Journal of Health, Medical, and Psychological Studies
Sanitas: Journal of Health, Medical, and Psychological Studies is a peer-reviewed academic journal published by CV Scripta Intelektual Mandiri, issued three times a year (April, August, and December). The journal publishes research articles and scholarly papers in the fields of health, medicine, pharmacy, and psychology, in both English and Indonesian. It operates under an open-access model with a CC BY-SA 4.0 license and charges no article processing fees (free APC).
The Relationship between Self-Efficacy, Duration of Hemodialysis, Quality of Life, and Self-Management in Hemodialysis Patients at Sultan Agung Islamic Hospital in Semarang
Background: Hemodialysis is a long-term renal replacement therapy that often causes physical and psychological changes in patients. Self-efficacy and duration of hemodialysis play an important role in patients' ability to adapt, which affects their quality of life and self-management. This study aims to determine the relationship between self-efficacy and duration of hemodialysis with quality of life and self-management in hemodialysis patients at Sultan Agung Islamic Hospital in Semarang. Method: This study is a quantitative study using a cross-sectional approach. There were 105 respondents using total sampling technique. Data collection in this study used questionnaires which were then analyzed using Somers' d test. Results: The results of the study show a significant relationship between self-efficacy and quality of life (ρ=0,001< 0,05) as well as self-efficacy and self-management (ρ=0,001< 0,05). In addition, there was a significant relationship between the duration of hemodialysis and quality of life (ρ=0,001< 0,05) and the duration of hemodialysis and self-management (ρ=0,001< 0,05). Conclusion: There is a significant relationship between self-efficacy, duration of hemodialysis, quality of life, and self-management in hemodialysis patients at Sultan Agung Islamic Hospital in Semarang.
Self-Efficacy, Duration of Hemodialysis, Quality of Life, Self-Management, Hemodialysis.
Copyright (c) 2026 Anjalika Ulfarani, Retno Setyawati, Erna Melastuti (Author) https://creativecommons.org/licenses/by-sa/4.0
The Application of Slow Deep Breathing on Blood Pressure in Hypertensive Patients in the Kenanga Room of Limpung Regional General Hospital, Batang Regency
Background: Hypertension is a chronic disease that can increase the risk of serious complications, including heart disease and stroke. One non-pharmacological approach that can be used to manage the accompanying hypertension is the slow deep breathing technique. This technique aims to provide a relaxation effect, reduce blood pressure management, and help regulate blood pressure in hypertensive patients. Objective: This study aims to analyze the effectiveness of the application of slow deep breathing on blood pressure in elderly hypertension patients in the Kenanga Room of Limpung Hospital Method: This study used a descriptive method with a case study approach conducted in September 2025. Data were collected through blood pressure measurements before and after the intervention, and using a blood pressure management questionnaire. The intervention was carried out for three consecutive days, with repeated administration of the slow deep breathing technique. Results: The results showed that there was a significant decrease in blood pressure after the intervention. Before the intervention, the average blood pressure of respondents was high, with the highest value of 202/116 mmHg and the lowest 148/100 mmHg. After the intervention, blood pressure decreased gradually, with an average decrease of 6-15 mmHg. Conclusion: Slow deep breathing has been shown to be effective in lowering blood pressure levels in people with hypertension. This technique can be used as a complementary therapy in the management of hypertension in patients.
Hypertension, Elderly, Slow Deep Breathing, Blood Pressure, Non-Pharmacological Therapy.
Copyright (c) 2026 Soimun Soimun, Rahayu Winarti P (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship between Health Locus of Control and Medication Adherence among Elderly Hypertensive Patients in the Lerep Ungaran Community Health Center Area
This study examines the relationship from resilience also qualities of life among breast cancer clients undergoing chemotherapy at Sultan Agung Islamic Hospital, Semarang. A quantitative cross-sectional design was included to 67 patients selected from accidental sample. Resilience was measured by Connor–Davidson Resilience Scale, while qualities of life was assessed using by EORTC QLQ-C30 instrument. Univariate analysis demonstrated that most patients exhibited moderate levels of resilience and quality of life. Bivariate analysis using Somers’ d revealed a strong and statistically significant also positive association from resilience then qualities of life (r = 0.629; p = 0.001). These shows indicate the higher resilience is consistently associated with better multidimensional quality of life during chemotherapy. The answers supporting the theoretical proposition that resilience functions as a central adaptive resource that modulates psychological distress, social functioning, and perceived health status. This study highlights the importance of integrating resilience-oriented psychosocial interventions into routine oncology care. Strengthening resilience is therefore essential not only for improving subjective well-being but also for optimizing comprehensive treatment outcomes in breast cancer clients undergoing long-term chemotherapy.
Health Locus of Control, Medication Adherence, Hypertension, Elderly, Chronic.
