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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
Age at Menarche and Access to Sanitation Facilities as Predictors of Menstrual Hygiene Practices Among Peri‑Urban Adolescents Lisda Oktavia Madu Pamangin; Helen Try Juniasti; Fajrin Violita
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/sf170322

Abstract

Menstrual hygiene practices, which are influenced by individual behaviors and environmental conditions, play a crucial role in preventing infection and maintaining reproductive health. This study aimed to analyze the correlation between age at menarche and access to menstrual hygiene facilities with menstrual hygiene practices among adolescent girls living in peri‑urban areas of Jayapura City. An analytic observational study with a cross‑sectional design. A total of 263 school‑aged girls who had experienced menarche were recruited through total sampling. Data were collected using a self‑reported questionnaire measuring menstrual hygiene practices, age at menarche, and access to hygiene facilities. Menstrual hygiene practices were assessed using 20 items with a maximum score of 40, while access to hygiene facilities was measured using five items scored on Likert and Guttman scales. Data were analyzed using Spearman correlation tests. The results showed that the mean age of respondents was 14.51 years, with a mean age at menarche of 12.15 years. The average menstrual hygiene practice score was 28.31, indicating a moderate level of correct hygiene behavior. Most adolescents changed their menstrual pads every 6–8 hours (44.9%), only 17.5% consistently washed their hands with soap after changing pads, and only 17.1% consistently dried the genital area after rinsing. Access to hygiene facilities was generally adequate, with 48.7% having access to clean running water and 84.8% having access to a toilet. Spearman correlation analysis demonstrated a significant positive correlation between age at menarche and menstrual hygiene practice scores (r = 0.147; p = 0.017), as well as between access to hygiene facilities and menstrual hygiene practice scores (r = 0.588; p = 0.000). These findings indicate that earlier menarche and better access to hygiene facilities are associated with improved menstrual hygiene practices. In conclusion, menstrual hygiene practices among adolescents in peri‑urban Jayapura remain suboptimal, although access to hygiene facilities is relatively adequate. Strengthening hygiene education and improving facility availability may enhance menstrual hygiene behaviors and reduce the risk of reproductive tract infections.Keywords: menstrual hygiene; age at menarche; hygiene facility access; adolescent girls; peri‑urban communities
Supervision and Facility Availability as Determinants of Midwives’ Performance in Recording and Reporting Local Area Monitoring of Maternal and Child Health Oktaviani, Oktaviani; Natalina, Riny
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/sf170212

Abstract

Improving the health of mothers, newborns, and children through various maternal and child health (MCH) initiatives is an essential priority. One important strategy to enhance the quality of MCH services is improving the quality of recording and reporting data through the Local Area Monitoring of Maternal and Child Health. Midwives’ performance plays a crucial role in ensuring the accuracy and completeness of these recording and reporting activities. This study aimed to analyze factors associated with midwives’ performance in recording and reporting PWS KIA data in the working area of Panarung Primary Health Center. This study employed a cross-sectional design. The sample consisted of 20 midwives working in the Panarung Primary Health Center area, selected using a total sampling technique. Data were collected using a structured questionnaire. The relationships between variables were analyzed using the Fisher’s exact test. The analysis showed that supervision (p = 0.03) and facility availability (p = 0.02) were significantly associated with midwives’ performance. In contrast, age (p = 1.00), education level (p = 0.45), length of service (p = 1.00), perception (p = 0.65), motivation (p = 1.00), and workload (p = 1.00) were not significantly associated with midwives’ performance. In, conclusion, midwives’ performance in recording and reporting data of the Local Area Monitoring of Maternal and Child Health is significantly associated with supervision and the availability of facilities.Keywords: supervision; facilities; midwives’ performance; maternal and child health
Strengthening Medical Record Management Through Training, Monitoring, Tracer Implementation, and Standard Operating Procedures to Reduce Delays in Outpatient Medical Record Returns Wijianto, Ahdan Setyo; Alfiansyah, Gamasiano; Rachmawati, Ervina; Rahargiyanto, Angga
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/sf170213

