Jurnal Kesehatan dan Kedokteran
type: channel
description: Journal Title : Jurnal Kesehatan dan Kedokteran (JUKEKE) Initials : JUKEKE Frequency : Februari, Juni, dan Oktober Print ISSN : 2829-0437 Online ISSN : 2829-050X Editor in Chief : Dr. Abdul Muchlis DOI : 10.56127 Publisher : Asosiasi Dosen Muda Indonesia Sponsored : (Kami Memasang Tarif Untuk Iklan Disini Harap Hubungi ADMIN) Jurnal Kesehatan dan Kedokteran (JUKEKE), ISSN: 2829-0437 (cetak), ISSN: 2829-050X (online) adalah jurnal yang ditujukan untuk publikasi artikel ilmiah yang diterbitkan oleh Asosiasi Dosen Muda Indonesia dan di payungi Oleh Yayasan Dosen Muda Indonesia. saat ini sudah terakreditasi SINTA 5 Sampai 2027 sesuai dengan keputusan Direktur Jendral Pendidikan Tinggi, Riset dan Teknologi Nomer 10/C/C3/DT.05.00/2025. Jurnal Ilmiah Kesehatan dan Kedokteran menyajikan hasil penelitian dan tinjauan pustaka sehingga jurnal ini bermanfaat bagi dokter, pengambil kebijakan, tenaga kesehatan, dosen serta mahasiswa yang tertarik dengan publikasi ilmiah terkait Ilmu Kedokteran dan Kesehatan. Jurnal ini diterbitkan 3 (tiga) kali dalam satu tahun yaitu Edisi Februari, Juni, dan Oktober. Indexed by:
publisher: Asosiasi Dosen Muda Indonesia
language: en-US
publication name: Jurnal Kesehatan dan Kedokteran
issn: 2829-0437
items: Application of Group Activity Therapy in Improving Social Interaction Skills in Patients With Social Isolation at UPT Bina Laras Pasuruan
items: Oxygenation and Semi-Fowler Position to Improve Breathing Patterns in Clients with Acute Decompensated Heart Failure (ADHF)
items: Application of the Buerger Allen Exercise (BAE) in Lowering Blood Glucose Levels In Mrs. S With Diabetes Mellitus In Sukoanyar Village, Pakis District, Malang Regency
items: The Role of Self-Compassion in Psychological Well-Being Among Young Adults from Single-Parent Families
items: The Effectiveness of Health Promotion on the Prevention of Urolithiasis
items: Metabolic Dysregulation in Polycystic Ovary Syndrome: The Central Role of Insulin Resistance and Novel Therapeutic Perspectives
items: The Relationship between Husbands’ Knowledge and Support among Working Pregnant Women in Stunting Prevention at RSIA Yasmin Palangka Raya
items: Medication Adherence Associated with Tuberculosis Knowledge and Treatment Duration among Pulmonary Tuberculosis Patients at a TB DOTS Clinic in Jakarta, Indonesia
items: The Relationship Between Patients’ Knowledge and Medication Adherence and Asthma Control at the Pulmonary Clinic of Pasar Minggu Regional General Hospital
items: Effectiveness of Patient Education in Improving Knowledge and Wound-Care Adherence in Diabetic Gangrene and Diabetic Foot Disease: A Systematic Review
items: Case Report: Chronic Suppurative Otitis Media Bilateral
items: The Relationship Between Occupational Safety and Health Management and Workplace Accidents in the Laboratory at Wahidin Sudirohusodo General Hospital, Makassar
items: Antidiabetic Effectiveness of Ethanol Extract from Sweet Mango Leaves (Mangifera indica L. var. Arum Manis) on Blood Glucose Levels in Streptozotocin-Induced Male Mice (Mus musculus L.)
items: The Correlation Between Online Game Addiction and Learning Motivation of Class VII Students at Mts Negeri 1 South Jakarta
items: Dietary Knowledge and Physical Activity Level as Correlates of Excess Weight Categories Among Grade VIII Students: A Cross-Sectional Study at SMPN 271 Jakarta
items: Overview of Postpartum Mothers' Knowledge of Proper Breastfeeding Techniques through WhatsApp-Based Education in Makassar City
items: Occupational Safety Risk Analysis in Printing Area using JSA
items: Fear of Missing Out as a Psychological Predictor of Problematic Internet Use in Emerging Adults: A Cross-Sectional Study
items: The Effect of Young Coconut Water on Blood Pressure in Middle-Aged Adults (45–59 Years) with Hypertension in RT005/RW012, Taman Mangu Indah Residential Area, South Tangerang
items: The Relationship Between Milk Bottle Hygiene and the Incidence of Diarrhea in Infants Aged 0-6 Months: A Study in Gajahan Health Center, Surakarta
items: Patient Safety, Service Quality, and Service Excellence as Predictors of Patient Satisfaction: A Study of Student Perceptions at STIKes Widya Husada Tangerang
items: Healthcare Experience Satisfaction among Generation Z: Quality, Procedures, and Information Access
items: Analysis of Factors Influencing the Implementation of K3 on Employees at the Oksibil Community Health Center
items: Formulation and Evaluation of Anti-Dandruff Hair Mask from Lime Peel Extract (Citrus aurantifolia): Antibacterial Activity, Stability, and Safety Assessment
items: Exploring the Relationship Between Smartphone Addiction and Sleep Quality in Adolescents
items: The Role of Mindfulness as a Psychological Shield Against Impulsive Shopping Online in Young Adults
items: Online Disinhibition Effect Among Early Adult Social Media Users
items: The Relationship Between Duration of Hemodialysis and Level of Depression Among Hemodialysis Patients in Kupang City
items: Midwifery Care Management for Threatened Abortion in Early Pregnancy: A Qualitative Descriptive Study and Document Review at Medan Haji Hospital
items: Impact of Clean and Healthy Living Education on Parental Knowledge and Independence in Supporting Child Growth at Sarfina Johor Clinic, Medan
items: Association Between Anti-Tuberculosis Drug (OAT) Adherence and Tuberculosis Recurrence Among Pulmonary TB Patients at Dr. Pirngadi Regional Hospital, Medan
items: Intermittent Fasting and GERD Symptoms: A Cross-Sectional Study in a Medical Faculty Academic Community
items: Socratic Leaflet Education to Improve Couples’ Knowledge on Long-Term Contraceptive Selection
items: Comparison of Labor Duration by Parity Among Mothers at Rizki Clinic, Medan Tembung District
items: Overview of Hemoglobin Levels in Pregnant Women in the Working Area of Delitua Community Health Center in 2024
items: Therapeutic Communication Phases and Patient Satisfaction in Meeting Basic Care Needs: A Cross-Sectional Study in Inpatient Care
items: The Relationship Between Family Support and Adherence to Hypertension Care Among Older Adults in a Rural Community
items: Respiratory Physiotherapy Management in Pediatric Bronchial Asthma
items: Digital Health Transformation in Public Health Services

Application of Group Activity Therapy in Improving Social Interaction Skills in Patients With Social Isolation at UPT Bina Laras Pasuruan
type: item
description: Social isolation is a major nursing problem in patients with schizophrenia, characterized by withdrawal, limited interaction, and impaired social functioning. This condition may interfere with the rehabilitation process and reduce patients’ ability to adapt socially. Objective: This study aims to evaluate the effectiveness of Group Activity Therapy in improving social interaction skills among patients with social isolation at UPT Bina Laras Pasuruan. Methodology: This study used a case study design involving five patients diagnosed with social isolation. Data were collected through direct observation of behavioral symptoms and communication abilities before, during, and after the intervention. The therapy was conducted over two weeks in 30-minute sessions using the Nursing Action Implementation Strategy and six structured group activity sessions. Findings: The results showed a marked reduction in symptoms of social isolation. Of the nine symptoms identified on the first day, only two remained by the eleventh day, namely limited eye contact and purposeless movements. Patients also showed progressive improvement in verbal and non-verbal communication, including introducing themselves, initiating conversations, maintaining appropriate posture, and participating actively in group activities. Implications: Group Activity Therapy can be applied as an effective non-pharmacological nursing intervention in psychiatric rehabilitation settings to improve social interaction, communication, and interpersonal functioning. Originality: This study provides practical evidence that a structured and staged group therapy approach can produce measurable behavioral improvements in patients with schizophrenia experiencing social isolation.
creator: Astrid Ayu Wuryandari
creator: M. Rosyidul Ibad
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2025-12-06
publication date: 2025-12-06
volume: 5
number: 1
starting page: 01
ending page: 15
doi: 10.56127/jukeke.v5i1.2397

Oxygenation and Semi-Fowler Position to Improve Breathing Patterns in Clients with Acute Decompensated Heart Failure (ADHF)
type: item
description: Acute Decompensated Heart Failure (ADHF) is a cardiovascular emergency commonly characterized by dyspnea, orthopnea, the use of accessory respiratory muscles, and decreased oxygen saturation. These conditions occur due to increased left ventricular pressure and pulmonary congestion, which may lead to an ineffective breathing pattern and require prompt and appropriate nursing interventions. Objective: This study aimed to evaluate the effectiveness of combining oxygen therapy using a nasal cannula and the Semi-Fowler position in improving the breathing pattern of patients with ADHF. Methodology: This research employed a case study design involving three patients treated in the Intensive Cardiac Care Unit (ICCU) of Kanjuruhan Hospital, Malang. Data were collected through clinical observation of respiratory parameters, including dyspnea, orthopnea, use of accessory muscles, respiratory rate, and oxygen saturation over three days of intervention. The data were analyzed descriptively by comparing patients’ conditions before and after the intervention. Findings: The results showed significant improvement in respiratory patterns beginning on the second day, indicated by reduced dyspnea and orthopnea, the absence of accessory muscle use, decreased respiratory rate approaching the normal range, and increased oxygen saturation above 94%. By the third day, all patients demonstrated optimal improvement across all respiratory indicators. Implications: These findings suggest that the combination of oxygen therapy and the Semi-Fowler position can serve as an effective, simple, and practical nursing strategy to reduce respiratory workload, enhance lung expansion, and optimize ventilation–perfusion mechanisms in ADHF patients, particularly in intensive care settings. Originality: This study contributes to the existing literature by highlighting the effectiveness of combining two basic non-invasive nursing interventions in managing ineffective breathing patterns in ADHF patients, ther…
creator: Rizki Mauludiya
creator: Indah Dwi Pratiwi
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2025-12-06
publication date: 2025-12-06
volume: 5
number: 1
starting page: 16
ending page: 23
doi: 10.56127/jukeke.v5i1.2398

