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INDONESIA
Jurnal Kesehatan Amanah
Published by Universitas Muhammadiyah Manado
ISSN : 25804189     EISSN : 29626366     DOI : 10.52714
Core Subject : Health,
Nursing Public Health
Keperawatan Dasar, Keperawatan Anak, Keperawatan Maternitas, Keperawatan Medikal Bedah, Keperawatan Jiwa, Keperawatan Komunitas, Keperawatan keluarga, Keperawatan Gerontik, Keperawatan Gawat Darurat, Keperawatan Kritis, Manajemen Keperawatan, Ilmu Kebidanan, Ilmu Kefarmasian, Ilmu Kesehatan Masyarakat, Ilmu Gizi, dan Fisioteraphy
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 325 Documents
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Analisis Determinan Kejadian Anemia Ibu Hamil di Wilayah Kerja Kabupaten Ogan Komering Ilir Tahun 2025 Eka Suryati; Faiza Yuniati; Sri Utari; Fika Minata Wathan
Jurnal Kesehatan Amanah Vol. 10 No. 1 (2026): Mei: Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v10i1.1081

Abstract

Globally, anemia among pregnant women remains a major public health problem, with a prevalence of 41.8% in 2024 according to WHO data. In Indonesia, the incidence of anemia in pregnancy continues to increase, affecting both maternal and fetal health. Therefore, further analysis of the determinants influencing anemia among pregnant women is necessary. This study aimed to analyze risk factors associated with anemia and identify the dominant factor among pregnant women in the Working Area of Ogan Komering Ilir Regency in 2025. This research employed an analytical observational design with a cross-sectional approach, involving 110 pregnant women attending Muara Burnai, Kutaraya, and Rantau Durian Community Health Centers from July to August 2025, using Accidental Sampling technique. The results showed that most respondents were aged 20 years, had higher education, poor knowledge, income below the regional minimum wage, low family support, poor compliance with iron tablet consumption, and suboptimal ANC visit achievement. Significant associations were found between age, education, knowledge, family support, pregnancy interval, iron tablet adherence, and ANC visit achievement with anemia incidence, while occupation, income, and healthcare workers’ roles were not significantly related. The most dominant factor influencing anemia was ANC visit achievement. Improving ANC compliance and nutrition education should be prioritized to reduce the incidence of anemia among pregnant women.
Penerapan Praktik Keperawatan Keluarga melalui Intervensi Foot Massage dan Rendam Kaki Air Hangat Jahe dengan Pendekatan Family Empowerment pada Lansia Hipertensi di Wilayah Kerja Puskesmas Air Putih Samarinda Regina Nur Azizah; Kartika Setia Purdani
Jurnal Kesehatan Amanah Vol. 10 No. 1 (2026): Mei: Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v10i1.1087

Abstract

Hypertension is one of the major health problems among the elderly and poses a significant risk of serious complications if not properly managed. In addition to pharmacological therapy, safe, simple, and independent non-pharmacological approaches involving family participation are needed. This study aimed to analyze family nursing practice through a family empowerment approach using innovative interventions of foot massage and warm ginger foot soak to reduce blood pressure among elderly families with hypertension in the working area of Air Putih Public Health Center, Samarinda. The method used was a family nursing case study applying the nursing process approach. The interventions were conducted over three visits, including family education, foot massage training, and warm ginger foot soak therapy. The results showed a decrease in both systolic and diastolic blood pressure after the interventions, as well as an improvement in family knowledge and independence in caring for family members with hypertension. It can be concluded that the combination of foot massage and warm ginger foot soak based on family empowerment is effective as a complementary non-pharmacological therapy in controlling blood pressure among elderly patients with hypertension.
Identifikasi Hiperbilirubinemia pada Neonatus Menggunakan Metode Jendrassik-Grof di RS Nyi Ageng Serang Yogyakarta Fritia Sy Dokliwan; Arif Yusuf Wicaksana; Isnin Aulia Ulfah Mu’awanah
Jurnal Kesehatan Amanah Vol. 10 No. 1 (2026): Mei: Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v10i1.1088

