Background and objective Maternal healthcare utilization by young women and adolescent girls is associated with maternal health outcomes and plays a critical role in reducing maternal mortality rates in low- and middle-income countries. This study sought to analyze current data on antenatal care (ANC), intranatal care (INC), and postnatal care (PNC) utilization with a focus on mothers aged 15–24 years in Indonesia. Methods This study was a secondary analysis of data from the 2017 Indonesian Demographic and Health Survey. The unit data analyzed 2,584 mothers aged 15–24 years who had delivered babies within the five-year period preceding the survey. Bivariate analysis and multiple logistic regression utilizing descriptive statistics were used to explore correlations between the independent variables and ANC, INC, and PNC visits. Results Among the mothers included in the study, the prevalence of service utilization was 90.9% for ANC, 79.4% for INC, and 68.9% for PNC. Women’s age, education level, number and birth order of children, difference in age between the mother and her husband, her husband’s occupation, wealth index, access to the health service, and regional factors were significantly associated with the utilization of ANC, INC, and PNC services. Conclusion This study provides insights for policymakers on how to strengthen healthcare policies and laws with the aim to improve maternal healthcare services for mothers aged 15–24 years. To improve maternal healthcare utilization among young mothers, national policy should focus on service equality, accessibility, and reliable implementation.

Introduction: Diabetes Mellitus (DM) is one of the incurable cronic diseases. The patient's dietary obedience is a principal component in diabetes treatment success. One of the efforts to increase dietary obedience behavior in type 2 Diabetes Mellitus patients is using a Diabetes Self Management Education (DSME) principles approach. Diabetes Self Management Education (DSME) is the ongoing process of facilitating knowledge, skill and ability necessary for diabetes self care. The purpose of this study was to analyze the influence of DSME principles approach toward the dietary obedience behavior that consists of knowledge, attitude, and practice aspects in patients with type 2 Diabetes Mellitus at Puskesmas Kebonsari Surabaya. Methods: A quasy experimental design was used in this study with 24 people as the sample which taken by using purposive sampling and divided into two groups (treatment and control group). A structured questionnaire and daily meal note for seven days were used to collect the data. The data were analyzed by using Wilcoxon signed rank test and Mann Whitney U test with significant level α≤0.05. Result: The results showed that there was an influence of DSME principles approach after being applied to the treatment group and control group toward the dietary knowledge with the value of p=0.004 and p=0.083 respectively, the attitude of dietary obedience with p=0.025 and p=0.083 and the dietary obedience practice with p=0.002 and p=0.564. Discussion: The study showed that DSME approach had a significant influence toward the dietary obedience behavior in type 2 Diabetes Mellitus patients. DSME principles approach used learning based on patient empowerment and behavior strategies. Ongoing support also contributed in maintaining progress achieved so that resulting dietary obedience behavior in type 2 Diabetes Mellitus patients. Larger respondents, more proper instruments and longer duration of study are needed to get a better results of the study concerning diabetic patient's obedience in the future.

