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Zidnal Falah
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INDONESIA
Jurnal Sehat Indonesia (JUSINDO)
Published by Publikasi Indonesia
ISSN : 27753077     EISSN : 27750892     DOI : 10.36418
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Ruang lingkup dan fokus penelitian terkait bidang kajian dengan penekanan pada pendekatan, yang meliputi: Kesehatan Masyarakat, Kesehatan dan Keselamatan Kerja (Kesehatan Kerja; Hyperkes), Kebijakan Kesehatan (dan Analis Kesehatan), Ilmu Gizi, Epidemiologi, Teknik Kesehatan Lingkungan, Promosi Kesehatan, Asuransi Jiwa dan Ilmu Kesehatan, Kesehatan Lingkungan, Ilmu Olah Raga, Ilmu Keperawatan, Kebidanan, Administrasi Rumah Sakit, Entomologi (Kesehatan, Fitopatologi), Ilmu Biomedis, Ergonomi, Fisiologi Kerja, Fisioterapi, Analis Medis, Fisiologi (Olahraga ), Reproduksi (Biologi dan Kesehatan), Akupunktur, Rehabilitasi Medis.
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 450 Documents
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Management of Post-Mastoidectomy Retroauricular Wound Dehiscence Using Advancement Flap: Case Report Pratiwi, Dewi; Monica, Desnita
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 1 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i1.505

Abstract

Mastoidectomy with tympanoplasty commonly requires a postauricular incision and may be complicated by retroauricular wound dehiscence, particularly in the presence of infection, tissue tension, or impaired local perfusion. Persistent wound dehiscence can delay healing, compromise cosmetic outcomes, and necessitate secondary reconstructive procedures. Local advancement flaps and skin grafting are among the reconstructive options described. The purpose to report the clinical outcome of post-mastoidectomy retroauricular wound dehiscence managed using an advancement flap and review supporting evidence for this technique. Case report: A 52-year-old man with chronic suppurative otitis media with cholesteatoma underwent canal wall up mastoidectomy with tympanoplasty. During postoperative follow-up, retroauricular wound dehiscence complicated by local infection was identified. Surgical reconstruction was performed using a retroauricular advancement flap under general anesthesia. Postoperative follow-up demonstrated satisfactory wound closure, progressive epithelialization, and acceptable cosmetic outcomes, with no recurrence or major complications. Clinical question: Does advancement flap reconstruction offer better outcomes compared to skin grafting in post-mastoidectomy retroauricular wound dehiscence? Method: A literature search was conducted in PubMed, ScienceDirect, and Google Scholar to identify relevant studies on the management of post-mastoidectomy retroauricular wound dehiscence using advancement flaps or skin grafts. Seven relevant articles were identified. Case reports and small case series demonstrated high primary wound closure rates and low recurrence following advancement flap reconstruction. Skin grafting facilitated epithelialization in selected cases but showed variable outcomes in compromised wound beds. Advancement flap reconstruction is an effective and reliable option for managing retroauricular wound dehiscence following mastoidectomy, particularly in chronic or infected wounds.
Models and Effectiveness of Structured Discharge Planning in the Poststroke Care Transition: A Systematic Literature Review Imanuella, Imanuella; Sida Puspaningrum, Azzahra; Yunila, Ragil; Nur Pratiwi, Ika
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 1 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i1.510

Abstract

The transition of care from hospital to home among post-stroke patients is a critical phase associated with risks of functional decline, rehospitalization, and increased caregiver burden. However, limited studies specifically examine the core components of structured discharge planning and its effectiveness across different healthcare contexts. This research aims to synthesize recent evidence on discharge planning models and their effects on post-stroke outcomes, including functional independence, quality of life, rehospitalization, and caregiver-related outcomes. A Systematic Literature Review was conducted following PRISMA 2020 guidelines, with searches in PubMed, Scopus, ProQuest, SAGE, and ScienceDirect for studies published between 2020 and 2025. A total of 22 studies met the inclusion criteria from an initial 641 articles and were analyzed using a narrative-thematic approach. The results indicate that most studies demonstrate high methodological quality, with three main findings: variations in discharge planning models (ESD, TCM, family-based, and telehealth), the central role of nurses in coordination and education, and positive outcomes such as improved activities of daily living, quality of life, self-efficacy, and caregiver resilience, as well as reduced readmission and psychological distress. In conclusion, structured and collaborative discharge planning involving family support is effective in improving transitional care quality, although variations in interventions and outcomes should be considered when interpreting the findings.
Systematic Review Factors that Affect the Occurrence of Stunting Pujianti, Rahmah; Kalsum, Ummi; Noerjoedianto, Dwi
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 1 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i1.515

