As-Shiha : JOURNAL OF MEDICAL RESEARCH

PENGARUH PENDIDIKAN KESEHATAN SMART SEXUAL EDUCATION DENGAN PENDEKATAN PEER EDUCATOR TERHADAP PENGETAHUAN DAN SIKAP REMAJA TENTANG PERILAKU SEKSUAL BERISIKO DI SMKN 2 PARIAMAN

2026-08-19T04:40:30+00:00

Adolescence is a developmental period characterized by biological, psychological, and social changes that may influence behavior and decision-making related to reproductive health. Lack of accurate information regarding sexual health may increase the risk of risky sexual behaviors among adolescents. One effort to prevent these problems is through reproductive health education using an approach that is appropriate to adolescents’ characteristics. This study aimed to determine the effect of Smart Sexual Education health education using a Peer Educator approach on adolescents’ knowledge and attitudes toward risky sexual behaviors at SMKN 2 Pariaman. This study employed a quantitative method with a quasi-experimental design using a one-group pretest-posttest design. The sample consisted of 35 students of SMKN 2 Pariaman selected through a purposive sampling technique. Data were collected using knowledge and attitude questionnaires administered before and after the health education intervention. Data analysis was conducted using univariate and bivariate analyses with statistical tests based on data distribution at a significance level of α = 0.05. The results showed an increase in adolescents’ knowledge after receiving Smart Sexual Education with a Peer Educator approach. The percentage of respondents with good knowledge increased from 22.9% to 80%, with statistical analysis showing a p-value of 0.001. Furthermore, positive attitudes among adolescents increased from 37.1% to 85.7%, with a p-value of 0.002. The study concludes that Smart Sexual Education health education using a Peer Educator approach has a significant effect on improving adolescents’ knowledge and changing their attitudes toward risky sexual behaviors. This approach can serve as an effective alternative strategy for reproductive health education in school settings.

EFEKTIVITAS MEDIA EDUKASI MASA NIFAS TERHADAP PENGETAHUAN DAN KEMANDIRIAN IBU DALAM PERAWATAN DIRI PASCA PERSALINAN DI TPMB YETI LATIEF

2026-08-19T04:59:44+00:00

The postpartum period is an important phase after childbirth that requires special attention because mothers experience various physical and psychological changes. During this period, the mother’s ability to perform self-care plays an important role in the recovery process and prevention of postpartum complications. However, some postpartum mothers still have limited knowledge regarding self-care practices, such as reproductive organ hygiene, birth wound care, nutritional fulfillment, and recognition of postpartum danger signs. One effort to improve mothers’ knowledge and abilities is through health education using appropriate educational media. This study aimed to determine the effectiveness of postpartum educational media on mothers’ knowledge and self-care independence after childbirth at TPMB Yenita Latief. This study used a quantitative method with a quasi-experimental design using a one-group pretest-posttest design. The study population consisted of all postpartum mothers receiving services at TPMB Yenita Latief, with samples selected based on inclusion and exclusion criteria using a purposive sampling technique. Data were collected using knowledge and self-care independence questionnaires before and after the intervention using postpartum educational media. Data analysis was conducted through univariate analysis to describe respondent characteristics and variable distributions, as well as bivariate analysis using the Paired Sample T-Test or Wilcoxon Signed Rank Test according to the results of the data normality test. This study is expected to provide scientific evidence regarding the effectiveness of educational media in improving postpartum mothers’ knowledge and self-care independence and to serve as input for healthcare providers in developing more effective postpartum education services.

