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Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe Jl. Alkalali No. 09 hagu Selatan, Banda Sakti, Kota Lhokseumawe
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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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Mothers’ Experiences in Providing Sexual and Reproductive Health Education to Prevent Child Sexual Abuse Zahra Ayu Qalbina; Annisa Nurrachmawati; Lies Permana
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.v5i2.278

Abstract

Background: Child sexual abuse (CSA) is a public health problem, and parents, especially mothers, play an important role in prevention by providing sexual and reproductive health education. However, local qualitative evidence on why parents’ knowledge does not always translate into practice remains limited. Objective: This study explored mothers’ experiences, barriers, and needs in providing sexual and reproductive health education to prevent CSA. Methods: This qualitative study was conducted in February 2023 at a public elementary school in Samarinda, East Kalimantan. Eleven mothers of lower-grade students were recruited through purposive sampling and took part in two focus group discussions. The discussions were audio-recorded, transcribed verbatim, and analyzed thematically. Results: Five themes emerged: (1) mothers’ efforts to prevent CSA, (2) shifting perspectives and responsibility for the education, (3) the content taught, (4) barriers, and (5) needs and recommendations. Mothers supervised their children’s mobility, limited physical contact with relatives, applied religion-based parenting, and taught body safety, privacy, and hygiene. Some mothers viewed the education less as taboo and more as a way to protect children. They regarded the education as the responsibility of parents and caregivers, although mothers often carried a larger share. Mothers faced barriers in communication and limited knowledge of age-appropriate content. They asked for health education for parents and teachers and preferred a printed booklet. Suggestions: This study suggests that parents build open, non-judgmental communication with their children, that comprehensive sexuality education be integrated into the school curriculum, and that families, schools, and health professionals strengthen their collaboration to support effective CSA prevention.
The Effect of Therapeutic Communication Education on Dietary Adherence among Hospitalized Patients with Dyspepsia Nurromsyah Nasution; Orita Satria; Risandhy Mulia Pradana; Fitri Apriani; Siti Damayanti; Rizki Andriani
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.v5i2.280

Abstract

Background: Dyspepsia is a common upper gastrointestinal disorder, and the success of its non-pharmacological management depends heavily on patient adherence to the diet. One-way and rushed education risks leaving patients with a lack of understanding and motivation to adhere to the diet. Objective: Analyzing the effect of therapeutic communication-based education on dietary compliance in dyspepsia patients in the inpatient ward. Methods: This quantitative study used a quasi-experimental design with a one-group pretest-posttest approach. The sample consisted of 43 dyspepsia patients in the internal medicine inpatient ward of Yuliddin Away Regional General Hospital, selected by purposive sampling in January–March 2026. Dietary compliance (accuracy of schedule, type, and portion of food) was measured using a questionnaire before education and 3 days after education, which followed the pre-orientation, orientation, work, and termination phases. Compliance categories consisted of non-compliant, moderately compliant, and compliant. Data were not normally distributed (Shapiro-Wilk test, p < 0.05), so they were analyzed using the Wilcoxon Signed Rank Test (α = 0.05). Results: Non-compliant patients decreased from 23 (53.5%) to 3 (7.0%), while compliant patients increased from 5 (11.6%) to 29 (67.4%). The mean compliance score increased from 14.28 ± 3.12 to 22.84 ± 2.65 (Z = -5.41, p < 0.001). Conclusion: Therapeutic communication-based education significantly improved dietary compliance in dyspepsia patients. This approach can be considered as part of patient education procedures in inpatient settings, with the caveat that findings need to be confirmed in a design with a control group.
The Relationship Between Work Motivation and Nurse Performance in Mitra Sejati Hospital Medan Esteriani Lahagu; Nadya Gusva
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.v5i2.281

