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INDONESIA
Jurnal Ilmu dan Teknologi Kesehatan
ISSN : 23389095     EISSN : 23389109     DOI : -
Core Subject : Health, Science,
Jurnal Ilmu dan Teknologi Kesehatan provides a forum for publishing the novel technologies and knowledge related to the health sciences.
Arjuna Subject : -
Articles 297 Documents
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

Abstract

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.
EFEKTIVITAS METODE BIRTHING BALL TERHADAP INTENSITAS NYERI PERSALINAN DI PUSKESMAS KEMAYORAN Rosni Lubis; Siska Handayani; Jehanara Jehanara
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.v13i2.2406

Abstract

Labor pain remains a distressing experience that can negatively affect both mothers and babies. According to the Indonesian Ministry of Health (2019), around 15% of mothers in Indonesia experience labor complications accompanied by pain, while 22% report severe pain during childbirth. Excessive labor pain may lead to frustration, anxiety, and emotional distress. One non-pharmacological method considered safe, simple, and comfortable for pain management is the use of a birthing ball. This study aimed to determine the effectiveness of the birthing ball method in reducing labor pain intensity. The study used a quantitative approach with a quasi-experimental one-group pretest–posttest design without a control group. A total of 45 maternity mothers who met the inclusion criteria at the Kemayoran Health Center participated in the study and received a 30-minute birthing ball intervention. Labor pain intensity was measured using the Numerical Rating Scale (NRS). The statistical analysis showed a significant reduction in labor pain intensity after the intervention, with a p-value of <0.001 and a Z-score of -5.798b. These findings indicate that the birthing ball method is effective in reducing labor pain intensity. Therefore, healthcare workers are encouraged to optimize the use of birthing balls as a non-pharmacological pain management method during labor. Proper technique, along with responsive and empathetic support during childbirth, is important to maximize the benefits of this intervention.
Development and Functional Evaluation of a Smart Mom–Integrated Prototype for Real-Time Fetal Stress Monitoring Deswani Deswani; Andi Sari Bunga Untung; Indra Gunawan; Nina Primasari
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.v13i2.2410

Abstract

Fetal movement is a critical indicator of fetal well-being, yet practical devices integrated with digital interventions for direct, objective monitoring remain limited. This study aimed to develop and evaluate the functionality and safety compliance of the Smart Mom–Integrated Prototype for real-time fetal movement monitoring. Employing a Research and Development (R&D) approach, the prototype was developed using an accelerometer sensor, an ATmega328P microcontroller, an OLED display, and Bluetooth connectivity integrated with an Android application. The device underwent a rigorous four-stage evaluation: (1) simulated testing for initial movement detection accuracy; (2) laboratory functional testing for overall system performance; (3) safety testing based on the SNI IEC 60601-1 standard; and (4) limited clinical/user testing involving five third-trimester pregnant women (32–38 weeks gestation) monitored for 15–30 minutes.In simulated testing, the device achieved an initial fetal movement detection accuracy rate of 85%. Laboratory functional testing demonstrated a 93% system operation success rate with clear data visualization and stable Bluetooth transmission. Safety testing indicated that the device's surface temperature reached 35.2°C after eight hours of continuous use, with 0.0 mA leakage current and no reported skin irritation. In limited clinical testing, the device successfully recorded a mean of 20.6 movements per 30 minutes. Concurrently, maternal stress scores (PSS-10) decreased significantly post-intervention ($22.40 \pm 3.13$ to $15.80 \pm 2.28$; $p = 0.005$). Data sensitivity in the field was moderately influenced by maternal Body Mass Index (BMI) and biological motion artifacts. The Smart Mom–Integrated Prototype demonstrates functional feasibility and safety compliance for home-based screening. Future development should focus on refining signal processing algorithms to mitigate maternal biological artifacts alongside validation trials against clinical gold standards.
The Correlation Between Total Cholesterol and Blood Glucose Levels with Physical Activity in Construction Workers Tri Prasetyorini; Neiny Prisy Foekh; Angki Purwanti; Anissa Salsabilla Yuliana; Annisya Widiyanti Atmaja
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.v13i2.2318

