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PERBANDINGAN TINGKAT KEPUASAN TERHADAP TEKNIK FRICTION DAN COMPRESSION PADA MASSAGE PUNGGUNG DI UNIVERSITAS KATOLIK SANTO AGUSTINUS HIPPO Agung Kurniawan; Jayadi Jayadi
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 3 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i3.12479

This study aimed to compare satisfaction levels between friction and compression techniques in back massage at Santo Agustinus Hippo Catholic University. This research employed a quantitative descriptive survey method with a comparative approach. The sample consisted of 19 students selected using purposive sampling. The research instrument was a satisfaction questionnaire distributed through Google Forms after the respondents received back massage treatment using friction and compression techniques. The data were analyzed using descriptive statistics in the form of percentages. The results showed that the friction technique achieved a satisfaction level of 87.4% in providing relaxation and 83.2% in reducing pain. Meanwhile, the compression technique obtained a satisfaction level of 86.3% in providing relaxation and 85.3% in reducing pain. Based on respondents’ preferences, 68.4% selected friction as the technique that provided higher satisfaction, while 31.6% selected compression. Therefore, both back massage techniques produced very good satisfaction levels. However, friction was preferred by most respondents as the technique that provided greater satisfaction in back massage. ABSTRAK Penelitian ini bertujuan untuk membandingkan tingkat kepuasan terhadap teknik friction dan compression pada massage punggung di Universitas Katolik Santo Agustinus Hippo. Penelitian ini menggunakan metode survei deskriptif kuantitatif dengan pendekatan komparatif. Sampel penelitian berjumlah 19 mahasiswa yang dipilih melalui teknik purposive sampling. Instrumen penelitian berupa angket tingkat kepuasan yang disebarkan melalui Google Form setelah responden menerima perlakuan massage punggung menggunakan teknik friction dan compression. Data dianalisis dengan statistik deskriptif dalam bentuk persentase. Hasil penelitian menunjukkan bahwa teknik friction memperoleh tingkat kepuasan sebesar 87,4% dalam memberikan rasa rileks dan 83,2% dalam membantu mengurangi nyeri. Sementara itu, teknik compression memperoleh tingkat kepuasan sebesar 86,3% dalam memberikan rasa rileks dan 85,3% dalam membantu mengurangi nyeri. Berdasarkan pilihan responden, sebanyak 68,4% memilih teknik friction sebagai teknik yang memberikan kepuasan lebih tinggi, sedangkan 31,6% memilih teknik compression. Dengan demikian, kedua teknik massage punggung memberikan tingkat kepuasan yang sangat baik, tetapi teknik friction lebih banyak dipilih sebagai teknik yang paling memuaskan.

ANALISIS LEGALITAS DAN ETIKA RESOURCE RATIONING DALAM ALOKASI SUMBER DAYA JAMINAN KESEHATAN NASIONAL: PERSPEKTIF KEADILAN DISTRIBUTIF DAN KEPASTIAN HUKUM TENAGA MEDIS Yudhi Hertanto; Ahmad Ma’mun Fikri
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 3 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i3.12810

