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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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An Assessment of School Community Preparedness for Earthquake and Tsunami Disasters at SMA Negeri 1 Peukan Bada Aceh Besar Sarah Maulida; Mahruri Saputra; Ferdi Riansyah
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.v5i2.258

Abstract

Earthquakes and tsunamis are natural disasters that can cause significant loss of life and extensive damage, particularly in coastal areas such as Aceh Besar Regency. Schools located in disaster-prone areas need to maintain a high level of preparedness to minimize disaster risks and impacts. This study aimed to assess school community preparedness for earthquake and tsunami disasters at SMA Negeri 1 Peukan Bada, Aceh Besar. This study employed a quantitative method with a descriptive design. The study population consisted of all school community members, including students, teachers, and educational staff. A total of 222 respondents were selected using a stratified random sampling technique. Data were collected using a structured questionnaire and analyzed univariately by presenting frequency distributions and percentages. The results showed that, of the 222 respondents, the majority had a good level of preparedness, comprising 134 respondents (60.4%), while 88 respondents (39.6%) had a moderate level of preparedness. The respondents were predominantly female (60.4%), aged 15–20 years (89.2%), and students (89.2%). Furthermore, most respondents had participated in disaster simulations (76.1%). In conclusion, the school community at SMA Negeri 1 Peukan Bada generally demonstrated good preparedness for earthquake and tsunami disasters. Nevertheless, further efforts are needed to improve preparedness through regular disaster simulations, strengthened disaster education, evaluation of school emergency response plans, and enhanced collaboration with relevant agencies to continuously improve preparedness among all school community members.
The Relationship Between Knowledge of a Low-Purine Diet and Recurrence Among Patients with Gout Arthritis Novia Rizana; Trisna Sari; Rita Zahara
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.v5i2.264

Abstract

Background: Gout arthritis is an inflammatory joint disorder caused by the deposition of monosodium urate crystals due to hyperuricemia. Recurrent attacks may increase the risk of complications and reduce patients’ quality of life. One factor that may influence recurrence is patients’ knowledge of a low-purine diet. Adequate knowledge is expected to improve dietary adherence, prevent recurrent attacks, and help control uric acid levels. Objective: To examine the relationship between knowledge of a low-purine diet and recurrence among patients with gout arthritis. Methods: This study employed an analytical correlational design with a cross-sectional approach. It was conducted in the working area of Muara Satu Public Health Center, Lhokseumawe City, involving 100 patients with gout arthritis selected using accidental sampling. Data were collected using questionnaires assessing knowledge of a low-purine diet and the recurrence of gout arthritis. Data were analyzed using univariate and bivariate analyses with the chi-square test at a 95% confidence level (α = 0.05). Results: Most respondents had poor knowledge of a low-purine diet (70.0%). Regarding recurrence severity, 52.0% experienced mild recurrence, while 48.0% experienced severe recurrence. The Chi-square test revealed a statistically significant relationship between knowledge of a low-purine diet and gout arthritis recurrence (p = 0.001). Conclusion: Knowledge of a low-purine diet was significantly associated with recurrence among patients with gout arthritis. Continuous and structured health education is needed to improve patients’ knowledge and adherence to a low-purine diet, thereby helping reduce the risk of recurrent attacks.
The Relationship Between Knowledge and Adolescent Behavior in Managing Menstrual Pain Mariyati Mariyati; Ida Suryawati; Rahmat Muhajir
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.v5i2.265

