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Jurnal Kesehatan Akimal
Published by Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe
ISSN : 26150573     EISSN : 29633338     DOI : https://doi.org/10.58435/jka.v1i2
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Kesehatan Akimal is a scientific journal which Published by Nursing Academic of Kesdam Iskandar Muda Lhokseumawe. The editors welcome scientific articles relevant to National and International medical nursing and health issues. This journal accepts submissions from all countries and Indonesia. The journal is published twice a year. This journal is expected to be a medium of interaction for people interested in the world of health, including health service organizations, health services departments, relevant government agencies, the drug industry, health insurance, health researchers, and related sciences teachers, scientists who are interested in the application of science in the health sector. The Journal contents can be articles that are relevant to clinical and social health issues in the form of research articles, literature review articles, or field report articles . The topics of interenst include but are not limited to: Gerontik Nursing Surgical Mesdical Nursing Disaster and Emergency Nursing Mental Nursing General/Service Public Health Health Education and Promotion Health Management Disease Prevention Maternity and Child care Neonatology Health and Social Behavior Nutrition and Health Food Safety Hygiene Food technology related to Disease Prevention and Rehabilitation Environmental Health
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 157 Documents
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ANALISIS MULTIVARIAT FAKTOR PENGETAHUAN, SIKAP, BUDAYA, DAN MOTIVASI TERHADAP KESEHATAN REPRODUKSI PRANIKAH UNTUK MENCEGAH STUNTING Tri Sunarsih
Jurnal Kesehatan Akimal Vol 5 No 1 (2026): EDISI APRIL 2026
Publisher : Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58435/jka.v5i1.237

Abstract

Latar Belakang penelitian ini bahwa stunting masih menjadi masalah kesehatan masyarakat di Indonesia yang perlu dicegah sejak masa prakonsepsi. Kesehatan reproduksi pranikah berperan penting dalam mempersiapkan kehamilan yang sehat, namun faktor pengetahuan, sikap, budaya, dan motivasi sering dianalisis secara terpisah sehingga belum memberikan gambaran yang komprehensif. Penelitian ini bertujuan menganalisis pengaruh pengetahuan, sikap, budaya, dan motivasi terhadap kesehatan reproduksi pranikah pada calon pengantin menggunakan analisis multivariat. Metode penelitian ini menggunakan metode kuantitatif dengan desain analitik observasional dan pendekatan cross-sectional dilakukan di KUA Kabupaten Kulon Progo. Sampel sebanyak 260 responden dipilih menggunakan proportionate random sampling. Data dikumpulkan dengan kuesioner valid dan reliabel, kemudian dianalisis menggunakan regresi logistik berganda. Hasil penelitian yaitu seluruh variabel independen signifikan pada model awal (p<0,001). Namun, pada analisis multivariat hanya pengetahuan yang berpengaruh signifikan (p<0,001; OR=3,130). Variabel sikap, budaya, dan motivasi tidak signifikan (p>0,05), meskipun menunjukkan kecenderungan positif. Model menjelaskan 52,9% variasi (Nagelkerke R²=0,529). Kesimpulan penelitian ini bahwa pengetahuan merupakan faktor dominan yang mempengaruhi kesehatan reproduksi pranikah. Peningkatan edukasi kesehatan reproduksi pada calon pengantin diperlukan untuk meningkatkan kesiapan prakonsepsi dan mendukung pencegahan stunting.
HUBUNGAN PENGETAHUAN KELUARGA TENTANG POLA MAKAN DENGAN STATUS GIZI ANAK (TODDLER) DI DESA PULO GISA KECAMATAN GANDAPURA KABUPATEN BIREUEN Bukhari; Nesa Fatna
Jurnal Kesehatan Akimal Vol 5 No 1 (2026): EDISI APRIL 2026
Publisher : Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58435/jka.v5i1.239

