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INDONESIA
Jurnal Penelitian Kesehatan Suara Forikes
Published by Forum Ilmiah Kesehatan
ISSN : 20863098     EISSN : 25027778     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public 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.
Arjuna Subject : -
Articles 145 Documents
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Search results for , issue "2026" : 145 Documents clear
Development of a Low-cost Simulator ORISIM (ORIF and OREF Simulator) as a Wound Care Learning Medium Tiana Rachmadita; Auridsa Nihlahani; Tri Johan Agus Agus Yuswanto
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 3 (2026): March 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170319

Abstract

Postoperative wound care for Open Reduction Internal Fixation (ORIF) and Open Reduction External Fixation (OREF) is a core competency in medical–surgical nursing. However, access to task‑specific and affordable simulators remains limited, particularly in low‑resource educational settings. Low‑cost simulation models have been shown to enhance clinical skill acquisition and self‑efficacy among nursing students, yet challenges related to anatomical fidelity and wound realism persist in many existing models. This study aimed to develop and evaluate ORISIM, a low‑cost, context‑specific wound‑care simulator designed for ORIF and OREF postoperative conditions, and to assess its feasibility, usability, and educational value in nursing skills training. This research employed a Research and Development (R&D) design consisting of five phases: needs identification, prototype design and construction, expert validation, model revision, and preliminary testing. Three experts participated in the validation process: one orthotics–prosthetics specialist and two wound‑care nursing practitioners. Preliminary testing involved 20 undergraduate nursing students who had completed theoretical and demonstrative instruction on wound care. Quantitative data were collected using a modified Michigan Standard Simulation Experience Scale (MiSSES), while qualitative feedback was analyzed thematically. Expert validation indicated that ORISIM was feasible for educational use, with recommendations for improving anatomical fidelity and wound realism. Quantitative findings showed high levels of student acceptance across all MiSSES domains, with mean scores of 4.17 for self‑efficacy, 4.23 for educational value, and 4.10 for simulation realism. Students reported increased confidence in performing wound‑care procedures and highlighted the simulator’s usability and durability. Qualitative analysis produced three themes: wound realism, material characteristics, and educational value with ease of use. Although some students noted limitations in anatomical detail and material elasticity, ORISIM was widely regarded as beneficial for structured and repetitive skills practice. In conclusion, ORISIM demonstrates strong potential as a cost‑effective and educationally relevant simulator for ORIF and OREF wound‑care training. While improvements in anatomical fidelity are warranted, the model effectively enhances students’ self‑efficacy and supports foundational clinical skill development. Future research should incorporate experimental or quasi‑experimental designs to further evaluate ORISIM’s effectiveness and compare its performance with commercial simulators.Keywords: wound‑care simulation; nursing education; low‑cost simulator; clinical skills training; self‑efficacy
Factors Determining the Occurrence of Pregnancy in Adolescents Ramadhanti, Ismaya; Maharani, Talitha Dwi; Clara, Ruth; Hanifah, Laily
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 1 (2026): January 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170118

Abstract

Adolescent pregnancy remains a major reproductive health problem worldwide and is associated with substantial health and social consequences for both mother and child. Globally, a considerable proportion of girls give birth before the age of 18, and Indonesia continues to report relatively high rates. This study aimed to analyze the determinants and consequences of adolescent pregnancy based on evidence from recent studies. This study used a literature review design. Articles were retrieved from PubMed, ScienceDirect, and Google Scholar using Boolean search strategies. Publications from 2021–2025 were screened using predetermined inclusion and exclusion criteria, resulting in eligible studies for synthesis. The findings indicate that adolescent pregnancy is influenced by multiple interacting factors, including low education, limited reproductive health knowledge, poor socioeconomic conditions, early marriage, family and peer influence, media exposure, and risky behaviors such as substance use. Adolescent pregnancy is also associated with adverse outcomes, including maternal complications, low birth weight, prematurity, and increased risk of stunting, as well as social consequences such as school dropout.In conclusion, adolescent pregnancy is shaped by complex structural and behavioral determinants. Comprehensive prevention strategies involving early reproductive health education, youth-friendly health services, family and school involvement, and policies addressing education and social protection are essential to reduce its incidence.Keywords: adolescent pregnancy; determinants; reproductive health; adolescent
Modified Snakes and Ladders Game as an Alternative Educational Media for Dental Caries Prevention among Elementary School Children Rohmah, Via Nazilatur; Hidayati, Sri; Mahirawatie, Ida Chairanna
Jurnal Penelitian Kesehatan SUARA FORIKES 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf17a10

