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Triwiyanto
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International Journal of Advanced Health Science and Technology
Published by Forum Ilmiah Teknologi dan Ilmu Kesehatan
ISSN : 28086422     EISSN : 28086422     DOI : https://doi.org/10.35882/ijahst
Core Subject : Health, Engineering,
Electrical & Electronics Engineering Health Professions Nursing Public Health
International Journal of Advanced Health Science and Technology (IJAHST) publishes peer-reviewed, original research and review articles in an open-access format. Accepted articles span the full extent of the Public Health, Environmental Health, Nursing, Oral and Dental Health, Midwifery, Nutrition, Medical Laboratory Technology, and Biomedical Engineering IJAHST seeks to be the world’s premier open-access outlet for academic research. As such, unlike traditional journals, IJAHST does not limit content due to page budgets or thematic significance. Rather, IJAHST evaluates the scientific and research methods of each article for validity and accepts articles solely on the basis of the research. Likewise, by not restricting papers to a narrow discipline, IJAHST facilitates the discovery of the connections between papers, whether within or between disciplines.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 9 Documents
 1 
Search results for , issue "Vol. 6 No. 1 (2026): February" : 9 Documents clear
The Experiences of Patients with Diabetes and Strategies for Their Management during the COVID-19 Pandemic: a Qualitative Study Anita Joeliantina; Irfany Nurul Hamid; Endang Sulistyowati
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v3i1.214

Abstract

The COVID-19 pandemic has posed significant challenges for individuals with chronic conditions like Diabetes Mellitus (DM), especially in terms of maintaining proper self-care. This qualitative study aimed to explore the self-care experiences of patients with DM during the pandemic, with a focus on the impact of restricted access to healthcare services and changes in daily routines. The study adopted a phenomenological approach, involving ten purposively selected DM patients from the Keputih Health Center in Surabaya, Indonesia. Data were collected through semi-structured in-depth interviews, both online and offline, between August and October 2021. The Van Manen method was utilized for data analysis. The results revealed five key themes: poor diabetic diet, absence of physical activity, impaired monitoring of blood glucose levels, changes in medication patterns, and neglect of foot care. These findings indicate a significant decline in self-care behaviors, largely attributed to restricted movement, limited access to health services, and heightened fear of COVID-19 transmission. The study also highlighted the use of herbal remedies as a supplementary treatment, a behavior not widely reported in previous research. The study concludes that diabetes management during the pandemic was adversely affected, emphasizing the need for tailored interventions, including online consultations and education, to support DM patients. Further research is recommended to explore effective strategies for managing DM during health crises, particularly the integration of traditional and medical treatments.
Effect of Combined Foot Bath and Foot Massage Therapy on Blood Pressure in Hypertensive Patients at Tambakrejo Health Center, Surabaya Naharil Mumtazah; Minarti; Sari Lutfiyah; Mohammad Najib
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i1.476

Abstract

Hypertension, often referred to as a "silent killer," is a prevalent non-communicable disease that significantly contributes to cardiovascular events and other serious health complications. Despite various pharmacological treatments, many hypertensive patients seek non-pharmacological alternatives to manage their condition. This study investigates the effect of combined foot bath and foot massage therapy on blood pressure reduction in hypertensive patients. A quasi-experimental pretest-posttest control group design was employed, with 40 participants selected through purposive sampling. These participants were assigned to either the intervention group, which received the combined therapy for three consecutive days, or the control group, which did not receive the intervention. Blood pressure was measured before and after the intervention using a digital sphygmomanometer. The data were analyzed using paired sample t-tests and independent sample t-tests. The results showed a significant decrease in both systolic and diastolic blood pressure in the intervention group, with p-values of 0.000 and 0.025, respectively. In contrast, no significant change was observed in the control group (p > 0.05). The findings suggest that the combination of foot bath and foot massage therapy is effective in lowering blood pressure in hypertensive patients. This non-pharmacological approach offers a promising complementary treatment for hypertension management, particularly for patients who are seeking alternatives to medication. Further research with a larger sample size and longer intervention period is recommended to confirm these results and explore the long-term effects of this therapy.
Determinants of Stunting Incidence in ToddlersCross-Sectional Study at Sukomoro Health Center, Magetan Regency, East Java Tri Wahyuni; Nurlailis Saadah; Suparji; Astin Nur Hanifah; Teta Puji Rahayu
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i1.491