The National Health Insurance (JKN) program in Indonesia faces significant challenges in the form of limited fiscal resources and infrastructure, which trigger the practice of resource rationing. This article aims to evaluate the legal and ethical dimensions of these restrictions through the perspective of distributive justice, the sociological impact on vulnerable groups, and legal certainty for medical personnel. This research uses a juridical-normative method with a descriptive-qualitative approach. The results show that rationing practices are often carried out implicitly through mechanisms of denial, selection, delay, deterrence, deflection, and dilution to balance claim ratios exceeding 100%. Philosophically, there is a tension between the utilitarian paradigm, which prioritizes the stability of collective systems, and John Rawls's theory of justice, which demands priority protection for the most disadvantaged groups. Legally, although Law Number 17 of 2023 concerning Health and Ministerial Regulation Number 6 of 2024 have provided a framework for minimum service standards (SPM), legal protection for medical personnel in making difficult decisions in the field still requires more explicit and transparent clinical guidelines. ABSTRAK Program Jaminan Kesehatan Nasional (JKN) di Indonesia, menghadapi tantangan besar berupa keterbatasan sumber daya fiscal, dan infrastruktur yang memicu praktik resource rationing. Artikel ini bertujuan, untuk mengevaluasi dimensi legalitas dan etika dari pembatasan tersebut, melalui perspektif keadilan distributif, dampak sosiologis pada kelompok rentan, serta kepastian hukum bagi tenaga medis. Riset ini menggunakan metode yuridis-normatif, dengan pendekatan deskriptif-kualitatif. Hasil penelitian menunjukkan bahwa praktik rationing sering kali dilakukan secara implisit melalui mekanisme denial, selection, delay, deterrence, deflection, dan dilution guna menyeimbangkan rasio klaim yang melampaui 100%. Secara filosofis, terdapat ketegangan antara paradigma utilitarianisme yang mengutamakan stabilitas sistem kolektif, dengan teori keadilan John Rawls yang menuntut perlindungan prioritas bagi kelompok paling tidak beruntung. Secara yuridis, meskipun Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan dan Permenkes Nomor 6 Tahun 2024 telah memberikan kerangka standar pelayanan minimal (SPM), namun proteksi hukum bagi tenaga medis dalam pengambilan keputusan sulit di lapangan, masih memerlukan pedoman klinis yang lebih eksplisit dan transparan.

TEKNIK PEMERIKSAAN RADIOGRAFI COLON IN LOOP DENGAN KLINIS HEMOROID GRADE IV SUSPECT POLIP RECTI DI INSTALASI RADIOLOGI RS ISLAM JAKARTA CEMPAKA PUTIH Suci Rahma Oktaria; Anisa Nur Istiqomah; Retno Wati
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 3 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i3.12855

ABSTRACT The colon is an important part of the digestive system that may develop various abnormalities, such as hemorrhoids and polyps. The colon in loop examination for patients with grade IV hemorrhoids and suspected rectal polyps at the Radiology Department of Jakarta Islamic Hospital Cempaka Putih (RSIJCP) differs from the standard theory, particularly regarding patient preparation and radiographic projections. This study aimed to identify the examination procedure, the rationale for patient preparation, and the use of radiographic projections at RSIJCP. A qualitative study with a case study approach was conducted from September 2025 to April 2026. The subjects consisted of three radiographers and one radiologist. Data were collected through observation, interviews, and documentation, then analyzed narratively through data reduction, theory comparison, and conclusion drawing. The results showed that patient preparation involving a 6-hour fasting period and morning bowel evacuation was considered adequate to cleanse the colon and reduce discomfort in patients with grade IV hemorrhoids. The use of Anteroposterior (AP), Lateral, and Right Posterior Oblique (RPO) projections provided sufficient diagnostic information to evaluate abnormalities in the rectum while minimizing radiation exposure. The double-contrast technique enhanced the visualization of lesions suspected as rectal polyps. It can be concluded that the colon in loop examination procedure at RSIJCP is adequate for supporting diagnosis while maintaining patient safety and comfort. The use of bowel preparation without Dulcolax suppositories is recommended to minimize the risk of complications. ABSTRAK Colon merupakan bagian penting sistem pencernaan yang dapat mengalami berbagai kelainan, seperti hemoroid dan polip. Pemeriksaan colon in loop pada kasus hemoroid grade iv suspect polip recti di Instalasi Radiologi RS Islam Jakarta Cempaka Putih (RSIJCP) memiliki perbedaan dengan teori, terutama pada persiapan pasien dan penggunaan proyeksi radiografi. Penelitian ini bertujuan mengetahui prosedur pemeriksaan, alasan pemilihan persiapan pasien, serta penggunaan proyeksi pemeriksaan di RSIJCP. Penelitian menggunakan metode kualitatif dengan pendekatan studi kasus pada September 2025–April 2026. Subjek penelitian terdiri atas tiga radiografer dan satu dokter spesialis radiologi. Data dikumpulkan melalui observasi, wawancara, dan dokumentasi, kemudian dianalisis secara naratif melalui reduksi data, perbandingan teori, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa persiapan pasien berupa puasa 6 jam dan buang air besar pada pagi hari dinilai memadai untuk membersihkan colon serta mengurangi risiko ketidaknyamanan pada pasien hemoroid grade iv Penggunaan proyeksi Antero Posterior (AP), Lateral, dan Right Posterior Oblique (RPO) memberikan informasi diagnostik yang cukup untuk mengevaluasi kelainan pada area rectum dengan paparan radiasi yang lebih minimal. Teknik double contrast membantu memperjelas visualisasi lesi yang dicurigai sebagai polip recti. Disimpulkan bahwa prosedur pemeriksaan colon in loop di RSIJCP telah memadai untuk mendukung diagnosis serta mempertimbangkan keamanan dan kenyamanan pasien. Disarankan penggunaan persiapan urus-urus tanpa dulcolax suppositoria untuk meminimalkan risiko komplikasi.

