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PROFESSIONAL HEALTH JOURNAL
Published by Sekolah Tinggi Ilmu Kesehatan Banyuwangi
ISSN : -     EISSN : 27156249     DOI : -
Core Subject : Health,
Medicine & Pharmacology Nursing
Professional health journal is an open access journal with a wide range (Scope) of fields of nursing including basic research in nursing, management nursing, emergencies, and critical nursing, medical-surgical nursing, mental health nursing, maternity nursing, maternity nursing, child nursing, nursing care , community nursing, family nursing education nursing, complementary, alternative medicine (CAM) in nursing, midwifery, medicine, and pharmacist
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 32 Documents
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Search results for , issue "Vol. 8 No. 1 (2026)" : 32 Documents clear
The Effect of CYP3A4, CYP3A5 and ABCB1 Polymorphisms on Tacrolimus Dose Requirements in Adult Kidney Transplant Patients Khusnul Khotimah; Lolita; Lalu Muhammad Irham
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1371

Abstract

Introduction: Polymorphisms in the CYP3A4, CYP3A5, and ABCB1 genes play a significant role in the response to tacrolimus therapy in kidney transplant patients. Tacrolimus, a commonly used immunosuppressant, has a narrow therapeutic index and is highly influenced by individual genetic variation. These genetic polymorphisms significantly affect the response to tacrolimus therapy in patients undergoing kidney transplantation. Inaccurate dosing can lead to serious consequences: a tacrolimus dose that is too low increases the risk of acute rejection, while a dose that is too high can cause nephrotoxicity and other serious side effects. Therefore, accurate initial dosing of tacrolimus is critical in the clinical practice of kidney transplantation.. Methods: The article search was conducted using the CrossRef database, which provided access to various scientific journals. The focus was on research published in the last five years, ensuring that only studies exploring polymorphisms related to the CYP3A4, CYP3A5, and ABCB1 genes in the context of tacrolimus were used. Results: Previous analysis revealed that CYP3A5 polymorphisms were the most consistent genetic factors influencing tacrolimus metabolism; expressors with the *1/*1 and *1/*3 genotypes required higher doses to reach target levels, while non-expressors with the *3/*3 genotypes experienced a greater risk of toxicity with elevated trough levels, although contributions from CYP3A4 and ABCB1 varied based on ethnicity and transplantation stage. Conclusions: From the results of this review, it can be concluded that CYP3A5 gene polymorphisms are the primary predictors of tacrolimus dose requirements. Recommendations for implementing CYP3A5 genotyping before transplantation may enhance the efficacy of immunosuppression and reduce the risk of toxicity. Further research is necessary to develop more adaptive, pharmacogenetic-based dosing models and to evaluate the clinical factors influencing tacrolimus pharmacokinetics.
The Effect of Breastfeeding Counseling on Exclusive Breastfeeding Practices Among Postpartum Mothers: A Quasi-Experimental Study Masliha; Apriyani, Weni
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1373

Abstract

Introduction: Exclusive breastfeeding remains a global health priority, yet its practice is often suboptimal, particularly in developing countries. Despite widespread awareness campaigns, many mothers discontinue exclusive breastfeeding before six months, leading to increased risks of infant morbidity and mortality. Maternity nurses play a vital role in bridging the gap by providing education, counseling, and support from the antenatal to the postpartum period. This study aimed to analyze the effect of breastfeeding counseling on exclusive breastfeeding practices among postpartum mothers. Methods: A quasi-experimental study with a pre–post design was conducted in the working area of Jatisawit Community Health Center, Jatibarang District. A total of 70 postpartum mothers (35 in the intervention group and 35 in the control group) were recruited through purposive sampling. The intervention group received structured breastfeeding counseling, while the control group received routine maternal care. Data were collected using a validated questionnaire and observation checklist, then analyzed using descriptive and inferential statistics. Ethical approval was obtained from the relevant ethics committee. Results: The findings revealed significant differences between the two groups. Mothers in the intervention group demonstrated higher adherence to exclusive breastfeeding practices compared to the control group. Counseling improved mothers’ knowledge, attitudes, and confidence, which translated into consistent exclusive breastfeeding behavior. Discussion and Suggestion: This study supports the evidence that breastfeeding counseling is an effective nursing intervention to promote exclusive breastfeeding. It highlights the essential role of maternity nurses as educators and supporters. Strengthening structured, continuous, and community-based counseling is recommended to improve breastfeeding practices. Future research should explore long-term outcomes and incorporate socio-cultural determinants to design more contextually relevant interventions.
Reflection on the Use of Galactagogues (Both Chemical and Herbal) in Increasing Breast Milk Production in the Pontang Community Health Center Working Area Sustiyono, Agus; Sakinah, Innama; Musfirowati, Fifi; Jubaedi, Ahmad; Nurliana, Lia
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1374

