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Family Expectations on Hemodialysis Service Resilience in Disaster Situations: A Qualitative Study Santi Setiawati; Dien Gusta Anggraini Nursal; Yessy Markolinda
jitek Vol 13 No 2 (2026): Maret 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v13i2.2383

Hemodialysis is a renal replacement therapy highly dependent on the availability of medical-grade water, stable electricity, and supporting technological systems. This dependency makes hemodialysis services vulnerable to disruption during disasters, particularly in earthquake- and flood-prone areas. Treatment interruption may increase the risk of serious complications and threaten patient safety. In this context, families play an essential role in maintaining therapy continuity; however, their perspectives in disaster mitigation remain underexplored. This study aimed to explore family expectations regarding the resilience of hemodialysis services in disaster situations. A qualitative exploratory approach with thematic analysis was employed. Primary informants consisted of two family members of hemodialysis patients, supported by source triangulation through interviews with one manager, one nurse, and two patients. Data were collected through in-depth interviews and analyzed using thematic analysis. The findings identified four main themes: (1) expectations for clear and structured hospital preparedness systems, (2) the need for technical education and risk communication, (3) clarity of emergency referral systems and alternative service networks, and (4) comprehensive protection of patient safety. The results indicate that families expect a structured mitigation system that is well-communicated and actively involves them in pre-disaster simulations and education. This study highlights that the resilience of hemodialysis services in disaster situations depends not only on infrastructure and hospital management but also on empowering families as integral components of the healthcare resilience system. Integrating families into preparedness planning may strengthen therapy continuity and enhance patients’ sense of security during crises.

The Effectiveness of Nutritional Counseling Media in Gout Patients afriyana siregar; Adelia Dwi Putri; Yulianto Yulianto; Susyani Susyani; Muzakar Muzakar
jitek Vol 13 No 2 (2026): Maret 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v13i2.1770

To enhance public awareness in adopting a healthier lifestyle, it is essential to provide support and information through nutritional counseling. This approach allows for the development and application of knowledge in daily life. The objective of this study is to evaluate the effectiveness of nutrition counseling using booklets and videos on knowledge, nutrient intake, purine intake, and uric acid levels in gout patients. The research method employed is an experimental design with a pre-experimental two-group pre-test post test design. The study sample consists of gout patients residing in the Social Health Center (Puskesmas Sosial) Palembang area, with purposive sampling used to select a total of 40 gout patients divided into 2 groups. Each group, whether receiving booklets or videos, was given 2 counseling sessions per week for 4 weeks. An analysis was conducted to compare changes in knowledge, nutrient intake, purine intake, and uric acid levels before and after the intervention. For data with normal distribution, a paired samples t test was applied, whereas non-normally distributed data were assessed using the Wilcoxon signed-rank test. The findings demonstrated that nutrition counseling delivered through booklet and video media significantly improved participants’ knowledge, purine intake, and uric acid levels (p < 0.05). In contrast, no statistically significant change was observed in overall nutrient intake (p > 0.05).

Optimalisasi Memori Jangka Pendek Anak Usia Sekolah Melalui Intervensi Simultan Dual-Task Training dan Olahraga Aerobik Zahra Sativani; Resti Meiliana; Abdurrahman Berbudi B.L
jitek Vol 13 No 2 (2026): Maret 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v13i2.2404

Background: Short-term memory disorders can have an impact on a child's future. Purpose: This study aims to determine the effect of a combination of Dual Task Training and Aerobic Exercise on improving short-term memory in 12-year-old children. Method: This research used a quasi-experimental research design with a pre-test and post-test two group design. Carried out for 4 weeks with a frequency of 3 times a week. The research subjects consisted of 28 people, 14 people in the Intervention I group, a combination of Dual Task Training and Aerobic Exercise, and 14 people in the Intervention II Aerobic Exercise group. And measurements were carried out using the Digit Span Test and Harvard Test. Results: Test showed a p < 0.001 in the Combination Intervention of Dual Task Training and Aerobic Exercise, and a p < 0.001 in the Intervention II Aerobic Exercise group. The test of difference of 2 mean is p = 0.01, which means there is a significant difference between the two interventions with the average difference between intervention group I being 2.79 and intervention II being 1.71. Conclusion: This research can be concluded that the combination of Dual Task Training and Aerobic Exercise intervention is more influential in improving the short-term memory of children aged 12 years.