Abstract

Menstrual pain, known as dysmenorrhea, is a common health problem experienced by adolescent girls and may interfere with their daily activities, academic performance, and quality of life. Adequate knowledge is considered an important factor in promoting appropriate menstrual pain management. However, knowledge does not always translate into appropriate health behaviors. This study aimed to determine the relationship between knowledge and behavior in managing menstrual pain among adolescent girls. A quantitative study with a cross-sectional design was conducted involving 55 female students. Data were collected using structured questionnaires assessing respondents' knowledge and behaviors related to menstrual pain management. The collected data were analyzed using univariate and bivariate analyses, with the chi-square test applied to examine the relationship between the variables. The results showed a p-value of 0.232, which was greater than the significance level of 0.05. This finding indicates that there was no statistically significant relationship between knowledge and behavior in managing menstrual pain among the respondents. These results suggest that adequate knowledge alone may not be sufficient to encourage appropriate menstrual pain management practices among adolescents. Therefore, healthcare providers and educational institutions should implement comprehensive health education programs that not only improve knowledge but also address attitudes, personal experiences, family support, environmental influences, access to healthcare services, and individual health habits. Such an approach may help adolescents develop more appropriate and effective menstrual pain management behaviors.
Body Shaming Among Male Adolescents in Lhokseumawe Ida Suryawati; Mariyati Mariyati; Rahmat Muhajir
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.v5i2.266

Abstract

Body shaming is a form of bullying characterized by demeaning or criticizing an individual’s physical appearance through teasing, negative comments, or derogatory remarks. Experiences of body shaming may influence adolescents’ responses toward themselves and others, including the development of similar behaviors as a form of self-defense. On the other hand, such experiences may encourage the development of positive attitudes toward one’s body, known as body positive. However, some adolescents may continue to experience embarrassment and low self-confidence regarding their physical appearance, leading them to make various changes, such as dieting and exercising, to achieve an idealized body shape. This study aimed to describe body shaming behavior among adolescents. A quantitative method with a cross-sectional design was employed. The study population consisted of 139 respondents, and 126 respondents were selected using purposive sampling. Data were collected using a questionnaire and analyzed using univariate analysis with SPSS. The results showed that body shaming behavior among adolescents was generally categorized as low, with 98.4% of respondents in the low category and 1.6% in the high category. Schools are expected to provide education on body shaming and self-acceptance, particularly regarding teasing related to body shape and body hair, which was still reported among the respondents.
A Health Promotion Model Based on Muhammadiyah Student Cadres for Non-Communicable Disease Prevention at Universitas Muhammadiyah Mahakarya Aceh Bukhari; Dian Vita 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.v5i2.267

Abstract

Background: Non-communicable diseases (NCDs) are a major public health problem and are associated with modifiable behavioral risk factors. Higher education institutions provide a strategic setting for promoting NCD prevention behaviors from an early age through student-based health promotion. Objective: This study aimed to analyze the effectiveness of a health promotion model based on Muhammadiyah student cadres in preventing NCDs among students of the Faculty of Health Sciences, Universitas Muhammadiyah Mahakarya Aceh. Methods: This quantitative study employed a one-group pretest–posttest design. A total of 30 students participated in measurements before and after the implementation of the health promotion model. The NCD prevention instrument consisted of eight statements. Data were analyzed using the Shapiro–Wilk normality test and a paired-samples t-test. Results: The mean NCD prevention score increased from 6.70 at pretest to 8.37 at posttest, with a mean difference of 1.67 points. The Shapiro–Wilk test indicated that the distribution of difference scores was normal (W = 0.935; p = 0.066). The paired-samples t-test yielded t(29) = 6.774, with p < 0.001 and a 95% confidence interval (CI) of 1.163–2.170. The effect size, measured using Cohen’s dz, was 1.237, indicating a large effect. Conclusion: The health promotion model based on Muhammadiyah student cadres was effective in improving NCD prevention scores among students. This model has the potential to serve as a health promotion and disease prevention strategy to strengthen the implementation of healthy campus initiatives within Muhammadiyah and Aisyiyah Higher Education Institutions (PTMA).
Factors Associated with Treatment Success Among Patients with Bacteriologically Confirmed Pulmonary Tuberculosis Rini Riani
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.v5i2.268

