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INDONESIA
Indonesian Journal of Health Science
Published by PT WIM Solusi Prima
ISSN : -     EISSN : 28091167     DOI : https://doi.org/10.54957/ijhs
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Indonesian Journal of Health Science is a place for disseminating research results in the field of health, including, but not limited to topics of public health, environmental health, occupational health, pharmacy, nutrition, epidemiology, medical laboratories, physiotherapy, or other general health.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 403 Documents
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Physiotherapy management in carpal tunnel syndrome cases using conservative therapy at UNS Hospital in 2025 Mochamad Bagoes Nata Samudra; Wahyuni Wahyuni; Yunita Nur Rochmah
Indonesian Journal of Health Science Vol 6 No 1 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i1.2066

Abstract

Background: Carpal Tunnel Syndrome (CTS) is a median nerve compression neuropathy within the carpal tunnel characterized by pain, paresthesia, sensory disturbances, muscle weakness, and decreased hand function. This condition is commonly found in individuals with repetitive gripping activities and may significantly affect daily functional activities and quality of life. Conservative physiotherapy management is recommended as a first-line intervention for mild to moderate CTS before surgical treatment. Objective: This case report aims to evaluate the effectiveness of conservative physiotherapy management in a patient with Carpal Tunnel Syndrome at Universitas Sebelas Maret Hospital (RS UNS) in 2025. Methods: This study employed a case report design involving a 61-year-old male patient diagnosed with CTS. Physiotherapy assessment included pain evaluation using the Visual Analog Scale (VAS), range of motion measurement using a goniometer, muscle strength assessment with Manual Muscle Testing (MMT), Tinel test, and functional ability evaluation using the Wrist Hand Disability Index (WHDI). Physiotherapy diagnosis was established based on the International Classification of Functioning, Disability, and Health (ICF) framework. Conservative physiotherapy interventions consisted of infrared therapy, Transcutaneous Electrical Nerve Stimulation (TENS), ultrasound, massage, stretching exercises, and strengthening exercises. Data were analyzed descriptively. Results: Initial assessment revealed moderate pain, limited palmar flexion range of motion, decreased wrist muscle strength, sensory disturbances, and functional disability with a WHDI score of 30%, categorized as moderate disability. Following conservative physiotherapy intervention, the patient demonstrated clinical improvements including pain reduction, increased comfort during wrist movement, and enhanced hand functional ability. Conclusion: Multimodal conservative physiotherapy management was effective in reducing pain, improving wrist function, and enhancing activity and participation in a patient with Carpal Tunnel Syndrome. This approach represents a safe and evidence-based option for the initial management of CTS.
Nursing care for patients with spinal cord tumors in the Raudhah 5 room of DR. Zainoel Abidin General Hospital Banda Aceh Dinda Putri Septya Liana; Laras Cyntia Kasih
Indonesian Journal of Health Science Vol 6 No 1 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i1.2097

Abstract

Spinal medulla tumors tend to metastasize to the spine, so it is common for patients with these tumors to experience neurological problems such as paraplegia and muscle weakness. This final scientific paper aims to provide holistic nursing care using a nursing process approach for patients with spinal medulla tumors in Room Raudhah 5 at Dr. Zainoel Abidin General Hospital, Banda Aceh. The nursing process is divided into preoperative and postoperative stages. During the assessment phase, it was noted that the patient complained of lower back pain, inability to walk, and had not had a bowel movement for three days (preoperative), and later reported pain at the postoperative site with a pain scale of 7 on the NRS, along with a postoperative laminectomy wound, limited movement, and elevated leukocyte levels (postoperative). Nursing diagnoses included acute pain, disturbance of physical mobility, skin integrity issues, constipation, and risk of infection. Interventions involved deep breathing relaxation techniques, pain distraction through Quran recitation, finger hold technique, passive ROM exercises, a high-fiber diet, abdominal massage, and sterile wound care. In the evaluation stage, after four days of preoperative care and one day postoperative, it was found that issues such as acute pain, mobility disturbances, constipation, and skin integrity problems had been resolved. It is hoped that nurses can educate and train patients and families to independently perform interventions like pain management and passive ROM exercises at home, ensuring continuous care and supporting optimal recovery.
The relationship between dietary perceptions, and self-care management and dietary adherence among ptients with diabetes mellitus at the Mekar Community Health Center Michelin Alfa Saruran; Devi Savitri Effendy; La Ode Muhamad Sety
Indonesian Journal of Health Science Vol 6 No 1 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i1.2107

