Papua Medicine and Health Science

Effect of Benson Relaxation Therapy on Postoperative Pain among Patients with Fractures

Muhammad Husein Haykal — 2026-06-29

Postoperative pain is one of the most common clinical problems experienced by patients with fractures and may delay recovery. Benson Relaxation Therapy is a non-pharmacological intervention that may help reduce pain intensity. This study aimed to examine the effect of Benson Relaxation Therapy on postoperative pain among patients with fractures. A pre-experimental study with a one-group pretest–posttest design was conducted involving 34 patients with fractures recruited using accidental sampling. Pain intensity was assessed using a pain scale before and after the intervention and analyzed using the Wilcoxon Signed Rank Test. Before the intervention, most participants experienced moderate pain (91.2%), whereas after the intervention the majority reported mild pain (76.5%). The Wilcoxon Signed Rank Test demonstrated a significant difference in pain intensity before and after the intervention (p = 0.001). Benson Relaxation Therapy had a significant effect on reducing postoperative pain among patients with fractures.

Acceptability, Protein Content, and Iron Content of Red Bean Spread Supplemented with Mung Beans

Nur Ifti Hatim — 2026-06-25

Stunting, a growth disorder caused by chronic malnutrition, remains a major public health challenge in Indonesia. According to the 2023 Indonesian Health Survey, the prevalence of stunting reached 21.5% nationally and 32% in South Sulawesi Province. The development of nutritious local foods rich in protein and iron is one strategy to support stunting prevention during adolescence. This study aimed to analyze the acceptability, protein content, and iron (Fe) content of red bean spread supplemented with mung beans as an alternative nutritious food for adolescent girls. This experimental study evaluated four formulations: F0 (100% red beans), F1 (50% red beans and 50% mung beans), F2 (75% red beans and 25% mung beans), and F3 (25% red beans and 75% mung beans). Acceptability testing was conducted using a hedonic test involving 50 semi-trained panelists, while protein and iron analyses were performed on the selected formulation. Formulation F2 was identified as the best formulation, with the highest acceptability score (590), containing 2.05% protein and 8.6896 µg/g iron. Red bean spread supplemented with mung beans has the potential to be developed as an alternative local food to support the nutritional requirements of adolescent girls and contribute to anemia and stunting prevention efforts.

Association Between Nursing Management Functions and Nurses' Compliance with Fall Risk Prevention at Islamic Hospital Banjarmasin

Okta Nisa — 2026-06-28

Falls are among the most common patient safety incidents in hospitals and may result in physical injuries, psychological trauma, and increased healthcare costs. Effective fall risk prevention requires a high level of nurses' compliance, which is influenced by nursing management functions, particularly the directing and controlling functions. This study aimed to examine the association between nursing management functions and nurses' compliance with fall risk prevention at Islamic Hospital Banjarmasin. This quantitative study employed a cross-sectional design. A total of 148 nurses were recruited using the total sampling technique. Data were collected using a Google Forms–based questionnaire and analyzed using Spearman's rank correlation test. The results showed that most respondents reported a high level of nursing management functions (60.1%) and high compliance with fall risk prevention (77.7%). Bivariate analysis revealed a significant association between nursing management functions and nurses' compliance with fall risk prevention (r = −0.730; p < 0.001). In conclusion, nursing management functions were significantly associated with nurses' compliance with fall risk prevention at Islamic Hospital Banjarmasin. Strengthening the directing and controlling functions is expected to improve nurses' compliance and support patient safety initiatives in hospitals.

Factors Associated with the Degree of Dehydration in Toddlers with Diarrhea at Sele Be Solu General Hospital, Sorong City

Hidy L Mayai — 2026-06-30

Diarrhea remains a major cause of morbidity and mortality among children under five years of age, particularly in low- and middle-income countries, with dehydration representing its most serious complication. This study aimed to analyze factors associated with the degree of dehydration among toddlers with diarrhea at Sele Be Solu General Hospital, Sorong City. An analytic observational study with a cross-sectional design was conducted involving 93 toddlers diagnosed with diarrhea. The independent variables were history of exclusive breastfeeding, family Clean and Healthy Living Behavior (CHLB), parental or caregiver knowledge about diarrhea, child age, and family economic status, while the dependent variable was the degree of dehydration. Data were collected using structured questionnaires and analyzed using the Chi-square test with a significance level of p < 0.05. Exclusive breastfeeding (p = 0.029), parental or caregiver knowledge (p < 0.001), and child age (p < 0.001) were significantly associated with the degree of dehydration. In contrast, family CHLB (p = 0.228) and family economic status (p = 0.343) were not significantly associated. These findings highlight the importance of breastfeeding and caregiver knowledge in relation to dehydration severity among toddlers with diarrhea.

Association Between Maternal Occupation and History of Vaginal Discharge with Premature Rupture of Membranes: A Cross-Sectional Study

Nur Aldita Enisaputri — 2026-06-30

Premature rupture of membranes (PROM) is an important obstetric complication that contributes to increased maternal and neonatal morbidity and mortality. Maternal factors, including occupation and a history of vaginal discharge, have been suggested to be associated with PROM; however, existing evidence remains inconsistent. This study aimed to examine the association between maternal occupation, a history of vaginal discharge, and the occurrence of PROM at Paniai Regional General Hospital. An analytical observational study with a cross-sectional design was conducted among 101 women who delivered in August 2024 using a total sampling technique. Data were collected from medical records using an observation checklist and analyzed using descriptive statistics and the Chi-square test with a significance level of 0.05. Most participants were aged 20–35 years (61.4%), had completed senior high school (55.4%), and were homemakers (64.4%). Overall, 77.2% experienced PROM, while 38.6% had a history of vaginal discharge. Significant associations were identified between maternal occupation and PROM (p = 0.007), as well as between a history of vaginal discharge and PROM (p < 0.001). Maternal occupation and a history of vaginal discharge may be considered during antenatal risk assessment to support the early identification and prevention of PROM.

