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Saiful Mujab
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poltekkestanjungkarang@yahoo.co.id
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INDONESIA
Jurnal Kesehatan
ISSN : 20867751     EISSN : 25485695     DOI : -
Core Subject : Health,
Jurnal Kesehatan published by Politeknik Kesehatan Tanjungkarang with professional organizations (PTGI, PATELKI, PERSAGI, PPNI, IBI, HAKLI, PAFI, PPGI). It contains writings drawn from research and non-research, critical analytical studies in health areas. This journal was first published in April 2010 in print. Since 2015, Jurnal Kesehatan has been published in print and online.
Arjuna Subject : -
Articles 788 Documents
Green Poison from The Tropics: Annona muricata As Natural Insecticides Solution Mei Ahyanti; Endah Setyaningrum; Prayudhy Yushananta
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5624

Abstract

The massive use of synthetic insecticides in vector and pest control has caused various problems, including insect resistance, environmental pollution, and the risk of toxicity to non-target organisms. Therefore, the development of natural insecticides based on tropical plants is becoming a more environmentally friendly and sustainable strategic alternative. One plant with potential as a bioinsecticide is Annona muricata (soursop). The method used is a systematic review study on scientific publications for the period 2020–2025 that report data on toxicity (LC₅₀), mortality, and safety against non-target organisms from various plant parts (seeds, leaves, and bark) against disease-vector insects, agricultural pests, and domestic insects. Data were analyzed descriptively to assess the effectiveness of insecticides based on plant parts, extract types, and target species. The review results show that Annona muricata has acetogenin with strong and broad-spectrum insecticidal activity. Insecticide activity has been reported against Spodoptera frugiperda, Plutella xylostella, Bactrocera sp., Periplaneta americana, Culex sp., Aedes albopictus, and Rhipicephalus spp., with mortality rates increasing as extract concentrations increase. Some studies have shown safe limits on non-target organisms at certain concentrations, indicating potential ecological selectivity. Formulation development, extract standardization, and advanced toxicity tests are still needed to optimize the application of Annona muricata-based bioinsecticides on a field scale.
The Relationship between Work Culture and Work Environment with Patient Safety in the Surgical Inpatient Room Laila An-Nur Fitri Abnurama; Aprina Aprina; Giri Udani; Kodri Kodri; Triafini Noviarti
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5629

Abstract

Patient safety is a system designed to make patient care safer, including risk assessment, risk identification and management, and incident reporting and analysis. The World Health Organization emphasized in 2020 the need for increased attention to patient safety in hospitals. This study aimed to determine the relationships among patient safety culture, the work environment, and patient safety in the surgical ward of RSUD Jenderal Ahmad Yani, Metro City, Lampung Province, in 2025. This research used a quantitative, analytical, cross-sectional design. The study was conducted from 16 May to 28 May, 2025. The population consisted of 70 nurses working in the surgical ward, with a sample of 52 respondents selected. Data were collected using an observation sheet to assess work culture and questionnaires to measure the work environment and patient safety. Patient safety was treated as the dependent variable. In contrast, work culture and work environment were the independent variables. Data analysis was performed using the chi-square test. The results showed that 29 respondents (55.8%) had good patient safety, 37 respondents (71.2%) had a positive work culture, and 35 respondents (67.3%) experienced a conducive work environment. Statistical analysis indicated a significant relationship between work culture and patient safety (p = 0.001) and between the work environment and patient safety (p = 0.018). In conclusion, work culture and the work environment are significantly associated with patient safety. Hospitals are recommended to strengthen nursing management by fostering a supportive work environment in the surgical ward.
Differences in Image Information on Abdominal CT Scan with Clinical Intra-Abdominal Tumors Between Variations in ASiR-V 60%, 70%, and 80% Desta Putri Arkhamah; Supriyadi Supriyadi; Fani Susanto; Hernastiti Sedya Utami; Lutfatul Fitriana
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5633

Abstract

Previous studies have shown that an ASiR-V rate of 60% is optimal for contrast-enhanced abdominal CT scans in patients with kidney stones. In this study, however, the ASiR-V variations tested were 60%, 70%, and 80%, with a focus on clinical intra-abdominal tumors. The objective was to measure the optimal signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) values for CT images of these tumors. The research employed a quantitative retrospective experimental design with a sample of 10 patients who met the inclusion criteria. The findings reveal notable differences in SNR, CNR, and Hounsfield Unit (HU) values across the ASiR-V variations, with the 70% ASiR-V showing the highest values for both SNR and CNR.
Postpartum as the Dominant Period of Maternal Death in Indonesia: Analysis of Survey Results Lisa Suarni; Warjidin Aliyanto; R. Pranajaya; Sono Sono
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5650

