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Jurnal Kesehatan Karya Husada
Published by Polteknik Kesehatan Karya Husada Yogyakarta
ISSN : 2337649X     EISSN : 26558874     DOI : -
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Kesehatan Karya Husada merupakan Jurnal kesehatan yang diterbitkan oleh Lembaga Penelitian dan Pengabdian Masyarakat Akademi Kesehatan Karya Husada pada tahun 2013. Jurnal Kesehatan Karya Husada terbit 2 kali setahun pada bulan Januari dan Agustus.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 350 Documents
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PENERAPAN TERAPI SLOW STROKE BACK MASSAGE PADA NYERI POST PARTUM DENGAN SECTIO CAESAREA Janatinusia, Ravika Erviana Deasy; Mualifah, Laily; Yustriningsih, Yustriningsih
Jurnal Kesehatan Karya Husada Vol 13 No 3 (2025): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v13i3.749

Abstract

Latar Belakang: Sectio caesarea (SC) adalah proses persalinan dengan pembedahan pada abdomen dengan membuka dinding uterus. WHO (World Health Organization) menyebutkan bahwa pada tahun 2020 angka persalinan dengan metode SC sebesar 5-15%. Di Yogyakarta tahun 2018 mencapai 23,06%, sedangkan di RSUD Wonosari mencapai 23,46%. Tindakan SC sendiri dapat menimbulkan masalah keperawatan yaitu nyeri. Salah satu teknik nonfarmakologi yang dapat digunakan untuk menurunkan skala nyeri adalah terapi pijat punggung slow stroke. Tujuan: Studi kasus ini bertujuan untuk mengetahui penerapan terapi pijat punggung slow stroke terhadap penurunan skala nyeri pada pasien post sectio caesarea. Metode: Metode studi kasus ini menggunakan metode deskriptif. Pengumpulan data dilakukan pada tanggal 14-17 Maret 2024. Pengukuran skala nyeri post sectio caesarea menggunakan skala numerik dan skala nyeri komparatif. Metode pengumpulan: wawancara, dan observasi. Instrumen yang digunakan adalah lembar observasi dan SOP pijat punggung slow stroke dengan kriteria inklusi pasien 24 jam pasca seksio sesarea. Hasil: Penerapan terapi pijat punggung slow stroke yang dilakukan 2 kali sehari selama 3 hari mampu menurunkan skala nyeri, yaitu dari skala nyeri 6 (sedang) menjadi skala nyeri 2 (ringan). Kesimpulan: Dari studi kasus, penerapan terapi pijat punggung slow stroke mampu menurunkan skala nyeri pada pasien pasca seksio sesarea. Kata Kunci: Post sectio caesarea, Pain, Slow stroke back massage
PENERAPAN TERAPI MUSIK MOZART UNTUK MENURUNKAN NYERI PADA PASIEN FRAKTUR DI BANGSAL DAHLIA I RSUP DR. SARDJITO YOGYAKARTA Fazliya, Shedi Fazliya
Jurnal Kesehatan Karya Husada Vol 13 No 3 (2025): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v13i3.750

Abstract

Latar Belakang: Fraktur dapat disebabkan oleh gerakan memutar yang tiba-tiba, atau akibat kontraksi otot yang ekstrem ketika tulang patah, struktur di sekitarnya juga terganggu. Reaksi fisiologis terhadap nyeri meliputi respons saraf otonom seperti laju pernapasan, peningkatan denyut nadi dan peningkatan denyut jantung. Terapi musik sebagai terapi nonfarmakologis dapat meredakan nyeri karena ketika musik diberikan, otak tengah melepaskan hormon beta endorfin yang dapat mengeliminasi neurotransmiter nyeri. Metode: Desain penelitian ini adalah analisis deskriptif berbentuk studi kasus. Subjek studi kasus adalah pasien fraktur di Bangsal Dahlia 1 Dr. RSUP. Sardjito Yogyakarta. Instrumen yang digunakan adalah pengukuran skala nyeri Numeric Rting Scale (NRS), SOP penerapan terapi musik Mozart dan lembar observasi sebelum dan sesudah pemberian terapi musik Mozart. Metode pengumpulan data menggunakan teknik wawancara, observasi dan studi pustaka. Hasil Penelitian: Hasil penelitian menunjukkan adanya penurunan skala nyeri 0-1 dari setiap sesi pemberian terapi musik mozart, walaupun tidak langsung menurunkan tingkat nyeri, namun baru pada hari ke-4 pemberian terapi musik pada keempat responden menunjukkan tingkat nyeri ringan pada pasien fraktur di Bangsal Dahlia 1 RSUP Dr. Sardjito Yogyakarta. Katakunci: Mozart Music, Pain and Fracture Patients.
PENERAPAN TERAPI MUROTTAL AL-QURAN UNTUK MENGONTROL HALUSINASI PENDENGARAN DI RSJ GHRASIA Wulandari, Dea Puspita; Yunitasari, Pritta
Jurnal Kesehatan Karya Husada Vol 13 No 3 (2025): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v13i3.751