HUBUNGAN PENGETAHUAN ANESTESI DENGAN TINGKAT KECEMASAN PADA PASIEN LANSIA DENGAN HIPERTENSI DI RUANG PRA ANESTESI Dewi Puspita Sari; Kaslinda Nur Umifa; Widigdo Rekso Negoro; Ircham Saifudin
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 3 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i3.12876

ABSTRACT Preoperative anxiety poses a significant challenge among older adults with hypertension because psychological distress may exacerbate physiological responses throughout the perioperative period. The clinical characteristics of this population require preoperative preparation that extends beyond medical stabilization to include improving patients' understanding of anesthesia as a means of reducing uncertainty before surgery. This study aimed to examine the relationship between anesthesia knowledge and anxiety levels among older adults with hypertension undergoing preoperative preparation at RSUD dr. Haryoto Lumajang. A descriptive correlational study with a cross-sectional approach was conducted involving 80 respondents selected through purposive sampling. Data were collected using an anesthesia knowledge questionnaire and the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Descriptive statistics were used for univariate analysis, while the relationship between variables was analyzed using the Pearson Product Moment correlation test after the Kolmogorov–Smirnov normality test confirmed that the data were normally distributed (p = 0.200). The findings revealed that most respondents had poor anesthesia knowledge (68%), whereas anxiety levels were predominantly categorized as panic (46%) and severe anxiety (43%). Correlation analysis demonstrated a strong negative relationship between anesthesia knowledge and anxiety levels (r = −0.757; p < 0.001), indicating that greater knowledge of anesthesia was associated with lower preoperative anxiety. These findings suggest that pre-anesthesia education tailored to the characteristics of geriatric patients has the potential to enhance psychological preparedness while supporting more patient-centered perioperative care. ABSTRAK Kecemasan yang muncul menjelang tindakan operasi menjadi tantangan tersendiri pada pasien lanjut usia dengan hipertensi karena kondisi psikologis tersebut dapat memperburuk respons fisiologis selama periode perioperative. Karakteristik klinis kelompok ini menuntut persiapan yang tidak hanya berfokus pada stabilisasi kondisi medis, tetapi juga pada peningkatan pemahaman pasien mengenai anestesi sebagai upaya mengurangi ketidakpastian sebelum operasi. Penelitian ini bertujuan menganalisis hubungan antara pengetahuan anestesi dan tingkat kecemasan pada pasien lansia dengan hipertensi yang menjalani persiapan operasi di RSUD dr. Haryoto Lumajang. Penelitian menggunakan desain descriptive correlational dengan pendekatan cross-sectional yang melibatkan 80 responden melalui teknik purposive sampling. Data dikumpulkan menggunakan kuesioner pengetahuan anestesi dan Amsterdam Preoperative Anxiety and Information Scale (APAIS), kemudian dianalisis secara univariat. Hubungan antarvariabel diuji menggunakan korelasi Pearson Product Moment setelah hasil uji normalitas Kolmogorov–Smirnov menunjukkan bahwa data berdistribusi normal (p = 0,200). Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki pengetahuan anestesi pada kategori kurang (68%), sedangkan tingkat kecemasan didominasi kategori panik (46%) dan cemas berat (43%). Analisis korelasi memperlihatkan hubungan negatif yang kuat antara pengetahuan anestesi dan tingkat kecemasan (r = −0,757; p = 0,000), yang mengindikasikan bahwa peningkatan pengetahuan mengenai anestesi berkaitan dengan penurunan kecemasan praoperasi. Temuan ini menunjukkan bahwa edukasi pra-anestesi yang disesuaikan dengan karakteristik pasien geriatri berpotensi meningkatkan kesiapan psikologis sekaligus mendukung pelayanan perioperative yang lebih berorientasi pada kebutuhan pasien.

