Pancasakti Journal Of Public Health Science And Research

Analysis of Subjective Fatigue Among Urban Transportation Drivers in Tataaran, North Sulawesi, Indonesia

Sudirham Sudirham, Tika Bela Sari, I Wayan Gede Suarjana — Sun, 18 May 2025 15:52:27 +0000

This study examines subjective fatigue among urban transportation drivers in Tataaran, Minahasa Regency, North Sulawesi where the occupation exposes individuals to stressors that can induce fatigue. The research aims to analyze the levels of subjective fatigue and identify contributing factors. A cross-sectional study was conducted from August to November 2024, involving 43 drivers. Data was collected using a structured questionnaire, including the Fatigue Severity Scale (FSS), to assess socio-demographic, work-related, and vehicle-related factors. The results indicate that increased age, daily work duration, irregular working hours, heavy driving workload, and uncomfortable vehicle ergonomics are significantly associated with higher subjective fatigue levels (p<0.05). Conversely, greater driving experience is significantly associated with lower subjective fatigue (p<0.05), while rest patterns and deposit targets showed no significant relationship with fatigue. In conclusion, urban transportation drivers in Tataaran experience significant subjective fatigue, influenced by a combination of occupational and individual factors.

Effectiveness of Electronic Health Records (EHR) Use by Nurses: A Literature Review

Fitra Pringgayuda, Faridah Hashim — Sun, 18 May 2025 15:56:03 +0000

Electronic Health Records (EHR) are progressively implemented in healthcare systems to enhance efficiency, documentation precision, and patient safety. The influence of EHR implementation on nursing practice varies across different environments. This literature analysis sought to assess the efficacy of electronic health record utilization by nurses in clinical documentation, drawing on primary research published from 2015 to 2025. A total of 12 publications were selected following a stringent screening procedure utilizing the SPIDER framework, including various study designs such as observational, longitudinal, and interventional methodologies. The results indicated that EHR improves documentation efficiency and access to clinical information when systems are optimally designed and supplemented with sufficient training. Poor usability and insufficient user engagement result in heightened burden, stress, and diminished quality of care. The successful deployment is intricately connected to system usability, managerial endorsement, and nurse participation in system development. The results underscore the necessity for user-centered design and ongoing organizational dedication to ensure that EHRs facilitate rather than obstruct nursing care.

Descriptive Study of Gadget Usage Patterns and Their Implications for Academic Performance and Health

Nur Inayah Rauf, Irwan Irwan, Anna Maria Daud, Anggun Dinianti — Sun, 18 May 2025 16:01:03 +0000

The widespread adoption of digital technologies among university students necessitates a thorough investigation into their usage patterns and the multifaceted implications for academic achievement and health. This study aims to provide a descriptive overview of gadget usage patterns among university students. This study utilizes a descriptive research design with a cross-sectional approach. A sample size of 77 students was selected using a consecutive sampling sampling technique. data collection was conducted using a questionnaire in the form of a Google form. This study found that the majority of respondents were female (53.2%), aged 18-23 years (54.5%), who used gadgets for 1-6 hours daily (53.2%). The most commonly used application was social media (27.3%). Smartphones and tablets were the gadgets used most frequently (57.1%), which the respondents kept near them while sleeping (41.6%). Within the home, the TV was located in the bedroom or near the bedroom (35.1%), and the respondents reported their emotional condition as normal (68.8%). Gadget usage among students is shaped by their characteristics and behavioral patterns in utilizing technology. Further research is needed to examine the implications of these usage patterns on students' academic achievement and well-being.

Clinical Chemistry Biomarker Profiles of Mothers with Stunted Children in Bone Bolango Regency

Deby Sinta Darise, Ni luh Arwati, Srikit S. Nurkaminden — Sun, 18 May 2025 16:05:45 +0000

Maternal nutritional status plays a crucial role in child health and development, particularly in relation to stunting. This study aimed to describe the biochemical nutritional profile—including total protein, albumin, globulin, and lipid levels—of mothers with stunted children in Bone Bolango Regency. A descriptive design was employed with 26 mother-child pairs (aged 2–4 years) from Ayula Selatan and Dunggala Villages in September 2024. Blood samples were analyzed at the Integrated Health Laboratory of FSTIK UBMG. The mean values of maternal biomarkers were: total protein (4.5 g/dL), albumin (3.0 g/dL), globulin (1.5 g/dL), total cholesterol (202 mg/dL), triglycerides (165 mg/dL), HDL (63 mg/dL), and LDL (106 mg/dL). These findings suggest that suboptimal maternal biochemical nutritional status may contribute to the risk of stunting in children.

