Window of Health : Jurnal Kesehatan

Relationship Between Family Support and Colorectal Cancer Patients' Motivation for Undergoing Chemotherapy

2026-04-21T15:09:56+00:00

Globally, colorectal cancer is one of the most highly prevalent cancers according to the World Health Organization, with the majority of patients undergoing chemotherapy. Various studies show that more than 70% of patients experience significant physiological impacts such as fatigue, nausea, and disruption of daily activities, while approximately 30% experience psychological disorders such as anxiety and depression. Furthermore, more than 60% of patients require family support during treatment. This demonstrates that the impact of chemotherapy is multidimensional, encompassing physical, psychological, and social aspects, necessitating a comprehensive care approach that includes family involvement. The purpose of this study was to determine the relationship between family support and motivation of colorectal cancer patients undergoing chemotherapy. The study design used an observational analytic design with a cross-sectional approach. The study population comprised all 55 colorectal cancer patients undergoing chemotherapy in the Rosella 2 Room at Dr. Soetomo Hospital, Surabaya. A sample of 48 people was taken using the Simple Random Sampling technique. Data analysis used the Spearman Rho correlation test. The results showed that of the 48 respondents, 43 had high family support and 42 had strong motivation. Bivariate analysis showed a significant relationship between family support and patient motivation to undergo chemotherapy. The results of the Spearman Rho test showed a rho value of 0.902 and a significance value of P = 0.000 (< 0.05). The active role of nurses in providing education to families and patients is very important in providing information related to chemotherapy. So that it can provide a sense of security, comfort, and trust in nurses. Thus, patients have strong motivation, high life expectancy, and increased family enthusiasm in accompanying the treatment process.

Differences in Nutritional Intake and Upper Arm Circumference (UAC) Between Anemic and Normal Pregnant Women

2026-04-21T15:09:56+00:00

Anemia is an indirect cause of maternal mortality, with a 27.7% prevalence among pregnant women in Indonesia, including rising cases in Riau and Kampar. It increases the risk of hemorrhage, low birth weight, preterm birth, stunting, and maternal and infant mortality, influenced by inadequate nutrition and low mid-upper arm circumference. The purpose of this study was to analyze the differences in nutritional intake and upper arm circumference (UAC) between pregnant women with anemia and pregnant women without anemia. The method in this research is a comparative, observational, analytical study of two unpaired groups with a cross-sectional design. The population consisted of pregnant women with anemia and normal pregnant women in the working area of the Salo Community Health Center, Kampar District, totaling 74 samples (37 per group). The study was conducted in August-September 2025. The data collection tools used were a UAC tape, an SQ-FFQ for nutritional intake, and a digital hemoglobinometer to measure anemia. Bivariate analysis was performed using an independent samples t-test. The results show that pregnant women with anemia had lower nutritional intake scores and smaller mean UAC compared to non-anemic pregnant women. Statistical analysis confirmed significant differences between the two groups in nutritional intake (p = 0.012) and UAC (p = 0.028), with both p-values below the significance level of α 0.05. Pregnant women with anemia have lower nutritional intake and UAC, highlighting the need to improve maternal nutrition and use UAC monitoring for early anemia screening.

Determinants of Digital Eye Strain Among Office Workers: Individual, Device-Related, and Environmental Factors

2026-04-22T14:00:12+00:00

Frequent use of digital devices among office workers contributes to a high risk of Digital Eye Strain (DES), with a reported prevalence of 69.0%, which can adversely affect visual performance, sleep quality, and work productivity. This study aimed to analyze the association between individual, device-related, and environmental factors with DES among office workers using a cross-sectional design involving 66 respondents. Data were analyzed using Chi-square and Mann–Whitney tests. The prevalence of DES was 69.7%, with common symptoms including itchy eyes, eye discomfort, and light sensitivity. Key individual factors significantly associated with DES were unsafe digital device use behavior (OR = 11.25; 95% CI: 1.169–30.280), lack of 20-20-20 rest practice (OR = 10.00; 95% CI: 2.895–30.542), and refractive error (OR = 8.20; 95% CI: 2.287–23.399). Among device-related factors, improper computer screen position (OR = 4.263; 95% CI: 1.323–13.736) was identified as a significant predictor. Environmental factors such as inadequate lighting (OR = 5.455; 95% CI: 1.595–18.657) also showed a strong association with DES. In conclusion, DES among office workers is predominantly influenced by behavioral factors, particularly unsafe digital device use and inadequate eye rest practices, which demonstrated the strongest associations. Preventive strategies should prioritize behavioral interventions, ergonomic improvements, and optimization of workplace environmental conditions.

