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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 598 Documents
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Effectiveness of SEMPAS Supplementary Feeding in Improving Weight-for Height Status Among Wasting Children Under Five in East Martapura Novita Ayu Indraswati; Dian Rizeki Finarti; Kiki Rezki Aulia
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.666

Abstract

Introduction: Wasting is an acute form of malnutrition characterized by low weight-for-height due to inadequate energy and protein intake, increasing the risk of impaired growth, morbidity, and mortality among children under five years of age. SEMPAS, a locally developed supplementary food made from fish, chicken, and vegetables, is rich in protein and essential nutrients that may support nutritional recovery. Objective: This study aimed to determine the effect of SEMPAS supplementary recovery feeding on the nutritional status of wasted children under five years of age in the East Martapura Community Health Center catchment area, Indonesia. Method: A pre-experimental study using a one-group pretest–posttest design was conducted among five wasted children selected through purposive sampling. Nutritional status was assessed using the weight-for-height indicator before and after the intervention. Results and Discussion: Before the intervention, all participants (100%) were classified as wasted. After receiving SEMPAS, 60% showed improvement and were no longer classified as wasted, while 40% remained wasted. Conclusion: SEMPAS supplementary feeding demonstrated potential benefits in improving the nutritional status of wasted children and may serve as an alternative locally sourced supplementary food in nutritional rehabilitation programs
The Influence of Service Quality on BPJS Inpatients’ Satisfaction at Raden Mattaher Hospital: A Cross-Sectional Study Nurwan Alkahfi; Dwi Noerjoedianto; Andi Subandi; Willia Novita Eka Rini; Muldiasman Muldiasman; Asparian Asparian
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.667

Abstract

Introduction: Service quality is a key determinant of patient satisfaction in hospital settings, particularly for National Health Insurance (BPJS) participants. Raden Mattaher Hospital Jambi, as a referral hospital, experiences increasing BPJS inpatient visits. However, complaints and fluctuations in satisfaction index indicate potential service quality gaps. This study aimed to analyze the influence of service quality dimensions on BPJS inpatient satisfaction. Objective: This study aimed to analyze the influence of service quality dimensions on BPJS inpatient satisfaction. Method: This quantitative study used a cross-sectional design conducted in the inpatient wards of Raden Mattaher Hospital in 2025. A total of 424 BPJS inpatients were selected using purposive sampling. Data were collected using a SERVQUAL-based Likert questionnaire covering tangibles, reliability, responsiveness, assurance, and empathy. Data were analyzed using univariate, bivariate (simple linear regression), and multivariate (multiple linear regression) analysis with SPSS at α=0.05. Result and Discussion: Most respondents rated service quality as good (58.3%). The mean satisfaction score was 79.10±12.71. Partially, reliability (p=0.048) and assurance (p=0.000) significantly influenced satisfaction, while tangibles (p=0.312), responsiveness (p=0.087), and empathy (p=0.421) were not significant. Simultaneously, all dimensions significantly affected satisfaction (p=0.000) with R²=0.106. Assurance was the dominant factor (β=1.238). Conclusions: Service quality significantly influences BPJS inpatient satisfaction, with assurance as the strongest determinant. Strengthening professional competence and patient trust is essential to improve satisfaction levels.
Determinants of Mobile JKN Application Utilization in Supporting Healthcare Access among Informal Workers at Kenali Besar Primary Health Center, Jambi City, Indonesia Dina Rosalina; Dwi Noerjoedianto; Andi Subandi; Ummi Kalsum; Herlambang; Muldiasman
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.668

