualitative approach. The informants consisted of one JKN coordinator, two claim entry officers and one internal claim verification physician. The research instruments comprised observation guidelines and interview protocols. Data analysis was conducted through data collection, data reduction, data presentation and the drawing and verification of conclusions. Discussion: The findings indicate that Mawar General Hospital Banjarbaru possesses documentation pertaining to the four management functions (Planning, Organizing, Actuating and Controlling), which have been implemented effectively, with the exception of the Organizing function, which remains suboptimal. It is therefore recommended that the hospital establish a formal Work Organizational Structure to serve as a reference for staff in carrying out their responsibilities, expand human resource capacity and provide training programs related to the management of pending claims.