Abstract

Latar Belakang: Halusinasi merupakan salah satu gejala gangguan jiwa yang dialami pasien yang ditandai dengan perubahan persepsi yang disebabkan oleh stimulus yang sebenarnya tidak ada. Tanda dan gejala yang biasanya dialami pasien halusinasi antara lain bertindak seolah-olah mendengar suara-suara, tertawa sendiri, menyendiri, melamun, dan berbicara sendiri. Angka kejadian gangguan jiwa di dunia pada tahun 2019 sebanyak 970 juta jiwa sedangkan angka kejadian penderita gangguan jiwa di DIY pada tahun 2022 mencapai 10,93 per mil. Salah satu penanganan yang dapat dilakukan adalah terapi nonfarmakologis dengan terapi Murottal Al-Quran. Tujuan: Untuk mengetahui perbandingan tingkat halusinasi dan perbedaan skor tanda dan gejala halusinasi sesudah terapi Murottal Al-Quran. Metode: Pada studi kasus ini digunakan metode studi kasus deskriptif, subjek studi kasus diambil 1 responden dengan kriteria inklusi, instrumen yang digunakan yaitu SOP terapi Murottal Al-Quran, lembar penilaian AHRS (Auditory Hallucination Rating Scale) dan lembar penilaian tanda dan gejala halusinasi. Hasil: Penerapan terapi Murottal Al-Quran dilakukan pada 1 responden, yaitu Tn. S. Sebelum terapi, skor AHRS pasien adalah 21 dan skor 7 pada observasi tanda dan gejala halusinasi. Setelah diberikan terapi selama 6 hari, diperoleh skor AHRS 11 dan skor 3 pada observasi tanda dan gejala halusinasi. Kesimpulan: Terapi Murottal Al-Quran efektif dalam menurunkan tingkat halusinasi dan menurunkan tanda gejala halusinasi pada pasien dengan halusinasi pendengaran.
THE ROLE OF GROUP A BETA-HEMOLYTIC STREPTOCOCCUS INFECTION IN THE PATHOGENESIS OF RHEUMATIC HEART DISEASE: A SYSTEMATIC LITERATURE REVIEW da Silva, Zelia Maria; Belo, Jubilia A. B. dos Reis
Jurnal Kesehatan Karya Husada Vol 13 No 4 (2025): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v13i3.756

Abstract

Introduction Group A β-hemolytic Streptococcus (Streptococcus pyogenes) infection is the main cause of various infectious diseases in humans, including rheumatic fever and rheumatic heart disease. Rheumatic fever is an inflammatory disease that arises as a response to streptococcal infection, with serious complications in the form of heart valve damage. Although it can be treated with antibiotics, delayed treatment or repeated infections can cause permanent heart damage. This study aims to examine the role of Streptococcus pyogenes in the pathogenesis of rheumatic heart fever through a systematic literature review. Methods This study used a systematic literature review method to analyze relevant scientific articles on Streptococcus pyogenes, rheumatic fever, and rheumatic heart disease. Literature sources were taken from leading databases, such as Scopus and PubMed. The search process was conducted using keywords related to streptococcal infection, rheumatic fever, and the pathogenesis of heart disease. Results The results of the study indicate that Streptococcus pyogenes plays an important role in the pathogenesis of rheumatic heart fever through various mechanisms, such as immune evasion and the influence of environmental and genetic factors. Repeated infection with certain strains of Streptococcus pyogenes, such as M1T1, can exacerbate the body's immune response and worsen damage to the heart valves. The study also highlights the role of vaccination and antibiotic use in preventing streptococcal infections and heart complications. Discussion. This study reveals that immune evasion by Streptococcus pyogenes plays a major role in the development of autoimmunity that causes heart damage. Repeated infection with virulent strains such as M1T1 has the potential to increase the severity of rheumatic heart disease. Preventive approaches through timely administration of antibiotics and vaccine development have great potential in reducing the prevalence of this disease. However, challenges such as antibiotic resistance and co-infection with viruses still require further attention. Keywords: Streptococcus pyogenes, rheumatic fever, rheumatic heart disease, pathogenesis, recurrent infection, immunopathology, antibiotics, vaccination
SYSTEMATIC REVIEW OF DIAGNOSIS AND MANAGEMENT OF VIRUS INFECTIONS IN PREGNANCY: CLINICAL IMPLICATIONS AND INTEGRATED INTERVENTION STRATEGIES da Silva, Zelia Maria
Jurnal Kesehatan Karya Husada Vol 13 No 4 (2025): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v13i3.758

