Jurnal Kesehatan

The MINANGKABAU WOMEN’S EXPERIENCES OF DOMESTIC VIOLENCE IN PADANG, WEST SUMATERA, INDONESIA

Yanti Puspita Sari, Khatijah Lim Abdullah, Hermalinda Herman — Thu, 31 Jul 2025 00:00:00 +0700

Objective: This study aimed to explore the lived experiences of women who have faced domestic violence, focusing on the causes of the violence, its impact on their health, and the decision-making processes they undertook in response. Method: This study used a phenomenological study approach. The inclusion criteria were; women from the Minangkabau tribe, aged between 18 and 40, women who were married or had ever been married and having children. Participant recruitment was conducted through the P2TP2A and Woman Crisis Center (WCC) “Nurani Perempuan”, based on predetermined inclusion criteria. Nine women were involved. In-depth face-to-face interviews and field notes were used to collect the data. The interviewers were transcribed verbatim, and themes analysis was performed using the Collaizzi technique with seven analysis steps. Results: Four themes emerged from the data: (1) failure to resolve family conflict, describing the interpersonal and situational factors that triggered violence; (2) physical and psychological despair, capturing the negative health impacts experienced by women; (3) inability to make decisions, illustrating their struggles in responding to the violence; and (4) need for external support, highlighting the role of formal and informal assistance in coping with their situations. Conclusions: The study highlights that women's vulnerability to domestic violence is shaped by unresolved family conflict, poor health outcomes, limited decision-making power. Strengthening community-based support and culturally sensitive interventions is recommended to empower women and reduce the risk of domestic violence.

Community-Based Strategies for Perinatal Mental Health Services in Low-middle Income Countries: Scoping Review

Septiana Ade Ammalia — Thu, 31 Jul 2025 00:00:00 +0700

Introduction: Perinatal mental health is critical to the well-being of both mother and child, influencing maternal quality of life and child development. Community-based approaches have proven effective in enhancing service accessibility and quality while also reducing maternal morbidity.

Objective: This scoping review aims to identify and explore scientific evidence regarding strategies for delivering community-based perinatal mental health services in developing countries.

Method: This study employed a scoping review design guided by the Population–Concept–Context (PCC) framework. Literature searches were conducted across PubMed, ScienceDirect, Cochrane Library, EBSCO, and gray literature sources, including Google Scholar. Selected articles were critically appraised using the JBI Critical Appraisal Tools and the Mixed Methods Appraisal Tool (MMAT).
Results: Out of 726 records screened, 10 articles met the inclusion and exclusion criteria. The analysis revealed four central themes: (1) community-based mental health service strategies, (2) instruments used to detect perinatal mental health disorders, (3) enabling and limiting factors in implementing community-based services, and (4) the benefits of community-based mental health interventions.

Conclusion: Community-based mental health strategies are widely adopted in developing countries to address service gaps, particularly in settings with limited resources and access. However, challenges such as insufficient policy support, inadequate funding, limited training for healthcare providers, and persistent social stigma continue to hinder effective implementation.

Effect of Giving MMS (Multiple Micronutrient Supplement) Tablets on Changes in Anemia Status in Pregnant Women: A Quasi-Experimental Study

Dwi Nur Octaviani Katili — Thu, 31 Jul 2025 00:00:00 +0700

Anemia in pregnancy is a health problem which impacts the mother and fetus, includes the risk of bleeding, premature birth, and low birth weight. One effort to overcome this condition is through giving nutritional supplement. This study aims to evaluate the effectiveness of administering Multiple Micronutrient Supplement (MMS) tablets in increasing hemoglobin levels in pregnant women who experience anemia. The research method used a randomized controlled study design such as an experiment with pre-test dan post-test with control group design. Respondents were pregnant women in their third trimester with a diagnosis of mild to moderate anemia, who were given MMS tablets for 30 days. Hemoglobin level data were measured before and after the intervention. The results showed a significant increase in hemoglobin levels after the administration of MMS with p-value(0.01<0.05), indicating that MMS tablets are effective as nutritional therapy to treat anemia in pregnancy. This study confirms that giving MMS supplements can be an alternative strategy in anemia control programs in pregnant women, especially in areas with high anemia incidence.

