International Journal of Health, Economics, and Social Sciences (IJHESS)

The Relationship between the Level of Compliance of Taking Hypertension Medication and the Blood Pressure of Prolanis Patients in the Working Area of the Tilango Health Center

2026-02-26T10:55:49+07:00

Hypertension is one of the chronic diseases that requires long-term management because it can cause complications if not controlled. One of the important factors in blood pressure control is the patient's adherence to taking antihypertensive drugs regularly. Patients who are members of the Chronic Disease Management Program (Prolanis) are expected to have better blood pressure control through routine health monitoring and continuous education. This study aims to determine the relationship between the level of compliance with hypertension medication and the blood pressure of Prolanis patients in the Working Area of the Tilango Health Center, Gorontalo Regency. This study is a quantitative research using a correlational analytical design with a cross sectional approach, involving 53 respondents who were taken using purposive sampling techniques. The results showed that the majority of respondents had medication adherence in the moderate category as many as 29 people (54.7%), while the majority of respondents' blood pressure was in the mild category as many as 27 people (50.9%). Based on the results of the Chi-Square test, a p value of < 0.05 was obtained, so it can be concluded that there is a significant relationship between the level of compliance with taking hypertension medication and the blood pressure of Prolanis patients in the Tilango Health Center Working Area, Gorontalo Regency, where the better the patient's level of adherence in taking medication, the more controlled the patient's blood pressure.

The Effect of Learning Video Education on Knowledge of Breast Milk Dam Prevention in Tri Smester III Pregnant Women in the Working Area of the Dungaliyo Health Center

2026-02-27T23:09:06+07:00

Breast milk dams generally occur on the 3rd to 5th day after childbirth along with an increase in breast milk production. This condition can be caused by improper breastfeeding techniques, inadequate breastfeeding frequency, improper attachment, and lack of knowledge of breastfeeding by mothers. The purpose of this study is to determine the effect of learning video education on knowledge of breastfeeding dam prevention in third trimester mothers in the working area of the Dungaliyo Health Center. The research method used is quasi-experimental with a pretest–posttest without control group approach. The population in this study is Mrs. Tri Smester III in the working area of the Dungaliyo Health Center with sampling techniques using non-probability sampling techniques with the Total sampling method obtained a sample of 40 respondents. Data analysis was carried out using the Wilcoxon Signed Rank Test. The results of the study showed that before video education, mothers' knowledge was dominated by the sufficient category as many as 26 respondents and the lack category as many as 14 respondents. After the intervention, the majority of mothers had good knowledge as many as 24 respondents, followed by enough knowledge of 13 respondents, and only 3 respondents were still less knowledgeable. The results of the analysis showed an increase in the level of knowledge of respondents after being given video learning education, characterized by a change in the average value of knowledge from 2.35 before the intervention to 1.48 after the intervention, with an average difference of 0.87. The results of the statistical test showed a value of p = 0.000 (p < 0.05), The conclusion of the study was that there was a significant influence of video learning education on the knowledge of breastfeeding dam prevention in third trimester mothers. The results of this research are expected to be a source of information that is easy to understand and access at any time through learning video media.

The Effect of the Use of Blanket Warmer on the Increase in Body Temperature in Post Op Section Caesarea Patients in the Recovery Room of the Central Surgical Installation of Dr. M.M Dunda Limboto Hospital

2026-02-27T23:17:42+07:00

Hypothermia often occurs during Caesarean section surgery due to the effects of anesthesia and room temperature. Therefore, a Blanket Warmer is necessary to increase the patient's body temperature. Objective: To determine the effect of Blanket Warmer use on body temperature increase in post-Caesarean section patients in the Recovery Room of the Central Surgical Installation of Dr. M.M. Dunda Limboto Regional Hospital. This study used a pre-experimental design with a one-group pretest-posttest. Purposive sampling was used to select 23 respondents. This design involved two observations: before and after the experiment. Results: This study showed a p-value of 0.000 (p<0.05), indicating a significant effect, with an average value of 54.62 before and 67.69 after. It can be concluded that the use of a Blanket Warmer has an effect on increasing body temperature in post-Caesarean Section patients. Conclusion: Therefore, the use of a blanket warmer is essential to increase the body temperature of post-Caesarean Section patients who experience hypothermia while in the Recovery Room.

Factors Affecting the Treatment of Pulmonary TB in the Working Area of the Dungaliyo Health Center, Dungaliyo District, Gorontalo Regency

2026-02-27T23:14:24+07:00

According to the WHO Global Tuberculosis Report for 2024, there will be around 10.8 million new TB cases worldwide in 2023, with an incidence of 134 cases per 100,000 population. Indonesia occupies the second position as the country with the most TB cases in the world. The purpose of this study is to find out the factors that affect the treatment of Pulmonary TB in the working area of the Dungaliyo Health Center in 2025. This study uses a quantitative method with a cross sectional study design, the sample in this study is Pulmonary TB patients who are treated at the Dungaliyo Health Center. Sampling was determined by a total sampling of 39 respondents. This research was conducted by interview method, the data collection tool is a questionnaire with a chi square test. From the results of this study, it can be concluded that 79.5% of respondents have lack of knowledge, 87.2% of respondents have strong motivation, 89.7% of respondents have an active PMO role. There was a relationship with knowledge (p = 0.037), there was a relationship with motivation (p = 0.038), there was a relationship with the role of PMO (p = 0.002), there was a relationship with income (p = 0.023) with the treatment of Pulmonary TB.Suggestion for the Dungaliyo Health Center is that PMO training should be held for family members who are PMO officers so that the treatment is complete. In addition, it also increases health promotion activities such as counseling, counseling, poster installation and distribution of leaflets about pulmonary TB disease.