Application of the Buerger Allen Exercise (BAE) in Lowering Blood Glucose Levels In Mrs. S With Diabetes Mellitus In Sukoanyar Village, Pakis District, Malang Regency
type: item
description: Diabetes mellitus is a metabolic disorder characterized by persistent hyperglycemia caused by impaired insulin secretion, ineffective insulin action, or both. In addition to pharmacological treatment, supportive non-pharmacological interventions are needed to help control blood glucose levels, especially in patients with circulation problems. Objective: This study aimed to determine the effect of Buerger Allen Exercise (BAE) therapy on reducing blood glucose levels in a patient with diabetes mellitus in Sukoanyar Village, Pakis District, Malang Regency. Method: This study used a qualitative approach with a case study design. Data were collected on May 3–8, 2025. The subject was selected using purposive sampling. Buerger Allen Exercise therapy was administered for 15 minutes over six consecutive days based on the standard operating procedure, and blood glucose levels were measured after each session. Findings: The results showed that the implementation of Buerger Allen Exercise therapy contributed to a reduction in blood glucose levels in the patient with diabetes mellitus. Implications: These findings indicate that Buerger Allen Exercise may be used as a supportive non-pharmacological intervention in diabetes management, particularly in community-based nursing practice. Originality: The originality of this study lies in the application of Buerger Allen Exercise as a simple, low-cost, and practical nursing intervention in a real community setting.
creator: Dini Nurbita
creator: Zaqqi Ubaidillah
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2025-12-09
publication date: 2025-12-09
volume: 5
number: 1
starting page: 24
ending page: 32
doi: 10.56127/jukeke.v5i1.2383

The Role of Self-Compassion in Psychological Well-Being Among Young Adults from Single-Parent Families
type: item
description: Entering young adulthood involves major role transitions and increasing responsibilities that require effective psychological adaptation. For individuals raised in single-parent families, limited parental support and the absence of one parental figure may create additional challenges to achieving psychological well-being. In this context, self-compassion may function as an important internal resource that helps individuals cope with adversity and maintain positive psychological functioning. Objective: This study aimed to examine the role of self-compassion in promoting psychological well-being among young adults from single-parent families. Method: This study employed a quantitative approach with a cross-sectional design. Data were collected through self-report questionnaires from 130 young adults from single-parent families selected using purposive sampling. The data were analyzed using simple linear regression to assess the contribution of self-compassion to psychological well-being. Findings: The results showed that self-compassion had a significant role in predicting psychological well-being (p < 0.05). The coefficient of determination (R²) was 0.481, indicating that self-compassion explained 48.1% of the variance in psychological well-being. In addition, both self-compassion and psychological well-being were found to be at moderate levels among participants. Implications: These findings suggest that strengthening self-compassion may serve as an effective psychological resource to support the well-being of young adults from single-parent families. The results also provide practical implications for counselors, psychologists, and family-based support programs in developing interventions that enhance adaptive coping and emotional resilience. Originality: The originality of this study lies in its focus on young adults raised by a single parent due to parental loss, highlighting self-compassion as a protective factor within this specific population. This study contr…
creator: Wisang, Fellicia Aghata
creator: Nita Sri Handayani
creator: Natalia Konradus
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2025-12-14
publication date: 2025-12-14
volume: 5
number: 1
starting page: 33
ending page: 46
doi: 10.56127/jukeke.v5i1.2375

The Effectiveness of Health Promotion on the Prevention of Urolithiasis
type: item
description: Urolithiasis remains a significant public health problem due to its high recurrence rate and strong association with lifestyle-related risk factors, such as inadequate hydration and unhealthy dietary habits. Preventive efforts through health promotion are therefore essential, not only to reduce recurrence but also to support broader public health goals, including the achievement of Sustainable Development Goal (SDG) 3. Objective: This study aimed to review the effectiveness of health promotion interventions in preventing urolithiasis between 2020 and 2025 and to examine their contribution to achieving SDG 3. Method: This study employed a narrative literature review design using secondary data from articles published between 2020 and 2025. The literature was retrieved from Google Scholar, GARUDA, and university journal portals. Selected studies were analysed descriptively and thematically to identify the types of health promotion interventions and their reported outcomes in urolithiasis prevention. Findings: The review showed that health promotion interventions were effective in improving knowledge, attitudes, and preventive behaviours related to urolithiasis. Community-based and school-based programs increased awareness of adequate hydration, healthy dietary patterns, and water-consumption habits, demonstrating their positive contribution to prevention efforts. Implications: These findings suggest that health promotion is a practical and cost-effective strategy for preventing urolithiasis and may also support broader non-communicable disease prevention initiatives aligned with SDG 3. The integration of digital health approaches is recommended to strengthen program sustainability and encourage long-term behavioural change. Originality: This review provides a focused synthesis of post-2020 evidence on preventive health promotion strategies for urolithiasis. Its value lies in extending the discussion beyond clinical management by offering context-specific insights that…
creator: Yogi Bisma Widawasista
creator: Irma Seliana
creator: Wayan Dhea Agastya
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2025-12-14
publication date: 2025-12-14
volume: 5
number: 1
starting page: 47
ending page: 56
doi: 10.56127/jukeke.v5i1.2389

Metabolic Dysregulation in Polycystic Ovary Syndrome: The Central Role of Insulin Resistance and Novel Therapeutic Perspectives
type: item
description: Polycystic ovary syndrome (PCOS) is a common endocrine disorder with complex reproductive and metabolic consequences that are often not fully addressed by symptom-oriented management strategies. Increasing evidence shows that metabolic dysfunction, particularly insulin resistance and hyperinsulinemia, plays a central role in the pathophysiology of PCOS and contributes to both reproductive and systemic abnormalities. Objective: This study aimed to review and synthesize recent evidence on the metabolic basis of PCOS, with particular emphasis on the role of insulin resistance and hyperinsulinemia as key mechanisms underlying metabolic and reproductive disturbances. Method: This study used a narrative review design by analyzing recent peer-reviewed literature related to insulin signaling disturbances, mitochondrial dysfunction, oxidative stress, inflammatory pathways, and emerging therapeutic approaches in PCOS. The selected studies were examined descriptively to identify major pathophysiological patterns and current treatment perspectives. Findings: The review found that insulin resistance and hyperinsulinemia are major drivers of PCOS across various phenotypes, including non-obese women. Mitochondrial dysfunction and chronic inflammation were also shown to aggravate metabolic and reproductive impairments. In addition, the findings indicate that improvements in metabolic parameters do not always correspond to normalization of reproductive hormones, highlighting the heterogeneous and multifactorial nature of PCOS. Implications: These findings have important implications for clinical practice by supporting the development of personalized and mechanism-based management strategies that integrate metabolic profiling with reproductive goals. Such an approach may improve the effectiveness of long-term treatment and patient outcomes. Originality: The originality of this review lies in its integrative metabolic–reproductive framework, which brings together recent mechanistic in…
creator: Nia Ayuni Putri
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2025-12-21
publication date: 2025-12-21
volume: 5
number: 1
starting page: 57
ending page: 65
doi: 10.56127/jukeke.v5i1.2415

The Relationship between Husbands’ Knowledge and Support among Working Pregnant Women in Stunting Prevention at RSIA Yasmin Palangka Raya
type: item
description: Maternal nutrition during pregnancy is an important entry point for stunting prevention. In this context, husbands may influence pregnant women’s health behaviors through knowledge and practical support, particularly when pregnant women are employed and face dual role demands. However, evidence regarding whether husbands’ knowledge is reflected in supportive behaviors remains limited in local clinical settings. Objective: This study aimed to examine the relationship between husbands’ knowledge and husbands’ support in the context of stunting prevention at RSIA Yasmin Palangka Raya. Method: This study employed a quantitative descriptive correlational design with a cross-sectional approach. Data were collected from 30 respondents during antenatal care visits using structured questionnaires that assessed husbands’ knowledge regarding pregnancy health and stunting prevention, as well as husbands’ support across emotional, instrumental, and informational dimensions. The association between variables was analyzed using Spearman’s rank correlation with a significance level of p < 0.05. Findings: The results showed that most husbands had good knowledge (93.3%), while husbands’ support was predominantly at a moderate level (83.3%). The correlation between husbands’ knowledge and support was very weak and not statistically significant (r = 0.141; p = 0.458). These findings indicate that higher knowledge does not necessarily translate into stronger practical support for pregnant women. Implications: These findings suggest that stunting-prevention interventions should not only focus on improving husbands’ knowledge but also address practical constraints and sociocultural factors that influence husbands’ involvement in maternal nutrition and pregnancy care. Strengthening family-based support strategies may enhance the effectiveness of maternal and child health programs. Originality: The originality of this study lies in its focus on the gap between husbands’ knowledge and actual…
creator: Gustin Kurma Wati
creator: Sulastri Sulastri
creator: Eka Listiana
creator: Khairun Nisa
creator: Qodri Aziz
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2025-01-02
publication date: 2025-01-02
volume: 5
number: 1
starting page: 66
ending page: 75
doi: 10.56127/jukeke.v5i1.2421

