Journal of Indonesian Army Medical and Health Science

Education and Guidance on Choosing Long-Term Contraceptive Methods for Mrs. R G3P2A0 at PMB Suwarti Somad, Bengkulu City: A Case Study

Sintia Indah Tamara — Tue, 03 Feb 2026 00:00:00 +0700

Long-term contraceptive methods (LCMs) are an effective option for spacing or terminating pregnancies, but their use is often hampered by low knowledge and uncertainty in decision-making. This study aims to describe comprehensive midwifery care through education and assistance in selecting LCMs for Mrs. R G3P2A0 from the third trimester to the postpartum period at the Suwarti Somad Independent Midwife Practice (PMB), Bengkulu City. The descriptive case study was conducted from May 21–July 3, 2024, with data collection through interviews, observations, physical examinations, documentation studies, and literature studies; counseling interventions using booklets and Family Planning Decision-Making Tools (ABPK). A 24-year-old client, G3P2A0, expressed her desire to use contraception after giving birth and had a history of previous contraceptive use (condoms and 3-month injections). After receiving education and assistance, the client better understood the LCM option and confidently chose an IUD with a plan to use it after 40 days of the postpartum period. Continuous education and support from pregnancy to postpartum helps clients understand the options for IUDs and strengthens their decision to choose an IUD according to their needs.

Behavior of Communities Along The Air Bengkulu River in Managing Household Waste

Topik Hidayat — Tue, 03 Feb 2026 00:00:00 +0700

A river is a large, elongated water flow that flows continuously from upstream (source) to downstream (estuary). Garbage or household waste is waste that comes from daily activities in the household. People's behavior is less aware of waste disposal, for example there are still many people who throw waste carelessly, such as on the banks of rivers and streams, resulting in negative impacts on the community's environment caused by their own actions which will result in their environment becoming polluted, smelling bad and flooding. as a result of littering. The aim of the research is to determine the behavior of the Air Bengkulu riverside community in managing household waste. The research method for this type of research is descriptive quantitative. The results of the research based on data processing and analysis showed that there was no relationship between attitudes and public perception where p = 1.000, there was a relationship between actions and public perception where p = 0.023. The community's suggestions are expected to better understand the importance of managing household waste to protect it and not pollute the residential environment so that it can cause odors and become a nest for disease.

Analysis Of The Relationship Between Knowledge And Nurse Compliance In The Use Of Personal Protective Equipment (PPE) In The Treatment Room Of Kindergarten Hospital. II Pelamonia Makassar

Ricky Perdana Poetra, Achmad Rival Sangadji, Hastuti Hastuti, Darmawati Junus — Tue, 03 Feb 2026 00:00:00 +0700

Background, The proper use of Personal Protective Equipment (PPE) by nurses is an important part of ensuring occupational safety and preventing nosocomial infections in hospitals both for the safety of nurses and the safety of patients and visitors. Research Objectives, for the analysis of the relationship between knowledge and nurse compliance in the use of Personal Protective Equipment (PPE) in the Inpatient Room of Tk. II Pelamonia Makassar Hospital. Method, This study is a quantitative descriptive research with a cross-sectional approach. The determination of population and sample in this study uses the total sampling technique so that the population and sample in this study are 145 people. Results and Conclusions, This study was conducted in the Inpatient Room of Pelamonia Hospital Class II Makassar using univariate and bivariate analysis. The results of the bivariate test in this study showed that there was no influence between knowledge in the know dimension and the level of compliance with the use of Personal Protective Equipment (PPE) (p-value 0.098), there was an influence between knowledge in the comprehension dimension (p-value 0.003). Suggestion, Level II Hospital 14.05.01 Pelamonia Makassar, should increase supervision of nurses in the use of Personal Protective Equipment (PPE) in inpatient rooms, especially the use of masks and handscool when performing nursing actions.

Analysis of Volumetric Modulated Arc Therapy (VMAT) Radiotherapy in Cases Of Tongue Cancer at Mrccc Siloam Semanggi Hospital

Rizki Syafiq Nabilah, Ni Putu Rita Jeniyanthi, I Putu Andreana — Tue, 03 Feb 2026 00:00:00 +0700

At MRCCC Siloam Hospital, the technique for Volumetric Modulated Arc Therapy (VMAT) in tongue cancer uses fixation masks and tongue spatulas. Although the use of these fixation devices is common, further research is needed to evaluate their effectiveness more deeply and understand their impact on treatment outcomes and patient quality of life. This study uses a descriptive method with a case study approach, involving the evaluation of fixation devices, such as tongue spatulas, used to maintain patient position stability during radiation. Research shows that the use of a tongue depressor is effective in improving radiation accuracy, reducing doses to organs at risk (OAR), and clarifying the tumor area. This enhances radiation accuracy and reduces risks to healthy tissues. This makes the treatment more effective in destroying cancer cells. This research is expected to contribute to the development of standard radiotherapy procedures for tongue cancer patients, particularly in the use of VMAT techniques. The implementation of Volumetric Modulated Arc Therapy (VMAT) in the treatment of tongue cancer at MRCCC Siloam Hospital has demonstrated significant improvements in treatment accuracy and patient outcomes. The study underscores the effectiveness of fixation devices, particularly the tongue spatula, in enhancing radiation delivery while minimizing exposure to surrounding healthy tissues. These findings advocate for the routine use of VMAT and appropriate fixation techniques in clinical practice, ultimately contributing to better disease control and improved quality of life for patients with tongue cancer.

Relationship Between Nurse Compliance and Implementation of Five Moments Hand Hygiene in Preventing HAIs at Pelamonia TK.II Hospital Makassar 2025

Fauziah Botutih — Tue, 03 Feb 2026 00:00:00 +0700

Healthcare Associated Infections (HAIs) are infections acquired by patients during care in a healthcare facility that were neither present nor incubating at the time of admission. HAIs may also affect healthcare workers as a result of medical services. Nurses’ compliance with the implementation of the Five Moments for Hand Hygiene is a key preventive measure against HAIs. At Pelamonia Hospital TK.II 14.05.01 Makassar, nurse compliance with hand hygiene protocols from 2022 to 2024 did not fully meet the quality indicator target of ≥85%. For instance, in February 2022, compliance rates in the operating room and maternity ward were below 85%, and in May 2022, the neonatal unit also fell below this standard.Objective: To determine the relationship between nurse compliance and the implementation of the Five Moments for Hand Hygiene in addressing HAIs at Pelamonia Hospital TK. II 14.05.01 Makassar. Methods: This study used a descriptive quantitative design with a cross-sectional approach. A total of 146 nurses were selected using a probability sampling method with stratified random sampling. Data were collected through questionnaires and analyzed using the Chi-square test in SPSS. Results and Conclusion: There was a significant relationship between nurse compliance and several variables: education (p=0.000), length of service (p=0.000), knowledge (p=0.000), attitude (p=0.000), and motivation (p=0.000) regarding the implementation of the Five Moments for Hand Hygiene in preventing HAIs. Recommendation: It is recommended that the hospital provide regular education and training for nurses on the Five Moments for Hand Hygiene to enhance compliance and reduce the risk of HAIs