Journal Healthcare Education

PENERAPAN INTERVENSI RENDAM PERMANGANAS KALIUS (PK) TERHADAP PENURUNAN NYERI PADA PASIEN POST OP HEMOROIDEKTOMY

2025-07-23T05:40:53+00:00

Post-hemorrhoidectomy pain is a common complication that may impede the recovery process. Non-pharmacological interventions such as potassium permanganate (KMnO₄) sitz baths have shown potential in pain management and wound healing. This case study aims to evaluate the effectiveness of KMnO₄ sitz bath therapy in reducing post-hemorrhoidectomy pain. A 45-year-old male patient (Mr. A) experienced severe postoperative pain (7/10 on the Numerical Rating Scale). Sitz baths with a 0.1–0.2% KMnO₄ solution were administered twice daily. Pain intensity was measured before and after each intervention using the NRS. Within 2–3 days, the patient’s pain level decreased significantly to 3/10, accompanied by improved comfort, enhanced mobility, and positive behavioral responses. The analgesic effects are associated with the antiseptic and astringent properties of KMnO₄, as well as the muscle-relaxing effects of warm water, which together reduce inflammation, prevent infection, and alleviate anal sphincter spasms. These findings support the use of potassium permanganate sitz baths as an effective non-pharmacological intervention in managing post-hemorrhoidectomy pain and promoting recovery.

BIBLIOMETRIC ANALYSIS: E-COUNSELING FOR FAMILIES OF ELDERLY INDIVIDUALS AT RISK OF FALLING

2025-07-02T13:39:43+00:00

This study employs a descriptive quantitative method with a bibliometric approach to analyze research trends related to fall prevention in the elderly. E-counseling, as an innovative approach to fall prevention, has not been widely explored in previous studies. Data indicate that approximately 30–40% of older adults experience falls each year, and 50% of them suffer recurrent falls, which may lead to serious injuries or even death. The bibliometric analysis was conducted to identify key keywords, research trends, and inter-topic relationships within the existing literature. The network visualization results show that topics such as “Prevention Program,” “Knowledge,” “Nurse,” and “Technology” are major focuses in this field of research. The role of technology and family support was also identified as a crucial factor in fall prevention strategies. The proximity of nodes in the network indicates that these keywords frequently co-occur in publications, reflecting strong interconnections among these topics in the context of fall prevention in the elderly. The importance of research on e-counseling for families of elderly individuals at risk of falling lies in its potential to provide emotional support and relevant information to help families manage fall risks. Through e-counseling, families can be better prepared to provide necessary care, enhance the safety of the home environment, and understand the specific risk factors faced by older adults. This study is expected to serve as a foundation for the development of more effective and targeted e-counseling programs, ultimately improving the quality of life and safety of the vulnerable elderly population.

EFFECT OF CLITORIA TERNATEA ON FOLLICULOGENESIS POLYCISTIC OVARY SYNDROME: IN SILICO STUDY ON LUTEINIZINNG HORMONE RECEPTOR

2025-01-15T14:26:12+00:00

Polycystic Ovary Syndrome (PCOS) is a complex hormonal disorder involving dysregulation of luteinizing hormone (LH) and its receptor, leading to menstrual irregularities and anovulation. This study evaluates the potential of Clitoria ternatea, a traditional medicinal plant, in modulating LH receptor activity through in silico analysis. Methods: Active compounds from Clitoria ternatea, including flavonols (kaempferol, isorhamnetin), flavones (baicalein, luteolin, apigenin), phenolic acids (chlorogenic, protocatechuic, gallic), and epicathechin, were identified via PubChem. Lipinski’s rule and LD50 classifications were used to assess drug-like properties and toxicity. Bioactivity was predicted using PASS Online, SwissTarget Prediction, PharmMapper, and SuperPred. The LH receptor's 3D structure was modeled using Swiss Model and validated with Procheck and Errat Check. Molecular docking studies using PyRx assessed binding affinities between the compounds, spironolactone, flutamide, and the LH receptor. Results: Docking results revealed strong binding affinities of Clitoria ternatea compounds with the LH receptor, particularly phenolic acids and flavonoids, showing comparable or better interactions than spironolactone and flutamide. These interactions suggest a potential role in restoring hormonal balance and ovulatory function. The study highlights the therapeutic potential of Clitoria ternatea for PCOS management. Its compounds demonstrate significant LH receptor interactions, offering a promising basis for further research. Conclusion: Clitoria ternatea shows promise as a natural therapeutic candidate for PCOS. Future in vitro, in vivo, and clinical trials are needed to validate these findings