Abstract

Stunting in children aged 24 to 59 months is a health issue related to parenting patterns, social conditions, and family habits in meeting children's needs. This research aims to describe the factors related to the occurrence of stunting based on a review of six field research articles published between 2020 and 2025. Systematic review was conducted by searching articles in PubMed, Google Scholar, and Science Direct databases using keywords "stunting", "factors", "children 24 to 59 months", “health”, and "economy" with inclusion criteria: journal articles from the last 5 years, full text, English/Indonesian language. The results found 6 articles that meet the criteria. The results show that the occurrence of stunting in children aged 24 to 59 months is related to the dynamics of family life, starting from parenting patterns, feeding habits, social conditions, to the household economic situation. The dynamics of family life, starting from parenting patterns, feeding habits, social conditions, to the household economic situation affects the occurrence of stunting in children aged 24 to 59 months.
The Relationship Between Knowledge, Attitudes, and Supporting Factors Among Women of Reproductive Age Regarding Cervical Cancer and Their Interest in Undergoing an Iva Test in the Service Area of the Talun Community Health Center, Cirebon Regency Rohendi, Cecep; Affandi, Thysa Thysmelia; Fauzah , Thysa Shofa Nur
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 1 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i1.519

Abstract

Cervical cancer is the 4th leading cause of death in women worldwide and the 2nd in Indonesia. The prevalence of cervical cancer in 2022 in Asia was 1,186,812 cases, Indonesia 36,964 cases, West Java 565 cases. Early detection of cervical cancer can be done using the IVA test method. There are several factors for WUS in conducting the IVA test, including knowledge, attitude, supporting factors and interest. This research aimed to To determine the correlation between knowledge, attitudes and supporting factors of women in reproductive age regarding cervical cancer with interest in conducting IVA tests in the working area of Talun Health Center, Cirebon Regency. This research used an analytic observational design to 100 women of reproductive age in the working area of Talun Health Center using a cross-sectional approach with a questionnaire. Data analysis used the Spearman correlation test (bivariate) and logistic regression test (multivariate). The result bivariate analysis showed a significant correlation between women of reproductive age's knowledge (P<0.05), attitude (P<0.05), and supporting factors based on affordability (P<0.05), information sources (P<0.05), and accessibility of health facilities (P<0.05) with interest to commit IVA test. Multivariate analysis showed attitude sources were the most influential factor on the interest in conducting the IVA test (P<0.05). Attitude is the most significant factor correlated with the willingness of women of reproductive age in the Talun Community Health Center working area to undergo IVA tests. Therefore, healthcare providers should enhance educational efforts and understanding regarding cervical cancer and the IVA test.
Comparing the Oncological Risk of Hormonal and Non-Hormonal Contraceptives in Cervical Cancer: A Literature Review Hasna Putri, Haifa; Paramitha , Fiona
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 1 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i1.523

