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Hearty : Jurnal Kesehatan Masyarakat
Published by Universitas Ibn Khaldun Bogor
ISSN : 23387475     EISSN : 26207869     DOI : 10.32832/hearty
Core Subject : Education,
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Hearty: Jurnal Kesehatan Masyarakat (ISSN:2338-7475 & e-ISSN:2620-7869) is published semiannual by Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor.
Arjuna Subject : -
Articles 486 Documents
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THE EFFECT OF RADIATION ON DIARRHEA AND DIGESTIVE DISORDERS IN CERVICAL CANCER PATIENS WITH 3D-CRT TECHNIQUE AT MRCCC SILOAM SEMANGGI HOSPITAL: english Manurip, Gabreal Injelika; Harlis, Yogi Purba; Gitawiarsa, I Putu Pande
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21541

Abstract

Cervical cancer is one of the most common cancers in women, with radiotherapy being a primary treatment option, including the use of Three-Dimensional Conformal Radiation Therapy (3D-CRT). Although this technique precisely delivers radiation doses to the target area, exposure to surrounding organs often causes gastrointestinal side effects, particularly diarrhea. This study aimed to evaluate the effect of radiation fractionation on the occurrence of diarrhea in cervical cancer patients treated at MRCCC Siloam Semanggi Hospital. A quantitative descriptive design was applied using questionnaires based on a simplified version of CTCAE v5.0, supported by direct observation and interviews. A total of 10 patients participated, resulting in 50 questionnaire entries collected at the 5th, 10th, 15th, 20th, and 25th fractions. The results showed that most patients experienced mild diarrhea starting from the mid-treatment phase (15th fraction), while some showed fluctuating patterns with two peaks (15th and 25th fractions), and others remained stable with mild symptoms. No patients reached grade 3 (severely affecting daily activities). In conclusion, fractionated radiation exposure was associated with the onset of diarrhea, but symptoms were generally mild to moderate. Regular monitoring and nutritional education are essential strategies to minimize gastrointestinal toxicity and maintain patients’ quality of life during therapy.
SODIUM ADEQUACY, FIBER, AND NUTRITIONAL STATUS IN RELATION TO BLOOD PRESSURE OF STUDENTS AT SMPN 13 BANDUNG Gosal, Divania Putri Salsabila; Rosdiana, Delita Septia; Prameswari, Fajria Saliha Puspita; Fitrianingsih, Asti Dewi Rahayu
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21570

Abstract

Hypertension is a growing health concern that can begin in adolescence and persist into adulthood. Nutritional factors such as nutritional status, sodium intake, and fiber intake play a key role in influencing blood pressure. This study aims to examine the relationship between nutritional status, sodium adequacy, and fiber adequacy with the incidence of hypertension among junior high school students. This research employed a cross-sectional design with a total of 64 students selected through purposive sampling. Nutritional status was assessed using Body Mass Index-for-Age (BMI/A), while sodium and fiber adequacy were measured using a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ). Blood pressure was measured using a digital sphygmomanometer. Data were analyzed using the Spearman correlation test. The findings showed a significant relationship between nutritional status, sodium adequacy, and fiber adequacy with both systolic and diastolic blood pressure (p < 0.05). Nutritional status had a positive correlation with blood pressure, while sodium intake and fiber intake showed a negative correlation. There is a significant association between nutritional status, sodium adequacy, and fiber adequacy with blood pressure in adolescents. Promoting balanced nutrition from an early age is important to prevent the onset of hypertension.
THE OVERVIEW OF FACTORS ASSOCIATED WITH THE INCIDENCE OF ANEMIA IN PREGNANT WOMEN AT LEMPAKE HEALTH CENTER IN SAMARINDA Wahyuni, Tiara; Tripertiwi, Sucita; Hayati, Ida; Meihartati, Tuti
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21641