Abstract

Dental caries is one of the most common oral health problems experienced by school-age children, particularly those aged 6–14 years, who are considered a vulnerable and critical age group for the development of dental caries. This study aimed to determine the difference in knowledge about dental caries before and after counseling using a modified snakes and ladders game as an educational media among students of class 3A and 3B at Wachid Hasyim 2 Elementary School, Surabaya. This study employed a quasi-experimental design with a one group pretest–posttest approach. The population consisted of all students in class 3A and 3B at Wachid Hasyim 2 Elementary School, Surabaya. A total of 44 students were selected using simple random sampling. Data were collected using a questionnaire and analyzed using the Wilcoxon test. The analysis showed a p-value < 0.05, indicating a significant difference in knowledge about dental caries before and after counseling using the modified snakes and ladders game as educational media. In conclusion, counseling using a modified snakes and ladders game is effective in improving knowledge about dental caries among elementary school students.Keywords: dental caries knowledge; snakes and ladders game media; elementary school students
Walking Exercise in Phase II Cardiac Rehabilitation to Improve Aerobic Capacity in Patients with Congestive Heart Failure due to Three-Vessel Coronary Artery Disease Farah Rizki Amalia; Farid Rahman; Kadek Agustini Aryani
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 3 (2026): March 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170316

Abstract

Congestive heart failure (CHF) secondary to three‑vessel coronary artery disease (CAD 3VD) is characterized by high morbidity and markedly reduced functional capacity, highlighting the importance of effective and individualized rehabilitation strategies. Exercise‑based cardiac rehabilitation, particularly during Phase II, plays a critical role in restoring functional performance, improving cardiovascular efficiency, and enhancing quality of life in high‑risk cardiac patients. This study aimed to evaluate the safety and clinical effectiveness of a Phase II cardiac rehabilitation program incorporating structured walking exercises in a patient with CHF and CAD 3VD. A single‑case design was applied to a 54‑year‑old male diagnosed with CHF and CAD 3VD. The intervention consisted of ten supervised sessions of moderate‑intensity aerobic exercise using track and treadmill walking. Clinical outcomes were assessed using the Six‑Minute Walk Test (6MWT), metabolic equivalents (METs), heart rate–walking speed index (HRWSI), vital signs, and perceived exertion. Hemodynamic responses were monitored throughout all sessions to ensure safety and tolerance. Following completion of the program, the patient demonstrated clinically meaningful improvements in functional and aerobic capacity. The 6MWT distance increased from 428 to 535 meters, METs improved from 4.8 to 5.7, and HRWSI increased from 1.21 to 1.50. These gains were accompanied by stable hemodynamic parameters and reduced perceived exertion, indicating enhanced cardiovascular efficiency and improved exercise tolerance. In conclusion, supervised, progressive walking exercise within a Phase II cardiac rehabilitation program is safe, feasible, and effective for improving functional capacity in high‑risk patients with CHF and CAD 3VD. The observed improvements support the integration of structured walking modalities as a core component of individualized cardiac rehabilitation.Keywords: congestive heart failure; cardiac rehabilitation phase II; walking exercise; aerobic capacity; physiotherapy
Knowledge of Oral and Dental Health as a Risk Factor for Pulp Disease Among the Elderly Arofat, Yasir; Isnanto, Isnanto; Mahirawatie, Ida Chairanna
Jurnal Penelitian Kesehatan SUARA FORIKES 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf17a09

Abstract

Pulp disease is one of the most common oral health problems among the elderly. In recent years, cases of pulp disease among older adults have shown a consistent increase. This condition indicates the need to explore contributing factors, particularly the level of knowledge regarding oral and dental health, which may influence the occurrence and progression of pulp disease in this population. This study aimed to determine the relationship between knowledge of oral and dental health and the incidence of pulp disease among the elderly at Wonosalam Primary Health Center, Jombang Regency. This study employed a cross-sectional design conducted at Wonosalam Primary Health Center, Jombang Regency. The study population consisted of elderly participants selected as research respondents. Data were collected using a structured questionnaire to assess the level of knowledge regarding oral and dental health. The association between knowledge and pulp disease was analyzed using the Chi-Square test. The analysis demonstrated a statistically significant relationship between knowledge of oral and dental health and the occurrence of pulp disease among the elderly (p = 0.03). Participants with lower levels of knowledge were more likely to experience pulp disease compared to those with better knowledge. As conclusion, knowledge of oral and dental health is significantly associated with pulp disease among the elderly. Improving educational and preventive efforts targeting older adults is essential to enhance awareness and reduce the risk of pulp disease.Keywords: knowledge; elderly; pulp disease; oral and dental health
Optimization of the Melanin Bleaching Method to Improve the Analysis of Malignant Melanoma Seilla Dinta Yastina; Alimuddin Tofrizal; Yenita Yenita; Henny Mulyani; Pamelia Mayorita
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 3 (2026): March 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170317