Abstract

Stunting remains a significant public health issue in Indonesia, particularly in regions like Sukomoro, where the prevalence is higher than the national average. This study aims to identify and analyze the factors contributing to stunting in toddlers aged 0-5 years in the Sukomoro Health Center area, Magetan Regency, East Java, to inform effective prevention strategies. A cross-sectional study was conducted involving 300 toddlers selected through simple random sampling from a population of over 1,200. Data were collected via structured interviews and maternal and child health book reviews, followed by statistical analysis using descriptive statistics and ordinal logistic regression. The results revealed that the incidence of stunting was associated with several factors, including maternal health history during pregnancy, especially Chronic Energy Deficiency (KEK), and low maternal education. The regression analysis showed that maternal health significantly increased the risk of stunting in children (B = 0.616, p = 0.026). However, other factors, such as family income, exclusive breastfeeding, and low birth weight, did not show statistically significant associations. This study highlights the importance of maternal health, particularly addressing KEK, as a key determinant in stunting prevention. Effective interventions should focus on improving maternal nutrition before and during pregnancy, alongside strengthening health services and community-based nutrition education.
Effect of Breastfeeding Technique Education on Breastfeeding Success Among Primiparous Postpartum Mothers in Magetan Nunung Devi M; Nurlailis Saadah; Astuti Setiyani; Budi Joko Santosa
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i1.493

Abstract

Exclusive breastfeeding rates in Indonesia remain below national and global targets, with a substantial proportion of postpartum mothers experiencing breastfeeding difficulties, particularly among primiparous women. Inadequate breastfeeding technique is a major contributing factor, often resulting from limited experience, insufficient education, and lack of hands-on guidance during the early postpartum period. These challenges may compromise breastfeeding success, maternal confidence, and infant nutrition outcomes. This study aimed to examine the effect of structured breastfeeding technique education on breastfeeding success among primiparous postpartum mothers. A quantitative pre-experimental study with a onegroup pretest–posttest design was conducted at RSUD dr. Sayidiman Magetan. Forty primiparous postpartum mothers were recruited using non-probability sampling based on predefined inclusion criteria. The intervention consisted of structured breastfeeding technique education delivered by trained midwives through direct explanation, visual leaflets, practical demonstrations, and interactive discussion sessions. Breastfeeding success was assessed before and after the intervention using the LATCH scoring system, which evaluates latch, audible swallowing, nipple type, maternal comfort, and infant positioning. Data were analyzed using the Wilcoxon Signed-Rank Test. The results demonstrated a statistically significant improvement in breastfeeding success following the educational intervention (Z = −5.35, p < 0.005), with a large effect size (r = 0.85). Prior to education, 75% of mothers were classified in the “not successful” category, while none achieved a “good” score. After the intervention, 70% of participants attained good breastfeeding success, and the proportion of mothers with inadequate scores decreased to 2.5%. Improvements were consistently observed across all LATCH components. In conclusion, structured breastfeeding technique education significantly enhances breastfeeding success among primiparous postpartum mothers. Integrating systematic, hands-on breastfeeding education into routine postnatal care is strongly recommended to promote effective breastfeeding practices and support exclusive breastfeeding goals.
The Effect of Chronic Energy Deficiency on the Incidence of Stunting in Childern Aged 24-59 Months Nisa Khoirotul Qoni'ah; Astuti Setiyani; Nurlailis Saadah; Sulikah Sulikah
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i1.495