Abstract

Introduction: Based on data from the Banten Provincial Office, the coverage of exclusive breastfeeding in Banten Province in 2017 was 75.7%, which did not meet the target set in 2016 in Banten Province (77%). The suboptimal rate of exclusive breastfeeding may be due to the low amount of breast milk produced by mothers. This study was conducted to determine the benefits of chemical galactagogues and herbs in increasing breast milk production in the Pontang Community Health Center working area. The population in this study consisted of 32 breastfeeding mothers with children aged 0-6 months in the Pontang Community Health Center working area, comprising 16 chemical and 16 herbal mothers. This study will be conducted in May-June 2024 at the Pontang Community Health Center. Methods: The research method used is a quasi-experiment with a cross-sectional approach. Data collection was carried out using breast milk pumps and breast milk bags. The data were then analyzed using univariate and bivariate (influence analysis) methods. Results: The results showed a significant p-value of 0.000 between galactagogues and increased breast milk production in the chemical intervention group compared to the herbal intervention group. Conclusions: The paired sample T-test showed a difference in mean values between the chemical intervention group and the herbal intervention group of 12.18, which means that the average breast milk production in the herbal group was much greater than the average breast milk production in the chemical group. It is hoped that health workers can provide information and disseminate or provide counseling when conducting practical visits about the benefits of galactagogues to the community, especially breastfeeding mothers.
OBESITY AS AN INDICATOR OF HYPERTENSION AT THE ELDERLY HEALTH CARE POSYANDU IN SUSUKAN REJO VILLAGE PASURUAN Putri, Lia Dwi Adinda; Roesardhyati, Ratna; Hastuti , Apriyani Puji
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1376

Abstract

Introduction: Among older adults, hypertension represents a significant public health concern that is often linked to excess body weight. Obesity, a modifiable risk factor, is known to elevate blood pressure and contribute to related complications in later years. This makes it a critical measure for assessment within elderly communities. Methods: Employing a quantitative, descriptive correlational design with a cross-sectional method, this research was carried out at an Elderly Integrated Health Post in Susukan Rejo Village, Pasuruan. A total of 70 pre-elderly and elderly participants were included via total sampling. Obesity was evaluated using body mass index and waist circumference, and blood pressure was measured following standard protocols. Data were examined through univariate analysis and bivariate analysis using the Chi-square test to explore the relationship between obesity and hypertension. Results: The study revealed a high prevalence of obesity according to both body mass index and waist circumference. A majority of respondents were diagnosed with hypertension, most commonly at stage 1. Bivariate analysis indicated a statistically significant association between obesity and hypertension, with greater obesity linked to more advanced stages of hypertension. Conclusions: Obesity was found to be a strong predictor of hypertension in the studied elderly population. These findings highlight that weight management through lifestyle changes, consistent health monitoring, and community-led programs could be vital for lowering hypertension risk and enhancing health outcomes among older adults.
Competency Improvement Through Digital Basic Skills Training for North Lampung Integrated Health Post Cadres in 2025 Oktalia Liviyana; Tiara Amelia; Rohman Daka
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1385

Abstract

Introduction: The Ministry of Health's primary healthcare transformation emphasizes a promotive and preventive approach through strengthening Integrated Primary Service Posts (Posyandu) throughout the lifecycle. Posyandu cadres play a crucial role in implementing ILP, but still face competency challenges in delivering integrated services. Digital training is one innovation to efficiently increase cadre capacity. This study aims to analyze differences in Posyandu cadre competency in five Core Training Courses (MPI) before and after participating in digital training in North Lampung Regency in 2025. Methods: The study used a one-group pretest-posttest pre-experimental design through the Plataran Sehat Learning Management System (LMS). The sample size was determined using WHO software using a two-sided hypothesis test for a population mean. Bivariate analysis used the Wilcoxon Signed Rank Test. Results: The analysis showed a significant difference in the competency of Posyandu cadres in all five Core Training Courses (MPI 1–MPI 5) before and after the digital training (p < 0.05). Conclusions: The digital training on Basic Skills for Posyandu Cadres effectively improved cadre competency and needs to be maintained and developed to support the transformation of primary healthcare services.
The Effect of Lean Management Implementing in an Efforts to Improve Operational Efficiency in the Emergency Department and Inpatient Units at Royal Prima Hospital, Medan. Ginting, Dicky Owenta; Girsang , Ermi; Siregar, Santy deasy
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1390

