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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 507 Documents
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The Association Between Glaucoma Severity and Anxiety And Depression in Glaucoma Patients at DR. Soetomo General Hospital, Surabaya, Indonesia Milan Samudera, Raditya Effendi; Komaratih, Evelyn; Konginan, Agustina; Primitasari, Yulia
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 3 (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.v5i3.509

Abstract

Introduction: Glaucoma is a chronic progressive disease and one of the leading causes of blindness worldwide. Vision loss due to glaucoma affects not only the physical aspect but also has an impact on the patient’s mental health. Poor mental condition may influence the success of therapy and reduce the patient’s quality of life. Objective: The objective of this study is to examine the association between the severity of glaucoma and anxiety and depression in the Eye Outpatient Unit of RSUD Dr. Soetomo Surabaya, Indonesia. Method: A cross-sectional study was conducted involving 50 glaucoma patients at the Ophthalmology Outpatient Unit of Dr. Soetomo General Hospital, Surabaya. Mental health status was assessed through interviews using the Hospital Anxiety and Depression Scale (HADS). The Spearman’s rho correlation test was applied to evaluate the association between glaucoma severity and the presence of anxiety and depression. Result and Discussion: Primary Open-Angle Glaucoma (POAG) was the most prevalent type, and most cases were bilateral. Statistical analysis demonstrated a significant correlation between glaucoma severity and anxiety (r = 0.599), between glaucoma severity and depression (r = 0.520), and also between anxiety and depression (p = 0.001). Conclusions: The severity of glaucoma is related to anxiety and depression
The Relationship between Student Self-Efficacy and Students' Stress Level Undergoing Clinical Practice for the First Time Vindo Galaresa, Achmad; Firmansyah, Firmansyah; Firdaus, Annisa Mazda; Reggi Prathama
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 3 (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.v5i3.511

Abstract

Introduction: Stress is a common problem often experienced by nursing students during their clinical practice. Factors such as academic workload, new environments, and academic demands can increase the risk of stress. Self-efficacy are believed to play an important role in reducing stress levels. Objective: This study aims to determine the relationship between self-efficacy and first experience of clinical practice in students. Method: This study employs a descriptive correlational design with a cross-sectional approach, conducted at the Health Department of Subang State Polytechnic. The sample consisted of 120 students who would undergo clinical practice. Research instruments using questionnaire. Data analysis was conducted using the Spearman Rank test. Result and Discussion: The results showed that most students had high self-efficacy. There was a significant negative correlation between self-efficacy and stress levels (r = -0.310; p = 0.040). Programs focused on enhancing self-efficacy should be optimized within the nursing education context to better prepare students and enhance their ability to handle challenges in clinical practice settings. Conclusions: Self-efficacy were found to play a role in reducing students' stress levels.
Relationship Between Stress Level and Sleep Quality with Primary Dysmenorrhea in Female Students of SMAN 19 Surabaya Arum Ariasty, Aurelya; Sri Rejeki, Purwo; Setyowati, Dewi
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 3 (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.v5i3.512

Abstract

Introduction: Primary dysmenorrhea, or menstrual pain without underlying pathological conditions, is the most common reproductive health disorder experienced by adolescents. The global prevalence of primary dysmenorrhea reaches 66.1%. Lifestyle factors may influence the occurrence of dysmenorrhea. Objective: This study aims to analyze the relationship between stress levels and sleep quality with primary dysmenorrhea among female students at SMAN 19 Surabaya. Methods: This study employed a quantitative approach with an analytical observational design. The research design used was cross-sectional. The population consisted of 10th- and 11th-grade female students of SMAN 19 Surabaya. A total of 217 samples were obtained using stratified sampling. Data were collected through questionnaires and analyzed using the Spearman Rank test (α < 0.05). Results and Discussion: The Spearman Rank analysis showed a significant relationship between stress levels and primary dysmenorrhea, with a p-value of < 0.001 (p < 0.05). A significant relationship was also found between sleep quality and primary dysmenorrhea, with a p-value of < 0.001 (p < 0.05). Conclusion: There is a relationship between stress levels and sleep quality with primary dysmenorrhea among female students at SMAN 19 Surabaya.
The The Relationship between Aerobic Exercise and Blood Sugar Levels and Blood Pressure in Patients with Type 2 Diabetes Mellitus Farita Adhynda Amithya; Dwi Rosella Komalasari; Safari Wahyu Jatmiko; Agus Widodo
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 3 (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.v5i3.506