TANTANGAN STABILISASI PERIOPERATIF DAN DEBRIDEMEN GANGREN FOURNIER PERINEOSKROTAL DENGAN KOMORBID KARDIOVASKULAR DAN METABOLIK DI DAERAH PEDESAAN: SEBUAH LAPORAN KASUS Herjunanto Nur Priyadi; Maulfi Natsir Asy’ari; Muhammad Kemal Atthariq; Jeriullah Jeriullah; Aji Pangki Asmaya
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 3 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i3.12912

ABSTRACT Fournier's gangrene is a rapidly progressive form of necrotizing fasciitis affecting the perineal and genital regions, carrying a high risk of sepsis and mortality when source control is delayed. Clinical management becomes more challenging in patients with uncontrolled type 2 diabetes mellitus and hypertension, as these comorbidities impair immune function and delay tissue healing. This case report describes the perioperative management of a patient treated in a resource-limited hospital based on a retrospective review of medical records, including clinical history, physical examination, laboratory findings, surgical intervention, and follow-up evaluation. A 61-year-old man presented with a one-week history of progressive scrotal swelling accompanied by severe pain and purulent discharge. Clinical assessment revealed a 5 × 5 cm scrotal mass with edema, necrosis, leukocytosis, hyperglycemia, and an HbA1c level of 13.5%. Emergency surgical debridement was performed promptly, followed by broad-spectrum antibiotic therapy, insulin administration for glycemic control, antihypertensive treatment, and multidisciplinary management. Throughout hospitalization, the patient remained hemodynamically stable, local infection was successfully controlled, and the wound demonstrated satisfactory granulation tissue formation, allowing continuation of wound care on an outpatient basis. This clinical experience highlights that integrating timely source control, optimization of metabolic comorbidities, and multidisciplinary collaboration can achieve favorable clinical outcomes even in resource-limited healthcare settings. ABSTRAK Fournier's gangrene merupakan bentuk necrotizing fasciitis yang berkembang sangat cepat pada daerah perineum dan genitalia, dengan risiko tinggi menimbulkan sepsis hingga kematian apabila pengendalian sumber infeksi terlambat dilakukan. Kompleksitas tata laksana semakin meningkat pada pasien dengan diabetes melitus dan hipertensi yang tidak terkontrol karena kedua kondisi tersebut memperburuk respons imun sekaligus menghambat penyembuhan jaringan. Laporan kasus ini menyajikan pengalaman klinis mengenai penatalaksanaan perioperatif seorang pasien di rumah sakit dengan keterbatasan sumber daya melalui penelusuran retrospektif rekam medis yang mencakup anamnesis, pemeriksaan fisik, pemeriksaan laboratorium, tindakan operatif, serta pemantauan klinis hingga kontrol rawat jalan. Seorang laki-laki berusia 61 tahun datang dengan pembengkakan skrotum selama satu minggu disertai nyeri hebat dan keluarnya cairan purulen. Evaluasi klinis menemukan massa skrotum berukuran 5 × 5 cm dengan edema, nekrosis, leukositosis, hiperglikemia, dan kadar HbA1c 13,5%. Pasien segera menjalani debridemen darurat, terapi antibiotik spektrum luas, pengendalian glikemik menggunakan insulin, serta terapi antihipertensi melalui kolaborasi multidisiplin. Kondisi hemodinamik tetap stabil selama perawatan, infeksi lokal berhasil dikendalikan, dan luka memperlihatkan pembentukan jaringan granulasi yang baik hingga pasien dapat melanjutkan perawatan secara rawat jalan. Pengalaman klinis ini memperlihatkan bahwa integrasi source control, optimalisasi komorbid metabolik, dan kolaborasi multidisiplin mampu memberikan luaran klinis yang baik meskipun diterapkan pada fasilitas pelayanan kesehatan dengan sumber daya terbatas.

