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Hardini Tri Indarti
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INDONESIA
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan
Published by Sekolah Tinggi Ilmu Kesehatan Budhi Luhur Cimahi
ISSN : 19788479     EISSN : 25810111     DOI : https://doi.org/10.62817/jkbl.v17i2
Core Subject : Health, Social,
Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences
JKBL (Jurnal Kesehatan Budi Luhur) as part of the atmosphere of disseminating scientific research results and ideas to improve health quality of Indonesian society. The journal includes original research articles, review articles, and short communications for nursing, midwivery, and others health fields.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 220 Documents
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The Effect of Bay Leaf Decoction on Blood Pressure Reduction in Patients with Hypertension Rianto, Budi; Atira; Salmiyah, Emmy; Shabahati, Nirmala Aqmarina
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 1 (2026): January 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i1.482

Abstract

Hypertension affects approximately 1.28 billion people worldwide and remains a major contributor to morbidity and mortality, particularly in Indonesia. Conventional pharmacological management often leads to poor adherence, highlighting the need for complementary therapies. This study aimed to examine the effect of bay leaf (Syzygium polyanthum) decoction on reducing blood pressure in patients with hypertension in Cibeunying, Bandung. This quantitative study employed a quasi-experimental design. A total of 30 hypertensive patients were selected using a non-probability purposive sampling technique and divided into an intervention group and a control group. Blood pressure was measured using a digital sphygmomanometer following standard operating procedures. The intervention group received bay leaf decoction for five consecutive days. Before the intervention, 60.0% of participants in the intervention group were classified as having stage 1 hypertension. After the intervention, only 20.0% remained in stage 1 hypertension, while most participants shifted to the pre-hypertension category. Statistical analysis using the Marginal Homogeneity test showed a significant reduction in blood pressure (p = 0.02; α = 0.05). The findings indicate that bay leaf decoction has a significant effect on lowering blood pressure in patients with hypertension. Therefore, bay leaf decoction may be considered as a complementary non-pharmacological therapy for blood pressure management.
Clinical Evaluation of Right Orbital Cellulitis in An Elderly Patient Naeluvar, Lulu; Prinandita, Kantika; Rasyid, Meriana
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 1 (2026): January 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i1.483

Abstract

Orbital cellulitis is a severe infection of the intraorbital tissues that can threaten vision and requires prompt management. This study aims to describe the clinical characteristics, diagnosis, and management of orbital cellulitis in an elderly patient with systemic risk factors. A descriptive clinical approach was employed, collecting data through anamnesis, physical examination, and ophthalmologic assessments including visual acuity, slit-lamp examination, and fundus evaluation, as well as the patient’s medical and treatment history. Data were analyzed qualitatively to illustrate the clinical manifestations, diagnosis, and therapeutic interventions. The case involved a 64-year-old male presenting with redness, swelling, pain, tearing, and difficulty opening the right eye for one week, with a history of diabetes mellitus and dental caries. Physical examination revealed palpebral edema, conjunctival and scleral hyperemia, restricted ocular motility, and decreased visual acuity in the right eye. The definitive diagnosis was orbital cellulitis in the right eye, with cataract in the left eye and diabetes mellitus as comorbidities. Management included broad-spectrum topical antibiotics and referral to both ophthalmology and internal medicine specialists for multidisciplinary care. In conclusion, early intervention and accurate clinical diagnosis are essential to prevent severe complications such as subperiosteal abscess, cavernous sinus thrombosis, or permanent vision loss.
The Quality of Digital Radiography Images of The Sacrum Is Influenced by X-Ray Exposure Factors Suharlim, Edwin; Kusmiati, Evie; Sugandi, Erwin Santoso; Pratama, Adhitya; Hamidah, Mila Aulia
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 1 (2026): January 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i1.433

