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INDONESIA
Jurnal Penelitian Kesehatan Suara Forikes
Published by Forum Ilmiah Kesehatan
ISSN : 20863098     EISSN : 25027778     DOI : -
Core Subject : Health,
Journal of Health Research "Forikes Voice" is a medium for the publication of articles on research and review of the literature. We accept articles in the areas of health such as public health, medicine, nursing, midwifery, nutrition, pharmaceutical, environmental health, health technology, clinical laboratories, health education, and health popular.
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Articles 145 Documents
Search results for , issue "2026" : 145 Documents clear
Optimizing Discharge Planning to Enhance Caregiver Knowledge and Self‑Efficacy in Parents of Children with Cancer Undergoing Chemotherapy Olivia Bawaeda; Allenidekania Allenidekania; Siti Chodidjah
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 5 (2026): May 2026
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170517

Abstract

Childhood cancer poses significant challenges for families, particularly in settings where access to treatment and supportive care is limited. Children undergoing chemotherapy require repeated hospitalizations, creating disruptions in family routines and increasing caregiver burden. Discharge planning has been shown to strengthen caregiver readiness, improve continuity of care, and reduce unplanned visits. Knowledge and self‑efficacy are essential components of caregiver competence and influence decision‑making, adherence, and stress management. This study aimed to evaluate the effect of optimized discharge planning on caregiver knowledge and self‑efficacy among parents of children with cancer undergoing chemotherapy. A quantitative pre‑experimental one‑group pre‑posttest design was used involving 35 caregivers selected through purposive sampling. Researcher‑developed Guttman‑scale questionnaires measured knowledge (20 items) and self‑efficacy (25 items), both validated and reliable. The intervention consisted of structured discharge planning delivered from admission to discharge, including assessment, education on cancer, chemotherapy, and management of treatment side effects. Pre‑test data were collected at admission, and post‑test data at discharge. Analysis employed descriptive statistics and the Wilcoxon signed‑rank test. Results showed significant improvements in caregiver knowledge (mean increase from 76.28 to 81.57; p = 0.007) and self‑efficacy (mean increase from 70.40 to 80.91; p = 0.000). Gains were observed across all components of knowledge and self‑efficacy, and no respondent experienced a decline. In conclusion, optimized discharge planning effectively enhances caregiver knowledge and self‑efficacy in pediatric oncology settings, underscoring the importance of structured educational support during hospitalization and transition to home care.Keywords: childhood cancer; caregiver; discharge planning; knowledge; self‑efficacy; chemotherapy
Healthcare Access Inequities Experienced by Patients Supported by Cancer Patient Navigators (NAPAK) Jelita Jelita; Allenidekania Allenidekania; Tuti Nuraini; Riri Maria; Ucip Sucipto
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 5 (2026): May 2026
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170511

Abstract

Cancer patients in Indonesia continue to experience substantial inequalities in accessing healthcare services, driven by structural, geographical, financial, and informational barriers. These disparities often result in delayed diagnosis, fragmented care, and adverse health outcomes. This study aimed to explore the lived experiences of cancer patients receiving navigation services from Cancer Patient Navigators (NAPAK) and to examine how these experiences reflect broader patterns of healthcare access inequality. A qualitative descriptive phenomenological design was employed, involving ten purposively selected participants who met the inclusion criteria. Data were collected through in‑depth interviews and analyzed using thematic analysis supported by NVivo 14 software. Four major themes emerged from the analysis: (1) various healthcare access inequalities, including saturated schedules, complex administrative procedures, geographical distance, financial constraints, and appointment difficulties; (2) the primary role of cancer patient navigators, who provided essential informational, procedural, emotional, and advocacy support throughout the care continuum; (3) transportation and access disparities, highlighting both accessible and severely limited mobility conditions across regions; and (4) the impact of healthcare access disparities on health, reflected in heightened anxiety, psychological distress, physical exhaustion, and emotional burden. Participants also expressed expectations for improved navigation services, enhanced facilities, clearer information systems, and stronger governmental support for insurance programs. The study concludes that healthcare access inequality significantly shapes cancer patients’ physical and psychological well‑being. Strengthening communication between healthcare providers and patients, improving navigation services, and enhancing policy support are critical to reducing disparities and promoting equitable cancer care.Keywords: cancer patient navigation; healthcare access inequality; transportation barriers; patient experience
Non-Pharmacological Interventions for Pregnancy-Specific Anxiety Among Pregnant Women: A Systematic Literature Review Kania Isha Maharani; Sofwan Indarjo; Alfiana Ainun Nisa
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 7 (2026): July 2026
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Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Pregnancy specific anxiety is one of the most common mental health problems experienced by pregnant women and may negatively affect maternal and fetal outcomes. Various non-pharmacological interventions have been developed to reduce anxiety during pregnancy; however, evidence regarding the comparative effectiveness of these interventions remains heterogeneous. This study aimed to compare the effectiveness on non-pharmacological health promotion interventions in reducing pregnancy-specific anxiety among pregnant women. This study used a Systematic Literature Review design following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guideline. Literature searches were conducted through PubMed, Scopus, and ScienceDirect databases for articles published between 2021-2025. A total of 16 articles met the inclusion criteria and were analyzed narratively using the JBI Critical Appraisal Tool. The findings showed that mindfulness-based interventions were the most consistently effective intervention in reducing pregnancy specific anxiety, stress, emotional distress, and fear of childbirth. Other interventions such as prenatal yoga, relaxation techniques, music therapy, antenatal education, psycological, digital interventions, and structured social support also demonstrated positive effects on maternal psycological wellbeing during pregnancy. Non-pharmacological health promotion interventions have the potential to support maternal mental health and can be integrated into antenatal care services.Keywords: pregnancy specific anxiety; pregnant women; health promotion; non-pharmacological intervention; systematic literature review
Effective Nursing Rounding Significantly Improves Patient Experience and Nurse Job Satisfaction Romlah Asanah; Asnet Leo Bunga; Evra Yusandra Arifin
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 6 (2026): June 2026
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170606