The Effect Pharmacy Counseling Satisfaction and Compliance Taking Medication Type 2 DM Patients with Hypertension Complications Tebet Hospital Rizkiah Kiah; Priyanto Priyanto; Dwitiyanti Dwitiyanti
jitek Vol 13 No 2 (2026): Maret 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v13i2.2384

Pharmacist counseling is intervention that can increase patient satisfaction and compliance with treatment. This study aims to analyze the effect of pharmacist counseling on the level of patient satisfaction and adherence to taking medication in patients with type 2 diabetes mellitus complicated by hypertension. This research uses a one group pretest-posttest design. The research subjects were 95 patients who met the inclusion criteria and were taken using the MMAS-8 method and the satisfaction method. Satisfaction and compliance measurements were carried out before and after pharmacist counseling. Data analysis was carried out descriptively, Wilcoxon signed-rank test with a significance level of 5%. The results of the analysis showed that the average patient satisfaction score increased from 0.40 before counseling to 0.76 after counseling, with a difference of 0.36. The Wilcoxon test showed p = 0.00 (p < 0.05), which indicates there is a significant difference in the level of patient satisfaction. In the medication adherence variable, the average score increased from 27.94 to 51.27 with a difference of 23.34. The Wilcoxon test results obtained p = 0.00 (p < 0.005), which shows that there is a significant difference in the level of adherence to taking medication before and after counseling. Analysis based on the compliance category after counseling experienced an increase marked by the dominance of the high compliance category with an average of 51.27. Analysis based on satisfaction categories after counseling experienced an increase marked by the dominance of the high satisfaction category with an average of 6.07.

Comic–Based Health Education and Its Effect on Children’s Knowledge of Sexual Violence Prevention at SDN Joglo 08 Pagi Winancy Winancy; Karin Sanaya; Yulia Sari
jitek Vol 13 No 2 (2026): Maret 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v13i2.2403

Sexual violence is the most common form of child abuse in Indonesia. Sexual violence against children has a negative impact that can damage the development process and future of children, so it is necessary to provide health education about sexual violence in the right way. One way that can be used is by utilizing digital media through e-comics. The purpose of this study was to determine the effect of health education using e-comics media on children's knowledge about efforts to prevent sexual violence. This study is a quantitative research model using a pre experimental research design with a one group pretest-posttest design. This study used primary data with a sample of 42 students in grade 6 of Sekolah Dasar Negeri (SDN)/Public Elementary School Joglo 08 Pagi with a sampling technique using simple random sampling. And data analysis using a parametric test (paired t-test). The results of this study stated that there was a significant difference in the level of children's knowledge before is mean value 46.88, and std deviation 9.541. after is mean value 84.43, std deviation 9.034 and after being given intervention through e-comic media about efforts to prevent sexual violence against children with a p value of 0.001 <0.05.