Medication Adherence Associated with Tuberculosis Knowledge and Treatment Duration among Pulmonary Tuberculosis Patients at a TB DOTS Clinic in Jakarta, Indonesia
type: item
description: This study aimed to analyze medication adherence among pulmonary tuberculosis patients by examining the roles of patients’ knowledge level and treatment duration within a TB DOTS clinical setting. Methodology: A quantitative analytic study with a cross-sectional design was conducted among 89 pulmonary tuberculosis patients at the TB DOTS Clinic of Pasar Minggu Regional General Hospital. Data were collected using structured questionnaires and clinical records. Univariate analysis described respondent characteristics, while bivariate analysis using the Chi-Square test examined the relationships between study variables. Findings: The results showed that most patients demonstrated poor knowledge of tuberculosis and associated with levels of medication adherence. A statistically significant relationship was found between patients’ knowledge and medication adherence, indicating that higher knowledge levels were associated with better adherence. In contrast, treatment duration was not significantly associated with medication adherence. Implications: These findings highlight the importance of strengthening patient education within tuberculosis control programs, as improved knowledge may enhance adherence and support successful treatment outcomes. Originality: This study provides empirical evidence from a real-world DOTS clinical setting by integrating patient knowledge and treatment duration in adherence analysis. The findings demonstrate that patient knowledge may play a more influential role than treatment duration in shaping medication adherence, offering a patient-centered contribution to tuberculosis care research.
creator: Andini Saraswati
creator: Gaung Eka Ramadhan
creator: Elly Junalia
creator: Maryati Maryati
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-05
publication date: 2026-01-05
volume: 5
number: 1
starting page: 76
ending page: 89
doi: 10.56127/jukeke.v5i1.2429

The Relationship Between Patients’ Knowledge and Medication Adherence and Asthma Control at the Pulmonary Clinic of Pasar Minggu Regional General Hospital
type: item
description: Asthma control is often suboptimal in routine care, and gaps in patient knowledge and medication adherence may contribute to poor control. Objective: This study aimed to examine the relationship between patients’ asthma knowledge level and medication adherence with asthma control among adult patients attending the Pulmonary Clinic of Pasar Minggu Regional General Hospital. Methodology: A quantitative cross-sectional design was used with consecutive sampling of 191 adult asthma patients. Data were collected using validated questionnaires: ACQ-5, AGKQ, and MMAS-8. Descriptive statistics summarized distributions, and Chi-square tests examined associations between knowledge and asthma control, and between adherence and asthma control. Findings: Most participants had uncontrolled asthma (56.0%), low asthma knowledge (55.0%), and low medication adherence (56.5%). Knowledge level was significantly associated with asthma control (p = 0.001), with uncontrolled asthma more prevalent in the low-knowledge group (70.5%) than the high-knowledge group (38.4%). Medication adherence was also significantly associated with asthma control (p = 0.001), with uncontrolled asthma more common among low adherence (67.6%) than moderate (41.4%) or high adherence (38.5%). Implications: Integrating structured education and adherence-support strategies into routine outpatient care may improve asthma control and reduce exacerbation risk. Originality: This study integrates asthma knowledge and medication adherence within the same analytic framework of asthma control in an Indonesian pulmonary-clinic population, providing context-specific evidence for targeted clinic-based interventions.
creator: Ratna Sari Dinaryanti
creator: Atika Pratiwi
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-05
publication date: 2026-01-05
volume: 5
number: 1
starting page: 90
ending page: 99
doi: 10.56127/jukeke.v5i1.2428

Effectiveness of Patient Education in Improving Knowledge and Wound-Care Adherence in Diabetic Gangrene and Diabetic Foot Disease: A Systematic Review
type: item
description: Abstract: Diabetes-related foot wounds can deteriorate into infection and diabetic gangrene, increasing amputation risk when self-care and timely management are inadequate. Objective: This systematic review evaluated the effectiveness of patient education in improving knowledge and wound-care adherence among individuals with diabetic gangrene and related diabetic foot conditions and identified delivery features most likely to support sustained self-care. Methodology: A systematic literature review was conducted across PubMed, CINAHL, Scopus, and Google Scholar (2015–2025) using PRISMA-consistent screening. Eligible evidence included primary quantitative/qualitative studies, systematic reviews, and clinical guidelines addressing patient education/health promotion with knowledge and/or adherence outcomes. Primary studies were appraised using the JBI critical appraisal checklist. Findings: Patient education was consistently associated with improved diabetic foot-care knowledge and, in several studies, better wound-care adherence. Interactive and audiovisual approaches (e.g., video, counseling with demonstration) tended to outperform passive print materials. Sustained adherence was more strongly supported when education was reinforced through mHealth/reminders and when family/caregiver involvement addressed motivational and practical barriers. Implications: Diabetic wound-care programs should emphasize structured, skills-based and audiovisual education, reinforced through follow-up or digital supports, and integrate family-centered components to improve long-term adherence and reduce progression to severe complications. Originality: This review clarifies which educational features modality, reinforcement, and social support are most plausibly linked to sustained adherence, providing a practical framework for designing scalable education strategies for diabetic foot disease, including diabetic gangrene.
creator: I Made Andika Prakosa
creator: Irma Seliana
creator: Dinda Ayu Permata Sari
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-01
publication date: 2026-01-01
volume: 5
number: 1
starting page: 100
ending page: 116
doi: 10.56127/jukeke.v5i1.2388

Case Report: Chronic Suppurative Otitis Media Bilateral
type: item
description: Chronic Suppurative Otitis Media (CSOM) is a persistent middle ear infection characterized by tympanic membrane perforation and prolonged or recurrent ear discharge lasting more than two months. Objective: This case report aims to analyze the clinical presentation and management approach in a patient with CSOM, as well as to evaluate the success of type II endoscopic tympanoplasty in repairing tympanic membrane perforation and restoring hearing function. Methodology: This case study utilized a qualitative approach, collecting data through physical examination, audiometric testing, and CT imaging to assess the condition of the patient's ears. The patient underwent type II endoscopic tympanoplasty on the right ear. Findings: A 52-year-old female patient presented with bilateral ear discharge for two months, mild conductive hearing loss in the right ear (39 dB threshold), and normal hearing in the left ear (24 dB threshold) with slight reductions at frequencies ≤1000 Hz and ≥4000 Hz. CT imaging revealed mucosal thickening in the Prussak space and bilateral mastoid air cells with sclerotic edges, with no cholesteatoma detected. After type II endoscopic tympanoplasty, the patient showed significant improvement, with the cessation of ear discharge and no major complications. Implications: This case highlights the importance of early diagnosis and timely intervention in managing CSOM, demonstrating that type II endoscopic tympanoplasty is an effective, minimally invasive surgical option to repair tympanic membrane perforations and prevent further complications, such as more severe hearing loss. Novelty and Contribution: This case report provides a new contribution to the management of safe type CSOM, emphasizing the success of type II endoscopic tympanoplasty as a less invasive surgical alternative to traditional methods, especially for patients with mild conductive hearing loss and recurrent ear infections.
creator: Syifa Fadlilah Syifa Fadlilah
creator: Indah Trisnawaty
creator: Hastuti Rahmi
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-13
publication date: 2026-01-13
volume: 5
number: 1
starting page: 117
ending page: 129
doi: 10.56127/jukeke.v5i1.2456

The Relationship Between Occupational Safety and Health Management and Workplace Accidents in the Laboratory at Wahidin Sudirohusodo General Hospital, Makassar
type: item
description: Clinical laboratory services are crucial for public health, requiring adequate facilities, modern technology, and well-trained personnel to meet safety standards. In line with the Indonesian Minister of Health Regulation No. 66 of 2016, Occupational Safety and Health (OSH) systems are essential to safeguard hospital staff, patients, visitors, and the environment by preventing accidents and illnesses. Objective: This study aims to investigate the relationship between Occupational Safety and Health Management components (K3 Promotion, Training, Supervision, Investigation, Reporting) and workplace accidents in the laboratory at Dr. Wahidin Sudirohusodo General Hospital, Makassar. Methodology: A descriptive analytical approach with a cross-sectional design was used, involving 110 laboratory staff selected through total sampling. Data were collected using structured questionnaires and analyzed with the Chi-Square statistical test. Findings: A significant relationship was found between Training and workplace accidents (ρ = 0.041), while K3 Promotion (ρ = 0.141), Supervision (ρ = 0.153), Investigation (ρ = 0.575), and Reporting (ρ = 0.078) did not show significant associations. Implications: This study emphasizes the need to re-socialize OSH practices to all hospital staff, highlighting that work accidents should include all incidents, not just needle-stick injuries, and must be reported for preventive measures. Originality: This research offers new insights into the importance of training in improving OSH outcomes in hospital laboratories, providing valuable guidance for optimizing OSH management in healthcare settings.
creator: Khusnul Khotimah
creator: Asrijun Juhanto
creator: Muhammad Rifai
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-13
publication date: 2026-01-13
volume: 5
number: 1
starting page: 130
ending page: 142
doi: 10.56127/jukeke.v5i1.2460