Abstract

The implementation of nursing rounding is a routine nurse visitation conducted to evaluate patients’ conditions and ensure that their needs are consistently met. This intervention also strengthens the empathic relationship between nurses and patients through full presence, direct communication, and patient-centered attention. This study aimed to analyze the effectiveness of nursing rounding implementation on patient and nurse satisfaction levels. A quasi-experimental design with a one-group posttest approach was employed to evaluate patient satisfaction, nurse satisfaction, and the implementation of nursing rounding through observational methods. Nursing rounding interventions were conducted every two hours for hospitalized patients. The study was carried out in the Inpatient Unit of Hospital X in January 2026, involving 60 hospitalized patients and 35 nurses. Data were collected using demographic questionnaires, nursing rounding observation sheets, the Patient Reported Experience Measures (PREMS) questionnaire, and the McCloskey/Mueller Satisfaction Scale (MMSS). Patient and nurse satisfaction were measured after the intervention using questionnaires and subsequently analyzed using parametric statistical tests. The results showed that the majority of nurses were aged 26–35 years (60.0%), held professional nursing (ners) qualifications (54.3%), and were at pk i clinical level (77.1%). Meanwhile, most patients were aged 26–35 years (31.7%), female (53.3%), and employed (66.7%). Following the implementation of nursing rounding, most nurses reported satisfaction within the satisfied category, while most patients were categorized as very satisfied. Statistical analysis demonstrated that nursing rounding implementation had a significant effect on both nurse satisfaction (p-value = 0.000) and patient satisfaction (p-value = 0.000). In conclusion, nursing rounding implementation was identified as a primary contributing factor to both patient and nurse satisfaction.Keywords: nursing rounding implementation; nurse job satisfaction; patient experience
Age and Kidney Disease Type as Key Determinants of Hemodialysis Utilization Among JKN Participants in West Java, Indonesia Sita Nofitasari; Chatila Maharani
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 6 (2026): June 2026
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170614

Abstract

Kidney disease remains a major contributor to the burden of noncommunicable diseases in Indonesia, and hemodialysis is the primary renal replacement therapy covered under the National Health Insurance (JKN). Understanding determinants of hemodialysis utilization is essential for improving service equity and effectiveness. The objective of this study was to identify determinants of hemodialysis utilization among JKN participants with kidney disease in West Java in 2022. This cross-sectional study analyzed secondary data from the BPJS Health Sample Data 2015–2022. A total of 310 respondents diagnosed with kidney disease (ICD‑10 N17–N19) and residing in West Java were included. Descriptive analysis, chi-square/Fisher’s exact tests, and logistic regression (backward LR) were performed to determine factors associated with hemodialysis utilization. Two variables were significantly associated with hemodialysis utilization: age and type of kidney disease. Productive-age participants had a lower risk of not receiving hemodialysis (OR = 0.329), indicating a protective effect. Participants of non‑productive age with acute kidney disease had the highest probability of not receiving hemodialysis (97.7%), whereas productive-age participants with chronic kidney disease had the lowest probability (35.8%). Age and type of kidney disease are key determinants of hemodialysis utilization among JKN participants in West Java. Productive-age individuals are more likely to receive hemodialysis, while non‑productive-age patients with acute kidney disease are at greatest risk of not receiving treatment.Keywords: hemodialysis; national health insurance; kidney disease; determinants; West Java, Indonesia
Knowledge and Attitudes as Determinants of Hygiene–Sanitation Practices Among Food Handlers in Food Stalls Around the Campus Area Anggi Citra Suryani; Rifatul Masrikhiyah; Sulasyi Setyaningsih
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 5 (2026): May 2026
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170513