Abstract

Hyperbilirubinemia is a normal condition that occurs in newborns during the first week of birth. This condition is important to note because too high bilirubin levels can lead to complications that can attack the brain such as the incidence of encephalopathy and the incidence of cerebral palsy in infants if left unchecked. This study aims to identify the incidence rate of hyperbilirubinemia in Nyi Ageng Serang Hospital Yogyakarta. This research method uses quantitative research with a cross sectional approach, which uses secondary data, namely data obtained from other parties or agencies. This study used total sampling because all data in this study were used during the 2021 period. The data obtained were analyzed using the SPSS 25.0 program using univariate, bivariate, Chi-Square and Odds Ratio tests. The results of this study showed that the proportion of neonates experiencing hyperbilirubinemia was 30.1% of a total of 558 subjects, while 69.9% did not experience hyperbilirubinemia, with the majority being delivered through normal birth. The Chi-Square test obtained a p-value of 0.582, indicating that there was no significant association between Caesarean delivery and the incidence of hyperbilirubinemia at Nyi Ageng Serang Hospital Yogyakarta in 2021. This is because the number of patients with less months neonates who were treated was less than the number of patients with full months neonates.
Teknik Pemeriksaan Radiografi Os Femur pada Kasus Fraktur Femur di Instalasi Radiologi RSUP Dr. Sardjito Adel Amanda; Muhammad Za’im; Fisnandya Meita Astari
Jurnal Kesehatan Amanah Vol. 9 No. 2 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i2.907

Abstract

Examination of the femur bone for femur fracture at the Radiology Installation of RSUP dr. Sardjito Yogyakarta was performed using a lateral projection with the central ray angled 30 degrees towards the cranial direction. However, according to several theories, it is stated that the use of lateral projection does not involve angling the central ray. The purpose of this study is to understand the examination procedure for femur bone fractures and the reasons for using the lateral projection at the Radiology Installation of RSUP dr. Sardjito Yogyakarta. The research method used in this study is qualitative research with a descriptive method and a case study approach. The research was conducted at the Radiology Installation of RSUP dr. Sardjito Yogyakarta in February-March 2025 with research subjects consisting of 3 radiographers and 1 radiology specialist doctor. The data collection methods used were observation, interviews, documentation, and literature study. Data analysis was carried out by data collection, data reduction, data presentation, and then conclusions were drawn. The results of the study show how radiographic examination of the femur in fracture cases at RSUP dr. Sardjito uses Anteroposterior and Lateral Crosstable projections to obtain optimal visualization of the anatomy of the femur, especially in uncooperative patients. The Lateral Crosstable technique was chosen because it allows clearer visualization of the proximal part of the femur without having to move the injured extremity.
Studi Kasus Pemeriksaan Radiografi Kegawatdaruratan Abdomen Akut pada Kasus Ileus Obstruktif di RSI Sultan Agung Semarang Hajratul Hikmah; Fisnandya Meita Astari; Asih Puji Utami
Jurnal Kesehatan Amanah Vol. 9 No. 2 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i2.908

Abstract

The abdomen is a part of the body with the upper limit of the diaphragm and the lower limit of the pubic symphysis, inside there are three organ systems. One of the pathologies of the acute abdomen is obstructive ileus, which occurs when the contents of the lumen of the digestive tract cannot be passed to the anus due to obstruction. In acute abdominal radiographic examination in cases of obstructive ileus using AnteroPosterior (AP), Left Lateral Decubitus (LLD), and upright AP projections, the exposure waiting time is 5 or 10 to 20 minutes. At the RSI Sultan Agung Semarang Installation, AP and LLD projections are used, and the exposure waiting time is 5 minutes. The aim is to determine the procedure for examining the acute abdomen in cases of obstructive ileus, the Ap and LLD projections used and the exposure waiting time is 5 minutes. The type of descriptive qualitative research with a case study approach. The subjects of the study were 3 radiographers, 1 radiology specialist, 1 referring doctor. The objects of the study were patients undergoing acute abdominal examination. Data collection methods were observation, interviews, and documentation. The data were analyzed by means of transcription, reduction, categorization tables, open coding, and conclusions were drawn. Results acute abdominal examination in cases of ileus has no special preparation, only removing metal objects that can interfere with the radiograph results, the projections used are AP and LLD. LLD projection can clarify the visualization of the Air Fluid Level level, the use of the LLD position can help establish a more accurate diagnosis of obstructive ileus. The exposure waiting time is 5 minutes, with that time it has shown free air in the abdominal cavity.
Penyakit Parkinson : Tinjauan Terpadu Biomedis dan Kemajuan Terapi Terkini Sari Mariyati Dewi Nataprawira; Triyana Sari; Erick Sidarta
Jurnal Kesehatan Amanah Vol. 9 No. 2 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i2.914