Abstract

Timely return of outpatient medical records is an important component of effective health information management in primary healthcare facilities. Proper management of medical records ensures the continuity of patient care and supports administrative and reporting functions. This study aimed to analyze the factors causing delays in the return of outpatient medical records at Community Health Center (Puskesmas) X based on predisposing, enabling, and reinforcing factors. This study employed a qualitative research design involving nine participants, consisting of one operational coordinator of the medical record unit, one medical record officer, and seven polyclinic staff members. Data were collected through in-depth interviews, observations, documentation review, and brainstorming sessions. The data were then analyzed to identify key factors contributing to delayed medical record returns. The results revealed several contributing factors to the delay. Predisposing factors included the presence of medical record staff who did not meet the minimum educational qualification of a diploma in medical record management and limited compliance among nursing staff regarding the required return time. Enabling factors involved the suboptimal use of expedition logbooks and the absence of tracer tools in the medical record borrowing process. Reinforcing factors included the lack of standard operating procedures (SOPs) regulating the return of medical records. Several improvement strategies were identified, including proposing medical record management training, assigning monitoring responsibilities to polyclinic coordinators, developing and implementing tracer systems, applying administrative sanctions such as additional tasks or point-based accountability mechanisms, and establishing formal SOPs for medical record return procedures. In conclusion, strengthening staff capacity, monitoring mechanisms, record tracking systems, and institutional regulations is essential to improve compliance with medical record return timelines and reduce delays in outpatient medical record management.Keywords: delay; medical records; primary healthcare center; health information management; outpatient services
Efforts to Improve Hospital Organizational Performance Using the Balanced Scorecard Soka, Stefanus Dhe; Pandie, David B.W; Roga, Anderias Umbu; Beni, Kornelis Nama
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/sf170220

Abstract

Hospitals, as part of the public service sector, are expected to implement strategies to improve service quality through the evaluation of Balanced Scorecard implementation. This study aims to identify and analyze the implementation of the Balanced Scorecard in improving organizational performance at Prof. Dr. W. Z. Johannes Regional General Hospital, Kupang. This study employed a qualitative research approach involving 16 participants and was supported by secondary data from the Financial and Development Supervisory Agency audit on hospital performance in 2022. The variables examined included financial perspective, customer perspective, internal business process perspective, and learning and growth perspective. The thematic analysis showed that the financial perspective covered hospital performance measurement, the benefits of performance assessment, constraints in financial performance management, and its impact. The customer perspective included patient satisfaction, complaint handling, and comparison of services received. The internal business process perspective highlighted the achievement of minimum service standards and service quality. The learning and growth perspective addressed human resource management, including medical, nursing, midwifery, and other health personnel, as well as hospital support for capacity building. Based on the Financial and Development Supervisory Agency audit data, the organizational performance of Prof. Dr. W. Z. Johannes Regional General Hospital, Kupang, measured using the Balanced Scorecard, was categorized as very good.Keywords: balanced scorecard; organizational performance; regional public service agency; regional general hospital
Close Contact with Patients and Immunity Status as Major Risk Factors for Leprosy Among Adults Puji Utami; Titi Indriyati; Sumiati Bedah
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/sf170308

Abstract

Leprosy is a chronic infectious disease caused by Mycobacterium leprae that affects peripheral nerves, skin, the upper respiratory tract, eyes, and nasal mucosa. Despite global progress, it remains a public health problem in Indonesia. This study aimed to analyze the risk factors associated with leprosy among adults at UPT RSUD RAA Soewondo Pati in 2025. An analytical observational study with a case–control design was conducted involving 70 cases and 70 controls (1:1 ratio). Data were analyzed using Chi‑square tests and multivariate logistic regression. In results, age (p=0.007), sex (p=0.033), close contact with leprosy patients (p=0.005), personal hygiene (p=0.011), and immunity status (p=0.000) were significantly associated with leprosy. Multivariate analysis identified close contact with leprosy patients (OR=8.3; 95% CI: 1.897–36.310) and immunity status (OR=6.2; 95% CI: 2.798–13.570) as the strongest predictors. In conclusion, close contact with leprosy patients and compromised immunity status are the major risk factors for leprosy among adults. Strengthening early detection, monitoring close contacts, improving personal hygiene, and enhancing community immunity are essential strategies to reduce transmission and prevent new cases.Keywords: leprosy; risk factors; close contact
Incomplete Outpatient Medical Record Documentation Is Driven by Individual, Organizational, and Psychological Factors: Evidence from a Primary Healthcare Center Rochim, Nur An Nisyah; Alfiansyah, Gamasiano; Santi, Maya Weka; Erna Selviyanti, Erna Selviyanti
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/sf170216