PENGARUH EDUKASI KESEHATAN REPRODUKSI TERHADAP PENGETAHUAN DAN SIKAP REMAJA PUTRI TENTANG PENCEGAHAN KEPUTIHAN PATOLOGIS DI SMPN 3 PARIAMAN

2026-08-19T05:34:39+00:00

Pathological vaginal discharge is one of the reproductive health problems frequently experienced by adolescent girls and requires early attention. Lack of knowledge and inappropriate attitudes in maintaining reproductive organ hygiene can increase the risk of pathological vaginal discharge. Reproductive health education is one of the promotive and preventive efforts that can be implemented to improve understanding and develop positive attitudes among adolescent girls in preventing pathological vaginal discharge. This study aimed to determine the effect of reproductive health education on the knowledge and attitudes of adolescent girls regarding the prevention of pathological vaginal discharge at SMPN 3 Pariaman. This study employed a quantitative method with a pre-experimental design using a one-group pretest-posttest approach. The population in this study consisted of all adolescent girls at SMPN 3 Pariaman in the 2025/2026 academic year, totaling 156 students. The sample consisted of 38 respondents selected using a purposive sampling technique. The research instruments included a knowledge questionnaire, an attitude questionnaire, reproductive health education media, and a Health Education Session Plan. Data analysis was conducted using univariate and bivariate analyses with the Wilcoxon test because the data were not normally distributed. The results showed that before receiving reproductive health education, most respondents had poor knowledge, with 19 respondents (50.0%), while after the education intervention, most respondents demonstrated good knowledge, with 27 respondents (71.1%). Regarding attitudes, before the education intervention, most respondents had negative attitudes, with 22 respondents (57.9%), whereas after the intervention, most respondents showed positive attitudes, with 31 respondents (81.6%). The Wilcoxon test results indicated a p-value of 0.000 for both knowledge and attitude variables. It can be concluded that reproductive health education has an effect on the knowledge and attitudes of adolescent girls regarding the prevention of pathological vaginal discharge at SMPN 3 Pariaman.

Keywords: reproductive health education, knowledge, attitudes, adolescent girls, pathological vaginal discharge.

EFEKTIVITAS MEDIA BOOKLET TENTANG PENATALAKSANAAN DISMENORE TERHADAP PENGETAHUAN DAN PERILAKU REMAJA PUTRI DI SMA 3 PARIAMAN

2026-08-19T06:24:41+00:00

Dysmenorrhea is one of the most common reproductive health problems experienced by female adolescents and can interfere with daily activities, reduce learning concentration, and affect quality of life. Limited knowledge regarding the causes and management of dysmenorrhea may result in inadequate treatment practices among adolescents. One effort to improve adolescents’ knowledge and behavior is through health education using Booklet media. This study aimed to determine the effectiveness of Booklet media on dysmenorrhea management in improving knowledge and behavior among female adolescents at SMA Negeri 3 Pariaman. This study employed a quantitative method with a pre-experimental design using a one-group pretest-posttest design. The study population consisted of all female adolescents at SMA Negeri 3 Pariaman, with a sample of 20 respondents selected using a purposive sampling technique based on inclusion and exclusion criteria. Data were collected using knowledge and behavior questionnaires regarding dysmenorrhea management before and after receiving education through Booklet media. Data were analyzed using univariate and bivariate analyses with appropriate statistical tests at a significance level of α = 0.05. The results showed an increase in knowledge and improvement in dysmenorrhea management behavior among female adolescents after receiving education through Booklet media. Statistical analysis revealed a significant difference in knowledge before and after Booklet intervention (p-value < 0.05), as well as a significant change in dysmenorrhea management behavior after the intervention (p-value < 0.05). This study concludes that Booklet media is effective in improving knowledge and enhancing dysmenorrhea management behavior among female adolescents. Booklet media can be used as an alternative reproductive health education tool in school settings.

