Health Access Journal

Correlation Between Quality of Life and Family Support with Stroke Incidence

Ixora Ixora, Dewi Wulandari, Tunik Tunik — Sun, 28 Jun 2026 00:00:00 +0000

Stroke not only affects the sufferer but also affects family life. This situation is further complicated when only one family member is caring for the stroke patient. The purpose of this study was to determine the correlation between quality of life and family support and stroke incidence. The study design was correlational with a cross-sectional approach. The sample was taken using a saturated sampling technique. The research instruments were observation to measure the incidence of stroke and questionnaires to measure the quality of life and family support, data analysis using the contingency coefficient test technique. The results of the study showed that most of the respondents, namely 28 (73.7%) had a quality of life in the good category, half of the respondents, namely 19 (50%) had family support in the sufficient category and the other half, namely 19 (50%) had family support in the good category, most of the respondents, namely 27 (71.1%) were non-hemorrhagic stroke. There is correlation between quality of life with incidence of stroke in the Bandung, because statistical test results showing a significance value of 0.000 < 0.05. The data shows that the majority of respondents (73.7%) have a good quality of life. There is correlation between family support with stroke incidence in the Bandung, because statistical test results showing a significance value of 0.001 < 0.05

Maternity Care Management for Third Trimester Pregnant Women with Anemia: A Case Study

Aulia Salsavira Syifa, Ririn Indriani, Deffania Putri Ramadhani — Sun, 28 Jun 2026 00:00:00 +0000

Anemia in pregnancy is a common complication, particularly in the third trimester, and may raise the risk of adverse outcomes for both mother and fetus. It is associated with physiological changes in pregnancy, maternal age, and adherence to nutritional intake. This case study aimed to provide continuous midwifery care for a third-trimester pregnant woman with anemia. The method used was a case study approach involving comprehensive care for Mrs. F, 38 years old, G2P1001, at 36–37 weeks of gestation, who reported weakness and dizziness. Data were collected through interviews, observation, physical examination, hemoglobin testing, and documentation review. Initial findings showed a hemoglobin level of 10.3 g/dL, indicating mild anemia, with pale conjunctiva. Care was delivered over three visits, including condition monitoring, nutritional counseling, encouragement of regular iron tablet intake, and complementary therapy using dates and pure honey. At the second visit, hemoglobin increased to 10.8 g/dL, although mild symptoms persisted. The study concludes that continuous midwifery care is essential for early detection, monitoring, and management of anemia, while improving maternal awareness and adherence to iron supplementation and adequate nutrition during pregnancy.

Pathways Linking Climate Change to Advanced HIV Disease: A Narrative Review

Dicky Endrian Kurniawan, Ahmad Rifai, Alfid Tri Afandi, M. Nur Khamid — Sun, 28 Jun 2026 00:00:00 +0000

Climate change has emerged as a major global health challenge that may worsen HIV-related outcomes through biological, psychosocial, socioeconomic, and healthcare-related mechanisms. This narrative review aimed to synthesize current evidence on the pathways linking climate change to advanced HIV disease (AHD) and to develop a conceptual framework explaining these interactions. A literature search was conducted in the Scopus database for articles published between 2010 and 2025. Studies addressing the relationship between climate change and HIV-related outcomes, including disease progression, ART adherence, food insecurity, migration, psychosocial stress, and healthcare access, were included and synthesized narratively. Relevant studies were screened and synthesized thematically into major pathways, including biological effects, healthcare disruption, food insecurity, psychosocial stress, migration, and social determinants of health. The findings indicate that climate change contributes to HIV progression through direct biological mechanisms, including oxidative stress, NF-κB activation, immune dysregulation, and HPA axis dysfunction. In addition, indirect socioecological pathways, including disrupted ART access, malnutrition, poverty, migration, and psychosocial stress, further accelerate immune suppression and increase morbidity and mortality among people living with HIV. Climate-adaptive HIV care, resilient healthcare systems, nutrition-sensitive interventions, and interdisciplinary public health strategies are urgently needed to reduce climate-related HIV vulnerabilities

The Impact of Physical Activity on Cognitive Function Among Early Elderlies

Sun, 28 Jun 2026 00:00:00 +0000

Aging is associated with gradual changes in memory, attention, and executive functioning that may compromise independence and quality of life among older adults. Regular physical activity has been proposed as a modifiable strategy to preserve cognitive health, although evidence remains inconsistent in community-based settings. This study aimed to determine the relationship between physical activity and cognitive function among early elderlies in Barangay Leonarda, Tuguegarao City, Philippines. A quantitative correlational design was used involving 125 adults aged 65–74 years selected through purposive sampling. Physical activity was measured using the International Physical Activity Questionnaire, and cognitive function was assessed using the revised Everyday Memory Questionnaire. Data were analyzed using descriptive statistics, Spearman’s rank correlation, and one-way analysis of variance at a 0.05 significance level. Respondents demonstrated high physical activity (mean = 5,461.30 MET-min/week), with 77% classified as highly active. Overall cognitive function was relatively stable (mean = 3.00), indicating only occasional cognitive lapses. Spearman’s rank correlation analysis revealed a weak negative relationship between physical activity and cognitive function indicating that higher physical activity levels were not significantly associated with better cognitive performance. Weak negative correlations were likewise observed across all cognitive domains, but none reached statistical significance. No significant differences in cognitive function were found across physical activity levels (ANOVA, these findings suggest that physical activity was not significantly associated with cognitive function among early elderlies in this community and that other biological, psychosocial, and environmental factors may play a more substantial role in influencing cognitive health.