Stunting in Children Aged 0-5 Years: A Literature Review on Prevention and Control Strategies

Sun, 18 May 2025 16:12:50 +0000

Stunting is a significant public health issue affecting children under five years old, leading to long-term consequences on growth and development. The method used in this study is Systematic Literature Review (SLR). Research conducted systematically by following the rules with the flow of literature review to avoid subjective misunderstandings from researchers. The data used in the study are sourced from national and international scientific publication databases such as PubMed, Google Scholar and Science Direct. The search keywords for the article are arranged based on the PICOS Framework, the keywords are "stunting in children 0-5 years", "stunting prevention" and "stunting control strategy". The review identified the effective interventions highlighted include promoting exclusive breastfeeding, improving maternal nutrition, and implementing community-based nutrition programs. Additionally, the role of education and awareness in fostering healthy dietary practices among families was emphasized. The results of the review conducted on 3 national journal articles and 11 international journal articles indicate that strategies for the prevention and control of stunting must include a holistic approach that involves health promotion, nutritional improvement, sanitation enhancement, community empowerment, and the increase of parental self-efficacy. It is hoped that the prevalence of stunting in Indonesia will continue to decline, thereby improving the quality of future human resources to realize a competitive Golden Generation of Indonesia.

The Role of Social Relationships in Reducing Depression Symptoms Among Elderly Residents in Social Institutions: A Descriptive Study

Sun, 18 May 2025 16:22:44 +0000

Depression is a common mental illness among older people. Earlier research has proven that poor social support is a major risk indicator for later-life depression. The present research has a goal of analyzing the relationship between support from friends and depressive symptoms among older people living at social institutions. A descriptive correlational design was used with a total sampling method. The population subjected to the research was 44 older people who lived at the Tresna Werdha Social Home Wisma Kartika Yatira. A structured questionnaire to rate support from friends was applied, containing validated items to assess both perceived and provided support. The results indicated that 25 respondents had moderate levels of support from their friends, whereas 19 had poor levels of support from their friends. Regarding depression, 23 respondents had no signs of depression, and 21 had slight signs of depression. There was a statistically significant relationship between support from their friends and depression (r = 0,722, p = 0.000). The evidence indicates that levels of support from their friends are linked with higher levels of depressive signs. From the findings, a proposal is made to adopt the SMB (Sharing Motivation Together) intervention—a peer-based intervention aimed at promoting mutual encouragement, emotional attachment, and activity among older persons at institutional settings.

The Impact of Personal Hygiene and the Use of Personal Protective Equipment on the Incidence of Dermatitis

Yusran Fauzi, Fikitri Marya Sari — Sun, 18 May 2025 16:26:47 +0000

Skin diseases are commonly caused by bacterial, viral, fungal, parasitic infections, and allergic reactions. According to data from the International Labour Organization (ILO), 160 workers suffer from occupational diseases. Surveillance studies in the United States have reported that 80% of occupational skin diseases are classified as dermatitis. This study aimed to examine the impact of personal hygiene and the use of personal protective equipment (PPE) on the incidence of dermatitis at the Sandar Angin Public Health Center in Pagar Alam City. An analytic survey method with a cross-sectional design was employed. Data were collected using a questionnaire administered to 68 patients who visited the Sandar Angin Public Health Center, selected through accidental sampling. Data analysis was conducted using the Chi-Square test. The results indicated a significant relationship between personal hygiene (p = 0.035) and the use of personal protective equipment (p = 0.010) with the incidence of dermatitis at the Sandar Angin Public Health Center. It is recommended that the health center implement proper personal hygiene practices, particularly after work-related activities, and ensure the consistent use of personal protective equipment to reduce the risk of dermatitis.