The Effect of Oral Stimulation on the Ability to Suck BBLR Babies in the Nicu Room of Toto Kabila Hospital

2026-02-27T23:21:11+07:00

Babies with BBLR are unable to breastfeed directly from the bottle or breast after birth due to low muscle tone, immature oral motor control, and poor sucking, swallowing, and breathing coordination due to weak sucking reflexes. The purpose of the study was to determine the effect of oral stimulation on the ability to suck BBLR babies in the NICU Room of Toto Kabila Hospital. The quantitative research method with a pre-experiment design is one group pre-test and post-test design, the population of this study is all BBLR babies, the research sample is 18 infants with accidental sampling techniques that meet the sample criteria, the research instrument uses EFS (Early Feeding Skill) observation sheets and oral stimulation SOPs, the data is analyzed with the Wilcoxon test. The results of the study were obtained before being given oral stimulation, the baby's ability to suck was completely devoid of 18 respondents (100%) with an average of 8.78 and after being given oral stimulation, the majority of babies' sucking ability had a suction reflex of 14 respondents (77.8%) and no suction reflex as many as 4 respondents (22.2%) with an average of 11.72, and p-value = 0.000 (? ? 0.05). It can be concluded that there is an effect of oral stimulation on the ability to suck BBLR babies in the NICU Room of Toto Kabila Hospital. Therefore, hospitals are expected to make oral stimulation the standard of nursing care for BBLR babies with suction reflex problems.

Early Detection of Non-Communicable Diseases (NCDs) in the Elderly in the Working Area of the Bongomeme Health Center, Gorontalo Regency

2026-02-26T12:29:37+07:00

The elderly are someone who has reached the age of 60 years and above. The elderly group is a vulnerable age group. In this age range, there is a variety of risks of non-communicable diseases (NCDs) caused by degenerative factors such as hypertension, diabetes mellitus, osteoporosis, and cancer. Generally, the increase in the incidence of some of these diseases tends to increase with age, so it is more experienced by the elderly. This study aims to find out the picture of early detection of non-communicable diseases (NCDs) in the elderly in the working area of the Bongomeme Health Center, Gorontalo Regency. The population in this study is all elderly people aged 60 years in the working area of the Bongomeme Health Center, Gorontalo Regency, which amounts to 3200 elderly people. The sampling technique in this study uses the non probability sampling method with the puposive sampling technique, the sampling of this study uses the 10% slovin formula , the sample size is 97 respondents. This research method uses quantitative descriptive research with an analytical descriptive research model with an observational approach. The results showed that the status of NCDs showed that most of the elderly were detected to have Non-Communicable Diseases (NCDs), namely 59 respondents (60.8%), while 38 respondents (39.2%) were not detected to have NCDs. The most common type of NCD found in the elderly is hypertension, followed by diabetes mellitus, heart disease, chronic respiratory disease, and stroke. The conclusion in this study is that most of the elderly in the Bongomeme Health Center area, Gorontalo Regency are detected with NCDs, so it is necessary to strengthen early detection and prevention efforts in a sustainable manner.

Effectiveness of Abdominal Compresses on Constipation in Stroke Patients in the Neuro Room of Prof. Dr. Aloei Saboe Hospital

2026-02-26T12:36:22+07:00

Constipation is an elimination problem that often occurs in stroke patients due to neurological disorders, immobilization, and a low-fiber diet. This condition can decrease comfort, hinder recovery, and trigger complications such as fecal impaction. Warm abdominal compresses are a nonpharmacological intervention that can improve intestinal motility. Objective: To determine the effect of abdominal compresses on the rate of constipation in stroke patients. Methods: This study used a pre-experimental design with a one group pretest-posttest design approach. The sample consisted of 15 stroke patients who were selected using accidental sampling techniques in the Neuro Room of Prof. Dr. Aloei Saboe Gorontalo Hospital. The intervention was in the form of abdominal compresses with Warm Water Zak at 40–50°C for 20 minutes every day for three days. The level of constipation was measured using the Constipation Assessment Scale (CAS). The normality test used the Shapiro-Wilk test and the statistical analysis used the Wilcoxon test. Results: After a warm compress intervention in the abdomen for 3 days, the category of non-constipation increased from 0 respondents (0%) to 2 respondents (11.8%), mild constipation of 2 respondents (11.8%) increased to 11 respondents (64.7%), moderate constipation of 10 respondents (58.8%) decreased to 2 respondents (17.6%), and severe constipation of 4 respondents (29.4%) decreased to 2 respondents (5.9%). The Wilcoxon test showed a value of p = 0.000 (p< 0.05), indicating a significant effect of abdominal compression on the reduction of constipation. Conclusion: Abdominal compresses are effective in lowering the rate of constipation in stroke patients. This intervention is safe, easy to implement, and can be recommended as a nonpharmacological nursing measure to improve elimination function in stroke patients.

The Effect of Whatsapp-Based Health Education on Improving Maternal Health Literacy in Stunting Prevention at Dengilo Health Center

2026-02-26T12:45:15+07:00

The Influence of Whatsapp-Based Health Education on Improving Maternal Health Literacy in Stunting Prevention at the Dengilo Health Center, Pohuwato Regency, guided by Hartati Inaku as chairman and Rini Asnawati as a member. Stunting is still a major problem for infants and children under the age of 2 in Indonesia. This condition must be resolved immediately for the achievement of a healthy, intelligent, and productive Indonesian golden generation, as well as the success of achieving sustainable development goals. (Perpres, 2021). The purpose of the study was to determine the effect of whatsapp-based health education on increasing maternal health literacy in preventing stunting in the working area of the Dengilo Health Center. Quantitative correlation with the Pre-Experiment research method with the type of one group pre-test and posttest design The quantitative correlation research sample in this study was mothers who had stunted children and the risk of stunting as many as 50 respondents. The Effect of WhatsApp-Based Health Education on Increasing Maternal Health Literacy in Stunting Prevention After data tabulation with spss using the paired sample t test obtained a sig.tailed value of 0.000 < 0.05 which means that there is an effect of providing education through WhatsApp on increasing maternal health literacy in stunting prevention at the Dengilo Health Center, Pohuwato Regency. Conclusion There is an influence between whatsapp-based health education and maternal health literacy in stunting prevention at the Dengilo health center, Pohuwato Regency. It is expected that the Puskesmas will use WhatsApp media in an ongoing manner as one of the health education strategies in an effort to increase maternal health literacy and prevent stunting in the work area of the Puskesmas.

