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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 632 Documents
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Effects of Low-Intensity Exercise-Based Cardiac Rehabilitation on Cardiometabolic and Functional Outcomes in an Older Adult: A Case Report Revi Restuputri Nugraha; Muhammad Luthfi Dharmawan; Irma Ruslina Defi; Arnengsih Nazir
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 11 (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.v5i11.707

Abstract

Introduction: Older adults after coronary artery bypass grafting may experience reduced functional capacity. Objective: This case report evaluated individualized low-intensity cardiac rehabilitation after coronary artery bypass grafting. Method: A 62-year-old man with coronary artery disease and multiple cardiovascular risk factors underwent a six-week phase II cardiac rehabilitation program. Functional, physical, and metabolic outcomes were assessed before and after rehabilitation. Result and Discussion: After six weeks, the patient completed 100% of rehabilitation sessions without cardiovascular or exercise-related complications. Functional capacity improved from 4.60 to 8.74 metabolic equivalents, six-minute walk distance increased from 264 to 444 meters, handgrip strength improved from 8/10 kg to 14/16 kg, and quadriceps strength increased from 10.4/10.4 kg to 16.8/16.8 kg. Physical activity increased from low to moderate levels, while HbA1c, triglycerides, and high-density lipoprotein cholesterol showed favorable trends. Fear of recurrent cardiac events was resolved, allowing independent exercise participation. Conclusions: Individualized low-intensity exercise-based cardiac rehabilitation was safe and improved functional capacity, muscular fitness, physical activity, and cardiometabolic outcomes
Effectiveness of the Chronic Disease Management Program (Prolanis) on the Incidence of Vertical Referral at Klinik Sabilillah, Malang City: A Retrospective Study Based on Electronic Health Records Abdul Rokhim; Fitria Nugraha Aini
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 11 (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.v5i11.708

Abstract

Introduction: The Chronic Disease Management Program (Prolanis) is a BPJS Kesehatan strategy to control chronic disease at primary care facilities  and reduce unnecessary referrals to advanced-level facilities, yet its real-world effectiveness requires further evidence. Objective: To analyze Prolanis effectiveness on vertical referral using electronic visit-record data. Methods: A retrospective cross-sectional study used secondary data from Klinik Sabilillah, Malang City, for March 2025–March 2026. Because Prolanis participants tend to be older with chronic diagnoses, analysis was restricted to visits diagnosed with hypertension/diabetes or Prolanis status for comparability, analyzed with chi-square, odds ratio, and logistic regression adjusted for age and gender. Results and Discussion: Overall vertical referral was 15.01%. Without adjustment, no significant difference was found between Prolanis and non-Prolanis participants (OR=1.046; 95% CI 0.858–1.275; p=0.692), due to a large age difference (55.0 vs 31.7 years; p<0.001). Vertical referral was lower among Prolanis participants in the comparable group (15.49% vs 24.86%; OR=0.554; 95% CI 0.376–0.818; p=0.004), consistent after adjusting for age and sex (Adjusted OR=0.540; 95% CI 0.371–0.809). Conclusion: Prolanis reduced vertical referral risk by 45–46% among comparable chronic disease patients. Unadjusted comparisons risk misleading conclusions. These findings support strengthening Prolanis coverage as a referral-control strategy in Primary Health Care Facility
Experiences of Older Adults Experiencing Neglect in Darussalam, Aceh Besar District: A Qualitative Descriptive Case Study Khairuni Azrah; Dara Febriana; Asniar Asniar
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 11 (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.v5i11.709

Abstract

Introduction: Elder neglect is a form of passive violence that affects the fulfillment of older adults' physical, psychological, social, and spiritual needs, thereby reducing their adaptive capacity and quality of life. Despite its serious consequences, the lived experiences of neglected older adults remain underexplored, particularly in Indonesia. Objective: This study aimed to explore the experiences of older adults experiencing neglect in the working area of the Darussalam Community Health Center, Aceh Besar district. Methods: This qualitative study employed a descriptive case study design involving three older adults aged 60–69 years who experienced neglect and met the inclusion criteria. Participants were recruited through snowball sampling after screening using the Self-Neglect-37 (SN-37) and cognitive assessment with the Mini-Mental State Examination (MMSE). Data were collected through in-depth interviews and field notes and analyzed using thematic analysis following the six-step approach of Kiger and Varpio (2020). Trustworthiness was established through credibility, dependability, confirmability, and transferability. Results and Discussion: Five themes emerged: needs that are difficult to fulfill, needs that can still be fulfilled, barriers to need fulfillment, motivation to seek help through social interaction, and support for meeting needs. The findings indicate that elder neglect affects older adults' adaptation and limits their ability to meet daily needs despite support from family, the community, and healthcare provider. Conclusion: Older adults experiencing neglect face multidimensional challenges in meeting their daily needs. Nursing interventions based on Roy's Adaptation Model are needed to strengthen adaptive responses, optimize need fulfillment, and improve their quality of life
Grade II–III Burning 90% Area and Causa Electric Burn Matdhika Sakti; Mawaddah Mutia Amanda; Vionica Elsa Dania Putri
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 11 (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.v5i11.712

