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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 324 Documents
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Modulasi Usia terhadap Deposisi Lemak Subkutan dan Kaitannya dengan Biomarker Darah pada Perempuan Dewasa Fadil Hidayat; 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.v9i1.929

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.
Faktor Gaya Hidup yang Berhubungan dengan Hipertensi di Puskesmas Sudiang Adimas Buyar Alif; Irmawati Irmawati; Apdiyani Toalu; Rahmawati Azis
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.v9i2.934

Abstract

Hypertension is a major public health problem worldwide that can lead to severe and life-threatening complications such as stroke, heart disease, kidney failure, and other cardiovascular disorders if not properly managed. This study aimed to analyze in greater depth the relationship between obesity, physical activity, and sleep patterns with the incidence of hypertension in the working area of the Sudiang Health Center in Makassar City. A quantitative approach with a cross-sectional design was employed to ensure a comprehensive overview of the risk factors. A total of 100 respondents were selected from a population of 22,572 people using the Slovin formula with a ten percent margin of error and purposive sampling based on predetermined inclusion criteria. Data collection was conducted using structured questionnaires combined with medical records to increase the accuracy of the information obtained. The collected data were analyzed using the Chi-Square test with a significance level set at 0.05. The results showed a significant relationship between obesity (p = 0.000), physical activity (p = 0.023), and sleep patterns (p = 0.019) with the incidence of hypertension. Respondents who were obese, performed low levels of physical activity, and had poor sleep patterns were more likely to develop hypertension. This study highlights the importance of maintaining an ideal body weight, increasing regular physical activity, and improving sleep patterns. Health professionals are expected to strengthen education, counseling, and regular monitoring to control modifiable lifestyle risk factors within the community effectively.
Hubungan Kadar Profil Lipid dengan Homosistein pada Pasien Dislipidemia di Laboratorium Klinik Prodia Tangerang Intan Lambang Astrini; Anak Agung Ayu Eka Cahyani; Mardiyah Hayati
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.v9i2.938

Abstract

Dyslipidemia is one of the causes of coronary heart disease and stroke. Hypercholesterolemia can cause atherosclerosis. In recent years, there has been an independent risk factor that is an important factor in the presence of blood vessel wall abnormalities, namely homocysteine. Increased homocysteine has been shown to increase the risk of cardiovascular disease independently. This study is an observational analytical study using a cross-sectional design with a retrospective approach. The sample used was 33 respondents selected through a total sampling technique The results of the test on the relationship between Lipid Profile and homocysteine using statistical testing methods, namely Spearman's Rho, yielded the following results: there is no significant relationship between Total Cholesterol and homocysteine with a Sig value of 0.791 (>0.05) and a correlation coefficient of 0.048; there is no significant relationship between LDL Cholesterol and homocysteine with a Sig value of 0.272 (>0.05) and a correlation coefficient of -0.197; there is a significant relationship between HDL Cholesterol and homocysteine with a Sig value of 0.004 (<0.05) and a correlation coefficient of -0.487; there is a significant relationship between Triglycerides and Homocysteine with a Sig value of 0.047 (<0.05) and a correlation coefficient of 0.348. The conclusion of this study is that there is a significant relationship between HDL Cholesterol and Triglycerides to homocysteine in patients with Dyslipidemia at Prodia Clinical Laboratory Tangerang. Further research is needed with a larger sample size focusing on the gender and age of the respondents.
Hubungan Kadar Vitamin D terhadap Nilai N-Mid Osteocalcin dan C-Terminal Telopeptida di Laboratorium Klinik Prodia Bekasi Roberto Krisnatalisanto Prabowo Santoso; I Gusti Putu Agus Ferry Sutrisna; Ni Komang Sukra Andini
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.v9i2.939

Abstract

Vitamin D deficiency can lead to various bone diseases, such as osteoporosis. Standard laboratory tests used to assess bone turnover and formation activity are the N-Mid Osteocalcin (N-Mid) and C-Terminal Telopeptide (C-Tx) tests. Imbalance in N-Mid and C-Tx levels can result in bone health disorders. This study aims to analyze the relationship between Vitamin D levels and N-Mid and C-Tx values. This research used an analytical observational design with a cross-sectional retrospective approach. A total of 32 respondents were selected using total sampling technique. Statistical analysis was performed using Spearman’s Rho test to examine the relationship between Vitamin D levels and N-Mid and C-Tx values. The results showed no significant relationship between Vitamin D levels and N-Mid values (p > 0.05), and no significant relationship between Vitamin D levels and C-Tx values (p > 0.05). The conclusion of this study is that there is no significant relationship between Vitamin D levels and N-Mid Osteocalcin or C-Terminal Telopeptide in patients tested at Laboratorium Klinik Prodia Bekasi. This study provides insights into the importance of monitoring Vitamin D levels in bone disease prevention, even though the results indicate no significant relationship with N-Mid and C-Tx parameters.
Perbedaan Pengaruh Ischemic Compression dengan Static Stretching pada Myofascial Pain Syndrome Muscle Upper Trapezius di SMP Negeri 3 Suruh Hanani AM; Syurrahmi Syurrahmi; Wibisono LS; Najizah F
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.v9i2.941