The Relationship between the Level of Nurse Knowledge and the Accuracy of the Assessment of the Glasgow Coma Scale in Head Injury Patients in the Emergency Room of Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City

2026-02-26T12:51:26+07:00

The Glasgow Coma Scale (GCS) is included in the primary survey carried out when a patient enters the emergency room which is usually assessed by the emergency room nurse and can prevent complications so that it requires a proper GCS examination. The purpose of this study was to determine the relationship between the level of knowledge of nurses and the accuracy of the assessment of the Glasgow Coma Scale in patients with head injuries in the emergency room of Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City. Quantitative research method with a cross sectional study approach, the population in this study was all implementing nurses in the emergency room of Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City, a research sample of 29 nurses with a total sampling technique, research instruments using knowledge questionnaires and GCS assessment observation sheets, data were analyzed by Chi-square test. The results of the study obtained the level of knowledge of nurses about the GCS assessment which was good knowledge as many as 19 nurses (65.5%) and sufficient knowledge as many as 10 nurses (34.5%), then the accuracy of the right GCS assessment was 21 nurses (72.4%) and inappropriate as many as 8 nurses (27.6%), and a p-value of 0.000 (? ? 0.05) was obtained. It can be concluded that there is a relationship between the level of nurse knowledge and the accuracy of GCS assessment in head injury patients in the emergency room of Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City.

Stress-related factors Pregnant Women in the Working Area of the Limboto Health Center, Gorontalo Regency

2026-02-26T13:08:03+07:00

Stress in pregnant women can be influenced by various factors, including family support, age, parity and maternal knowledge. Stress is a psychological response that arises when an individual faces a situation that is perceived to be beyond their ability or difficult to deal with. The purpose of this study is to find out the factors related to stress in pregnant women in the working area of the Limboto Health Center, Gorontalo Regency. The research method uses a correlative analytical quantitative research design with a cross sectional approach. The population in this study amounted to 121 respondents with a sample size of 93 respondents calculated using a significance level of 5%, using a non-probability sampling technique, namely accidental sampling. The instruments in this study used a family support questionnaire, a maternal knowledge questionnaire, and a PDQ (Prenatal Distress Questionnaire) stress questionnaire. The results showed that there was a significant relationship between factors such as age, family support, parity, maternal knowledge and stress in pregnant women in the working area of the Limboto Health Center, Gorontalo Regency with a p-value = < 0.05 using the chi square correlation test and the spearman rank correlation test. With this research, it is hoped that it can be an effort to prevent stress in pregnant women through providing support and knowledge to prevent adverse effects on mothers and babies.

The Relationship between Knowledge and Chronic Kidney Failure Prevention Behavior in Hypertensive Patients at Limboto Health Center

2026-02-26T13:47:25+07:00

Uncontrolled hypertension can cause various serious complications, one of which is chronic kidney failure (CKD). Hypertensive patients' knowledge of their disease plays an important role in the prevention behavior of complications such as chronic kidney failure. Good knowledge is characterized by an understanding of risk factors, the importance of blood pressure control, adherence to taking medications, as well as a healthy lifestyle such as a low-salt diet and regular exercise that can prevent complications, one of which is chronic kidney failure.

This study aims to analyze the relationship between knowledge and chronic kidney failure prevention behavior in hypertensive patients at the Limboto Health Center. The method used is a quantitative research with a cross-sectional design. The research sample amounted to 95 patients who were selected using the purposive sampling technique. Data collection was conducted using a structured questionnaire that measured the level of knowledge about hypertension and chronic kidney failure prevention behaviors. The data were analyzed univariate and bivariate using the spearman rank test with a significance level of 5%. The results showed that most of the respondents were at a good level of knowledge and the majority had good kidney failure prevention behaviors. Bivariate analysis showed that there was a weak level of relationship strength (0.333) between knowledge and GGK prevention behavior in hypertensive patients at the Limboto Health Center (p < 0.05) with the direction of positive relationship. In conclusion, the higher the knowledge, the better the behavior to prevent chronic kidney failure, even though the strength of the relationship is relatively weak. This suggests that knowledge plays a role in the formation of preventive behaviors, but is not the only factor that influences them.

The Effect of Health Education on Low-Salt Diet Knowledge in Hypertensive Patients at Limboto Health Center

2026-02-26T13:45:39+07:00

Hypertension is one of the non-communicable diseases with an increasing prevalence and is a public health problem because it is often asymptomatic but at risk of causing serious complications. One of the non-pharmacological efforts that plays an important role in controlling hypertension is the implementation of a low-salt diet. However, low patient knowledge about low-salt diets is still a major obstacle in the management of hypertension. This study aims to determine the effect of health education on the knowledge of low-salt diets in hypertensive patients at the Limboto Health Center. This study uses a quantitative design with a pre-experimental approach through one group pretest-posttest design. The study population is hypertension patients recorded in November 2025 with a sample of 44 respondents taken using purposive sampling techniques. Data collection was carried out using a low-salt diet knowledge questionnaire that has been tested for validity and reliability. Health education is provided through counseling methods using leaflet and Power Point media. Data analysis was carried out using the Paired Sample T-Test to see differences in knowledge levels before and after health education. The results of the study showed that after being given health education, most hypertensive patients had a good level of low-salt diet knowledge but still found patients with sufficient and insufficient knowledge levels. These findings show that there is a knowledge gap in some patients regarding the implementation of a low-salt diet. This study emphasizes the importance of continuous health education by health workers to improve patient understanding in hypertension control.