Copyright (c) 2026 Indarti Indarti, Iwan Ardian, Nutrisia Nu'im Haiya (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Resilience and Quality of Life in Breast Cancer Patients Undergoing Chemotherapy at Sultan Agung Islamic Hospital in Semarang
Resilience, Qualities Of Life, Breast Cancer, Chemotherapy, Psychosocial Adaptation
Copyright (c) 2026 Maitsa Novia Ramandhani, Retno Setyawati, Erna Melastuti (Author) https://creativecommons.org/licenses/by-sa/4.0
Overview of the Impact of Picky Eating on Adolescents
Adolescence is a developmental phase characterized by significant physical, psychological, and social changes, including the formation of eating behavior. One phenomenon that commonly emerges is picky eating, defined as a tendency to select or reject certain types of food. This behavior may persist into adolescence and potentially affects psychological, physiological, and cognitive conditions. This study aims to describe the impact of picky eating among adolescents at SMA Kesatrian 1 Semarang. This study employed a survey design with a sample of 156 adolescents selected through purposive sampling. Data were collected using the Picky Eater Scale (PES), the DASS-42, BMI and hemoglobin measurements, and the Cognitive Assessment Questionnaire (CAQ). Data analysis was conducted using univariate analysis. He findings showed that 82 respondents (52.6%) were categorized as picky eaters. Psychological impacts were most commonly found in the severe category (25.6%). Physiological impacts were indicated by mild anemia in 45 respondents (28.8%) and below-normal BMI in 55 respondents (35.5%). The most frequent cognitive impact was in the low category, recorded in 59 respondents (37.8%). Picky eating affects the psychological, physiological, and cognitive conditions of adolescents. The psychological impact is mostly categorized as severe, the physiological impact is reflected in mild anemia and below-normal BMI, and the greatest impact appears in the cognitive aspect (37.8%), with most respondents classified in the low category.
Adolescents, Cognitive Impact, Physiological Impact, Picky Eater, Psychological Impact.
Copyright (c) 2026 Yeni Setiani, Indra Tri Astuti, Herry Susanto (Author) https://creativecommons.org/licenses/by-sa/4.0
Application of Theory of Planned Behavior-Based Education to Improve Treatment Adherence, Nutrition, and Transmission Prevention in Tuberculosis (TB) Patients at Batang 2 Community Health Center
Here is the high-quality academic English version: Tuberculosis (TB) is a communicable disease that affects not only patients’ physical health but also their psychological well-being. Non-adherence to treatment, inadequate nutritional intake, and insufficient transmission-prevention behaviors remain significant challenges in TB control efforts. Education grounded in the Theory of Planned Behavior (TPB) is considered capable of influencing attitudes, subjective norms, and perceived behavioral control, thereby promoting more optimal health behavior changes. This study aimed to determine the effectiveness of TPB-based education in improving treatment adherence, nutritional fulfillment, and transmission-prevention practices among TB patients at Batang 2 Primary Health Center. A case study design was employed involving five TB patients undergoing the intensive phase of treatment. The intervention consisted of four face-to-face educational sessions over a two-week period, supplemented by twice-daily SMS/WhatsApp reminders. Data were collected using adherence observation sheets, nutritional questionnaires, and TPB observation forms, and were analyzed by comparing pre- and post-intervention scores. The results demonstrated an increase in adherence scores from 5–6 to 7–9 across all respondents. TPB-based education proved effective and is recommended as a nursing strategy to support TB control in primary healthcare settings.
Treatment Adherence, Nutrition, Transmission Prevention, Theory of Planned Behavior, Tuberculosis.
Copyright (c) 2026 Sulistiyoningsih Sulistiyoningsih, Rahayu Winarti (Author) https://creativecommons.org/licenses/by-sa/4.0
Application of Positioning and Nesting to Body Temperature Changes, Oxygen Saturation, and Heart Rate in Low Birth Weight Infants in the Perinatology Room of Batang Regional General Hospital
Low birth weight (LBW) infants are at risk of physiological disorders such as hypothermia, unstable oxygen saturation, and hemodynamic disorders due to limited adaptation to the environment outside the womb. This study aims to determine the effect of positioning and nesting on changes in body temperature, oxygen saturation, and heart rate in LBW infants. The method used was a descriptive case study with a one-group pretest–posttest approach on five LBW infants treated in the Perinatology Unit of Batang Regional General Hospital. The nesting and positioning interventions were administered for three consecutive days, with each session lasting 30 minutes. Physiological parameters were measured before and after the intervention using a digital thermometer, neonatal pulse oximeter, and stethoscope. The results showed an increase in average body temperature from 35.8°C to 36.6°C, oxygen saturation from 94.8% to 98.2%, and heart rate from 130.8 to 136.8 beats per minute within normal limits. It was concluded that positioning and nesting are effective as non-pharmacological therapies to support the physiological stability of LBW infants.
Low Birth Weight (LBW), Nesting, Positioning, Body Temperature, Oxygen Saturation, Pulse Rate.
Copyright (c) 2026 Sri Rahayu, Rahayu Winarti (Author) https://creativecommons.org/licenses/by-sa/4.0
Factors Associated with Depression Levels in Elderly People Living in Social Service Homes
Depression is a common mental health issue among older adults, particularly those living in social care facilities due to limited social support, declining physical function, and reduced independence. These factors can adversely affect quality of life and increase the risk of physical and psychological complications. This study employed a cross-sectional design with 135 elderly respondents residing in Pucang Gading Social Care Home and Wening Wardoyo Home. A total sampling technique was used. Data were collected using demographic questionnaires, the Multidimensional Scale of Perceived Social Support (MSPSS), a chronic disease questionnaire, the Barthel Index, and the Geriatric Depression Scale (GDS-15). Data analysis included univariate, bivariate using Spearman’s test, and multivariate analysis using logistic regression. Most respondents were aged 60–74 years (63.0%) and female (63.0%). Spearman’s test indicated significant correlations between social support (p=0.000) and independence (p=0.000) with depression levels. Chronic diseases showed a significant but very weak relationship (p=0.034). Multivariate analysis identified social support as the most dominant factor associated with depression (p=0.002). Conclusion social support and independence are significantly associated with depression levels among older adults living in social care homes, with social support emerging as the most influential factor
Elderly Depression, Social Support, Chronic Disease, Independence, Social Care Home.
