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Jurnal Kesehatan Manarang
Published by Poltekkes Kemenkes Mamuju
ISSN : 24433861     EISSN : 25285602     DOI : -
Core Subject : Health,
Health Professions Nursing Public Health
Jurnal Kesehatan Manarang is a health journal that is independent, trustworthy, rational, accountable and global that includes researches with quantitative and qualitative methods.
Arjuna Subject : -
Articles 470 Documents
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METODE BRAT DALAM MENURUNKAN TEKANAN DARAH PADA PENDERITA HIPERTENSI Afrianti, Novi; Dewiyuliana, Dewiyuliana; Kamal, Anda
Jurnal Kesehatan Manarang Vol 11 No 2 (2025): August 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i2.1679

Abstract

Hypertension is one of the diseases that often causes various negative effects for sufferers. Uncontrolled hypertension can impair quality of life and interfere with daily activities. It can also harm other organs, including the kidneys, heart, brain, and eyes. Medication can rapidly reduce high blood pressure, but long-term use can have negative effects, such as renal damage. Therefore, using a non-pharmacological method is a simple, affordable, and safe to control blood pressure. Non-pharmacological interventions like the BRAT method can be an aid intervention. This study aims to identify the effectiveness of the BRAT method in reducing blood pressure in patients with hypertension. This study used an experimental research design with a pretest-posttest control group approach. By considering alpha value 0,05, power 80%, and effect size 0,713, G*power analysis was implemented to determine the patients; thus, it was found that 64 patients with hypertension were divided into two groups (each 32 patients). A digital sphygmomanometer was used to measure blood pressure before and after 12 BRAT technique applications. The data was analyzed using the t-test. The results showed that the average systolic blood pressure of hypertensive patients in the intervention group is 144.97 mmHg and the control group is 148.09 mmHg; there is a significant difference (p-value 0.000) between the systolic and diastolic blood pressure readings before and after the Brisk Walking Activity Therapy (BRAT) approach was implemented. It can be concluded that the BRAT method effectively reduces blood pressure in patients with hypertension. This intervention can be an option for patients with hypertension who want to reduce their blood pressure non-pharmacologically.
Effectiveness Of Tele-Counseling In Enhancing Self-Care And Metabolic Markers In Type 2 Diabetes Patients Among The Coastal Areas: A Quasi-Experimental Study Saltar, Laode; Said, Muhammad Sulkifly; Bayu, Wisnu Catur
Jurnal Kesehatan Manarang Vol 11 No 2 (2025): August 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i2.1687

Abstract

Tele-counseling has gained prominence as an effective tool for managing chronic diseases, including type 2 diabetes, particularly in underserved regions. This study aimed to assess the effectiveness of tele-counseling in improving self-care behaviors and metabolic markers in type 2 diabetes patients residing in the coastal areas of Kendari City, Southeast Sulawesi, Indonesia. A quasi-experimental design was employed, involving 70 participants who were randomly assigned to two groups: an intervention group (n = 35), which received tele-counseling for six weeks, and a control group (n = 35), which continued standard care. The primary outcomes measured included self-care behavior, fasting blood glucose (FBG), low-density lipoprotein (LDL) cholesterol, body weight, and blood pressure, all assessed at baseline and again six weeks after the intervention. Statistical analyses, including paired t-tests, Wilcoxon tests for non-normally distributed data, and independent t-tests for between-group comparisons, were conducted. Results indicated that the intervention group experienced significant improvements in self-care behavior (p < 0.001), along with reductions in FBG (p < 0.001), LDL cholesterol (p < 0.001), systolic blood pressure (p = 0.001), diastolic blood pressure (p = 0.003), and body weight (p < 0.001). In contrast, the control group showed minimal changes. These findings suggest that tele-counseling is an effective intervention for enhancing self-care behaviors and improving key metabolic markers in type 2 diabetes patients, particularly in coastal areas with limited access to healthcare services. This study provides valuable insights into the application of telemedicine for chronic disease management in underserved regions. Further research is recommended to examine the long-term effects of tele-counseling on diabetes management and to explore its scalability in other remote and rural areas.
EFEKTIFITAS ROSATIN (ROMPI SASAK PIJAT OKSITOSIN) TERHADAP PRODUKSI ASI IBU MENYUSUI Saudia, Baiq Eka Putri; Marliana, Yunita; Rofita, Desi
Jurnal Kesehatan Manarang Vol 11 No 2 (2025): August 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i2.1785