THE INTERPLAY BETWEEN ORAL HEALTH, SYSTEMIC FRAILTY, AND QUALITY OF LIFE IN THE AGING POPULATION: A COMPREHENSIVE REVIEW OF RECENT ADVANCEMENTS (2009–2025) Susanna Halim; Diana Mayleen Halim
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 3 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i3.13110

The intersection of natural oral aging with severe conditions like periodontitis, chronic xerostomia, and tooth loss significantly compromises geriatric well-being and systemic health. National screening data from 2025 emphasizes this crisis, revealing that approximately 37 percent of the population under sixty has already experienced tooth loss, indicating a broader global public concern. This systematic review comprehensively evaluates the precise impact of physiological aging on hard oral structures, edentulism-related frailty, microbiota balance, and psychosocial prosthetic rehabilitation outcomes. The methodology involved an exhaustive screening and qualitative synthesis of contemporary scientific literature, including clinical trials and observational analyses published between 2009 and 2025. The findings indicate that senescence induces cumulative alveolar bone depletion, enamel thinning, and salivary gland hypofunction, which collectively increase overall malnutrition risks and poor nutritional intake. Crucially, edentulism directly accelerates physical frailty, particularly in older individuals with fewer than 20 functional teeth, while altering oral-gut microbial homeostasis. Conversely, timely oral rehabilitation via implants or removable dentures restores masticatory efficiency and psychological wellness, substantially upgrading quality of life. The main conclusion asserts that severe oral deterioration is largely preventable; integrated overall geriatric care prioritizing the preservation of 20 remaining teeth and vital long-term prosthetic restoration is paramount to mitigating physical decline.

ANALISIS DETERMINAN KEPATUHAN TENAGA KESEHATAN DALAM PENERAPAN PROSEDUR MANAJEMEN TERPADU BALITA SAKIT (MTBS) DI BLUD PUSKESMAS TIMIKA JAYA KABUPATEN MIMIKA PROVINSI PAPUA TENGAH Netty Tengko Allo Rerung; Rosmin M. Tingginehe; Septevanus Rantetoding; Novita Mediati; Muhammad Akbar Nurdin; Yulius Sarungu
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 3 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i3.13491

The Integrated Management of Childhood Illness (IMCI) is a child healthcare strategy designed to improve the comprehensive quality of case management for sick children under five at primary healthcare facilities, yet its success largely depends on healthcare workers' compliance with the established procedural guidelines. This study aimed to analyze the determinants of healthcare workers' compliance with the implementation of IMCI procedures at Timika Jaya Community Health Center, Mimika Regency, Central Papua Province. This study employed a quantitative analytical observational design with a cross-sectional approach, involving 37 healthcare workers providing services to sick children under five within the health center's working area, selected through total sampling. Data were collected using questionnaires and observation checklists, then analyzed using the Chi-Square test and multiple binary logistic regression. The findings showed that knowledge, attitude, IMCI training, and workload were not significantly associated with healthcare workers' compliance, whereas supervisory support and the availability of supporting facilities were significantly associated and emerged as the most dominant factors influencing compliance, with supervisory support being the strongest predictor. This study concludes that healthcare workers' compliance in implementing IMCI is more strongly influenced by organizational factors than by individual factors, indicating that strengthening routine supervision systems and ensuring adequate supporting facilities should be prioritized to improve the quality of IMCI services in resource-limited settings. ABSTRAK Manajemen Terpadu Balita Sakit (MTBS) merupakan strategi pelayanan kesehatan anak yang bertujuan meningkatkan mutu tata laksana balita sakit secara komprehensif di fasilitas kesehatan tingkat pertama, namun keberhasilannya sangat bergantung pada kepatuhan tenaga kesehatan dalam menjalankan prosedur sesuai pedoman. Penelitian ini bertujuan menganalisis determinan kepatuhan tenaga kesehatan dalam penerapan prosedur MTBS di BLUD Puskesmas Timika Jaya, Kabupaten Mimika, Provinsi Papua Tengah. Penelitian menggunakan desain kuantitatif observasional analitik dengan pendekatan cross sectional, melibatkan 37 tenaga kesehatan yang memberikan pelayanan kepada balita sakit di wilayah kerja puskesmas tersebut, dipilih menggunakan teknik total sampling. Data dikumpulkan melalui kuesioner dan lembar observasi, kemudian dianalisis menggunakan uji Chi-Square dan regresi logistik biner berganda. Hasil penelitian menunjukkan bahwa pengetahuan, sikap, pelatihan MTBS, dan beban kerja tidak berhubungan secara bermakna dengan kepatuhan tenaga kesehatan, sedangkan supervisi pimpinan dan ketersediaan sarana pendukung terbukti berhubungan signifikan serta menjadi faktor paling dominan dalam memengaruhi kepatuhan, dengan supervisi pimpinan sebagai prediktor terkuat. Penelitian ini menyimpulkan bahwa kepatuhan tenaga kesehatan dalam penerapan MTBS lebih dipengaruhi oleh faktor organisasi dibandingkan faktor individual, sehingga penguatan sistem supervisi rutin dan pemenuhan sarana pendukung pelayanan perlu menjadi prioritas untuk meningkatkan kualitas pelayanan MTBS di wilayah dengan keterbatasan sumber daya.