Abstract

Anemia in pregnant women is a common health problem with a high prevalence in both Indonesia and worldwide. This condition has serious impacts on both the mother and fetus, ranging from the risk of preterm delivery, low birth weight, to an increased maternal and perinatal mortality rate. WHO data show that 35.5% of pregnant women globally experience anemia, while the prevalence in Indonesia reaches 48.9% and in East Kalimantan as high as 87%. In Samarinda City, Lempake Public Health Center ranks third among 26 health centers in terms of anemia cases in pregnant women. The factors associated with anemia during pregnancy remain inconsistent across studies, making this research important to conduct. To describe the factors associated with the incidence of anemia among pregnant women at Lempake Public Health Center, Samarinda City. This study employed a retrospective cohort design with a descriptive-analytic quantitative approach. The research was conducted from January to August 2025. The population consisted of 160 pregnant women registered at Lempake Public Health Center, from which 83 respondents with complete data were selected based on inclusion criteria. Data were collected from cohort records at the health center and analyzed using univariate methods to describe the frequency distribution of each variable. The findings showed that most respondents were in the high-risk pregnancy age group (84.3%), the majority had non-risk parity (90.4%), most had normal nutritional status (91.6%), and the majority had non-risk MUAC (77.1%). The incidence of anemia was found in 20.5% of pregnant women, while 79.5% did not experience anemia.
THE INFLUENCE OF ANIMATED VIDEOS ON ADOLESCENTS' KNOWLEDGE AND ATTITUDES ABOUT PREMARITAL SEX AT ISTIQOMAH MUHAMMADIYAH 4 VOCATIONAL SCHOOL, SAMARINDA Putri, Salma Khairani; Sulistyorini, Chandra; Hayati, Ida; Puspitasari, Dwi Ida
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21652

Abstract

Premarital sex is a behavior in which a person engages in sexual intercourse with the opposite sex without coercion and with or without a romantic relationship. Adolescents' attitudes toward premarital sexual activity are influenced by various factors, including knowledge, culture, mass media, personal experiences, the role of educational and religious institutions, and the individual's own emotional state. Audiovisual media is an effective medium for conveying messages about early sex education to adolescents. This type of media is an appropriate learning strategy for adolescents because it is engaging and engaging. To analyze the effect of animated video-based health education on increasing adolescents' knowledge and attitudes regarding Premarital Sex. This study used a Quasi-experimental design with a One Group Pre-test and Post-test. The study was conducted in September 2025. The population was all eleventh-grade students of SMK Istiqomah Muhammadiyah 4 Samarinda. The sample consisted of 99 people. The type and collection of data were primary data using a questionnaire. The statistical test used was the Wilcoxon Test. There is an influence between knowledge before and after being given health education using animated videos with a p value <0.001. There is an influence of respondents' knowledge and attitudes after being given health education using animated video media on adolescents' knowledge and attitudes about Premarital Sex at SMK Istiqomah Muhammadiyah 4 Samarinda.
THE EFFECT OF BAY LEAF (SYZYGIUM POLYANTHUM) DECOCTION ON SYSTOLIC BLOOD PRESSURE REDUCTION AMONG HYPERTENSIVE PATIENTS Rapika, Nor; Tasalim, Rian
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21709

Abstract

Hypertension is a major global public health concern and one of the leading causes of cardiovascular morbidity and mortality. In Indonesia, its prevalence continues to rise, particularly among adults in primary healthcare settings. Complementary and alternative treatments using natural ingredients have gained attention for their accessibility, affordability, and cultural acceptance. Bay leaf (Syzygium polyanthum) is a traditional Indonesian medicinal plant containing flavonoids, tannins, and alkaloids, which have vasodilatory and diuretic properties. This study aimed to analyze the effect of bay leaf decoction on systolic blood pressure reduction among hypertensive patients at the Gambut Health Center. A pre-experimental design with a one-group pretest–posttest approach was applied involving 15 hypertensive patients selected through purposive sampling. Participants consumed 200 ml of bay leaf decoction once daily for seven consecutive days. Blood pressure was measured before and after the intervention using a digital sphygmomanometer, and data were analyzed using a paired sample t-test. The results showed a significant decrease in mean systolic blood pressure from 156.53 ± 12.48 mmHg to 136.00 ± 10.23 mmHg (p = 0.000061). This finding demonstrates that bay leaf decoction effectively lowers systolic blood pressure among hypertensive patients. In conclusion, bay leaf decoction can be recommended as a safe, affordable, and culturally accepted complementary therapy for managing hypertension in primary healthcare settings.
PRIMARY DYSMENORRHEA LEVEL BASED ON FOOD CONSUMPTION AND DIETARY HABITS IN FEMALE STUDENTS AT YWKA HIGH SCHOOL BANDUNG Hidayah, Chintya Fatma; Sentani, Muchamad Rizki; Fitrianingsih, Asti Dewi Rahayu; Fauza, Ahdiyatul
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21726