The Effect of Foot Massage on Diabetic Neuropathy Symptoms in Patients with Diabetes Mellitus at Kabila Health Center

2026-02-26T13:42:48+07:00

Diabetes mellitus is a non-communicable disease with high morbidity and mortality rates that can cause complications of diabetic neuropathy due to chronic hyperglycemia and low physical activity. Diabetic neuropathy causes complaints such as tingling, nausea, pain, and sensory disturbances that decrease quality of life, so non-pharmacological interventions are needed as a safe and effective alternative. Foot massage was chosen as one of the interventions because it is easy to do, low cost, can be applied by patients and families, and has been proven to be effective in reducing symptoms of diabetic neuropathy. The purpose of this research is to determine the effect of Foot Massage on the symptoms of Diabetic Neuropathy in Diabetes Mellitus patients. This study is a quasi-experimental study with a pre-test post-test with control group design involving 18 respondents in the experimental group and 18 respondents in the control group taken using purposive sampling techniques. The results of the study showed that after being given foot massage therapy, the experimental group experienced a decrease in symptoms of diabetic neuropathy, where 27.8% of respondents were in the category of mild symptoms, 66.7% of moderate symptoms, and only 5.6% still experienced severe symptoms. On the other hand, in the control group there was no meaningful change, with the majority of respondents (83.3%) remaining in the moderate symptom category. The results of the Independent t-test showed a significance value of 0.001 (p < 0.05), which proved that foot massage therapy had a significant effect on reducing symptoms of diabetic neuropathy in patients with diabetes mellitus at the Kabila Health Center.

The Effect of Gender Equality Perspective Sexual Education on Self-Efficacy as an Effort to Prevent Sexual Violence in Adolescents at SMAN 1 Gorontalo

2026-02-26T13:55:59+07:00

Sexual violence is a sexual act that is carried out forcefully and can happen to anyone, including teenagers as a vulnerable group. The lack of gender-based sexual education in schools leads to low knowledge about sexual violence and gender equality, resulting in an impact on self-efficacy and high cases of sexual violence in adolescents. This study aims to determine the influence of sexual education from a gender equality perspective on self-efficacy as an effort to prevent sexual violence in adolescents at SMAN 1 Gorontalo. The study used a quantitative approach with a One Group pre-test and post-test design and involved 65 respondents selected through the Proportionate Stratified Random Sampling technique. The research instrument was in the form of a questionnaire on self-efficacy of sexual violence prevention efforts. The results of the study showed that there were differences before and after being given sexual education from a gender equality perspective about increasing self-efficacy as an effort to prevent sexual violence, the results obtained were In conclusion, there was a significant influence before and after being given sexual education from a gender equality perspective on self-efficacy as an effort to prevent sexual violence in adolescents at SMAN 1 Gorontalo so that it was needed Integrating gender equality-based sexual education in school health promotion programs, health agencies, especially nursing to develop sexual violence prevention programs in the school environment

The Effect of Foot Massage Therapy Using Lavender Oil on Lowering Blood Pressure in Hypertensive Patients at Kabila Health Center

2026-02-26T14:26:17+07:00

Hypertension is a chronic condition with systolic blood pressure ?140 mmHg and/or diastole ?90 mmHg that is at risk of cardiovascular complications. One of the nonpharmacological therapies such as foot massage using lavender oil is an important alternative that can improve relaxation and modulate the autonomic nervous system. This study aims to analyze the effect of this therapy on reducing blood pressure of hypertensive patients at the Kabila Health Center. The research design used, which was quasi-experimental with two groups, was used on 30 respondents (15 interventions and 15 controls) who were selected through accidental sampling techniques. The research instruments included SOP foot massage and blood pressure measurement using a digital sphygmomanometer. Data analysis was carried out by Wilcoxon test and paired t-test for comparison within groups, as well as independent sample t-test for comparison between groups. The results showed a significant decrease in systolic and diastolic blood pressure in the intervention group p = 0.001 (p < 0.05) with the mean systole decreasing from 156.20 to 150.20 mmHg and the median diastole from 92 to 81 mmHg. In the control group, there was no significant change in systol p = 0.096 (p > 0.05) and diastol p = 0.230 (p > 0.05). Significant differences between groups were found for systol p = 0.024 (p < 0.05) and diastol p = 0.000 (p < 0.05). The conclusion that foot massage therapy using lavender oil had a significant effect on lowering the blood pressure of hypertensive patients at the Kabila Health Center

The Relationship Between Medication Compliance and Blood Pressure in Hypertensive Elderly at Limboto Health Center

2026-02-25T14:23:50+07:00

Hypertension is a condition when arterial blood pressure rises steadily above normal limits and lasts for a long time. The high prevalence of hypertension is still caused by the low compliance of hypertensive patients in taking antihypertensive drugs. This study aims to determine the relationship between medication adherence to medication and blood pressure in hypertensive elderly at Limboto Health Center. This research is a type of quantitative research with a cross sectional approach. The population in this study is 246 elderly hypertensive patients registered at Prolanis at the Limboto Health Center. The research sample amounted to 38 hypertensive elderly people who were taken using a non-probability sampling technique with an accidental sampling approach. The research instrument used the Morisky Medication Adherence Scale (MMAS-8) questionnaire to measure the level of adherence to taking medication. The data analysis used was the Chi-Square test. The results showed a p value of 0.002 (p < 0.05), which means that there is a significant relationship between medication adherence to blood pressure in hypertensive elderly people. This research is expected to be the basis for the health center in improving health education, monitoring medication adherence regularly, and involving families in treatment supervision so that blood pressure control in the elderly can be achieved optimally and sustainably.