PENGARUH KONSELING GIZI TERHADAP STATUS GIZI PASIEN HIV/AIDS DI WAMENA, KABUPATEN JAYAWIJAYA, PROVINSI PAPUA PEGUNUNGAN: EVALUASI PROGRAM DENGAN PENDEKATAN CONTEXT, INPUT, PROCESS, PRODUCT (CIPP) Merlina Tabuni; Dolfinus Yufu Bouway; Rosmin M Tingginehe; Yacob Ruru; Arius Togodly; Martaphina Anggai
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 3 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i3.13492

HIV/AIDS affects patients' nutritional status through increased energy requirements, metabolic disturbances, and reduced appetite caused by opportunistic infections, making nutritional counseling an important intervention whose effectiveness and implementation warrant evaluation. This study aimed to analyze the effect of nutritional counseling on the nutritional status of HIV/AIDS patients in Wamena, Jayawijaya Regency, and to evaluate program implementation using the Context, Input, Process, Product (CIPP) approach. This study employed a mixed-methods approach with an Explanatory Sequential Design. The quantitative phase used a cross-sectional design with total sampling of 166 patients at Wamena Regional Hospital and Wamena Kota Public Health Center, analyzed using a paired difference test. The qualitative phase used an exploratory descriptive case study with 14 informants selected through purposive sampling. Results showed no significant difference in nutritional status before and after counseling (pre-mean 24.974±4.4400; post-mean 24.962±4.2696; mean difference 0.0123; 95% CI −0.3103 to 0.3348; Cohen's d=0.006; p=0.940), with an uneven shift in nutritional status across categories. Qualitative evaluation revealed limited numbers of nutritionists and educational media in the input aspect, irregular counseling schedules in the process aspect, improved knowledge and healthier eating behavior in the output aspect, and weight gain among some patients in the outcome aspect. It is concluded that nutritional counseling showed no statistically significant short-term effect on nutritional status, yet provided benefits for patients' knowledge and eating behavior. Strengthening resources and structuring counseling schedules more systematically are needed. ABSTRAK HIV/AIDS memengaruhi status gizi penderita akibat peningkatan kebutuhan energi, gangguan metabolisme, dan penurunan nafsu makan akibat infeksi oportunistik, sehingga konseling gizi menjadi salah satu intervensi penting yang perlu dievaluasi efektivitas dan pelaksanaannya. Penelitian ini bertujuan menganalisis pengaruh konseling gizi terhadap status gizi pasien HIV/AIDS di Wamena, Kabupaten Jayawijaya, serta mengevaluasi pelaksanaan program menggunakan pendekatan Context, Input, Process, Product (CIPP). Penelitian menggunakan metode campuran dengan desain Explanatory Sequential. Tahap kuantitatif menggunakan rancangan potong lintang dengan total sampling terhadap 166 pasien di RSUD Wamena dan Puskesmas Wamena Kota, dianalisis menggunakan uji beda berpasangan. Tahap kualitatif menggunakan studi kasus deskriptif eksploratif dengan 14 informan yang dipilih secara purposive sampling. Hasil menunjukkan tidak terdapat perbedaan status gizi yang signifikan sebelum dan sesudah konseling (rerata pre 24,974±4,4400; post 24,962±4,2696; mean difference 0,0123; 95% CI −0,3103 hingga 0,3348; Cohen's d=0,006; p=0,940), dengan pergeseran status gizi yang tidak seragam antarkategori. Evaluasi kualitatif menunjukkan keterbatasan ahli gizi dan media edukasi pada aspek input, pelaksanaan konseling yang belum terjadwal rutin pada aspek proses, peningkatan pengetahuan dan perubahan perilaku makan pada aspek output, serta peningkatan berat badan pada sebagian pasien pada aspek outcome. Disimpulkan bahwa konseling gizi belum berpengaruh signifikan secara statistik dalam jangka pendek, namun bermanfaat terhadap pengetahuan dan perilaku makan pasien. Penguatan sumber daya dan penjadwalan konseling yang lebih terstruktur diperlukan.