Abstract

The World Health Organization (WHO) recommends exclusive breastfeeding during the first six months of an infant’s life. Breast milk provides numerous benefits to infants, such as protection against gastroenteritis, respiratory infections, ear infections, urinary tract infections, allergies, diabetes mellitus, sudden infant death syndrome (SIDS), and obesity, and it can also enhance cognitive development. However, many mothers face challenges in breastfeeding due to insufficient breast milk production. The production of breast milk itself is often a key inhibiting factor in successful breastfeeding. Optimal breastfeeding practices play a critical role in reducing stunting among children under five, aligning with both global and national targets to reduce stunting by 40 percent. One non-pharmacological therapy commonly used by health workers or therapists to address breastfeeding difficulties is oxytocin massage. In this study, the researchers developed a novel, previously untested non-pharmacological tool called ROSATIN (Sasak Oxytocin Massage Vest). ROSATIN integrates the traditional fabric of the Sasak tribe into a vest designed to stimulate oxytocin points along the spine, mimicking the effects of manual oxytocin massage by providing gentle, targeted pressure and promoting maternal relaxation. This study aims to evaluate the effectiveness of the ROSATIN tool in increasing breast milk production among breastfeeding mothers. A quasi-experimental design with a two-group post-test-only approach was employed. The intervention group received massage using ROSATIN, while the control group received a traditional oxytocin massage performed by a trained therapist. The study involved 60 breastfeeding mothers who reported irregular breast milk production. Participants were selected using purposive sampling. Data were analyzed using the Wilcoxon test, while effectiveness was assessed through the N-Gain score. The results showed a significant increase in breast milk production in both groups following the intervention, with a significance value of 0.000 (p< 0.05). However, the effectiveness test revealed that massage using ROSATIN demonstrated higher effectiveness, with an N-Gain score of 0.844, compared to manual massage by a therapist.
Video Intervention In Health Education Use Case Study To Improve Understanding Of Tuberculosis Mustopa, Raden; Damris, Damris; Syamsurizal , Syamsurizal; Guspianto, Guspianto
Jurnal Kesehatan Manarang Vol 11 No 2 (2025): August 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i2.1794

Abstract

Tuberculosis is a deadly infectious disease in the world. Five countries account for 56% of the world total: India (26%), Indonesia (10%), China (6.8%), the Philippines (6.8%) and Pakistan (6.3%). One of the biggest challenges in controlling TB is the lack of public knowledge about how it is transmitted, early symptoms, and the importance of undergoing complete treatment. The shift from traditional health promotion methods to digital media, especially video, offers a more engaging and effective way of conveying health information. This research uses a quantitative approach with a pre-test and post-test design without a control. This study involved 175 respondents who lived around TB patients, selected purposively on 5–30 June 2024 in the Pakuanbaru Health Center and Putriayu Health Center areas, Jambi City. Data analysis was carried out using the T-Test to measure changes in knowledge before and after the educational intervention. The results showed that the average pre-test score was 66 with a minimum score of 27 and a maximum of 93. After the intervention, the average post-test score increased significantly to 85, with a minimum score of 60 and a maximum of 100. Statistical analysis showed a significant increase in participant knowledge, with an average difference in scores between the pre-test (mean = 9.97; SD = 2.010) and post-test (mean = 12.79; SD = 2.186). The t-test produced a significance value (p <0.01), indicating that the video intervention had a positive impact on increasing participants' understanding of the educational material presented.
Analysis of Family Function and Family Type Towards Nutritional Status of Toddlers Anggina, Dientyah Nur; Asmalia, Resy; Pramasyastri, Vina; Arifin, Stievy
Jurnal Kesehatan Manarang Vol 11 No 2 (2025): August 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i2.1896