Abstract

Viral infections during pregnancy are one of the main challenges in maternal and neonatal health because they can cause obstetric complications, fetal development disorders, and increased mortality. This study aims to systematically review the diagnosis, management, and intervention strategies for viral infections in pregnancy through an analysis of the latest international research results. A search was conducted on seven scientific articles published in 2021–2024, covering studies on HIV, Zika, Cytomegalovirus (CMV), and Influenza. The analysis method used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach. The synthesis results show that maternal infection increases the risk of miscarriage, premature birth, fetal neurological disorders, and vertical transmission. Monitoring maternal viral load and antibodies are key indicators for detecting the risk of infection in the fetus, while reproductive health education and the integration of antenatal–postnatal services strengthen the effectiveness of prevention. An integrated approach combining biomedical, educational, and public policy aspects has been shown to improve the effectiveness of diagnosis and management. This study emphasizes the importance of multidisciplinary collaboration and the need for mother-child longitudinal studies to understand the long-term effects of infection exposure on neurocognitive development and chronic health. Keywords: viral infection, pregnancy, vertical transmission, early diagnosis, integrated intervention, maternal health.
THE EFFECTIVENESS OF VIDEO AND STORYBOOK EDUCATION ON THE LEVEL OF KNOWLEDGE ABOUT RABIES DISEASE IN STUDENTS OF ESCOLA BÁSICA FILIAL (EBF) CATOLICA DE NOSSA SENHORA DE FATIMA PADIAE TURMA 6, MUNICIPIU REGIAO ADMINISTRATIVA SPPECIAL OECUSSEAMBENO, TIMOR L Da Conceição, Adelino Nuno; Ningtyas, Rahaju; Lengari, Maria Emilia Tresna
Jurnal Kesehatan Karya Husada Vol 13 No 4 (2025): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v13i4.760

Abstract

ABSTRACT Introduction: Rabies is a zoonotic disease that can be transmitted through the bite or scratch of an infected animal and almost always leads to death if not promptly treated. The rapid spread of rabies in Timor Leste, particularly in Oe-Cusse, highlights the importance of increasing public knowledge, especially among students, to prevent its spread. Video-based education and storybooks are considered efective in conveying health information to students who frequently interact with pets. This study aims to evaluate the efectiveness of these twoeducational media in improving students ' knowledge of rabies at Escola Básica Filial (EBF) Católica de Nossa Senhora de Fátima Padiae, Oe-Cusse Ambeno, Timor Leste. Methods This study uses a pre-test and post-test design with a single group ofparticipants consisting of 50 sixth- grade students at EBF Católica de Nossa Senhora de Fátima Padiae. Before receiving video-based education and storybook-based education, students took a pre-test toassess their knowledge of rabies. Subsequently, students were educated using two mediamethods: a 20-minute educational video and a storybook focused on rabies prevention. The students then took a post-test to measure the change in their knowledge. The WilcoxonSigned-Ranks test was used to analyze the significant difference between pre-test and posttest scores. Results The results showed that before the education, 50% of the students had high knowledge regarding rabies. However, after receiving video and storybook-based education, 74% of the students demonstrated a significant improvement in knowledge. Statistical analysis using the Wilcoxon Signed- Ranks test resulted in a p-value of 0.000, which is smaller than 0.05,indicating that the difference between the pre-test and post-test is statistically significant.This suggests that both educational methods were efective in improving students' knowledge about rabies. Discussion Video-based education and storybooks were proven efective in improving students ' knowledge about rabies at Escola Básica Filial (EBF) Católica de Nossa Senhora de FátimaPadiae, Oe-Cusse Ambeno, Timor Leste. The video, with dynamic visualizations, helped students understand complex concepts such as the symptoms, transmission, andprevention of rabies. Meanwhile, the storybook provided an emotional narrative approach, helping students connect with the topic through easily understandable stories. Although a small number of students showed no significant change, the majority demonstrated clear improvements in knowledge, indicating the efectiveness of both methods. Therefore, both media can serve as efective alternatives for health education in areas with a high prevalence of rabies. Further research is needed to evaluate the long-term impact of this education and to develop other more interactive methods. Keywords : Rabies, health education, educational video, educational storybook, student knowledge
The RELATIONSHIP BETWEEN MATERNAL AGE AND INTRAUTERINE GROWTH RESTRICTION (IUGR) AT DR. MOEWARDI GENERAL HOSPITAL, SURAKARTA Nabiilah, Khusniyatin Dwi; Hidayah, Dwi; Candrarukmi, Dewinda
Jurnal Kesehatan Karya Husada Vol 13 No 4 (2025): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v13i4.785