Abstract

Status gizi anak usia toddler sangat dipengaruhi oleh pola makan yang diberikan keluarga, meliputi frekuensi makan, jumlah makanan, dan variasi makanan. Pengetahuan keluarga yang baik mengenai pola makan sehat berperan penting dalam mendukung pemenuhan kebutuhan gizi anak sesuai tahap pertumbuhan dan perkembangannya. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan keluarga tentang pola makan dengan status gizi anak usia toddler di Desa Pulo Gisa Kecamatan Gandapura Kabupaten Bireuen. Penelitian ini menggunakan desain deskriptif korelasional dengan pendekatan potong lintang. Sampel penelitian berjumlah 35 keluarga yang memiliki anak usia toddler dan dipilih menggunakan teknik total sampling. Data dikumpulkan menggunakan kuesioner pengetahuan pola makan yang terdiri dari 16 pertanyaan mencakup frekuensi makan, jumlah makanan, dan variasi makanan, serta penilaian status gizi anak. Analisis data dilakukan secara univariat dan bivariat dengan tingkat signifikansi α = 0,05. Hasil penelitian menunjukkan bahwa sebagian besar keluarga memiliki pengetahuan tentang pola makan dalam kategori tinggi yaitu 54,3%. Pada subvariabel frekuensi makan dan jumlah makanan, masing-masing sebanyak 60% responden berada pada kategori tinggi, sedangkan pada subvariabel variasi makanan sebanyak 51,4% responden berada pada kategori tinggi. Hasil analisis bivariat menunjukkan terdapat hubungan antara pengetahuan keluarga tentang pola makan dengan status gizi anak usia toddler dengan nilai p = 0,002. Selain itu, terdapat hubungan antara pengetahuan keluarga mengenai frekuensi makan dengan status gizi anak dengan nilai p = 0,005, jumlah makanan dengan nilai p = 0,002, dan variasi makanan dengan nilai p = 0,001. Penelitian ini menyimpulkan bahwa pengetahuan keluarga tentang pola makan berhubungan dengan status gizi anak usia toddler. Diharapkan tenaga kesehatan, khususnya perawat komunitas dan keluarga, dapat meningkatkan penyuluhan serta promosi kesehatan tentang pola makan sehat untuk mendukung status gizi anak secara optimal.
HUBUNGAN TINGKAT PENGETAHUAN TENTANG PENYAKIT KULIT DENGAN KEPATUHAN BEROBAT: STUDI CROSS-SECTIONAL DI POLI KULIT RUMAH SAKIT MULIA RAYA Annadya Sarah; Wafiq Akmal
Jurnal Kesehatan Akimal Vol 5 No 1 (2026): EDISI APRIL 2026
Publisher : Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58435/jka.v5i1.259

Abstract

Latar Belakang: Penyakit kulit masih menjadi salah satu masalah kesehatan yang memiliki angka kejadian tinggi dan dapat memengaruhi kondisi fisik, psikologis, serta kualitas hidup penderitanya. Keberhasilan pengobatan tidak hanya ditentukan oleh ketepatan diagnosis dan terapi, tetapi juga dipengaruhi oleh tingkat pengetahuan pasien mengenai penyakit yang dideritanya sehingga dapat meningkatkan kepatuhan dalam menjalani pengobatan. Tujuan: Menganalisis hubungan antara tingkat pengetahuan tentang penyakit kulit dengan kepatuhan berobat pada pasien rawat jalan di Poli Kulit Rumah Sakit Mulia Raya. Metode: Penelitian kuantitatif dengan desain analitik observasional menggunakan pendekatan cross-sectional. Penelitian dilaksanakan pada Juni–Juli 2026 dengan melibatkan 82 responden yang dipilih menggunakan teknik accidental sampling. Data dikumpulkan menggunakan kuesioner tingkat pengetahuan dan kepatuhan berobat, kemudian dianalisis secara deskriptif dan menggunakan uji Chi-Square pada tingkat signifikansi 0,05. Hasil: Sebagian besar responden memiliki tingkat pengetahuan yang baik (86,6%) dan termasuk kategori patuh berobat (70,7%). Hasil uji Chi-Square menunjukkan terdapat hubungan yang signifikan antara tingkat pengetahuan tentang penyakit kulit dengan kepatuhan berobat (χ² = 14,142; p < 0,001). Responden dengan tingkat pengetahuan yang lebih baik cenderung memiliki kepatuhan berobat yang lebih tinggi. Kesimpulan: Mayoritas pasien rawat jalan di Poli Kulit Rumah Sakit Mulia Raya Kabupaten Aceh Timur memiliki tingkat pengetahuan yang baik mengenai penyakit kulit dan menunjukkan kepatuhan berobat yang baik. Terdapat hubungan yang bermakna secara statistik antara tingkat pengetahuan tentang penyakit kulit dengan kepatuhan berobat, di mana pasien dengan tingkat pengetahuan yang baik cenderung memiliki kepatuhan berobat yang lebih tinggi. Temuan ini menunjukkan bahwa peningkatan pengetahuan pasien dapat menjadi salah satu upaya untuk mendukung kepatuhan berobat pada pasien penyakit kulit.
KARAKTERISTIK PASIEN TINDAKAN OPERASI DI RUMAH SAKIT MULIA RAYA: STUDI DESKRIPTIF RETROSPEKTIF Rijal Khairul; Wafiq Akmal
Jurnal Kesehatan Akimal Vol 5 No 1 (2026): EDISI APRIL 2026
Publisher : Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58435/jka.v5i1.260

