Health Access Journal

Effectiveness of Spiritual Emotional Freedom Technique in Reducing Pain Among Fracture Patients

Nabila Luqyana Putri, Tri Cahyo Sepdianto, Sri Mugianti — Sat, 28 Feb 2026 00:00:00 +0000

The main complaint in fracture patients is pain, this pain needs to get the right intervention both pharmacologically and non-pharmacologically. The purpose of this research is to determine the effectiveness of SEFT Therapy (Spiritual Emotional Freedom Technique) on reducing pain in fracture patients. This research design is Pre-Experimental with a one group pre-post test approach. The population of fracture patients in the emergency room of dr. Soedono Hospital, East Java Province was 30 respondents. The sample technique is probability sampling with purposive sampling method. Taking instruments to measure the pain level of fracture patients, researchers used the NRS (Numeric Rating Scale) pain tool. The data were processed descriptively followed by the Paired t Test. The results showed that the average pain level before SEFT therapy was 5.13 with a minimum-maximum scale of 2-7 and after SEFT therapy was 4.13 with a minimum-maximum scale of 2-6. The results of statistical tests using the Paired t Test test showed a value of p=0.000 (p<0.05). There is a significant difference in pain levels before and after SEFT therapy. SEFT therapy effectively reduces the pain level of fracture patients and becomes an alternative as non-pharmacological management to reduce the pain level of fracture patients

Relationship Symptom Management Family as Caregivers of Post-Stroke Through Dorothea Orem's

Dewi Wulandari, Ixora Ixora, Elok Yulidaningsih — Sat, 28 Feb 2026 00:00:00 +0000

The aim of this study was to determine the relationship between symptom management by families as caregivers and the independence of Activities of Daily Living post-stroke clients at the Gondang Community Health Center in Tulungagung Regency using Dorothea Orem's theoretical. The research design was correlational with a cross-sectional approach. Independent variable of family symptom management. Dependent variable of ADL independence of post-stroke patients. The study population of families of Post-Stroke sufferers in the Gondang Community Health Center area with a total of 30 stroke from January 2024 to March 2024, with a Saturated Sampling technique. The research instrument was a questionnaire, data analysis using the Spearman Rho test technique. The results of the study showed that most of the respondents carried out symptom management on post-stroke clients, namely 22 people (73.3%), as many as 12 respondents (40%) of their ADL independence were in the severe dependency category, as many as 10 respondents (33.3%) in the moderate category and as many as 7 respondents (23.4%) in the mild category. There is a relationship between symptom management by families as caregivers and ADL independence of post-stroke clients through the Dorothea Orem theory approach at the Gondang Community Health Center (0.002 <0.05).

Exploring Primiparous Mothers' Knowledge about Newborn Care: A Case Study

Eko Sari Wahyuni, Lucia Retnowati, Putri Meilina Rahayu — Sat, 28 Feb 2026 00:00:00 +0000

Maternal knowledge of essential newborn care is a key determinant of neonatal health, particularly among primiparous mothers who often experience limited preparedness and confidence in early caregiving. Understanding how educational interventions influence maternal knowledge and caregiving practices is important for strengthening maternal and neonatal health education. This study aimed to explore primiparous mothers’ knowledge of essential newborn care and to examine changes in knowledge and caregiving skills following an educational intervention. A qualitative descriptive case study design was used. Data were collected through in-depth interviews, questionnaires, and direct observations, and analyzed using thematic analysis to identify key themes before and after the intervention. Four themes emerged: knowledge and skills in newborn bathing, umbilical cord care, diaper changing, and awareness of exclusive breastfeeding. Before the intervention, limited knowledge and low confidence were observed across all themes. After the intervention, improvements were evident in knowledge and practical skills, particularly in umbilical cord care, diaper changing, and understanding of exclusive breastfeeding, while confidence in newborn bathing remained limited. Hands-on educational interventions can enhance primiparous mothers’ knowledge and caregiving skills, while sustained guidance and family involvement strengthen maternal confidence during early postpartum caregiving period

Development Of A Modified Bandage Backpack For Patients With Clavicle Fracture

Wahyu Putra Perdana, Agus Khoirul Anam, Andi Hayyun Abiddin — Sat, 28 Feb 2026 00:00:00 +0000