Abstract

Background. Intrauterine Growth Restriction (IUGR) is a fetal growth disorder that significantly impacts neonatal morbidity and mortality, with a high incidence, especially in developing countries. Maternal age is known to be a major risk factor associated with IUGR, therefore, research on the relationship between gestational age and IUGR is crucial to support more effective prevention and treatment efforts in Indonesia. The aim of this study was to determine the relationship between maternal age and IUGR at Dr. Moewardi Regional General Hospital. Methods. This study employed a cross-sectional approach. Sixty-seven pregnant women, selected based on inclusion and exclusion criteria, whose deliveries took place at Dr. Moewardi Regional Hospital between January and December 2024, participated in this study. Secondary data were obtained from medical records and then analyzed using chi-square and logistic regression tests. The Result of 67 subjects, 35 (52.2%) delivered babies with IUGR and 32 (47.8%) non-IUGR[3]. Mothers with risk age had 14.286 times higher odds of delivering babies with IUGR compared to non-risk age (OR 14.286; 95% CI 4.397–46.413; p=0.000). Risk interpregnancy interval also showed significant association with IUGR (OR 12.632; 95% CI 2.606–61.222; p=0.000). Parity, nutritional status, and comorbidities did not show significant association with IUGR. Conclusion: Maternal age is significantly related to IUGR incidence. Pregnant women with risk age require more intensive antenatal monitoring to detect fetal growth disorders early.
ANALYSIS OF FACTORS INFLUENCING THE OCCURRENCE OF RHEUMATIC HEART DISEASE (RHD) AMONG CHILDREN IN TOKULULI VILLAGE, RAILAKO ADMINISTRATIVE POST, ERMERA MUNICIPALITY, TIMOR-LESTE Evarianti, Rima; Guterres, Me. Dulce Maria; ego, Francelina N M do
Jurnal Kesehatan Karya Husada Vol 13 No 4 (2025): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v13i4.787