Abstract

Introduction: Electrical burns are one of the most severe forms of burn injuries because they can cause extensive tissue damage and life-threatening systemic complications, thus requiring comprehensive perioperative anesthesia management. Objective: This case report aims to describe the anesthesia treatment of a 42-year-old female patient diagnosed with 90% of the second and third degree total surface body burns (TBSA) due to electrical injuries undergoing surgical debridement. Methods: This study used a case report design that aims to describe anesthesia management in patients with a diagnosis of second-degree combustio covering an area of 90% of the Total Body Surface Area (TBSA) due to electric shock undergoing debridement at the Central Surgical Installation (IBS) of Dumai Hospital. Results and Discussion: A comprehensive preoperative evaluation was performed, including airway assessment, hemodynamic evaluation, and laboratory investigation. General anesthesia is administered using intravenous midazolam, fentanyl, and ketamine, followed by continuous maintenance of sevoflurane and oxygen supplementation. Intraoperative monitoring includes blood pressure, heart rate, oxygen saturation, respiratory status, and fluid therapy to maintain adequate tissue perfusion and hemodynamic stability. Patients remained hemodynamically stable throughout the procedure without major anesthesia complications, including severe hypotension, respiratory distress, or significant oxygen desaturation. Careful airway evaluation, proper fluid resuscitation, and personalized anesthesia drug selection contribute to the success of perioperative management. Conclusion: This case emphasizes the importance of multidisciplinary collaboration and individualized anesthesia strategies to reduce perioperative complications and improve clinical outcomes in patients with extensive electrical burn injuries
The Effectiveness of Butterfly Pea (Clitoria ternatea L.) and Golden Trumpet (Allamanda cathartica) Flower as Natural Larvicides Against Aedes aegypti Nayla Mahdiyafada Santoso; Tiwi Yuniastuti; Irfany Rupiwardani
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 11 (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.v5i11.715

Abstract

Introduction: Aedes aegypti is a major dengue vector, requiring alternative plant-based larvicides. Objective: This study compared the larvicidal effectiveness of butterfly pea (Clitoria ternatea L.) and golden trumpet (Allamanda cathartica) flower extracts against Aedes aegypti larvae. Method: A true experimental study with a completely randomized design (CRD) was conducted using butterfly pea and golden trumpet flower extracts prepared by maceration with distilled water at concentrations of 15%, 25%, 35%, and 45%, with three replications per treatment. Twenty-five third- to fourth-instar Aedes aegypti larvae were exposed to each treatment, and mortality was assessed after 24 hours. Data were analyzed using the Kruskal-Wallis and Mann-Whitney tests. Results and Discussion: Butterfly pea extract produced mortality of 38%, 58%, 50%, and 61%, while golden trumpet extract produced 17%, 34%, 37%, and 46%, respectively. Butterfly pea showed higher mortality at all concentrations. The Kruskal-Wallis test showed significant differences among concentrations for both extracts (p = 0.018 and p = 0.010). However, the Mann-Whitney test showed a significant difference between extracts only at 25% concentration (p = 0.043). Conclusion: Both extracts exhibited larvicidal activity, with butterfly pea showing higher effectiveness descriptively
Environmental Health Risk Assessment of Occupational PM₂.₅ and PM₁₀ Exposure Among Workers in Home-Based Sanitary Ware Industries in Karangbesuki, Malang City Ismy Nur Hikmah; Beni Hari Susanto; Misbahul Subhi
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 11 (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.v5i11.716

Abstract

Introduction: Home sanitary industries produce particulate matter, posing occupational health risks. Objective: To assess environmental health risks of  and  exposure among 27 sanitary workers in Karangbesuki Village, Malang City using the ARKL approach. Methods: Direct air sampling for  and  concentrations and structured questionnaires for individual exposure parameters were collected to calculate intake and Risk Quotient (RQ). Results and Discussion: Average  and  concentrations ranged from , exceeding ambient standards. Individual intakes were  () and  (). Risk characterization revealed  for  of workers () for  and  () for . Additionally,  were smokers and  did not use respiratory PPE. Conclusion: Most workers face potential non-carcinogenic health risks, requiring urgent exposure controls and PPE compliance
Association Between Adherence to Prevention of Disability (POD) and Disability Status Among Leprosy Patients at Kedaung Barat Public Health Center, 2023–2025: Leprosy Patients at Kedaung Barat Public Health Center In 2023-2025 Karmila Nisa Lathifa; Achdi Kurnia; Etty Farida Mustifah; Lydia Kurniasari; Fara Fauzia
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 11 (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.v5i11.717