Abstract

Myofascial Pain Syndrome (MPS) of the Upper Trapezius is a common musculoskeletal disorder often caused by prolonged smartphone use with non-ergonomic Posture. This condition is frequently experienced by adolescents and may lead to pain, limited range of motion, and reduced functional activity. Management of Myofascial Pain Syndrome can be carried out through various physiotherapy interventions, such as Ischemic Compression and Static Stretching. Design: The Design of this study was to determine the difference in the effects of Ischemic Compression and Static Stretching on Myofascial Pain Syndrome of the Upper Trapezius muscle. The research design used was a quasi-experimental study with a two-group Pre-test and Post-test design. A total of 20 respondents with MPS of the upper trapezius were randomly divided into two groups, each consisting of 10 participants. The first group received Ischemic Compression, while the second group received Static Stretching, with a frequency of three times per week for four weeks. Pain intensity was measured using the Quadruple Visual Analogue Scale (QVAS) before and after the intervention. Results: The results showed that both interventions significantly reduced pain levels in Myofascial Pain Syndrome (p < 0.05). However, Ischemic Compression demonstrated a more significant reduction in pain compared to Static Stretching. Result of the research: There is a difference in the effects of Ischemic Compression and Static Stretching on reducing pain in Myofascial Pain Syndrome of the Upper Trapezius, with Ischemic Compression being more effective. This technique may be recommended as a physiotherapy intervention in managing Myofascial Pain Syndrome-related pain among adolescents.
Pengaruh Metode Ekstraksi Maserasi dan Infudasi terhadap Kadar Flavonoid Total serta Aktivitas Antioksidan Daun Kunyit (Curcuma Longa L.) Angela Mericci Putri Budiarto; Danang Raharjo; Annie Rahmatillah
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.v9i2.943

Abstract

Free radicals are known to contribute to a variety of degenerative diseases, including diabetes, cancer, and cardiovascular disease, as well as to the acceleration of the aging process. To counteract these effects, antioxidant compounds capable of neutralizing free radicals are essential. Turmeric leaf (Curcuma longa L.) is a promising source of natural antioxidants, as it is rich in flavonoid compounds that offer a range of important biological benefits. This study aimed to evaluate how different extraction methods influence the total flavonoid content and antioxidant activity of turmeric leaf extract, in order to identify the most effective technique. Two methods were used: maceration and infusion. The total flavonoid content was determined using the AlCl₃ colorimetric method, with quercetin serving as the standard. In vitro antioxidant activity was assessed using the ABTS method, and the results were measured by the total flavonoid content (expressed in mg quercetin equivalent (QE)/g of extract) and the IC₅₀ value, which indicates the strength of the antioxidant activity. The findings showed that the maceration method produced the highest flavonoid content, at 27.850 mg QE/g, and the best antioxidant activity, with an IC₅₀ value of 44.224 μg/mL. In contrast, the infusion method resulted in lower flavonoid content and antioxidant activity. This leads to the conclusion that the extraction method significantly impacts the quality of turmeric leaf extract, and maceration is the most effective technique for obtaining an extract with high flavonoid content and potent antioxidant activity.
Hubungan Konsumsi Protein dengan Kadar Hemoglobin Remaja Putri di Kabupaten Bekasi Putri Nur Hidayah; Nur Fauzia Asmi; Utami Putri Kinayungan; Dandi Sanjaya
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.v9i2.944

Abstract

Hemoglobin plays a vital role in transporting oxygen throughout the body. A decrease in hemoglobin levels can lead to oxygen deficiency in tissues, potentially causing anemia. Anemia is characterized by symptoms such as fatigue, dizziness, and reduced concentration, and is a health issue that must be addressed, especially among adolescent girls. This is a quantitative study using an analytical observational method with a cross-sectional design. The study population consisted of 516 female students aged 15–18 years at SMAN 3 Cikarang Utara, with 92 students selected as samples using purposive sampling. The research was conducted in June 2025. Data analysis was performed using the chi-square test. The findings revealed that 33 students (35.9%) experienced anemia out of the 92 participants. Furthermore, 45 students (48.9%) had inadequate protein intake, 39 students (42.4%) engaged in heavy physical activity, and 37 students (40.2%) were categorized as food insecure. Significant associations were found between protein intake (p = 0.000), physical activity (p = 0.000), and household food security (p = 0.047) with hemoglobin levels in adolescent girls. There is a relationship between protein intake, physical activity, and household food security with hemoglobin levels among adolescent girls.
Hubungan Indeks Massa Tubuh, Hemoglobin, Hematokrit Pendonor dengan Kualitas Darah Dwi Eni Danarsih; Praptana Praptana
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.v9i2.946