Abstract

Rheumatic Heart Disease (RHD) is a chronic cardiac condition that develops as a long-term complication of acute rheumatic fever resulting from inadequately treated streptococcal infections. This disease remains a significant child health problem in developing countries, including Timor-Leste, particularly in rural areas with limited environmental conditions and healthcare services. This study aimed to describe the occurrence of Rheumatic Heart Disease (RHD) among children and the associated contextual factors in Tokululi Village, Railako Administrative Post, Ermera Municipality, Timor-Leste. This study employed a descriptive quantitative design with a cross-sectional approach. The accessible population consisted of all parents or guardians of school-aged children in Marobo Hamlet, Tokululi Village, with a total of 100 respondents included using a total sampling technique. Data were collected through structured interviews using a questionnaire to assess family socioeconomic status, residential environmental conditions, access to and utilization of healthcare services, as well as family knowledge and health-related behaviors concerning child health. Data on RHD occurrence were obtained from health service records at the community health center based on diagnoses made by healthcare professionals. Data analysis was conducted descriptively (univariate), with results presented as frequency distributions and percentages. The results showed that in 2025, two cases of Rheumatic Heart Disease (RHD) among children were identified (2.0%). The majority of respondent families were classified as having a middle socioeconomic status (44.0%). Most residential environments were categorized as having moderate (41.0%) to good (36.0%) quality. Access to and utilization of healthcare services were generally considered adequate (85.0%). Family knowledge regarding child health was predominantly at a moderate (47.0%) and low (44.0%) level, while family health-related behaviors were mostly classified as good (62.0%). These findings indicate that although the identified occurrence of RHD was relatively low, environmental conditions, healthcare service factors, and family knowledge may potentially influence delays in disease detection and prevention. In conclusion, RHD among children in Tokululi Village remains present and requires continued attention, particularly given the limited diagnostic facilities at the primary healthcare level. Socioeconomic status, environmental conditions, access to healthcare services, and family knowledge and behaviors represent important contextual factors accompanying the occurrence of RHD among children. Strengthening primary and secondary prevention efforts, improving family health literacy, and reinforcing community-based healthcare systems are necessary to prevent the progression of RHD among children in rural areas. Keywords: Rheumatic Heart Disease; children; family factors; environment; healthcare services; Timor-Leste
HUBUNGAN KEJADIAN INFEKSI Blastocystis spp. DENGAN PERSONAL HYGIENE PADA ANAK SEKOLAH DASAR DI KEDUNGDOWO Rahmawati, Annisa
Jurnal Kesehatan Karya Husada Vol 13 No 4 (2025): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v13i4.790

Abstract

Pendahuluan: Blastocystis spp. merupakan protozoa uniseluler yang sering ditemukan dalam saluran intestinal dan sampel feses manusia. Infeksi Blastocystis spp. pada negara berkembang mencapai 100%. Blastocystis spp. menginfeksi manusia melalui jalur fekal-oral, terutama pada orang dengan personal hygiene yang buruk. Penelitian ini bertujuan untuk menganalisis hubungan antara kejadian infeksi Blastocystis spp. dengan personal hygiene pada anak sekolah dasar di Kedungdowo. Metode: Metode penelitian ini menggunakan observasional analitik desain cross-sectional dengan sampel sebanyak 40 siswa. Data dikumpulkan melalui kuesioner dan diagnosis Blastocystis spp. dilakukan menggunakan metode pengamatan mikroskopis dari sampel feses. Hasil Penelitian: Hasil penelitian menunjukkan frekuensi infeksi Blastocystis spp. pada anak sekolah dasar sebesar 62,5%. Hasil analisis statistik menunjukkan hubungan yang signifikan antara kebiasaan mencuci tangan (p=0,005), kebersihan kuku (p=0,001), dan kebiasaan bermain di tanah (p=0,031) dengan kejadian infeksi Blastocystis spp. Namun, pada penggunaan alas kaki tidak menunjukkan hubungan signifikan dengan kejadian infeksi Blastocystis spp. (p = 0,116). Kesimpulan: Perilaku personal hygiene yang buruk dapat meningkatkan risiko infeksi Blastocystis spp. pada anak sekolah dasar di Kedungdowo.
APPLICATION OF THE HUMPTY DUMPTY FALLS SCALE (HDFS) RISK ASSESSMENT INSTRUMENT IN CHILDREN IN THE ASOKA WEST WARD OF Dr. SARDJITO GENERAL HOSPITAL, YOGYAKARTA Paramita, Adinda Cindy; Margaretha, Sumarti Endah Purnamaningsih Maria
Jurnal Kesehatan Karya Husada Vol 13 No 4 (2025): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v13i4.793

Abstract

Children are a vulnerable group at risk of falling during hospitalization due to underdeveloped motor and cognitive functions. Falls can lead to serious injuries, thus requiring accurate assessment and preventive measures. Objektive study aims to describe the application of the Humpty Dumpty Falls Scale (HDFS) for fall risk assessment in pediatric patients at the Asoka Barat Ward of RSUP Dr. Sardjito Yogyakarta. Method used was a descriptive case study involving nine pediatric patients, divided into two groups: with and without medical interventions (BMP/LP). Data were collected through observation, interviews, and documentation review. Results showed that the majority of patients were classified as high fall risk (score ≥12), especially in the group with BMP/LP interventions, where an increase in HDFS scores was noted after the procedures. Conclusion that HDFS is effective in identifying fall risks in children and can serve as a reference for appropriate nursing interventions

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