An Idea Health Journal

The Role of Clean and Healthy Living Behaviors (CHLB) in Preventing Diarrheal Disease Transmission Among Toddlers : A Literature Review

2025-01-09T12:43:45+00:00

Background: Diarrheal diseases remain a major cause of morbidity and mortality among children under five, particularly in developing countries such as Indonesia. Clean and Healthy Living Behavior (CHLB) has been widely recognized as an effective strategy to prevent the transmission of diarrheal diseases in this vulnerable population.Method: This study employed a structured literature review to evaluate the role of CHLB in reducing the incidence of diarrhea among children under five. Articles were sourced from leading peerreviewed journals published between 2018 and 2024, with a focus on CHLB practices including handwashing with soap, access to clean water, proper sanitation, and health education.Result: Findings indicate that consistent implementation of CHLB interventions especially handwashing and the use of proper sanitation facilities can reduce diarrhea risk by up to 47%. The review also identified significant challenges in CHLB adoption, particularly in remote and underdeveloped areas. These challenges include limited infrastructure, low levels of public awareness, and socioeconomic barriers.Conclusion: The promotion and implementation of CHLB significantly contribute to preventing diarrheal diseases among children under five in Indonesia. Sustained support from government sectors, infrastructure investment, and public health education are essential to overcoming existing barriers. A multi-stakeholder approach is critical to reduce the disease burden, improve child health outcomes, and achieve national child survival goals

Benson Relaxation Technique to Reduce Anxiety in Inpatients: A Case Study

2025-04-28T10:31:25+00:00

Background: Anxiety is a common psychological condition often experienced by
inpatients due to changes in health status, unfamiliar environments, and
uncertainty about treatment. If left untreated, anxiety can lead to various negative
outcomes, including increased blood pressure, sleep disturbances, and excessive
restlessness. One effective non-pharmacological intervention to reduce anxiety is
Benson relaxation therapy, which combines deep breathing techniques with the
repetition of calming words or prayers. This study aimed to apply Benson
relaxation therapy to reduce patient anxiety in the inpatient ward of Woodward
Hospital, Palu.Methods: A descriptive case study design with a nursing care
approach was employed. The subject of the study was one patient experiencing
moderate anxiety. Benson relaxation therapy was administered for four days,
twice daily, with each session lasting 10–20 minutes. Anxiety levels were
measured using the Hamilton Anxiety Rating Scale (HARS). Result: The HARS
score decreased from 25 (moderate anxiety) to 16 (mild anxiety). The patient also
showed improvements in sleep patterns, reduced muscle tension, and alleviation
of somatic symptoms such as dizziness and restlessness. Conclusion: Benson
relaxation therapy effectively reduces anxiety in hospitalized patients,
contributing to the resolution of anxiety-related problems.

The Effectiveness of Nebulizer Therapy and Pursed-Lip Breathing in the Management of Acute Asthma: A Case Study

2025-04-28T10:19:37+00:00

Background:Asthma is a chronic respiratory disorder marked by airway inflammation, narrowing, edema, and excessive mucus production, resulting in impaired ventilation and ineffective airway clearance. Effective interventions are essential to alleviate symptoms and optimize respiratory function. Nebulizer therapy and pursed-lip breathing are widely employed to manage asthma symptoms; however, the synergistic impact of these two modalities remains underexplored.Methods:This case study involved a patient with a clinical diagnosis of asthma presenting with acute shortness of breath. The intervention protocol consisted of 10 minutes of nebulizer therapy followed by 5 minutes of pursed-lip breathing. Clinical parameters oxygen saturation (SpO?), respiratory rate, heart rate, sputum consistency, adventitious breath sounds, and dyspnea scale were measured before and after the intervention.Results and Discussion: Post-intervention assessment revealed notable clinical improvements. Oxygen saturation increased from 89% to 96%, respiratory rate declined from 37 to 24 breaths per minute, and heart rate decreased from 127 to 98 beats per minute. Additionally, sputum consistency became thinner, adventitious sounds such as wheezing and rhonchi subsided, and the dyspnea scale improved from level 2 (moderate) to level 0 (normal). These findings suggest that the combined application of nebulizer therapy and pursed-lip breathing enhances airway patency, reduces respiratory distress, and improves ventilation. Conclusion: The combined use of nebulizer therapy and pursed-lip breathing technique proved effective in improving airway clearance and respiratory function in an asthma patient, indicating potential for broader clinical application in acute asthma care.