Symptom Severity, Anxiety, Family Support, and Resilience of Breast Cancer Patients Undergoing Chemotherapy

Thu, 31 Jul 2025 00:00:00 +0700

Purpose: The objective of this study was to exploring the relationship of symptom severity, anxiety, and family support to the resilience of breast cancer patients undergoing chemotherapy. Method: This research is a quantitative correlation with a cross-sectional study design. The sample size was 107 breast cancer patients undergoing chemotherapy at hospitals in Aceh Province and selected non-randomly with consecutive sampling technique. Bivariate data analysis was Pearson correlation. Results: The results showed that there was a significant negative relationship between symptom severity with resilience (r -0.249; p 0.010), and anxiety with resilience (r -0.569; p < 0.001). There was a significant positive relationship between family support and resilience (r 0.184; p 0.049). Conclusions: Resilience of breast cancer patients undergoing chemotherapy is closely related to symptom severity, anxiety and family support. Recommendations, to oncology nurses in order to increase interventions, especially on factors that can reduce the severity of symptoms and anxiety of patients, also increase family support.

Work-Related Musculoskeletal Disorders in Brick Workers

Thu, 31 Jul 2025 00:00:00 +0700

The brick-making industry is an industry with rough work that relies on the physical strength of its workers. The posture of workers when carrying out the work process is often not ergonomic, so workers are at risk of experiencing musculoskeletal disorders and discomfort due to posture when doing work that is not ergonomic and heavy physical workload because it is done manually relying on strength. This study was conducted to determine the description of MSDs complaints experienced by brickmakers and the factors influencing them. This study is a quantitative study with a cross-sectional design. Conducted from March to September 2024, with the research location in Sarilamak Village, Lima Puluh Kota Regency, West Sumatra. The study population was all workers, totaling 76 people in 35 brick production sites; the number of samples was 66 workers. Data collection was carried out using questionnaires and weight and height measuring instruments. Data were analyzed using univariate and bivariate analysis. The study shows that 80.3% of brick workers experience high-risk MSDs complaints. The body parts most complained about by workers during and after work are the waist, back, and calves. There is no relationship between age (p-value = 0.512), work period (p-value = 0.799), BMI (p-value = 0.191), work posture (p-value = 0.713), and workload (p-value = 0.517) with MSDs complaints in brick workers. There is no relationship between age, length of service, BMI, work posture, and workload with MSD complaints in brick workers. Business owners are expected to provide workers with ergonomic work equipment and help them improve their body position while working.

Pharmacogenomics in Drug Absorption and Its Implications for Personalized Medicine

Annisa Abdi Ghifari, Alauddin Syaifulanwar, Muhammad Yulis Hamidy — Thu, 31 Jul 2025 00:00:00 +0700

Pharmacogenomics explores the impact of genetic differences on medication responsiveness. Drug absorption, affecting bioavailability and therapeutic efficacy, is controlled by genetic variations in transporters including P-gp and the SLC family. Genetic polymorphisms may alter plasma medication concentrations, affecting both safety and effectiveness. Understanding pharmacogenomics in drug absorption may encourage individualized therapy by modifying drug selection and dose according to genetic profiles. Despite implementation problems, pharmacogenomics offers potential for safer and more effective medications.

THE EFFECT OF INTERPERSONAL THERAPY ON DEPRESSION AND ANXIETY AMONG ADOLESCENT INMATES IN ACEH: A PRE-EXPERIMENTAL STUDY

Miftahurrahmi, Rauzatul Jannah Syarifah, Dara Febriana — Wed, 30 Jul 2025 00:00:00 +0700