Abstract

Introduction: Mobile JKN is a digital innovation developed by BPJS Kesehatan to improve healthcare access for National Health Insurance (JKN) participants. However, its utilization among informal workers remains suboptimal. Objective: This study aimed to analyze the determinants of Mobile JKN utilization in supporting healthcare access among informal workers. Method: A cross-sectional study was conducted among 126 informal workers who were JKN participants in the working area of Kenali Besar Primary Health Center, Jambi City, Indonesia. Respondents were selected using accidental sampling. Data were analyzed using chi-square tests and multiple logistic regression. Results and Discussion: A total of 58.73% of respondents had utilized the Mobile JKN application. Significant associations were found between perceived ease of use (p=0.002), perceived usefulness (p=0.006), behavioral intention (p=0.022), attitude toward use (p<0.001), digital literacy (p=0.038), healthcare service needs (p=0.007), and Mobile JKN utilization. Multivariate analysis identified attitude toward use as the most dominant determinant (aOR=3.19; 95% CI=1.38–7.36; p=0.006). Conclusion: Perceptions and behavioral factors significantly influence Mobile JKN utilization. Improving users' attitudes toward the application may increase its utilization among informal workers
Relationship of Lumbar Postural Asymmetry, Functional Disability, and Pain in the Elderly Lumbar Radiculopathy Muhammad Dudi Nurdiansyah; Mariel Daba Sekar Sari Sius
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.669

Abstract

Introduction: Lumbar radiculopathy is a common cause of low back pain in older adults and may affect postural alignment and functional capacity. Persistent pain can lead to biomechanical changes such as postural asymmetry, which may increase functional disability and pain intensity. Objective: To determine the relationship between lumbar postural asymmetry, functional disability, and pain intensity in older adults with lumbar radiculopathy. Methods: This study used a cross-sectional design involving older adults with lumbar radiculopathy at Hermina Pasteur Hospital. Postural asymmetry was measured using a flexible curve ruler, functional disability using the Oswestry Disability Index (ODI), and pain intensity using the Visual Analog Scale (VAS). Data were analyzed using Spearman Rank Correlation. Results and Discussion: The results showed a weak positive correlation between lumbar postural asymmetry and functional disability in older adults with lumbar radiculopathy, although the relationship was not statistically significant (r = 0.256; p = 0.073). In addition, a weak but statistically significant positive correlation was found between lumbar postural asymmetry and pain intensity (r = 0.285; p = 0.045). These findings highlight the importance of postural evaluation in physiotherapy assessment for determining appropriate interventions. Conclusion: there is a relationship between lumbar postural asymmetry and functional disability and pain intensity in older adults with lumbar radiculopathy, although the strength of the relationship is weak. Postural evaluation is important in physiotherapy assessment to determine appropriate interventions
Behavioral and Cardiometabolic Factors Associated with Prediabetes Among Adolescents Nurul Anggini; Ilham Ilham; Ummi Kalsum
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.670

Abstract

Introduction: Prediabetes among adolescents is an emerging public health problem due to its increasing prevalence and potential progression to type 2 diabetes mellitus. Various behavioral and cardiometabolic factors have been reported to contribute to the development of prediabetes; however, existing evidence remains fragmented. Objective: This study aimed to systematically review and synthesize current evidence regarding dietary, behavioral, obesity-related, and cardiometabolic factors associated with prediabetes among adolescents. Method: A Systematic Literature Review (SLR) was conducted following the PRISMA 2020 guidelines. Literature searches were performed in PubMed, Scopus, ScienceDirect, and Google Scholar for studies published between 2021 and 2026. Eligible studies included original research involving adolescents aged 10–19 years and reporting factors associated with prediabetes, obesity, overweight, or related metabolic disorders. The methodological quality of the included studies was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Results and Discussion: A total of 11 studies met the eligibility criteria and were included in the review. The findings identified unhealthy dietary patterns, low physical activity, sedentary behavior, obesity, cardiometabolic abnormalities, and sugar-sweetened beverage consumption as factors associated with prediabetes among adolescents. Obesity emerged as the most consistent predictor of prediabetes, while behavioral factors such as junk food consumption, prolonged screen time, and inadequate physical activity contributed indirectly through increased obesity risk. Conclusion: Prediabetes among adolescents is influenced by multiple behavioral and cardiometabolic factors, with obesity serving as the primary intermediary determinant. Comprehensive interventions focusing on healthy dietary behaviors, physical activity promotion, obesity prevention, and early metabolic screening are essential to reduce the future burden of prediabetes and type 2 diabetes mellitus among adolescents
Determinants of Readmission in Chronic Obstructive Pulmonary Disease (COPD) Patients at Meuraxa Regional Hospital Banda Aceh Ami Maisura; Asniar; Marlina Marlina
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.671

