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KESANS : International Journal of Health and Science
Published by Cv.Rifainstitut
ISSN : 28087380     EISSN : 28087178     DOI : https://doi.org/10.54543/kesans.v1i1.2
Core Subject : Health, Science,
Chemistry Health Professions Medicine & Pharmacology Physics Public Health
KESANS : International Journal of Health and Science provides a means for ongoing discussion of the relevant issues that fall within the focus and scope of the journal that can be examined empirically. This journal publishes research articles in the medicine, Nursing, Midwifery, Public Health, Health Technology, Occupational Health and Safety, Pharmacy, and physiotherapy. Articles published are the results of research, studies or scientific studies on important and current issues or scientific book reviews.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 472 Documents
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The Effect of Zikir Therapy on Reducing Anxiety in Children with Cancer: A Case Study of Pediatric Cancer Patients at the C-Four Shelter, Kuta Alam, Banda Aceh Rahmadani Handoyo, Raihan; Ismiati, Ismiati; Jarnawi, Jarnawi
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 11 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i11.411

Abstract

This study investigates the effect of dhikr therapy in reducing anxiety among children with cancer residing at the C-Four shelter in Banda Aceh. The objective is to explore whether dhikr can serve as an effective spiritual intervention to manage anxiety in pediatric cancer patients undergoing chemotherapy. A quasi-experimental method was employed using a pretest-posttest control group design. The study involved 10 children divided into an experimental group receiving dhikr therapy and a control group without intervention. The Hamilton Anxiety Rating Scale (HARS) was used to measure anxiety levels before and after the intervention. Results showed a decrease in anxiety severity in the experimental group, with one subject shifting from “very severe” to “severe,” while no change was observed in the control group. However, statistical analysis using the Wilcoxon and Mann-Whitney tests revealed no significant difference (p = 0.317 and p = 1.000, respectively). The findings suggest that while dhikr therapy has the potential to reduce anxiety levels, a longer intervention period and broader sample size may be required for statistically significant results. In conclusion, dhikr therapy may serve as a supportive spiritual approach to reduce anxiety in children with cancer during treatment
Self-Management Education for Improving Self-care Behaviours in People with Diabetes: An Evidence Based Systematic Review Mega Safitri, Rizki; Syahrizal, Rofi; Mahyuvi, Tata
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 11 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i11.412

Abstract

Introduction: Diabetes mellitus (DM) is a chronic condition requiring effective self-care to prevent complications. However, many patients struggle with self-care due to limited health literacy, inadequate resources, and socio-cultural barriers. Objective: This systematic review examined the effectiveness of Diabetes Self-Management Education (DSME) interventions in improving self-care, glycemic control, and quality of life for individuals with type 2 diabetes. Methods: Following PRISMA guidelines, a search across multiple databases (2018-2025) identified 12 eligible experimental or quasi-experimental studies. The results consistently demonstrated that DSME significantly improved diabetes outcomes. Result and Discussion: Participants showed enhanced self-efficacy, dietary adherence, self-care behaviors, and glycemic control (HbA1c reductions of 0.6% to 1.1%). Quality of life also improved, with some studies reporting a 7.2-fold increase in the likelihood of better health-related quality of life among DSME participants. Furthermore, innovative and contextually adapted delivery methods, such as SMS, booklets, and culturally specific models like “PASTI SEMBUH,” proved highly feasible and acceptable, particularly in resource-limited settings. Conclusion: DSME is a powerful, evidence-based intervention In conclusion, DSME is a powerful, evidence-based intervention that improves clinical outcomes, quality of life, and self-care capacity in individuals with type 2 diabetes. Integrating diverse and contextually relevant DSME methods into national health strategies, especially in low- and middle-income countries, is crucial for wider reach and effectiveness.
Challenges in Implementing POSBINDU PTM with Limited Resources: an Evaluative Study Armini, Ni Kadek; Sudirman, Sudirman; Parmi, Parmi; Eka Susianawati, Desak
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 11 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i11.414

Abstract

Introduction: The increase in the prevalence of non-communicable diseases (NCDs) in Indonesia, including in Sigi District, Central Sulawesi Province, has prompted the need to strengthen early detection services through the POSBINDU NCD Program. Objective: To identify obstacles to the implementation of POSBINDU in the working area of the Kaleke Community Health Center. Method: Using a qualitative descriptive approach based on the framework of input, process, and output aspects. Data collection was conducted through in-depth interviews with four key informants involved in POSBINDU PTM. Result and Discussion: The results of the study indicate that the constraints include limited funding that is entirely dependent on Health Operational Assistance (BOK), low quality of human resources due to a lack of ongoing training, and facilities without adequate maintenance support. In addition, the implementation of POSBINDU activities has not been consistent with standard operating procedures and the simultaneous use of manual and digital recording systems. Furthermore, low participation among the productive age group is attributed to rigid schedules and non-strategic activity locations, compounded by equipment limitations that affect the completeness of services. Conclusions: This study concludes that POSBINDU PTM has limitations in terms of structural readiness, human resource quality, and adequate logistical support.
Functional Profile of Patients with Knee Osteoarthritis at the Physical Medicine and Rehabilitation Clinic of Sanjiwani General Hospital Gianyar Putu Yogi Astika, Dewa Ngakan; Damayanti, Cendy; Bagus Surianta, I Nengah
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 11 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i11.416