Abstract

Digital radiography of the sacrum requires precise adjustments of exposure parameters (kV, mA, time) to produce high-quality images while minimizing radiation exposure. This study aims to investigate how these exposure factors affect the quality of sacral images and to recommend optimal settings that align with radiation safety principles such as ALARA. By reviewing the existing literature, it was found that the modification of exposure parameters (kV, mA, time) in digital radiography is essential for achieving optimal image quality while minimizing radiation exposure. The exposure index (EI) serves as an indirect measure of the dose absorbed by the detector, thereby facilitating the implementation of the ALARA principles. Properly orienting the AEC chamber can reduce radiation dose by up to 44% without compromising image quality. Tube voltage and current adjustment enhances image contrast and sharpness. Nonetheless, inconsistent exposure methods and dependence on presets can still lead to dose creep. It is essential to train radiographers, adjust equipment settings, and set Diagnostic Reference Levels (DRLs) to enhance imaging quality and ensure patient safety. In digital radiography, factors such as tube voltage (kV), tube current (mA), and exposure time (s/mAs) significantly affect image quality and patient radiation dose. Adjusting exposure settings according to patient characteristics and exam objectives enhances image quality and reduces radiation exposure, particularly in sensitive areas like the sacrum. Technologies such as Exposure Index (EI), Automatic Exposure Control (AEC), and image analysis software facilitate an objective method that follows the ALARA principle, ensuring patient safety while optimizing diagnostic outcomes.
The Intervention of Prenatal Gentle Yoga in Reducing Leg Swelling in Mother “I” G4P3A0 through the Utilization of a Digital Module Nurhanijah, Rahmadina; Putriastuti, Widya; Anggita, Rei; Karwati
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 1 (2026): January 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i1.443

Abstract

The third trimester of pregnancy is often accompanied by physiological complaints such as leg swelling, which is caused by uterine pressure and hormonal changes. Non-pharmacological interventions like prenatal gentle yoga have the potential to reduce such discomforts. The use of digital modules can also enhance the effectiveness of education and the involvement of pregnant women. This research employed a descriptive case study with a comprehensive midwifery care approach. The subject was Mrs. "I" G4P3A0, who experienced lower extremity edema during her third trimester. The intervention consisted of prenatal gentle yoga conducted over four weeks, three times per week, guided by an educational digital module. After four weeks of prenatal gentle yoga, results showed the swelling had subsided, the mother experienced improved sleep quality, and she gained a better understanding of the importance of maintaining health during pregnancy through non-pharmacological approaches. Prenatal gentle yoga supported by a digital module proved effective as a complementary therapy to reduce edema in third-trimester pregnant women. This intervention not only provided physical benefits but also increased maternal awareness and participation in maintaining holistic health. It can be concluded that digital module-based prenatal gentle yoga is an effective and innovative approach to reducing third-trimester pregnancy edema. It is recommended to be widely implemented in healthcare facilities and educational institutions, and serve as a basis for developing other interactive digital modules.
Comprehensive Midwifery Care for Mrs. S G3P2A0 at Cipeundeuy Public Health Center, West Bandung Regency Nursiam, Rahma; Yuliana; Puspita, Ameliana; Sutari, Sri
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 1 (2026): January 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i1.448

Abstract

Frequent urination is one of the common discomforts experienced by pregnant women in the third trimester and can affect sleep quality as well as daily activities. The World Health Organization (WHO) reports that approximately 50% of third-trimester pregnant women experience an increased frequency of urination. Data from the Indonesian Ministry of Health in 2022 show a prevalence of 72%. At the Cipeundeuy Public Health Center, West Bandung Regency, an increase in complaints of frequent urination among third-trimester pregnant women was also observed. One non-pharmacological intervention that can be applied to address this complaint is prenatal exercise, which aims to strengthen the pelvic floor muscles and improve bladder control. This study aimed to describe comprehensive midwifery care for Mrs. S (G3P2A0) with complaints of frequent urination at the Cipeundeuy Public Health Center, West Bandung Regency. The study employed a descriptive case study design. The main intervention was video-based prenatal exercise performed regularly for 30 minutes per session. Data were collected through observation and the mother’s subjective reports before and after the intervention. The results showed a decrease in the frequency of urination from a high category to a normal category. The mother also reported improvements in sleep quality and increased comfort in carrying out daily activities. In conclusion, video-based prenatal exercise has the potential to help reduce complaints of frequent urination in third-trimester pregnant women. However, as this study was a single case study, the results cannot be generalized, and further research with a larger sample size is required.
Correlation Between Nutritional Status and Risk of Anemia in Students at SDN Cijagra 1 Bojongsoang, Bandung Regency Lestari, Gianita; Zahira, Zakiah; Amilia, Maisaroh Noor
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 1 (2026): January 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i1.449