Abstract

Parkinson's disease (PD) is a progressive neurodegenerative disorder characterized by the degeneration of dopaminergic neurons in the substantia nigra pars compacta, which plays a crucial role in regulating movement. The hallmark pathology of PD is the formation of Lewy bodies, abnormal protein aggregates composed primarily of α-synuclein. The pathophysiological mechanisms of this disease are multifactorial, involving a complex interaction between genetic and environmental factors. Molecularly, several key mechanisms involved include mitochondrial dysfunction, oxidative stress, chronic neuroinflammation, and genetic mutations in the LRRK2, DJ-1, PINK1, and SNCA genes, which have been shown to influence susceptibility to PD. In addition to genetic factors, the risk of developing PD is also influenced by environmental exposures, including pesticides, heavy metals, and exposure to certain toxins that can accelerate neuronal damage. The clinical manifestations of PD are characterized by classic motor symptoms, namely resting tremor, bradykinesia, rigidity, and gait disturbances, which are often accompanied by non-motor symptoms such as sleep disturbances, depression, autonomic dysfunction, and cognitive decline. Diagnosis generally follows the UK Brain Bank clinical criteria, supported by neuroimaging techniques such as DaTSCAN and MRI, and the development of biomarkers based on α-synuclein detection to improve the accuracy of early diagnosis. The main treatment option currently is pharmacological therapy, particularly levodopa, often combined with dopamine agonists or MAO-B inhibitors to optimize symptom control. In advanced cases, surgery in the form of deep brain stimulation can provide significant improvement. Innovative therapies such as gene therapy, stem cell therapy, and the integration of wearable devices and artificial intelligence are being developed to improve symptom monitoring and personalize treatment. Current research focuses on the development of more sensitive diagnostic methods and neuroprotective therapies that can slow disease progression.  
Lemak Viseral, Bukan Lemak Biasa : Faktor Dominan dalam Regulasi Oil, Water, dan Hidrasi Kulit pada Dokter Muda Gina Triana Sutedja; Fiona Valencia Setiawan
Jurnal Kesehatan Amanah Vol. 9 No. 2 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i2.920

Abstract

Visceral fat is metabolically active adipose tissue and plays a key role in the pathogenesis of various cardiometabolic diseases. The accumulation of visceral fat not only impacts systemic health but is also thought to be linked to the condition of the skin, which is the body's largest organ and sensitive to metabolic changes. This study aimed to explore the relationship between visceral fat and skin health indicators, including oil content, water content, and skin hydration in a population of young physicians. This group was selected because, although relatively clinically healthy, they are susceptible to subclinical metabolic disorders due to suboptimal work patterns and lifestyles. The study used a cross-sectional design on 96 young physicians at the Faculty of Medicine, Tarumanagara University. Data were collected through anthropometric measurements, body composition analysis using bioimpedance, skin examination with a skin analyzer, and blood lipid profiles. Spearman correlation analysis was used to assess the relationship between the study variables. The results showed that visceral fat had a significant positive correlation with oil content (r = 0.331; p = 0.001), skin water content (r = 0.338; p = 0.001), and skin hydration (r = 0.297; p = 0.004). This makes visceral fat the only body parameter that correlates consistently with all indicators of skin health. In contrast, blood LDL levels were negatively correlated with skin hydration (r = -0.222; p = 0.030), while other parameters did not show a significant relationship (p > 0.05). The conclusion of this study is that increased visceral fat is closely related to increased oil, water, and skin hydration levels through metabolic and inflammatory mechanisms, even in young, apparently healthy individuals. These findings emphasize the importance of visceral fat screening and the implementation of healthy lifestyle interventions as preventive measures to maintain skin health while reducing the risk of metabolic disorders.  
Korelasi Profil Darah dan Komposisi Tubuh terhadap Kelembapan Kulit: Tinjauan Empiris Kelompok Dewasa di Tiga Institusi Pendidikan Linda Yulianti; Farell Christian Gunaidi
Jurnal Kesehatan Amanah Vol. 9 No. 1 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i1.926