Keywords: Booklet Media, Dysmenorrhea, Knowledge, Behavior, Female Adolescents

EFEKTIVITAS MEDIA EDUKASI NUTRISI BERBASIS PANGAN LOKAL TERHADAP KEPATUHAN KONSUMSI TABLET TAMBAH DARAH DAN PENCEGAHAN ANEMIA PADA IBU HAMIL DI WILAYAH KERJA PUSKESMAS PAUH KAMBAR

2026-08-19T06:33:23+00:00

Anemia among pregnant women remains a significant public health problem that may negatively affect both maternal and fetal health. One of the main causes of anemia during pregnancy is iron deficiency, which is influenced by low adherence to Iron Tablet (TTD) consumption and inadequate understanding of nutritional requirements during pregnancy. Improving maternal knowledge through health education is essential to encourage behavioral changes in preventing anemia. This study aimed to determine the effectiveness of local food-based nutrition education media on Iron Tablet consumption adherence and anemia prevention among pregnant women in the working area of Pauh Kambar Primary Health Care Center. This study employed a quantitative method with a quasi-experimental design using a one-group pretest-posttest approach. The study population consisted of all pregnant women in the working area of Pauh Kambar Primary Health Care Center, with a sample of 35 respondents selected using a purposive sampling technique. Data were collected using questionnaires measuring Iron Tablet consumption adherence and hemoglobin level examinations before and after the intervention using local food-based nutrition education media. Data were analyzed using univariate and bivariate analyses with statistical tests at a significance level of α = 0.05. The results showed an increase in Iron Tablet consumption adherence after receiving local food-based nutrition education. Furthermore, an improvement in anemia status was observed, indicated by increased hemoglobin levels among pregnant women after the intervention. Statistical analysis demonstrated a significant effect of local food-based nutrition education media on Iron Tablet consumption adherence and anemia prevention among pregnant women (p < 0.05). It can be concluded that local food-based nutrition education media is effective as a health education strategy to improve Iron Tablet consumption adherence and support anemia prevention among pregnant women.

Keywords: Nutrition Education, Local Food, Iron Tablets, Anemia, Pregnant Women

HUBUNGAN TINGKAT KEMANDIRIAN DENGAN RISIKO JATUH PADA LANSIA DI WILAYAH KERJA PUSKESMAS PARIAMAN

2026-08-19T06:47:56+00:00

Elderly individuals are a vulnerable group who experience a decline in physical function, including independence in performing daily activities. This reduction in independence increases the risk of falls, which may affect their quality of life and raise morbidity and mortality rates. This study aimed to determine the relationship between independence level and fall risk among the elderly in the working area of the Pariaman Health Center in 2025. This research used a quantitative method with a cross-sectional design. The population consisted of all elderly individuals living in the working area of the Pariaman Health Center, with a total sample of 44 respondents selected using purposive sampling. The research instruments were the Activities of Daily Living (ADL) questionnaire to assess independence level and the Morse Fall Scale to measure fall risk. Data were analyzed using the Chi-Square test at a 95% confidence level (α = 0.05). The results showed that 52.3% of respondents were independent, 29.5% moderately dependent, and 18.2% heavily dependent. Regarding fall risk, 45.5% were at low risk, 29.5% had no risk, and 25% had high risk. Statistical analysis indicated a significant relationship between independence level and fall risk among the elderly (p = 0.004). The study concludes that the lower the level of independence, the higher the fall risk. Health workers are encouraged to promote elderly independence through regular physical activity and preventive fall-risk education programs.