Abstract

Dietary adherence among patients with diabetes mellitus is a key determinant of successful diabetes management. Dietary management is a self-directed approach that can help prevent complications in patients with diabetes mellitus. Factors such as negative perceptions of diet, weak social support from family, and self-care management influence patients’ adherence to their diet. This study aims to determine the relationship between dietary perceptions (vulnerability, severity, and benefits), family support, and self-care management on dietary compliance among patients with diabetes mellitus at the Mekar Community Health Center in Kendari City, Southeast Sulawesi. This study employed an analytical observational design with a cross-sectional approach. The study sample consisted of 136 respondents selected using consecutive sampling. The dependent variable in this study was dietary compliance, while the independent variables were dietary perceptions (perceived sussceptibility, perceived severity, and perceived benefits), family support, and self-care management. Descriptive analysis revealed that 88 respondents adhered to the diet, while 48 respondents did not adhere to the diabetes diet. Data analysis was performed using bivariate analysis with the Chi-Square test at a significance level of α = 0.05. The results of the study showed that there was a significant relationship between perceived severity (p-value = 0.036), perceived benefits (p-value = 0.006), family support (p-value = 0.046), and self-care management (p-value = 0.036) with dietary adherence in patients with diabetes mellitus. However, there was no significant relationship between perceived vulnerability and dietary compliance (p-value = 0.547). Based on these results, it can be concluded that the factors of perceived severity, perceived benefits, family support, and self-care management play a role in improving patients’ dietary compliance. Therefore, educational interventions focused on enhancing positive perceptions of the diet and strengthening family support are needed to improve patients’ adherence to the diet.
The effectiveness of waste management education on students' knowledge and behavior at the Ministry of Health Polytechnic of Padang Riyana Husna; Vebby Amellia Edwin; Sri Wahyuningsih; Mahaza Mahaza; Darwel Darwel; Lindawati Lindawati; Welly Welly
Indonesian Journal of Health Science Vol 6 No 2 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i2.2117

Abstract

Waste management is an environmental issue that requires active community participation, including students as agents of change. One effective approach is the implementation of a Waste Bank, which not only reduces waste generation but also increases environmental awareness through the 3R practice. Good knowledge of waste management is believed to encourage more positive behavior, so this study aims to analyze the relationship between increased knowledge and waste management behavior among students majoring in Environmental Health at the Padang Ministry of Health Polytechnic. The study used a cross-sectional design with 140 students as samples through total sampling. Data were obtained using a questionnaire that was measured. knowledge before and after the educational intervention as well as waste management behavior. The analysis was performed univariately and bivariately using the Chi-Square test. The results showed that of the 78 students who experienced an increase in knowledge, 57 (73.1%) had good waste management behavior. Meanwhile, in the group of students whose knowledge level remained the same (62 students), only 35 people (56.5%) exhibited good behavior. This finding indicates that students who experienced an increase in knowledge tended to have better waste management behavior than those who did not experience any change in knowledge. The Chi-Square test showed a p-value of 0.040, which means there is a significant relationship between increased knowledge and waste management behavior. In conclusion, increased knowledge contributes positively to students' waste management behavior. It is recommended that educational institutions strengthen education and the practice of waste banks on an ongoing basis, as well as develop collaborative programs to raise environmental awareness.
Comparison study of vitamin c content in various brands of calamansi syrup from Bengkulu City using UV-Vis Spectrophotometry Mauliani Dwi Nathasyah; Putri Mulia; Samwilson Slamet; Tri Danang Kurniawan; Tika Hardini
Indonesian Journal of Health Science Vol 6 No 2 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i2.2120