Abstract

Cervical cancer is a malignancy with high morbidity and mortality rates among women worldwide, including Indonesia. While high-risk HPV (hr-HPV) infection is the primary cause, contraceptive use is strongly suspected to act as a significant cofactor in cervical carcinogenesis. This research aims to analyze the comparison of cervical cancer risk between hormonal and non-hormonal contraceptive use through a comprehensive literature review. The study design was a literature review with a systematic search strategy on PubMed and Google Scholar databases. Ten original research articles (5 national and 5 international journals) published between 2016 and 2026 were selected based on inclusion and exclusion criteria. The analysis results showed that 60% of the studies reported a significant association between long-term hormonal contraceptive use ≥ 5 years and an increased risk of cervical cancer, with Odds Ratio (OR) values ranging from 2.4 to 7.0. In contrast, non-hormonal contraceptive use, specifically the Intrauterine Device (IUD), consistently showed a lower risk profile or provided a protective effect against pre-cancerous lesions. However, some studies showed variations influenced by confounding factors such as age at first marriage and parity. Long-term hormonal contraceptive use is associated with an increased risk of cervical cancer, while non-hormonal contraceptives (IUD) have a better oncological safety profile. Comprehensive counseling and routine screening (VIA/Pap Smear) are required for contraceptive acceptors, especially long-term hormonal method users.
Iron Deficiency n Pregnancy and its Impact on Mother and Fetus: A Systematic Review in Experimental Animal Models Dinda Fachri; Ahmad Aulia Jusuf
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 1 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i1.511

Abstract

Iron deficiency is a common nutritional problem during pregnancy and is associated with maternal anemia and adverse pregnancy outcomes. Although clinical evidence in humans is widely available, mechanistic understanding of the impact of iron deficiency on the materno-fetal unit is still limited and requires support from experimental animal studies. This systematic review aims to comprehensively review the evidence from animal studies on the impact of iron deficiency during pregnancy on maternal health, placental function, and fetal development. Literature searches were conducted on PubMed, Scopus, and Web of Science databases for articles published between 2016–2025, following PRISMA guidelines. Studies that used models of pregnant animals with iron deficiency induction and reported maternal or fetal outcomes were included. Bias risk assessment was carried out using the SYRCLE tool. Seven studies met the inclusion criteria. Consistently, maternal iron deficiency causes anemia in the mother, placental dysfunction, increased oxidative stress, and inhibition of fetal growth and development. Evidence from animal models confirms the important role of iron in maintaining pregnancy health and provides a translationally relevant mechanistic basis for conditions in humans.
The Relationship Between Age, Stress Levels, Physical Activity, and Sleep Quality and The Incidence of Hypertension Among The Elderly Latifah Oktafianti; Veni Fatmawati; Riska Risty Wardhani
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 1 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i1.513

Abstract

Hypertension is a condition of elevated blood pressure >140/90 mmHg, which is influenced by various factors. One non-modifiable factor is age, as increasing age leads to a decrease in blood vessel elasticity, which increases the risk of hypertension. Furthermore, modifiable factors such as low physical activity, stress levels, and poor sleep quality also play a role in increasing blood pressure. To determine the relationship between age, stress levels, physical activity, and sleep quality with the incidence of hypertension. This study is an observational study with a total sampling technique and uses the Spearman rank test. The sample in this study were elderly people at the Aisyiyah Pajangan Branch with a population of 120 elderly people and 71 elderly people suffered from hypertension. The variables in this study were age, stress level, physical activity and sleep quality as independent variables and hypertension as dependent. The measuring instruments used were the Perceived Stress Scale (PSS-10) for stress levels, the Physical Activity Scale for Elderly (PASE) for physical activity, the Pittsburgh Sleep Quality Index (PSQI) for sleep quality and a sphygmomanometer to measure blood pressure. There is no relationship between age and hypertension p=0.463 (p>0.05), there is no relationship between stress levels and hypertension p=0.324 (p>0.05), there is a relationship between physical activity and hypertension p=0.023 (p<0.05), and there is no relationship between sleep quality and hypertension p=0.413 (p>0.05). There is no relationship between age, stress level, sleep quality and the incidence of hypertension and there is a relationship between physical activity and the incidence of hypertension.
Predictors of Self-Efficacy in Patients with Chronic Obstructive Pulmonary Disease Scholastica Fina Aryu Puspasari
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 1 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i1.514

