Window of Health : Jurnal Kesehatan

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

Dedi Irawandi — 2026-04-21

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

Erlinawati Lubis — 2026-04-21

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

Nabilah Nur Hasanah — 2026-04-22

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.