Abstract

Maternal mortality remains a critical public health challenge in Lampung Province, which consistently records one of the highest maternal mortality rates in Sumatra and has not yet reached the national Sustainable Development Goals (SDGs) target. Understanding the temporal patterns and dominant risk factors of maternal deaths is essential for designing more targeted preventive strategies. This case-control study included 193 respondents: 64 cases (maternal deaths) and 129 controls (surviving mothers), selected through purposive sampling from health facilities across Lampung Province. Data were obtained from medical records, maternal death audit reports, and structured interviews, then analyzed using univariate, bivariate (chi-square), and multivariate (binary logistic regression) approaches. The majority of maternal deaths occurred in the postpartum period (78.3%), with the highest concentration within the first 24 hours (63.1%), indicating this as the most critical vulnerability window in Lampung. Hemorrhage was the leading cause of death (53.9%), with most fatalities occurring within hospital settings (71.2%), suggesting that referral delays and suboptimal emergency obstetric care remain persistent challenges in the province. Binary logistic regression revealed that chronic diseases were the most dominant risk factor (OR = 3.80; 95% CI: 1.56–9.24), followed by irregular Antenatal Care visits (OR = 3.77; 95% CI: 1.58–8.99) and history of pregnancy complications (OR = 3.48; 95% CI: 1.45–8.34). Gestational age showed no significant association (p = 0.635). Urgent need for Lampung Province to strengthen early detection of chronic diseases through integrated ANC programs at the primary care level (Community Health Centers), improve emergency obstetric care quality, and reduce referral delays across districts to prevent avoidable maternal deaths.
Characteristics of Chicken Liver and Anchovy (Stolephorus indicus) Composite Powder to Prevent Stunting Nawasari Indah Putri Sejati; Endang Sri Wahyuni; Bertalina Bertalina; Dina Fithriyani
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5538

Abstract

Stunting remains a major public health problem in Indonesia, with prevalence still exceeding national targets. Inadequate intake of high-quality animal protein during the first 1,000 days of life is a key contributing factor. Chicken liver and anchovies are affordable local sources of animal protein; however, their fresh forms are highly perishable. Powdered chicken liver and anchovies offer several advantages, including extended shelf life, greater storage practicality, and easier distribution. This study aimed to evaluate the physical, chemical, and sensory characteristics of chicken liver and anchovy composite powder stored for 4–6 weeks. An experimental study using a completely randomized design was conducted with three composite powder formulations: F1 (75% chicken liver:25% anchovy), F2 (50:50), and F3 (25:75). Physical properties (Hunter L*, a*, b*), proximate composition, and sensory characteristics were analyzed before and after storage. Data were analyzed using two-way repeated-measures ANOVA, LMM, and non-parametric tests (α=0.05). Results showed that formulation significantly affected color, texture, and proximate composition. Higher anchovy proportions increased brightness and smoothness. Storage influenced color intensity and aroma in certain formulations but did not affect texture stability. All formulations exhibited low moisture content (<10%) and high protein content (>60%). Protein levels remained stable after storage, while moisture, lipid, and carbohydrate contents were affected. Formula F3 consistently demonstrated superior nutritional and physical stability. With its extended shelf life and favorable nutritional value, the composite powder made from chicken liver and anchovies is expected to serve as a major protein source for stunting intervention, particularly in remote and underserved areas.
Sociodemographic and Environmental Characteristics of Pregnant Women with Chronic Energy Deficiency Nelly Indrasari; Nurlaila; Roslina; Risneni; Amrina Oktaviana; Eva Berliana
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5602

