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Jurnal Aisyah : Jurnal Ilmu Kesehatan

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Published by Universitas Aisyah Pringsewu

ISSN : 25024825 EISSN : 25029495 DOI : 10.30604/jika

Core Subject : Health,

Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

Jurnal Aisyah: Jurnal Ilmu Kesehatan (JIKA), with registered number ISSN 2502-4825 (Print) and ISSN 2502-9495 (Online), is an international peer-reviewed journal published two times a year (June and December) by Universitas Aisyah Pringsewu (UAP) Lampung. JIKA is intended to be the journal for publishing articles reporting the results of research on Health Science field especially Nursing and Midwifery, as well as with their development through interdisciplinary and multidisciplinary approach. The submission process of the manuscript is open throughout the year. All submitted manuscripts will go through the blind peer review and editorial review before being granted with acceptance for publication.

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Combination of Breast Care and Moringa Leaf Tea to Increase Breast Milk Volume Maineny, Arie; Taqwin, Taqwin; Sakti, Putri Mulia
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No S1: Supplement
Publisher : Universitas Aisyah Pringsewu

A small amount of breast milk at the beginning of breastfeeding is one of the problems that mothers often experience during the puerperium. Caring for the breasts during pregnancy can help produce milk. Moringa leaf tea can help breast milk production because it contains phytosterol chemicals which have the effect of Lagtogogum, in increasing milk production. The purpose of the study was to determine the combination of breast care and Moringa leaf tea in increasing the volume of breast milk. The design of this study was a pre-experimental one-group pre-test and post-test. Purposive sampling was used to take samples of postpartum mothers on the first day. Wilcoxon test was used in univariate and bivariate analysis. The results of the study on 15 respondents, 2 (13.3%) breast milk production was smooth and 13 (86.7%) was not smooth before getting breast care and Moringa leaf steeping water. Smooth milk production 13 (86.7%), and 2 (13.3%) substandard, after receiving breast care and Moringa leaf tea. Wilcoxon test value of P = 0.001 (p less than 0.05). Postpartum mothers produce more milk on the first day when they combine breast care with Moringa leaf tea. Abstrak: ASI yang sedikit pada awal menyusui merupakan salah satu masalah yang sering dialami ibu pada masa nifas. Merawat payudara saat hamil dapat membantu produksi ASI. Teh daun kelor dapat membantu produksi ASI karena mengandung zat kimia fitosterol yang memiliki efek Lagtogogum, dalam meningkatkan produksi ASI. Tujuan penelitian untuk mengetahui kombinasi perawatan payudara dan teh daun kelor dalam meningkatkan volume ASI. Desain penelitian ini adalah pre-experimental one group pre-test and post-test. Purposive sampling digunakan untuk mengambil sampel ibu nifas pada hari pertama. Uji Wilcoxon digunakan dalam analisis univariat dan bivariat. Hasil penelitian terhadap 15 responden, 2 (13,3%) produksi ASI lancar dan 13 (86,7%) tidak lancar sebelum mendapatkan perawatan payudara dan air seduhan daun kelor. Produksi ASI lancar 13 (86,7%), dan 2 (13,3%) kurang lancar, setelah mendapat perawatan payudara dan teh daun kelor. Uji Wilcoxon nilai P = 0,001 (p kurang dari 0,05). Ibu nifas menghasilkan lebih banyak ASI pada hari pertama ketika mereka menggabungkan perawatan payudara dengan teh daun kelor.

Metabolic Syndrome Induced by Hipercalory Diet in Wistar Rats: impact on diabetic risk, dyslipidemia and hypertension complication Dimas Thoriq Muhammad Iqbal; Fadlina Chany Saputri; Abdul Mun’im; Vicko Suswidiantoro
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No S1: Supplement
Publisher : Universitas Aisyah Pringsewu