Health Promotion Using Counseling Cards to Increase Perceived Benefit, Perceived Barrier, and Self-Efficacy for Congenital Hypothyroid Screening

2026-04-23T13:43:19+00:00

Congenital hypothyroid screening coverage in Indonesia remains low (2.3%), partly due to limited effective health promotion and inadequate use of educational media, leading to low maternal participation. Strengthening health promotion through appropriate media and optimizing the role of health cadres are essential to improving mothers’ perceived benefits, reducing perceived barriers, and enhancing self-efficacy for screening. This study aimed to analyze the effect of education delivered through counseling cards by health cadres on mothers' perceived benefits, perceived barriers, and self-efficacy in conducting congenital hypothyroid screening. A quasi-experimental pre–post test design was conducted in Tasikmalaya City, involving 41 third-trimester pregnant women selected via quota sampling from 20 primary health center service areas. Trained cadres provided education using counseling cards. Data were collected before and after the intervention using validated questionnaires measuring perceived benefit, perceived barrier, and self-efficacy. Data analysis showed significant improvements in all variables after the intervention (p < 0.05). In conclusion, counseling card–based education is effective in improving mothers’ perceived benefits, perceived barriers, and self-efficacy toward congenital hypothyroid screening. It is recommended that this approach be integrated into routine maternal health promotion and scaled up through community health cadres to enhance screening uptake and support early detection at the population level.

The The Effect of Calcium Alginate Primary Dressing on Diabetic Ulcer Healing in Proliferative Phase

2026-04-24T13:19:06+00:00

Diabetes Mellitus (DM) is a global health issue, with diabetic ulcers being a common complication and a high mortality rate. In 2021, around 576 million people worldwide had DM, and this number is projected to reach 643 million by 2030 and 787 million by 2045. The healing process of these ulcers is accelerated in a moist environment and with the use of appropriate primary dressings, such as Calcium Alginate. Objective: The aim is to determine the effect of Calcium Alginate primary dressing on the acceleration of diabetic ulcer healing during the proliferative phase. Methods: This research uses a quantitative study design with a quasi-experimental approach with a control group, employing a pre-test and post-test design. Respondents were divided into two groups: the intervention group and the control group. The intervention group received treatment with calcium alginate, while the control group received treatment with zinc cream. The sample was selected using the consecutive sampling technique. Results: The results of the research indicate a significant difference in the average rate of diabetic ulcer healing between the intervention and control groups. Conclusions: The statistical test was performed using an independent sample T-Test, resulting in a p-value of 0.000 (p ≤ α 0.05), indicating a significant effect of the Calcium Alginate primary dressing on the acceleration of diabetic ulcer healing during the proliferative phase, thus supporting its use in enhancing the healing process of diabetic ulcers in this phase.

Analysis Analysis of Factors Influencing Student Anxiety in Facing the OSCE Exam: A Study on Diploma Among Nursing Students at STIKES Kamus Arunika

2026-04-25T07:40:48+00:00

Anxiety in facing the Objective Structured Clinical Examination (OSCE) remains a significant challenge for nursing students. Recent studies show that anxiety among nursing students facing the OSCE is high. The report shows that 75.5% of students experienced moderate anxiety when facing the OSCE. This study aimed to analyze the influence of self-efficacy, academic readiness, academic motivation, and social support on students’ anxiety. A cross-sectional correlational design was used, involving 94 Diploma in Nursing students at STIKES Kamus Arunika. Data were collected using structured questionnaires and analyzed using Pearson correlation and multiple linear regression. The results showed that anxiety levels were categorized as moderate in 62 students (66.0%), high in 27 students (28.7%), and low in 5 students (5.3%). All independent variables were significantly negatively correlated with anxiety, with self-efficacy showing the strongest relationship (r = -0.345, p < 0.01). Regression analysis revealed that self-efficacy (β = -0.312; p = 0.001), academic readiness (β = -0.224; p = 0.024), academic motivation (β = -0.215; p = 0.032), and social support (β = -0.162; p = 0.045) were significant predictors, explaining 37.4% of the variance in anxiety (R² = 0.374). These findings highlight the integrated role of psychological, academic, and social factors in shaping student anxiety, with self-efficacy as the most influential determinant. This study contributes an integrative perspective and suggests that targeted interventions, including self-efficacy enhancement, structured OSCE preparation, and supportive learning environments, are essential to reducing anxiety and improving student performance.