Media Publikasi Promosi Kesehatan Indonesia (MPPKI)

Enhancing Health Education Using Edutainment: A Quantitative Study in Malang Regency, Indonesia

Muthmainnah Muthmainnah — 2025-05-05

Introduction: Adolescent health education is essential for promoting long-term well-being, yet many students lack access to effective and engaging learning approaches. This study evaluates the impact of structured teacher training combined with edutainment-based interventions on improving adolescent health knowledge and behavioral intentions using the Theory of Planned Behavior (TPB) in Malang Regency, Indonesia.

Methods: A quantitative pre-experimental design was used with a pre-test–intervention–post-test structure. The study involved 22 teachers from five schools and 56 junior high school students from SMPN 1 Kepanjen, Malang. The intervention included comprehensive teacher training and interactive edutainment sessions for students, covering topics such as adolescent characteristics, physical activity, assertive communication, and time management. Knowledge changes were analyzed using the Wilcoxon signed-rank test.

Results: The intervention significantly increased knowledge in both groups. Students' average scores improved from 73.2 (pre-test) to 84.4 (post-test) (p < 0.001), while teachers’ scores increased from 69 to 83.4 (p < 0.001). However, no significant changes were observed in students' subjective norms, behavioral control, or behavioral intentions.

Conclusion: Combining structured teacher training with edutainment is an effective strategy for enhancing adolescent health knowledge. This approach provides a scalable model for improving health literacy, though further efforts are needed to influence behavioral intentions and self-efficacy.

Reducing Postpartum Anxiety in IUD Users through Ylang-ylang Aromatherapy and Slow Deep Breathing: A Quasi-Experimental Study

Luh Putu Widiastini — 2025-05-05

Introduction: The number of IUD contraceptive users has declined, influenced by factors such as anxiety. Individuals with anxiety experience psychological distress, necessitating complementary therapy. Alternative treatments include ylang-ylang aromatherapy and Slow Deep Breathing. This study aimed to determine the effectiveness of ylang-ylang aromatherapy and Slow Deep Breathing in reducing anxiety among post-placental IUD users at Mangusada Hospital.

Methods: A quasi-experimental nonequivalent control group design was used, involving 70 postpartum IUD users divided into experimental (n=35) and control (n=35) groups. Anxiety was measured using the NRS-A questionnaire before and after a 15-minute intervention. Ethical approval was obtained (070/6854/RSDM/2024). Data were analyzed using descriptive statistics, Kolmogorov-Smirnov for normality, Wilcoxon Signed-Rank, and Mann–Whitney U tests, with a 95% confidence level.

Results: There was no significant difference in pre-test anxiety between the groups (mean: 5.69 ± 0.900, p = 1.000). Post-test results showed a greater reduction in the treatment group (mean: 3.03 ± 0.664) than in the control group (mean: 3.83 ± 0.785). The Mann-Whitney U test confirmed a significant difference in anxiety levels post-intervention (Z = -3.998, p = 0.000). The effect size (r = 0.676) indicates a large impact of the intervention.

Conclusion: Ylang-ylang aromatherapy and slow deep breathing are effective complementary interventions for reducing anxiety in post-placental IUD users.

Prevention Behavior of Related to COVID-19 Among Food Handlers in Restaurants in Pontianak City, Indonesia

Linda Suwarni — 2025-05-05

Introduction: The spreading of COVID-19 has been a disadvantage to all countries around the world. The COVID-19 situation in Indonesia based on the date April 26th, 2021 showed that 44,500 people have died, 1,636,194 cases infected, and 1,492,322 positive cases were declared cured. The COVID-19 can be transmitted through food handlers if they do not comply with health protocols. Perceptions about COVID-19 affect food handler compliance with health protocols. This study aimed to examine the correlation between the perception of food handlers in restaurants and the prevention behavior of COVID-19.

Methods: This study adopted a cross-sectional design and was conducted between July-August 2020 in 90 food handlers in restaurants in Pontianak City, and data were collected through random sampling. The univariate and bivariate (Chi-Square) were used to analyze the data. Ethical approval was obtained from Faculty of Public Health, Universitas Muhammadiyah Semarang (Certificate of approval No. 373/KEPK-FKM/UNIMUS/2020).