Abstract

Background: Skin hydration is influenced by both intrinsic and systemic factors, including blood biomarkers and body composition. Physiological conditions such as anemia, dyslipidemia, and hyperuricemia are known to affect skin barrier function; however, their relationship with skin hydration has not been comprehensively studied in healthy adult populations. Objective: To analyze the association between blood parameters (hemoglobin, fasting blood glucose, uric acid, total cholesterol, HDL, LDL, and triglycerides) and body composition (visceral fat, subcutaneous fat, skeletal muscle mass) with skin hydration status (water, oil, and moisture levels) in adults. Methods: A cross-sectional study was conducted on 210 adult participants from three educational institutions in Jakarta. Data were collected through fasting venous blood analysis, bioelectrical impedance measurements, and skin analysis. Statistical analysis used Spearman correlation with a significance level of p<0.05. Results: Hemoglobin, triglycerides, and uric acid showed a significant positive correlation with skin hydration (p<0.01), while total cholesterol, LDL, HDL, and body composition parameters did not show significant associations. Fasting blood glucose was also not significantly correlated with skin moisture. Conclusion: Certain blood parameters, particularly hemoglobin, triglycerides, and uric acid, play an important role in maintaining skin hydration. These findings highlight the importance of evaluating systemic biomarkers as part of a comprehensive approach in skin care and in preventing dry skin in adult populations.
Fenomena Quiet Quitting pada Tenaga Kesehatan dalam Konteks Lingkungan Kerja dan Motivasi Intrinsik: Scoping Review Adistya Nugraha F.; Herin Mawarti; Nasrudin Wangi; Ade Armada Sutedja
Jurnal Kesehatan Amanah Vol. 9 No. 2 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i2.927

Abstract

Hospitals are currently facing a serious challenge with the phenomenon of quiet quitting, in which employees perform only minimal tasks without active engagement in their work. This situation has the potential to lower the quality standards of healthcare services and increase the risks of burnout and turnover. The aim of this scoping review is to map work environment factors, the role of intrinsic motivation, and indicators of quiet quitting among healthcare professionals. The method applied in this review followed the Arksey and O’Malley framework and adhered to PRISMA-ScR guidelines. Relevant articles were searched in PubMed, Scopus, and ProQuest databases using specific keywords, screened based on inclusion and exclusion criteria, and analyzed narratively. The results showed that out of 772 identified articles, only 7 met the eligibility criteria and were included for review. The findings revealed that excessive workload, lack of organizational support, weak leadership, role ambiguity, and negative organizational culture are dominant work environment factors consistently linked to quiet quitting. Psychosocial aspects such as burnout and poor work–life balance further reinforce this tendency. On the other hand, intrinsic motivation particularly meaning at work, autonomy, a sense of relatedness, and opportunities for growth emerged as protective elements that can reduce the risk of minimal engagement. Indicators of quiet quitting include low involvement, lack of initiative, limited communication, and performing only tasks stated in formal contracts. The discussion highlights that this phenomenon negatively affects patient care quality, decreases job satisfaction, and increases turnover intention. Therefore, healthcare organizations need to create a supportive work environment, strengthen intrinsic motivation, and provide managerial interventions that promote psychological well-being and autonomy at work as preventive strategies.
Peran Biomarker Darah terhadap Distribusi Lemak Tubuh pada Perempuan Dewasa : Analisis Korelasi Hematologis dan Metabolik Christian Wijaya; Alexander Halim Santoso; Bryan Anna Wijaya
Jurnal Kesehatan Amanah Vol. 9 No. 1 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i1.928

Abstract

Introduction: Subcutaneous fat distribution in adult women changes significantly with age, particularly during menopausal transition. This modulation is closely linked to hormonal alterations and may be reflected through blood biomarkers. Methods: A cross-sectional study was conducted to analyze the relationship between age and blood biomarkers (hemoglobin, fasting glucose, HDL, and uric acid) with subcutaneous fat thickness at three body sites (biceps, triceps, and suprailiac) in adult women. Pearson correlation tests were used to assess associations between variables. Results: A significant positive correlation was found between age and biceps fat thickness (r = 0.112; p = 0.044). Hemoglobin showed a consistent positive correlation with fat thickness across all sites. Fasting glucose correlated positively with triceps fat (r = 0.109; p = 0.050), and uric acid was positively associated with triceps and suprailiac fat. HDL exhibited a significant negative correlation with suprailiac fat (r = -0.180; p = 0.001). Conclusion: Blood biomarkers hold potential as non-invasive indicators for tracking age-related subcutaneous fat redistribution. This approach could enhance early detection of metabolic risk in adult women and support preventive and integrative clinical strategies.

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