Abstract

Complete outpatient medical records are essential to ensure service quality, patient safety, and administrative efficiency in primary healthcare settings. However, incomplete documentation remains a persistent issue. This study aimed to analyze the factors contributing to incomplete outpatient medical record documentation at a primary healthcare center based on Gibson’s performance theory, encompassing individual, organizational, and psychological factors, and to identify priority problems and improvement strategies. A qualitative study design was employed, with data collected through interviews, observations, documentation review, and brainstorming. Problem prioritization was conducted using the Urgency, Seriousness, Growth (USG) method. The findings revealed that incomplete documentation was influenced by multiple factors. At the individual level, limited work experience and lack of training in medical records were identified. Organizational factors included the absence of control cards, constraints in computer network systems, suboptimal implementation of Standard Operating Procedures (SOPs), and excessive workload beyond core job descriptions. Psychological factors involved the absence of sanctions for incomplete documentation and insufficient attention to detail among staff. Several improvement strategies were proposed, including routine rechecking of record completeness before submission, staff training and supervision, optimization of facility usage, budgeting for electrical system improvements, and regular dissemination and provision of SOPs in each service unit. In conclusion, incomplete outpatient medical record documentation is driven by interconnected individual, organizational, and psychological factors; therefore, comprehensive and targeted interventions are required to improve documentation completeness in primary healthcare settings.Keywords: incompleteness; primary healthcare; medical records; urgency, seriousness, growth (USG)
Physical Work Environment, Shift Work, and Mental Workload as Determinants of Occupational Stress among Locomotive Depot Workers Rochmah, Ainur; Lestantyo, Daru; Wahyuni, Ida
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/sf170221

Abstract

Locomotive depots are responsible for maintaining locomotives to ensure smooth railway operations. Inspection and maintenance workers play a direct role in this process and may be exposed to occupational stress due to various work-related factors. This study aimed to analyze factors associated with occupational stress among inspection and maintenance workers. A cross-sectional design was employed with total sampling of all 35 workers in the inspection and maintenance unit. Data were collected using the Work Stress Scale, physical work environment perception questionnaire, work relationship questionnaire, and NASA Task Load Index. Data were analyzed using the Spearman rank test. Most workers were middle-aged (65.7%), had good perceptions of the physical work environment (51.4%), and reported good work relationships (65.7%). More than half worked in shifts (57.1%) and had moderate mental workload (51.4%), while 34.3% experienced moderate levels of work stress, indicating that not all workers experienced stress. Significant associations were found between physical work environment perception (p = 0.006), shift work (p = 0.012), and mental workload (p = 0.001) with occupational stress. In conclusion, physical work environment, shift work, and mental workload are key determinants of occupational stress among locomotive depot workers. Effective management of these factors is essential to prevent adverse impacts.Keywords: occupational stress; physical work environment; shift work; mental workload; locomotive depot workers
Breathing Exercise and Early Mobilization in Patients Post Aortic Valve Replacement with Ascending Aortic Aneurysm Hanabilla Rawdhatul Jannah; Farid Rahman; Purnomo Gani Setiawan; Diani Qomaradewi Indah Sari
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/sf170304