KOMPLIKASI ORBITA PADA RINOSINUSITIS KRONIS: KARAKTERISTIK DEWASA DAN KESENJANGAN DATA REGIONAL Kevin Anggakusuma Hendrawan; Widia Isa Aprillia Sujana; Julian Hartawan Wijaya
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 3 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i3.13569

ABSTRACT Chronic rhinosinusitis (CRS) may lead to orbital complications due to the spread of inflammation through the lamina papyracea, potentially progressing from preseptal cellulitis to orbital abscess and cavernous sinus thrombosis. This narrative review aimed to synthesize current evidence regarding orbital complications of CRS in adult patients. A literature search was conducted using PubMed, Google Scholar, and international consensus documents for publications from 2021–2026 with keywords related to CRS, orbital complications, and functional endoscopic sinus surgery (FESS). A total of 30 eligible articles were selected through relevance screening, adult population criteria, and full-text availability, then synthesized using a narrative approach by comparing findings on the characteristics, classification, diagnosis, and management of orbital complications in chronic rhinosinusitis. The review found that the most common orbital complications of CRS were mucoceles and chronic orbital abscesses. The Chandler classification remains the primary framework for determining the severity of orbital complications and guiding clinical management, while FESS is the preferred surgical intervention for advanced cases or patients who fail to respond to conservative treatment. This review highlights that early diagnosis, appropriate application of the Chandler classification, and timely therapeutic intervention are essential for improving clinical outcomes. The limited availability of Indonesian data underscores the need for multicenter prospective studies to support the development of evidence-based national clinical guidelines. ABSTRAK Rinosinusitis kronis (RSK) dapat menyebabkan komplikasi orbita akibat penyebaran inflamasi melalui lamina papirasea, yang berpotensi berkembang dari selulitis preseptal hingga abses orbita dan trombosis sinus kavernosus. Tinjauan naratif ini bertujuan mensintesis bukti terkini mengenai komplikasi orbita pada RSK pada pasien dewasa. Penelusuran literatur dilakukan melalui PubMed, Google Scholar, dan dokumen konsensus internasional untuk publikasi tahun 2021–2026 menggunakan kata kunci terkait RSK, komplikasi orbita, dan functional endoscopic sinus surgery (FESS). Artikel diseleksi berdasarkan relevansi, populasi dewasa, dan ketersediaan teks lengkap, sehingga diperoleh 30 artikel yang dianalisis secara naratif. Sintesis dilakukan dengan mengelompokkan temuan berdasarkan karakteristik komplikasi orbita, pendekatan diagnosis, klasifikasi Chandler, serta strategi penatalaksanaan untuk mengidentifikasi pola temuan, kesamaan, dan perbedaan hasil antarpenelitian. Hasil kajian menunjukkan bahwa komplikasi orbita pada RSK umumnya berupa mukokel dan abses orbita kronis. Klasifikasi Chandler tetap menjadi acuan dalam menentukan derajat komplikasi dan tata laksana, sedangkan FESS merupakan terapi utama pada kasus dengan komplikasi lanjut atau yang tidak responsif terhadap terapi konservatif. Kajian ini menegaskan bahwa diagnosis dini, penerapan klasifikasi Chandler, dan pemilihan terapi yang tepat berperan penting dalam meningkatkan luaran klinis. Keterbatasan data di Indonesia menunjukkan perlunya penelitian prospektif multisenter untuk mendukung penyusunan pedoman tata laksana berbasis bukti.