Abstract

Introduction: Diabetes mellitus and hypertension are degenerative diseases with a high prevalence in the elderly population and commonly occur together as comorbidities, contributing to worsening metabolic and cardiovascular conditions. The coexistence of these diseases increases the risk of serious metabolic complications. Aerobic is a recommended non-pharmacological intervention because it helps control blood glucose levels, improves insulin sensitivity, and reduces blood pressure through mechanisms that enhance endothelial function and cardiorespiratory capacity. Objective: This study aims to analyze the relationship between aerobic activity levels and the status of diabetes mellitus and hypertension in elderly individuals diagnosed with type 2 diabetes mellitus in the community. Method: An analytical observational study with a cross-sectional design. Result and Discussion: The Mann-Whitney test showed a significant association between aerobic activity and diabetes mellitus status (p = 0.001), indicating that lower aerobic levels were associated with higher glucose levels. Aerobic activity was also significantly associated with hypertension status (p < 0.001), showing that lower aerobic increased the likelihood of elevated blood pressure. Conclusions: Increasing aerobic activity is an important non-pharmacological strategy to manage metabolic and cardiovascular risks in older adults with diabetes, and should be integrated into structured community health programs.
The The Relationship Between Parental Income and the Role of Parental or Babysitter Care on the Incidence of Stunting Rahma Fadila, Zakiya Nur; Sulistiawati, Sulistiawati; Setyoboedi, Bagus
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 3 (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.v5i3.507

Abstract

Introduction: Nutrition plays a crucial role in child growth and development. In Indonesia, stunting remains a major public health problem, with a prevalence of 21.5%, influenced by maternal health, socioeconomic conditions, and caregiving practices. Objective: This study aimed to determine the relationship between parental income, parental caregiving, and babysitter caregiving with stunting among children aged 24–59 months in the working area of the Ponggok Community Health Center in 2025. Method: This study employed an observational analytic method with a retrospective case–control design and was not a case report. The population consisted of mothers with toddlers aged 24–59 months. A total of 84 respondents were selected using consecutive sampling, comprising 42 stunted toddlers (case group) and 42 non-stunted toddlers (control group). Stunting status was determined based on height-for-age z-scores (HAZ) according to WHO standards. The independent variables were family income and caregiving roles of parents and babysitters, while the dependent variable was stunting incidence. Data were collected from Maternal and Child Health (KIA) books and structured questionnaires and analyzed using univariate analysis and Chi-Square tests (p < 0.05). Result and Discussion: Parental income was not significantly associated with stunting (p > 0.05), suggesting that income alone may not directly determine child growth outcomes. Factors such as nutrition knowledge, resource allocation, access to health services, and environmental conditions may influence this relationship. Conclusion: In contrast, parental and babysitter caregiving roles showed significant associations with stunting (p < 0.05), highlighting the importance of caregiving quality.
Systematic Review : Fast Food Consumption, Sedentary Lifestyle, And Adolescent Obesity Tasrif, Nabila; Yuliana, Yuliana; Kasmita, Kasmita
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.510

Abstract

development in which lifestyle choices have a substantial influence on long-term health. The rising incidence of obesity among adolescents can be attributed to the increased intake of fast food, which is heavy in calories, fat, and sugar, as well as a sedentary lifestyle. Objective: The purpose of this study is to examine the association between fast food intake, sedentary behavior, and obesity in adolescents, focusing on important contributing variables and potential solutions. Method: This literature review was carried out by examining relevant studies from databases Google Scholar. Articles published over the previous decade concentrating on adolescents were considered, whereas studies that did not expressly address obesity or included adult populations were eliminated . Result and Discussion: Frequent fast food consumption is linked to high calorie intake, poor nutritional quality, and an elevated risk of metabolic diseases. Furthermore, a sedentary lifestyle, which includes excessive screen time and little physical activity, increases the risk of obesity by supporting a positive energy balance. Effective solutions include school-based nutrition instruction, family participation, and regulations that regulate fast food marketing, as well as physical activity promotion techniques . Conclusions: Fast food intake and sedentary behavior are major factors to adolescents obesity. Addressing these challenges involves a multifaceted strategy that includes dietary changes, physical activity promotion, and policy-driven initiatives to encourage healthy habits. Further study is needed to create long-term obesity prevention measures for adolescents.
Relationship Between Body Mass Index and Anemia in Pregnancy and the Incidence of Primary Postpartum Hemorrhage at RSUD Blambangan Banyuwangi Yusriyyah, Izdihaar; Sri Rejeki, Purwo; Andriyanti, Andriyanti
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.513

Abstract

Introduction: Primary PPH is a leading cause of maternal mortality, and maternal factors such as anemia and nutritional status measured by Body Mass Index (BMI) may influence its occurrence. However, existing evidence on the association between these factors and primary PPH remains inconsistent. Objective: This study aimed to analyze the relationship between BMI and anemia during pregnancy and the incidence of primary postpartum hemorrhage at RSUD Blambangan Banyuwangi. Methods: A retrospective case–control design was used involving 120 postpartum women, comprising 60 cases of primary PPH and 60 controls without PPH. Total sampling was applied using medical records from January to December 2024. Data analysis employed the Chi-Square test, and risk estimates were calculated using Odds Ratios (OR). Results and Discussion: The major causes of primary PPH included uterine atony (43.34%), cervical rupture (28.33%), retained placenta (20%), and perineal rupture (8.33%). Anemia showed a significant association with primary PPH (p = 0.001; OR = 3.455), indicating that anemic pregnant women had a 3.4-fold increased risk of experiencing PPH. Conversely, BMI did not demonstrate a significant relationship with PPH, suggesting that nutritional status may play a lesser role compared to hematological factors. Conclusions: Anemia during pregnancy is significantly associated with primary PPH, whereas BMI shows no significant association. Enhanced antenatal screening and effective management of anemia are essential for reducing the risk of PPH.
Association of Stimulation and Sleep Duration with Developmental Outcomes in Children Aged 12–36 Months: - Purnama Sari, Yulia; Ningtyas, Woro Setia; Puspitasari, Dwiyanti; Meinar Sari, Gadis
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.514