Copyright (c) 2026 Maya Audita Nurhayati, Iskim Luthfa, Moch. Aspihan (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Loneliness and Insomnia in Elderly People at Social Service Homes in Semarang
Background: Loneliness is one of the major psychosocial problems commonly experienced by elderly individuals, particularly those living in social care institutions. Prolonged loneliness may cause negative effects on mental and physical health, including sleep disturbances such as insomnia. Objective: This study aimed to determine the relationship between loneliness and insomnia among elderly people at the Social Service Home in Semarang. Methods: This study employed a quantitative design with a cross-sectional approach involving 135 elderly respondents selected using consecutive sampling. Data were collected using the UCLA Loneliness Scale and the KSPBJ-IRS questionnaire. Data analysis was performed using the Somers’ d test. Results: The results showed that most respondents experienced moderate levels of loneliness (51.9%) and high levels of insomnia (51.9%). The Somers’ d test indicated a p-value of 0.000 (p < 0.05) with a correlation coefficient (r) of 0.794, indicating a strong and significant relationship between loneliness and insomnia. Conclusion: There is a strong and significant relationship between loneliness and insomnia among elderly individuals. Higher levels of loneliness are associated with higher levels of insomnia.
Loneliness, Insomnia, Older Adults, Social Care Institution, Sleep Quality.
Copyright (c) 2026 Fika Riyan Syah (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Self-Confidence Levels and Academic Achievement among MTs Students in Demak
This study aimed to examine the relationship between self-confidence and academic achievement among students of MTs in Demak. The research employed an empirical quantitative approach with a cross-sectional design involving 114 students selected through probability sampling using the Slovin formula. Self-confidence was measured using a validated Likert-scale questionnaire with high reliability (Cronbach’s Alpha = 0.949), while academic achievement was obtained from documented report card averages. Univariate analysis indicated that most students had moderate levels of self-confidence and fairly good academic achievement. Bivariate analysis using Spearman Rho revealed a very strong positive correlation between self-confidence and academic achievement (r = 0.843; p < 0.05). The findings demonstrate that higher levels of self-confidence are associated with better academic outcomes. The results support psychological theories emphasizing the role of internal affective factors in learning performance and highlight the importance of strengthening students’ self-confidence to improve educational quality at the secondary Islamic school level.
Self-Confidence, Academic Achievement, Mts Students, Quantitative Study, Correlation Analysis.
Copyright (c) 2026 Rifkya Maulana, Wigyo Susanto (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Long-Term Smartphone Use and the Social Behavior of Early Childhood Children at Aisyiyah Kindergarten in Ciputat, South Tangerang
The rapid advancement of digital technology has led to a significant increase in smartphone use among early childhood populations, which may potentially influence social behavior development during the critical golden age. This study aimed to analyze the relationship between the duration of smartphone use and the social behavior of early childhood students at Aisyiyah Kindergarten, Ciputat–South Tangerang. This research employed a non-experimental quantitative design with a correlational approach. Data were collected using questionnaires. The study involved 48 respondents selected through a total sampling technique. The collected data were statistically analyzed using the Spearman rank correlation test. The results showed that most respondents were 4 years old (45.8%) and male (60.4%). The majority of children demonstrated low levels of social behavior (58.3%) and high levels of smartphone use duration (56.3%). Statistical analysis revealed a significant relationship between the duration of smartphone use and social behavior in early childhood (p-value = 0.000). Thus, it can be concluded that there is a significant association between smartphone use duration and the social behavior of early childhood students at Aisyiyah Kindergarten, Ciputat–South Tangerang.
Early childhood, Kindergarten, Smartphone, Social behavior, Usage duration.
Copyright (c) 2026 Siti Zahara Harahap, Herry Susanto, Indra Tri Astuti (Author) https://creativecommons.org/licenses/by-sa/4.0
Descriptive Study on the Attitudes of Fathers and Mothers in Stunting Prevention Efforts
Background: Stunting remains a chronic nutritional problem with long-term impacts on children’s growth and development. Stunting prevention efforts are not solely dependent on health interventions but are also strongly influenced by parental attitudes, particularly those of fathers and mothers, regarding nutrition fulfillment, parenting practices, and family health behaviors. Objective: This study aimed to describe the attitudes of fathers and mothers toward stunting prevention efforts. Method: his study employed a descriptive quantitative design. Data were collected using a structured questionnaire administered to parents of children under five years old, with sampling conducted according to the study criteria. Descriptive analysis was used to illustrate respondents’ characteristics and parental attitudes toward stunting prevention. Results: The results indicated that most fathers and mothers demonstrated positive attitudes toward stunting prevention, particularly in nutritional fulfillment and utilization of health services. However, suboptimal attitudes were still identified in several aspects, including consistency in providing balanced nutrition and fathers’ involvement in stunting prevention practices. Conclusion: athers’ and mothers’ attitudes play an important role in stunting prevention efforts. Strengthening health education programs that actively involve both parents is essential to improve awareness and consistency in stunting prevention behaviors within the family.
