Jurnal Kesehatan Terpadu (Integrated Health Journal)

Solid Medical Waste Management Analysis System Ar'Aisyiyah Hospital, Pariaman in 2025

Silvia Nengcy — 2026-01-01

ABSTRACT

Improper management of solid medical waste from hospitals can cause environmental pollution and health risks. This study aims to analyze the solid medical waste management system at 'Aisyiyah Hospital, Pariaman City based on input, process, and output components according to Minister of Health Regulation No. 7 of 2019. The method used is descriptive qualitative with source triangulation techniques. Methods: This study uses a qualitative method with a descriptive approach. Data were collected through in-depth interviews, observations, and document reviews. Triangulation techniques were used for data validation, with eight informants. Results: The results of the study indicate that solid medical waste management has been carried out starting from sorting, containerization, transportation, storage, to destruction through a third party. Infrastructure, use of PPE, and separation of medical and non-medical waste have met standards. However, deficiencies were still found in policy documentation and officer training. Conclusion: Aisyiyah Pariaman Hospital has implemented solid medical waste management in accordance with regulations, but requires strengthening of administrative aspects and improving human resource competency.

Pengaruh Butterfly Hug Terhadap Tingkat Kecemasan Lansia Di Panti Werdha

Beti Haerani — 2025-12-31

Elderly residents in nursing homes are vulnerable to experiencing anxiety that reduces their quality of life. Butterfly Hug was chosen as a non-pharmacological intervention to reduce that anxiety. This study aims to test the effectiveness of Butterfly Hug on the elderly at Panti Werdha Marfati. The research method uses a quantitative approach with a quasi-experimental one group pretest-posttest design. A sample of 30 elderly individuals at Panti Werdha Marfati was selected through purposive sampling according to inclusion and exclusion criteria. The measurement of anxiety levels was conducted using the Geriatric Anxiety Scale (GAS) questionnaire before and after the Butterfly Hug intervention. The intervention was given for 30 minutes, followed by a re-measurement after 3 days. Data were analyzed using the Paired Sample T Test to determine the effect of the Butterfly Hug on elderly anxiety. Research Results: The results of the Paired Sample T Test showed a significant decrease in anxiety scores from an average of 42.60 to 25.03 with a p-value of 0.001 (p < 0.05). The Butterfly Hug intervention proved effective in reducing anxiety levels among the elderly at Panti Werdha Marfati, as evidenced by a significant decrease in anxiety scores after the therapy was administered. It is recommended that the Butterfly Hug be used as a routine non-pharmacological method in the elderly care program at the nursing home to enhance psychological well-being. Further research with a control group design to make it stronger and with a larger sample size.

The Effect of COACHMAN Approach on Systolic and Diastolic Blood Pressure among Hypertensive Patients in Masohi Public Health Center Area

Usman Barus Ohorella — 2025-12-31

ABSTRACT

Background: Blood pressure control is the main goal of hypertension management. However, many patients fail to achieve optimal levels due to poor adherence and lack of monitoring. This study analyzed the effect of COACHMAN (Community and Tech-Based Approach for Hypertension Self-Management) on systolic and diastolic blood pressure. Methods: A quasi-experimental pre–post test control group design was used with 30 hypertensive patients (15 intervention, 15 control). Blood pressure was measured before and after the intervention. Results: In the intervention group, 80% achieved normal systolic blood pressure post-intervention, compared to none before. Diastolic blood pressure improved to 100% normal after COACHMAN. In the control group, no significant changes were observed in either systolic or diastolic values. Conclusion: COACHMAN is effective in reducing systolic and diastolic blood pressure, highlighting its role in primary health care interventions.

Keywords: hypertension, COACHMAN, systolic, diastolic

Gambaran Pengetahuan Dan Sikap Ibu Tentang Kesiapan Toilet Training Pada Balita Di WIlayah Kerja Puskesmas Belakang Soya Kecamatan Sirimau Kota Ambon

Suardi Zurimi — 2025-12-31

Toilet Training pada anak merupakan suatu usaha untuk melatih anak agar mampu mengontrol dalam melakukan buang air besar dan buang air kecil. Toilet Training ini dapat berlangsung pada kehidupan balita. dalam melakukan buang air besar dan buang air kecil pada ibu balita membutuhkan persiapan baik secara fisik, psikologis maupun secara intelektual. Penulisan ini bertujuan untuk mengetahui Gambaran Pengetahuan dan Sikap Ibu Tentang Kesiapan Toilet Training pada Ibu Balita di Wilayah Kerja Puskesmas Waihoka Kecamatan Sirimau Kota Ambon. Rancangan penulisan yang digunakan adalah cross sectional, yaitu rancangan penulisan dengan cara mengukur variabel bebas dan variabel terikat dalam waktu yang bersamaan (menggunakan kuesioner). Jumlah sampel dalam penulisan ini adalah sebanyak 40 responden yang diambil secara Total sampling. Hasil penulisan diuji dengan menggunakan uji statistik Chi square dengan tingkat kesalahan ????=0.05 dan didapatkan gambaran bermakna antara pengetahuan dengan kesiapan toilet training dan ada gambaran antara sikap dengan kesiapan toilet training dengan demikian dapat disimpulkan bahwa ada gambaran pengetahuan dan sikap ibu tentang kesiapan toilet training pada ibu balita di wilayah kerja Puskesmas Waihoka Kecamatan Sirimau Kota Ambon.

Keywords: Knowledge, Attitude, Readiness for Toilet Training

Pengaruh Latihan Motorik Berbasis Virtual Reality Terhadap Aktivitas Serum Brain-Derived Neurotrophic Factor (BDNF) Pada Pasien Dengan Kondisi Stroke

Mariel Daba — 2026-01-05

Stroke remains a leading cause of disability worldwide, and rehabilitation strategies that enhance neuroplasticity are essential for functional recovery. VR has emerged as an innovative approach to motor control training, providing multisensory stimulation and increasing patient engagement. This study aimed to evaluate the effect of VR-based motor control training on serum BDNF levels and upper extremity motor function in stroke patients. A quasi-experimental two-group pretest–posttest design was conducted with 30 stroke patients recruited through purposive sampling, divided equally into VR and control groups. The VR intervention, delivered using Oculus Quest 2, consisted of four sessions (10–20 minutes/session, 2–3 times per week) incorporating modules for bilateral coordination, reaching, gripping, balance, and cognitive–motor dual tasks. Motor function was assessed using the WMFT, and serum BDNF levels were measured pre- and post-intervention using ELISA. Results showed that BDNF levels in the control group remained unchanged (1.24 ng/mL), while the VR group demonstrated a significant increase from 1.45 to 1.54 ng/mL (p < 0.0001). WMFT scores improved in both groups, but the improvement was greater in the VR group (38 ± 0.39 to 42 ± 0.39; p < 0.0001). These findings indicate that VR-based motor training effectively enhances serum BDNF levels and motor function in stroke patients. Further studies with larger samples, more intensive interventions, and long-term follow-up are recommended.

Keywords: Virtual Reality, BDNF, Neuroplastisitas, Motor Function, Stroke