Keywords: independence level, fall risk, elderly

HUBUNGAN PERILAKU CARING PERAWAT DENGAN KEPUASAN PASIEN DI RUANG RAWAT INAP RSUD PROF M. YAMIN KOTA PARIAMAN TAHUN 2025

2026-08-19T06:57:36+00:00

Quality nursing care manifested through nurses’ caring behavior is a key determinant of patient satisfaction. Both global and national data indicate ongoing issues with patient dissatisfaction; Indonesia’s patient satisfaction rate (71.80%) remains below the acceptable threshold. A preliminary assessment in the Surgery and Internal Medicine inpatient wards at Prof. M. Yamin Pariaman Regional General Hospital revealed multiple patient complaints, with low nurse caring behavior identified as a contributing factor. This study examined the relationship between nurses’ caring behavior and patient satisfaction in those inpatient wards. Specific aims were to describe the distribution of caring behaviors among nurses and the distribution of patient satisfaction levels. Employing a quantitative correlational design with a cross‑sectional approach, the study population comprised 205 inpatients from the Surgery and Internal Medicine wards. A minimum sample of 68 respondents was drawn by simple random sampling using Slovin’s formula with a 10% margin of error. Data were collected with a questionnaire measuring nurses’ caring behavior. Findings indicated that a majority of respondents perceived caring behavior from nurses, and statistical analysis demonstrated a significant association between nurse caring behavior and patient satisfaction. In conclusion, nurses’ caring behavior is related to patient satisfaction; therefore, nurses should consistently apply caring practices in their care delivery to enhance patient satisfaction.

Keywords: Caring Behavior from Nurses, Patient Satisfaction, Inpatient Care

PENERAPAN TERAPI KOMPLEMENTER MINUM AIR HANGAT DENGAN CAMPURAN MADU PADA ANAK BRONKHOPENEMONIA DI RUANG ANAK RSU PROF M.YAMIN TAHUN 2025

2026-08-19T07:09:42+00:00

Bronchopneumonia is one of the respiratory infections commonly experienced by children and can cause increased airway secretions, coughing, ineffective airway clearance, and decreased comfort during hospitalization. In addition to medical therapy, safe and practical supportive nursing interventions are needed to help reduce respiratory symptoms in children. This study aimed to implement complementary therapy using warm water with a honey mixture in children with bronchopneumonia in the Pediatric Ward of RSU Prof. M. Yamin in 2025. This study used a descriptive method with a case study approach involving 12 children diagnosed with bronchopneumonia who were hospitalized in the Pediatric Ward of RSU Prof. M. Yamin. The intervention consisted of administering warm water with a honey mixture as a complementary therapy within the nursing care process. Data were collected through direct observation of respiratory conditions before and after the intervention, including coughing frequency, secretion clearance, child comfort, and sleep quality. Data were analyzed descriptively based on changes in the children's conditions after the intervention. The results showed positive changes after the implementation of complementary therapy. Before the intervention, all children (100%) experienced frequent coughing, while after the intervention, 9 children (75%) experienced a reduction in coughing frequency. The ability to expel respiratory secretions improved from 2 children (16.7%) before the intervention to 10 children (83.3%) after the intervention. Improvements were also observed in children’s comfort levels and sleep quality. The implementation of warm water with honey mixture as a complementary therapy may serve as a supportive nursing intervention to help reduce respiratory complaints and improve comfort among children with bronchopneumonia. This therapy should be used as a complementary approach alongside standard medical treatment and requires further research with stronger study designs.

Keywords: Bronchopneumonia, Complementary Therapy, Warm Water, Honey, Children, Pediatric Nursing.

EFEKTIFITAS TERAPI HIPNOTIS LIMA JARI TERHADAP TINGKAT KECEMASAN PADA MAHASISWA YANG AKAN MENGHADAPI UJIAN UKOM

2026-08-19T07:18:00+00:00

Anxiety before the Competency Examination (UKOM) is a common psychological issue among health students that can reduce concentration, self-confidence, and exam performance. One effective non-pharmacological approach to manage anxiety is five-finger hypnosis therapy, a simple self-relaxation technique combining positive suggestions and focused concentration. This study aimed to determine the effectiveness of five-finger hypnosis therapy in reducing anxiety levels among students preparing for the UKOM at STIKes Piala Sakti Pariaman. A pre-experimental design with a one-group pretest-posttest approach was employed. The sample consisted of 20 students selected through purposive sampling. Data were collected using a standardized anxiety questionnaire and analyzed with a paired sample t-test. The results showed a significant decrease in anxiety after the intervention. The mean anxiety score before therapy was 68.75 and decreased to 34.15 after therapy, with a mean difference of 34.60 and a p-value of 0.000 (p < 0.05). The number of students with no anxiety increased from 55% to 85%. These findings indicate that five-finger hypnosis therapy effectively reduces pre-exam anxiety. Therefore, it is recommended that this method be implemented as a simple, practical, and independent relaxation technique to support students’ mental readiness before competency examinations.