Parental Attitudes, Stunting Prevention, Education, Age, Occupation.
Copyright (c) 2026 Dimas Aqila, Nopi Nur Khasanah, Kurnia Wijayanti (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Parental Stimulation and Child Development (3-4 Years Old) Kartika and (4-6 Years Old) Dharma Wanita in Meteseh Village
The quality of stimulation supplied by parents significantly influences early childhood development, particularly in motor, language, and personal-social domains. Nevertheless, developmental delays are still observed among a proportion of preschool children. This study aims to examine the relationship between parental stimulation and the development of children aged 3-4 years at Kartika Early Childhood Education (PAUD) and 4-6 years at Dharma Wanita Kindergarten in Meteseh Village. This study used a descriptive correlative design with a cross-sectional approach involving 60 respondents selected through a total sampling technique. The instruments used were a questionnaire assessing parental stimulation (35 items) and the Denver Developmental Screening Test (DDST) observation form. Univariate and bivariate analyses were conducted using the Spearman Rank test. The findings indicated that most parents demonstrated good stimulation practices (73.3%), while children’s developmental status was equally distributed between normal and suspect categories (50.0% each). The correlation analysis yielded a p-value of 0.567 and an r-value of 0.075, indicating a positive but very weak and statistically non-significant relationship. This study revealed that there is no significant correlation between parental stimulation and child growth.
Child Development, Early Detection, Parental Stimulation, Preschool Children, Growth and Development.
Copyright (c) 2026 Kartini Isnaini, Kurnia Wijayanti, Nopi Nur Khasanah (Author) https://creativecommons.org/licenses/by-sa/4.0
Factors Related to Self-Care in Patients with Elevated Uric Acid Levels
This study was motivated by problems often experienced by gout sufferers, such as severe pain in the joints that recurs, especially at night and in the morning, accompanied by aching, swelling, and redness, with the aim of identifying factors related to self-care in patients with elevated uric acid at the Genuk Community Health Center in Semarang. The study employed a descriptive analytical design with a cross-sectional approach, data collection through questionnaires, involving 66 respondents using total sampling technique, and statistical analysis using the Spearman Rho test. The results showed that the average age of respondents was 48 years old and they had been diagnosed with gout for 3 years, with the majority being male (60.6%), having a high school education (62.1%), working as private employees (48.5%), receiving high levels of family support (71.2%), and having good self-care behaviors (59.1%). The study concluded that there was a relationship between age and education with self-care in gout patients (p value < 0.05), but there was no relationship between gender and self-care (p value > 0.05).
Self-Care, Uric Acid, Health Education, Family Support, Health Behavior.
Copyright (c) 2026 Heppy Salsabella, Ahmad Ikhlasul Amal, Dwi Retno S (Author) https://creativecommons.org/licenses/by-sa/4.0
The Effect of the Combination of Benson Relaxation and Fowler's Position on Respiratory Rate in Asthma Patients
Asthma is a chronic disease that can cause respiratory problems and affect a patient's quality of life. One of the most common symptoms of asthma is increased respiratory rate. The combination of the Benson and Fowler positions has been shown to be effective in reducing stress and increasing lung capacity. The purpose of this study was to determine the effect of the Benson and Fowler positions on respiratory rate in asthma patients. This was a descriptive observational study. The sample used in this study was 18 respondents. Data collection was carried out using a respiratory frequency observation sheet. The data obtained were statistically processed using the Wilcoxon test formula. The characteristics of asthma patient respondents at Sultan Agung Islamic Hospital, Semarang, were predominantly female (11 respondents (61.1%), predominantly aged 8 respondents (44.4%) and 46-55 years old (12 respondents (66.7%), predominantly employed as laborers (12 respondents (66.7%), predominantly educated as high school (9 respondents (50.0%), predominantly diagnosed as allergic asthma (11 respondents (61.1%), and predominantly underwent therapy for more than 6 months (16 respondents (88.9%). The mean respiratory rate (RR) in asthma patients before the intervention was 24.78 ± 1.263. The mean respiratory rate (RR) in asthma patients after the intervention was 19.50 ± 2.121). There is a combination of Benson and Fowler positions on respiratory rate in asthma patients at Sultan Agung Islamic Hospital, Semarang (p-value < 0.05).
Benson Relaxation, Fowler's Position, Breathing Frequency, Asthma, Nursing Intervention.
