Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist)

RATIONALITY OF USE OF ANTIHYPERLIPIDEMIA DRUGS IN THE PHARMACY INSTALLATION

Burhanudin Gasim Soka — 2026-08-31

Hyperlipidemia is a non-communicable disease whose prevalence continues to increase, especially in the elderly, and plays a significant role in the risk of cardiovascular disease. This study aims to evaluate the characteristics of hyperlipidemia patients based on age and comorbidities, and assess the rationale for the use of antihyperlipidemic drugs in the Pharmacy Installation of Hospital in 2024. This study used a descriptive, non-experimental design with a cross-sectional approach. Samples were taken from medical records of outpatients and inpatients who received antihyperlipidemic drug prescriptions at the Pharmacy Installation of the Regional Hospital in 2024. The results showed that the 56-65 age group was the most likely group to suffer from hyperlipidemia, with the most common comorbidity being hypertension accompanied by stroke at 40% or 18 patients. The most commonly prescribed drug class was statin drugs, namely atorvastatin at 75.56%. Evaluation of the rationality of drug use showed that 45 hyperlipidemia patients received appropriate therapy based on 100% correct diagnosis, 100% correct disease indication, 100% correct drug selection, 95.56% correct dosage, and 100% correct administration method. This study emphasizes the importance of rational drug use to optimize hyperlipidemia therapy and prevent further complications. The use of antihyperlipidemic drugs in hyperlipidemia patients at the Pharmacy Unit of Regional Hospital in 2024 was largely rational.

EFEKTIVITAS PENYULUHAN DENGAN MEDIA TRUTH OR DARE TENTANG KESEHATAN GIGI TERHADAP KEBERSIHAN GIGI DAN MULUT (OHI-S) PADA SISWA SD NEGERI 101791 PATUMBAK KAMPUNG

Herlinawati Daulay — 2026-08-31

Dental and oral health is a reflection of overall body health. Oral health is crucial for overall health and well-being and significantly impacts quality of life, including speech, chewing, and self-confidence. Efforts to prevent dental and oral diseases are carried out through school dental health programs (UKGS) and community dental health programs (UKGM), which provide promotive and preventive services. Behavioral change can be achieved through dental health education using various methods and media that are fun, entertaining, and engaging, and can help and accelerate children's understanding of the material. This study used a quasi-experimental design with a one-group pretest-posttest design. The aim was to determine the effectiveness of Truth or Dare dental health education on Oral Hygiene (OHI-S) among students at SDN 101791 Patumbak Kampung. The study population consisted of 464 students, with 34 students selected using a purposive sampling technique. Data collection was conducted by examining dental and oral hygiene before and after a Truth or Dare dental health education session.

The results showed that the average OHI-S score before the education session was 2.78, and after the education session, the average OHI-S score was 1.07. A statistical test obtained a p-value of 0.0001, indicating a significant difference between the OHI-S scores before and after the intervention. The study concluded that the Truth or Dare dental health education session was effective in improving dental and oral hygiene among students at Patumbak Kampung 101791 Public Elementary School. Students are expected to maintain dental and oral hygiene by brushing their teeth twice a day.

LATIHAN KAKI DIABETES SEBAGAI INTERVENSI ASUHAN KEPERAWATAN HOLISTIK PADA PASIEN DIABETES MELLITUS : A Systematic Literature Review

Evi Karola — 2026-08-31

Diabetes mellitus is a chronic metabolic disorder associated with serious lower xtremity complications, including peripheral neuropathy, foot biomechanical dysfunction, diabetic foot ulcers, and amputation. Diabetic foot exercise has emerged as a promising nonpharmacological intervention to improve foot function and reduce the risk of diabetes related complications. However, evidence regarding its role as a holistic nursing care intervention has not been comprehensively synthesized. Objective : To synthesize current scientific evidence on the effectiveness of diabetic foot exercise as a holistic nursing care intervention for patients with diabetes mellitus. Methods : This study employed a Systematic Literature Review design following the Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) 2020 guidelines. Literature searches were conducted across Scopus, SAGE Journals, PubMed, ScienceDirect, and Google Scholar. Methodological quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist. Results : Nine studies met the inclusion criteria. The synthesized evidence demonstrated that diabetic foot exercise significantly improved musculoskeletal function, foot biomechanics, joint mobility, intrinsic foot muscle strength, peripheral sensory function, and walking performance. Home based and technology assisted exercise programs consistently showed positive outcomes in promoting complication prevention and patient independence. Discussion : Diabetic foot exercise provides multidimensional benefits encompassing physical, preventive, rehabilitative, educational, and patient empowerment domains, reflecting the core principles of holistic nursing care. Conclusion : Diabetic foot exercise is an evidence based holistic nursing intervention that effectively improves physical function, prevents diabetic foot complications, enhances self management capacity, and supports long term quality of life among patients with diabetes mellitus.