Abstract

Background: Treatment success is a key performance indicator for evaluating treatment activities and program management. This study aimed to examine factors associated with treatment success among patients with bacteriologically confirmed pulmonary tuberculosis (TB). Methods: This analytical observational study used secondary data from 2,221 bacteriologically confirmed pulmonary TB cases recorded in the Bandung City Tuberculosis Information System in 2024. The variables evaluated were age, sex, treatment history, time to treatment initiation, and 2nd-month follow-up results. Bivariate analysis used the chi-square test, followed by multivariate analysis using logistic regression. Results: Among 2.221 patients, 2,072 (93.3%) achieved successful treatment outcomes, while 149 patients (6.7%) did not. Age (p=0.008), sex (p=0.021), treatment history (p=0.003), and 2nd-month follow-up results (p<0.001) were significantly associated with treatment success. The strongest association in the bivariate analysis was observed for 2nd-month follow-up results (OR=5.189; p<0.001). In the multivariate analysis, age (aOR=3,613, 95% CI=1,126-11,589), sex (aOR=0,701; 95% CI=0,494-0,993), treatment history (aOR=1,592; 95% CI=1,119-2,264), and 2nd-month follow-up results (aOR=5,004; 95% CI=3,445-7,268) were significantly associated with treatment success. The 2nd-month follow-up result showed the strongest association. Conclusion: Most patients achieved successful treatment outcomes. Age, sex, treatment history, and 2nd-month follow-up results were significantly associated with treatment success, whereas time to treatment initiation was not. The 2nd-month follow-up result showed the strongest association with treatment success.
Analysis of the Relationship Between Knowledge Level and Whitening Cosmetic Selection Behavior Among University Students in Banyumas Widiya Rizky Shopa Utami; Khamdiyah Indah Kurniasih; Siti Setianingsih; Fauziah
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.v5i2.269

Abstract

Background: The increasing use of skin-lightening cosmetics has made product safety and informed selection important concerns among university students. Adequate knowledge is essential to help students recognize cosmetic ingredients, understand potential risks, and make responsible purchasing decisions. Objective: This study aimed to assess students’ knowledge and behavior in selecting skin-lightening cosmetics, examine the relationship between knowledge and selection behavior, and determine the association of educational type and level with cosmetic selection behavior among university students in Banyumas Regency. Methods: A descriptive-analytical study with a cross-sectional design was conducted in January 2025. Data were collected through an online questionnaire using Google Forms from 400 university students recruited through random sampling. Data were analyzed using Jamovi, with statistical tests applied to examine the relationships between knowledge, cosmetic selection behavior, and educational characteristics. Results: The findings showed that 71% of respondents had a high level of knowledge, while 91% demonstrated good behavior in selecting skin-lightening cosmetics. Knowledge was strongly and positively associated with selection behavior (p < 0.01; Spearman’s rho = 0.640). However, educational type and educational level were not significantly associated with cosmetic selection behavior (p > 0.05 and p = 0.701, respectively). Conclusion: Most students demonstrated good knowledge and behavior in selecting skin-lightening cosmetics. Higher knowledge levels were significantly associated with better selection behavior, whereas educational type and level showed no significant association. These findings highlight the importance of strengthening knowledge and awareness of cosmetic safety to encourage informed and responsible product selection among university students.
The Relationship Between Vascular Access Complications and Intradialytic Emergencies in Patients with Chronic Kidney Disease Undergoing Hemodialysis Resmi Pangaribuan Resmi; Nina Fentiana; Nita Mayrani; Yulinar Sianipar; Khairunnisa Batubara; Indah Dwi Handayani
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