Abstract

Background: Primary dysmenorrhea refers to menstrual pain that occurs before or during menstruation without any abnormalities in the reproductive organs and is most commonly experienced by adolescent girls aged 15-25 years. Globally, the prevalence reaches up to 90%, while in Indonesia it is 54.89%. Factors associated with primary dysmenorrhea include age under 30 years, early menarche, BMI under 18 kg/m², family history, and nutritional status. Objective: To examine the difference in primary dysmenorrhea level based on food consumption and dietary habit among female students at YWKA High School Bandung. Methods: This study used a quantitative design with a retrospective case-control approach. The population consisted of 96 female students from grades X and XI, with 58 students in the case group and 38 in the control group, selected using a total sampling technique. Data were collected using the SQ-FFQ and AFHC questionnaires, and analyzed using multivariate logistic regression. Results: there was an association of primary dysmenorrhea with food consumption of magnesium (OR: 2.670; 95%CI: 1.057-6.741; p-value: 0.038), family history (OR: 0.336; 95%CI: 0.133-0.853; p-value: 0.022), and dietary habit (OR: 3.432; 95%CI: 1.348-8.743; p-value: 0.01). Meanwhile, BMI (OR: 1.58; 95%CI: 0.59-4.231; p-value: 0.362) was a confounding variable. Conclusion: These findings emphasize the importance of education on balanced nutrition as part of promotive efforts to enhance reproductive health and reduce the incidence of primary dysmenorrhea among adolescent girls.
ANALYSIS OF THE LOW UTILIZATION OF MOBILE JKN ADOPTION FOR PATIENT REGISTRATION AT DUMAI GENERAL HOSPITAL IN 2025 Badriyana, Suci; Leonita, Emy; Kiswanto, Kiswanto; Renaldi, Reno; Jepisah, Doni
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21777

Abstract

Digital transformation in healthcare has become a major focus of the Indonesian government through the development of the Mobile JKN application by BPJS Kesehatan. However, at Dumai General Hospital (RSUD Dumai), the utilization rate of this application remains low. This study aims to analyze the factors contributing to the low adoption of Mobile JKN in patient registration using the Innovation Resistance Theory (IRT) by Ram and Sheth (1989), which includes five dimensions: Usage Barrier, Value Barrier, Risk Barrier, Tradition Barrier, and Image Barrier. The research applied a qualitative case study approach involving key informants consisting of both users and non-users of Mobile JKN, as well as hospital registration staff. Data were collected through in-depth interviews and field observations, then analyzed thematically. The findings show that low adoption is influenced by limited digital literacy among elderly patients (Usage Barrier), perceptions that manual registration is faster (Value Barrier), concerns about data security and technical issues (Risk Barrier), strong preference for face-to-face interactions (Tradition Barrier), and the negative image of the application due to system errors and insufficient socialization (Image Barrier).
MOTHERS' PERCEPTION OF TODDLERS ABOUT STUNTING IN THE WORKPLACE OELE HEALTH CENTER, ROTE DISTRICT NDAO Bailaen, Marzella Artanti; Romeo, Petrus; Marni, Marni
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21805