EFEKTIVITAS EDUKASI SADARI TERHADAP PENGETAHUAN DAN PERILAKU DETEKSI DINI KANKER PAYUDARA

Robiatul Munawaroh — 2026-08-31

ABSTRACK

Breast cancer is one of the leading causes of death in women worldwide. Low knowledge of women of childbearing age regarding breast self-examination (BSE) can lead to delays in early detection of breast cancer. Health education is one effort that can be done to increase knowledge about BSE. This study aims to determine the effect of BSE educational interventions on the knowledge of women of childbearing age in early detection of breast cancer at the Ketapang Independent Midwife Practice in Probolinggo City. This study used a quasi-experimental design with a one-group pre-test and post-test approach. The study sample consisted of 15 women of childbearing age selected using a purposive sampling technique. The intervention was delivered through lectures, BSE demonstrations, and the use of leaflets and PowerPoint media. Knowledge levels were measured using questionnaires before and after the intervention. Data analysis used the Wilcoxon Signed Rank Test with a significance level of p<0.05. The results showed an average knowledge score increased from 7.53 in the pre-test to 8.33 in the post-test, with an average increase of 0.8 points. A total of 10 respondents (66.7%) experienced an increase in scores, 3 respondents (20.0%) had a constant score, and 2 respondents (13.3%) experienced a decrease in scores. The results of the Wilcoxon Signed Rank Test showed a Z value = -2.029 and p = 0.042 (p < 0.05), which indicated a significant difference between knowledge scores before and after the intervention. The effect size value of 0.52 indicated that the intervention had a significant effect on increasing respondents' knowledge. It was concluded that BSE education was effective in increasing the knowledge of women of childbearing age regarding early detection of breast cancer. Continuous health education is needed to increase awareness and practice of early detection of breast cancer in the community.

Keywords: health education, breast cancer, knowledge, behavior, BSE, women of childbearing age.

ABSTRAK

Kanker payudara merupakan salah satu penyebab utama kematian pada perempuan di dunia. Rendahnya pengetahuan wanita usia subur mengenai pemeriksaan payudara sendiri (SADARI) dapat menyebabkan keterlambatan deteksi dini kanker payudara. Edukasi kesehatan merupakan salah satu upaya yang dapat dilakukan untuk meningkatkan pengetahuan mengenai SADARI. Penelitian ini bertujuan untuk mengetahui pengaruh intervensi edukasi SADARI terhadap pengetahuan wanita usia subur dalam deteksi dini kanker payudara di Praktik Bidan Mandiri Ketapang Kota Probolinggo. Penelitian ini menggunakan desain quasi experimental dengan pendekatan one group pre-test dan post-test. Sampel penelitian berjumlah 15 wanita usia subur yang dipilih menggunakan teknik purposive sampling. Intervensi diberikan melalui metode ceramah, demonstrasi SADARI, serta penggunaan media leaflet dan PowerPoint. Pengukuran tingkat pengetahuan dilakukan menggunakan kuesioner sebelum dan sesudah intervensi. Analisis data menggunakan Uji Wilcoxon Signed Rank Test dengan tingkat signifikansi p<0,05. Hasil penelitian menunjukkan rata-rata skor pengetahuan meningkat dari 7,53 pada pre-test menjadi 8,33 pada post-test dengan peningkatan rata-rata sebesar 0,8 poin. Sebanyak 10 responden (66,7%) mengalami peningkatan skor, 3 responden (20,0%) memiliki skor tetap, dan 2 responden (13,3%) mengalami penurunan skor. Hasil Uji Wilcoxon Signed Rank Test menunjukkan nilai Z = -2,029 dan p = 0,042 (p < 0,05), yang menunjukkan adanya perbedaan yang signifikan antara skor pengetahuan sebelum dan sesudah intervensi. Nilai effect size sebesar 0,52 menunjukkan bahwa intervensi memiliki pengaruh yang besar terhadap peningkatan pengetahuan responden. Disimpulkan bahwa edukasi SADARI efektif dalam meningkatkan pengetahuan wanita usia subur mengenai deteksi dini kanker payudara. Edukasi kesehatan secara berkelanjutan perlu dilakukan untuk meningkatkan kesadaran dan praktik deteksi dini kanker payudara di masyarakat.Kata

kunci: edukasi kesehatan, kanker payudara, pengetahuan, prilaku, SADARI, wanita usia subur.