Abstract

The knowledge and attitudes of food handlers are pivotal in fostering proper hygiene practices; however, not all individuals grasp and implement the requisite standards. The aim of this study is to examine the correlation between knowledge and attitudes regarding the behavior of food handlers in the context of hygiene and sanitation practices at Muhadi Setiabudi University. The study uses an observational methods. The research design used was cross-sectional in nature. A total of 59 food handlers were selected for the study, all of whom fulfilled the established criteria. The sampling method employed was purposive sampling. The findings indicate that 26 individuals, representing 44.1%, demonstrated a commendable level of knowledge, while 33 individuals, or 55.9%, exhibited a lack of knowledge. Furthermore, 54 individuals, accounting for 91.5%, displayed a positive attitude, in contrast to 5 individuals, or 8.5%, who showed a negative attitude. Additionally, 26 individuals, corresponding to 44.1%, engaged in commendable behavior, whereas 33 individuals, or 55.9%, were characterized by poor behavior. The Chi-square test revealed a relationship between knowledge and behavior, indicated by p > 0.05 (p = 0.809), and between attitude and behavior, evidenced by p < 0.05 (p = 0.848). No correlation exists between knowledge and attitudes regarding food handler behavior.
Increase in Blood Pressure among Post–spinal Anesthesia Hypotensive Patients Following 30° and 45° Leg Elevation Maria Diah Cipaningtyas; Yunita Anggraeni; Taufan Arif
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 5 (2026): May 2026
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170508

Abstract

Spinal anesthesia commonly induces hemodynamic alterations, particularly post–spinal anesthesia hypotension resulting from sympathetic blockade of efferent preganglionic vasomotor fibers. This sympathetic inhibition reduces vascular tone and venous return, leading to a decline in systolic blood pressure. Leg elevation is a simple, non‑pharmacological maneuver that may enhance venous return through gravitational redistribution of blood toward the central circulation. This study aimed to determine the effectiveness of 30° and 45° leg elevation in increasing blood pressure among patients experiencing hypotension after spinal anesthesia. A quasi‑experimental design employing a Three‑Group Pretest–Posttest Control Group Design was used. A total of 30 respondents were selected through purposive sampling and allocated into three groups. Respondents met the inclusion criteria of post–spinal anesthesia hypotension (80 mmHg < systolic ≤ 100 mmHg). The independent variables were 30° leg elevation and 45° leg elevation, while the dependent variable was systolic blood pressure. Statistical analyses included normality testing, homogeneity testing, paired t‑test, independent t‑test, and one‑way ANOVA. The results demonstrated a significant difference in systolic blood pressure following the application of 30° and 45° leg elevation, with a p‑value of 0.000 (p < 0.005) and a mean difference of 12.3 mmHg. The 45° leg elevation produced a greater increase in systolic blood pressure compared to the 30° elevation. In conclusion, leg elevation at 45° is more effective in increasing systolic blood pressure among post–spinal anesthesia hypotensive patients. A higher elevation angle facilitates greater gravitational blood flow toward the heart, thereby enhancing venous return and improving systolic blood pressure.Keywords: 30° leg elevation; 45° leg elevation; blood pressure; hypotension; spinal anesthesia
Implementation of Independent VAP Prevention Bundle to Prevent Ventilator-Associated Pneumonia (VAP) in Mechanically Ventilated ICU Patients Lia Azizah; Akhmad Zainur Ridla; Ana Nistiandani; Sugito Tri Gunarto
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 5 (2026): May 2026
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170507