Abstract

Introduction: The high readmission rates in patients with chronic obstructive pulmonary disease (COPD) present a significant clinical and financial burden to the healthcare system. Identifying the dominant determinants is critical to maximizing targeted transitional nursing intervention strategies. Objective: This study aimed to analyze the determinants associated with readmission rates in COPD patients at Meuraxa Regional Hospital in Banda Aceh. Methods: This quantitative study employed a correlational approach with a cross-sectional design. The purposive sampling technique was used to select 121 respondents as the study sample. Data were gathered using medical records, the International Physical Activity Questionnaire (IPAQ), and the COPD Assessment Test (CAT) and thereafter analyzed using the chi-square test and logistic regression. Results and Discussion: The analysis revealed that diseases apart from COPD (p=0.016), history of exacerbations (p=0.001), COPD severity (p=0.026), smoking behaviors (p<0.001), history of ICU admission (p<0.001), and physical activity (p<0.001) were significantly associated with readmission rates. ICU admission history emerged as the predominant factor with the strongest association with readmission (OR=17.024). Conclusion: This finding confirms that absolute functional vulnerability after intensive care is the foremost predictor of readmission in COPD patients. Therefore, hospitals are recommended to implement a post-discharge multidisciplinary transitional management model to optimize education and social support, thereby disrupting the cycle of readmission
Host, Agent, and Environmental Determinants of Postoperative Nausea and Vomiting Following Spinal Anesthesia: A Systematic Review Using the Epidemiological Triad Framework Mutia Putri Anggraini; Humaryanto Humaryanto; Ummi Kalsum
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.672

Abstract

Introduction: Postoperative nausea and vomiting (PONV) remains one of the most common complications following spinal anesthesia and may adversely affect patient recovery, satisfaction, and healthcare outcomes. Objective: This study aimed to identify and synthesize host, agent, and environmental determinants associated with PONV following spinal anesthesia using the Epidemiological Triad Framework. Method: A systematic review was conducted according to the PRISMA 2020 guidelines. Literature searches were performed in PubMed, Scopus, ScienceDirect, and Google Scholar for studies published between 2023 and 2025. Eligible studies included randomized controlled trials, cohort studies, observational studies, and quasi-experimental studies involving patients undergoing spinal anesthesia. Data were extracted, critically appraised using Joanna Briggs Institute tools, and synthesized narratively. Results and Discussion: Twelve studies met the inclusion criteria. The most frequently reported host determinants were previous history of PONV, motion sickness, female sex, younger age, and elevated body mass index. Agent-related determinants included opioid exposure, intrathecal morphine, and intrathecal fentanyl, whereas dexamethasone, propofol, clonidine, and opioid-sparing analgesic techniques demonstrated protective effects. Environmental determinants included cesarean section, prolonged fasting, inadequate perioperative hydration, and intraoperative nausea and vomiting. Conclusion: PONV following spinal anesthesia is a multifactorial condition resulting from interactions among host, agent, and environmental factors. Early risk assessment and comprehensive preventive strategies are essential to reduce PONV incidence and improve postoperative outcomes
Comparative Effectiveness of Exercise-Based Interventions on Pain and Physical Function in Knee Osteoarthritis: A Narrative Review of Recent Evidence Syntheses Novin Tri Wahyuni; Ummi Kalsum; Humaryanto Humaryanto; Guspianto Guspianto
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.673