Antidiabetic Effectiveness of Ethanol Extract from Sweet Mango Leaves (Mangifera indica L. var. Arum Manis) on Blood Glucose Levels in Streptozotocin-Induced Male Mice (Mus musculus L.)
type: item
description: Diabetes mellitus (DM) is a growing public health concern worldwide, particularly in Indonesia, where its prevalence continues to rise, causing significant health and economic burdens. The need for effective, accessible, and safe therapies is critical, as current treatments often come with side effects and limitations. Alternative natural treatments, such as herbal remedies, are being explored for their potential to offer safer and more sustainable options for managing DM. Objective: This study aims to evaluate the antidiabetic effectiveness of ethanol extract of sweet mango leaves (Mangifera indica L. var. sweet mango) on reducing blood glucose levels in streptozotocin (STZ)-induced diabetic mice. Methodology: A true experimental post-test only control group design was employed using mice (Mus musculus) divided into six groups: normal control, negative control (STZ), positive control (glibenclamide), and three treatment groups of mango leaf extract with doses of 50, 100, and 150 mg/kgBW. The extraction was carried out using the maceration method with 70% ethanol, and the antidiabetic activity was tested over a 15-day period. Results: The results showed that administration of ethanol extract of sweet mango leaves significantly reduced blood glucose levels (p < 0.001) compared to the negative control. A dose-response pattern was observed, with a dose of 150 mg/kgBW providing the most significant blood glucose lowering effect, closely approaching the effectiveness of glibenclamide. Discussion: The antidiabetic activity of the extract is thought to be related to its bioactive compounds, such as flavonoids, phenolics, and mangiferin, which are believed to enhance insulin sensitivity, inhibit gluconeogenesis, and protect pancreatic β cells from oxidative stress. Originality and Contribution: This study provides new insights into the antidiabetic potential of the ethanol extract of sweet mango leaves (Mangifera indica var. Arum Manis), a variety not extensively studied fo…
creator: Rara Widiya Marisha
creator: Astriani Natalia Br Ginting
creator: Daimah Wirdatus Sanaun Harahap
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-13
publication date: 2026-01-13
volume: 5
number: 1
starting page: 143
ending page: 156
doi: 10.56127/jukeke.v5i1.2467

The Correlation Between Online Game Addiction and Learning Motivation of Class VII Students at Mts Negeri 1 South Jakarta
type: item
description: Online gaming has become increasingly popular among adolescents, and its interactive features may encourage prolonged use that can develop into gaming addiction, potentially disrupting academic engagement and reducing learning motivation. Objective: This study aims to examine the relationship between online game addiction and students’ learning motivation among grade 7 students at MTs Negeri 1 South Jakarta. Methodology: This research employed a quantitative cross-sectional design. Data were collected from grade 7 students at MTs Negeri 1 South Jakarta and analyzed using the chi-square statistical test to assess the association between online game addiction and learning motivation. Findings: The results showed a statistically significant relationship between online game addiction and learning motivation (p = 0.001 < 0.05), indicating that higher levels of online game addiction are associated with lower learning motivation. Implications: These findings suggest the importance of school-based educational interventions and awareness programs involving students, parents, and educators to prevent excessive gaming and to support students’ academic motivation. Originality: This study provides empirical evidence in an Indonesian junior secondary school context, offering practical insights for designing targeted prevention strategies and supporting further research on behavioral factors influencing learning motivation.
creator: Frisangel Lopulalan
creator: Ratna Sari Dinaryanti
creator: Nila Rostarina
creator: Gaung Eka Ramadhan
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-13
publication date: 2026-01-13
volume: 5
number: 1
starting page: 157
ending page: 164
doi: 10.56127/jukeke.v5i1.2468

Dietary Knowledge and Physical Activity Level as Correlates of Excess Weight Categories Among Grade VIII Students: A Cross-Sectional Study at SMPN 271 Jakarta
type: item
description: Adolescent overweight is increasing in many low- and middle-income settings and is shaped by diet-related knowledge, daily activity patterns, and the school environment. Objective: This study aimed to examine the association between students’ dietary knowledge and physical activity level with excess weight categories among Grade VIII students at SMPN 271 Jakarta in 2024. Methodology: A quantitative cross-sectional analytic study was conducted among 183 Grade VIII students selected using stratified random sampling. Dietary knowledge was measured using a validated 11-item questionnaire (Cronbach’s alpha = 0.931) and categorized as good, moderate, or poor. Physical activity was assessed using the WHO Global Physical Activity Questionnaire (GPAQ) and categorized into low or moderate levels. Associations between dietary knowledge and excess weight categories, and between physical activity and excess weight categories, were tested using the chi-square test (p < 0.05). Findings: Almost half of students had good dietary knowledge (48.1%), while most reported low physical activity (89.1%). Dietary knowledge level was significantly associated with excess weight category (p = 0.004), and physical activity level was also significantly associated with excess weight category (p = 0.004). Implications: The findings support integrated school-based interventions that combine nutrition education with strategies to increase daily physical activity and reduce sedentary routines, including optimizing the school food environment and expanding opportunities for active breaks and extracurricular activities. Originality: This study provides context-specific evidence from an urban junior high school in Jakarta by assessing dietary knowledge and physical activity concurrently in relation to excess weight categories, offering practical insights for designing comprehensive school health programs targeting adolescents.
creator: Dinda Chairurizki
creator: Ratna Sari Dinaryanti
creator: Nila Rostarina
creator: Gaung Eka Ramadhan
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-14
publication date: 2026-01-14
volume: 5
number: 1
starting page: 165
ending page: 176
doi: 10.56127/jukeke.v5i1.2469

Overview of Postpartum Mothers' Knowledge of Proper Breastfeeding Techniques through WhatsApp-Based Education in Makassar City
type: item
description: Breastfeeding success in the early postpartum period is strongly influenced by mothers’ knowledge of correct breastfeeding techniques, yet education delivered in health facilities is often brief and may not provide sufficient reinforcement. Widely used messaging platforms such as WhatsApp offer an opportunity to deliver flexible, repeatable, and accessible breastfeeding education, particularly in urban settings like Makassar City. Objective: This study aimed to describe postpartum mothers’ knowledge of correct breastfeeding techniques after receiving WhatsApp-based education in Makassar City. Methodology: A quantitative descriptive design with a pretest–posttest format was employed. Forty postpartum mothers were recruited through purposive sampling based on inclusion criteria. Educational materials (text, images, and videos) were delivered via WhatsApp, and knowledge was measured using a structured questionnaire administered before and after the education. Data were analyzed descriptively by comparing pretest and posttest mean scores across four domains: breastfeeding position, latch-on technique, signs of adequate breast milk intake, and management of common breastfeeding problems. Findings: Postpartum mothers’ knowledge increased markedly after the intervention. The mean score rose from 54.10 at pretest to 86.80 at posttest, and all knowledge domains showed consistent improvement. WhatsApp functioned effectively as an educational medium due to its accessibility, flexibility, and capacity to support repeated learning. Implications: WhatsApp-based education can be considered for integration into routine postpartum health services to strengthen breastfeeding literacy and complement facility-based counseling, especially in urban contexts. Originality: This study provides technique-domain–specific evidence on WhatsApp-delivered breastfeeding education among postpartum mothers in an urban Indonesian setting, offering a practical and scalable model for postpartum breastf…
creator: Sri Muliani
creator: Fitria Fitria
creator: Ummul Fadhilah
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-15
publication date: 2026-01-15
volume: 5
number: 1
starting page: 177
ending page: 191
doi: 10.56127/jukeke.v5i1.2323

Occupational Safety Risk Analysis in Printing Area using JSA
type: item
description: Printing workplaces involve diverse operational activities that may pose occupational safety and health (OSH) risks to workers. Objective: This study aims to identify potential hazards and assess occupational risk levels in a printing facility using the Job Safety Analysis (JSA) method, considering that printing, cutting, ink handling, and manual material handling activities may lead to work-related injuries and health disorders. Methodology: A descriptive observational approach was employed. Data were collected through direct workplace observations, interviews with workers and supervisors, and a review of work process documentation. The JSA procedure involved breaking down work activities into sequential steps, identifying hazards at each stage, and determining risk levels along with appropriate control measures. Findings: The results revealed exposure to mechanical, chemical, physical, and ergonomic hazards. Mechanical hazards were predominantly associated with printing and cutting machine operations, posing risks of hand injuries and crushing incidents. Chemical hazards were identified during ink handling activities, with potential health effects from skin contact and inhalation exposure. Ergonomic hazards were mainly observed during manual material handling tasks, increasing the risk of musculoskeletal disorders. Several identified hazards were classified as medium to high risk, indicating the need for prioritized preventive actions. Implications: The findings highlight the importance of implementing integrated OSH control measures, including engineering controls, administrative actions, consistent use of personal protective equipment, and the strengthening of workplace safety culture to reduce occupational risks in printing environments. Originality: This study provides a systematic, task-based hazard mapping of core printing processes using JSA, offering practical guidance for prioritizing risk control strategies in printing operations with medium to high risk…
creator: Ningsih Dewi Sumaningrum
creator: Mely Purnadianti
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-15
publication date: 2026-01-15
volume: 5
number: 1
starting page: 192
ending page: 201
doi: 10.56127/jukeke.v5i1.2466

Fear of Missing Out as a Psychological Predictor of Problematic Internet Use in Emerging Adults: A Cross-Sectional Study
type: item
description: Excessive internet engagement has become increasingly common among young people and may develop into problematic internet use (PIU) that interferes with daily functioning. In emerging adulthood, the pressure to remain socially connected online can intensify fear of missing out (FoMO), which may undermine self-regulation and increase vulnerability to PIU. Objective: This study aims to empirically examine the effect of FoMO on PIU among individuals in the emerging adulthood stage. Methodology: A quantitative cross-sectional survey design was applied using purposive sampling. A total of 203 participants aged 18–29 years completed an online questionnaire (Google Forms). PIU was measured using an instrument based on Caplan’s (2010) dimensions, and FoMO was assessed using a scale based on Przybylski, Murayama, DeHaan, and Gladwell’s (2013) dimensions. Data were analyzed using simple linear regression. Findings: FoMO significantly and positively predicted PIU (F = 125.532; p < 0.05; R = 0.620; R² = 0.384). FoMO explained 38.4% of the variance in PIU, while the remaining 61.6% may be attributable to factors outside the model. Implications: The findings support the need for digital literacy initiatives and interventions targeting emotion regulation and self-control among emerging adults to reduce PIU risk. Future studies should incorporate additional psychosocial factors (e.g., depression, loneliness, social anxiety, and shyness) to better explain PIU and clarify underlying mechanisms. Originality: This study provides empirical evidence quantifying the contribution of FoMO to PIU specifically within an emerging adulthood sample characterized by intensive internet use, offering added value for prevention-oriented research and practice in digital mental health.
creator: Nurul Huda
creator: Dina Kusuma Astuti
creator: Bella Zanuba
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-19
publication date: 2026-01-19
volume: 5
number: 1
starting page: 202
ending page: 213
doi: 10.56127/jukeke.v5i1.2486