Abstract

Latar Belakang:Karakteristik pasien operasi penting untuk evaluasi pelayanan bedah dan anestesi serta menjadi dasar perencanaan sumber daya dan peningkatan mutu pelayanan perioperatif. Karakteristik pasien operasi di Rumah Sakit Mulia Raya belum pernah dilaporkan secara ilmiah. Tujuan:Mendeskripsikan karakteristik pasien yang menjalani tindakan operasi di Rumah Sakit Mulia Raya selama Juli 2026. Metode:Penelitian deskriptif retrospektif menggunakan data sekunder dari rekam medis dan register kamar operasi. Sampel ditentukan dengan total sampling terhadap seluruh pasien yang menjalani operasi selama Juli 2026 dan memenuhi kriteria inklusi. Variabel meliputi usia, jenis kelamin, bidang bedah, status operasi, klasifikasi status fisik American Society of Anesthesiologists (ASA), jenis anestesi, ruang pemulihan pascaoperasi, dan jenis operasi. Data dianalisis secara deskriptif menggunakan distribusi frekuensi, persentase, rerata, simpangan baku, median, dan rentang. Hasil:Sebanyak 24 pasien memenuhi kriteria penelitian. Rerata usia 39,4 ± 14,0 tahun dan 66,7% berjenis kelamin perempuan. Bidang bedah terbanyak adalah Obstetri dan Ginekologi (37,5%), dengan Sectio Caesarea sebagai jenis operasi terbanyak (33,3%). Sebagian besar pasien menjalani operasi elektif (95,8%), berstatus ASA I (95,8%), dan mendapatkan anestesi spinal (79,2%). Seluruh pasien menjalani observasi di Recovery Room sebelum dipindahkan ke ruang perawatan. Kesimpulan: Pasien operasi di Rumah Sakit Mulia Raya selama Juli 2026 didominasi perempuan usia dewasa, dengan pelayanan terbanyak dari bidang Obstetri dan Ginekologi. Mayoritas menjalani operasi elektif, berstatus ASA I, dan mendapatkan anestesi spinal. Temuan ini dapat menjadi data dasar untuk evaluasi dan pengembangan pelayanan bedah, anestesi, dan perioperatif.
HUBUNGAN KARAKTERISTIK DEMOGRAFI DENGAN SELF-MANAGEMENT HIPERTENSI PADA LANSIA: STUDI CROSS-SECTIONAL DI ACEH UTARA Furqan Hidayatullah; Wafiq Akmal
Jurnal Kesehatan Akimal Vol 5 No 1 (2026): EDISI APRIL 2026
Publisher : Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58435/jka.v5i1.261

Abstract

Hipertensi merupakan masalah kesehatan kronis yang memerlukan keterlibatan aktif pasien dalam pengelolaannya melalui self-management. Karakteristik demografi, seperti umur, jenis kelamin, dan pekerjaan, diduga berkaitan dengan kemampuan individu dalam menjalankan pengobatan dan mempertahankan perilaku hidup sehat. Penelitian ini bertujuan menganalisis hubungan karakteristik demografi dengan self-management hipertensi pada lansia di Desa U Baroh, Kecamatan Cot Girek, Kabupaten Aceh Utara. Penelitian menggunakan desain kuantitatif analitik observasional dengan pendekatan cross-sectional. Populasi penelitian berjumlah 229 penderita hipertensi, dengan sampel 70 responden yang dipilih menggunakan simple random sampling. Data dikumpulkan menggunakan kuesioner terstruktur dan dianalisis secara univariat serta bivariat menggunakan uji Chi-Square dengan tingkat kemaknaan α=0,05. Hasil penelitian menunjukkan bahwa responden terbanyak berada pada kelompok umur 45–59 tahun, yaitu 41 responden (58,6%), dengan 32 responden (78,0%) memiliki self-management baik. Terdapat hubungan signifikan antara umur dengan self-management hipertensi (p=0,027). Proporsi self-management baik pada laki-laki sebesar 83,3% dan perempuan 52,9%, dengan hubungan signifikan antara jenis kelamin dan self-management (p=0,006). Responden yang tidak bekerja memiliki proporsi self-management baik tertinggi, yaitu 26 responden (83,9%), sedangkan self-management kurang paling banyak pada karyawan swasta (60,0%); pekerjaan berhubungan signifikan dengan self-management (p=0,041). Disimpulkan bahwa umur, jenis kelamin, dan pekerjaan berhubungan dengan self-management hipertensi. Edukasi dan pendampingan perlu mempertimbangkan karakteristik demografi agar sesuai dengan kebutuhan individu. Temuan ini menegaskan pentingnya pendekatan pengelolaan hipertensi yang berorientasi pada karakteristik individu. Penyesuaian edukasi, pendampingan keluarga, dan pemantauan perilaku kesehatan berdasarkan karakteristik demografi dapat mendukung penerapan self-management secara berkelanjutan dan optimal pada penderita hipertensi di masyarakat. Penelitian lanjutan perlu mengkaji faktor lain yang berhubungan dengan self-management.
Application Of Moist Wound Healing In An Infected Wound Following Perforated Appendectomy: A Nursing Case Study Liza Phonna; Suriani; Alhuda; Dedy Ahmady
Jurnal Kesehatan Akimal Vol 5 No 2 (2026): EDISI OKTOBER 2026
Publisher : Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58435/jka.v5i2.229