EVALUASI EFEKTIVITAS HEMODIALISIS PADA PASIEN GAGAL GINJAL KRONIS DI RSUD H. ABDUL MANAN SIMATUPANG KISARAN

Nelma — 2026-08-31

Chronic kidney disease (CKD) is a disease characterized by a progressive decline in kidney function, often accompanied by anemia due to low hemoglobin (Hb) levels. Hemodialysis is a therapy used to replace kidney function and has the potential to affect Hb levels. This study aims to determine changes in hemoglobin levels before and after hemodialysis in CKD patients. The study was conducted at H. Abdul Manan Simatupang Kisaran Regional Hospital with a quantitative design to observe hemoglobin levels before and after hemodialysis. A total of 35 CKD patients undergoing hemodialysis were taken as samples using a purposive sampling technique with certain inclusion criteria. Hb level data were collected from medical records and analyzed using a paired t-test. The results showed that Hb levels before hemodialysis had an average of 8.217 g/dL and increased to 8.831 g/dL after hemodialysis. The statistical test showed a p value = 0.000 (p < 0.05), which means there was a significant difference between Hb levels before and after hemodialysis. The conclusion of this study is that hemodialysis has a significant effect on increasing hemoglobin levels in patients with chronic kidney failure.

HUBUNGAN STATUS GIZI DAN ASUPAN MINERAL (KALSIUM, MAGNESIUM DAN ZAT BESI) DENGAN DISMENORE PRIMER

Sylvia Angelina Dwi Widistyanand — 2026-08-31

Primary dysmenorrhea is menstrual pain commonly experienced by adolescent girls and can interfere with daily activities and the learning process at school. Nutritional status and adequate intake of minerals particularly calcium, magnesium, and iron are factors believed to be associated with the occurrence of primary dysmenorrhea. This study aims to analyze the relationship between nutritional status and the intake of calcium, magnesium, and iron with the incidence of primary dysmenorrhea among adolescent girls at Tenggarang State High School 1, Bondowoso Regency. This study employed a quantitative correlational design with a cross-sectional approach. The study sample consisted of 86 female students in grades 10 and 11, selected using proportional stratified random sampling. Nutritional status data were obtained through anthropometric measurements and calculated based on age-adjusted body mass index (BMI-for-age). Data on calcium, magnesium, and iron intake were obtained using a non-consecutive 2×24-hour food recall, while data on primary dysmenorrhea were obtained using the Numerical Rating Scale (NRS) questionnaire. Data analysis was performed using the Chi-Square test and Fisher’s Exact Test. The results showed a significant association between nutritional status (p=0.004; OR=5.86), calcium intake (p=0.016; OR=7.17), and iron intake (p=0.002; OR=10.47) and the incidence of primary dysmenorrhea. Meanwhile, magnesium intake did not show a significant association with the incidence of primary dysmenorrhea (p=0.76). It can be concluded that nutritional status, calcium intake, and iron intake are associated with the incidence of primary dysmenorrhea in adolescent girls, whereas magnesium intake is not associated. Adolescent girls are advised to maintain a normal

PENGETAHUAN IBU TENTANG KB KALENDER DI DESA PURWODADI WILAYAH KERJA PUSKESMAS MULIOREJO KAB DELI SERDANG TAHUN 2026

Dina Indarsita — 2026-08-31

Maternal and Child Health (MCH) remains a national priority in Indonesia that requires solutions, as it is closely linked to the quality of human resources for future generations. One important aspect of MCH is family planning, where contraceptive methods play a significant role in regulating birth spacing and improving maternal health. One frequently used method is the Calendar Family Planning, which relies on menstrual cycle calculations to determine fertile and infertile periods. The objective of this study was to determine mothers' knowledge about the Calendar Family Planning. This study used a descriptive method, with a population of 40 mothers residing in Purwodadi Village, Muliorejo Community Empowerment Program’s Work Area, Deli Serdang Regency. The sampling technique used was total sampling, with the entire population being the sample. The results showed that 14 mothers (35%) had good knowledge about the Calendar Family Planning, and 15 (37,5%) had fair knowledge. Recommendations: Health services should intensify counseling and education programs related to the Family Planning in health care facilities and communities, and mothers should actively seek information related to maternal health, especially about the Calendar Family Planning.

HUBUNGAN PENGETAHUAN DAN SIKAP PASIEN TUBERKULOSIS TERHADAP KEPATUHAN MINUM OBAT TUBERKULOSIS DI PUSKESMAS TANJUNG MORAWA

Masrah Masrah — 2026-08-31

Tuberculosis (TBC) is a highly dangerous infectious disease that attacks organs, especially the lungs. This disease is caused by the bacterium Mycobacterium tuberculosis. The purpose of this study was to determine the correlation of knowledge and attitudes of pulmonary TB patients towards adherence to taking pulmonary TB medication at the Tanjung Morawa Health Center. This research is an analytic observational study, designed with a cross sectional approach, and examined 75 patients as samples obtained through the Quata Sampling Technique. Research data were collected through interviews using a questionnaire, and analyzed by Chi Square test. The results showed the level of knowledge of respondents about adherence to taking TB medication: in the good category were 70 people (93.3%) and in the fair category were 5 people (6.7%); the level of attitude of the respondents: in the good category are 51 people (68%) and in the fair category are 2 people (27.7%); Respondent compliance level: 51 people (68%) were very good, 22 people (29.3) in the moderately obedient category and 2 people (2.7%) in the less obedient category.