Abstract

Hospitals face increasing pressure to provide timely and high-quality care amid rising patient demand, limited resources, and complex service pathways. Inefficient patient flow between emergency and inpatient services often results in prolonged waiting times, suboptimal bed utilization, and reduced patient satisfaction. Lean management has been applied in healthcare to improve operational performance through the elimination of non-value-added activities. This study evaluated the impact of lean management implementation on operational efficiency in the emergency department to inpatient care pathway at Royal Prima Hospital, Medan. A quantitative quasi-experimental study with a pre-test and post-test design was conducted. Lean management interventions were implemented across the emergency department to inpatient admission process, including waste identification, workplace organization, value stream mapping, and continuous improvement activities. Data were obtained from hospital operational records and structured questionnaires administered to healthcare personnel. Operational efficiency indicators included patient waiting time, bed occupancy rate, average length of stay, turnover interval, bed turnover, and patient satisfaction. Data were analyzed using descriptive statistics, paired statistical tests, Pearson correlation, and simple linear regression at a 95 percent confidence level. Lean management implementation significantly improved operational efficiency. Total waiting time from emergency department admission to inpatient transfer decreased from 135 minutes to 74 minutes, representing a 45 percent reduction. Bed occupancy rate increased from 78 percent to 82%, average length of stay decreased from 4.8 days to 4.1 days, turnover interval declined from 1.9 days to 1.3 days, and bed turnover increased from 42 to 48 cycles. Patient satisfaction increased from 72 percent to 86 percent. Pre-test and post-test analysis showed a statistically significant improvement in operational efficiency (p < 0.05). Lean management significantly enhanced patient flow, bed utilization, and patient satisfaction without additional resource investment. These findings support lean management as a sustainable strategy for improving hospital operational efficiency in high-demand clinical settings.
Nutritional Status and Anthropometric Indicators as Determinants of Mobility Function among Community-Dwelling Older Adults at Risk of Frailty Dewi, Sofia Rhosma; Dian Ratna Elmaghfuroh
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1400

Abstract

Introduction: Frailty is a geriatric condition characterized by a progressive decline in physiological reserves and functional capacity, particularly mobility. Nutritional status and anthropometric indicators play a crucial role in maintaining mobility among older adults; however, integrated evidence focusing on community-dwelling older adults at risk of frailty remains limited. This study aimed to examine the association between nutritional status, mid-upper arm circumference (MUAC), and mobility function among community-dwelling older adults at risk of frailty. Methods: An observational analytic study with a cross-sectional design was conducted among 176 older adults aged ≥60 years who were identified as being at risk of frailty and recruited using consecutive sampling. Nutritional status was assessed using the Mini Nutritional Assessment–Short Form (MNA-SF), MUAC was measured as an anthropometric indicator, and mobility function was evaluated using the Timed Up and Go (TUG) test. Data were analyzed using Chi-square tests and odds ratios (ORs) with 95% confidence intervals. Results: More than half of the participants were classified as at risk of chronic energy deficiency based on MUAC (56.25%), and 52.83% were categorized as malnourished or at risk of malnutrition. Impaired mobility was observed in 69.80% of participants. Significant associations were identified between nutritional status and mobility function (p < 0.001) as well as between MUAC and mobility function (p < 0.001), with very strong associations. Conclusions Early nutritional and anthropometric screening is essential to prevent functional decline and frailty progression among community-dwelling older adults.
Representative Patterns of Community Clean and Healthy Living Behaviors among Scabies Cases in Wolofeo Maria Kornelia Ringgi Kuwa; Bambang Budi Raharjo; Antonia Rensiana Reong; Marianus Oktavianus Wega
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1367