The Effectiveness of Nutritional Counseling Media in Gout Patients afriyana siregar; Adelia Dwi Putri; Yulianto Yulianto; Susyani Susyani; Muzakar Muzakar
jitek Vol 13 No 2 (2026): Maret 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v13i2.1770

To enhance public awareness in adopting a healthier lifestyle, it is essential to provide support and information through nutritional counseling. This approach allows for the development and application of knowledge in daily life. The objective of this study is to evaluate the effectiveness of nutrition counseling using booklets and videos on knowledge, nutrient intake, purine intake, and uric acid levels in gout patients. The research method employed is an experimental design with a pre-experimental two-group pre-test post test design. The study sample consists of gout patients residing in the Social Health Center (Puskesmas Sosial) Palembang area, with purposive sampling used to select a total of 40 gout patients divided into 2 groups. Each group, whether receiving booklets or videos, was given 2 counseling sessions per week for 4 weeks. An analysis was conducted to compare changes in knowledge, nutrient intake, purine intake, and uric acid levels before and after the intervention. For data with normal distribution, a paired samples t test was applied, whereas non-normally distributed data were assessed using the Wilcoxon signed-rank test. The findings demonstrated that nutrition counseling delivered through booklet and video media significantly improved participants’ knowledge, purine intake, and uric acid levels (p < 0.05). In contrast, no statistically significant change was observed in overall nutrient intake (p > 0.05).

Analisis Penerimaan Aplikasi Mobile JKN Menggunakan Model Unified Theory of Acceptance And Use of Technology 3 di DKI Jakarta Mochamad Ichrom Tobari; Sarah Geltri Harahap; Enni Juliani
jitek Vol 13 No 2 (2026): Maret 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v13i2.2248

The success of information technology-based services is largely determined by the acceptance and willingness of the community to use them. One such digital service provided by the government through BPJS Kesehatan is the Mobile JKN application. designed to facilitate access to health services for JKN participants online. Community participation. especially in DKI Jakarta with its urban characteristics. plays a key role in the effectiveness of this service. This study aims to measure the level of acceptance of the Mobile JKN application in DKI Jakarta using the Unified Theory of Acceptance and Use of Technology 3 (UTAUT 3) model. The research uses purposive and proportional stratified sampling methods. involving 250 respondents who are users of the Mobile JKN application. Data were collected through online questionnaires and analyzed using the Structural Equation Modeling-Partial Least Square (SEM-PLS) method. Results show that performance expectancy (p = 0.014). social influence (p = 0.020). facilitating conditions (p = 0.010). habit (p = 0.025). and price value (p = 0.000) significantly influence behavioral intention. Moreover. facilitating conditions (p = 0.044). habit (p = 0.000). personal innovativeness (p = 0.003). and behavioral intention (p = 0.001) significantly influence use behavior. Meanwhile. effort expectancy (p = 0.262). hedonic motivation (p = 0.632). and personal innovativeness (p = 0.080) do not significantly affect behavioral intention. The study recommends enhancing features. fostering innovation. and increasing outreach to improve application acceptance.

Digital Popularity and Self-Confidence: Examining the Role of Instagram Followers among University Students Ersya Shafira Chairani; Hari Otang Sasmita; Guruh Ramdani; Fahmi Fuad Cholagi
jitek Vol 13 No 2 (2026): Maret 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v13i2.2335

Abstract The rapid expansion of social media has transformed how university students construct identity and evaluate self-worth, with Instagram emerging as a prominent platform for social validation. This study aimed to examine the relationship between Instagram follower count and self-confidence among university students, positioning follower count as a psychosocial indicator of digital social approval. Using a quantitative cross-sectional design, data were collected through an online survey administered to 76 undergraduate students who actively used Instagram. Self-confidence was measured using a Likert-scale questionnaire adapted from social self-efficacy theory, while follower count was assessed through self-reported data. Instrument validity and reliability were confirmed prior to analysis.Normality testing indicated non-normality, leading to the use of Spearman’s rank-order correlation to examine the association between variables. The results revealed a strong, statistically significant positive relationship between Instagram follower count and self-confidence, indicating that students with higher follower counts reported greater confidence in social interactions. These findings suggest that follower count serves as a meaningful form of social validation, influencing students’ self-perceptions in both digital and offline contexts.The study highlights the psychological implications of digital popularity metrics and underscores the need for higher education institutions to promote digital literacy and mental health awareness. By fostering critical engagement with social media, universities can help students develop healthier relationships with online validation and support more resilient forms of self-confidence.