Abstract

Stunting is a chronic nutritional problem that remains a major public health concern in Indonesia. This study focuses on the perceptions of mothers of toddlers regarding the definition, causes, and prevention of stunting. This study aims to determine the perceptions of mothers of toddlers regarding stunting, its causes, and its prevention in the Oele Community Health Center Work Area, Rote Ndao Regency. This research method uses a qualitative design with a phenomenological approach. Informants were selected using purposive sampling. The main informants were mothers of toddlers, key informants were nutrition program holders, and supporting informants were integrated health post (Posyandu) cadres. Data analysis used the Miles and Huberman (1984) model in (Sugiyono, 2010).The results of this study indicate that all mothers of toddlers understand stunting as a condition of shortness of breath due to malnutrition and that stunting is caused by genetic factors. The most frequently cited causes of stunting are inadequate nutritional intake, suboptimal parenting, and environmental hygiene. Preventive measures include exclusive breastfeeding, immunization, nutritious food, and maintaining good hygiene, although economic constraints and misperceptions about heredity remain.In conclusion, mothers of toddlers understand stunting as a condition of short stature due to malnutrition, although some mothers still attribute it to hereditary factors. According to mothers, the main causes of stunting are low nutritional intake, difficulty eating, and suboptimal parenting. Mothers also believe that stunting is caused by hereditary factors. Preventive measures include exclusive breastfeeding, immunization, and nutritious food. The main obstacle to prevention is economic constraints.
MANAGEMENT OF HAZARDOUS AND TOXIC WASTE (B3) AT MENTAL HOSPITAL X IN MEDAN CITY Siregar, Siti Romaito; Indriani, Fatma; Masyithah, Ruhul; Batubara, Rini Warahmah; Putri, Adelia; Harahap, Dwi Adelia Putri
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21839

Abstract

Management of hazardous and toxic medical waste (B3) in hospitals is an important aspect in efforts to maintain environmental safety and public health. This study aims to determine the flow of B3 medical waste management at Mental Hospital X, Medan City, which includes the stages of waste sorting, storage, and transportation. This type of research is descriptive observational with a cross-sectional approach, using secondary data from the Environmental Sanitation Installation for the period January–September 2025. The results of the study indicate that the overall management of B3 medical waste is not optimal and does not meet standards. The sorting stage has not been carried out based on the type of waste, where all waste (sharp, soft, pharmaceutical) is mixed without labeling. The storage stage at the Temporary Storage Place (TPS) for B3 medical waste also does not meet design requirements, such as the building is not closed, not watertight, not equipped with hazard symbols, and emergency facilities. Although transportation has collaborated with a licensed third party (PT X), the risk remains due to the transported waste being mixed and not properly sorted. In conclusion, Mental Hospital X has critical non-conformities in the management of B3 medical waste. Therefore, fundamental improvements, especially in sorting at source and renovation of TPS, are urgent to reduce the risk of contamination and environmental impacts.
ANALYSIS OF THE IMPLEMENTATION OF THE HOSPITAL HEALTH PROMOTION PROGRAM (PKRS) AT ISLAMIC HOSPITALS IN THE MEDAN CITY REGION Harahap, Tria Astrid Nabila; Tanjung, Adillah Maharani; Octavia, Rizka; Siregar, Nadia Hafifah; Wanny, Nur; Siregar, Dilla Rahmayanti; Eliska, Eliska
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21840

Abstract

This study aims to analyze the implementation of the Hospital Health Promotion Program (PKRS) at an Islamic Hospital in Medan City. PKRS is an activity that focuses on promotive and preventive efforts to increase awareness, knowledge, and community participation in maintaining and improving health. This study used a qualitative descriptive method with data collection techniques through in-depth interviews, observation, and documentation of PKRS officers. The results of the study indicate that the implementation of PKRS is carried out through two main approaches, namely direct and indirect promotion. Direct promotion is carried out through counseling activities, health lectures, and visits to various agencies, while indirect promotion is carried out through social media such as Instagram and Facebook to disseminate health information. Evaluation of activities is carried out routinely through activity reports, medical record data, and patient visits. The results of the study concluded that the implementation of PKRS at an Islamic Hospital in Medan City has been effective, supporting the improvement of service quality, and contributing to the achievement of hospital accreditation. This program also strengthens the positive image of the hospital as an institution oriented towards promotive and preventive efforts in health services.

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