Abstract

Background: Nursing services largely shape a hospital's quality and public image, and these services depend on how well nurses perform. Weak performance among nurses frequently arises from an unsupported work climate and heavy workloads, both of which reduce patient satisfaction. Work motivation, whether intrinsic or extrinsic, acts as a psychological force that sustains professional achievement and productivity. An initial survey at Mitra Sejati General Hospital in Medan found that the nurse-to-patient ratio was inadequate, that rewards for high-achieving staff were not applied optimally, and that limited attention from supervisors had weakened motivation. Objective: To analyze the association between work motivation and the performance of nurses working in the inpatient wards of Mitra Sejati General Hospital, Medan. Methods: A descriptive-correlational study with a cross-sectional design was carried out. Of the 100 nurses in the inpatient wards, 49 were recruited through purposive sampling. Structured questionnaires gathered demographic data, work motivation scores, and performance scores. The data were examined with frequency distributions (univariate) and the chi-square test (bivariate) at a significance threshold of alpha < 0.05. Results: Most nurses (n=46; 93.9%) reported fairly good work motivation, and 43 nurses (87.8%) showed fairly good performance. The chi-square test produced a p-value of 0.000 (p < 0.05), which signals a significant association between the two variables. Conclusion: Work motivation is significantly associated with nurse performance at Mitra Sejati General Hospital, Medan, and stronger motivation accompanies better quality of nursing care.
Effectiveness of the AA-PoDiTa Application in Improving Posyandu Cadres’ Knowledge and Skills in Child Growth and Development Arista Ardilla; Rika Mursyida; Novianti; Muhammad Multazam; Mahdawi; Zulkarnaini; Muhammad Ramadhana
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.v5i2.282

Abstract

Background: Stunting remains a major public health concern in Aceh, Indonesia. Posyandu cadres play an important role in monitoring child growth and identifying early signs of nutritional problems. However, manual recording systems and inconsistent anthropocentric measurement practices may limit the accuracy and effectiveness of growth monitoring. Digital health innovations combined with standardized training may help address these challenges. Objective: This study aimed to analyze the effect of the AA-PoDiTa (Digital Posyandu for Infants and Toddlers) application combined with WHO-standard anthropocentric training on Posyandu cadres’ knowledge and practical skills. Methods: A quantitative pre-experimental study with a one-group pretest and post-test design was conducted among 20 active Posyandu cadres in Gampong Blang Teue, Lhokseumawe, Indonesia. Participants were selected using total sampling. The intervention consisted of eight training sessions conducted over six months (April–September 2026). Knowledge was assessed using a structured questionnaire, while practical skills were evaluated using an observation checklist. Data were analyzed using the Shapiro–Wilk test and Wilcoxon signed-rank test. Results: The mean knowledge score increased from 55.00 at pretest to 86.20 at post-test. Similarly, the mean practical skill score improved from 53.60 to 87.60. Both improvements were statistically significant (p < 0.001), with large effect sizes (r ≈ 0.88). All participants demonstrated improvements in their knowledge and practical skills following the intervention. Conclusion: The combination of the AA-PoDiTa application and WHO-standard anthropocentric training significantly improved Posyandu cadres’ knowledge and practical skills. This integrated approach offers a promising strategy for strengthening community-based growth monitoring, supporting Posyandu digitalization, and improving stunting prevention efforts.
Analysis of Cholesterol Levels and the Incidence of Hypertension among Adults of Productive Age at Jangka Public Health Center Bireuen Dwi Amalia Sari; Hernita; Mahadzir Z.A
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.v5i2.283

Abstract

Background: Hypertension and elevated cholesterol levels are common health problems among productive-age adults and are often associated with unhealthy lifestyles, physical inactivity, stress, and excessive consumption of fatty and salty foods. Objective: This study aimed to describe cholesterol levels and the occurrence of hypertension among productive-age adults in the working area of Jangka Public Health Center, Bireuen Regency. Methods: A quantitative descriptive study with a cross-sectional approach was conducted involving 30 respondents selected through total sampling. Data were collected from August 6 to 10, 2026, using a cholesterol meter and a sphygmomanometer to measure cholesterol levels and blood pressure, respectively. Data were analyzed using univariate analysis and presented as frequency distributions, percentages, means, standard deviations, medians, and interquartile ranges. Results: The findings showed that 18 respondents (60.0%) had high cholesterol levels, while 12 (40.0%) had normal levels. Regarding blood pressure, 17 respondents (56.7%) had hypertension, whereas 13 (43.3%) did not. The mean cholesterol level was 207.10 ± 32.017 mg/dL. The median systolic and diastolic blood pressure values were 142 mmHg and 90 mmHg, respectively. Conclusion: High cholesterol levels and hypertension were relatively common among productive-age adults in the study area. Regular health screenings, healthy dietary habits, reduced fat and salt consumption, and increased physical activity are recommended to support the prevention and early detection of these conditions.
Policy Strategies to Increase Complete Basic Immunization Coverage in an Effort to Reduce Morbidity Rates Among Infants in Dairi Regency David Simbolon
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.v5i2.284