Abstract

Leprosy is a chronic infectious disease caused by Mycobacterium leprae that can affect the skin, peripheral nerves, eyes, hands, and feet. Nerve damage that is not properly managed may lead to permanent disability and affect patients’ quality of life. One Of the efforts to prevent disability is the disciplined implementation Of Prevention of Disability (POD). This study aimed to determine the relationship between adherence to POD and disability grade among leprosy patients at Kedaung Barat Public Health Center in 2023–2025.This study used an analytical quantitative design with a cross-sectional approach. The subjects were all leprosy patients in the working area of Kedaung Barat Public Health Center from January 2023 to December 2025 who met the inclusion and exclusion criteria, totaling 42 respondents. The sampling technique used was total sampling. Primary data were obtained through a POD adherence questionnaire, while secondary data were obtained from the patients’ POD records. Data were analyzed using univariate and bivariate analyses with the Fisher-exact test. The results showed a significant relationship between POD adherence and the degree of disability among leprosy patients (p-value = 0.003). The Odds Ratio (OR) was 17.18. There is a statistically significant relationship between adherence to the implementation of Prevention of Disability (POD) and the degree of disability among leprosy patients.
Analysis of Work Safety Climate on Workers' Safe Work Behavior in the Geothermal Drilling Industry PT. XYZ, 2026 Gilang Arya Ramadhan; Nurulia Hidayah
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 11 (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.v5i11.718

Abstract

Introduction: The geothermal drilling industry has a high work risk so a safety climate is needed that is able to encourage the safe behavior of workers. Objective: This study aims to analyze the perception of the work safety climate based on the seven dimensions of NOSACQ-50, the level of safe behavior, and the relationship between the two in workers of PT. XYZ. Methods: Quantitative research with cross-sectional design involved 120 workers through total sampling. Data were collected using structured questionnaires and analyzed univariately, bivariate using Fisher's Exact Test, and multivariate using linear regression. Result and Discussion: The majority of workers have a moderate safety climate of 69.2%. The safety climate was significantly associated with safe behavior (p=0.001), with R² 0.883. On the seven-dimensional model, the R² reaches 0.890. The dimension of safety priority and intolerance of hazard risk became the dominant predictors, followed by confidence in the effectiveness of the OHS system and workers' commitment to safety. Conclusion: These findings confirm the importance of strengthening safety priorities, the reliability of OHS systems, and workers' commitment to improving safe behaviors
ANALYSIS Analysis of Pesticide Residue Reduction Using Vinegar and Salt Solutions in Bird's Eye Chili (Vigna sinensis L.) Beni Hari Susanto; Ike Dian Wahyuni; Misbahul Subhi
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 11 (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.v5i11.719

Abstract

Introduction: Inappropriate pesticide use in agricultural production may have adverse consequences, including the presence of pesticide residues on agricultural products. Objective: This study aimed to determine the most effective method for reducing pesticide residues in bird's eye chili (Vigna sinensis L.). Method: This was a descriptive quantitative study with a true-experimental approach using a pretest-posttest design with a control group. The study sample consisted of 5 kg of bird's eye chili (Vigna sinensis L.). The samples were collected after the farmer had conducted pesticide spraying three days before sample collection. The pesticide was applied at a dose of 10 mL mixed with 1 L of water, and spraying was performed for 30 minutes. Samples were collected in the morning from five sampling points, pooled into one composite sample, and then divided into five groups of 1 kg each. Result and Discussion: Data were analyzed using Cochran's Q test to evaluate the effectiveness of the pesticide-residue reduction treatments. The largest reduction was observed after treatment with a vinegar solution, with a reduction of 63.88%. Cochran's Q test yielded a value of 0.049 (<0.05), indicating a statistically significant difference in pesticide-residue reduction among treatments in bird's eye chili (Vigna sinensis L.). Conclusion: The source manuscript reports that the most effective treatment was soaking in hot water.
Association Between Family Support and Wound Care Adherence Among Patients with Type 2 Diabetes Mellitus at the Diabetic Foot Clinic of Ulin Hospital Banjarmasin M Maulana Ilmi; Dessy Hadrianti; Solikin Solikin; Rumiati Rumiati
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 11 (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.v5i11.720

Abstract

Introduction: Diabetes mellitus can cause diabetic foot sores that require ongoing care, so patient adherence is an important factor in preventing complications. Objective: This study aims to analyze the relationship between family support and wound care compliance in Diabetes Mellitus patients at Diabetic Foot Polyclinic Ulin Hospital Banjarmasin. Method: The study used a cross-sectional quantitative design on 55 respondents selected by accidental sampling. Family support was measured using the Hensarling Diabetes Family Support Scale, while adherence was assessed through an observation sheet; The data were analyzed univariate and bivariate using Spearman Rank. Result and Discussion: The results showed that 51 respondents (92.7%) received good family support and 52 respondents (94.5%) had good wound care adherence. The analysis showed a significant positive association between family support and wound care adherence (r=0.560; p<0.001). These findings suggest that emotional, instrumental, informational, and family assessment support is related to the consistency of patients undergoing treatment. Conclusion: It was concluded that family support plays an important role in supporting patient wound care adherence and strengthening the family-centered care approach in diabetes nursing services

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