The Effect of Hemodialysis Therapy on Blood Glucose Levels in Patients in the Hemodialysis Room Prof. Dr. H. Aloei Saboe General Hospital Gorontalo City

2026-02-25T14:24:30+07:00

Hemodialysis generally functions to remove metabolic waste products that cause a decrease in blood glucose levels. The purpose of this study was to determine the effect of hemodialysis therapy on blood glucose levels in patients in the hemodialysis room at Prof. Dr. H. Aloei Saboe Regional General Hospital in Gorontalo City.

The research method used was quantitative research with a quasi-experimental design and a one-group pre-post test design. The sample consisted of 26 respondents using purposive sampling technique.

The Wilcoxon test yielded a p-value of 0.000 (p-value < 0.05), indicating that hemodialysis therapy affects blood glucose levels in patients in the hemodialysis room at Prof. Dr. H. Aloei Saboe Regional General Hospital in Gorontalo City. Hemodialysis therapy can reduce the burden of uremic toxins that previously interfered with insulin sensitivity. After dialysis, cellular response to insulin improves, allowing blood glucose levels to be controlled more effectively. It is hoped that this will yield positive results in enhancing the quality of nursing care for patients undergoing hemodialysis therapy, particularly in measuring blood glucose levels. Hemodialysis therapy should be performed to measure blood glucose levels.

Effect of Semi Fowler and Right Lateral Position on Increased Oxygen Saturation in Adhf Patients in the CVCU Room of Dr. M. M Dunda Limboto Hospital

2026-02-25T14:25:23+07:00

Acute Heart Failure (ADHF) is often found, namely Acute Decompensated Heart Failure (ADHF) is one of the health problems with a high morbidity and mortality rate, the symptoms that occur are difficulty breathing when resting during the treatment period. Non-pharmacological interventions such as body position regulation are alternatives used by nurses, The most commonly used positions are the semi-fowler and right lateral positions. The purpose of the study was to analyze the effect of the semi-fowler and right lateral position on the Increase in Oxygen Saturation in ADHF patients in the CVCU Room of Dr. M. M Dunda Limboto Hospital. This study is a quantitative research using a Quasi-Experimental, Pretest and Posttest Control group research design.The population in this study was patients treated in a CVCU room with ADHF. Sampling using accidental sampling was a sample size of 30. The research instrument used an oxygen saturation observation sheet. Analysis of univariate and bivariate data of frequency distribution tests and paired t-tests. The results showed a p value of 0.000 which means that there was an influence of the semi fowler and right lateral positions on the increase in oxygen saturation in ADHF patients in the CVCU Room of Dr. M. M Dunda Limboto Hospital. Patients with the right semi-fowler and lateral positions are advised to continue to monitor their oxygen saturation.

The Effect of the Combination of Semi Fowler Position and Pursed Lip Breathing Technique on Increasing Oxygen Saturation in COPD Patients in the ER Room at Dr. M.M. Dunda Limboto Hospital

2026-02-25T14:26:06+07:00

Chronic Obstructive Pulmonary Disease (COPD) is one of the lung diseases characterized by chronic and progressive limited airflow due to obstructions in the airways. This condition causes gas exchange disorders that cause shortness of breath, coughing up phlegm, wheezing, and fatigue due to damage to lung tissue or blockage by phlegm. This study aims to find out whether there is an effect of the combination of semi fowler position and purse lip breathing technique on increasing oxygen saturation in COPD patients. The type of Quasi Experiment research is through a pretest-posttest design control group approach. The population in this study was patients diagnosed with chronic obstructive pulmonary disease (COPD) in the emergency room of Dr. M.M. Dunda Limboto Hospital as many as 70 patients., with sampling techniques using Accidental Sampling amounting to 42 then divided into 21 Intervention groups and 21 Control groups. The level of combination of semi fowler position and Purse Lip Breathing technique, Data analysis was carried out using the Paired Samples T-test.

The results showed that in the intervention group, there was a significant increase in oxygen saturation after the intervention, with a value of sig (2-tailed) = 0.000 (<0.05), so that H0 was rejected and Ha was accepted. Similarly, in the control group, the increase in oxygen saturation was also significant with the value of sig (2-tailed) = 0.000 (<0.05). These findings show that the combination of the Semi Fowler position and the Pursed-Lip Breathing technique effectively increases oxygen saturation in COPD patients in the ER.

The conclusion of this study is that there is an effect of the combination of the Semi Fowler position and the Pursed-Lip Breathing technique and is proven to be effective in increasing oxygen saturation in COPD patients in the ER, so that this intervention can be used as a recommended non-pharmacological strategy in the treatment of COPD patients.

The Effect of Diabetes Self Management Booklet Educational Media on Reducing Anxiety Levels in Diabetes Mellitus Patients in the Puskesmas Working Area South Cities

2026-02-25T14:26:47+07:00

Diabetes mellitus (DM) is a metabolic disorder characterized by chronic hyperglycemia due to impaired insulin work. DM not only has an impact on physical health but also psychologically, one of which is anxiety. Untreated anxiety can worsen a patient's quality of life and medication adherence. One of the interventions to overcome this is Diabetes Self-Management Education (DSME) using booklet media. This study aims to determine the effect of the use of DSME booklet educational media on reducing anxiety levels in DM patients in the working area of the South City Health Center. This quantitative research uses a pre-experimental design with a One Group Pretest–Posttest Design approach. The sample amounted to 49 respondents who were selected using accidental sampling techniques. Data analysis used the Wilcoxon test. The instrument in this study used the HARS questionnaire. The results showed that before being educated, the majority of respondents experienced moderate (47%) and severe (35%) anxiety. After being given the intervention through a booklet, anxiety levels decreased to mild (47%) and non-anxiety (18%). The results of the Wilcoxon test showed a p-value (0.000) < 0.05, which means that DSME booklet education had a significant effect on reducing anxiety of DM patients in the work area of the South City Health Center because it provided clear, structured, and practical information.