Objective: Metabolic syndrome is a group of metabolic disorders that are usually found in individuals with a high risk of type 2 diabetes mellitus (T2DM) and cardiovascular disease. Comparison of diet composition, especially macronutrients, over a certainperiode in both humans and experimental animals can allegedly increase the risk of metabolic syndrome. This study aims to determine the use of a hypercaloric diet that can cause metabolic syndrome in male Wistar rats. Methods: The hypercaloric diet was administered orally in pellets and oral solution to rats for 16 weeks. Analysis of the condition of the metabolic syndrome was carried out by looking at the increase in serum levels of total cholesterol, triglycerides and decreased HDL levels. Fasting blood sugar and fasting insulin levels were also seen to increase and blood pressure testing was carried out to see an increase in blood pressure after 16 weeks of giving a hypercaloric diet. Results: Administration of a hypercaloric diet showed an increased risk of metabolic syndrome in rats. Administration for 16 weeks showed a significant difference in the improvementofs conditions of dyslipidemia, insulin resistance and hypertension. Conclusion: Based on the results, a hypercaloric diet for 16 weeks can cause metabolic syndrome in rats. Abstrak: Objektif: Sindrom metabolik adalah sekelompok kelainan metabolik yang biasanya ditemukan pada individu dengan risiko tinggi diabetes militus tipe 2 (T2DM) dan penyakit kardiovaskular. Perbandingan komposisi diet khususnya makronutrien, dalam jangka waktu tertentu baik pada manusia maupun hewan coba disinyalir dapat meningkatkan resiko dari sindroma metabolik. Penelitian ini bertujuan untuk menentukan penggunaan diet hipercalori yang dapat menyebabkan kondisi sindrome metabolikpada tikus Wistar jantan. Metode:diet hiperkalori diberikan secara oral dalam bentuk pelet dan larutan oral pada tikus selama 16 minggu. Analisis terhadap kondisi syndrome metabolic dilakukan dengan melihat peningkatan kadar serum kolesterol total, trigliserida dan penurunan kadar HDL. Kadar gula darah puasa dan insulin puasa juga dilihat peningkatannya serta dilakukan pengujian tekanan darah untuk melihat terjadinya peningkatan tekanan darah setelah 16 minggu pemberian diet hiperkalori. Hasil: Pemberian diet hiperkalori menunjukkan adanya peningkatan risiko sindrom metabolic pada tikus. Pemberian selama 16 minggu menujukkan adanya perbedaan signifikan pada peningkatan kearah kondisi dyslipidemia, resistensi insulin dan hipertensi. Kesimpulan: Berdasarkan hasil, pemberian diet hiperkalori selama 16 minggu dapat menyebabkan terjadinya kondisi sindrom metabolic pada tikus

The mental workload of primary health care workers during a covid-19 pandemic Rohmani, Ngatoiatu; Azizah, Fajriyati Nur
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No S1: Supplement
Publisher : Universitas Aisyah Pringsewu

Public health centre plays a role in monitoring the implementation of prevention, detection, and response to the COVID-19 pandemic at the individual, family, and community level. This situation may impact the workload for healthcare workers (HCWs). Thus, HCWs are at a high risk of experiencing severe mental problems due to increased exposure to the coronavirus, separation from family, and unclear situations.The study aims to explore the mental workload of healthcare workers during the novel coronavirus disease 2019 (COVID-19) pandemic. NASA-TLX has been used to measure the mental workload of 55 HCWs at the public health center and distributed directly to them between March and April 2021. The mental workload of HCWs was high. The most important dimensions of mental workload were mental demand, and physical demand. Among HCWs, midwives had the highest workload. Males had higher scores of mental workload compared to females. However, females had higher frustration scores than males. Health workers who worked in the emergency unit had higher scores of mental and physical demand compared to the poly unit. A significant correlation was observed between mental demand and the work unit (r = -0.35, p = 0.009). This study suggests that attention should be paid to the psychological well-being of HCWs. Mental support and intervention need to be taken by the government or related parties to reduce the mental workload of health workers during the COVID-19 pandemic.Abstrak: Puskesmas berperan dalam pemantauan pelaksanaan pencegahan, deteksi, dan penanggulangan pandemi COVID-19 di tingkat individu, keluarga, dan masyarakat. Situasi ini tentunya berdampak pada beban kerja para petugas kesehatan yang bertugas di Puskesmas. Dengan demikian, petugas kesehatan berisiko tinggi mengalami masalah mental yang parah akibat peningkatan paparan virus corona, perpisahan dari keluarga, dan situasi yang tidak jelas. Penelitian ini bertujuan untuk mengeksplorasi beban kerja mental petugas kesehatan selama pandemi novel coronavirus 2019 (COVID-19). NASA-TLX telah digunakan untuk mengukur beban kerja mental 55 petugas kesehatan di Puskesmas dan didistribusikan secara langsung kepada responden pada bulan Maret – April 2021. Hasil penelitian menunjukkan bahwa petugas kesehatan memiliki beban kerja mental yang tinggi . Dimensi yang memiliki skor tinggi dari beban kerja mental adalah tuntutan mental, dan tuntutan fisik. Di antara petugas kesehatan, bidan memiliki beban kerja tertinggi. Laki-laki memiliki skor beban kerja mental yang lebih tinggi dibandingkan dengan perempuan. Namun, perempuan memiliki skor frustrasi yang lebih tinggi daripada laki-laki. Tenaga kesehatan yang bekerja di unit gawat darurat memiliki skor tuntutan mental dan fisik yang lebih tinggi dibandingkan dengan unit poli. Ada hubungan yang signifikan antara tuntutan mental dan unit kerja (r = -0,35, p = 0,009). Penelitian ini mengindikasikan bahwa perlu adanya perhatian terkait kesejahteraan psikologis bagi petugas kesehatan. Dukungan sosial dan intervensi mental perlu dilakukan oleh pemerintah atau pihak terkait untuk mengurangi beban kerja mental tenaga kesehatan di masa pandemi COVID-19