The Effect of Young Coconut Water on Blood Pressure in Middle-Aged Adults (45–59 Years) with Hypertension in RT005/RW012, Taman Mangu Indah Residential Area, South Tangerang
type: item
description: Hypertension is a leading contributor to cardiovascular morbidity and mortality and is often undetected until complications occur. Community-friendly, affordable non-pharmacological approaches are therefore needed to support blood pressure control alongside standard therapy. Objective: This study aimed to examine the effect of young coconut water on blood pressure among middle-aged adults (45–59 years) with hypertension in RT005/RW012, Taman Mangu Indah Residential Area, South Tangerang. Methodology: This quantitative study used a quasi-experimental pretest–posttest design without a control group. A total of 21 participants received young coconut water (250 cc) twice daily (morning and afternoon) for five consecutive days. Blood pressure was measured before and after the intervention using a calibrated sphygmomanometer, and changes were analyzed using paired t-tests. Findings: Young coconut water consumption was associated with significant reductions in both systolic and diastolic blood pressure. Morning measurements showed decreases from 150.71 to 140.95 mmHg (systolic) and from 96.19 to 90.48 mmHg (diastolic) (p = 0.001). Afternoon measurements decreased from 145.24 to 132.86 mmHg (systolic) and from 96.19 to 85.24 mmHg (diastolic) (p = 0.001). The afternoon reductions appeared greater than those observed in the morning. Implications: Young coconut water may serve as an accessible, low-cost complementary nursing intervention to support community-based hypertension management. The findings may inform community health education and practical programs to improve blood pressure control among middle-aged adults. Originality: This study provides neighborhood-based evidence using a feasible twice-daily regimen over five days and highlights potential differences in blood pressure reduction between morning and afternoon administrations, offering implementation-oriented insight for community nursing practice.
creator: Raidah Shahirah Cahyadi
creator: Nila Rostarina
creator: Achirman Achirman
creator: Gaung Eka Ramadhan
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-26
publication date: 2026-01-26
volume: 5
number: 1
starting page: 214
ending page: 229
doi: 10.56127/jukeke.v5i1.2517

The Relationship Between Milk Bottle Hygiene and the Incidence of Diarrhea in Infants Aged 0-6 Months: A Study in Gajahan Health Center, Surakarta
type: item
description: Diarrheal disease remains a significant cause of infant morbidity and mortality worldwide, particularly in developing countries like Indonesia. This study examines the relationship between milk bottle hygiene and the incidence of diarrhea in infants aged 0-6 months in Surakarta, Indonesia, with the goal of highlighting the importance of proper bottle sanitation in reducing diarrhea risk. Objective: The objective of this study is to analyze the relationship between milk bottle hygiene and the incidence of diarrhea in infants aged 0-6 months. The study aims to provide insights into the role of bottle sanitation in preventing gastrointestinal infections in infants. Methodology: This research employed a quantitative, analytic observational approach using a cross-sectional study design. The population consisted of 50 infants who met specific inclusion and exclusion criteria. Data were collected through structured questionnaires, and chi-square tests were used for statistical analysis to assess the relationship between milk bottle hygiene and diarrhea incidence. Findings: The study found a significant relationship between poor milk bottle hygiene and an increased incidence of diarrhea in infants (p-value < 0.05). The findings indicate that inadequate bottle cleaning practices contribute to gastrointestinal infections in infants, reinforcing the importance of proper hygiene in preventing diarrhea. Implications: The findings highlight the need for targeted public health interventions to educate mothers and caregivers on proper milk bottle sanitation. Implementing simple hygiene practices could significantly reduce the risk of diarrhea and other preventable gastrointestinal diseases in infants, particularly in resource-limited settings. Originality: This study offers original contributions by focusing on milk bottle hygiene as a key factor influencing diarrhea incidence in infants, an area that has been largely underexplored in previous research. The study provides valuable …
creator: Aisya Fikritama Aditya
creator: Putri Riyan Handrajati
creator: Pitra Sekarhandini
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-27
publication date: 2026-01-27
volume: 5
number: 1
starting page: 230
ending page: 242
doi: 10.56127/jukeke.v5i1.2512

Patient Safety, Service Quality, and Service Excellence as Predictors of Patient Satisfaction: A Study of Student Perceptions at STIKes Widya Husada Tangerang
type: item
description: This study investigates the effects of patient safety, service quality, and service excellence on patient satisfaction from the perspective of students at STIKes Widya Dharma Husada Tangerang. The study is important because student perceptions provide an early indicator of service performance and can inform continuous quality improvement in healthcare facilities. Methodology: A quantitative design was applied using survey data collected through structured questionnaires. The data were analyzed using multiple linear regression, supported by partial t-tests and a simultaneous F-test to examine both individual and joint effects of the independent variables on patient satisfaction. Findings: The results indicate that patient safety has a positive and significant effect on patient satisfaction (t = 2.123; p = 0.038). Service quality also shows a positive and significant effect (t = 3.979; p = 0.032). Service excellence demonstrates a positive and significant influence on patient satisfaction (t = 3.860; p = 0.000). Simultaneously, patient safety, service quality, and service excellence significantly affect patient satisfaction (F = 71.507; p = 0.000), confirming that these factors collectively contribute to improved satisfaction outcomes. Implications: The findings suggest that healthcare providers should implement integrated improvement strategies by strengthening patient safety practices, enhancing service quality dimensions, and institutionalizing service excellence standards to increase patient satisfaction. These results can support managerial decision-making in quality assurance programs and service delivery evaluation. Originality: This study contributes by empirically testing an integrated model that combines patient safety, service quality, and service excellence as simultaneous predictors of patient satisfaction within a student-based perception setting, offering a practical evidence base for targeted service improvement in Indonesian healthcare contexts.
creator: Fitriyati Irviana
creator: Yanna Dwi Saptarani
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-26
publication date: 2026-01-26
volume: 5
number: 1
starting page: 243
ending page: 254
doi: 10.56127/jukeke.v5i1.2516

Healthcare Experience Satisfaction among Generation Z: Quality, Procedures, and Information Access
type: item
description: User satisfaction is a critical indicator for evaluating the performance of healthcare facilities, particularly as public expectations increasingly emphasize service quality, clear procedures, and accessible information. However, evidence on how these factors jointly shape satisfaction in healthcare settings remains important to clarify. Objective: This study aims to analyze the influence of service quality, service delivery procedures, and ease of access to information on satisfaction with the experience of using healthcare facilities. Methods: A quantitative survey approach was employed. Data were collected through questionnaires from 60 respondents who had previously used healthcare facilities. The data were analyzed using descriptive statistics and multiple linear regression to examine both partial and simultaneous effects among variables. Findings: The results show that service quality has a positive and significant effect on satisfaction (t = 3.075; p = 0.003). Service delivery procedures also have a positive and significant effect (t = 3.886; p = 0.002). In addition, ease of access to information has a positive and significant effect on satisfaction (t = 3.718; p = 0.000). Simultaneously, the three variables significantly influence satisfaction (F = 43.964; p = 0.000). Implications: These findings suggest that healthcare facilities can enhance user satisfaction by strengthening service quality, improving and standardizing service procedures, and ensuring information systems are clear, responsive, and easy to access supporting practical improvements in service management and information governance. Originality: This study contributes empirically by integrating service quality, service procedures, and information accessibility within a single model to explain user satisfaction in healthcare facilities, providing added value for user-oriented service improvement initiatives.
creator: Yanna Dwi Saptarani
creator: Fitriyati Irviana
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-27
publication date: 2026-01-27
volume: 5
number: 1
starting page: 255
ending page: 266
doi: 10.56127/jukeke.v5i1.2513

Analysis of Factors Influencing the Implementation of K3 on Employees at the Oksibil Community Health Center
type: item
description: Clinical laboratory services are crucial for public health, requiring adequate facilities, modern technology, and well-trained personnel to meet safety standards. In line with the Indonesian Minister of Health Regulation No. 66 of 2016, Occupational Safety and Health (OSH) systems are essential to safeguard hospital staff, patients, visitors, and the environment by preventing accidents and illnesses. Objective: This study aims to investigate the relationship between Occupational Safety and Health Management components (K3 Promotion, Training, Supervision, Investigation, Reporting) and workplace accidents in the laboratory at Dr. Wahidin Sudirohusodo General Hospital, Makassar. Methodology: A descriptive analytical approach with a cross-sectional design was used, involving 110 laboratory staff selected through total sampling. Data were collected using structured questionnaires and analyzed with the Chi-Square statistical test. Findings: A significant relationship was found between Training and workplace accidents (ρ = 0.041), while K3 Promotion (ρ = 0.141), Supervision (ρ = 0.153), Investigation (ρ = 0.575), and Reporting (ρ = 0.078) did not show significant associations. Implications: This study emphasizes the need to re-socialize OSH practices to all hospital staff, highlighting that work accidents should include all incidents, not just needle-stick injuries, and must be reported for preventive measures. Originality: This research offers new insights into the importance of training in improving OSH outcomes in hospital laboratories, providing valuable guidance for optimizing OSH management in healthcare settings.
creator: Andika Ferdinan Manurung
creator: Yusuf Yusuf
creator: Muhammad Rifai
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-28
publication date: 2026-01-28
volume: 5
number: 1
starting page: 267
ending page: 277
doi: 10.56127/jukeke.v5i1.2521