Abstract

Introduction: Osteoarthritis (OA) is the most common form of arthritis worldwide, affecting millions and representing a leading cause of disability, particularly among the elderly. In Indonesia, the number of OA cases has more than doubled from 1990 to 2019. However, data on osteoarthritis cases in Bali remain limited. OA is a major cause of joint pain, swelling, and stiffness, leading to decreased quality of life. Objective: This study aims to explore the clinical profile and functional status of patients with knee osteoarthritis to provide a foundational database for future management. Methods: This was a descriptive observational study using a cross-sectional design. Data were collected during a single visit of patients diagnosed with knee OA to the Physical Medicine and Rehabilitation Outpatient Clinic at Sanjiwani General Hospital, Gianyar. Functional status was assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire. Results and Discussion: Most of subjects were aged ≥61 years and predominantly female. Body Mass Index (BMI) ranged from normal to overweight. Most patients worked in the private sector. The WOMAC scores mostly fell within the mild category. Conclusion: The study found that patients with knee OA generally exhibited mild functional impairment, with minimal disruption to daily activities.
Factors Associated with Nutritional Status of Pregnant Women at Majalaya Public Health Center in 2024 Khairunnisa, Ika; Puspa Wati Manik, Tri Arini; Mulyani, Neng; Mulyani, Yunita
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 6 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i6.417

Abstract

Introduction: The nutritional and health status of pregnant women in Indonesia remains a public health concern. Malnutrition during pregnancy is influenced by several factors, including education level, maternal age, and parity. Education affects health behavior, while pregnant women under 20 and over 35 years are at higher risk of experiencing Chronic Energy Deficiency (CED). High parity can also contribute to maternal and fetal health complications. Objective: This study aims to determine the association between maternal education, age, and parity with the nutritional status of pregnant women at the Majalaya Health Center in 2024. Method: A quantitative study was conducted using an analytical survey with a cross-sectional design. The independent variables were maternal education, age, and parity, while the dependent variable was nutritional status. A total sampling technique was used, involving 61 pregnant women. Data were analyzed using the Chi-square test with the Statistical Product and Service Solution (SPSS) software. Results and Discussion: The findings showed that 30.3% of women with low education levels experienced CED, compared to 10.7% with higher education. Among those at risk age (<20 or >35), 30.0% experienced CED, while only 17.1% at non-risk age did. Women with high parity showed a 33.3% incidence of CED, while those with low parity had 13.5%. There was a significant association between maternal education, age, and parity with nutritional status. Conclusion: Education, age, and parity are significantly associated with the nutritional status of pregnant women. It is recommended that health promotion programs be enhanced to improve maternal knowledge and practices during pregnancy, particularly for those with low education, high parity, and at-risk age groups.
Relationship Between The Severity of Preeclampsia and Oligohydramnios Andriyanti, Andriyanti; Bunga Cinta Dewi, Bianca; Sa'adi, Ashon
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 11 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i11.418

Abstract

Introduction: Preeclampsia is a pregnancy complication characterized by hypertension and organ dysfunction after 20 weeks of gestation, often associated with adverse maternal and fetal outcomes, including oligohydramnios. Objective: This study aims to analyze the relationship between the severity of preeclampsia and the occurrence of oligohydramnios. Methods: An analytical observational study with a cross-sectional approach was conducted using medical records of 105 preeclamptic patients at Dr. Soetomo General Hospital, Surabaya, in 2023. The severity of preeclampsia was the independent variable, and oligohydramnios was the dependent variable. Data were analyzed using the Fisher Exact test. Result and Discussion: The study sample consisted of a relatively balanced proportion of preeclampsia without severe features (50.5%) and preeclampsia with severe features (49.5%). Only 5.7% of pregnant women with preeclampsia experienced oligohydramnios. There was no significant association between the severity of preeclampsia and oligohydramnios (p=0.981). The findings showed an equal distribution of oligohydramnios cases across both groups. Conclusion: The severity of preeclampsia is not associated with oligohydramnios. However, these findings indicate that oligohydramnios can occur not only in cases of preeclampsia with severe features but also in those without severe features. Placental insufficiency leads to decreased uteroplacental blood flow.
Modulation of Endothelin-1 and Placental Microvascular Diameter by Extra Virgin Olive Oil in Preeclampsia Rat Model Dian Lovita, Agnestia Naning; Silvani, Yulia; Maharani, Afniari; Riawan, Wibi
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 11 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i11.422