Abstract

Chronic Energy Deficiency (CED) during pregnancy is a significant public health concern with long-term effects on maternal and child health. The study explores the impact of maternal CED on stunting in children aged 24-59 months in Ngariboyo Public Health Center, where the prevalence of CED among pregnant women was 11.01% in 2023, and stunting affected 8.2% of children. The primary aim of this study is to determine the relationship between maternal CED and the incidence of stunting in the target population. Employing an analytical observational approach, this case-control study included 32 children with stunting as the case group and 64 non-stunted children as the control group, selected through random sampling methods. Data on maternal CED were obtained from maternal and child health records, while stunting data were gathered via questionnaires. The analysis utilized chi-square and Mantel-Haenszel common odds ratio tests to evaluate the association. The results indicated a significant association (p=0.021) between maternal CED and stunting, with an odds ratio of 3.201, suggesting that mothers with CED have a 3.2 times higher risk of giving birth to stunted children compared to mothers without CED. The study concludes that maternal CED is a crucial factor contributing to stunting in children. Therefore, interventionssuch as early identification and nutritional education for pregnant women are essential for stunting prevention. The findings emphasize the need for targeted public health policies to address maternal nutrition in rural settings.
Detection of mecA Gene in Methicillin-Resistant Staphylococcus aureus (MRSA) Isolated from Diabetic Ulcer Swab Samples Aliyya Noor Izzati; Suliati; Lully Hanni Endarini; Syamsul Arifin
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i1.500

Abstract

Diabetic ulcers represent a serious complication of diabetes mellitus, often becoming chronic wounds prone to infection due to impaired immunity, poor vascularization, and persistent hyperglycemia. Among the most frequently identified pathogens in such wounds is Staphylococcus aureus, with methicillin-resistant S. aureus (MRSA) strains posing significant therapeutic challenges due to their resistance to β-lactam antibiotics. This resistance is typically mediated by the mecA gene, which encodes penicillin-binding protein 2a (PBP2a), a protein with reduced affinity for β-lactams. This study aimed to detect the presence of the mecA gene in MRSA strains isolated from diabetic ulcer swabs and to examine the relationship between phenotypic resistance and genotypic confirmation. A total of 30 swab samples were collected from patients with diabetic ulcers at the Diabetes Wound Care Clinic in Surabaya. Bacterial identification was performed using standard microbiological techniques, and cefoxitin disk diffusion was used to screen for MRSA phenotypically. Genomic DNA from cefoxitin-resistant isolates was subjected to conventional PCR using mecA-specific primers, with electrophoresis to detect the expected 304 bp DNA fragment. Of the 30 samples, 19 (63%) were confirmed to be S. aureus, and among them, 6 isolates (31.6%) were resistant to cefoxitin. However, none of these isolates were positive for the mecA gene by PCR, although the positive control showed the expected band. This discrepancy suggests the possibility of other resistance mechanisms beyond mecA, highlighting the importance of molecular methods in confirming MRSA. These findings reinforce the need for integrated phenotypic and genotypic diagnostics to ensure accurate detection and appropriate treatment of MRSA infections
The Effect of Carboxyhemoglobin on Subjective Complaints of Fish Smoking Workers in Penatarsewu Village, Sidoarjo Elfrida Ilma Shofiana; Irwan Sulistio; Putri Arida Ipmawati; Rusmiati
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i1.502

Abstract

Fish smoking activities generate substantial amounts of smoke from incomplete combustion, exposing workers to various air pollutants, including carbon monoxide (CO), which may lead to adverse respiratory health effects. Prolonged inhalation of CO can result in the formation of carboxyhemoglobin (COHb), reducing oxygen transport in the blood and potentially causing subjective health complaints such as cough, dizziness, nausea, and shortness of breath. In Penatarsewu Village, Sidoarjo, a major center of traditional fish smoking, a high prevalence of respiratory complaints among workers has been reported, yet evidence regarding the role of COHb in these complaints remains limited. Therefore, this study aimed to analyze the effect of carboxyhemoglobin levels on subjective complaints among fish smoking workers in Penatarsewu Village, Sidoarjo. This study employed an observational analytic design with a cross-sectional approach. The study population consisted of 57 fish smoking workers, from which 25 female workers were selected using purposive sampling. COHb levels were measured through laboratory blood analysis, while data on subjective complaints, age, duration of daily exposure, and tenure were collected through structured interviews. Data were analyzed using simple linear regression to assess the influence of COHb and other related factors on subjective complaints. The results showed that all respondents had COHb levels within normal limits (≤3.5%), with values ranging from 0.40% to 1.72%. Despite this, 92% of workers reported experiencing subjective respiratory complaints. Statistical analysis revealed that COHb levels and tenure did not significantly affect subjective complaints (p>0.05). In contrast, age (p<0.001) and duration of daily exposure (p=0.003) showed a significant association with subjective complaints. In conclusion, subjective respiratory complaints among fish smoking workers were significantly influenced by age and length of exposure rather than COHb levels. These findings highlight the importance of regulating working hours and considering workers’ age to reduce health risks associated with fish smoking activities.
The Effectiveness of Neroli Aromatherapy in Reducing Labor Pain Intensity During the Active Phase Among Mothers at RSUD Dr. Sayidiman Magetan Rizki Tweniari; Tutiek Herlina; Nana Usnawati; Rahayu Sumaningsih
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i1.504