Abstract

Introduction: Early childhood development during the golden years is crucial for future quality of life, yet developmental disorders remain a significant challenge. In Surabaya, Gundih Health Center showed the lowest coverage of developmental monitoring services. Objective: This study aimed to analyze the relationship between stimulation provision and sleep duration with developmental outcomes in children aged 12-36 months at Gundih Health Center, Surabaya. Method: A quantitative analytical study with cross-sectional design was conducted from April to September 2025. Using purposive sampling, 110 children aged 12-36 months were selected. Data were collected through questionnaires adapted from the Maternal and Child Health Book for stimulation assessment, Brief Infant Sleep Questionnaire for sleep duration, and Developmental Pre-Screening Questionnaire for developmental assessment. Data analysis employed univariate and bivariate analysis using Spearman rank correlation test. Result and Discussion: Results showed that 48.2% of children had age-appropriate development, while 51.8% demonstrated questionable development or possible deviations. Statistical analysis revealed a significant relationship between developmental stimulation and child development (p=0.034, r=0.202), indicating that better stimulation correlated with appropriate developmental outcomes. However, no significant relationship was found between sleep duration and child development (p=0.323, r=0.095). Conclusions: Developmental stimulation significantly influences child development outcomes, while sleep duration does not show a direct significant relationship with developmental progress in children aged 12-36
The Factors Affecting The Occurrence of Neonatal Respiratory Distress (RDN) in The Neonatal Intensive Care Unit at RSUD Undata Iftitahurrohmah, Iftitahurrohmah; Abd. Rahman; Rosa Dwi Wahyuni; Rosmala Nur; Ratna Devi
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 3 (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.v5i3.515

Abstract

Introduction: In 2022, about 15% of infants treated in the NICU of RSUD Undata experienced respiratory distress neonatal (RDN), mostly related to preterm birth and neonatal infection. Objective: To identify factors influencing RDN in the NICU of RSUD Undata. Methods: A quantitative cross-sectional study conducted from August to October 2025 involving 43 mothers selected through purposive sampling. Univariate analysis described variable distribution, while logistic regression identified factors associated with RDN. Results and Discussion: Logistic regression showed a Chi-Square of 42.396 (p = 0.000), indicating that low birth weight (LBW), neonatal infection, gestational diabetes, and maternal age simultaneously affected RDN. Partially, LBW (p = 0.016), neonatal infection (p = 0.028), and gestational diabetes (p = 0.041) significantly influenced RDN, while maternal age (p = 0.417) did not. Conclusion: LBW, neonatal infection, and gestational diabetes significantly contributed to RDN, with LBW as the most dominant factor.
Comprehensive Comprehensive Analysis of the Implementation of Solid Medical Waste Management Systems in the Community Health Centers (Puskesmas) of Sungai Penuh City Sofyan, Desmawirdani; Syarifuddin, Hutwan; Maryani, Anis Tatik
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.516

Abstract

Introduction: The management of solid medical waste in primary healthcare facilities remains a critical issue, particularly in Sungai Penuh City, which operates five inpatient health centers serving nearly 100,000 residents. A nearly tenfold increase in waste volume from 2020 to 2023 driven by the surge in single-use PPE during the pandemic, limited availability of autoclaves, licensed incinerators, and cold storage, as well as open burning practices and delayed handover exceeding 48–72 hours high lights the need for a comprehensive assessment. Objective: This study aims to evaluate the current condition of solid medical waste management in the five major health centers and identify gaps in regulatory compliance. Method: A qualitative mixed-method approach was applied through field observations, structured interviews, and document review, validated using source and technique triangulation. Result and Discussion: Findings show that four key stages of waste management remain suboptimal: segregation scored 124 (inadequate), internal collection and transport scored 66 (highly noncompliant), and temporary storage scored 112 (highly noncompliant). In contrast, external transport and treatment scored 114 (highly compliant), though hindered by irregular scheduling. Conclusion: These results underscore the urgency to strengthen infrastructure, regulatory adherence, and scheduled waste transport systems. Future research should assess the effectiveness of eco-friendly technological interventions and competency-based training models to enhance safety and sustainability in medical waste management.

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