Abstract

Nutritional status reflects the balance between nutrient intake and physiological needs, serving as a comprehensive indicator of an individual's nutritional condition. A well-functioning family influences maternal behavior in fulfilling children's nutritional needs, which can be affected by the number of family members living in the household. Assessing nutritional status is essential for supporting children's growth and development. This study aimed to identify the relationship between family function and family type with the nutritional status of toddlers in Seberang Ulu II Subdistrict. Anthropometric measurements were carried out on toddlers aged 12–60 months, and family-related data were collected using structured questionnaires. An observational analytic study with a cross-sectional approach was employed. A total sampling technique resulted in 75 participants. Data were analyzed using the Chi-square test and Fisher's exact test. The analysis revealed a significant relationship between family function and the nutritional status of toddlers (P=0.000). However, no significant relationship was found between family type and the nutritional status of toddlers (p=0.193). In conclusion, this study highlights a significant association between family function and toddler nutritional status in Seberang Ulu II Subdistrict, while family type showed no significant effect. These findings suggest that enhancing family functioning should be prioritized in efforts to improve toddler nutrition.
Balsem Ekstrak Jahe Merah sebagai Alternatif Pereda Dysmenorrhea: Studi Quasi-Eksperimental dengan Kelompok Kontrol Handayani, Rika; Fachriani, Ayu; Haji Saeni, Rahmat; Yulianti, Nila Trisna
Jurnal Kesehatan Manarang Vol 11 No 2 (2025): August 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i2.1902

Abstract

Dysmenorrhea is pain in the lower abdomen to the pelvic area during menstruation, which can interfere with the daily activities of adolescent girls. This study aims to evaluate the effectiveness of red ginger (Zingiber officinale var. rubrum) extract balm in reducing menstrual pain levels among adolescent girls at SMPN 8 Makassar. The research design used is a Quasi-Experimental Pretest-Posttest Control Group Design, where measurements were conducted before and after the intervention in both the intervention and control groups. A total of 66 ninth-grade students were selected using a purposive sampling technique and were divided into two groups: the intervention group and the control group. Data were analyzed using non-parametric statistical methods, namely the Wilcoxon Signed Rank Test and Mann-Whitney U Test. The Wilcoxon test results showed a significant reduction in pain levels in the intervention group with a Z value of -4.799 and a p-value of 0.000. The Mann-Whitney U test results indicated a significant difference between the intervention and control groups (p = 0.000), with the intervention group having a lower mean rank (24.52) compared to the control group (42.48). These findings suggest that the application of red ginger extract balm is effective in reducing menstrual pain intensity. Thus, using red ginger-based balm can be considered a practical and effective non-pharmacological alternative therapy for managing dysmenorrhea. Further research is needed to explore the optimal duration of use and effectiveness across a broader age group.
Analysis Of The Effectiveness Of A Spiritual-Based Transformational Leadership Workshop In Enhancing Head Nurses' Capacity For Patient Safety At Hospitals In Central Sulawesi Kolomboy, Fajrillah; Sipatu, Lindanur; Rizkaningsih, Rizkaningsih; Syamsu, Andi Fatmawati; Jun Cen, Hana W.
Jurnal Kesehatan Manarang Vol 11 No 2 (2025): August 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i2.1948

Abstract

Patient safety is a global health problem and is a very complex health issue that involves many parties. Factors that influence the increase in unsafe patient incidents in hospitals include a weak patient safety culture. Indifference to patient safety causes harm to patients and hospitals. In order to overcome this, the role of leaders as key figures is needed to foster a patient safety culture. With transformational leadership, it is hoped that people will be able to demonstrate a visionary attitude and have the ability to convince others to make changes, prioritize common interests, and motivate other people or groups to achieve goals. To determine the knowledge and skills of all Heads of the Room in implementing a spiritual-based transformational leadership model before and after the workshop. This study used a quasi-experimental method, namely a pre-test and post-test, with a population of 72 ward heads in type B hospitals throughout Central Sulawesi. The number of samples in this study was 40 people, and the results were obtained using the accidental sampling formula. This study was conducted from January to September 2024 in type B hospitals throughout Central Sulawesi. Data analysis was performed using the Wilcoxon test, which showed an increase in scores on the knowledge and skills variables before and after the workshop, with an average of 20.50, with a significance value of p-value for both knowledge and skills variables of 0.000 <0.05.. There is an influence of the workshop on increasing the knowledge and skills of the Head of the Room in implementing the spiritual-based transformational leadership model before and after the workshop. to obtain more complex results, further research needs to be conducted using the Focus Group Discussion (FGD) method..
Enhacing Maternal Competence In Preventing Stunting Through Local Food-Based Complementary Feeding: A Quasi-Experimental Study In West Sulawesi, Indonesia Evawaty; Harli, Kurnia; Adhisty, Weny Anggraini; Fauziah; Nurwahita; Immawanti
Jurnal Kesehatan Manarang Vol 11 No 2 (2025): August 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i2.2024