Formulation and Evaluation of Anti-Dandruff Hair Mask from Lime Peel Extract (Citrus aurantifolia): Antibacterial Activity, Stability, and Safety Assessment
type: item
description: Dandruff is a common scalp condition caused by Staphylococcus aureus, leading to itching, irritation, and reduced self-confidence. Natural alternatives, such as lime peel (Citrus aurantifolia), which contains antibacterial compounds like flavonoids and saponins, show potential as an effective anti-dandruff agent. Objective: This study aimed to formulate a hair mask using lime peel extract as an anti-dandruff agent and evaluate its physical quality, safety, and antibacterial activity. Methods: A quantitative experimental approach was used, preparing three formulations with 5%, 10%, and 15% lime peel extract. Evaluations included organoleptic, homogeneity, pH, spreadability, stability, irritation, and antibacterial activity tests against Staphylococcus aureus. Results: Formulations F0, F1, and F2 remained stable for 28 days, while F3 showed phase separation from days 21 to 28. All formulations had pH values within the safe range (4.5–6.5). Spreadability was acceptable, and irritation tests revealed that only F3 caused irritation. F3 showed the largest inhibition zone in antibacterial tests, indicating the highest antibacterial efficacy. Implications: This study suggests that higher concentrations of lime peel extract enhance antibacterial efficacy but may compromise stability and cause irritation. Further optimization is needed to improve safety and stability while maintaining effectiveness. Originality: This research contributes original insights into the use of lime peel extract for anti-dandruff treatments, offering a natural alternative to synthetic agents. The study provides valuable data for developing safer and more effective cosmetic formulations.
creator: Andini Putri Maharani
creator: Eriska Agustin
creator: Dani Prasetyo
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-28
publication date: 2026-01-28
volume: 5
number: 1
starting page: 278
ending page: 291
doi: 10.56127/jukeke.v5i1.2528

Exploring the Relationship Between Smartphone Addiction and Sleep Quality in Adolescents
type: item
description: Adolescence is a critical period of development marked by significant physical, cognitive, and emotional changes. However, with the rise of smartphone use, adolescents face challenges related to their sleep quality. Excessive smartphone use, especially at night, has been linked to disrupted sleep patterns, which can negatively affect their health and well-being. Objective: This study aims to explore the relationship between smartphone addiction and sleep quality in adolescents. The primary goal is to understand how smartphone addiction influences sleep duration, sleep disturbances, and overall sleep quality, which is crucial for the health and functioning of adolescents. Methodology: A quantitative approach was used in this research, employing two standardized scales: one for measuring sleep quality and another for assessing smartphone addiction. Data were collected from adolescents aged 12 to 20 years who met the inclusion criteria of owning a smartphone, using it for at least five hours daily, and engaging in nighttime smartphone use. Simple regression analysis was used to examine the correlation between smartphone addiction and sleep quality. Findings: The results revealed a significant negative correlation between smartphone addiction and sleep quality. Adolescents with higher levels of smartphone addiction exhibited poorer sleep quality, characterized by shorter sleep duration, more frequent awakenings, and reduced feelings of refreshment upon waking. These findings highlight the detrimental impact of excessive smartphone use on adolescent sleep. Implications: This research contributes to the understanding of how smartphone addiction affects sleep quality among adolescents. The findings suggest that managing smartphone use could be a vital factor in improving sleep quality, which in turn may enhance overall adolescent health and well-being. This study offers a foundation for future interventions aimed at promoting healthier smartphone usage patterns among adole…
creator: Farisa Nadhira Zahra
creator: Mahargyantari Purwani Dewi
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-01-29
publication date: 2026-01-29
volume: 5
number: 1
starting page: 292
ending page: 301
doi: 10.56127/jukeke.v5i1.1873

The Role of Mindfulness as a Psychological Shield Against Impulsive Shopping Online in Young Adults
type: item
description: The digital era has increased convenience in daily life, yet it may also intensify impulsive online purchasing when consumers respond automatically to persuasive cues and momentary urges. This study aimed to examine the influence of mindfulness on online impulsive buying among young adults, addressing the growing need to understand psychological factors that can help regulate consumer behavior in digital environments. Using a quantitative, cross-sectional design, data were collected through an online questionnaire from 210 respondents aged 18–30 years who were active users of online shopping platforms (minimum three transactions per month). Mindfulness was measured using the Five Facet Mindfulness Questionnaire (FFMQ), while online impulsive buying was assessed based on the cognitive and affective aspects proposed by Herabadi. Statistical analysis using SPSS indicated that mindfulness significantly influenced online impulsive buying (p < .001). These findings imply that mindfulness-oriented psychological interventions may function as a “digital brake,” supporting more reflective decision-making and reducing unplanned purchases in online marketplaces. The originality of this study lies in bridging cognitive psychology and digital consumer behavior by clarifying the role of mindfulness operationalized through FFMQ facets in explaining online impulsive buying among young adults.
creator: Astri Nur Kusumastuti
creator: Devvy Widyawati
creator: Praesti Sedjo
creator: Kenes Pranandari
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-02-04
publication date: 2026-02-04
volume: 5
number: 1
starting page: 302
ending page: 311
doi: 10.56127/jukeke.v5i1.690

Online Disinhibition Effect Among Early Adult Social Media Users
type: item
description: Social media has become a major space for sharing content and opinions. In online settings, individuals may show behaviors they would usually inhibit in face-to-face interactions, known as the online disinhibition effect. Understanding this tendency among early adults is important because this group is highly active on social media and may be exposed to both constructive and harmful digital interactions. Objective: This study aims to describe the characteristics and level of the online disinhibition effect among early adult social media users. Methods: A quantitative descriptive design was used with 111 early adults (20–40 years; males and females) recruited through non-probability incidental sampling. Data were collected via an online questionnaire (Google Forms) using an adapted Online Disinhibition Scale based on Suler’s dimensions, complemented by demographic items (gender, age, daily duration of use) and two open-ended questions. The instrument was evaluated for validity, item discrimination, and reliability. Data were analyzed using descriptive statistics and frequency-based categorization for open-ended responses. Results: The online disinhibition effect was categorized as high (empirical mean = 85.50; hypothetical mean = 73.50). Male participants showed higher disinhibition than female participants. Higher disinhibition was also observed among participants who used social media longer each day, especially those reporting more than six hours of use. Open-ended responses indicated that anonymity and the absence of face-to-face interaction were common reasons for feeling freer online, and hostile commenting was frequently reported as an activity more comfortably performed on social media than in real life. Implications: Findings support the need for digital well-being efforts targeting early adults, including self-regulation strategies (e.g., screen-time limits, reflection-before-post routines) and digital civility education, alongside platform-level measures t…
creator: Rayhan Abi Mulya
creator: Desi Susianti
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-02-06
publication date: 2026-02-06
volume: 5
number: 1
starting page: 312
ending page: 323
doi: 10.56127/jukeke.v5i1.2577

The Relationship Between Duration of Hemodialysis and Level of Depression Among Hemodialysis Patients in Kupang City
type: item
description: Hemodialysis is a long-term renal replacement therapy that can affect patients’ daily functioning and psychological well-being. Depression is common in this population and may reduce quality of life and treatment adherence. However, evidence on whether hemodialysis duration is associated with depression remains inconsistent, and local multi-center data from Kupang City are limited. Objective: To analyze the relationship between duration of hemodialysis and depression level among hemodialysis patients in Kupang City. Methods: A quantitative cross-sectional study was conducted in July–August 2025 at three hemodialysis centers in Kupang City (RSUD W.Z. Johanes, RS Siloam, and RSUP Ben Mboi). Using purposive sampling, 163 respondents were recruited from a population of 365 routine hemodialysis patients. Depression was assessed using the Beck Depression Inventory-II (BDI-II). Hemodialysis duration was obtained from medical records and categorized as <12 months, 12–24 months, and >24 months. Data were analyzed descriptively and tested using the Chi-square test. Findings: Most respondents were not depressed (60.7%), while 39.3% had mild to severe depression. The largest proportion had undergone hemodialysis for >24 months (35.6%). There was no statistically significant association between hemodialysis duration and depression level (p = 0.434). Implications: Depression among hemodialysis patients appears to be influenced by factors beyond treatment duration, supporting the need for routine depression screening and psychosocial support integrated into hemodialysis care. Originality: This multi-center study provides local evidence from three hospitals in Kupang City using a standardized instrument (BDI-II), helping clarify inconsistent prior findings and reinforcing a multifactorial view of depression in hemodialysis patients.
creator: Suriana Desty Maltus
creator: Teguh Dwi Nugroho
creator: Audrey Gracelia Riwu
creator: Arley Sadra Telussa
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-02-09
publication date: 2026-02-09
volume: 5
number: 1
starting page: 324
ending page: 335
doi: 10.56127/jukeke.v5i1.590

Midwifery Care Management for Threatened Abortion in Early Pregnancy: A Qualitative Descriptive Study and Document Review at Medan Haji Hospital
type: item
description: Threatened abortion (abortus imminens) is a common early-pregnancy condition characterized by first-trimester vaginal bleeding with a closed cervix and an ongoing intrauterine pregnancy. Besides clinical risk, it frequently produces psychological distress and is influenced by socioeconomic barriers, health literacy, and the coordination of care across providers and families. Objective: This study aimed to describe and analyze midwifery care management for women with threatened abortion at approximately 8 weeks’ gestation at Medan Haji Hospital, using an SDG-oriented lens on access (SDG 1), education/health literacy (SDG 4), and partnerships (SDG 17). Methods: A qualitative descriptive approach was combined with a desk-based document review. Primary information was collected through semi-structured interviews with women receiving care for threatened abortion in the Jabal Uhud UPTD Room. Secondary information was obtained from peer-reviewed literature, midwifery textbooks, and official reports/guidelines. Data were analyzed through thematic categorization and integrated by triangulation to synthesize patterns across access, education, and partnership domains. Findings: Three major patterns emerged. First, economic and transportation/coverage constraints were consistently linked to delayed or fragmented antenatal care and follow-up, weakening early detection and safety-netting. Second, limited health literacy and inconsistent counseling contributed to delayed care-seeking and suboptimal adherence to follow-up recommendations. Third, stronger partnerships interprofessional coordination, facility-to-system linkages, and family (including husband) support were associated with clearer referral pathways, improved continuity of care, and better emotional support for women experiencing early pregnancy bleeding. Implications: A continuity-oriented midwifery care bundle is recommended, integrating standardized counseling and return precautions, structured follow-up planning, an…
creator: Agnes Mutiara Simorangkir
creator: Raina Fadhilah
creator: Asi Esterina Sarumpaet
creator: Indira Virli Ananda4
creator: Dara Lestari
creator: Juliana Munthe
creator: Nelly Zahara
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-02-11
publication date: 2026-02-11
volume: 5
number: 1
starting page: 336
ending page: 348
doi: 10.56127/jukeke.v5i1.2570