Abstract

Calamansi oranges are a good source of vitamin C with high content of 27.43/100 g. Calamansi oranges are commonly processed into calamansi syrup. Calamansi syrup is one of flagship products of Bengkulu City, but information regarding the vitamin C content is not listed on the product packaging. This study aims to compare the vitamin C content of calamansi syrup from various brands in Bengkulu City using UV-Vis spectrophotometry. The study involves five samples of calamansi syrup from different brands. Qualitative analysis was conducted using 0.1% KMnO4, Iodine, and FeSO4 reagents, which showed that all five samples tested positive for containing vitamin C. The determination of the maximum wavelength was done at 265 nm with the regression equation y = 0.0659x + 0.0631 and R2 value of 0.9923. The vitamin C content obtained was 1.681% for Sample A, 5.880% for Sample B, 2.342% for Sample C, 1.979% for Sample D, and 2.478% for Sample E. The Kruskal-Wallis statistical analysis showed a significant difference among the samples (p < 0.05), indicating that the vitamin C content varies among the different brands. In conclusion, the five brands of calamansi syrup available in Bengkulu City contain vitamin C with varying levels.
Development of an e-magazine as a digital learning media for midwifery students Wulandari Defera; Yuliva Yuliva
Indonesian Journal of Health Science Vol 6 No 2 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i2.2129

Abstract

The rapid development of digital technology requires innovative learning media that support student centered learning and enhance the quality of midwifery education. This study aimed to develop a digital learning media based on an e-magazine for Essential Midwifery Care in Labour and Newborns and to evaluate its validity, practicality, and student responses. A Research and Development (R&D) design using the ADDIE model (Analysis, Design, Development, Implementation, Evaluation) was applied to Diploma III Midwifery students at Poltekkes Kemenkes Padang. Data were collected through interviews, questionnaires, and documentation, and were analysed using descriptive quantitative and qualitative approaches. The e-magazine obtained a validation score of 4.50 from the content expert and 4.40 from the media expert, both categorized as highly feasible. Student responses reached an average score of 4.43, categorized as very good in terms of ease of use, attractiveness, clarity of content, and learning motivation. Survey results indicated that the use of this learning media contributed to enhanced student motivation, engagement, and understanding of essential midwifery care content within a digital learning context. Therefore, the e-magazine is considered appropriate as an innovative learning media in midwifery education. It is recommended that the e-magazine be continuously integrated into learning and that its effectiveness on learning outcomes be further examined.
The demographic bonus and shifting health insurance risk profiles among the productive age population in Indonesia: A literature review Assyifa Ramadhani; Reynanda Sabrina; Robby Firmansyah; Riswandy Wasir
Indonesian Journal of Health Science Vol 6 No 2 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i2.2187

Abstract

Background: Indonesia is currently experiencing a demographic bonus, with the productive age population accounting for 69.3% of the total population. While this presents an economic opportunity, it poses significant challenges to the health sector due to an epidemiological transition toward Non Communicable Diseases (NCDs), which contribute to 74% of global mortality. Objective: This study aims to analyze the impact of the demographic bonus on the shifting health risk profiles of the productive age group and its implications for claim trends and the sustainability of the health insurance system in Indonesia. Methods: A systematic literature review was conducted using the Google Scholar database. The search strategy employed keywords related to demographics, NCDs, and health financing, with a publication filter for the last ten years (2016–2026). Data were analyzed using a descriptive narrative approach to synthesize relevant findings. Results: The findings indicate that the dominance of the productive age population, coupled with unhealthy lifestyle behaviors, has triggered a rise in chronic disease prevalence requiring long term medical management. This shift directly correlates with a surge in healthcare service utilization and claim burdens within the National Health Insurance (JKN) scheme. However, current insurance benefit designs remain heavily focused on curative services (85.4%), while promotive preventive efforts at primary care facilities remain suboptimal. The imbalance between increased utilization and financing capacity potentially threatens risk pool stability and risks financial deficits. Conclusion: The demographic bonus may become an economic burden without an adaptive health system transformation. Strengthening promotive preventive policies and innovative chronic disease management are essential to control medical costs. Cross sector synergy is crucial to ensure a healthy productive age population and the long term sustainability of the JKN program.
Evaluation of health service efficiency and effectiveness policy through performance based budgeting and quality control of health services: A literature review Reynanda Sabrina; Assyifa Ramadhani; Robby Firmansyah; Riswandy Wasir
Indonesian Journal of Health Science Vol 6 No 2 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i2.2203