Copyright (c) 2026 Eka Putri Angelyta, Indah Sri Wahyuningsih, Retno Setyawati (Author) https://creativecommons.org/licenses/by-sa/4.0
The Role of Knowledge and Attitudes of Adolescent Girls in the Consumption of Iron Supplements to Prevent Anemia
Anemia remains a major public health concern among adolescent girls and may adversely affect physical growth, learning concentration, and future reproductive health. In Indonesia, one of the primary preventive strategies is the school-based iron tablet supplementation program, whose effectiveness is closely related to adolescents’ knowledge and attitudes toward anemia prevention. This study examined the relationship between knowledge and attitudes and anemia prevention efforts among adolescent girls at SMP Negeri 20 Semarang. A quantitative correlational design with a cross-sectional approach was applied, involving 130 adolescent girls selected through total sampling. Data were collected using structured questionnaires measuring knowledge, attitudes, and anemia prevention efforts and were analyzed using the Chi-Square test. The findings demonstrated a significant relationship between knowledge and anemia prevention efforts (p = 0.009) as well as between attitudes and anemia prevention efforts (p = 0.001). Most respondents exhibited good knowledge levels (75.4%) and moderate attitudes (56.9%), while anemia prevention efforts were predominantly categorized as moderate (62.3%). These results indicate that adequate knowledge and positive attitudes contribute substantially to the adoption of anemia prevention behaviors, emphasizing the importance of continuous health education, school-based interventions, and supportive environments to enhance preventive practices among adolescent girls.
anemia, adolescent girls, iron tablet supplementation, knowledge, attitude.
Copyright (c) 2026 Viona Amelia Putri, Nutrisia Nu’im Haiya, Iwan Ardian (Author) https://creativecommons.org/licenses/by-sa/4.0
The Effect of Benson Relaxation Technique on Chest Pain Levels in Acute Coronary Syndrome (ACS) Patients After PCI in the Emergency Room (ER)
Patients with Acute Coronary Syndrome (ACS) post Percutaneous Coronary Intervention (PCI) often still experience chest pain due to inflammatory processes or psychological factors. Unmanaged pain can increase cardiac workload. The Benson relaxation technique is a non-pharmacological intervention that combines deep breathing techniques with an element of faith (spiritual) to induce a relaxation response. This study aims to determine the effect of the Benson relaxation technique on reducing chest pain levels in ACS patients after PCI at Referral hospitals in Central Java Province. This study used a one-group pretest-posttest design with a sample of 36 respondents selected by purposive sampling. Pain measurement used the Numeric Rating Scale (NRS) before and after the intervention. The Benson relaxation technique was administered for 10–15 minutes per session. Data analysis used the Wilcoxon Signed Ranks Test.Before the intervention, all respondents (100%) experienced moderate chest pain (mean=5.11). After the intervention, there was a significant reduction, with 61.1% of respondents falling into the mild pain category and 38.9% remaining in the moderate category (mean=3.39). Statistical test results showed a significant difference between pain scores before and after the intervention (Z=-5.500; p=0.000).The Benson relaxation technique is proven effective in reducing chest pain levels in ACS patients post PCI in the Emergency Department
Benson Relaxation, Chest Pain, Acute Coronary Syndrome, PCI, Emergency Department.
Copyright (c) 2026 Muchammad Hasyim Asy’ari, Indah Sri Wahyuningsih, Suyanto Suyanto (Author) https://creativecommons.org/licenses/by-sa/4.0
The Effect of Personal Hygiene Education on Scabies Symptoms Among Students at the Miftahul Huda Islamic Boarding School in Kendal
Scabies is a contagious skin disease caused by infestation of the mite Sarcoptes scabiei and commonly occurs in densely populated environments such as Islamic boarding schools. Poor personal hygiene behavior is a major risk factor that facilitates the transmission of scabies. Miftahul Huda Islamic Boarding School in Kendal reported a high number of skin disease complaints over the past three months, indicating the need for health interventions in the form of personal hygiene education to prevent and reduce scabies symptoms among students. To determine the effect of personal hygiene education on scabies symptoms among students at Miftahul Huda Islamic Boarding School, Kendal. This study employed a quasi-experimental design with a one-group pre-test post-test approach. A total of 27 students were selected using simple random sampling. Data were collected using an 8-item scabies symptom questionnaire. Data analysis included descriptive analysis, Kolmogorov–Smirnov and Shapiro–Wilk normality tests, and the Wilcoxon Signed Rank Test due to non-normal data distribution. The mean scabies symptom score before the intervention was 7.85 and decreased to 0.00 after the personal hygiene education. The Wilcoxon test showed a Z value of −4.916 with a p-value of 0.000 (p < 0.05). Personal hygiene education has a significant effect on reducing scabies symptoms among students.
Health education, Personal hygiene, Islamic boarding school, Scabies, Students
Copyright (c) 2026 Ahmad Ghozali, Moch Aspihan, Iskim Luthfa (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Anxiety Levels and Academic Achievement in Grade XII High School Students
This study aimed to examine the relationship between anxiety levels and academic achievement among twelfth-grade students at SMA Negeri 1 Mranggen. A correlational research design with a cross-sectional approach was employed, involving 298 students selected through purposive sampling. Data on anxiety levels and academic achievement were collected using validated questionnaires and school report scores, and analyzed using Chi-Square statistical tests. The results indicated that the majority of students experienced moderate anxiety, while a smaller proportion exhibited high or low anxiety levels. Academic achievement was predominantly in category C, followed by B, with few students attaining category A or D. Chi-Square analysis revealed a significant relationship between anxiety and academic performance (p < 0.001), suggesting that higher anxiety levels were associated with lower academic achievement, whereas lower anxiety levels corresponded to better performance. The findings highlight the critical role of anxiety management in supporting students’ learning outcomes and underscore the importance of psychological interventions to enhance academic success in high school settings.
Anxiety, Academic Achievement, High School, Student Performance, Psychological Factors.