Abstract

Background: Chronic kidney disease (CKD) patients undergoing hemodialysis are at risk of vascular access complications that may be associated with intradialytic emergencies. This study aimed to analyze the relationship between vascular access complications and intradialytic emergencies in CKD patients undergoing hemodialysis. Methods: This analytic observational study used a cross-sectional design and secondary data from medical records at the Hemodialysis Unit of Putri Hijau Level II Hospital, Medan. A total of 40 patients were selected using total sampling. Data were analyzed using univariate analysis and Fisher’s Exact test, with an alpha level of 0.05. The association was measured using the odds ratio (OR) and 95% confidence interval (CI). Results: Most respondents were aged 66–80 years (32.5%) and male (52.5%). An arteriovenous fistula was used by 77.5% of respondents. Vascular access complications occurred in 45% of patients, while 25% experienced intradialytic emergencies. Fisher’s Exact test showed a significant relationship between vascular access complications and intradialytic emergencies (*p* = 0.025). Patients with vascular access complications had higher odds of experiencing intradialytic emergencies (OR = 8.00; 95% CI: 1.42–44.92). Conclusion: Vascular access complications were significantly associated with intradialytic emergencies. Regular vascular access assessment, early complication detection, and appropriate monitoring are essential to support patient safety during hemodialysis.
The Relationship Between Family Economic Status and Nutritional Status of Elementary Students at SD IT Muhammadiyah 6 Lhokseumawe Musdarianto; Affuadi; Ana Maryana
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.v5i2.275

Abstract

Nutrition problems in children, especially elementary school students, are an important issue because they have long-term impacts on their physical, cognitive, and social development. Good nutritional status is needed to support optimal growth and children's learning abilities. One factor that affects children's nutritional status is the family's economic status. The family's financial condition plays a significant role in their ability to provide enough and nutritious food. Families with low income often face challenges in providing healthy food that meets children's nutritional needs. As a result, children from low-income families often experience nutrition problems such as malnutrition or obesity. The type of research used is quantitative with a cross-sectional study approach. The respondents/samples of the study were all students of SD IT Muhammadiyah 6 in Lhokseumawe, totaling 142 people. The highest family economic status was in the middle category with 55 respondents (38.7%), and the lowest was in the low category with 38 respondents (26.8%). Meanwhile, the highest student nutritional status was in the normal category with 93 respondents (65.5%), and the lowest was in the underweight category with 6 respondents (4.2%). Based on the statistical test using the chi-square test, a p-value of 0.036 (< alpha value 0.05) was obtained, so it can be concluded that there is a relationship between family economic status and the nutritional status of students at SD IT Muhammadiyah 6 Kota Lhokseumawe. It is recommended that parents and/or the school monitor students' nutritional status regularly through cooperation with relevant parties.
Exploring The Pathways to Street Life among Children in Aceh, Indonesia: A Qualitative Study Lisa Fitriani; Sanisah Saidi; Suryene S. Susanti; Dara Febriana
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.v5i2.276

Abstract

Street-connected children experience various interconnected social, economic, family, and environmental vulnerabilities. In Aceh, Indonesia, this phenomenon is complex, as children's involvement in street activities is influenced by family poverty, family breakdown, charitable giving practices, and limited access to education and stable employment. This study aimed to explore the experiences of children who live and work on the streets in Aceh, focusing on the social, economic, family, and environmental factors influencing their involvement in street life. An exploratory qualitative case study design using an embedded case study approach was employed. Data were collected through semi-structured interviews, non-participant observations, and document analysis. Participants included street-connected children, parents, caregivers, and institutional staff. Data were analyzed thematically using the framework analysis approach, supported by NVivo software. The findings revealed that children's involvement in street life resulted from the interaction of multiple factors, including economic hardship, family dysfunction, violence, parental separation, school dropout, intergenerational begging practices, and limited social protection. Some children used the streets as an escape from family conflicts, while others engaged in street activities to help meet their families' economic needs. These activities included begging, street singing, selling goods at intersections, and other informal work. Peer relationships provided emotional support and a sense of belonging; however, indications of parental pressure and coordinated begging activities suggested potential risks of child exploitation. Community charitable giving helped meet children's immediate needs but may also contribute to the continuation of their involvement in street activities. Overall, this phenomenon represents a multidimensional issue requiring integrated child protection and family-based, social, and structural approaches.

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