Healthy Living Education for Preventing Childhood Infectious Diseases: A Literature Review

Sun, 18 May 2025 16:32:26 +0000

The increasing incidence of infectious diseases among children highlights the urgent necessity for effective health education programs emphasizing clean and healthy behaviors. This study aims to identify the determinants influencing the effectiveness of health education in preventing infectious diseases in children. A systematic literature review was performed, analyzing 15 peer-reviewed articles retrieved from databases including PubMed, Scopus, and Web of Science, encompassing publications from 2019 to 2024. The search strategy employed keywords such as "health education," "infectious disease prevention," and "clean and healthy behavior." Inclusion criteria comprised studies focusing on health education interventions, while exclusion criteria omitted non-peer-reviewed articles and studies irrelevant to the subject matter. The findings revealed that interactive teaching approaches substantially improved children’s comprehension and retention of health-related information. Furthermore, robust parental involvement demonstrated a positive association with the enhancement of children’s health behaviors. The review also underscored the significance of culturally sensitive educational materials and well-trained educators in delivering effective health education. In conclusion, addressing these factors is critical to optimizing the effectiveness of health education programs designed to promote clean and healthy behaviors, thereby contributing to the prevention of infectious diseases and improved health outcomes among children.

Implementation Of Good Manufacturing Practices (GMP) in The Home Industry of Kampung Lontong Surabaya

Sun, 18 May 2025 16:38:14 +0000

The implementation of Good Manufacturing Practices (GMP) is essential in preventing food contamination caused by biological, physical, or chemical hazards that may pose risks to human health. This study aims to describe the implementation of GMP in Kampung Lontong Surabaya. The research employed a descriptive observational design, which seeks to illustrate existing conditions without administering any interventions to the observed objects. Data were collected using questionnaires and observation checklists. The data were analyzed descriptively through tabulation. The implementation of GMP during the lontong production process was found to have several critical control points, as the production environment presented a relatively high risk of contamination. Overall, the food production practices in Kampung Lontong have not yet fully adopted GMP standards. It is recommended that producers place greater emphasis on personal hygiene and food sanitation, beginning with proper washing of raw ingredients and continuing through to the transportation of finished food products.

The Role of Family Support in Improving Pregnant Women's Compliance with Antenatal Care in the Totoli Public Health Center Area

Erviana Erviana, Muhammad Taufik Page, Muhammad Amin, Tepi Tepi — Sun, 18 May 2025 16:44:35 +0000

Antenatal Care (ANC) is an essential health service for pregnant women aimed at monitoring both maternal and fetal conditions regularly, in accordance with standard healthcare protocols. Compliance with ANC schedules is influenced by various factors, one of which is family support. This study aimed to examine the relationship between family support and pregnant women's compliance with ANC visits in the working area of Totoli Primary Health Center. A quantitative research design was employed, using purposive sampling and data collection through structured questionnaires. The study involved 93 respondents who met the inclusion criteria: pregnant women residing in the Totoli Health Center service area, currently undergoing antenatal care, and in their third trimester of pregnancy. Data were analyzed using the Gamma correlation test. The results revealed that 44.1% of the respondents received low family support, and 62.4% showed low compliance with ANC visits. Statistical analysis indicated a significant relationship between family support and ANC compliance, with a p-value of 0.000. In conclusion, the study demonstrated a significant association between family support and pregnant women's compliance with Antenatal Care.

Determinants of Unmet Need for Hormonal Contraception in Couples of Fertilizing Age (PUS) at the Faculty of Public Health, University of Muslim Indonesia

Nia Karuniawati, Fatma Jama, Andi Masnilawati — Sun, 18 May 2025 16:50:11 +0000

The high rate of unmet need is a demographic phenomenon that constitutes an important aspect to consider in the future development of family planning programs. Unmet need refers to married women who are sexually active but do not use contraceptive methods, despite expressing a desire either to delay childbearing or to stop having children altogether. One of the consequences of unmet need is the increased incidence of unintended pregnancies (UPs). Unintended pregnancies include both mistimed and unwanted pregnancies. This study aimed to analyze the determinants of unmet need for hormonal contraception among female students at the Faculty of Public Health, Muslim University of Indonesia. This research employed an analytical survey method with a cross-sectional study design. The sampling technique used was total sampling, and data were collected using a structured questionnaire. Statistical analysis was performed using the Chi-square test. The findings revealed no significant association between parity and unmet need for hormonal contraception (P-value = 0.541 > α = 0.05), no significant association between contraceptive side effects and unmet need (P-value = 0.061 > α = 0.05), and no significant association between husband support and unmet need (P-value = 1.000 > α = 0.05). There is no significant relationship between parity, side effects, or husband support and the unmet need for hormonal contraception.