Abstract

Anemia is a global health problem that can affect the growth and development of school-aged children. Nutritional status is suspected to be associated with the incidence of anemia, but this relationship requires further study. This study aims to analyze the correlation between nutritional status and the risk of anemia in students of SDN Cijagra 1 Bojongsoang, Bandung Regency. This study used an observational analytical design with a cross-sectional approach. The sample consisted of 69 students aged 10-12 years old who were selected using purposive sampling based on inclusion and exclusion criteria. Nutritional status was measured by assessing weight and height to determine Body Mass Index (BMI), while hemoglobin levels were measured using the POCT (Point of Care Testing) method. Due to non-normal data distribution, bivariate analysis was performed using Spearman’s rank correlation test. The majority of students had good nutritional status (65%) and were free of anemia (94%). A small proportion experienced mild anemia (3%) and moderate anemia (3%), with no cases of severe anemia. Statistical analysis showed a correlation coefficient of -0.118 with a p-value of 0.335, indicating a very weak and statistically insignificant relationship between nutritional status and the incidence of anemia (p>0.05). The results of this study indicate that good nutritional status is not always the primary factor in preventing anemia in elementary school children. Other factors such as diet, infections, and genetic conditions likely play a more significant role in the incidence of anemia. It can be concluded that there was no significant correlation between nutritional status and the risk of anemia in students at SDN Cijagra 1 Bojongsoang, Bandung Regency. Interventions in the form of nutrition education regarding iron intake and regular health check-ups are still needed to prevent anemia.
Determinants of Diabetes Mellitus Among Women Aged 15–49 Years in The Pakutandang Health Center Area, Bandung Regency Zaelani, Ahmad; Ruhmania, Yuliana
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 1 (2026): January 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i1.467

Abstract

Diabetes is one type of non-communicable disease and has become a serious global health issue, including in the Republic of Indonesia. According to Riskesdas data, 70% of people with diabetes mellitus are unaware that they have the disease, partly due to their instant lifestyle. Individuals at risk of developing diabetes include those with genetic or hereditary factors, older age, obesity, hypertension, and a lack of physical activity. The objective of this study is to determine of diabetes mellitus among women of reproductive age (15–49 years) in the service area of the Pakutandang Community Health Centre in Bandung Regency. This study used a quantitative method with a case-control design. Data collection techniques used questionnaires. The population in this study was all women in the working area of the Pakutandang Community Health Centre in Bandung Regency. The sample size was 135 respondents with a 1:2 ratio, namely 45 respondents who were women of childbearing age (15-49 years) with diabetes mellitus and 90 respondents who were women of childbearing age (15-49 years) without diabetes mellitus. The data in this study were processed using univariate analysis, bivariate analysis, and multivariate analysis. The results of this study show that among women of childbearing age (15-49 years), 35.5% had diabetes mellitus and 64.5% did not have diabetes mellitus. The results of the bivariate chi-square analysis showed that the factors associated with diabetes mellitus were education, occupation, genetic factors, age, hypertension, and physical activity, while obesity was not associated. The conclusion of this study is that the occurrence of diabetes mellitus in women of childbearing age (15-49 years) influenced by genetic factors, and this influence significant in the occurrence of diabetes mellitus in women of childbearing age (15-49 years). Meanwhile, the logistic regression results show that the dominant variable is genetic factors.
The Effect of Audiovisual Health Promotion on Knowledge, Attitudes, and Behaviors Related to the Prevention of Recurrent Chest Pain in Patients with Coronary Heart Disease Septiani, Fiddi; Budiman; Laili, Ayu; Riyanto, Agus
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 1 (2026): January 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i1.468