Positive Expressive Writing, Fear of Childbirth and Childbirth Self-Efficacy: A Preliminary Study Yesika Cahya Septiana; Luluk Fajria Maulida; Siti Nurhidayati; Hafi Nurinasari; Rufidah Maulina
jitek Vol 13 No 2 (2026): Maret 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v13i2.2346

to experience increased stress related to the childbirth process, which may lead to fear of childbirth (FOC). High levels of FOC negatively affect the childbirth process and overall birth experience. Fear of childbirth is known to be negatively correlated with childbirth self-efficacy, where better selfefficacy is associated with higher childbirth satisfaction. Expressive writing is a simple psychological intervention focused on emotional processing through writing and has been proven effective in reducing stress and anxiety among pregnant women. However, research examining the effects of expressive writing on FOC and childbirth self-efficacy among third-trimester pregnant women in Indonesia remains limited. Objectives: To examine the effect of expressive writing on fear of childbirth and childbirth self-efficacy among third-trimester pregnant women. Methods: This study employed a preexperimental design using a one-group pretest–posttest approach. A total of 26 third-trimester pregnant women were selected using accidental sampling. The expressive writing intervention was conducted for four consecutive days. FOC was measured using the W-DEQ version A, while childbirth self-efficacy was assessed using the CBSEI C-32. Data were analyzed using the paired ttest. Results: The results showed a significant reduction in fear of childbirth after the expressive writing intervention (p = 0.043). However, the increase in childbirth self-efficacy scores after the intervention was not statistically significant (p = 0.063). Conclusion: Expressive writing was effective in reducing fear of childbirth but did not demonstrate a significant effect on improving childbirth self-efficacy among third-trimester pregnant women.

Pendekatan Hibrida menggunakan Sistem Inferensi Fuzzy dan Pembelajaran Mendalam untuk Klasifikasi Penyakit Alzheimer pada Citra MRI Bagas Wibowo; Andy Maulana Yusuf; Bintang Vieshe Mone; Sabrina Adinda Sari
jitek Vol 13 No 2 (2026): Maret 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v13i2.2381

Early detection of Alzheimer's disease using brain MRI image data can substantially improve clinical intervention and patient management. Our study evaluates the performance of an Alzheimer's classification system based on Fuzzy Inference Systems (FIS), specifically for the Mamdani and Sugeno models, in identifying four patient categories: (1) Non-Dementia, (2) Very Mild Dementia, (3) Mild Dementia, and (4) Moderate Dementia. In addition, this study compares the classification performance and computational efficiency of several deep learning architectures, including a traditional CNN (VGG16), a modern model (EfficientNet-B0), and a hybrid Fuzzy Convolutional Inference Engine (FCIE) that integrates CNN-based feature extraction with fuzzy logic reasoning. The dataset used consists of normalized and augmented Alzheimer's MRI images, and each model was trained and validated using a 70%:15%:15% split for training, validation, and testing. Experimental results show that the Mamdani and Sugeno FIS models achieve validation accuracies of about 32% and 35%, respectively, which highlights the limitations of pure texture-based features in capturing complex classification patterns. In contrast, VGG16 and EfficientNet-B0 produced validation accuracies of 82.81% and 85.22%, respectively, with AUC values of 0.95 and 0.96, respectively. However, when both schemes were combined into a hybrid model FCIE achieved the highest validation accuracy of 98.03% and AUC of 0.99. Comparative analysis of metrics, including precision, recall, F1-score, AUC, and training duration, shows a clear trade-off between accuracy and computational efficiency. This study recommends the FCIE model for clinical applications requiring high diagnostic accuracy, while EfficientNet-B0 is suggested for medical environments with moderate GPU resource constraints.

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Journal Mail Official
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Kota bekasi,

Jawa barat

INDONESIA