Analysis of Barriers to the Implementation of Electronic Medical Records in the Outpatient Clinic of Gunung Maria Hospital, Tomohon

Angelina Goni, Junita Maja Pertiwi, Windy Wariki — Mon, 19 May 2025 01:30:23 +0000

The implementation of EMR is expected to improve the quality of healthcare services by facilitating faster access to patient data, reducing recording errors, and enhancing coordination among medical personnel. However, various challenges have been identified in practice, which hinder the system’s effectiveness. This study aims to analyze the barriers to EMR implementation in the Outpatient Clinic of Gunung Maria Hospital, Tomohon. A qualitative approach was employed, using in-depth interviews with informants directly involved in the EMR implementation process. The findings reveal that the barriers arise from multiple aspects. From the human resources perspective, additional time and training are needed to enable staff to adapt to the new system. In terms of technological infrastructure, unstable network connectivity and the limited availability of hardware, such as computers and printers in certain service units, hamper the data input process. Regarding software, the existing system does not fully meet the hospital’s operational needs. Procedurally, insufficient dissemination of the standard operating procedures (SOPs) has resulted in some staff not fully understanding the system’s workflow. Furthermore, the evaluation aspect remains problematic due to the absence of a fully functioning monitoring mechanism. External disturbances, such as power outages, have also contributed to service delays by disrupting the electronic documentation process. In conclusion, the EMR implementation at the outpatient clinic still faces various technical and non-technical challenges. Therefore, improvements and strengthening efforts across multiple aspects are required to ensure that the EMR system can operate more effectively and efficiently in supporting the enhancement of healthcare service quality.

Determinants of Compliance Among Chronic Kidney Disease Patients Undergoing Hemodialysis at RSUD ODSK, North Sulawesi

Irene R. Rondonuwu, Nova H. Kapantow, Suryadi N. N. Tatura — Thu, 22 May 2025 00:00:00 +0000

Chronic Kidney Disease (CKD) is a major chronic health issue that requires long-term therapy, one of which is hemodialysis. The success of hemodialysis therapy is highly influenced by patient adherence. However, the adherence rate to scheduled hemodialysis at ODSK Provincial General Hospital, North Sulawesi, is only 71.67%, which is still below the National Quality Indicator standard of 100%. This study aimed to analyze the factors influencing adherence among CKD patients undergoing hemodialysis at ODSK Provincial General Hospital in North Sulawesi. A quantitative approach with a cross-sectional design was employed. The sample consisted of 78 CKD patients who routinely underwent hemodialysis, selected using total sampling. Data were collected through a structured questionnaire. Chi-square tests and logistic regression analyses were conducted to assess the relationships between variables. The results revealed significant associations between adherence and several factors, including education level (p=0.009), duration of hemodialysis (p=0.004), knowledge (p=0.013), nurse support (p=0.006), and family support (p=0.006). The most influential factors were family support and patient knowledge, with family support emerging as the strongest predictor of adherence among CKD patients undergoing hemodialysis. Efforts to improve adherence should focus on patient education, strengthening the role of nurses and hospital services, and actively involving family members in the patient care process.

Counseling as a Smoking Behavior Service Strategy for Students at SMA Negeri 4 Jeneponto

Sun, 25 May 2025 14:34:30 +0000

Smoking in adolescence has a long-term impact on physical health as well as social and psychological development. This study aims to analyze the effectiveness of group counseling services in reducing smoking behavior among SMA Negeri 4 Jeneponto students. The study used a quasi-experimental design with a quantitative approach, involving two groups: the intervention group that received Group Counseling (KKp) services and the control group that received Group Counseling (BKp) services. A total of 40 smoking students were selected through purposive sampling techniques. The instrument in the form of a structured questionnaire that measures the knowledge, attitudes, and actions of smoking, has been tested for validity and reliability. Data was collected through pre-test and post-test, as well as documentation of the counseling process. The normality test showed abnormal data distribution, so the analysis was carried out using the Wilcoxon and Mann-Whitney tests. Results showed significant improvements in student knowledge, attitudes, and actions in the intervention group (p < 0.05), while the control group showed no significant changes. The average post-test scores of the intervention group were higher, and more respondents achieved the “good” category in all three domains. The conclusion of this study is that group counseling is effective in reducing smoking behavior among high school students, especially at SMA Negeri 4 Jeneponto.