Education about hypertension management by telenursing during the covid 19 pandemic Olfah, Yustiana; Widyastuti, Tri; Anindya, Agninda Kris
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No S1: Supplement
Publisher : Universitas Aisyah Pringsewu

Hypertension is one of the non-communicable diseases (NCD) whose prevalence is still high becomes a health problem in the world. Health education with telenursing is an effort to increase knowledge and awareness of hypertension sufferers about their health. Telenursing includes technology system that can be used in providing nursing to prevent the risk of exposure to the Covid 19 virus in health service. The purpose of this study was to determine the effect of health education by telenursing on knowledge in patients with hypertension at the Mandiraja 2 Health Center. This type of research used a Quasi Experiment Pretest-Posttest Control Group Design. The sample is patients with hypertension in the Prolanis program at the Mandiraja 2 Health Center as many as 44 people with a total sampling. The research was conducted on March 30 – April 2, 2022 in the Working Area of the Mandiraja 2 Public Health Center, Banjarnegara Regency. The processed data was statistically tested using the Wilcoxon Signed Ranks Test and the Mann Whitney. The results showed that the value of the Wilcoxon Signed Ranks Test in the experimental group was p = 0.000 and in the control group p = 0.014.test results Mann Whitney obtained p value = 0.005. The test results show that there is an effect of health education by telenursing on knowledge about hypertension in hypertension sufferers at Mandiraja 2 Health Center. Abstrak: Hipertensi adalah salah satu Penyakit Tidak Menular (PTM) yang prevalensinya masih tinggi sehingga menjadi masalah kesehatan di dunia. Edukasi kesehatan dengan telenursing merupakan salah satu upaya dalam meningkatkan pengetahuan dan kesadaran penderita hipertensi mengenai kesehatannya. Telenursing termasuk sistem teknologi yang bisa digunakan dalam pemberian asuhan keperawatan dengan jarak jauh sehingga dapat mencegah resiko paparan virus Covid 19 di layanan kesehatan. Tujuan penelitian ini untuk mengetahui pengaruh edukasi kesehatan dengan telenursing terhadap pengetahuan tentang hipertensi pada penderita hipertensi di Puskesmas Mandiraja 2. Jenis penelitian ini menggunakan desain penelitian Quasi Experiment Pretest-Posttest Control Group Design. Sampel dalam penelitian ini yaitu penderita hipertensi pada program Prolanis di Puskesmas Mandiraja 2 sebanyak 44 orang dengan total sampling. Penelitian dilaksanakan pada 30 Maret – 2 April 2022 di Wilayah Kerja Puskesmas Mandiraja 2 Kabupaten Banjarnegara. Data yang telah diolah dilakukan uji statistik menggunakan Uji Wilcoxon Signed Ranks Test dan Uji Mann Whitney. Diperoleh hasil bahwa nilai Uji Wilcoxon Signed Ranks Test pada kelompok eksperimen yaitu p = 0,000 dan pada kelompok kontrol p = 0,014. Hasil Uji Mann Whitney diperoleh nilai p = 0,005. Hasil uji tersebut menunjukan bahwa terdapat pengaruh edukasi kesehatan dengan telenursing terhadap pengetahuan tentang hipertensi pada penderita hipertensi di Puskesmas Mandiraja 2