Abstract

The quality of blood products, particularly Packed Red Cells (PRC), is a crucial factor in ensuring safe and effective blood transfusions. Donor conditions are thought to influence the quality of produced blood components, including factors such as Body Mass Index (BMI), hemoglobin (Hb), and hematocrit levels. This study aimed to analyze the relationship between donor BMI, hemoglobin, and hematocrit levels with the quality of PRC products, which include PRC volume, hemoglobin content, and hematocrit. This was an analytical observational study with a cross-sectional design, involving 30 blood donors at the Blood Transfusion Unit of the Indonesian Red Cross (PMI) in Gunungkidul. Donor BMI was calculated from weight and height measurements, while hemoglobin and hematocrit levels were examined from capillary blood samples. The volume, hemoglobin, hematocrit, and physical appearance of PRC were evaluated according to standard procedures and analyzed using the Pearson correlation test at a 95% confidence level (α = 0.05). The results showed that the donors had an average BMI of 26.58 kg/m², hemoglobin 14.62 g/dL, and hematocrit 43.17%. Meanwhile, the PRC units had an average volume of 200.76 mL, hemoglobin content of 37.38 g/unit, and hematocrit of 54.33%, with all plasma samples appearing clear. Statistical analysis revealed no significant correlation between donor BMI, hemoglobin, and hematocrit with PRC volume (p>0.05), PRC hemoglobin (p>0.05), or PRC hematocrit (p>0.05). These findings indicate that variations in donor BMI and baseline hematological parameters do not affect the quality of PRC products. This study concludes that donor BMI, hemoglobin, and hematocrit are not associated with PRC quality. Future studies are recommended to include additional parameters, such as triglyceride levels, to provide a more comprehensive understanding of donor factors affecting blood product quality.
Efektivitas Pijat Oksitosin terhadap Produksi Asi pada Ibu Nifas Hari ke 1-3 Isne Susanti; Nesya Meylita Salva Putri; Eka Oktavia
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.v9i2.947

Abstract

Breast milk is a natural food for newborns that can influence their growth and development. Breast milk is given without any additives to babies from zero to six months of age. The WHO recommends exclusive breastfeeding from zero to six months of age, but implementation remains uneven in some regions. According to the Indonesian Ministry of Health, national exclusive breastfeeding coverage in 2022 was 67.96%, below the RPJMN target of 70%. In the Special Region of Yogyakarta (DIY) Province, the figure reached 76.8% in 2022, with Yogyakarta City having the lowest achievement compared to other regencies. This results in suboptimal breast milk production. To increase breast milk production in mothers, oxytocin massage techniques can be used.. This method was chosen because it is non-pharmacological, easy to do and proven to be able to stimulate the hormone oxytocin. easy to do and proven to be able to stimulate the hormone oxytocin. This study aims to determine the effectiveness of oxytocin massage in influencing breast milk production in postpartum mothers at Nur Hidayah Hospital. Quantitative research method with quasi-experimental design, Respondents were 30 people obtained through accidental sampling. Data collection used a directed observation sheet and measuring cup (cc). The results of the Independent Sample T Test analysis showed a significance value of 0.001 (p <0.05) meaning that there is effectiveness of oxytocin massage on breast milk production in postpartum mothers on days 1-3. The conclusion of the study is that there is effectiveness of oxytocin massage on breast milk production in postpartum mothers on days 1-3.
Faktor yang Mempengaruhi Mutu Pelayanan Keperawatan terhadap Tingkat Kepuasan Pasien di Rawat Inap Penyakit Dalam RSUD Pirngadi Kota Medan Azmiatussahliah Azmiatussahliah; Tri Niswati Utami; Arifah Devi Fitriani
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.v9i2.948

Abstract

Nursing services are an important component in the hospital system and are one of the main indicators of the quality of health services. This study aims to analyze the influence of the quality of nursing services on the satisfaction of inpatients at Dr. Pirngadi Hospital, Medan City. The research design used an analytical approach with a cross sectional design, involving 97 inpatient respondents in the internal medicine section selected through purposive sampling techniques. The research instrument is in the form of a structured questionnaire that measures five dimensions of service quality based on the SERVQUAL model (tangible, reliability, responsiveness, assurance, empathy). Data analysis used multivariate logistic regression to identify the dominant factors influencing patient satisfaction. The results showed that all dimensions of nursing service quality were significantly related to patient satisfaction (p < 0.05). The most dominant factor is assurance with an Odds Ratio (OR) value of 23,292, which shows that service assurance, sense of security, and competence of health workers are the main determinants of patient satisfaction. This study emphasizes that improving the quality of nursing services as a whole, especially in the aspects of assurance and empathy, is an important strategy in increasing patient satisfaction and hospital competitiveness.

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