Abstract

The coverage rate for the Complete Basic Immunization (IDL) in Dairi Regency has shown a downward trend, falling from 76.17% in 2024 to 60.2% in 2025. This achievement has not met the 77% target set in the Dairi Regency Health Office’s Strategic Plan. This situation calls for appropriate policy strategies to expand immunization coverage and strengthen disease prevention among infants. This study aims to identify priority policy alternatives to increase RCI coverage in Dairi Regency. The study employed policy analysis through the review and organization of secondary data and supporting documents, including relevant regulations and health references. A number of policy alternatives were then evaluated using six assessment dimensions: effectiveness, efficiency, adequacy, equity, responsiveness, and feasibility. The prioritization of alternatives was based on the assessment results of key personnel within the Dairi Regency Health Office. The evaluation identified three policy intervention options: optimizing the management of Adverse Events Following Immunization (AEFI) alongside pre-vaccination counseling; strengthening the role of community health workers and community leaders in providing education; and expanding public communication regarding the benefits of immunization. Based on the weighted results, the first option ranked highest with a score of 27, followed by the involvement of community health workers and community leaders with a score of 25, while public education received a score of 20. Strengthening the management of adverse events following immunization (AEFI) integrated with pre-immunization counseling was identified as the primary policy option to address low IDL coverage in Dairi Regency. Its implementation must be supported by consistent service procedures, readiness of AEFI management facilities, and the integrated delivery of immunization education and monitoring. The implementation of this strategy is expected to strengthen parents’ trust in immunization services and support the prevention of vaccine-preventable diseases.
Improvement In Adolescent Girls’ Knowledge Of Iron Tablet Consumption Following Leaflet-Based Health Education Siti Damayanti; Syahroni Damanik; Nurromsyah Nasution; Chairunnisa Minarni Alamsyah; Orita Satria; Fitri Apriani
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.v5i2.285

Abstract

Background: Adolescence is a transitional period characterized by rapid physical growth and development, requiring adequate nutritional intake, particularly iron (Fe), which plays an essential role in hemoglobin formation. Iron deficiency can lead to anemia, a common nutritional problem among adolescent girls. The prevalence of anemia among adolescents in Aceh reached 33.8%, while in West Aceh Regency, it was recorded at 35.1% in 2023. Limited knowledge and inadequate access to health information contribute to low awareness and compliance with Fe tablet consumption. Health education through leaflet media is considered an effective approach because it provides concise, attractive, and easily accessible information that adolescents can read independently. Objective: This study aimed to determine the effect of health education using leaflet media on improving adolescent girls' knowledge regarding Fe tablet consumption at SMP Negeri 1 Meulaboh, West Aceh Regency. Methods: This study employed a quasi-experimental design using a one-group pretest-posttest approach. A total of 68 adolescent girls were selected as respondents through proportionate stratified random sampling. The study was conducted in September 2025. Data were collected using questionnaires administered before and after the health education intervention. The Wilcoxon signed-rank test was used to analyze differences in knowledge scores. Results: The statistical analysis revealed a significant difference in adolescent girls' knowledge before and after the health education intervention using leaflet media, with a p-value of 0.000 (p < 0.05) and a Z-value of -7.028. These findings indicate a significant improvement in knowledge following the intervention. Conclusion: Health education using leaflet media significantly improves adolescent girls' knowledge regarding Fe tablet consumption. Therefore, leaflets can be used as an educational medium to support anemia prevention programs among adolescent girls in schools.

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