Analysis Of Protein, Fat and Carbohydrate Nutrients in F100-Based Processed Cookies with Corn Flour Substitution for Malnourished Toddlers

2026-02-25T14:27:41+07:00

Nutrient intake is an important factor for the growth and development of toddlers, one of the causes of malnutrition in toddlers is a suboptimal feeding pattern. Problem formulation, what is the content of protein, fat, and carbohydrates and how the panelists received based on organoleptic tests on processed F100-based cookies with 10%, 20%, and 30% corn flour substitution for malnourished toddlers. The purpose of the study was to determine the content of protein, fat, and carbohydrates as well as the acceptance of panelists based on organoleptic tests on processed F100-based cookies with 10%, 20% and 30% corn flour substitution for malnourished toddlers. This type of research is quantitative by using laboratory experiments to analyze protein, fat, and carbohydrate levels. The research design used was a 1-factorial Complete Random Design (RAL) with 3 treatments (10%, 20%, and 30%). The research panelists consisted of 20 students of Public Health specializing in nutrition to determine the level of organoleptic acceptance of cookies. Data were analyzed using univariate analysis. The results of the nutrient analysis research obtained protein content of 8.29%, 9.12%, and 9.58% for each treatment, fat content of 10.10%, 11.15%, and 12.25% for each treatment and carbohydrate content of 76.12%, 73.82%, and 71.83% for each treatment. The results of organoleptic tests showed that the entire cookie formulation was well received by the panelists, especially at 30% substitution.In conclusion, the nutritional content of corn flour substitution cookies can be an alternative in meeting the nutritional needs of toddlers per day. The suggestion for the next researcher is to conduct several follow-up tests to determine the content of micronutrients (vitamins and minerals).

Smoking Behavior in National Health Insurance (JKN) Participants Recipients of Contribution Assistance (PBI) in Tenggela Village

2026-02-25T14:28:23+07:00

Smoking behavior is seen from various points of view as very detrimental, both for oneself and the people around him. Gorontalo Province is one of the provinces with the most smokers in Indonesia. The purpose of the study was to analyze factors related to smoking behavior in national health insurance (JKN) participants receiving contribution assistance (PBI) in Tenggela Village. Analytical observational research method with cross sectional design. The population in this study is the Heads of Families Participating in the National Health Insurance (JKN) Recipients of Contribution Assistance (PBI) in Tenggela Village as many as 638 Heads of Families. The sample in this study amounted to 246 families participating in Contribution Assistance Recipients (PBI) and used the Proportional Simple Random Sampling technique. Data collection by interviewing respondents using questionnaires and data was analyzed by chi square test. The results of the study showed that there was a relationship between age, occupation, knowledge, and expenditure with smoking behavior. Age produces p-value=0.000, work produces p-value=0.025, knowledge produces p-value=0.034, expenditure produces p-value=0.000. And there was no relationship between education and smoking behavior which resulted in p-value = 0.473. It is hoped that the local government will further socialize, realize, and evaluate the Smoke-Free Zone (KTR) policy in Tenggela village. And it is necessary to make binding rules and sanctions for the No Smoking Area policy.

The Effect of Tactile Touch on Changes in Vital Signs in Low Birth Weight Infants (BBLR) in the Nicu Room of Dr. MM Hospital. Dunda Limboto

2026-02-25T14:29:01+07:00

BBLR is a health problem that is still a major concern in the world, including Indonesia, because BBLR babies have a high risk of experiencing disturbances of physiological functions including the respiratory system, cardiovascular and body temperature regulation which if not above has a serious impact on the baby's condition. The purpose of the study was to determine the effect of tactile touch on changes in vital signs in low-birth weight babies (BBLR) in the NICU room of dr. MM. Dunda Limboto. Quantitative research method with a pre-experiment design with a one-group pre-test and post-test design approach, the population of this study was all BBLR babies, a research sample of 20 infants with purposive sampling technique, the research instrument used a vital sign observation sheet, the data was analyzed by the Wilcoxon test. The results of the study were obtained before being given tactile touch, the majority of hypothermic body temperature was 11 infants (55%) and an average of 36.295^OC,normal heart rate was 11 infants (55%) and an average of 153x/minute, and normal oxygen saturation was 15 infants (75%) and an average of 90.90%. After being given tactile touch, the majority of normal body temperature changes in 17 infants (85%) and an average of 36.580^{OC, normal}heart rate of 15 infants (75%) and an average of 148.27x/minute, and oxygen saturation was completely normal in 20 infants (100%) with an average of 94.44%. Then body temperature p=0.036, heart rate p=0.006 and oxygen saturation p=0.000 (? ? 0.05) were obtained. It can be concluded that there is an effect of tactile touch on changes in vital signs in BBLR babies in the NICU room of dr. MM. Dunda Limboto. Therefore, nurses can apply tactile touch in the nursing care of BBLR patients so as to improve nursing services.

The Relationship of Pregnant Women's Knowledge of Pregnancy Emergency Signs with Compliance in Antenatal Care (ANC) Examinations in the Working Area of the Sipatana Health Center

2026-02-25T14:31:03+07:00

Adolescence is a transition period that is susceptible to various emotional and psychological changes, so it requires the support of a healthy family environment. One of the factors that affect adolescent mental health is parental parenting. Toxic parenting is a form of negative parenting characterized by excessive control, criticism, and a lack of emotional support, which can affect the psychological well-being of adolescents. This study aims to find out the relationship between toxic parenting and mental health in adolescents. The research instruments were in the form of a toxic parenting questionnaire and a Strength and Difficulties Questionnaire (SDQ). The results showed that most adolescents experienced a moderate level of toxic parenting (65.9%), while a weak level was (34.1%). Adolescent mental health conditions are mostly in the borderline (48.8%) category, followed by the abnormal (36.6%) and normal (14.6%) categories. The results of the Chi-square test showed a p-value = 0.002 (< 0.05), which indicates that there is a significant relationship between toxic parenting and adolescent mental health. In conclusion, the higher the level of toxic parenting, the greater the risk of mental health disorders. It is recommended that parents implement positive parenting that is oriented towards emotional support and open communication to support adolescent mental health.