Copyright (c) 2026 Aprillia Ananda Putri, Wahyu Endang Setyowati (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship between Cultural Values and Social Support from Mothers with Supplementary Feeding Patterns in Wringinjajar Village, Demak Regency
Supplementary feeding (SF) plays an important role in improving the nutritional status of children and vulnerable groups. The success of the supplementary feeding program is influenced not only by medical factors but also by cultural values and maternal social support. This study aimed to analyze the relationship between cultural values and maternal social support with supplementary feeding practices in Wringinjajar Village, Demak Regency. This study employed a quantitative method with a cross-sectional design. A total of 142 respondents were included using a total sampling technique. Data were collected through questionnaires and analyzed using Spearman’s rho test. The results showed a moderate relationship between cultural values and supplementary feeding practices (ρ < 0.05) and a weak relationship between maternal social support and supplementary feeding practices (ρ < 0.05). In conclusion, positive cultural values and adequate maternal social support are associated with more appropriate supplementary feeding practices for children.
Cultural Values, Nutritional Status, PMT Provision, PMT Pattern, Social Support.
Copyright (c) 2026 Ananda Rahma Khoirun Nisa, Nopi Nur Khasanah, Kurnia Wijayanti (Author) https://creativecommons.org/licenses/by-sa/4.0
The Effect of Murrotal Therapy on the Sleep Quality of Hypertensive Patients at Kajen Regional General Hospital, Pekalongan Regency
Hypertension is a non-communicable disease characterized by elevated blood pressure above normal values and is often accompanied by sleep quality disturbances. Poor sleep quality can worsen hypertension by increasing sympathetic nervous system activity and physiological stress. Therefore, in addition to pharmacological therapy, safe, easy-to-apply, and effective non-pharmacological interventions are needed to improve sleep quality in hypertensive patients. One such non-pharmacological intervention is murottal therapy, which involves listening to recitations of the Holy Qur’an and provides relaxation and psychological calmness. This study aimed to determine the effect of murottal therapy on sleep quality in hypertensive patients at Kajen Regional Hospital, Pekalongan Regency. The research method used was a pre-experimental design with a one-group pre-test and post-test approach without a control group. The study subjects consisted of five patients who met the inclusion criteria. Sleep quality was measured before and after the intervention using the Pittsburgh Sleep Quality Index (PSQI). The murottal therapy intervention involved listening to the recitation of Surah Ar-Rahman for 15–30 minutes per day for three consecutive days. The results showed that all respondents experienced a decrease in PSQI scores, indicating an improvement in sleep quality after receiving murottal therapy. Murottal therapy was proven to have a positive effect as a non-pharmacological complementary therapy for hypertensive patients with sleep quality disturbances
Murottal Therapy, Hypertension, Sleep Quality, PSQI, Non-pharmacological interventions.
Copyright (c) 2026 Irma Islamiasih, Dwi Retnaningsih (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship between Comorbidity and Adequacy of Hemodialysis with Survival Rate in Hemodialysis Patients at Sultan Agung Islamic Hospital, Semarang
Hemodialysis is the primary therapy for patients with chronic kidney disease to maintain survival. The success of hemodialysis therapy is influenced by several factors, including comorbidities and hemodialysis adequacy. Comorbid conditions may increase the risk of complications, while hemodialysis adequacy plays an important role in determining therapeutic effectiveness and patient prognosis. This study aimed to determine the relationship between comorbidities and hemodialysis adequacy with survival rates among hemodialysis patients at Sultan Agung Islamic Hospital, Semarang. This quantitative study employed a cross-sectional design. A total of 175 hemodialysis patients were selected using purposive sampling. Survival analysis was performed using the Kaplan–Meier method to evaluate differences in survival rates based on comorbidities and hemodialysis adequacy. The results showed that most respondents had diabetes mellitus as a comorbidity (64.6%), adequate hemodialysis adequacy (58.9%), and were alive during the observation period (65.1%). Kaplan–Meier analysis demonstrated no significant difference in survival rates based on comorbidities, whereas a significant difference in survival rates was observed based on hemodialysis adequacy. Comorbidities were not associated with survival rate, while hemodialysis adequacy was significantly associated with survival rate among hemodialysis patients. Adequate hemodialysis is essential to improve patient survival.
Hemodialysis adequacy, Hemodialysis, Comorbidities, Hemodialysis patients, Survival rate.