Pendahuluan: Penggunaan smartphone yang berlebihan dan tidak terkontrol pada remaja dapat menimbulkan kecanduan bagi penggunanya. Salah satu pengaruh negatif dari hal tersebut adalah terjadinya kecemasan sosial. Tujuan dari penelitian ini adalah untuk menganalisis hubungan smartphone addiction dengan kecemasan sosial pada remaja.Metode: Metode penelitian ini menggunakan desain analisis deskriptif dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah remaja pengguna smartphone di SMA X Sidoarjo. Jumlah sampel penelitian ini sebanyak 289 responden dari 1681 siswa menggunakan simple random sampling. Variabel independen dalam penelitian ini adalah smartphone addiction, sedangkan variabel dependen adalah kecemasan sosial. Data diperoleh dengan instrumen kuesioner Smartphone Addiction Scale (SAS) dan kuesioner Social Anxiety Scale for Adolescent (SAS-A), dianalisis menggunakan spearman’s rho dengan signifikansi < 0,05.Hasil: Hasil uji statistik menunjukkan nilai p = 0,000 dan nilai r = 0,255 yang berarti terdapat hubungan smartphone addiction dengan kecemasan sosial pada remaja di SMA X Sidoarjo, koefisien korelasi bertanda positif memiliki makna bahwa semakin tinggi smartphone addiction maka kecemasan sosial juga akan semakin tinggi.Kesimpulan: Remaja yang mengalami smartphone addiction selalu gagal dalam mengontrol penggunaan smartphone dan menganggap bahwa smartphone merupakan hal yang penting, sedangkan smartphone addiction dapat menimbulkan kecemasan sosial berupa ketakutan akan evaluasi negatif oleh orang lain. Perawat perlu melakukan pendidikan kesehatan terhadap remaja terkait smartphone addiction dan dampak negatif yang ditimbulkan. ABSTRACTIntroduction: Excessive and uncontrolled use of smartphones in adolescents can cause addiction to users. One negative influence on uncontrolled smartphone use is the occurrence of social anxiety. The purpose of this study was to analyze the relationship between smartphone addiction and social anxiety in adolescents.Method: This research method uses descriptive analysis design with cross sectional approach. The population in this study were adolescents of smartphone users in SMA Antartika Sidoarjo. The number of samples of this study were 289 respondents using probability sampling techniques with a type of simple random sampling. The independent variable in this study is smartphone addiction, while the dependent variable is social anxiety. Data obtained by questionnaire instruments using Smartphone Addiction Scale (SAS) and Social Anxiety Scale for Adolescent (SAS-A), and analyzed using spearmans rho with significance <0.05. Result: The results of the statistical test show the value of p = 0,000 and the value of r = 0,255. The conclusion of this study, there was a relationship between smartphone addiction and social anxiety in adolescents of SMA Antartika Sidoarjo.Conclusion: Adolescents who experience smartphone addiction always fail to control the use of smartphone and assume that smartphone is important, while smartphone addiction can cause social anxiety in the form of fear of negative evaluation by others. Nurses need to do health education for adolescents related to smartphone addiction and the negative effects it causes.

Introduction: The error events in the Intensive Care Unit (ICU) were caused by nurses focusing more towards collaborative intervention with other medical staff and workload documentation which was not optimal. The purpose of this study was to determine the predisposing factors related to the implementation of patient safety in the ICU.Methods: This study was a descriptive analytic correlational study. Sample size was determined by purposive sampling and obtained 26 nurses. The independent variables were the predisposing factors and the dependent variable was the implementation of patient safety.  Instruments used were a questionnaire and observation sheet. Analysis was performed using Spearman's Rho and Logistic Regression.Results: Spearman’s Rho showed there was a significant correlation between knowledge (p=0.019) and attitude (p=0.040) towards implementation of patient safety. There was no significant of motivation (p=0.073) towards the implementation of patient safety. Logistic Regression showed the dominant factor in implementation of patient safety was attitude.Conclusion: Predisposing factors, that include knowledge and attitude, had a significant effect on the implementation of patient safety, but still required high motivation in the implementation of patient safety. In addition to knowledge and good attitude, nurses are expected to improve motivation in the implementation of patient safety.

Introduction: The present study aimed to analyze the effects of aerobic exercise, resistance and a combination of both on blood glucose levels, HbA1c and quality of life for patients with T2DM.Methods: This systematic review used PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). Scopus, Science Direct and PubMed online databases were extensively searched, focusing on the last five years. The search utilized the phrases "diabetes," "physical exercise,” "glucose" and "quality of life." The inclusion criteria in the study regarding the literature was that it had to be an original article, that the source was a journal, that the article was in English and that it was available in full text.Results: We identified 1017 articles where 17 were considered to be relevant for this systematic review. The combination of resistance and aerobic physical exercise seems to have a greater impact on glucose, HbA1c and quality of life. Aerobic exercise, resistance exercise and a combination of both have benefits when it comes to reducing blood glucose levels and HbA1c, as well as improving the quality of life of patients with T2DM.Conclussion: The type and intensity of the exercise chosen for the management of T2DM must be adjusted to the clinical condition and the patient’s individual physical fitness