Analysis of Preventive Behavior of Leucorrhea in Hormonal Injection Contraceptive Users at Rappokalling Health Center, Makassar City

Linda Hardianti Saputri, Samsu Alam, Nurul Husnah — Sun, 25 May 2025 14:42:59 +0000

Vaginal discharge is a common reproductive health issue that requires prompt and appropriate management to prevent complications such as pruritus, genital edema, dysuria, and lower abdominal or back pain. This study aimed to examine factors associated with vaginal discharge prevention behavior among injectable hormonal contraceptive users. A cross-sectional analytical design was employed in the Rappokalling Community Health Center area, Makassar, from September to December 2023. A total of 63 respondents met the inclusion criteria and participated in the study. Data were collected using a structured questionnaire measuring four key variables: self-motivation, perceived benefits, interpersonal influence, and commitment to action. Statistical analysis was conducted using SPSS software with chi-square tests to identify associations between these variables and preventive behavior. Findings revealed significant associations between prevention behavior and both self-motivation (p = 0.002) and perceived benefits (p = 0.005). While interpersonal influence (p = 0.078) and commitment to action (p = 0.309) were not statistically significant, their potential behavioral influence remained evident. Women with higher self-motivation and perceived benefits tended to adopt better preventive practices. Additionally, those influenced by supportive interpersonal environments demonstrated stronger prevention behaviors, whereas respondents with lower commitment to action showed weaker engagement in preventive measures. These findings highlight the importance of strengthening intrinsic motivation and perceived benefit to enhance vaginal discharge prevention among injectable contraceptive users.

The Effect of Botox on Women of Productive Age at Evoluskin Batam Clinic

Sun, 25 May 2025 14:48:52 +0000

Botox (botulinum toxin) is a commonly used aesthetic procedure to reduce facial wrinkles, especially in women of reproductive age. Although its physical benefits have been widely recognized, the effect of Botox on the psychological aspects and quality of life of patients still needs to be studied further. This study aims to analyze the impact of Botox use on the patient's skin condition, self-esteem, self-confidence, and quality of life psychologically, socially, and physically. This quantitative study involved 30 respondents selected by purposive sampling. Data were collected through a questionnaire measuring the frequency of Botox use, dosage, and using the Rosenberg Self-Esteem Scale and WHOQOL-BREF to measure quality of life. Data were analyzed using paired t-test and Pearson correlation at 0.05 level of significance. The results showed a significant reduction in wrinkles and skin problems after Botox treatment (mean from 49% to 34%, p=0.003). There was a significant positive relationship between Botox use and self-esteem (r=0.45, p=0.012), self-confidence (r=0.38, p=0.025), and quality of life (r=0.62, p<0.001). These findings indicate that Botox has a positive effect not only on physical appearance, but also on the psychological aspects and overall quality of life of patients.

The Relationship between Online Game Addiction and Verbal Bullying in Adolescents at a Junior High School in Makassar

Iskandar Zulkarnaen, Esse Puji Pawenrusi, Andi Ayumar, Riona Fransina Bairsady — Sun, 25 May 2025 14:56:16 +0000

Online gaming addiction is the habit of playing games excessively, exceeding 3-4 hours per day. Meanwhile, verbal bullying is a form of bullying carried out through words such as nicknames, reproaches, and cruel criticism. According to WHO (2020), the prevalence of verbal bullying in Indonesia reached 37% in girls and 42% in boys. The purpose of this study aims to determine the relationship between online game addiction and verbal bullying in adolescents at Advent Makassar Junior High School. The method of this study used a quantitative approach with a cross-sectional design. The number of respondents was 69 students who were taken through total sampling technique. The research instrument is a questionnaire that has been validated and used to measure the level of online game addiction and the intensity of verbal bullying. The results showed that of the 50 respondents who experienced online game addiction, 41 students (82.0%) had a high level of verbal bullying, and 9 students (18.0%) had a low level. While of the 19 respondents who were not addicted, 7 students (36.8%) experienced high verbal bullying and 12 students (63.2%) at a low level. The chi-square test results show a p value = 0.001 (p < 0.05), which means there is a significant relationship between online game addiction and verbal bullying. The conclusion is that there is a significant relationship between online game addiction and verbal bullying behavior among adolescents at Advent Junior High School Makassar.