Factors Influencing Work Motivation of Nurses in military Hospitals Dr. Midiyato Suratani Tanjungpinang Deby Zulkarnain Rahadian Syah; Budi Anna Keliat; Hanny Handiyani; Eva Eva; Agnes Defi; Agnes Rini; Susana Helen Tanlain
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No S1: Supplement
Publisher : Universitas Aisyah Pringsewu

This study identified the factors that influence nurses' work motivation. The method used is quantitative analysis with a questionnaire instrument of respondent characteristics, leadership style, and nurse work motivation. The respondents were 65 nurses at the Dr. Midiyato Suratani Tanjungpingang Hospital. Univariate results showed that most of the respondents were women at 92,3%, education level was 60% D3 Nursing, employee status was 53,8% PNS, length of service was 11 to 15 years 38,5%, and the average age was 36 years. The results of the bivariate test of leadership style affect work motivation with a p-value of 0,001, the highest perception of leadership style is consultative with a mean of 107.5. That which has the highest impact on motivation with a mean of 110,8 is a democratic leadership style. Meanwhile, age does not affect motivation with a p-value of 0,486, including an education p-value of 0,533. Employee status affects motivation with a p-value of 0,002, then the length of work with a p-value of 0,039. The results of the multivariate analysis showed that employee status had the most significant effect on the work motivation of nurses 0,006. The conclusion is that the status of civil servants is the main motivation for nurse performance rather than leadership style, age and length of service. It is suggested to the hospital that the status of employees who are still PTT can be appointed as civil servants, then for the head of the nursing room can use a democratic leadership style to increase the work motivation of the nurses. Abstrak: Penelitian ini mengidentifikasi faktor-faktor yang memengaruhi motivasi kerja perawat. Metode yang digunakan adalah analitik kuantitatif dengan instrumen kuesioner karakteristik responden, gaya kepemimpinan, dan motivasi kerja perawat. Jumlah responden adalah 65 orang perawat pelaksana di RS Angkatan Laut Dr. Midiyato Suratani Tanjungpingang. Hasil univariat didapatkan responden sebagian besar perempuan sebesar 92,3%, tingkat pendidikan 60% D3 Keperawatan, status pegawai 53,8% PNS, lama kerja 11 sampai 15 tahun 38,5% dan umur rata-rata 36 tahun. Hasil uji bivariat gaya kepemimpinan memengaruhi motivasi kerja dengan p value 0,001 dan persepsi tertinggi gaya kepemimpinan adalah konsultatif dengan mean 107,5, dan yang berdampak pada motivasi tertinggi dengan mean 110,8 adalah gaya kepemimpinan demokratik. Adapun usia tidak memengaruhi motivasi dengan p value 0,486, termasuk pendidikan dengan p value 0,533. Status pegawai memengaruhi motivasi dengan p value 0,002, kemudian lama kerja dengan p value 0,039. Hasil analisis multivariat didapatkan status pegawai paling signifikan memengaruhi motivasi kerja perawat 0,006. Kesimpulannya adalah faktor status pegawai menjadi PNS merupakan motivasi kinerja perawat yang utama daripada gaya kepemimpinan, usia dan lama kerja. Disarankan kepada pihak rumah sakit bahwa status pegawai yang masih PTT bisa diangkat menjadi PNS, kemudian bagi kepala ruangan keperawatan dapat menggunakan gaya kepemimpinan demokratik untuk meningkatkan motivasi kerja perawatnya

Coverage of maternal health services to maternal mortality ratio moderated by public health center accreditation status and causes of maternal death Sejati, Eka Nur; Rosa, Elsye Maria
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No S1: Supplement
Publisher : Universitas Aisyah Pringsewu