The Effect of Education Through Animated Videos on Knowledge of Diabetes Mellitus Risk in Adolescents with Obesity at SMK Negeri 3 Gorontalo City

2026-02-25T14:31:44+07:00

Obesity is a global problem that affects every country. In the same year, about 2.5 billion adults were overweight, and 890 million of them were living with obesity. Since 1990, the prevalence of obesity has more than tripled and overweight has increased by more than 1.5 times. The type of research used in this study is a type of quantitative research with a quasi-experimental design, using a pretest-postest approach with control group design, to determine the difference in knowledge of diabetes mellitus risk in the group that was given animated video education and the group that was given education using the usual lecture method. The results of the pretest showed that the level of knowledge of respondents in the experimental group was only 8 respondents (47.1%), the category was less than 5 respondents (29.4), the good category was 4 respondents (23.5%) in the control group of the category was 7 respondents (41.2%), the good and poor categories were 5 respondents each (29.4%). The results of the posttest showed that all respondents in the experimental group and the control group had a level of knowledge in the good category, as many as 17 respondents (100%) each. There is an effect of education through animated videos on knowledge of the risk of diabetes mellitus in obese adolescents at SMK Negeri 3 Gorontalo City, which is proven by the results of the Wilcoxon Signed Rank Test with a p-value = 0.000 (p < 0.05).

The Relationship between Self-Management and Quality of Life in the Elderly with Hypertension in the Working Area of the Limboto Health Center

2026-02-25T14:32:25+07:00

This study aims to determine the relationship between self-management and the quality of life of the elderly with hypertension in the working area of the Limboto Health Center. This research is included in quantitative research using a cross-sectional approach. Self-management of elderly people with hypertension in the Limboto Health Center Working Area is in the good category, namely as many as 43 respondents (65.2%), enough as many as 21 respondents (31.8%) and 2 respondents (3.0%) are in the poor category. The quality of life of elderly people with hypertension in the Limboto Health Center Working Area was in the good category as many as 24 respondents (36.4%), while as many as 20 respondents (30.3%), very good as many as 19 respondents (28.8%) and 3 respondents (4.5%) were in the bad category. There is a relationship between self-management and the quality of life of elderly people with hypertension in the Limboto Health Center Working Area. Significance value (p-value) = 0.000 (<0.05) which means that there is a significant relationship between self-management and the quality of life of the elderly with hypertension. The correlation coefficient value of 0.717 indicates the strength of the relationship with the direction of a positive relationship, which means that the increase in the respondents' self-management ability contributes to an improvement in quality of life.

The Effect of Sexual Education with the Plissit Method on Sexual Function Disorders in Type 2 DM Patients at the Limboto Health Center

2026-02-25T14:33:06+07:00

Diabetes Mellitus is a chronic disease that is progressive and has a serious impact on the body's metabolic system. The PLISSIT model stands for four levels of intervention, namely Permission, Limited Information, Specific Suggestions, and Intensive Therapy. This study aims to determine the effect of sexual education with the PLISSIT method in reducing sexual function disorders in type 2 DM patients at the Limboto Health Center.

The research method is using a quasi-experimental approach. The design used is a one group pretest-posttest design. The sample was taken using a non-probability sampling technique with a purposive sampling technique from a total population of 398 respondents to 44 respondents. The research instrument using Sexual Education with the PLISSIT Method was carried out according to SOP procedures and used IIEF and FSFI Questionnaires to measure the level of sexual disorders in men and women. The results showed that there was a statistically significant difference between the Pre FSFI and Post FSFI scores with a Z value of -5.061 and a significance value (p-value) of 0.000. Because the p value < 0.05, the Pre IIEF and Post IIEF p values are .000, where p < ? (0.05) is obtained, so it is concluded that H1 is accepted, meaning that there is an Effect of Sexual Education with the PLISSIT Method on Sexual Function Disorders in Type 2 Diabetes Mellitus Patients at Limboto Health Center. This research is expected to integrate sexual education of the PLISSIT method in the routine services of type 2 DM patients, especially in health education sessions and chronic disease clinics.

Overview of Patient Satisfaction in the Use of the Self-Medication List Platform (Adabatman) in the Outpatient Installation of Toto Kabila Hospital

2026-02-25T14:34:02+07:00

The development of information technology encourages hospitals to innovate services, one of which is through the implementation of the Self-Medication List Platform (ADABATMAN) in outpatient services. This system is expected to speed up the registration process, reduce queues, and increase patient satisfaction. However, in its implementation, technical obstacles and differences in patients' abilities in using technology are still found, so it is necessary to evaluate in terms of patient satisfaction. This study aims to find out the picture of patient satisfaction in the use of ADABATMAN in the Outpatient Installation of Toto Kabila Hospital based on the dimensions of reliability, assurance, tangibles, empathy, and responsiveness. Research method This study uses a quantitative method with a descriptive design. The research sample amounted to 84 respondents who were selected using accidental sampling techniques. Data were collected using a questionnaire based on the SERVQUAL (RATER) model and analyzed univariately to see the distribution of patient satisfaction levels. The results showed that most patients were satisfied with the use of ADABATMAN. In the reliability and responsiveness dimensions, the majority of respondents expressed satisfaction because the system was considered quite fast and helped the registration process. The assurance dimension shows a good level of satisfaction because patients feel safe and trust in the services provided. The tangibles dimension obtained the highest level of satisfaction, demonstrated by a positive assessment of the physical condition of the machine, facilities, and service environment. Meanwhile, in the empathy dimension, although most respondents were satisfied with the attitude and attention of the officers, there were still respondents who stated that they were quite satisfied, especially in elderly patients who needed more assistance when using the system. In conclusion, in general, the level of patient satisfaction with the use of ADABATMAN in the Outpatient Installation of Toto Kabila Hospital is in the satisfied category. Nevertheless, hospitals still need to improve assistance for elderly patients and carry out regular system maintenance so that the quality of technology-based services can be more optimal.