Results: This study found only three independent variables have significance with prevention behavior of spreading of COVID-19 such as physical activity (p-value 0.011), seeking or getting COVID-19 information (p-value 0.036), and perception of self-efficacy (p-value 0.005). Additionally, the rest of the independent variables have no significance related to prevention behavior of spreading of COVID-19 like sex, education level, economic effect, smoke status, perceived vulnerability, and perception of the hoax information spread.

Conclusion: The strongest independent variable is a perception of self-efficacy which means that the food handlers who had a poor perception of self-efficacy tend to do not practice the prevention behavior of COVID-19. The Future studies should address stakeholder role to educate and train the food handlers to increase their self-efficacy in terms of health problems, including COVID-19.

Understanding and Perception of Electronic Medical Record Systems among Health Science Cluster Students: A Systematic Literature Review

Danang Wahansa Sugiarto — 2025-05-05

Introduction: As technology has developed, many countries have mandated the implementation of electronic medical records. The introduction and understanding of electronic medical records should begin at the lecture stage, especially in the health science studies (health science cluster). This study aims to assess the understanding and perception of students in the health science cluster regarding electronic medical records.

Methods: This study uses a systematic literature review protocol based on the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA). A literature search in three databases, PubMed, Sage Journal, and Science Direct, yielded 75 article findings. After the review process, 8 eligible articles were selected based on the inclusion and exclusion criteria.

Results: From the 8 selected research articles, it was found that students' understanding, perceptions, and experiences related to electronic medical records were very positive. The analysis revealed that electronic medical records can significantly enhance collaboration between medical personnel and healthcare workers, improve professional career development, and raise the quality of health services.

Conclusion: The acceptance and perception of students in the health science cluster are positive regarding electronic medical record learning materials. They feel very helped by the existence of electronic medical records because it makes their work easier and efficient, and also adds skills in the application of information technology in the health sector. In the future, electronic medical record learning can be developed across all disciplines in the health science cluster, such as in the health information technology module. In addition, the subject matter in learning related to the ethics of managing electronic medical records can be further developed.

Correlation between Hospital Image and Patient Satisfaction toward Loyalty in Hospital: A Scoping Review

Gabrina Selvi Yanuarista — 2025-05-05

Introduction: The Indonesian healthcare sector has grown quite impressively these years, with increased competition due to private investments and rapid development in the services of hospitals. Even though government hospitals dominate the market with 51.4%, the business environment is promising, with private hospitals having a low concentration ratio that demands strategic initiatives in terms of service quality and reputation. This research investigates the relationships between hospital image, patient satisfaction, and loyalty.

Methods: This scoping review utilized databases like Google Scholar, PubMed, and Science Direct, focusing on studies published between 2019 and 2024. The keywords used for this scoping review were: (Hospital Brand OR Hospital Image OR Hospital Reputation OR Hospital Identity OR Hospital Branding Identity OR Hospital Branding) AND (Patient Satisfaction OR Satisfied Patient OR Healthcare Satisfaction OR Patient Experience OR Hospital OR Healthcare Service Evaluation OR Patient Perception of Care OR Patient Perception of Service) AND (Patient Loyalty OR Patient Retention OR Patient Adherence OR Patient Commitment OR Hospital Loyalty OR Healthcare Consumer Retention OR Healthcare Consumer Loyalty).

Results: After screening 367 records, 101 studies were assessed for eligibility, and 12 met the inclusion criteria. Results consistently highlight the direct and indirect impact of hospital reputation on patient satisfaction and loyalty.

Conclusion: Patient satisfaction played a major role in forming patient loyalty. Healthcare providers should be more aware of developing services through medical equipment and medical personnel recruitment, which may lead to the improvement of patient experiences and create satisfaction and loyalty. Future research needs to investigate complex correlations that may form patient loyalty in a hospital setting including socio-economic aspects, perceived value, and service quality.