ANTIBACTERIAL ACTIVITY TEST OF ETHANOL EXTRACT OF SINTRONG LEAVES (Crassocephalum crepidioides) AGAINST Staphylococcus aureus BACTERIA

irma noviar — 2026-08-31

Crassocephalum crepidioides (sintrong) leaves have traditionally been used as a herbal remedy for the treatment of infectious diseases. Infectious diseases remain a major public health concern in Indonesia due to the country's tropical climate, which contributes to a high prevalence of microbial infections. Globally, approximately 1.27 million deaths each year are associated with antimicrobial-resistant infections. One of the most common pathogenic bacteria responsible for these infections is Staphylococcus aureus. This study aimed to evaluate the antibacterial activity of C. crepidioides leaf extract against the growth of S. aureus. The leaves were extracted by maceration using 96% ethanol. Antibacterial activity was evaluated using the disc diffusion method, with inhibition zone diameter as the primary parameter. The extract was tested at concentrations of 30%, 40%, and 50% (w/v). Sterile blank paper discs were impregnated with the extract, placed on agar media inoculated with S. aureus, and incubated at 37°C for 24 hours. The results demonstrated concentration-dependent antibacterial activity, with mean inhibition zone diameters of 16.26 mm, 17.22 mm, and 18.06 mm at extract concentrations of 30%, 40%, and 50% (w/v), respectively. These findings indicate that the ethanol extract of C. crepidioides leaves possesses antibacterial activity against S. aureus, with the highest inhibitory effect observed at the 50% (w/v) concentration.

DEEP BREATHING RELAXATION ACCOMP Pengaruh Relaksasi Nafas Dalam Dengan Iringan Nature Sounds Terhadap Tingkat Kecemasan Ibu Hamil Di Puskesmas Tanjung Rejo Tahun 2025

Nailah Rizqiyah — 2026-08-31

Penelitian ini bertujuan mengetahui pengaruh relaksasi nafas dalam dengan iringan nature sounds terhadap tingkat kecemasan ibu hamil trimester III. Penelitian menggunakan desain pre eksperimental one group pretest-posttest dengan 54 responden yang dipilih secara purposive sampling dari populasi 120 ibu hamil trimester III. Tingkat kecemasan diukur menggunakan Perinatal Anxiety Screening Scale (PASS). Intervensi relaksasi nafas dalam dengan iringan nature sounds dilakukan satu kali sehari selama dua minggu. Analisis data menggunakan paired sample t-test setelah uji normalitas Kolmogorov–Smirnov. Rata-rata skor kecemasan menurun dari 24,02 sebelum intervensi menjadi 18,28 setelah intervensi. Hasil uji paired sample t-test menunjukkan perbedaan yang bermakna secara statistik dengan nilai t = 13,067 dan p < 0,01. Relaksasi nafas dalam dengan iringan nature sounds dapat menurunkan tingkat kecemasan ibu hamil trimester III. Intervensi ini dapat dipertimbangkan sebagai salah satu pendekatan nonfarmakologis dalam membantu penanganan kecemasan selama kehamilan.

HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN PASIEN DALAM PERAWATAN LUKA KAKI DIABETIK

Helfrida Situmorang — 2026-08-31

Family support is one of the main factors determining a patient's compliance with diabetic foot wound management. Compliance is the positive behavior that patients carry out to achieve treatment and therapy goals.

Edukasi Interaktif Media TOS Gambar sebagai Upaya Meningkatkan Pengetahuan Menyikat Gigi pada Siswa Kelas V

Lies Elina — 2026-04-30

Brushing teeth is a primary action in maintaining the cleanliness of teeth and gums as well as preventing dental and oral problems (Purnama, 2024). Based on the Indonesian Health Survey (SKI) in 2023 (Ministry of Health of the Republic of Indonesia, 2023), the prevalence of dental and oral problems in Indonesia reached 56.9%, but only 6.2% of people brushed their teeth at the correct time. The age group 10–14 years who brushed their teeth correctly was only 5.3%. The Fédération Dentaire Internationale (FDI) recommends the habit of brushing teeth at least twice a day, that is, after breakfast in the morning and before going to bed at night (Pinat et al., 2024).