The Effect of Health Education Using a Flip Chart on Compliance with Fe Tablet Consumption in Pregnant Women in the Working Area of the South City Health Center

2026-02-25T14:34:42+07:00

Compliance of pregnant women in taking Fe tablets is an important effort in preventing anemia during pregnancy, but the level of compliance is still relatively low due to the lack of understanding of pregnant women regarding the benefits and proper ways to consume Fe tablets. Health education using flip chart media is one of the methods that can increase understanding and encourage changes in compliance behavior. This study aims to determine the effect of health education using flip sheets on compliance with Fe tablet consumption in pregnant women in the working area of the South City Health Center. The results of the Wilcoxon test obtained a p value = 0.000 (p < 0.05), which shows a significant influence of health education using flip sheets on compliance with Fe tablet consumption in pregnant women. It was concluded that health education using flip sheets was effective in increasing compliance with Fe tablet consumption. It is recommended that the South City Health Center optimize the use of flip sheet media in antenatal care services.

The Effectiveness of the Combination of Moringa Seeds and Leaves (Moringa Oleifera) as a Natural Coagulant to Reduce Turbidity in Excavated Well Water in Wumialo Village, Gorontalo City

2026-02-25T14:35:19+07:00

Dug well water is still widely used by the community as a source of clean water, but the quality often does not meet turbidity requirements. High turbidity levels can reduce water quality and increase health risks, so effective, safe, and environmentally friendly water treatment efforts are needed by utilizing natural coagulants. The purpose of this study is to determine the effectiveness of the combination of moringa seeds and leaves (Moringa oleifera) as a natural coagulant in reducing the turbidity level of dug well water. The type of experimental research with a pre-test-post test research design uses a combination dose of moringa seeds and leaves, namely 10 mg, 20 mg and 30 mg. The water sampling technique is Purposive sampling. Data analysis used the One-Way Anova test and the LSD (Least Significant Difference) follow-up test. The results of the study showed that the turbidity value of dug well water in pre-test conditions was 15.5 NTU. The reduction in cloudiness after treatment with a dose of 10 mg had an average of 3.77 NTU (75.67%), the 20 mg dose of 2.53 NTU (83.67%), and the 30 mg dose of 3.17 NTU (79.54%). The Anova One-Way test showed a significant difference in effectiveness between doses of coagulants (p-value = 0.038 < 0.05). Follow-up LSD tests showed a significant difference between the 10 mg and 20 mg doses (p-value = 0.014 < 0.05), but there was no significant difference between the 10 mg and 30 mg doses (p-value = 0.146 > 0.05), as well as between the 20 mg and 30 mg doses (p-value = 0.128 > 0.05). It is recommended for subsequent researchers to test variations in stirring speed as well as other water quality parameters.

The Effect of Positive Affirmation Therapy on Anxiety Levels in Mothers Facing Menopause in the South City Community Health Center Work Area

2026-02-25T14:35:57+07:00

Menopause is a natural phase in a woman's life that is often accompanied by physical and psychological changes, one of which is anxiety. Anxiety that is not managed properly can negatively impact the quality of life of menopausal women. One non-pharmacological effort that can be done to reduce anxiety is positive affirmation therapy. This study aims to determine the effect of positive affirmation therapy on maternal anxiety levels in facing menopause in the South Kota Community Health Center area. This study used a quantitative method with a quasi-experimental design through a pretest–posttest control group design approach. The study population amounted to 83 people with a sample of 36 respondents consisting of 18 respondents in the intervention group and 18 respondents in the control group, selected using a purposive sampling technique. The instrument used was the Hamilton Anxiety Rating Scale (HARS). Data analysis was performed using the Wilcoxon test to determine the effect of anxiety levels before and after the administration of positive affirmation therapy. The results showed a significant decrease in anxiety levels in the intervention group after being given positive affirmation therapy compared to the control group. The statistical test results showed a p-value <0.05, indicating that positive affirmation therapy significantly reduced maternal anxiety levels during menopause. The study concluded that positive affirmation therapy significantly reduced anxiety levels in menopausal mothers. This therapy is recommended as a simple, safe, and effective non-pharmacological intervention to help mothers cope with menopause.

The Effect of Basic Life Assistance (BHD) Education on the Knowledge Level of Long-Distance Runners in the RIOT Gorontalo Community

2026-02-25T14:36:37+07:00

Sudden cardiac arrest is a serious health threat in long-distance running that requires rapid treatment through Basic Life Assistance or BHD to increase the chances of safety of the victim. However, runners' knowledge of the procedure is often not optimal, so structured education is needed. This study aims to analyze the influence of BHD education on the level of knowledge of long-distance runners in the RIOT Gorontalo community. This research method uses a pre-experimental one-group pretest-posttest design. The population of this study is Long Distance Runners in the RIOT Gorontalo Community, totaling 120 respondents. The sample was mixed with the purposive sampling technique totaling 55 respondents who were given interventions in the form of education using lecture methods and simulations measured through questionnaires. The data analysis of this study used the Wilcoxon Signed Ranks Test. The results showed that before the intervention, the majority of respondents had sufficient category knowledge as much as 56.4%, but after being given education, there was a significant increase where 52.7% of respondents reached the good category. Statistical results showed a p-value of less than 0.001 (<0.05) which proved the very significant influence of BHD education on improving runners' knowledge. These findings are expected to be the foundation for the running sports community in developing routine safety training programs to improve the preparedness of community members in dealing with cardiac emergencies on the running track.