Abstract

Coronary heart disease (CHD) and Diabetes Mellitus (DM) are non-communicable diseases (NCDs), caused by elevation of total cholesterol and blood glucose levels. Both indicators can be influenced by physical activity, determined by the type of work people do. Construction workers’ jobs involve a lot of physical activity with moderate to heavy intensity. This study aims to determine the correlation between total cholesterol and blood glucose levels with physical activity among construction workers. Employing an analytical observational design with a cross-sectional approach, the research involved 32 construction workers from Jatiwarna without a history of CHD and DM, who fasted before undergoing total cholesterol and blood glucose tests. The Global Physical Activity Questionnaire (GPAQ) was utilized to measure physical activity. The collected data were analyzed statistically and revealed that construction workers most frequently engage in heavy physical activity, with 25 individuals (78.1%) participating. The total cholesterol level ranged from 98.3 to 269.62 mg/dL, with mostly normal levels, but 10 participants (31.3%) had high total cholesterol levels. In terms of fasting glucose levels, the value ranged from 45.17 to 114.24 mg/dL, mostly normal except for 15 participants (53.1%) with abnormal levels. Spearman's correlation test showed a correlation between physical activity and total cholesterol levels (p-value of 0.003), as well as a correlation between physical activity and fasting glucose levels (p-value of 0.001). In conclusion, physical activity affects total cholesterol and blood glucose levels, which require balanced consideration alongside nutritious intake to maintain optimal metabolism.
In Vitro Cytotoxic Activity of Lagerstroemia speciosa (L.) Pers. Leaf Extracts against MCF-7 Breast Cancer Cells Ernie Halimatushadyah; Dyah Ayuwati Waluyo; Krismayadi Krismayadi
Jurnal Ilmu dan Teknologi Kesehatan Vol 14 No 1 (2026): September 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v14i1.1717

Abstract

Breast cancer is the most commonly diagnosed cancer in women, and chemotherapy is limited by toxicity and drug resistance. Bungur (Lagerstroemia speciosa (L.) Pers.) leaves contain flavonoids and other secondary metabolites that may have cytotoxic potential, but data comparing extracts prepared with different solvents against MCF-7 breast cancer cells remain limited. This study aimed to determine the secondary metabolite content of L. speciosa leaf extracts and to compare their in vitro cytotoxicity against MCF-7 cells. Leaf powder (simplicia) was macerated with methanol, 70% ethanol, or ethyl acetate. The extracts were screened qualitatively for secondary metabolites, and cytotoxicity was determined using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. The extract yields were 10.05% (methanol), 12.63% (70% ethanol), and 2.56% (ethyl acetate). All three extracts contained alkaloids, saponins, tannins, phenolics, flavonoids, triterpenoids, steroids, and glycosides. The half-maximal inhibitory concentration (IC50) values were 98.46 ppm for the methanol extract, 163.67 ppm for the 70% ethanol extract, and 182.72 ppm for the ethyl acetate extract. The methanol extract had the lowest IC50 and therefore the strongest cytotoxic activity among the three extracts. Based on these results, L. speciosa leaf extracts showed in vitro cytotoxic activity against MCF-7 cells and warrant further investigation.
KARAKTERISASI MORFOLOGI JAMUR Penicillium sp. PADA MEDIA SABOURAUD DEXTROSE AGAR (SDA) M Farrel Diaz Tiffani; Briliani Kusuma Tungga Dewi; Fadilah Jauharotul Faiqoh; Rachel Aqilah Althaf; Uli Mas'uliyah Indarwati; Kurnia Ritma Dhanti; Kurniawan Kurniawan; Findi Asih
Jurnal Ilmu dan Teknologi Kesehatan Vol 14 No 1 (2026): September 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v14i1.2277