Clavicle fractures often occurred at the center due to lack of muscle and ligament protection. Management of clavicle fractures could be done operatively or non-operatively, with arm slings being the most common tool. However, arm slings tended to be less stable, so bandage backpacks were developed as an alternative. Although more stable in fixation, bandage backpacks still had weaknesses that required the development of new designs that were more comfortable and safe. This study aimed to develop a modified bandage backpack product for patients with clavicle fractures. This research used the Research and Development (R&D) method. The research procedure used the ADDIE model consisting of 5 stages including analysis, design, development, implementation, and evaluation stages. Product validation was carried out by four media experts consisting of 2 nursing lecturers and 2 emergency room nurses who were members of BAPENA PPNI Blitar City. Results from expert validators showed a feasibility score of 92%. The results of this modified bandage backpack product assessment met the criteria as very feasible with some suggestions and input. The modified bandage backpack product was expected to be used as an alternative treatment for patients with clavicle fractures

Determinants of Vaccine Hesitancy Among Mothers of Children in Selected Rural Barangays

John Leones Damo, Angel Joy Acueza , Katherine Arellano — Sat, 28 Feb 2026 00:00:00 +0000

This study aimed to assess the level and determinants of vaccine hesitancy among mothers of children aged 0–5 years in selected rural barangays of Quezon. Using a quantitative descriptive–correlational design, the study examined relationships between vaccine hesitancy and socio-demographic, informational, and perceptual factors. A total of 102 mothers were recruited through stratified random sampling, and data were collected using a validated self-administered questionnaire. Findings indicated that 50% of respondents exhibited moderate vaccine hesitancy, while 27.5% had low hesitancy and 22.5% showed high hesitancy. The greatest concerns were related to vaccine safety and potential side effects, identifying safety apprehension as a primary driver of hesitancy. In contrast, strong trust in healthcare providers was associated with lower hesitancy, particularly regarding information sources. Chi-square analysis revealed significant associations between vaccine hesitancy and age group, educational attainment, and monthly income, with older mothers and those with lower education and income more likely to be hesitant. Furthermore, beliefs about vaccine effectiveness, concerns about side effects, trust in health workers, social media influence, and prior healthcare experiences were significantly related to hesitancy levels. These findings highlight the multifactorial nature of vaccine hesitancy and the need for targeted interventions to strengthen vaccine confidence in rural communities.

Overview of Cerdik Behavior in Diabetes Mellitus Clients at Posbindu Pakunden

Dyas Fitriana Salsabilla, Dewi Rachmawati, Mujito Mujito — Sat, 28 Feb 2026 00:00:00 +0000

Diabetes mellitus is a metabolic disorder caused by the pancreas not producing sufficient insulin or the body being unable to use insulin effectively, resulting in increased blood glucose levels, also known as hyperglycemia. The purpose of this study was to determine the description of CERDIK behavior among clients with diabetes mellitus. This study employed a descriptive research design. The sample consisted of patients diagnosed with diabetes mellitus within the last five years, with a total of 30 respondents selected using a purposive sampling technique. The research was conducted through a door-to-door approach in Pakunden Village, Sukorejo District, Blitar City. The results showed that all respondents (100%) had received information about diabetes mellitus. In the attitude category, more than half of the respondents (60%) demonstrated intelligent behavior. In the subjective norm category, more than half (57%) demonstrated intelligent behavior. Meanwhile, in the perceived behavioral control category, more than half of the respondents (57%) had correct perceptions. It can be concluded that the intention to engage in CERDIK behavior among clients with diabetes mellitus varies and still requires increased awareness regarding diabetes mellitus treatment and therapy in order to achieve better outcomes.

Sudden Death in an Elderly Indonesian Hajj Pilgrim: A Case Report

Sat, 28 Feb 2026 00:00:00 +0000

There are 37% of Indonesian pilgrims in 2024 are elderly people aged ≥ 60 years. The elderly are a high-risk group for conditions such nocturnal disordered breathing, including Obstructive Sleep Apnea (OSA) especially severe physical fatigue in Hajj pilgrims. This descriptive case report concerns the death of an elderly hajj pilgrim in hotel. The data was collected from August to December 2025. It was obtained from the medical records of group’s Hajj medical team and interviews with the pilgrim's roommate in Mekkah and her family in Indonesia. A 76-year-old female pilgrim with cardiovascular history was known without breathing while sleeping. She complained of fever, dizziness, and mild cough three days earlier. She received medical care from the medical team and her condition improved. That night, her roommate heard loud snoring followed by breathing sound gone while she slept. The medical team activated code blue and the Saudi Arabian emergency team declared that she died. In the medical check-up of Hajj pilgrims, screening of risk factor for suspected OSA needs to be done by health hajj management. The STOP-BANG questionnaire can be used to identify the high-risk of OSA in Hajj pilgrimage candidates. This can increase clinical awareness and mitigate the risk of death of Hajj pilgrims in hotels.