CASE STUDY: EFFECTIVENESS OF DIABETES FOOT EXERCISES ON REDUCING BLOOD SUGAR LEVELS AND BLOOD PRESSURE IN DIABETES MELLITUS PATIENTS

2025-07-10T06:44:17+00:00

Diabetes Mellitus (DM) is a chronic metabolic disease characterized by persistent hyperglycemia and increased risk of complications such as peripheral neuropathy and vascular disorders. One of the effective and accessible non-pharmacological approaches in nursing practice is diabetic foot exercise. Objective: To determine the effectiveness of diabetic foot exercise in reducing blood glucose levels and blood pressure in type 2 DM patients with various comorbidities. This research employed a descriptive observational case study approach involving four patients diagnosed with type 2 DM and diverse comorbidities (pulmonary TB, COPD, neurological disorders, and diabetic foot wounds). The intervention consisted of a diabetic foot exercise program performed for three consecutive days, 10–15 minutes per session, using nine specific movements. Results: All patients demonstrated a significant reduction in blood glucose levels (80–200 mg/dL) and blood pressure stabilization within normal limits. Patients also reported improved sleep quality, reduced fatigue, and increased motivation and physical comfort. Diabetic foot exercise is proven to be an effective complementary nursing intervention for lowering blood glucose and blood pressure while improving the physiological and psychological status of type 2 DM patients, including those with limited mobility.

THE ROLE OF NURSING MANAGEMENT IN OPTIMIZING THE ENVIRONMENT TO PREVENT INSOMNIA RISK IN THE ELDERLY AT THE SOCIAL SERVICE DEPARTMENT

2025-06-02T22:10:07+00:00

Insomnia is a prevalent health problem among the elderly worldwide, significantly impacting their quality of life and overall health. Environmental factors—such as room temperature, noise, lighting, and cleanliness—play a critical role in increasing insomnia risk. Nursing management is essential in optimizing these environmental conditions to support better sleep quality in elderly patients. Objective: This study aims to examine the role of nursing management in improving environmental factors to reduce insomnia risk among the elderly. Methods: A cross-sectional quantitative study was conducted with 45 elderly respondents selected by total sampling. Data collection used validated questionnaires including the Insomnia Rating Scale and environmental comfort assessments via Likert scales. Analysis involved univariate, bivariate (Fisher’s exact test), and multivariate logistic regression techniques. Results: Findings revealed that 66.7% of participants were at high risk of insomnia. Room temperature regulation was the most influential factor (RR = 5.10; p = 0.005), followed by noise control (RR = 3.85; p = 0.02), lighting (RR = 3.60; p = 0.03), and environmental cleanliness (RR = 3.40; p = 0.04). Poor environmental conditions significantly increased insomnia risk. Conclusion: Nursing management focusing on regulating room temperature, reducing noise, optimizing lighting, and maintaining cleanliness is crucial to decrease insomnia risk in the elderly. This study highlights the need for nursing education and policies emphasizing environmental management to enhance elderly sleep quality and well-being.

OPTIMIZING STUNTING PREVENTION: KEY DETERMINANTS IN BANJARNEGARA REGENCY

2025-01-10T07:47:58+00:00

The incidence of stunting in toddlers is a major nutritional issue in Indonesia. Data from the Nutrition Status Monitoring (PSG) over the past three years shows that stunting has the highest prevalence compared to other nutritional problems such as underweight, wasting, and obesity. The prevalence of stunting in toddlers increased from 27.5% in 2016 to 29.6% in 2017. Various factors influence the occurrence of stunting; however, these factors can vary by region. Detailed data on the determinants of stunting in children is crucial for informing government policies in addressing public health issues, particularly stunting. This study focuses on Banjarnegara Regency, which ranks among the top five regions with the highest stunting rates in Central Java. The objective of this research is to analyze the factors influencing stunting among children aged 2-5 years in Banjarnegara Regency. This quantitative study uses a case-control approach, with a population of all children aged 2-5 years. Data analysis includes univariate descriptive analysis and bivariate analysis using the Chi-Square test. The results indicate that education, economic status, environment, and birth length are associated with stunting in toddlers, whereas exclusive breastfeeding history is not associated with stunting.