Abstract

Ventilator-associated pneumonia (VAP) is a nosocomial infection of the lung tissue that most often occurs in patients undergoing mechanical ventilation in intensive care units, with a high morbidity and mortality rate of 1% per day. The incidence of VAP can be prevented through a specific procedure, known as the VAP Bundle. The method in the VAP Bundle includes head-up positioning at 30°-45°, closed suctioning, and oral hygiene using 0.2% chlorhexidine aseptic solution. This study aims to evaluate the effectiveness of the VAP bundle in preventing VAP risk among mechanically ventilated patients at dr. Soebandi Regional Hospital, Jember. This study was a case report involving one patient who met the inclusion and exclusion criteria. The Modified Clinical Pulmonary Infection Score (MCPIS) was measured daily over a six-day intervention period. The results showed that during the six-day intervention, the patient's MCPIS score remained <5 (indicating no VAP). Clinical findings showed no infiltrates, non-purulent secretions, and normalized temperature by intervention end. It can be concluded that the implementation of independent VAP Bundle activities by nurses was successful in preventing VAP among mechanically ventilated ICU patients.Keywords: ventilator-associated pneumonia; head up; suction; oral hygiene; chlorhexidine
F: Pengalaman Transisi Perawat Baru Mengikuti Program Preceptorship di Training Center RS X Fitriyani Dwi Sulistyowati; Fulgensius Surianto; Indriati Kusumaningsih
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 8 (2026): August 2026
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Abstract

ABSTRACTThe transition of newly graduated nurses into professional practice is a complex phase and is highly vulnerable to transition shock, particularly in type C hospitals with high work demands. A preceptorship program was developed to support newly graduated nurses in adapting to the work environment; however, their experiences during and after participation in the program still need to be explored in depth. This study aimed to explore the experiences of newly graduated nurses during and after participating in the preceptorship program at the Training Center of Hospital X. This study employed a qualitative approach with a descriptive phenomenological design. Participants were selected purposively using the principle of maximum variation sampling and involved 18 participants, consisting of 10 newly graduated nurses as the main participants, 3 preceptors, and 5 head nurses as triangulation informants. Data were collected through semi-structured in-depth interviews conducted both offline and online, and were analyzed using Colaizzi’s seven-step method with the support of NVivo 15. Data credibility was strengthened through source triangulation and member checking. The findings generated five major themes: newly graduated nurses’ feelings during the preceptorship program, the support they received during the transition process, the barriers they encountered, the adaptive strategies or responses they employed, and the nature of transition after completing the preceptorship program. Overall, the transition occurred gradually, beginning with initial enthusiasm, followed by anxiety and pressure, and eventually developing into courage, self-confidence, and readiness to perform the professional role. The preceptorship program served as an important bridge in supporting clinical readiness, emotional adaptation, and the formation of professional identity among newly graduated nurses.Keywords: newly graduated nurses; preceptorship; professional transition; descriptive phenomenology; type C hospital 
Individualised Nursing Care Improves Symptom Control and Nutritional Tolerance in Women with Stage III Ovarian Cancer Undergoing Chemotherapy Wahyu Wahyu; Machmudah Machmudah; Sri Rejeki
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 4 (2026): April 2026
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170419

Abstract

Ovarian cancer is a leading cause of cancer related mortality among women and is frequently diagnosed at an advanced stage. Management of stage III disease typically requires multimodal treatment, including surgery and chemotherapy, both of which contribute to a substantial symptom burden and increased supportive care needs. As a result, comprehensive nursing care becomes essential to address the complex physical and psychosocial challenges experienced during active treatment. This case report aimed to describe the implementation of the nursing process in two women with stage III ovarian cancer undergoing active treatment in a referral hospital in Central Sulawesi, Indonesia. Data were collected through semi structured interviews, direct clinical observation, and documentation review using the Indonesian Nursing Diagnosis Standards framework. Both patients presented with nutritional deficits and nausea as primary nursing diagnoses. Additional problems identified in the first patient included acute pain, sleep disturbance, activity intolerance, and ineffective peripheral perfusion, whereas the second patient experienced a risk of infection related to colostomy and disturbed body image. Nursing interventions focused on symptom management, nutritional support, pain control, infection prevention, and psychosocial care. Evaluation demonstrated improvements in symptom control, increased tolerance to nutritional intake, and the absence of infection throughout hospitalization. In conclusion, individualized and holistic nursing care plays a critical role in enhancing clinical outcomes and patient comfort during active treatment for advanced ovarian cancer.Keywords: chemotherapy; nutritional deficit; nursing process; ovarian cancer; supportive care; symptom management

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