Abstract

The efficiency and effectiveness of health services represent one of the critical aspects in the management of public services, particularly in budget utilization and the implementation of health programs. Numerous studies indicate that performance-based budgeting and quality control of health services exert a significant influence on enhancing accountability as well as service quality within public service institutions. This literature review was conducted to evaluate the implementation of efficiency and effectiveness policies in health services through a performance-based budgeting approach and quality control of health services. The study employs a literature review method, with data sources obtained from Google Scholar and Garuda. The articles utilized are scientific journals addressing performance-based budgeting, service effectiveness, performance accountability, and quality control of health services. The findings of the review demonstrate that performance-based budgeting is capable of improving the effectiveness of service management and the accountability of public service institutions. Furthermore, quality control of health services, strengthening of reporting systems, and information technology support also contribute to the enhancement of service quality. Nevertheless, policy implementation continues to face several obstacles, including low human resource capacity, weak internal control mechanisms, and the suboptimal integration of reporting systems.
Analysis of factors influencing pulmonary tuberculosis examination of household contacts of pulmonary tuberculosis patients in the working area of Nambo Public Health Center Kendari City Histina Histina; Yusuf Sabilu; La Ode Muhammad Sety
Indonesian Journal of Health Science Vol 6 No 2 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i2.2204

Abstract

Tuberculosis (TB) remains a major global public health problem with a high disease burden, including in Indonesia, which ranks second worldwide. Active case finding through household contact screening is an essential strategy for TB control; however, its implementation is influenced by various factors. This study aimed to analyze the factors influencing pulmonary TB screening among household contacts of TB patients in the working area of Nambo Primary Health Center, Kendari City, in 2025. This study employed an analytic survey with a case-control design. The sample consisted of 54 respondents, including 27 cases and 27 controls, selected using total sampling. Data were analyzed using the chi-square test and binary logistic regression. The findings revealed a significant association between healthcare worker support (p=0.002; Exp(B)=6.525) and knowledge (p=0.015; Exp(B)=5.292) with pulmonary TB screening. Meanwhile, family support (p=0.406), were not significantly associated. Multivariate analysis indicated that healthcare worker support was the most dominant factor influencing TB screening among household contacts. The results highlight the crucial role of healthcare workers in improving screening compliance through education, assistance, and motivation. In addition, enhancing the knowledge of household contacts is essential to support early TB detection. Therefore, strengthening health promotion strategies and increasing the active involvement of healthcare workers in TB control programs at the primary healthcare level are highly recommended.
Evaluation of Public-Private Partnership (PPP) policies in service delivery access, quality, and accountability: A literature review Nadia Putri Untiami; Siti Aisyah; Amanda Safitri; Riswandy Wasir
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2207

Abstract

Public-Private Partnership (PPP) has emerged as a strategic instrument to address fiscal and infrastructure constraints in achieving Universal Health Coverage (UHC) in Indonesia. However, its implementation effectiveness is often hindered by governance complexities and low transparency. This study aims to evaluate PPP policies in the healthcare sector, focusing on implementation dynamics, performance determinants, and policy improvement implications for access, quality, and accountability. This research utilizes a descriptive-analytical literature review method through systematic searches of Google Scholar, PubMed, BMC, and IJHPM databases for the period 2018–2025. The findings indicate that PPP significantly expands service access at primary and referral levels and fosters medical technology innovation. In Indonesia, the flexibility of BLUD status in regional hospitals supports Operational Cooperation (KSO), while at the primary level, private primary care facility (FKTP) integration strengthens basic service coverage. Nonetheless, major identified barriers include low contract transparency, information asymmetry, fragmented health information systems, and a shortage of competent medical personnel. Strengthening PPP governance requires more standardized regulations, rigorous independent oversight, and active public-interest-oriented contract management to ensure the sustainability of healthcare service quality and accountability.

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