Copyright (c) 2026 Siti Naili Baroroh, Dwi Retno Sulistyaningsih, Indah Sri Wahyuningsih (Author) https://creativecommons.org/licenses/by-sa/4.0
The Effect of Rells Animated Video and Leaflet Educational Media on Knowledge of Stunting Prevention among Adolescents at Kesatrian 1 High School in Semarang
Stunting remains a major public health problem that requires early preventive efforts, including health education targeting adolescents. This study aimed to analyze the effect of animated video reels and leaflet media on adolescents’ knowledge regarding stunting prevention at SMA Kesatrian 1 Semarang. A quasi-experimental design with a two-group pretest–posttest approach was applied, involving 140 students divided into an intervention group and a control group. The intervention group received health education using animated video reels, while the control group received leaflet-based education. Knowledge levels were measured using a validated questionnaire before and after the intervention. The Wilcoxon test showed a significant increase in knowledge in both groups, with a p-value of 0.000 in the intervention group and 0.001 in the control group. The Mann–Whitney U test revealed a significant difference in knowledge improvement between groups (p = 0.004), with a higher median score increase in the intervention group. These findings indicate that animated video reels are more effective than leaflets in improving adolescents’ knowledge of stunting prevention. Integrating digital-based educational media is recommended to strengthen school-based stunting prevention programs
stunting prevention, adolescents, animated video, leaflet, health education
Copyright (c) 2025 Muhammad Hanun Nizar, Indra Tri Astuti, Herry Susanto (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Picky Eating Behavior and Nutritional Status of Adolescents at SMP Negeri 20 Semarang
This study aimed to analyze the relationship between picky eating behavior and nutritional status among adolescents at SMP Negeri 20 Semarang. A cross-sectional design was conducted involving 264 students aged 12–15 years. Picky eating behavior and nutritional status were assessed using structured questionnaires and anthropometric measurements. Data were analyzed using Spearman correlation tests due to non-normal data distribution. The results showed that 62.1% of respondents were classified as picky eaters, while 59.1% had abnormal nutritional status, including underweight, overweight, and obesity. Statistical analysis revealed a significant relationship between picky eating behavior and nutritional status (p = 0.003) with a negative correlation coefficient (r = −0.183), indicating that higher picky eating behavior tended to be associated with lower nutritional status. Adolescents with picky eating behavior were more likely to experience inadequate nutrient intake, which may affect growth and development during a critical period of adolescence. Although the strength of the relationship was weak, picky eating behavior remains an important behavioral factor influencing adolescent nutritional status. Comprehensive nutritional education and behavioral interventions are needed to improve dietary quality and prevent long-term nutritional problems among adolescents.
picky eater, nutritional status, adolescents, eating behavior, school-based study
Copyright (c) 2025 Mardika Jihan Novita, Indra Tri Astuti, Herry Susanto (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship between Burnout among Nurses Working in Outpatient Care and the Quality of Patient Care
Burnout is a condition of physical, emotional, and mental exhaustion frequently experienced by nurses due to high work demands, particularly in outpatient units with large patient volumes and rapid service intensity. This condition can affect nurses’ performance, attitudes, and interactions in providing nursing care, thereby potentially reducing the quality of services perceived by patients. This study aimed to determine the relationship between burnout among outpatient nurses and the quality of patient services. This study employed a quantitative method with a cross-sectional design. The research population consisted of outpatient nurses and patients, with a sample of 20 nurses and 100 patients selected using purposive sampling techniques. Data were collected using a nurse burnout questionnaire measuring emotional exhaustion, depersonalization, and personal accomplishment, as well as a patient service quality questionnaire based on the dimensions of reliability, responsiveness, assurance, empathy, and tangibles. Data analysis was conducted using univariate and bivariate analyses with the Gamma test. The results showed that most outpatient nurses experienced a moderate level of burnout, while the majority of patients perceived the quality of services as high. Bivariate analysis indicated a significant relationship between nurses’ burnout levels and the quality of outpatient services. Lower levels of nurse burnout were associated with better quality of services perceived by patients.
Nurse Burnout, Service Quality, Patients, On-Duty Nurses, Outpatient Care.
Copyright (c) 2026 Ipung Muhamad Dhaifurrohman, Indah Sri Wahyuningsih, Suyanto Suyanto (Author) https://creativecommons.org/licenses/by-sa/4.0
Exploratory Study of Stress Among Students at the Faculty of Nursing, Sultan Agung Islamic University, Semarang
Nursing students constitute a population that is particularly vulnerable to stress due to academic demands, clinical practice requirements, and complex psychosocial pressures. Poorly managed stress may adversely affect mental health, learning motivation, and academic performance. This study aimed to explore the levels of stress among students of the Faculty of Nursing at Sultan Agung Islamic University, Semarang. A descriptive study design with an exploratory quantitative approach was employed. The sample consisted of active students selected using purposive sampling techniques. Data were collected using a stress-level questionnaire that had been tested for validity and reliability. Univariate analysis was conducted to describe the frequency distribution of respondents’ stress levels. The findings revealed that the majority of students experienced moderate stress, followed by mild and severe stress. Academic factors, workload, clinical practice demands, and time pressure were identified as the main contributors to stress. These results highlight the crucial role of educational institutions in providing psychological support programs and promoting adaptive coping strategies to enhance student well-being and support academic success.
Nursing, Students, Stress, Stress Level, University.
Copyright (c) 2025 Girang Tri Lumintu, Moch Aspihan, Iskim Luthfa (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Parents' Smoking Duration and the Incidence of Respiratory Tract Infections in Toddlers
Acute Respiratory Infection (ARI) remains one of the leading causes of morbidity and mortality among children under five, especially in developing countries. Exposure to cigarette smoke within the household environment is a major risk factor contributing to ARI incidence in toddlers. Parents’ smoking duration reflects long-term exposure that may increase susceptibility to respiratory infections in young children. High ARI cases reported at Bangetayu Health Center indicate the need to further investigate contributing household factors, including smoking duration. This study employed a quantitative analytic design with a cross-sectional approach. A total of 144 respondents were selected through purposive sampling. Smoking duration data were collected using a structured questionnaire, while ARI status was obtained from the MTBS (Integrated Management of Childhood Illness) records at the health center. Data were analyzed using the Chi-Square test to determine the relationship between variables. Most respondents were categorized as heavy smokers with a smoking duration of more than 10 years (76.4%). The majority of toddlers (85.4%) were recorded as having ARI. Statistical analysis revealed a significant relationship between parents’ smoking duration and ARI incidence (p = 0.031). Toddlers whose parents were heavy smokers had the highest proportion of ARI cases (88.2%). There is a significant correlation between parents’ smoking duration and the incidence of ARI among toddlers. Longer smoking duration increases the child’s risk of developing ARI.