HUBUNGAN KADAR TROPONIN I DENGAN NILAI MEAN PLATELET VOLUME (MPV) DAN NILAI PLATELET LARGE CELL RATIO (P-LCR) PADA PASIEN SINDROM KORONER AKUT Kanaya Aulia Masardi; Evy Diah Woelansari; Wisnu Istanto; Suliati Suliati
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 3 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i3.13590

ABSTRACT Acute coronary syndrome (ACS) is a cardiovascular emergency caused by a sudden reduction in myocardial blood flow due to coronary artery obstruction, resulting in myocardial injury. Cardiac Troponin I is a specific biomarker of myocardial damage, whereas Mean Platelet Volume (MPV) and Platelet Large Cell Ratio (P-LCR) are indicators of platelet activity associated with atherothrombotic processes. This study aimed to analyze the relationship between Troponin I levels and MPV and P-LCR values in patients with ACS at Haji Regional General Hospital, East Java Province. An analytical observational study with a cross-sectional design was conducted from January to February 2026. A total of 30 patients diagnosed with ACS were selected using purposive sampling. Troponin I levels were measured using the Fluorescence Immunoassay method, while MPV and P-LCR were assessed using fluorescence flow cytometry. Data were analyzed using Spearman correlation analysis. The results showed that the mean Troponin I level was 2.49 ng/mL, the mean MPV was 10.29 fL, and the mean P-LCR was 26.63%. Spearman analysis demonstrated a significant positive correlation between Troponin I and MPV (p=0.047; r=0.365) as well as between Troponin I and P-LCR (p=0.039; r=0.380). It can be concluded that increased Troponin I levels are associated with elevated platelet activity parameters, indicating that MPV and P-LCR may serve as supportive hematological markers in the evaluation of patients with acute coronary syndrome. ABSTRAK Sindrom koroner akut (SKA) merupakan kegawatdaruratan kardiovaskular yang disebabkan oleh penurunan aliran darah ke miokard akibat penyumbatan arteri koroner dan berpotensi menimbulkan kerusakan jaringan jantung. Troponin I dikenal sebagai biomarker spesifik cedera miokard, sedangkan Mean Platelet Volume (MPV) dan Platelet Large Cell Ratio (P-LCR) merupakan indikator aktivitas trombosit yang berperan dalam proses aterotrombosis. Penelitian ini bertujuan menganalisis hubungan kadar Troponin I dengan nilai MPV dan P-LCR pada pasien SKA di RSUD Haji Provinsi Jawa Timur. Penelitian menggunakan desain observasional analitik dengan pendekatan cross-sectional yang dilaksanakan pada Januari–Februari 2026. Sebanyak 30 pasien SKA dipilih menggunakan teknik purposive sampling. Pemeriksaan Troponin I dilakukan dengan metode Fluorescence Immunoassay, sedangkan MPV dan P-LCR diperiksa menggunakan metode fluorescence flow cytometry. Analisis hubungan antarvariabel dilakukan menggunakan uji korelasi Spearman. Hasil penelitian menunjukkan rata-rata kadar Troponin I sebesar 2,49 ng/mL, MPV sebesar 10,29 fL, dan P-LCR sebesar 26,63%. Uji Spearman menunjukkan terdapat hubungan positif yang bermakna antara kadar Troponin I dengan MPV (p=0,047; r=0,365) serta antara kadar Troponin I dengan P-LCR (p=0,039; r=0,380). Disimpulkan bahwa peningkatan kadar Troponin I berkaitan dengan peningkatan parameter aktivitas trombosit, sehingga MPV dan P-LCR berpotensi menjadi parameter hematologi pendukung dalam evaluasi kondisi pasien sindrom koroner akut.

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name -

Contact Email jurnal.P4I@gmail.com

Phone +6289681071805

Journal Mail Official jurnal.P4I@gmail.com

Editorial Address Lingkungan Handayanai, Kel. Leneng, Kec. Praya, Kab. Lombok Tengah

Location Unknown, Unknown INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
-

Contact Email
jurnal.P4I@gmail.com

Phone
+6289681071805

Journal Mail Official
jurnal.P4I@gmail.com

Editorial Address
Lingkungan Handayanai, Kel. Leneng, Kec. Praya, Kab. Lombok Tengah

Location
Unknown,

Unknown

INDONESIA