Abstract

Fungal skin infections remain a common health problem in Indonesia, primarily due to the humid tropical climate and poor environmental hygiene. Penicillium is one fungal genus that can be found on the skin, though it is not a primary dermatophyte. This study aims to detect the presence of Penicillium sp. molds and examine their macroscopic and microscopic morphological characteristics isolated from skin scrapings of agricultural worker. The research used a qualitative descriptive method, with skin scrapings cultured on Sabouraud Dextrose Agar (SDA). Macroscopic characterization included colony color, reverse color of the colony, diameter, margins, surface texture, and growth patterns. Microscopic analysis employed the Slide Culture method with lactophenol cotton blue (LPCB) staining. Results revealed green colonies with white margins, irregular colony growth, velvety surfaces, and septate hyphae, colony diameter after one week incubation 23.5mm. Conidia appeared round and arranged in chains. Observations were compared with fungal identification keys for genus confirmation. This study is expected to provide data on the distinct morphology of Penicillium sp. and improve diagnostic accuracy for non-dermatophyte fungal skin infections in laboratory settings.
The Influence of Transformational Leadership on Occupational Safety Compliance: The Role of Organizational Culture and Competence in Hospital Settings Hizriansyah Hizriansyah; Wulandari Dewi Susilawati; Muhadi Muhadi
Jurnal Ilmu dan Teknologi Kesehatan Vol 14 No 1 (2026): September 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v14i1.2393

Abstract

Occupational safety compliance is a key concern in hospital settings, where operational complexity and high-risk exposure necessitate constant adherence to safety protocols. However, safety compliance is frequently viewed as a procedural requirement rather than a systemic organizational objective. The purpose of this study is to examine the combined impact of transformational leadership, organizational culture, and staff competency on occupational safety compliance in a hospital setting. A quantitative cross-sectional design was used, with 82 healthcare professionals recruited using total sampling. Data were examined using Partial Least Squares-Structural Equation Modeling (PLS-SEM) to assess both measurement and structural models. The results show that all constructs have appropriate validity and reliability, with outer loadings greater than 0.70. Transformational leadership, organizational culture, and competency account for 41% of variance in occupational safety compliance (R² = 0.41). Transformational leadership is the biggest predictor (β = 0.51, p < 0.001), with organizational culture and competence both having substantial positive impacts. According to these studies, leadership conduct, institutionalized safety ideals, and professional capacity all influence occupational safety compliance. The study indicates that sustainable occupational safety compliance in hospital settings cannot be achieved merely through regulatory enforcement, but requires integrated organizational strategies involving transformational leadership, safety-oriented organizational culture, and employee competence development.
DIABETES MELLITUS DAN INFEKSI MIKROBA PATOFISIOLOGI, DIAGNOSIS LABORATORIUM, DAN DAMPAK KLINIS Agus Evendi; Tiara Dini Harlita; Sresta Azahra
Jurnal Ilmu dan Teknologi Kesehatan Vol 14 No 1 (2026): September 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v14i1.2405