Juvenile inmates are highly vulnerable to mental health disorders, particularly depression and anxiety. Factors such as the prison environment, limited social support, and restricted access to mental health services contribute to this vulnerability. If left untreated, these conditions can adversely impact their psychological well-being and rehabilitation process. Interpersonal Therapy is a psychotherapeutic approach focusing on interpersonal relationships, proven effective in treating affective disorders among adolescents. This study aimed to assess the effectiveness of Interpersonal Therapy in reducing depression and anxiety among juvenile inmates at the Banda Aceh Juvenile Correctional Institution. A Pre - experimental one-group pre-test and post-test design was employed. A total of 33 participants were recruited using purposive sampling, based on power analysis (power 0.80, effect size 0.70, α = 0.05). The intervention consisted of five sessions of Interpersonal Therapy. Data were collected using demographic questionnaires, the Beck Depression Inventory-II (BDI-II) to measure depression, and the Beck Anxiety Inventory (BAI) to assess anxiety levels. The Wilcoxon Signed-Rank Test revealed a significant effect of Interpersonal Therapy on reducing depression (Z = -3.764; p < 0.001) and a non-significant trend in reducing anxiety (Z = -1.732; p = 0.083). Before the intervention, most respondents had moderate depression (60.6%) and mild anxiety (66.7%). After the intervention, 45.5% of participants experienced minimal depression, while mild anxiety increased to 87.9%. The mean depression score decreased from 20.94 to 13.79, and the anxiety score from 17.27 to 13.58. Interpersonal Therapy was effective in reducing depression and contributed to improvements in anxiety among juvenile inmates. This therapy can be used as a non-pharmacological approach in psychiatric nursing to support adolescents mental well-being in correctional settings

Comparison of DNA Extraction Feasibility from Menstrual Blood and Endometrial Tissue in Reproductive-Aged Women

Thu, 31 Jul 2025 00:00:00 +0700

ABSTRACT

The endometrium is a highly vascularized tissue composed of numerous blood vessels, with cells that are formed and destroyed during each menstrual cycle. Menstrual blood, which is shed cyclically from the endometrium in women of reproductive age, contains endometrial tissue or cells. Both deoxyribonucleic acid (DNA) and ribonucleic acid (RNA) are the primary nucleic acids present in cells with nuclei. In this study, 20 samples of menstrual blood and endometrial tissue were collected from women of reproductive age. Menstrual blood was gathered using specially designed filter paper, and DNA was extracted using the QIAamp DNA Mini Kit (Qiagen, Cat No.: 51304). Endometrial tissue was obtained via biopsy, and DNA was extracted using the Geneaid DNA Isolation Kit (Geneaid, New Taipei, Taiwan). DNA purity and concentration were measured using a Thermo Scientific Nano-Drop microvolume Spectrophotometer. The results indicated an average DNA purity of 1.88 ± 0.09 and a mean concentration of 116.9 ng/µL for menstrual blood, while endometrial tissue had a median DNA purity of 1.92 and a concentration of 192 ng/µL. Statistical analysis revealed no significant difference in DNA purity between menstrual blood and endometrial tissue (p = 0.083), but a significant difference in DNA concentration was observed (p = 0.002). Although there was a slight difference in DNA concentration, both menstrual blood and endometrial tissue samples were equally effective in preserving optimal purity and concentration of DNA molecules.

Keywords: Deoxyribonucleic Acid, DNA, Endometrial Tissue, Menstrual Blood, Nucleic Acid.

Healing Wound with Bioelectric stimulation: A Systematic Review

Nuh Huda, Imroatul Farida, Ceria Nurhayati, Rohman — Thu, 31 Jul 2025 00:00:00 +0700

This study delves into the burgeoning field of bioelectricity and its application to wound healing. A comprehensive literature analysis was conducted using Scopus, examining 831 articles published between 2014 and 2024. Keyword co-occurrence analysis through VOSviewer identified vital research themes. The findings underscore a growing interest in understanding the underlying bioelectric mechanisms that govern wound healing and the development and application of bioelectric therapies. A critical literature analysis reveals the potential of bioelectric interventions to accelerate wound closure, enhance tissue regeneration, and improve overall patient outcomes. However, significant challenges remain, such as the need for standardized protocols, the development of innovative bioelectric materials, and robust clinical evidence. This review emphasizes the importance of continued research to translate promising preclinical findings into effective clinical treatments. A deeper understanding of bioelectric signalling and its manipulation will be instrumental in developing novel therapeutic strategies for wound healing