Self-Care Management, Hemodialysis Duration, and Mental Well-Being in Hemodialysis Patients

Woro Astuti Hestiningrum, Betie Febriana , Wahyu Endang Setyowati — Sun, 28 Jun 2026 00:00:00 +0000

Hemodialysis patients are at high risk of psychological disturbances that compromise their mental well-being, yet the contribution of self-care management and treatment duration to this outcome remains insufficiently described in Indonesian hospital settings. This study aimed to examine the correlation between self-care management and mental well-being, and between hemodialysis duration and mental well-being, among hemodialysis patients. A cross-sectional correlational design was used with a total sampling technique, involving 114 respondents from Sari Asih Karawaci and Sari Asih Sangiang Hospitals. Mental well-being was measured using the validated Psychological Well-Being Scale (PWBS), and self-care management was measured using the validated Hemodialysis Patients Self-Care Management Scale; hemodialysis duration was obtained from medical records. Data were analyzed using Somers’ Gamma test. Results showed a significant moderate correlation between self-care management and mental well-being (p = 0.000; R = 0.596) and between hemodialysis duration and mental well-being (p = 0.014; R = 0.419). These findings indicate that better self-care management and longer hemodialysis duration are associated with improved mental well-being. Nurses are recommended to strengthen self-care education for hemodialysis patients, and future research should explore additional psychosocial factors influencing mental well-being using longitudinal designs.

Relationship Between Lifestyle, Stress, and Hypertension Among Productive-Age Adults

Oktin Widia Lestari, Hernandia Distinarista, Tutik Rahayu — Sun, 28 Jun 2026 00:00:00 +0000

Hypertension is a non-communicable disease whose prevalence continues to increase, including among the productive age group, and poses a risk of reducing productivity and quality of life. Unhealthy lifestyles and high stress levels are important risk factors commonly found in the productive age group. This study aimed to analyze the relationship between lifestyle and stress levels with the incidence of hypertension in the productive age group at Sariasih Ciputat Hospital. A quantitative cross-sectional correlational study was conducted involving 63 respondents using simple random sampling. Data collection was conducted using a questionnaire. The data obtained were statistically analysed using the chi-square test. Most respondents were middle-aged adults (41–60 years; 44.4%), male (66.7%), and had a basic educational background (52.4%). The majority reported an unhealthy lifestyle (60.3%), moderate stress levels (55.6%), and moderate hypertension (58.7%). Statistical analysis revealed a significant relationship between lifestyle and hypertension (p < 0.001) as well as between stress levels and hypertension (p < 0.001). Lifestyle and stress levels were significantly associated with the incidence of hypertension among productive-age adults. These findings highlight the importance of promoting healthy lifestyle behaviors and stress management interventions to prevent and control hypertension in this population

Benson Relaxation and Qur’an Recitation on Intraocular Pressure in Glaucoma Patients

Erwin Yulianti Rahayu, Retno Setyawati , Mohammad Arifin Noor — Sun, 28 Jun 2026 00:00:00 +0000

Glaucoma is a leading cause of irreversible blindness, and elevated intraocular pressure (IOP) is its principal modifiable risk factor; non-pharmacological adjuncts such as relaxation-based therapies have been proposed to support pharmacological IOP control. This study aimed to examine the effect of combined Benson relaxation therapy and Qur’an recitation on changes in IOP among glaucoma patients. A quasi-experimental design with a non-randomized intervention and control group (pretest–posttest) was used, involving 32 purposively sampled glaucoma outpatients at Sari Asih Hospital, Karawaci (16 per group), over October–December 2025. The intervention group received combined Benson relaxation and Qur’an recitation (Surah Al-Fatihah and Al-Insyirah) for 10–15 minutes per session; the control group received standard care only. IOP was measured before and after the intervention period using applanation tonometry. Mean IOP decreased from 23.69 to 21.01 mmHg in the intervention group and from 23.65 to 23.29 mmHg in the control group. The paired-sample t-test showed a significantly greater IOP reduction in the intervention group (mean difference –2.28 mmHg, 95% CI –3.38 to –1.18, p = 0.000) compared with the control group. These findings suggest that combined Benson relaxation and Qur’an recitation may serve as a feasible, low-cost adjunct to standard glaucoma care, although confirmation in larger, randomized trials is needed before broader clinical recommendation

Overview of Sexual Dysfunction among Diabetes Mellitus Patients at Dr. Soedono Hospital

Anatasya Salsabilla Ramadhanti, Finta Isti Kundarti, Tri Cahyo Sepdianto — Sun, 28 Jun 2026 00:00:00 +0000

Diabetes mellitus (DM) is a chronic metabolic disorder that can lead to various complications, including sexual dysfunction, particularly erectile dysfunction (ED), which may significantly impair patients' quality of life. This study aimed to describe sexual dysfunction among male patients with diabetes mellitus at Dr. Soedono Regional Hospital, Madiun. A descriptive quantitative study with a cross-sectional design was conducted from February to March 2025 involving 30 male patients selected using purposive sampling. Data were collected using the International Index of Erectile Function-5 (IIEF-5) questionnaire and analyzed descriptively using frequency and percentage distributions. The results showed that most respondents were aged 61–70 years (30%), had completed senior high school (40%), were self-employed (27%), had lived with diabetes mellitus for 1–5 years (73%), and underwent regular treatment (63%). Severe erectile dysfunction was found in 30% of respondents, followed by moderate erectile dysfunction in 27%. All patients with a duration of diabetes of 6–10 years experienced severe erectile dysfunction. Severe ED was more common among older patients and those who did not receive regular treatment. In conclusion, sexual dysfunction, particularly severe erectile dysfunction, is common among male patients with diabetes mellitus. Older age, longer disease duration, and inadequate treatment adherence may contribute to greater severity of erectile dysfunction. Therefore, routine screening and early management of sexual dysfunction should be integrated into diabetes care to improve patients' quality of life.