Effectiveness of Peppermint Aromatherapy and Pericardium Six Acupressure in Reducing Emesis Gravidarum Among First Trimester Pregnant Women

2025-04-08T06:43:09+00:00

Background:Emesis gravidarum, commonly characterized by nausea and occasional vomiting, affects many women during the first trimester of pregnancy. Although generally self-limiting, it can significantly reduce quality of life and daily functioning. Objective:This study aimed to assess the effectiveness of peppermint aromatherapy and Pericardium 6 (P6) acupressure in alleviating symptoms of emesis gravidarum in first-trimester pregnant women. Methods:A qualitative case study approach was employed. Two pregnant women in their first trimester experiencing emesis gravidarum were selected using purposive sampling. Data were collected through in-depth interviews and direct observation. The severity of nausea and vomiting was measured using the Pregnancy-Unique Quantification of Emesis (PUQE) score before and after the interventions. Results:Peppermint aromatherapy reduced PUQE scores from 9 (moderate) to 6 (mild), while Pericardium 6 acupressure reduced PUQE scores from 10 (moderate) to 3 (mild). This indicates that both interventions were effective in reducing nausea and vomiting, with Pericardium 6 acupressure showing greater effectiveness. Conclusion:Both peppermint aromatherapy and Pericardium 6 acupressure are effective non-pharmacological methods for reducing emesis gravidarum in the first trimester. Pericardium 6 acupressure demonstrated greater effectiveness and may be recommended as a complementary therapy for managing early pregnancy-related nausea and vomiting

The Association of Hypertension Risk Factors among Employees of the Health Quarantine Office: A Cross-Sectional Study

2025-03-16T14:40:16+00:00

Background: Hypertension is the leading cause of mortality worldwide, with 90– 95% of cases classified as essential hypertension. According to data on noncommunicable or degenerative diseases in East Kalimantan, 595,689 individuals over the age of 15 were projected to suffer from hypertension in 2023. Several factors contribute to the prevalence of hypertension in Indonesia, including age, sex, family history of hypertension, educational level, occupation, place of residence, nutrition and lifestyle, and physical activity. The aim of this study was to examine the association between individual characteristics and nutritional status with the risk of hypertension among employees of the Class I Health Quarantine Office (Balai Karantina Kesehatan/BKK) in Samarinda, aged between 27 and 57 yearsMethods: This research employed a cross-sectional design involving 47 civil servants, comprising both permanent (PNS) and contract-based (PPPK) staff. Blood pressure and nutritional status (body mass index) data were obtained through direct measurements conducted in March 2025 at the BKK Class I Samarinda Office.The findings of this study indicate a significant association between individual characteristics specifically age and nutritional status and the incidence of hypertension among the employees.

Utilization of the Chronic Disease Management Program (Prolanis) at Suak Ribee Primary Health Center, Indonesia

2025-05-14T02:14:48+00:00

Background: The Prolanis Program at the Suak Ribee Health Center includes monthly health education, biannual supporting examinations, pharmaceutical services (DRR), group exercise sessions, and home visit activities. This study aimed to identify the determinants influencing the utilization of the BPJS Health Prolanis program at the Suak Ribee Health Center.Method: The research was conducted from January 7 to February 7, 2025, involving 66 randomly selected participants using a quantitative cross-sectional design. Data were analyzed through univariate and bivariate analyses using the chi-square test, and multivariate analysis using logistic regression..Result: The results revealed that age (p = 0.048), gender (p = 0.003, OR = 6.167), knowledge (p = 0.042, OR = 3.630), the role of health workers (p = 0.015, OR = 4.750), and family support (p = 0.045, OR = 3.600) were significantly associated with the utilization of Prolanis. Education level, however, showed no significant effect (p = 0.374, OR = 1.875). Gender emerged as the most dominant factor (p = 0.002, OR = 8.930).Conclusion: n conclusion, age, gender, knowledge, the role of health workers, and family support influence the utilization of the Prolanis program, whereas education does not. It is recommended that the Suak Ribee Health Center increase male participation in Prolanis, for example by organizing exercise sessions on weekends or in the afternoon, and by conducting home visits as a separate program to better target less active participants