Abstract

Cardiovascular disease remains a leading cause of mortality worldwide, with a continuously increasing prevalence. In Indonesia, coronary heart disease (CHD) contributes substantially to cardiovascular-related deaths, highlighting the importance of effective secondary prevention strategies. Health promotion using appropriate educational media is essential to improve patients’ knowledge, attitudes, and self-care behaviors. This study aimed to examine the effect of audiovisual health promotion on knowledge, attitudes, and behaviors related to the prevention of recurrent chest pain among patients with coronary heart disease. A quantitative quasi-experimental study was conducted using a pretest–posttest control group design. Participants were patients diagnosed with coronary heart disease who were assigned to intervention and control groups. The intervention group received audiovisual-based health education, while the control group received standard care. Data were analyzed using univariate, bivariate, and multivariate analyses. Paired t-tests, independent t-tests, and Wilcoxon tests were used for bivariate analysis, and multiple logistic regression was applied for multivariate analysis. The results showed a significant improvement in knowledge (p = 0.001) and attitudes (p = 0.018) in the intervention group after exposure to audiovisual health promotion. However, no significant effect was observed on preventive behaviors related to recurrent chest pain (p = 0.084). In conclusion, audiovisual health promotion effectively improves knowledge and attitudes among patients with coronary heart disease but does not significantly influence preventive behaviors. These findings suggest that while audiovisual media are effective for cognitive and affective outcomes, additional or sustained interventions are required to promote behavioral change in the secondary prevention of coronary heart disease.
The Correlation Between Reproductive Health Literacy and the Prevention of Sexually Transmitted Infections (STIs) in the School Environment Nurjanah, Nimas Ayu Lestari
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 1 (2026): January 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i1.489

Abstract

Sexually transmitted infections (STIs) remain a health problem that mostly occurs among teenagers, partly due to a lack of reproductive health literacy. The school environment has a strategic role in increasing understanding and shaping behavior to prevent STIs among teenagers. The purpose of this study was to determine the correlation between reproductive health literacy and STI prevention in the school environment. This study used a quantitative approach with an analytic descriptive design and a cross-sectional method. The population of this study consisted of all students at the selected school, with a total sample of 202 students selected using a simple random sampling technique. Data were collected using a structured questionnaire that had been tested for validity and reliability, then analyzed using univariate and bivariate analyses with the Chi-square test at a significance level of α = 0.05. The results showed that almost half of the respondents had a low level of reproductive health literacy, while their STI prevention behavior was at an adequate level. The statistical test results showed a significant correlation between reproductive health literacy and STI prevention (p = 0.002). Students with better reproductive health literacy tended to have better STI prevention behavior compared to students with adequate and lower literacy levels. In conclusion, reproductive health literacy is significantly related to the prevention of sexually transmitted infections in the school environment. Therefore, it is necessary to strengthen comprehensive and continuous reproductive health education in schools as an effort to prevent STIs among teenagers.
Applying the Biopsychosocial Model in Resource-Limited Settings: A Mixed-Methods Study of Young Healthcare Professionals in Myanmar Aung, Htet Lin
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 1 (2026): January 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i1.462

Abstract

The objective of this research is to assess the use of the biopsychosocial (BPS) model by young health care professionals in Myanmar. There is a need for further research examining how early-career providers cope with the traditional use of biomedicine and widespread cultural opposition to the BPS model in contexts of systemic resource shortages. The study employed a mixed-methods convergent design involving thirty-two health care professionals (aged 25–35), including physicians, nurses, and medical technicians. Data triangulation was achieved through structured surveys, semi-structured interviews, and field observations. Descriptive statistics were used to analyze quantitative data, while thematic analysis was applied to qualitative data to identify barriers to implementation. The survey results show that 53% of respondents consistently use the BPS framework in their clinical practice, whereas 47% reported infrequent use of the BPS model. Significant differences were observed across professions: 100% of physicians reported frequent use of the BPS model, compared with 46% of nurses and 43% of medical technicians. Qualitative findings revealed several barriers to the provision of holistic care, including acute resource shortages, insufficient discipline-specific training, and cultural resistance. Myanmar’s new health care workers are leading a shift toward biopsychosocial care rather than solely disease-specific care. Even in the presence of systemic barriers, these health care workers have shown that patient-centered or holistic care can be achieved in low-resource environments when supported by adequate institutional frameworks.

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