Maternal mortality is a benchmark in monitoring maternal health globally, the quality of reproductive health services in general, and the country's development towards the Sustainable Development Goals. The purpose of this study was to determine the effect of maternal health service coverage on the Maternal Mortality Ratio (MMR) moderated by the accreditation status of public health centers (PHC) and the causes of maternal mortality. This research is a quantitative analytic method of observational cross-sectional design. The research subjects included all pregnant women, mothers in labor, and postpartum mothers in Indonesia in 2020 with a total sampling technique. The data on the results of health program achievements in Indonesia in 2020, conducted a path analysis using the SmartPLS program. The coverage of maternal health services had a significant negative effect of 54.9% on the MMR (p=0.036) and a significant positive effect of 59.2% on the accreditation status of PHC (p=0.002). The accreditation status of PHC and causes of maternal death did not significantly affect the MMR (p=0.632; p=0.531). The coverage of maternal health services mediated by the accreditation status of PHC did not significantly affect the MMR (p=0.657). The coverage of maternal health services moderated by the accreditation status of PHC and causes of maternal death did not significantly affect the MMR (p=0.643; p=0.318). Increasing the coverage of maternal health services can reduce the MMR and improve the accreditation of PHC. The results of this study can be used as material for evaluation and motivation to increase the coverage of maternal health services in PHC.Abstrak: Kematian ibu merupakan tolak ukur dalam memonitor kesehatan ibu secara global, kualitas pelayanan kesehatan reproduksi secara umum, dan perkembangan negara dalam Sustainable Development Goals (SDGs). Tujuan penelitian ini adalah untuk mengetahui pengaruh cakupan pelayanan kesehatan maternal terhadap rasio kematian ibu dimoderasi oleh status akreditasi Puskesmas dan penyebab kematian ibu. Penelitian ini merupakan kuantitatif metode analitik observasional desain cross sectional. Subjek penelitian meliputi seluruh ibu hamil, ibu bersalin, dan ibu nifas di Indonesia pada tahun 2020 dengan teknik total sampling. Data hasil capaian program kesehatan di Indonesia pada tahun 2020 dilakukan analisis jalur menggunakan program SmartPLS. Cakupan pelayanan kesehatan maternal berpengaruh negatif signifikan 54,9% terhadap rasio kematian ibu (p=0,036) dan berpengaruh positif signifikan 59,2% terhadap status akreditasi Puskesmas (p=0,002). Status akreditasi Puskesmas dan penyebab kematian ibu tidak berpengaruh signifikan terhadap rasio kematian ibu (p=0,632; p=0,531). Cakupan pelayanan kesehatan maternal yang dimediasi oleh status akreditasi Puskesmas tidak berpengaruh signifikan terhadap rasio kematian ibu (p=0,657). Cakupan pelayanan kesehatan maternal yang dimoderasi oleh status akreditasi Puskesmas dan penyebab kematian ibu tidak berpengaruh signifikan terhadap rasio kematian ibu (p=0,643; p=0,318). Peningkatan cakupan pelayanan kesehatan maternal dapat menurunkan rasio kematian ibu dan meningkatkan status akreditasi Puskesmas. Hasil penelitian ini dapat dijadikan sebagai bahan evaluasi dan motivasi untuk meningkatkan cakupan pelayanan kesehatan maternal di Puskesmas.

Factors affecting hemodialysis adequacy in patients undergoing hemodialysis: a cross-sectional study Wayunah, Wayunah; Saefulloh, Muhammad; Yanganto, Yanganto
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No S1: Supplement
Publisher : Universitas Aisyah Pringsewu