Factors Affecting Psychotic Disorders in Pregnant Women

2025-02-13T10:05:08+00:00

Background: Psychotic disorders are one of the serious mental health problems, particularly among pregnant women. Various factors, both biological and psychosocial, are suspected to play a role in influencing the occurrence of psychotic disorders during pregnancy. However, to date, evidence regarding the most influential factors remains inconsistent. This study aims to analyze the factors affecting psychotic disorders in pregnant women..Method: The study used a quantitative design with a cross-sectional approach. A total of 72 pregnant women who attended antenatal care at the Rappokalling Health Center in Makassar City were selected as respondents. Data were collected using a structured questionnaire and analyzed using the chi-square test to assess the relationship between independent variables and psychotic disorders..Result: The analysis showed no significant relationship between age (P-value = 0.7), education (P-value = 0.8), parity (P-value = 0.1), gestational age (P-value = 0.3), employment status (P-value = 0.1), family income (P-value = 0.2), knowledge (Pvalue = 0.08), and social support (P-value = 0.1) with psychotic disorders in pregnant womenConclusion: This study concludes that factors such as age, education, parity, gestational age, employment status, family income, knowledge, and social support do not have a significant relationship with psychotic disorders in pregnant women in the population studied.

Strengthening Primary Health Services for Child Nutrition Interventions in Limited Access Area: A Cross-Sectional Study at Seko Health Center

2025-05-30T07:15:50+00:00

Background: One of the government’s policies to address nutritional problems is the strengthening of primary health services through the Integrated Health Service Post (Posyandu) program. This study aims to to analyze the strengthening of primary health services in the implementation of child nutrition interventions in the limited-access area of the Seko Health Center.Method: A quantitative research design with a cross-sectional approach was employed. The study sample consisted of 73 mothers of toddlers, selected using a simple random sampling technique. Data were collected using a structured questionnaire, and bivariate analysis was performed to examine the strengthening of primary health services for child nutrition interventions. The results showed that the variables of tangible evidence, reliability, responsiveness, and empathy collectively influenced the strengthening of nutrition interventions in primary health services, with a coefficient of determination (R²) of 45.9%. Conclusion: Strengthening primary health services requires enhancing the role of health cadres by improving training programs to increase their competence and knowledge—particularly for newly recruited cadres.

The Effect of Peer Educator Training on Knowledge of the Adolescent Reproductive Health Triad among Health Cadres

2025-02-13T10:12:43+00:00

Background: Adolescent reproductive health is a critical issue that significantly influences the quality of life and future development of young people. The high incidence of sexually transmitted infections (STIs) and unintended pregnancies among teenagers underscores the urgent need for effective educational interventions. Peer educator training is considered a promising approach to improve adolescents' understanding and management of their reproductive health. This study aims to assess the effectiveness of peer educator training in enhancing adolescents’ knowledge and skills related to reproductive health. It also seeks to compare outcomes between the experimental and control groups. A quasi-experimental design was employed, involving two groups: an experimental group that received peer educator training and a control group that did not receive any intervention. Statistical analysis was conducted using independent and paired t-tests to examine significant differences within and between the groups. he analysis revealed a statistically significant improvement in knowledge within the experimental group, with a p-value of 0.000 (p < 0.05), indicating a substantial difference before and after the training. Furthermore, the post-intervention comparison between the experimental and control groups also showed a significant difference in knowledge levels (p = 0.000), supporting the effectiveness of the training intervention conducted at SMA 11 Samarinda.Peer educator training is effective in increasing adolescents' knowledge regarding reproductive health. This intervention can serve as a valuable model for youth health education programs. Sustained efforts are recommended to broaden its implementation and maximize its impact on adolescent health outcomes