Abstract

Labor pain during the active phase of childbirth remains a significant clinical and psychological challenge for mothers and is often associated with increased anxiety, prolonged labor, and negative birth experiences. In many maternity settings, pain management is still limited to basic relaxation techniques, while evidence-based non-pharmacological alternatives such as aromatherapy are not routinely implemented. This study aimed to examine the effectiveness of neroli (Citrus aurantium) aromatherapy in reducing labor pain intensity during the active phase of the first stage of labor. A quasiexperimental study with a pretest–posttest control group design was conducted at RSUD dr. Sayidiman Magetan. A total of 60 laboring mothers in the active phase (cervical dilatation 4–6 cm) were recruited using consecutive sampling and equally allocated into an intervention group (neroli aromatherapy) and a control group (breathing relaxation). The intervention consisted of inhalation of neroli essential oil via an ultrasonic diffuser for 45 minutes under standardized environmental conditions. Labor pain intensity was measured before and after the intervention using the Visual Analog Scale (VAS). Data were analyzed using the Wilcoxon Signed-Rank test and the Mann–Whitney U test. The results demonstrated a significant reduction in pain intensity in the intervention group, with a mean VAS score decreasing from 6.77 to 5.43 (mean difference = 1.33; p < 0.001). In contrast, the control group experienced a slight increase in pain intensity, with mean scores rising from 6.57 to 6.97 (mean difference = +0.40; p = 0.005). Post-intervention comparisons between groups showed a statistically significant difference (p < 0.001), indicating superior pain reduction in the aromatherapy group. In conclusion, neroli aromatherapy is an effective, safe, and non-pharmacological intervention for reducing labor pain during the active phase of childbirth. Its integration into routine midwifery care may enhance maternal comfort and support a more positive labor experience.
The Relationship Between Parents’ Knowledge of Oral and Dental Health Maintenance and the Oral Hygiene Status of Visually Impaired Students at SMPLB-A and SMALB-A YPAB Surabaya Shelani Krisdayana Safitri; Isnanto; Sri Hidayati
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i1.505

Abstract

Children with visual impairments are particularly vulnerable to poor oral hygiene due to limitations in visual perception and motor coordination, which hinder their ability to perform effective self-care. As a result, parental involvement plays a critical role in maintaining their oral and dental health. However, limited parental knowledge regarding appropriate oral health practices may contribute to inadequate hygiene outcomes in this population. This study aimed to examine the relationship between parents’ knowledge of oral and dental health maintenance and the oral hygiene status of visually impaired students at SMPLB-A and SMALB-A YPAB Surabaya. A descriptive correlational study with a cross-sectional design was conducted involving 24 visually impaired students and their parents, selected through total sampling. Parental knowledge was assessed using a structured and validated questionnaire covering tooth-brushing techniques, appropriate brushing times, and dental care practices. The oral hygiene status of the students was evaluated clinically using the Simplified Oral Hygiene Index (OHI-S). Data were analyzed using the Spearman rank correlation test to determine the association between parental knowledge and children’s oral hygiene status. The results revealed that the majority of parents had a moderate level of oral health knowledge (58.3%), while only 33.3% demonstrated high knowledge. None of the students achieved a “good” oral hygiene status; 33.3% were categorized as “fair,” and 66.7% as “poor.” The mean OHI-S score was 3.49, exceeding the national target value of ≤1.2. Statistical analysis showed a strong and significant correlation between parental knowledge and oral hygiene status (ρ = 0.848; p < 0.05). In conclusion, higher parental knowledge of oral and dental health maintenance is strongly associated with better oral hygiene outcomes among visually impaired children. These findings highlight the need for targeted oral health education programs for parents to improve preventive care and oral health status in this vulnerable group.

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