Abstract

Background: Perforated appendicitis is an emergency condition that requires immediate surgical intervention and carries a high risk of complications, particularly surgical site infection. Inadequately managed wound infections may progress to serious complications, such as sepsis, increasing patient morbidity and mortality. Therefore, effective and evidence-based wound management is essential to accelerate healing and prevent further complications. Objective: This study aimed to describe the management of an infected postoperative wound following perforated appendectomy using a moist wound healing approach. Method: A case study was conducted involving one patient with an infected postoperative wound measuring 20 cm in length, 5 cm in width, and 6 cm in depth, accompanied by purulent exudation and an unpleasant odor. The intervention included opening the sutures to facilitate exudation drainage, debridement to remove necrotic tissue, and subsequent wound care using the moist wound healing approach with modern dressings tailored to the wound condition. Wound progress was evaluated regularly over 12 weeks by monitoring wound size, exudation volume, and signs of infection. Results: After four weeks of treatment, healthy granulation tissue had developed, accompanied by reduced exudation and resolution of the wound odor. By week 12, the wound had achieved complete epithelialization without signs of ongoing infection. Conclusion: The combination of debridement and moist wound healing was effective in managing an infected wound following perforated appendectomy, promoting wound healing and potentially reducing the risk of serious complications, such as sepsis.
The Association between Nurses’ Workload and Nursing Care Implementation in the Inpatient Wards of Avicenna Hospital Bireuen Nesa Fatna; Bukhari
Jurnal Kesehatan Akimal Vol 5 No 2 (2026): EDISI OKTOBER 2026
Publisher : Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58435/jka.v5i2.238

Abstract

Background: Nurses play an essential role in providing comprehensive and effective hospital care. However, heavy workloads and professional demands may affect the quality of nursing care, particularly in inpatient settings. Objective: This study aimed to determine the relationship between nurses’ workload and the implementation of nursing care in the inpatient ward of Avicenna Bireuen Hospital. Methods: This study employed a quantitative correlational design with a cross-sectional approach. Data were collected from nurses working in the inpatient ward. Univariate analysis was conducted to describe the research variables, while bivariate analysis was used to examine the relationship between workload and nursing care implementation. Results: The univariate analysis showed that 21 respondents (46.7%) experienced a low workload, while 25 respondents (55.6%) demonstrated good implementation of nursing care. The bivariate analysis revealed a statistically significant relationship between nurses’ workload and the implementation of nursing care (p = 0.001), which was below the significance level of 0.05. Conclusion: Nurses’ workload was significantly associated with the implementation of nursing care. Hospital management should strengthen workload management and provide structured training on standardized nursing care in accordance with Indonesian Ministry of Health guidelines to improve nursing performance and healthcare service quality.
The Relationship Between Knowledge And PPE Use And Dermatitis Prevention Among Fishers In The Coastal Area Of Lhokseumawe Devi Aprilia; Erna Masdiana; Maulida Sari; Fatmawati
Jurnal Kesehatan Akimal Vol 5 No 2 (2026): EDISI OKTOBER 2026
Publisher : Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58435/jka.v5i2.241