Abstract

Diabetes mellitus (DM) enhances the risk of diabetic foot infections (DFIs) due to hyperglycemia-induced immune dysfunction and compromised wound healing. This review explores the mechanisms connecting immune dysfunction to DFIs, outlines the primary causative pathogens, assesses laboratory diagnostic methods, and proposes strategies to enhance DFI management, especially in resource-constrained environments. A systematic literature review was performed using PubMed, Scopus, ScienceDirect, and Google Scholar, with additional backward reference list searching. Publications from 2012 to 2024 were included. Out of 60 identified records, 24 duplicates were excluded, and 36 records were screened. Ultimately, 20 eligible publications were incorporated into the qualitative thematic synthesis. The evidence suggests that chronic hyperglycemia impairs neutrophil chemotaxis, phagocytosis, and cytokine responses, while promoting NETosis, oxidative stress, and mitochondrial dysfunction, thus contributing to the onset and persistence of DFIs. These infections are often polymicrobial, frequently involving Staphylococcus aureus, including methicillin-resistant strains, Pseudomonas aeruginosa, Escherichia coli, and other multidrug-resistant organisms. Conventional culture and antimicrobial susceptibility testing remain essential, although molecular methods and inflammatory biomarkers can supplement diagnosis but encounter resource-related implementation challenges. Enhancing laboratory capacity, local microbiological surveillance, timely targeted therapy, and multidisciplinary care may improve DFI management and mitigate severe outcomes, such as treatment failure and amputation.
Situational Analysis of Urinary Incontinence Among Pre-Elderly and Elderly Women: A Community-Based Epidemiological Study Hapsari Cahyaningrum; Indarwati Indarwati; Arief Abdullah; Kolin Feren Huda Mega Buana; Alief Fallah Yusrony Rois; Hilmy Nur Isnaini; ⁠Azizah Nurul Huda
Jurnal Ilmu dan Teknologi Kesehatan Vol 14 No 1 (2026): September 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v14i1.2649

Abstract

Urinary incontinence (UI) is a common yet frequently underreported health problem among older women that negatively affects quality of life, psychological well-being, and social participation. However, community-based epidemiological data remain limited, particularly at the local level in Indonesia. This study aimed to describe the occurrence and characteristics of UI among pre-elderly and elderly women participating in a community-based elderly health program in Surakarta, Indonesia. A preliminary community-based cross-sectional assessment was conducted among 32 women aged ≥45 years selected using purposive sampling. UI type was assessed using the Questionnaire for Urinary Incontinence Diagnosis (QUID), while severity and quality-of-life impact were assessed using the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Of the 32 participants, 21 (65.6%) reported UI. Among participants with UI, mixed urinary incontinence was the most common type (66.7%), followed by urgency urinary incontinence (28.6%) and stress urinary incontinence (4.8%). The proportion of participants with UI tended to increase across age and parity categories, although the observed differences were not statistically significant. These findings indicate a substantial burden of UI within this specific community group and provide preliminary evidence to support further community-based screening, education, and pelvic floor rehabilitation programs.
Individual Characteristics and Work Stress Among Municipal Solid Waste Workers in Jambi City, Indonesia Novi Berliana; Adi Cahya Murfi; Entianopa Entianopa
Jurnal Ilmu dan Teknologi Kesehatan Vol 14 No 1 (2026): September 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v14i1.2690

Abstract

Municipal solid waste workers are at risk of work stress due to physical, environmental, and psychosocial demands. Evidence on individual factors associated with work stress among waste workers in Indonesia remains limited. This study examined the association between individual characteristics and work stress among waste-sorting workers at the Talang Gulo Landfill in Jambi City. A quantitative cross-sectional study was conducted from May to July 2026. All 70 eligible waste-sorting workers were included using total sampling. The independent variables were age, sex, body mass index (BMI), and length of employment. Work stress was assessed using a three-item scale adapted from the stress dimension of the Depression Anxiety Stress Scales-21 (DASS-21). Descriptive statistics summarized respondent characteristics, while Fisher’s Exact Test was used to assess associations at a significance level of p<0.05. Most respondents were female (62.9%) and experienced low work stress (90.0%). The mean age was 46.79±11.16 years, mean BMI was 24.38±3.73 kg/m², and mean length of employment was 6.43±2.71 years. Age was significantly associated with work stress (p=0.021), whereas sex (p=1.000), BMI (p=0.551), and length of employment (p=0.687) were not significantly associated. Age was the only individual characteristic significantly associated with work stress. Occupational health programs may prioritize stress-management education and psychosocial support for younger workers, while further research should investigate broader occupational and psychosocial determinants of work stress.