Abstract

Chronic obstructive pulmonary disease (COPD) is a growing global health concern with increasing morbidity and mortality. Self-efficacy plays a key role in COPD self-management, influencing patients’ ability to control symptoms, perform daily activities, manage emotions, and access health information. Identifying factors that affect self-efficacy is essential to improve patient outcomes and quality of life. This quantitative cross-sectional study involved 100 outpatient COPD patients at Respira Hospital Yogyakarta. Data were collected using the validated Indonesian version of the Chronic Self-Management Scale (CSMS) and analyzed through univariate and multiple linear regression methods. The mean self-efficacy score was 35.83 (SD = 7.609). Regression analysis showed that symptom management, activity management, emotional management, and information management collectively had a significant effect on self-efficacy (p = 0.001; R = 0.582; R² = 0.339). Partially, emotional management (p < 0.001) and information management (p = 0.026) were significant predictors, while symptom management (p = 0.092) and activity management (p = 0.266) were not. In conclusion, emotional and information management are key predictors of self-efficacy in COPD patients, with emotional management as the most dominant factor. Interventions should prioritize emotional regulation and improving health literacy to enhance self-efficacy and overall quality of life.
Neuroprotective Effects of Antioxidants in Alzheimer's Dementia: A Literature Review Komang Trisna Sumadewi; Saktivi Harkitasari; Ni Putu Diah Witari; Fransiscus Fiano Anthony
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 1 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i1.521

Abstract

This research aims to analyze the neuroprotective effects of antioxidants in Alzheimer’s disease (AD) by examining their roles in mitigating oxidative stress and related pathological mechanisms. The research employs a qualitative design with a descriptive approach through a literature review, utilizing secondary data from peer-reviewed scientific articles and relevant academic sources. Data were collected through systematic literature searching and analyzed using thematic qualitative methods, including data reduction, categorization, and inductive interpretation. The findings indicate that oxidative stress plays a central role in AD pathogenesis by interacting with amyloid-beta accumulation, tau hyperphosphorylation, mitochondrial dysfunction, neuroinflammation, and metabolic dysregulation. Antioxidants, particularly mitochondria-targeted compounds and natural bioactive substances such as polyphenols and flavonoids, demonstrate significant neuroprotective potential through multi-target mechanisms. However, their clinical effectiveness is limited by factors such as low bioavailability and restricted blood–brain barrier penetration. These findings highlight the importance of developing multi-target therapeutic strategies and advanced drug delivery systems to enhance treatment efficacy. In conclusion, this study contributes to a deeper understanding of the role of antioxidants in AD and supports the shift toward integrative and system-based approaches in neurodegenerative disease management.
The Relationship between the Level of Adherence to Antenatal Care and the Incidence of Chronic Energy Deficiency among Pregnant Women in Areas with a High Prevalence of Intellectual Disabilities Aniek Luftyannisa; Arief Prijatna
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 1 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i1.529

Abstract

Chronic energy deficiency among pregnant women remains an important maternal nutrition problem because it may increase the risk of adverse pregnancy outcomes and reflects inadequate nutritional status during pregnancy. Antenatal care adherence is expected to support early detection and prevention of nutritional disorders through routine maternal assessment, nutritional counseling, and anthropometric monitoring. This study aimed to analyze the relationship between antenatal care adherence and the incidence of chronic energy deficiency among pregnant women in Karangpatihan Village, Balong District, Ponorogo Regency, an area known for a high prevalence of intellectual disability. This study used an analytic observational design with a cross-sectional approach. The study population consisted of pregnant women who met the inclusion criteria and had complete data on antenatal care visits and mid-upper arm circumference measurement. Antenatal care adherence was categorized as adherent when respondents completed at least six visits and non-adherent when fewer than six visits were recorded. Chronic energy deficiency was defined as mid-upper arm circumference below 23.5 cm. Data were analyzed using the Chi-Square test. Among 70 respondents, 42 respondents (60%) were non-adherent to antenatal care and 39 respondents (55.7%) experienced chronic energy deficiency. Bivariate analysis showed a significant relationship between antenatal care adherence and chronic energy deficiency (p = 0.001; OR = 0.189; 95% CI: 0.067–0.535). These findings indicate that antenatal care adherence may have a protective role against chronic energy deficiency among pregnant women.

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