Abstract

Introduction: Preeclampsia is linked to abnormal placental vasoconstriction and elevated endothelin-1 (ET-1). Polyphenols in Extra Virgin Olive Oil (EVOO) has antioxidant and vasoprotective properties, but its impact on ET-1 and placental microvasculature in preeclampsia is unclear. Objective: Investigate whether EVOO can attenuate hypertension and improve placental vascular health in preeclampsia. Method: 20 pregnant rats randomly assigned to five groups: normal (K−), preeclampsia model (K+), and three EVOO-treated groups (D1, D2, D3) receiving 0.5, 1, and 2 mL/day, respectively. Preeclampsia was induced with L-NAME, blood pressure was monitored on gestational days 12, 15, and 19. Placental ET-1 expression and microvessel diameter were assessed on day 19 using immunohistochemistry. Result and Discussion: EVOO treatment normalized blood pressure by gestational day 19. ET-1 expression increased with EVOO dose suggesting a role in vascular remodelling. Microvessel diameter improved in D1 and D2 but slightly decreased in D3. Conclusions: EVOO mitigates hypertension and enhances placental microvasculature in preeclampsia, with optimal effects at moderate doses.
Case Report: Training Emotion Regulation and Behavioral Modification in Children with Intellectual Disability Sonia Salmany, Latieva; Nur Alfian, Ilham
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 11 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i11.423

Abstract

Introduction: Children with intellectual disabilities often exhibit challenging behaviors, including aggression, due to difficulties in emotional regulation and communication. These behaviors can significantly impair social functioning and require targeted interventions. Objective: This study aimed to reduce aggressive behaviors in a 7-year-old child with mild intellectual disability through a structured intervention combining emotion regulation training and behavior modification techniques. Method: The intervention included psychoeducation for the parent, emotion recognition and regulation sessions using visual aids and interactive videos, and a token economy system to reinforce positive behaviors. The child’s progress was monitored through behavioral observations and parental reports over multiple sessions. Result and Discussion: The intervention resulted in a 93% reduction in aggressive behaviors, decreasing from seven incidents per day to fewer than one. Improvements were also noted in the child’s ability to identify and express emotions appropriately. The parent successfully implemented the token economy system, contributing to sustained behavioral changes. Conclusion: The findings demonstrate integration of emotion regulation strategies, caregiver training, and token economy can effectively manage aggression in children with intellectual disabilities.
Management of Anesthesia in Patients with DIC, AKI, and Post-Laparotomy Hypoglycemia due to Diffuse Peritonitis and Sepsis Sakti, Matdhika; Syaifuly, Irfan; Aulia, Nursofi
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 11 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i11.428

Abstract

This case report describes the management of anesthesia in patients with disseminated intravascular coagulation (DIC), acute kidney injury (AKI), and hypoglycemia after undergoing laparotomy due to diffuse peritonitis and sepsis. The 61-year-old male patient initially came in with acute abdominal pain and underwent an appendectomy, but his clinical condition soon worsened. The study highlights perioperative and clinical decision-making challenges related to airway management, fluid resuscitation, and intensive care. Emphasis is placed on the importance for anesthesia practitioners to recognize sepsis-related complications early.
Factors Associated with Housekeeping Implementation Behavior in The Production Department at PT. X, Batam City, in 2024 Amaliah, Rizqi Ulla; Utami, Leni; Sundari, Agung; Albati, Muhammad
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 11 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i11.429

Abstract

Introduction: Housekeeping is a fundamental aspect of Occupational Safety and Health, contributing to improved workplace organization, reduced hazards, and enhanced productivity. Effective housekeeping implementation is influenced by multiple factors, including supervisory oversight and the availability of adequate facilities. Objective: This study aimed to determine the relationship between supervision and facility availability with housekeeping implementation behavior among production workers at PT X, Batam City. Method: A quantitative research design with a cross-sectional approach was employed, and data collection was conducted from May to June 2024. The study population comprised 150 production workers, with a sample size of 109 respondents determined using Slovin’s formula. A simple random sampling technique was applied. Research instruments included questionnaires, interviews, mobile devices, observation sheets, and documentation tools. The Chi-square test was used for statistical analysis. Result and Discussion: The results showed a significant relationship between supervision and housekeeping behavior (p = 0.001) as well as between facility availability and housekeeping behavior (p < 0.001). These findings indicate that both adequate supervision and sufficient facility provision play a crucial role in promoting effective housekeeping practices in the production area. Conclusion: The study concludes that strengthening supervisory roles and improving facility availability are essential strategies for enhancing occupational safety and housekeeping behavior among industrial workers.

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