Abstract

Malignant melanoma is a highly aggressive tumor in which immunohistochemical (IHC) evaluation is often hindered by endogenous melanin, whose brown pigment mimics DAB staining and may lead to false‑positive interpretation. An effective melanin bleaching method is therefore essential to ensure accurate IHC assessment. This study aimed to determine the optimal melanin bleaching protocol for melanoma, particularly for IHC analysis. This preliminary laboratory study used eighteen malignant melanoma samples. Initial bleaching with 0.5% H₂O₂ in PBS or Tris-HCl at 80°C for 4–12 minutes caused marked tissue damage. A second protocol using 5% H₂O₂ in PBS at 50°C for 60, 90, and 120 minutes was tested, followed by a 24‑hour room‑temperature protocol. Tissue integrity, bleaching efficacy, and subsequent HMB45 IHC staining were evaluated. High‑temperature bleaching (protocol 1) produced significant morphological deterioration. Bleaching with 5% H₂O₂ at 50°C effectively removed melanin while preserving tissue structure at 60 and 90 minutes, whereas 120 minutes caused tissue detachment. Room‑temperature bleaching for 24 hours also reduced melanin but resulted in partial tissue damage. HMB45 staining remained strong and interpretable after bleaching at 50°C for 60 and 90 minutes. In conclusion, the most favorable balance between melanin removal, tissue preservation, and IHC quality was achieved using 5% H₂O₂ in PBS at 50°C for 60 minutes. This protocol is recommended as the optimal melanin bleaching method for malignant melanoma tissue.Keywords: melanin bleaching; immunohistochemistry; malignant melanoma
Healthcare Providers’ Perspectives on Barriers and Needs in Delivering Perinatal Mental Health Services Padmaningtyas, Dewi Anggraini; Hidayat, Asri; Mamnuah, Mamnuah
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 2 (2026): February 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170203

Abstract

Healthcare providers’ perspectives on barriers and needs in delivering perinatal mental health services are crucial, as they play a central role in identifying and managing perinatal mental health problems and are often the first point of contact for women experiencing such conditions. This review aimed to describe healthcare providers’ views on the challenges and requirements in providing perinatal mental health services. A scoping review design was employed, drawing data from PubMed, ScienceDirect, EBSCO, and Google Scholar. The included articles were original research studies published in English or Indonesian within the last five years (2019–2024). The search terms included healthcare worker, healthcare professional, healthcare provider, barrier, need, challenge, perinatal mental, health service, and maternal mental health care. The findings from 15 relevant articles indicated that barriers to perinatal mental health services include limited awareness, insufficient knowledge and skills, cultural beliefs and stigma, inadequate resources and infrastructure, and poor communication. Identified needs encompassed enhanced training and resource allocation, public awareness campaigns, and the development of clear policies and guidelines. In conclusion, perinatal mental health services across various countries highlight substantial barriers and needs from the perspective of healthcare providers. Integrating mental health into routine maternal care and strengthening interdisciplinary collaboration may improve outcomes for both mothers and infants.Keywords: barriers; needs; healthcare providers; mental health; perinatal
Enhancing the Bioavailability of Noni Fruit (Morinda citrifolia L.) Through Nanotechnology as a Topical Anti-Aging Formulation Sari, Erlinda Novita; Wikantyasning, Erindyah Retno; Utami, Wahyu
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 1 (2026): January 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170119

