Journal Healthcare Education

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.

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