Duration of Parental Smoking, Acute Respiratory Infections, Toddlers, Exposure to Cigarette Smoke, Child Health.
Copyright (c) 2025 Ridho Abdillah, Herry Susanto, Indra Tri Astuti (Author) https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Breakfast Habits and Learning Concentration in Children in Grades 3-6 at SDN Plosomalang 02 Pati
Students’ academic success is strongly influenced by their ability to maintain optimal learning concentration. A study conducted at SDN Plosomalang 02 Pati indicates that most students experience difficulties in maintaining focus, which are associated with irregular breakfast habits. This study aims to analyze the relationship between breakfast habits and learning concentration among students in grades 3–6 at SDN Plosomalang 02 Pati. The research employed a quantitative design with a cross-sectional approach. The sample consisted of the entire population of students in grades 3–6, totaling 68 participants, selected using a total sampling technique. The research instruments included a breakfast habits questionnaire and the Grid Concentration Test (GCT) to measure learning concentration. Data analysis was performed using the Spearman Rank correlation test to determine the relationship between variables. The results showed that the majority of students had breakfast habits in the “moderate” category (86.8%) and learning concentration levels in the “low” category (54.4%). Bivariate analysis demonstrated a positive and statistically significant relationship between breakfast habits and learning concentration (p-value = 0.007; R = 0.294). This indicates a significant relationship with weak correlation strength between breakfast habits and learning concentration. Therefore, schools and parents are encouraged to enhance their awareness and facilitate regular, nutritious breakfast consumption in order to optimize students’ concentration abilities and academic potential
Academic Achievement, Breakfast Habits, Concentration, Spearman, Students.
Copyright (c) 2026 Chanindya Anggita Putri, Nopi Nur Khasanah, Kurnia Wijayanti (Author) https://creativecommons.org/licenses/by-sa/4.0
Level of Anxiety Among MTS Students Regarding Adaptation to the New Environment at Islamic Boarding Schools
This study examined anxiety levels among new Islamic junior high school (MTs) students during adaptation to a new boarding school environment at Pondok Modern Darul Arqam Patean, Kendal. Using a quantitative descriptive-comparative design, total sampling was applied to 212 respondents who met inclusion criteria. Anxiety was assessed using the validated and reliable Generalized Anxiety Disorder-7 (GAD-7) questionnaire. Descriptive analysis indicated that most students experienced severe anxiety, while moderate anxiety was observed in a smaller proportion and mild anxiety appeared rarely. Inferential analysis employed an Independent t-test to compare anxiety scores by gender and One-Way ANOVA to test differences across regions of origin. Results revealed a statistically significant difference in anxiety between male and female students. Regional origin also showed significant differences, and the Games–Howell post hoc test indicated that students from Kendal had significantly higher anxiety compared to those from Pekalongan, Temanggung, Banjarnegara, and Batang, while differences with students from outside Java were not significant. These findings highlight the importance of demographic-sensitive psychosocial interventions to support adaptation among new boarding school students.
Anxiety, Adaptation, Boarding School, GAD-7, Mts
Copyright (c) 2026 Fadilla Nur Syahrani, Herry Susanto, Indra Tri Astuti (Author) https://creativecommons.org/licenses/by-sa/4.0
Factors Related to Snack Food Selection Behavior among Students at MI Sudirman Kawengen 01
Elementary school children are vulnerable to choosing unsafe snacks because they tend to prioritize appearance and taste over nutritional safety. Snack food selection behavior is influenced by various internal factors, such as knowledge and attitude, as well as external factors, including allowance, the habit of bringing lunch, and breakfast habits. Objective o determine factors associated with snack food selection behavior among students in grades 3–6 at MI Sudirman Kawengen 01. This study employed a cross-sectional design with a total sampling technique involving 106 students from grades 3–6. Data were collected using validated questionnaires covering variables of knowledge, attitude, allowance, the habit of bringing lunch, and breakfast habits. Bivariate analysis was conducted using the Chi-square test, while multivariate analysis used logistic regression with a significance level of p<0.05. Result most respondents were 10 years old (30.2%), male (50.9%), and predominantly in grade 5 (30.2%). Knowledge (p=0.001), attitude (p=0.001), and breakfast habits (p=0.001) were significantly associated with snack food selection behavior. Meanwhile, allowance (p=0.068) and the habit of bringing lunch (p=0.593) were not significantly associated. Multivariate analysis showed that no variable had a significant influence on snack food selection behavior. Conclusion knowledge, attitude, and breakfast habits are associated with snack food selection behavior among elementary school students.
Snack Food Selection Behavior, Knowledge, Attitude, Breakfast Habits, Elementary School Children.
Copyright (c) 2026 Vanny Veawati, Herry Susanto, Indra Tri Astuti (Author) https://creativecommons.org/licenses/by-sa/4.0