Abstract

Introduction: Scabies is a contagious skin condition and a persistent public health issue in many tropical regions, including Indonesia. Clean and Healthy Living Behaviors play a central role in preventing transmission, particularly in communities with limited sanitation. Objectives: This study aimed to identify community patterns of knowledge, attitudes, and practices related to Clean and Healthy Living Behaviors associated with scabies occurrence in the Wolofeo region. Methods: This descriptive quantitative study included 70 respondents selected through purposive sampling from individuals who had previously received outpatient treatment for scabies at the Wolofeo Health Center. Data were collected using a standardized questionnaire that had undergone content validation and reliability testing. Validity was supported by a CVI of 0.87, and reliability was confirmed through a pilot test yielding a Cronbach’s Alpha of 0.82. Data were analyzed descriptively using frequency and percentage distributions. Results: Most respondents demonstrated good knowledge of hygiene and scabies prevention. Attitudes toward Clean and Healthy Living Behaviors were overwhelmingly positive, with nearly all participants expressing favorable views. All respondents reported good hygiene practices, indicating strong behavioral adoption of preventive measures. Demographic characteristics, particularly adulthood and senior high school education levels, were associated with higher readiness to implement preventive behaviors. Conclusions: The community showed strong preparedness for scabies prevention through good knowledge, positive attitudes, and consistent hygiene practices. However, a small subset exhibited limited understanding and less favorable attitudes, highlighting the need for sustained health education. Future research should incorporate observational methods to validate self-reported practices and better inform targeted prevention strategies.
The Relationship Between Family Support and Self-Confidence in Managing Chronic Kidney Failure Patients in the Hemodialysis Syaharani, Elva; Koesrini, Juliati; Priasmoro, Dian Pitaloka
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1372

Abstract

Background: Chronic Kidney Disease (CKD) is a progressive disease that requires patients to undergo long-term hemodialysis. This process places various physical and psychological demands on patients, requiring them to consistently manage their self-care. Self-efficacy is a crucial factor that influences patients’ confidence in undergoing therapy, while family support plays a significant role in helping patients maintain motivation and compliance during treatment. However, patients' self-efficacy may be impacted by the varying degrees of family support they receive. Purpose: Understanding the connection between self-efficacy and family support in hemodialysis patients with chronic kidney disease(CKD). Methods: Her research employed a cross-sectional methodology and a correlational quantitative design. Using basic random sampling, 102 patients made up the sample. Family support and self-efficacy questionnaires were used to gather data, and the Spearman Rank test was used for analysis with a significance level of α = 0.05. Results: Most respondents showed great self-efficacy (91.2%) and strong familial support (91.2%). Family support and self-efficacy were strongly and significantly correlated (r = 0.612; p = 0.000). Conclusion: The degree of self-efficacy of CKD patients receiving hemodialysis is strongly correlated with family support. Optimal Family Support can increase patients’ confidence and ability to manage their care.
Managerial Decision-Making and Risk Management in Indonesian Higher Education Institutions: A Literature Review Riris Kustiningtias; Eva Hadiana; Melisa Rohmatun Nisa’ A; Ana Zakiyah
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1447

Abstract

Introduction: Higher education institutions operate in complex and uncertain environments shaped by digital transformation, financial pressures, governance challenges, and increasing stakeholder demands. These conditions expose institutions to strategic, operational, academic, and reputational risks that influence managerial decision-making and institutional sustainability. Objectives: This study aimed to conduct a literature review and synthesize the literature on risk management practices and their implications for managerial decision-making in higher education institutions, with particular attention to governance and performance outcomes. Methods: A literature review was conducted using Scopus, Web of Science, and Google Scholar. Articles published between 2020 and 2025 were screened using predefined inclusion and exclusion criteria. Titles and abstracts were reviewed, followed by full-text assessment. Data were extracted on study design, thematic focus, and managerial implications. A thematic synthesis approach was applied to identify recurring patterns across studies. Results: The findings indicated that risk management improved the effectiveness of quality assurance, institutional governance, service quality, and organizational performance. Institutions with higher risk management maturity demonstrated stronger integration of governance structures, strategic planning, and performance monitoring systems. Risk-based approaches enhanced evidence-based managerial decision-making, institutional accountability, and academic competitiveness. However, fragmented implementation and limited governance capacity remained significant challenges. Conclusions: Risk management functions as a strategic governance instrument that strengthens managerial decision-making and institutional resilience in higher education. Integrating risk-based frameworks into governance and performance systems is essential for sustainable institutional development, particularly in complex and rapidly changing educational environments.

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