Abstract

Premature aging reduces collagen production and activates MAPK and MMPs pathways. Continuous use of retinol may cause adverse effects; therefore, natural ingredients are recommended as alternative therapies. Noni fruit (Morinda citrifolia L.) has potential anti-aging properties; however, its polyphenolic compounds are sensitive and exhibit limited skin absorption. The application of nanotechnology may address these bioavailability challenges. This review aimed to identify, analyze, and provide evidence regarding the enhancement of bioavailability of Indonesian herbal plants through nanotechnology-based topical formulations for managing skin aging. A systematic literature review was conducted by searching accredited national and international journals indexed in Google Scholar using the keywords “Aging,” “Morinda citrifolia L.,” and “Nano” from 2014 to 2024. From 2,950 identified articles, 80 met the inclusion criteria. The findings indicate that noni fruit contains diverse bioactive compounds with significant anti-aging potential. It is rich in vitamin C, flavonoids, and phenolic compounds. Nanoparticle formulations of noni fruit enhance its anti-aging efficacy through multiple mechanisms and improve the permeation of active compounds into the skin. In conclusion, noni fruit demonstrates strong potential as a topical anti-aging agent, and its limitations can be overcome through nanoparticle-based technology, thereby increasing its therapeutic, functional, and economic value.Keywords: aging; Morinda citrifolia L.; nanotechnology
Socio-Economic and Demographic Determinants of Pulmonary Tuberculosis among Adults in Indonesia Nurafni Nurafni; Ema Novita Deniati; Siti Nurrochman; Supriyadi Supriyadi
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 3 (2026): March 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170320

Abstract

Tuberculosis remains a major public health challenge in Indonesia, with a substantial disease burden particularly affecting the productive-age population. Beyond biological susceptibility, socio-economic disparities are recognized as key contributors to the risk of pulmonary tuberculosis. However, comprehensive analyses using nationally representative data remain limited. This study aimed to examine the association between socio-economic determinants and the incidence of pulmonary tuberculosis among adults in Indonesia. An observational analytic study with a cross-sectional design was conducted using combined secondary data from the 2023 Indonesian Health Survey and the National Socio-Economic Survey, comprising a total of 174,062 respondents. Socio-economic variables included educational level, income, housing density, housing environmental quality, and access to health services, while age, sex, place of residence, and occupation were treated as confounding variables. Data analysis consisted of univariate procedures, bivariate tests using Chi-square and Mann–Whitney, and multivariate analysis using multiple logistic regression. The findings indicated that low educational level (p<0.001; OR=1.8), low income (p=0.042; OR=0.8), high housing density (p=0.009; OR=1.4), male sex (p<0.001; OR=1.8), urban residence (p=0.029; OR=1.4), age (p<0.001; OR=1.02), and occupation (p=0.009) were significantly associated with pulmonary TB incidence. In conclusion, these results demonstrate that socio-economic and demographic factors play a substantial role in the occurrence of pulmonary tuberculosis in Indonesia. Strengthening TB control efforts through socio-economic improvement, enhanced educational attainment, and targeted promotive and preventive interventions for high-risk groups is essential to reduce disease transmission.Keywords: tuberculosis; socio-economic factors; adult
Oral Health Knowledge as a Determinant of Periodontitis among the Elderly Kurniawati, Ririn; Hadi, Sunomo; Prasetyowati, Silvia
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 2 (2026): February 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170224

Abstract

Periodontitis is a progressive inflammatory condition affecting the supporting structures of the teeth, often originating from untreated gingival inflammation and potentially leading to tooth loss. This condition represents a significant public health concern, particularly among older adults, due to its impact on oral function, quality of life, and overall health. Limited knowledge regarding oral health is considered a critical contributing factor, as it may hinder preventive behaviors and timely treatment-seeking, thereby increasing the risk of disease progression. Therefore, understanding the role of knowledge in the occurrence of periodontitis is essential. This study aimed to examine the relationship between elderly knowledge of oral health and the incidence of periodontitis. A cross-sectional design was employed, involving 48 elderly participants aged 60–80 years selected using the Slovin formula. Data were collected through questionnaires to assess knowledge and clinical observation to determine the presence of periodontitis. Statistical analysis was conducted using the Chi-square test. The results showed that the majority of respondents had low levels of oral health knowledge, and more than half of the participants experienced periodontitis. Bivariate analysis revealed a statistically significant association between knowledge and the incidence of periodontitis (p < 0.05), indicating that lower knowledge levels were correlated with a higher occurrence of the disease. This finding suggests that knowledge plays an important role in influencing oral health status among the elderly. In conclusion, knowledge is a determinant factor in the occurrence of periodontitis among older adults, where inadequate knowledge is associated with an increased risk of the disease.Keywords: periodontitis; knowledge; elderly

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