Abstract

Background: Dermatitis is an occupational skin disease that may affect fishers due to repeated exposure to seawater, sunlight, and biological agents during daily activities. Preventive practices, adequate knowledge, and appropriate personal protective equipment (PPE) use are important for protecting skin health in coastal working environments. Methods: This descriptive-analytic study employed a cross-sectional design involving 62 fishers selected through simple random sampling. Data were collected through interviews using a structured questionnaire that had undergone validity and reliability testing. Univariate analysis was used to describe the study variables, while bivariate analysis was performed using the chi-square test at a 95% confidence level (α = 0.05). Results: The findings showed that 64.52% of respondents demonstrated good dermatitis-prevention practices, 79.03% had good knowledge, and 90.32% reported appropriate PPE use. Bivariate analysis revealed significant relationships between knowledge and dermatitis prevention (p = 0.004) and between PPE use and dermatitis prevention (p = 0.001). Both variables were statistically associated with dermatitis-prevention practices among the participating fishers. Conclusion: Knowledge and PPE use were significantly associated with dermatitis-prevention practices among fishers in the coastal area of Lhokseumawe. These findings highlight the importance of continuous health education, regular occupational health counseling, and consistent PPE use to support skin-health protection in coastal communities. However, the cross-sectional design limits causal interpretation, and the findings should be interpreted as associations rather than evidence of cause and effect. Targeted health-promotion interventions may help strengthen preventive practices among fishers.
The Relationship Between Fast Food Consumption Behavior and the Incidence of Overweight Among Adolescents at SMPN 1 Baitussalam Aceh Besar Dewi Sartika; Lili Kasmini; Maulida
Jurnal Kesehatan Akimal Vol 5 No 2 (2026): EDISI OKTOBER 2026
Publisher : Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58435/jka.v5i2.253

Abstract

Overweight among adolescents is a condition in which body weight exceeds the normal range for age, height, and sex, as measured by Body Mass Index (BMI). One of the contributing factors is the frequent consumption of fast food, which is typically high in calories, fat, and sugar but low in fiber and essential nutrients. This study aimed to examine the relationship between fast-food consumption behavior and the incidence of overweight among adolescents at SMPN 1 Baitussalam, Aceh Besar. This study employed a quantitative research design with a cross-sectional approach. The study population consisted of 223 students in grades VII and VIII, and a sample of 69 respondents was selected using simple random sampling based on the Slovin formula. Data were collected using a Food Frequency Questionnaire (FFQ), while body weight and height were measured directly to calculate BMI. Data were analyzed using univariate and bivariate analyses with the chi-square test. The results showed that 58.0% of the students frequently consumed fast food, while 39.1% were classified as overweight. The Chi-square test yielded a p-value of 0.000 (<0.05), indicating a statistically significant relationship between fast-food consumption behavior and the incidence of overweight among adolescents at SMPN 1 Baitussalam, Aceh Besar. The findings suggest that adolescents who frequently consume fast food are at a higher risk of being overweight than those who consume it less frequently. Therefore, schools and parents are encouraged to improve adolescents' knowledge of healthy eating habits and reduce the frequency of fast-food consumption as a strategy to prevent overweight
The Effect of Loneliness Levels on the Quality of Life to Elderly at the Geunaseh Sayang Social Services UPTD for Senior Citizens Banda Aceh Taabitah Rumaisya; Gadis Halizasia; Mahruri Saputra
Jurnal Kesehatan Akimal Vol 5 No 2 (2026): EDISI OKTOBER 2026
Publisher : Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58435/jka.v5i2.255

Abstract

Loneliness is a psychosocial problem commonly experienced by older adults, particularly those living in social care institutions. This condition can affect physical, psychological, and social health, thereby contributing to a decline in quality of life. This study aimed to analyze the effect of loneliness levels on the quality of life of older adults at the UPTD Geunaseh Sayang Social Care Institution for Older Adults in Banda Aceh. This study employed a quantitative analytical design with a cross-sectional approach. The study population consisted of 55 older adults, with a sample of 30 respondents selected using purposive sampling. Loneliness levels were measured using the UCLA Loneliness Scale Version 3, while quality of life was assessed using the WHOQOL-OLD instrument. Data were analyzed using univariate and bivariate analyses with Somers’ D test at a 95% confidence level (α = 0.05). The results showed that most respondents experienced moderate loneliness, accounting for 18 respondents (60.0%), followed by low loneliness in 10 respondents (33.3%) and high loneliness in 2 respondents (6.7%). Most respondents had a moderate quality of life, accounting for 29 respondents (96.7%), while 1 respondent (3.3%) had a low quality of life. The Somers’ D test showed a p-value of 0.025 and a coefficient of 0.288, indicating a statistically significant relationship between loneliness levels and quality of life among older adults. Higher levels of loneliness were associated with lower perceived quality of life. This study is expected to serve as a basis for developing programs to strengthen social support and psychosocial care services for older adults in social care institutions, thereby improving their quality of life.

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