Abstract

Chronic Energy Deficiency (CED) during pregnancy remains a major maternal nutrition problem associated with adverse pregnancy outcomes. This study aimed to describe the sociodemographic and environmental characteristics of pregnant women with CED attending Independent Midwifery Practices in Panjang District, Bandar Lampung City. A descriptive cross-sectional study was conducted in 2024 involving pregnant women identified with CED based on mid-upper arm circumference measurements of <23.5 cm. Total sampling was applied. Data were collected through interviewer-assisted structured questionnaires, anthropometric measurements, and antenatal care record reviews. Descriptive analysis was performed using frequency and percentage distributions. The findings showed that CED occurred across various maternal age groups, including women aged 20–35 years. CED was more common among pregnant women with low educational attainment, informal employment, and low household income. Most respondents also had a history of CED or malnutrition, low body mass index, low protein intake frequency, infrequent consumption of nutrient-dense foods, inadequate antenatal care visits, limited family support, and exposure to secondhand smoke. In conclusion, CED among pregnant women was associated with multiple sociodemographic, nutritional, and environmental characteristics. These findings highlight the importance of strengthening nutritional monitoring, family support, and antenatal care services at the primary health care level to support maternal nutritional status during pregnancy.
Spiritual Emotional Freedom Technique for Enhancing the Meaning of Life in Patients with Ischemic Stroke Dedek Saiful Kohir; Agilia Nur Fauziah; Sulastri Sulastri; Almurhan Almurhan; Sunarsih Sunarsih; Siti Fatonah
Jurnal Kesehatan Vol 17 No 1 (2026): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i1.5619

Abstract

Beyond its effects on physical motor abilities, ischemic stroke frequently results in psychological and spiritual crises. Loss of "meaning in life," a commonly disregarded effect, can seriously impair a patient's motivation throughout long-term recovery. Psychospiritual therapies, such as the Spiritual Emotional Freedom Technique (SEFT), which combines spiritual affirmations with meridian-tapping procedures, are used to address this. The purpose of this study is to examine how SEFT treatment affects ischemic stroke patients' sense of purpose in life in a clinical environment. This study used a one-group pretest-posttest methodology and a quantitative pre-experimental design. All stroke patients at RSUD (Regional public hospital) Jenderal Ahmad Yani made up the population. A purposive sampling method was used to select 39 eligible respondents: individuals aged 20 to 60 who were willing to participate in the Spiritual Emotional Freedom Technique (SEFT). They were also of sound mind (compos mentis). The intervention included two SEFT therapy sessions, which took place over two weeks. To measure the differences before and after the intervention, the Meaning in Life Questionnaire (MLQ) was used for data collection, and the Paired Sample T-Test was used for data analysis. The results showed that the "meaning in life" ratings significantly increased after the SEFT intervention, with a significance value of 0.001 (p < 0.05). Patients said they felt more at ease, accepted their status better, and had more optimism for the future. By releasing negative emotions and bolstering spiritual resilience, SEFT is successful in assisting ischemic stroke patients in regaining their sense of purpose. To enhance holistic and humanistic healthcare services, this intervention is advised as a crucial component of psychospiritual nursing care. In addition to standard physical therapy, nurses are urged to educate patients and their families on this self-help method.
Physical Activity and Postpartum Quality of Life: A Cross-Sectional Analysis Qur`ana Fauziyah; Faizah Betty Rahayuningsih
Jurnal Kesehatan Vol 17 No 2 (2026): Jurnal Kesehatan (In Progress)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i2.5598

Abstract

The postpartum period is a critical phase marked by substantial physical and psychological changes that may affect maternal well-being and quality of life. Physical activity plays an important role in supporting recovery and facilitating adaptation to new maternal roles. This study aimed to analyze the relationship between physical activity capacity and quality of life among postpartum mothers in the working areas of the Tlogowungu and Miri Community Health Centers.  A quantitative cross-sectional design was applied. The study involved 90 postpartum mothers selected using purposive sampling. Physical activity capacity was measured using a postpartum physical activity questionnaire based on activities of daily living, while quality of life was assessed using the Indonesian version of the Maternal Postpartum Quality of Life Instrument (MPQOL-I). Data were analyzed using the Chi-square test with a significance level of p < 0.05.  The results showed that most respondents were classified as independent in physical activity (73.3%) and had a high quality of life (86.7%). Chi-square analysis demonstrated a significant relationship between physical activity capacity and quality of life in both the Tlogowungu group (p = 0.006) and the Miri group (p = 0.001). Independent t-test results indicated significant differences in mean physical activity capacity and quality of life between the two study areas (p = 0.034).  Physical activity capacity is significantly associated with quality of life among postpartum mothers. These findings highlight the importance of integrating safe and appropriate physical activity promotion into postpartum care services in primary health care settings to improve maternal well-being.

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