Hemodialysis is the most preferred renal replacement therapy for patients with chronic kidney failure worldwide. The indicator of the success of hemodialysis therapy is the fulfillment of the adequacy of the hemodialysis dose as measured by Kt/V. Many factors affect the adequacy of hemodialysis, including internal factors and external factors of the patient. This study aimed to analyze the factors that affect the adequacy of hemodialysis in patients undergoing hemodialysis at Indramayu Hospital. Research design using a cross-sectional approach. The sample in this study was 44 respondents who were taken based on purposive sampling. The result showed that the average Kt/V was 1.71 with the lowest Kt/V value being 0.76 and the highest Kt/V being 2.33. Of 44 respondents, 24 (54.5 %) found adequacy achieved, and 20 (45.5 %) respondents did not achieve adequacy. Factors related to hemodialysis adequacy are gender (p=0.000; OR=4.0), dry weight (p=0.006; OR=7.286), dialyzer reuse (p=0.005; OR=8.000), and quick of blood (p=0.38; OR=4.5). Suggestions for hemodialysis nurses to be able to evaluate, especially the use of dialyzer reuse no more than 4 times, and maintain a quick blood speed of at least 250 ml/minute to achieve adequacy. Abstrak: Hemodialisa merupakan terapi pengganti ginjal yang paling banyak dipilih untuk penderita gagal ginjal kronik di seluruh dunia. Indikator keberhasilan terapi hemodialisa adalah terpenuhinya kecukupan dosis hemodialisa yang diukur dengan Kt/V. Ada banyak faktor yang mempengaruhi adekuasi hemodialisa, diantaranya faktor internal dan factor eksternal pasien. Tujuan penelitian ini adalah untuk menganalisis factor-faktor yang mempengaruhi adekuasi hemodialisa pada pasien yang menjalani hemodialisa di RSUD Indramayu. Desain penelitian menggunakan pendekatan cross-seksional. Sampel dalam penelitian ini berjumlah 44 responden yang dipilih berdasarkan purposive sampling. Hasil penelitian diketahui rata-rata Kt/V adalah 1,71 dengan nilai Kt/V terendah adalah 0,76 dan Kt/V tertinggi adalah 2,33. Dari 44 responden ditemukan sebanyak 24 (54,5 %) responden adekuasi tercapai, dan 20 (45,5 %) responden adekuasi tidak tercapai. Faktor yang berhubungan dengan adekuasi hemodialisa adalah faktor jenis kelamin (p=0,000; OR 4,0), berat badan kering (p=0.006; OR 7.286), dialyzer reuse (p=0.005; OR=8.000), dan quick of blood (p=0.38; OR=4.5). saran ditujukan untuk perawat hemodialisa agar dapat melakukan evaluasi terutama penggunaan dializer reuse tidak lebih dari 4 kali, serta mempertahankan kecepatan quick of blood minimal 250 ml/menit agar adekuasi tercapai

The Effect of Grhasia Sadewa on the Response Time of Requests for People with Mental Disorders Evacuation at Grhasia Hospital Yogyakarta Sudiharja, Sudiharja; Nugraha, Priyanta; Pramono, Hadi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No S1: Supplement
Publisher : Universitas Aisyah Pringsewu

Background: The prevalence of severe mental disorders in Indonesia have increased, as well as in the Special Region of Yogyakarta. Healthy Indonesia Program Data with a Family Approach shows that only 46% of people with mental disorders in Yogyakarta receive care and treatment. Grhasia Hospital as a hospital with mental health specialization owned by the Special Region of Yogyakarta Government carried out an innovation based on digital technology which was named Grhasia Ready to Evacuate People with Mental Disorders (Grhasia Sadewa). Grhasia Sadewa is expected to facilitate access to referrals and reduce the length of the people with mental disorders evacuation process that has been carried out so far. Purpose: Determine the effect of Grhasia Sadewa on the response time of requests for people with mental disorders evacuation at Grhasia Hospital Yogyakarta. Methods: This study uses a quasi-experimental posttest-only design with a control group. The research participants were 64 users of people with mental disorders evacuation services at Grhasia Hospital in 2021-2022. Data were obtained secondary from service documentation at Grhasia Hospital. Data analysis using the Mann-Whitney test. Results: The mean response time to requests for evacuation for people with mental disorders in the group not using the Grhasia Sadewa application was 4924.60 minutes, while the mean for the group using the Grhasia Sadewa application was 373.43 minutes. The results of the Mann-Whitney Test show p value = 0.00 (less than 0.05) so it can be concluded that there is an effect of Grhasia Sadewa on the response time of requests for people with mental disorders evacuation at Grhasia Hospital Yogyakarta. Conclusion: The response time for evacuation requests for people with mental disorders is faster after Grhasia Sadewa is applied. Grhasia Sadewa needs to be socialized to the community and health centers in the Special Region of Yogyakarta to facilitate access to mental health services for the community.

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Contact Name Hamid Mukhlis

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Editorial Address Jalan A. Yani 1A Tambahrejo Gadingrejo Kab. Pringsewu Kode Pos: 35372, Phone: 0729 7081587

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Contact Name
Hamid Mukhlis

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me@hamidmukhlis.id

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+6281325790254

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me@hamidmukhlis.id

Editorial Address
Jalan A. Yani 1A Tambahrejo Gadingrejo Kab. Pringsewu Kode Pos: 35372, Phone: 0729 7081587

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