Abstract

Introduction: Knee osteoarthritis (KOA) is a leading cause of pain and disability among older adults, with exercise-based therapy widely recommended as first-line management. However, findings vary considerably across intervention types, comparators, and outcome measures. Objective: To synthesize and compare recent high-quality evidence regarding the effectiveness of Pilates, traditional Chinese exercise, and multi-modal physiotherapy on pain and physical function in KOA patients. Methods: A narrative synthesis was conducted using three recent evidence sources: a 2025 meta-analysis of Pilates exercise (11 RCTs, n=476), a 2023 meta-analysis of traditional Chinese exercise (17 RCTs, n=1,174), and the MOA Trial evaluating manual and exercise physiotherapy (n=206). Primary outcomes were pain (VAS, NPRS) and physical function (WOMAC) Results and Discussion: Pilates reduced pain versus no intervention (SMD −1.09; 95% CI −2.04 to −0.14) but showed no significant superiority over conventional exercise. Traditional Chinese exercise improved WOMAC pain, stiffness, and function compared with controls, with Tai Chi demonstrating the most consistent benefit. In the MOA Trial, manual physiotherapy produced the greatest WOMAC reduction (−28.5 points; 95% CI −47.8 to −9.2) Conclusion: All three modalities provided modest benefits, though evidence certainty ranged from very low to moderate with substantial heterogeneity. Individualized exercise prescription based on patient preference and access to supervised therapy is recommended over a single universal approach
Development of a High BCAA Enkaje Ginger Mung Bean Enteral Formula For Cancer Patients Amanda Bulan Ramadhani; Almas Dhiyani Lumintang; Dwi Sarbini
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 10 (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.v5i10.640

Abstract

Introduction: The development of Enteral Formula with local food ingredients of mung bean flour produces enteral formulation from local food ingredients whose taste, aroma, color, and texture are acceptable to the community, and the osmolality value remains according to the standard to support the recovery of cancer patients. Objective: The purpose of this study was to develop a more economical Enteral Formula with a higher BCAA value than the Commercial Formula. Method: The type of research was quantitative with a Completely Randomized Design (CRD) experimental design. Result and Discussion: The results showed that F1, F2, F3, and Commercial were not readable with a viscometer, while the osmolality test of F2 476.5 mOsm/L, F3 450 mOsm/L and Commercial 400 mOsm/L obtained results according to the standard, while F1 was above the standard at 516 mOsm/L. The selected enteral formula was F2, with a ratio of 65% mung bean flour to 65% skim milk. The organoleptic test for taste, aroma, texture, and overall performance achieved the highest total of 60-79%, indicating a favorable and acceptable level of acceptance. Conclusion: It also had a lower price of Rp 4,868.17 per serving compared to the commercial formula at Rp 29,450. It also had a higher BCAA content than the commercial formula, in line with the research objectives
Relationship Between Tree Diversity and Carbon Stock in Muhammad Sabki Urban Forest, Jambi City, as Baseline Information for Regional Carbon Economic Value Development Endri Kusno; Fazriyas Fazriyas; Mohd Zuhdi
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 10 (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.v5i10.660

Abstract

Introduction: Urban forests play a critical role in biodiversity conservation, carbon storage, and climate change mitigation. Baseline data on vegetation diversity and carbon stock are essential for sustainable urban forest management and Carbon Economic Value (CEV) development Objective: This study aimed to analyze the relationship between tree vegetation diversity and carbon stock in Muhammad Sabki Urban Forest, Jambi City. Method: A quantitative descriptive-analytic approach was applied through a census of all trees with DBH ≥ 10 cm. Biomass, carbon stock, and CO₂-eq were estimated using allometric equations and standard conversion factors. The relationship between vegetation diversity and carbon stock was analyzed using Pearson correlation and simple linear regression. Results and Discussion: A total of 1,130 trees representing 29 species were recorded. Total aboveground biomass reached 269.531 tons, with carbon stock of 126.679 tons C equivalent to 464.913 tons CO₂-eq. Zone 2 had the highest carbon stock while Zone 3 showed the greatest species diversity. All vegetation diversity indices were positively correlated with carbon stock, with the Shannon-Wiener index showing the strongest relationship (r=0.592), followed by the Margalef index (r=0.441) and Pielou index (r=0.201). Conclusion: Tree vegetation diversity was positively associated with carbon stock in Muhammad Sabki Urban Forest. Carbon storage was influenced by both vegetation diversity and stand structure. The results provide baseline information for carbon inventory and regional Carbon Economic Value development

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