Side Effects and Return of Fertility of Hormonal and Non-Hormonal Contraceptive Acceptors in the Kassi-Kassi Health Center Work Area, Makassar City

Andi Masnilawati Masnilawati, Yusra Taqiah, Nia Karuniawati — Thu, 29 May 2025 08:34:57 +0000

Side effects are an important factor influencing women's contraceptive choices. Concerns such as menstrual disorders, pelvic cramps, excessive bleeding, and delayed return of fertility after discontinuing contraception can negatively impact contraceptive use. This study aimed to examine the side effects and return of fertility among hormonal and non-hormonal contraceptive acceptors in the Kassi Health Center Work Area, Makassar City. An observational analytic study with a cross-sectional design was conducted on 79 contraceptive acceptors selected through purposive sampling. Data were collected through structured interviews using validated questionnaires. Results showed significant associations between menstrual disorders (p=0.029) and changes in body weight (p=0.013) with the type of contraception used. No significant association was found for vaginal discharge (p=0.956), headache/dizziness (p=0.186), and return of fertility (p=0.181) with the contraceptive method. Hormonal contraceptives such as pills were associated with weight gain and headache/dizziness; injections and implants were linked to menstrual disorders, weight changes, vaginal discharge, and headache/dizziness. Non-hormonal contraceptives like IUDs were associated with menstrual disorders and vaginal discharge. These findings highlight the need for personalized contraceptive counseling to consider side effects and fertility expectations in contraceptive decision-making.

The Influence of Teamwork and Work Discipline on Employee Performance: A Quantitative Study at Ananda Maternity and Children's Hospital, Makassar

Dian Anggraeni Rachman, Sri Reski Astuti, Nurul Fajriah Istiqamah — Sat, 31 May 2025 11:34:01 +0000

Human resources are a critical component that every organization must prioritize, as they play a vital role in determining the success of the organization in achieving its goals. This study aims to examine and analyze the influence of teamwork and work discipline on employee performance at RSIA Ananda in Makassar City. A quantitative research approach was employed, with data collected through the use of questionnaires. The population of the study consisted of 317 employees at RSIA Ananda Makassar. Using purposive sampling, a total of 177 respondents were selected as the sample. Data testing included both validity and reliability tests to ensure the quality of the instrument. The data were analyzed using multiple linear regression, with hypothesis testing conducted through the F-test. The results of the F-test showed that the calculated F value was 228.477, which exceeds the critical F value of 3.05, and the significance level was 0.000, which is below the threshold of 0.05. These findings indicate that teamwork and work discipline have a statistically significant simultaneous effect on employee performance. Moreover, the results demonstrate that both teamwork and work discipline contribute to employee performance at RSIA Ananda Makassar, with work discipline emerging as the dominant influencing factor.

The Relationship Between Binge Watching and Sleep Quality of Undergraduate Nursing Students at Makassar Health Science College

Hardianti Hardianti, Muh. Hatta, Andi Ayumar, Nabilah Irbahyani — Sat, 31 May 2025 11:39:29 +0000

Binge watching, or binge watching a series at a time, is an increasingly common phenomenon among college students and has the potential to affect sleep quality. Poor sleep quality can have a negative impact on students' physical, mental health and academic performance. This study aims to determine the relationship between binge watching behavior and sleep quality in undergraduate nursing students at the Makassar Health Sciences College. This study used quantitative methods with an analytic observational design and a cross-sectional approach. The study population was all 133 nursing students, with a sample of 100 respondents selected using total sampling technique. Data were collected using binge watching behavior questionnaire and Pittsburgh Sleep Quality Index (PSQI). Data analysis was performed using Kolmogorov-Smirnov test. The results showed a significant relationship between binge watching behavior and students' sleep quality (p = 0.036; p < 0.05). It can be concluded that binge watching behavior affects students' sleep quality, so it is recommended to reduce this habit to improve quality of life and academic achievement.