Abstract

Stunting remains a major public health concern in Indonesia, particularly among children under five. A key contributing factor is limited maternal competence, including insufficient knowledge of the appropriate age to introduce complementary feeding, poor understanding of dietary variety, and inconsistent feeding practices. This study aimed to evaluate the effectiveness of two educational interventions—cooking demonstrations and emotional demonstrations (emo-demo)—in improving maternal knowledge, attitudes, and practices regarding local food-based complementary feeding. A quasi-experimental study was conducted in Majene Regency, West Sulawesi, involving 184 mothers of children aged 6–24 months. Participants were randomly assigned to either the cooking demonstration group or the emo-demo group. Data were collected at baseline and during three follow-up time points. Maternal competence was assessed using validated indicators covering knowledge, attitude, and behavior. Data analysis employed repeated measures ANOVA, the Friedman test, and Generalized Estimating Equations (GEE). Both interventions significantly improved maternal competence. However, the cooking demonstration group consistently achieved higher mean scores in all post-intervention assessments (p < 0.001). Improved maternal behavior was positively associated with weight-for-age in children, although no significant associations were found with height-for-age or weight-for-height indicators. Contextual, interactive, and hands-on educational approaches such as cooking demonstrations proved more effective in enhancing maternal competence for stunting prevention. Integrating culturally relevant, food-based learning into community health programs offers a promising and sustainable strategy to improve child nutrition, especially in regions rich in local food resources. Moreover, these educational interventions may also be incorporated into health education curricula at various academic levels to strengthen future health professionals’ competencies in nutrition promotion and stunting prevention.
Geospatial and Environmental Analysis of Stunting Prevalence in Pekanbaru City, Indonesia Hayu, Riska Epina; Mayasari, Eva; Hadziqoh, Nur
Jurnal Kesehatan Manarang Vol 11 No 2 (2025): August 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i2.2058

Abstract

Stunting is a chronic nutritional problem that remains a major public health challenge in Indonesia. In 2022, the national stunting prevalence was recorded at 21.6%, exceeding the WHO threshold of below 20%. In Pekanbaru, the prevalence reached 23%, contributing significantly to the total number of stunting cases in Riau Province. Stunting reflects the socio-economic conditions of a community, as it can be influenced by various factors, including population density and environmental conditions. This study aimed to analyze the spatial distribution of stunting in Pekanbaru and examine its correlation with environmental and geographic factors, including population density, access to clean water, and sanitation facilities. An observational analytical design was used, incorporating spatial analysis and correlation tests. The study was conducted in 2023 by confirming reported stunting cases. Results showed that stunting was distributed across 15 districts in Pekanbaru, with the highest prevalence found in the sub-districts of Lima Puluh. Notably, Lima Puluh also ranked third in population density. The average percentage of clean drinking water quality was 91.8%, and access to healthy latrines averaged 99.8%. Correlation analysis revealed no significant relationship between population density (p 0.112, r 0.417), drinking water quality (p 0.568, r 0.160), or access to healthy latrines (p 0.995, r 0.002) and the prevalence of stunting. These findings suggest that the three examined variables were not significantly associated with stunting incidence. However, the variable of population density showed a potential correlation, indicating a need for further research.
Analysis of Sanitation, Internal and External Factors Affecting Stunting Knowledge among At-Risk Communities in Central Sulawesi, Indonesia Syukur, Djunaedil; Ganing, Abdul; Arsyad, Gusman; Mustaqim, Udin
Jurnal Kesehatan Manarang Vol 11 No 2 (2025): August 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i2.2076

Abstract

Stunting remains a significant public health challenge in Indonesia, particularly in underdeveloped regions like Central Sulawesi, where limited access to health information and services contributes to poor nutritional outcomes. This study evaluates the effectiveness of interventions in improving knowledge about stunting among four vulnerable groups: families with stunted children, pregnant women, couples of childbearing age (PUS), and female senior high school students in Central Sulawesi. Using a pre-and post-test design, the average knowledge scores on stunting increased from 14.12 to 50.95 among pregnant women, 28.57 to 58.43 among PUS, and 34.82 to 57.67 among female senior high school students. Correlation analysis revealed that sanitation, internal, and external factors were strongly associated with knowledge improvement (correlation values between 0.05% and 0.01%). These findings suggest that tailored, community-based educational approaches can significantly enhance awareness and knowledge of stunting, thereby contributing to long-term prevention efforts in underdeveloped regions.

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