Public Health and Safety International Journal

Implementation of Passive Range of Motion (ROM) Exercises to Improve Muscle Strength in Non-Hemorrhagic Stroke Patients in the MTSK Ward of BLUD RSUD Baubau City

2026-04-17T07:11:05+00:00

Non-hemorrhagic stroke is a condition characterized by the loss of neurological function due to impaired blood flow to the brain, which results in muscle weakness and impaired physical mobility. This study aims to determine the effectiveness of passive Range of Motion (ROM) exercises in improving muscle strength in patients with non-hemorrhagic stroke. The study used a descriptive case study design involving one adult patient experiencing impaired physical mobility. The intervention consisted of passive ROM exercises administered for five consecutive days. The theoretical approach applied includes physical rehabilitation theory and the concept of basic human needs, with inputs consisting of the patient’s clinical condition and pre-intervention muscle strength values. Data were collected through observation and measurement using a muscle strength scale. The results showed an increase in muscle strength of the right upper extremity from grade 1 to 5, and the right lower extremity from grade 1 to 5 after the intervention. The hypothesis that passive ROM exercises can improve muscle strength was supported. It is concluded that passive ROM exercises are effective in increasing muscle strength in non-hemorrhagic stroke patients. Nurses are recommended to implement this intervention as part of nursing care. These findings are important as a basis for simple and effective interventions to improve the quality of life of stroke patients.

Evaluasi Waktu Tunggu Pelayanan Resep Pasien Rawat Jalan Di Salah Satu Klinik Kabupaten Bandung

2026-04-25T09:55:22+00:00

Waktu tunggu pelayanan resep merupakan salah satu indikator penting dalam menilai mutu pelayanan kefarmasian. Penelitian ini bertujuan untuk menggambarkan waktu tunggu pelayanan resep pasien rawat jalan berdasarkan jenis resep dan waktu pelayanan (shift), serta kesesuaiannya dengan standar pelayanan di salah satu Klinik di Kabupaten Bandung.

Penelitian ini menggunakan metode deskriptif observasional dengan teknik pengamatan langsung dan pencatatan waktu tunggu pelayanan resep pada bulan Agustus–Oktober 2025. Jumlah sampel sebanyak 278 resep, terdiri atas 232 resep non-racikan (83,4%) dan 46 resep racikan (16,6%), yang diamati pada shift pagi dan shift siang. Data dianalisis secara deskriptif dan dibandingkan dengan Keputusan Menteri Kesehatan Republik Indonesia Nomor 129/Menkes/SK/II/2008 serta Permenkes RI No. 72 Tahun 2016.

Hasil penelitian menunjukkan bahwa pada shift pagi, rata-rata waktu tunggu resep racikan 17,7 menit dan non-racikan 10,4 menit, sedangkan pada shift siang waktu tunggu meningkat menjadi 24,7 menit untuk racikan dan 12,1 menit untuk non-racikan. Waktu tunggu resep racikan lebih lama dibandingkan non-racikan, namun seluruh hasil masih memenuhi standar pelayanan minimal. Selain itu, seluruh pelayanan resep 100% telah memenuhi standar pelayanan kefarmasian. Hasil penelitian ini menunjukkan bahwa pelayanan resep di salah satu Klinik di Kabupaten Bandung telah memenuhi standar mutu pelayanan kefarmasian berdasarkan ketentuan yang berlaku.

Analysis of Disease Prevention Behavior Based on Health Belief Model (HBM)

2026-04-26T05:55:56+00:00

Disease prevention behavior is an essential component of public health promotion, yet its psychological determinants require further exploration in the post-COVID-19 Malaysian context. This study analyzes factors influencing disease prevention behavior using the Health Belief Model (HBM) framework. A quantitative cross-sectional approach was applied to 320 respondents from Malaysian urban communities through purposive sampling. Analysis was conducted using SEM-PLS (SmartPLS 4.0) with 5,000 bootstrapping subsamples. Results demonstrate that self-efficacy (β=0.358, p<0.001), perceived benefits (β=0.319, p<0.001), perceived susceptibility (β=0.287, p<0.01), perceived severity (β=0.241, p<0.01), and perceived barriers (β=-0.196, p<0.05) significantly influence disease prevention behavior. Cues to action moderated the perceived susceptibility–prevention behavior relationship (β=0.143, p<0.05). The model explained 61.7% of variance (R²=0.617, Q²=0.389). Findings support individually-tailored health promotion interventions and community self-efficacy strengthening.

The Impact of Consumption of Protein and Carbohydrate Sources on Stunting in Toddlers 24-59 months at Gleno Inpatient Health Center, Ermera Municipality, Timor-Leste

2026-04-10T11:01:13+00:00

Stunting is a serious condition that affects children and significantly hinders their growth and development. Globally, at least 162 million children under the age of five are affected by stunting. A study conducted between 2020 and 2024 involved 177 children aged 24 to 59 months, including 85 boys and 92 girls. The study aimed to investigate the impact of protein and carbohydrate intake on stunting in toddlers within this age range.

This research utilized a quantitative design with a cross-sectional approach. The target population consisted of mothers who brought their children to the Gleno Inpatient Community Health Center, resulting in 177 respondents. Data analysis was performed using the chi-square test, with support from SPSS software (Version 21.0).

The results of the chi-square test indicated a significant relationship between protein intake and the incidence of stunting, with a p-value of 0.05, which is greater than 0.01. Similarly, the analysis of carbohydrate intake also yielded a p-value of 0.05, suggesting a significant relationship between carbohydrate consumption and the incidence of stunting.

In conclusion, the findings suggest that protein and carbohydrate consumption negatively impact stunted children aged 24 to 59 months at the Gleno Inpatient Health Center in 2024, with an effect size of 6.3%. This implies that while nutritional intake appears to be satisfactory, the implementation of interventions to address stunting is not optimal.