Characteristics of Pregnant Women at Risk of Child Stunting: A Descriptive Study in Stunting Locus Areas of Sorong Regency

Raisya Rahmawati Saufi — 2026-06-30

Child stunting remains a major public health problem in Indonesia, including Sorong Regency. Maternal characteristics during pregnancy play an important role in fetal growth and may influence the risk of child stunting. This study aimed to describe the characteristics of pregnant women in the stunting locus areas of Sorong Regency. This descriptive observational study used secondary data from the Stunting Case Audit worksheets of the National Population and Family Planning Board (BKKBN) in Sorong Regency. A total of 178 pregnant women who met the inclusion and exclusion criteria were included, and the data were analyzed using univariate analysis with SPSS. Most respondents were aged 20–35 years (68.0%), lived in rural areas (60.1%), were unemployed (91.6%), and had low economic status (53.4%). The predominant maternal health characteristics included multiparity (48.9%), risk of chronic energy deficiency based on mid-upper arm circumference (71.3%), anemia during pregnancy (52.2%), iron supplementation (71.9%), fewer than four antenatal care visits (58.4%), and passive cigarette smoke exposure (65.7%). These findings indicate that pregnant women in the stunting locus areas of Sorong Regency were characterized by several maternal conditions requiring strengthened nutritional monitoring, anemia prevention, improved antenatal care utilization, and reduced cigarette smoke exposure as part of comprehensive child stunting prevention efforts.

Association Between Parenting Style and Stunting Among Under-Five Children in the Service Area of Alalak Selatan Community Health Center, Banjarmasin

Devy Sfitri — 2026-06-29

Stunting is a chronic growth disorder among under-five children caused by chronic undernutrition and recurrent infections. Parenting style has been identified as one of the factors associated with stunting. This study aimed to examine the association between parenting style and stunting among under-five children in the service area of Alalak Selatan Community Health Center, Banjarmasin. A descriptive correlational study with a cross-sectional design was conducted among 60 parents of children aged 24–60 months selected using a total sampling technique. Data were collected using a parenting style questionnaire and children's height measurements and were analyzed using Spearman's rank correlation test. Permissive parenting was the most common parenting style (50.0%), and most under-five children were not stunted (72.0%). A significant association was found between parenting style and stunting (p < 0.001; r = 0.598), indicating a moderate correlation. Better parenting practices were associated with a lower risk of stunting. Strengthening parental education on appropriate parenting practices may support stunting prevention.

Effect of Local Food-Based Supplementary Feeding on the Nutritional Status of Undernourished Under-Five Children

Rahmiyani Idris — 2026-06-26

Undernutrition among under-five children remains a major public health concern in Indonesia. Local Food-Based Supplementary Feeding is one of the strategies implemented to improve the nutritional status of undernourished under-five children. This study aimed to analyze the effect of Local Food-Based Supplementary Feeding on changes in the nutritional status of undernourished under-five children in the catchment area of the Marusu Community Health Center. This analytical observational study employed a pre–post approach using secondary data. A total sampling technique was applied, involving 54 under-five children who met the inclusion and exclusion criteria. Changes in nutritional status were analyzed using the Wilcoxon signed-rank test. The results showed that 39 under-five children (72.2%) improved to normal nutritional status, while 15 (27.8%) remained undernourished. The mean z-score increased from −2.49 before the intervention to −1.61 after the intervention, with a statistically significant difference (p = 0.000; p < 0.05). The findings indicate that Local Food-Based Supplementary Feeding was associated with improvements in the nutritional status of undernourished under-five children in the catchment area of the Marusu Community Health Center. Therefore, the Local Food-Based Supplementary Feeding Program should be implemented continuously and integrated with nutrition education and growth monitoring to optimize improvements in the nutritional status of under-five children.

Combined Isometric Handgrip Exercise and Slow Deep Breathing for Blood Pressure Reduction: A Family Nursing Case Study

Afif Azhar Abulkhair Jayadie — 2026-06-30

Hypertension requires continuous management, and family involvement may support self-care and sustained blood pressure control at home. This study aimed to describe the application of combined isometric handgrip exercise and slow deep breathing for blood pressure reduction within the context of family nursing care in a patient with hypertension. This single-case study involved a 59-year-old woman with a five-year history of hypertension. The combined intervention was implemented for 15–20 minutes daily over five consecutive days, with blood pressure measured before and after each session. The patient's blood pressure changed from 193/108 mmHg before the intervention on the first day to 164/92 mmHg after the intervention on the fifth day. The patient also reported reduced shortness of breath and tingling in the right leg, improved sleep quality, and an increased ability to perform the exercise independently. Family members participated by accompanying and encouraging the patient and supporting dietary changes. Combined isometric handgrip exercise and slow deep breathing may be considered an adjunctive non-pharmacological approach within family nursing care for patients with hypertension.