Keywords: Five-finger hypnosis, anxiety, UKOM

PENGARUH SENAM HAMIL TERHADAP TINGKAT KECEMASAN PADA IBU HAMIL TRIMESTER III DI PUSKESMAS PARIAMAN

2026-08-19T07:38:26+00:00

The third trimester of pregnancy often causes anxiety due to fear of childbirth, concerns about fetal safety, and psychological readiness as a mother. One non-pharmacological method that can be applied to reduce anxiety is pregnancy exercise. This study aimed to determine the effect of pregnancy exercise on anxiety levels among third trimester pregnant women at Public Health Center Pariaman in 2025. This research employed a pre- experimental design with a one group pre-test and post-test approach. The population consisted of all third trimester pregnant women in the working area of the Public Health Center Pariaman. A total of 16 respondents were selected using purposive sampling. The instrument used was the Hamilton Anxiety Rating Scale (HARS) questionnaire. Data were analyzed using the paired sample t-test. The findings showed that before the exercise, most respondents experienced mild anxiety (56.3%), moderate anxiety (31.3%), and severe anxiety (12.5%). After the intervention, most respondents experienced mild anxiety (50%), some had no anxiety (31.3%), and a few experienced moderate anxiety (18.8%). No respondents experienced severe anxiety. The paired sample t- test showed a significant difference (p = 0.000; p < 0.05) with a mean difference of 6.438 points. Pregnancy exercise significantly reduces anxiety levels among third trimester pregnant women. It is recommended that health workers regularly conduct pregnancy exercise sessions and encourage pregnant women to actively participate to improve physical and psychological readiness for childbirth.

Keywords: pregnancy exercise, anxiety level, third trimester, pregnant women

PENERAPAN TERAPI RELAKSASI AUTOGENIK PADA PASIEN POST ULKUS DIABETIKUM DALAM MENGATASI KETIDAKSTABILAN KADAR GLUKOSA DARAH DI RSUD Prof.M.YAMIN.SH PARIAMAN

2026-08-19T07:46:53+00:00

Diabetic foot ulcers are chronic wounds that are difficult to heal. Tissue damage in diabetic foot ulcers is caused by neurological (neuropathy) and vascular disorders in the legs. These disorders do not directly cause diabetic foot ulcers, but rather begin with a mechanism that reduces pain sensation, causes callus formation, and reduces blood flow that carries oxygen and nutrients to the tissues. One treatment option for managing diabetic ulcers to maintain stable blood glucose levels is non-pharmacological therapy in the form of autogenic relaxation. Autogenic relaxation is a technique for relaxing the body and mind. This study used a case study method with a nursing care approach. The assessment was conducted on patients with diabetic ulcers. The nursing intervention was autogenic relaxation therapy. The results of the intervention were evaluated by measuring glucose levels before and after the relaxation. The results of the application showed that autogenic relaxation performed for 3 consecutive days can reduce random glucose levels in patients with diabetic ulcers and unstable blood glucose levels, with an average decrease of 10-15 mg/dL. It can be concluded that the application of autogenic relaxation can reduce random blood glucose levels in patients with Type 2 DM.

Keywords: Diabetic ulcers, unstable blood glucose levels, autogenic relaxation

EFEKTIVITAS VIRTUAL REALITY RELAXATION THERAPY TERHADAP PENURUNAN TINGKAT KECEMASAN PADA PASIEN DENGAN GANGGUAN KECEMASAN DI RSUD PROF. M. YAMIN PARIAMAN

2026-08-19T07:53:27+00:00

Keywords:Smart Sexual Education, Peer Educator, Knowledge, Attitudes, Adolescents, Risky Sexual Behavior