Abstract

Postoperative respiratory distress and early decannulation are common complications following aortic valve replacement (AVR), particularly in patients with ascending aortic aneurysms. These conditions may delay recovery and increase the risk of adverse outcomes, highlighting the importance of early rehabilitation strategies. This case report aims to evaluate the effects of structured breathing exercises combined with progressive early mobilization during Phase I of cardiac rehabilitation in a postoperative AVR patient. A 61-year-old male patient admitted to the Cardiac Intensive Care Unit (CICU) underwent a structured intervention consisting of breathing exercises and progressive early mobilization. The program was conducted over three sessions, with monitoring of respiratory, hemodynamic, pain, and functional parameters. Following three intervention sessions, oxygen saturation improved from 94% to 100%, respiratory rate decreased from 27 to 20 breaths per minute, and pain intensity reduced from 4/10 to 0/10. Chest expansion increased by 0.5 cm at both axillary and xiphoid levels. Functional mobility, as measured by the ICU Mobility Scale, improved from 1 to 6. Hemodynamic parameters remained stable throughout the intervention, with no adverse cardiovascular events observed. In conclusion, structured breathing exercises combined with safe early mobilization appear to be effective in improving respiratory function, reducing pain, and accelerating functional recovery in high-risk patients following aortic valve replacement.Keywords: cardiac rehabilitation; breathing exercises; early mobilization; aortic valve replacement; ascending aortic aneurysm
Yodium Plant (Jatropha multifida Linn.) Leaf Extract Reduces Bleeding Time Waseso, Wahyu; Mahmudah, Nur; Jatmiko, Safari Wahyu; Dewi, Listiana Masyita
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/sf170214

Abstract

Bleeding is a physiological response to vascular injury; however, prolonged bleeding time may indicate impaired hemostatic function. Various medicinal plants have been traditionally used to accelerate wound healing and control bleeding. One such plant is the yodium plant (Jatropha multifida Linn.), which is widely utilized in traditional medicine due to its potential hemostatic and anti-inflammatory properties. The bioactive compounds contained in its leaves are believed to contribute to the enhancement of blood coagulation and the reduction of bleeding duration. This study aimed to determine the effect of Jatropha multifida Linn. leaf extract on bleeding time. This study employed an experimental design to evaluate the effect of Jatropha multifida Linn. leaf extract on bleeding time. The subjects were divided into control and treatment groups. The treatment group received Jatropha multifida leaf extract, while the control group did not receive the extract. Bleeding time was measured after the intervention to assess the hemostatic effect of the extract. The collected data were analyzed to compare bleeding time between the groups. The results demonstrated that the administration of Jatropha multifida Linn. leaf extract was associated with a reduction in bleeding time compared with the control group. This finding suggests that the extract possesses hemostatic potential, which may be attributed to the presence of bioactive compounds that support the blood clotting process. Jatropha multifida Linn. leaf extract has the potential to reduce bleeding time, indicating its possible role as a natural hemostatic agent.Keywords: Jatropha multifida; leaf extract; bleeding time; hemostatic effect; medicinal plants
Head Nurse Supervision as an Effective Strategy to Improve Nursing Retention and Performance Desma Elvita; Cicilia Ika Wulandari
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 4 (2026): April 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170406

Abstract

Suboptimal supervision by ward heads has been identified as a contributing factor to low retention and high turnover among hospital nurses. Strengthening supervisory practices is therefore essential to enhance performance, job satisfaction, and workforce stability within nursing services. This study aims to analyze the influence of ward head supervision on job satisfaction and organizational commitment among hospital nursing staff. This systematic literature review employed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework and the PICOT strategy. Literature searches were conducted through Google Scholar, PubMed, ScienceDirect, ProQuest, and Gale using keywords related to ward head supervision, job satisfaction, organizational commitment, and hospital settings. The review followed a rigorous and structured process, including critical appraisal using the Critical Appraisal Skills Programme (CASP) to assess methodological quality. From the 15 articles reviewed, most studies demonstrated that ward head supervision and leadership exert a positive influence on nurse performance, quality of work life, job satisfaction, and organizational commitment. Structured, supportive, and development‑oriented supervision was shown to reduce burnout, improve compliance with standard operating procedures, and strengthen nurse retention. However, the effectiveness of supervision is highly dependent on the quality, consistency, and contextual appropriateness of its implementation. In conclusion, ward head supervision and leadership play a pivotal role in improving nurse performance, adherence to standard operating procedures, and patient safety. Supportive and well‑structured supervisory practices, combined with effective leadership, contribute significantly to service quality and the overall well‑being of nurses in hospital settings.Keywords: Ward head supervision; Nurse job satisfaction; Nursing service quality.

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