Impact of Clean and Healthy Living Education on Parental Knowledge and Independence in Supporting Child Growth at Sarfina Johor Clinic, Medan
type: item
description: The first 1,000 days of life are a critical window for long-term health, yet many urban parents still prioritize curative care over preventive practices that support optimal child growth and development. Objective: This study aims to evaluate the impact of Clean and Healthy Living Behavior (CHLB) education on parental knowledge and independence in maintaining child growth and development at Sarfina Johor Clinic, Medan. Methodology: A quasi-experimental one-group pre-test and post-test design was applied. A total of 50 parents were recruited using purposive sampling. Data were collected using validated questionnaires and analyzed with the Paired Sample T-test. Findings: CHLB knowledge increased significantly from a mean of 61.44 to 87.82 (mean difference = 26.38; p = 0.000). Parental independence also improved from 56.52 to 83.24 (mean difference = 26.72; p = 0.000). Implications: Structured clinic-based education can strengthen parental self-efficacy and shift family practices toward preventive care, positioning parents as proactive managers of child health at home. This approach can be adopted by primary clinics as an operational strategy to support stunting prevention programs. Originality: This study offers a clinical-based intervention model that connects routine medical consultation with domestic health maintenance, providing a practical framework for strengthening preventive parenting practices.
creator: Yesica Geovany Sianipar
creator: Ika Damayanti Sipayung
creator: Sonia Novita Sari
creator: Yarman Gulo
creator: Yeni Aprilia
creator: Viona Manik
creator: Sarfina Sembiring
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-02-12
publication date: 2026-02-12
volume: 5
number: 1
starting page: 349
ending page: 356
doi: 10.56127/jukeke.v5i1.2594

Association Between Anti-Tuberculosis Drug (OAT) Adherence and Tuberculosis Recurrence Among Pulmonary TB Patients at Dr. Pirngadi Regional Hospital, Medan
type: item
description: Pulmonary tuberculosis (TB), caused by Mycobacterium tuberculosis, remains a major public health problem. Treatment success depends heavily on adherence to anti-tuberculosis drug (ATD) therapy; however, the long treatment duration may reduce adherence and increase the risk of recurrence. Objective: This study aimed to describe the demographic characteristics of pulmonary TB patients and to analyze the association between adherence to ATD therapy and TB recurrence at Dr. Pirngadi General Hospital, Medan. Methods: A quantitative observational analytic study with a cross-sectional design was conducted among 33 pulmonary TB patients treated at Dr. Pirngadi General Hospital, Medan (November–December 2025). Data were collected using an ATD adherence questionnaire and complemented with medical record data. Descriptive statistics were used to summarize patient characteristics, adherence levels, and recurrence status, while the Chi-square test was applied to assess the association between adherence and recurrence (p < 0.05). Results: Most respondents exhibited low adherence to ATD therapy (66.7%), and a high proportion experienced TB recurrence (78.8%). The majority were male (51.5%), predominantly in the adult age group (41–60 years; 51.5%), had a senior high school education (87.9%), and were self-employed. A statistically significant association was found between adherence to ATD therapy and TB recurrence (p = 0.046). Implications: These findings reinforce the need to strengthen adherence-support strategies in hospital TB services, including structured counseling, active follow-up, and family or treatment supervisor involvement, to reduce recurrence risk and improve program outcomes. Originality/Value: This study provides facility-based evidence from Dr. Pirngadi General Hospital, Medan, demonstrating a significant relationship between adherence level and recurrence status, offering locally relevant data to guide targeted adherence interventions and recurrence prevention …
creator: Metia Ariani Br Ginting
creator: Heppy Jelita Sari Batubara
creator: Hapsah Hapsah
creator: Mila Trisna Sari
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-02-13
publication date: 2026-02-13
volume: 5
number: 1
starting page: 357
ending page: 370
doi: 10.56127/jukeke.v5i1.2582

Intermittent Fasting and GERD Symptoms: A Cross-Sectional Study in a Medical Faculty Academic Community
type: item
description: Gastroesophageal Reflux Disease (GERD) is a chronic gastrointestinal disorder caused by the backflow of gastric contents into the esophagus and may reduce quality of life. Intermittent fasting (IF) is increasingly practiced among productive-age groups, including academic communities, yet alterations in eating windows may influence gastric acid dynamics and gastrointestinal motility, making its relationship with GERD symptoms clinically relevant. Objective: This study aimed to examine the association between intermittent fasting habits and the occurrence of GERD symptoms among the academic community at the Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Sumatera Utara. Methodology: An analytic observational study with a cross-sectional design was conducted among 64 respondents selected using purposive sampling. Data were collected using a structured questionnaire and analyzed with SPSS. The association between IF habits and GERD symptoms was tested using the Chi-square test at a significance level of p < 0.05. Findings: The analysis showed no statistically significant association between intermittent fasting habits and GERD symptoms (p = 0.633). Research implications: These findings suggest that intermittent fasting, as practiced in this population, may not be a key determinant of GERD symptoms; therefore, prevention and counseling efforts should emphasize other modifiable factors (e.g., meal composition, late-night eating, stress, caffeine intake, or obesity-related risk) when managing reflux complaints in academic settings. Originality/value: This study provides context-specific evidence on the IF–GERD symptom relationship within an Indonesian medical faculty academic community using a standardized symptom assessment approach, contributing local data to an area where findings remain variable across populations.
creator: Cherry Permata Putri
creator: Ismatul Fauziah Rambe
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-02-14
publication date: 2026-02-14
volume: 5
number: 1
starting page: 371
ending page: 382
doi: 10.56127/jukeke.v5i1.2581

Socratic Leaflet Education to Improve Couples’ Knowledge on Long-Term Contraceptive Selection
type: item
description: The high maternal mortality rate associated with frequent childbirth remains a significant public health issue, partly due to limited knowledge among couples of reproductive age about long-term contraception. The 2024 Indonesian Demographic and Health Survey reported that only 24.6% of respondents used long-term contraceptive methods. Low uptake is often linked to insufficient understanding and persistent myths in the community, indicating the need for interactive educational approaches. Objective: This study aims to analyze the effect of the Socratic method delivered through leaflets on improving the knowledge of couples of reproductive age in selecting Long-Term Contraceptive Methods (LTCM) at the Pematang Cengal Community Health Center. Methodology: The study employed a quantitative approach with a quasi-experimental one-group pre-test–post-test design. The population consisted of all couples of reproductive age within the health center’s service area, with 120 respondents selected through purposive sampling. Data were collected by measuring knowledge levels before and after the educational intervention and analyzed using the Wilcoxon Signed Rank Test. Findings: The results showed a statistically significant increase in the average knowledge scores after the Socratic-based education with leaflets (p-value < 0.05). Prior to the intervention, most respondents were categorized as having poor knowledge; afterward, the majority shifted to the good knowledge category. Implications: These findings suggest that interactive education using the Socratic method combined with leaflet media can serve as an effective strategy in primary healthcare settings to correct misconceptions, enhance understanding, and support informed decision-making regarding long-term contraception. Originality/Value: The originality of this study lies in the application of the Socratic method in LTCM education at the primary healthcare level, integrated with leaflet support, which promotes critical …
creator: Dewi Sartika Hutabarat
creator: Mastaida Tambun
creator: Srimuliana Putri Bakara
creator: Dyanti SR Butarbutar
creator: Edi Subroto
creator: Ka'sil Aufa
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-02-14
publication date: 2026-02-14
volume: 5
number: 1
starting page: 383
ending page: 393
doi: 10.56127/jukeke.v5i1.2596

Comparison of Labor Duration by Parity Among Mothers at Rizki Clinic, Medan Tembung District
type: item
description: Prolonged labor remains an important clinical issue because it can increase maternal fatigue and the risk of complications during delivery. Parity is known to influence the progress of labor, yet stage-specific evidence comparing primiparous and multiparous mothers in primary care settings is still limited. Understanding these differences is essential to improve intrapartum monitoring and maternal support. Objective: This study aimed to compare labor duration between primiparous and multiparous mothers at Rizki Clinic, Medan Tembung District, and to identify which stages of labor contribute most to the observed differences. Method: This study employed a quantitative observational analytic approach with a cross-sectional design conducted from April to July 2024. The sample consisted of 30 mothers (15 primiparous and 15 multiparous) selected using predetermined inclusion and exclusion criteria. Data on labor duration were obtained through direct observation and medical records. Descriptive analysis and the Mann–Whitney U test were used to examine differences between groups. Findings: The overall mean labor duration was longer in primiparous mothers (10.60 hours) compared with multiparous mothers (5.13 hours). Stage-specific analysis showed a significant difference in the first stage (Kala I), with primiparous mothers averaging 10.24 hours (7–11 hours 30 minutes) and multiparous mothers 6.5 hours (4–8 hours 45 minutes) (p = .000). No statistically significant differences were found in the second stage (mean 19 vs 15 minutes; p = .065) or the third stage (mean 10 vs 7 minutes; p = .086). Implications: The findings highlight the importance of focused monitoring and supportive care during the first stage of labor, particularly for primiparous mothers, to reduce anxiety and prevent prolonged labor. The results can inform clinical practice in primary care settings to improve labor management strategies. Originality/Value: This study provides stage-based comparative evidence…
creator: Ribur Sinaga
creator: Sari Khowajan Tondang
creator: Eva Ratna Dewi
creator: Marliani
creator: Ali Imran Sirait
creator: Dyanti SR Butarbutar
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-02-17
publication date: 2026-02-17
volume: 5
number: 1
starting page: 394
ending page: 407
doi: 10.56127/jukeke.v5i1.2599

Overview of Hemoglobin Levels in Pregnant Women in the Working Area of Delitua Community Health Center in 2024
type: item
description: Anemia during pregnancy remains a significant maternal health problem because it can increase the risk of complications for both mother and fetus. Operationally, anemia in pregnancy is defined as hemoglobin (Hb) levels below 11 g% in the first and third trimesters and below 10.5 g% in the second trimester. Local data are needed to describe the magnitude of the problem and to support strengthening screening and education services at primary healthcare facilities. Objective: This study aimed to determine the profile of hemoglobin levels among pregnant women in the working area of the Delitua Community Health Center in 2024. Methods: This study employed a descriptive quantitative design. The population consisted of 245 pregnant women based on Delitua Community Health Center data as of July 2024. A total of 31 respondents were selected using non-probability sampling, specifically convenience sampling. Data were collected using observation sheets and hemoglobin measurements with the EasyTouch GCHb device, and analyzed descriptively using frequency and percentage distributions. Results: Most respondents were in the late adulthood age group (48.4%), the majority were in the third trimester (77.4%), and most were multigravida (77.4%). The distribution of hemoglobin levels showed that 64.5% of pregnant women were classified as anemic. Implications: These findings highlight the need to strengthen routine Hb screening during pregnancy, improve adherence to iron (Fe) tablet consumption, enhance nutritional intake, and intensify structured education and counseling through Posyandu and antenatal care services to reduce anemia prevalence among pregnant women. Originality/Value: This study provides a localized profile of hemoglobin levels among pregnant women in the Delitua primary healthcare setting in 2024, offering context-specific evidence to support program planning, risk mapping, and evaluation of anemia prevention interventions at the primary care level.
creator: Grace Hanshella
creator: Samfriati Sinurat
creator: Ance Siallagan
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-02-20
publication date: 2026-02-20
volume: 5
number: 1
starting page: 408
ending page: 419
doi: 10.56127/jukeke.v5i1.2601

Therapeutic Communication Phases and Patient Satisfaction in Meeting Basic Care Needs: A Cross-Sectional Study in Inpatient Care
type: item
description: Therapeutic communication is a core nursing competency that influences patient perceptions of care quality, comfort, safety, and the fulfillment of basic needs during hospitalization. However, evidence remains limited regarding how each phase of therapeutic communication contributes differently to patient satisfaction in inpatient settings. Objective: This study aimed to analyze the relationship between therapeutic communication phases orientation, working, and termination and patient satisfaction in fulfilling basic care needs among inpatients at Mitra Sejati General Hospital, Medan. Methods: A quantitative analytical study with a cross-sectional design was conducted from January to March 2024. The sample consisted of 71 inpatients selected using consecutive sampling. Data were collected through structured questionnaires administered via interviews and analyzed using descriptive statistics and Spearman’s rho correlation test with a significance level of α = 0.05. Findings: Therapeutic communication was generally rated as good across phases, yet patient satisfaction was predominantly neutral (52.1%). Significant positive correlations were found between the orientation phase and patient satisfaction (rₛ = 0.911; p < 0.001) and between the working phase and patient satisfaction (rₛ = 0.787; p = 0.003), while the termination phase showed no significant relationship (rₛ = −0.134; p = 0.265). Implications: The findings highlight the importance of strengthening trust-building communication at the initial and active stages of care. Hospitals should prioritize communication training and clinical protocols that emphasize admission interactions and continuous engagement to improve patient satisfaction and care quality. Originality/Value: This study demonstrates that therapeutic communication phases contribute unequally to patient satisfaction and identifies the orientation phase as the most dominant relational component in the inpatient context, offering new insights for pati…
creator: Rolasnih Lilista Simbolon
creator: Dina Afriani
creator: Petra Diansari Zega
creator: Dewi Sartika Hutabarat
creator: Herna Rinayanti Manurung
creator: Elisabet Manik
creator: Risna Risna
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-02-23
publication date: 2026-02-23
volume: 5
number: 1
starting page: 420
ending page: 431
doi: 10.56127/jukeke.v5i1.2602

The Relationship Between Family Support and Adherence to Hypertension Care Among Older Adults in a Rural Community
type: item
description: Hypertension is often referred to as a silent killer because many individuals are unaware of their elevated blood pressure until serious complications occur. This condition is particularly concerning among older adults due to age-related physiological changes that increase vulnerability to chronic diseases. Objective: This study aimed to analyze the relationship between family support and adherence to hypertension care among elderly individuals in Bangun Rejo Village, highlighting the importance of family involvement in chronic disease management. Methods: This research used a quantitative approach see more with a descriptive correlational design and cross-sectional method. A total of 91 respondents were selected using total sampling. Data were collected through structured questionnaires measuring family support and adherence to hypertension care, and analyzed using descriptive statistics and the Chi-Square test. Results: The results showed that most respondents were aged over 66 years (51.6%) and predominantly male (71.4%). Half of the participants reported good family support (50.5%), while the majority demonstrated low adherence to hypertension care (59.3%). Statistical analysis revealed a significant relationship between family support and adherence (p-value < 0.05). Implications: These findings indicate that strengthening family involvement can improve adherence to hypertension treatment among elderly individuals. Family-centered interventions and education programs in primary healthcare settings are recommended to enhance disease management outcomes. Originality: This study provides localized empirical evidence from a rural community, emphasizing the role of family support in influencing treatment adherence among older adults. It contributes to the development of context-specific strategies for family-based chronic disease management.
creator: Tahan Tahan
creator: Imran Saputra Surabakti
creator: Siti Nurmawan Sinaga
creator: Eko Murdianto
creator: Wara Valegis
creator: Vina Enita Noviani
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-02-23
publication date: 2026-02-23
volume: 5
number: 1
starting page: 432
ending page: 444
doi: 10.56127/jukeke.v4i2.2142

Respiratory Physiotherapy Management in Pediatric Bronchial Asthma
type: item
description: Bronchial asthma is a chronic inflammatory disease of the respiratory tract characterized by airway narrowing, bronchial hyperresponsiveness, and reversible airflow limitation. This condition may cause symptoms such as dyspnea, coughing, wheezing, and reduced functional activity capacity, particularly in pediatric patients. Therefore, supportive interventions such as respiratory physiotherapy are important to improve respiratory function and reduce asthma symptoms. Objective: This study aims to describe the effectiveness of respiratory physiotherapy management in a pediatric patient with bronchial asthma treated at RSUP Surakarta and to highlight the role of physiotherapy as a complementary intervention in improving respiratory function. Method: This study used a qualitative case report design involving a five-year-old boy diagnosed with bronchial asthma. Data were collected through clinical examination and repeated evaluations during five physiotherapy sessions, including thoracic expansion measurement, peak expiratory flow assessment, auscultation examination, vital sign monitoring, and dyspnea assessment using the Borg Scale and the Modified Medical Research Council (mMRC) scale. Data were analyzed descriptively by comparing the patient’s clinical condition before and after intervention across treatment sessions. Findings: The results showed improvement in several respiratory indicators after the intervention. Thoracic expansion increased at all measurement points, peak expiratory flow improved from 200 L/min to 550 L/min, and breath sounds changed from wheezing and rhonchi to normal vesicular sounds. In addition, vital signs showed improvement and perceived dyspnea decreased based on the Borg Scale, although the mMRC score remained unchanged. Implications: These findings suggest that respiratory physiotherapy may contribute to improving ventilation, chest wall mobility, and respiratory efficiency in pediatric asthma patients. Physiotherapy interventions can ther…
creator: Dika Apriani
creator: Wahyu Tri Sudaryanto
creator: Fatonah Sulistyowati
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-03-06
publication date: 2026-03-06
volume: 5
number: 1
starting page: 445
ending page: 458
doi: 10.56127/jukeke.v5i1.2636

Digital Health Transformation in Public Health Services
type: item
description: Digital transformation in the health sector refers to the shift from manual and paper-based services to digital-based health information systems. This transformation is important because it is expected to address problems in public health services, such as slow service delivery, limited access to information, and errors in patient management. Objective: This study aims to identify and analyze technological innovations in the healthcare sector, examine their impact on service quality, and explore the challenges in implementing digital transformation. Method: This study used a Systematic Literature Review (SLR) approach with the PRISMA model. Data were collected from the Google Scholar database using keywords related to digital health transformation. Articles were screened and evaluated based on inclusion and eligibility criteria, resulting in 7 journal articles for review. Findings: The results show that digital transformation in healthcare has been implemented through digital health information systems, electronic medical records, telemedicine, and digital health education. These innovations have generally improved service speed, accessibility, administrative efficiency, transparency, and real-time access to health information. However, several barriers remain, including inadequate infrastructure, limited digital literacy, lack of staff readiness, and concerns about patient data security. Implications: The findings suggest that digital transformation can improve the quality and efficiency of public health services when supported by adequate infrastructure, competent human resources, and effective governance. Originality: This study provides a systematic synthesis of recent evidence on digital transformation specifically in public health services, highlighting both its benefits and recurring implementation challenges.
creator: Agus Donny Susanto
creator: I Wayan Widi Karsana
rights: Copyright (c) 2025 Jurnal Kesehatan dan Kedokteran
date: 2026-03-09
publication date: 2026-03-09
volume: 5
number: 1
starting page: 459
ending page: 472
doi: 10.56127/jukeke.v5i1.2643