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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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Hubungan Kelainan Letak dan Paritas dengan Kejadian Ketuban Pecah Dini di Rumah Sakit Harapan Bunda Kota Batam Tahun 2024 Vyona Wifiarni Putri; Desi Pramita Sari; Resi Novia
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.v9i2.959

Abstract

Premature Rupture of Membranes (PROM)s a condition where the amniotic sac breaks before labor begins. This can occurn full-term pregnancies (≥37 weeks) or preterm pregnancies (<37 weeks), whichs also known as preterm PROM. PROMs one of the main risk factors for complicationsn both the mother and the baby, during and after childbirth. Therefore,tsmportant todentify the factors associated with the occurrence of PROM. This study aims to examine the relationship between fetal malpresentation and parity with thencidence of PROM at Harapan Bunda Hospitaln Batam Cityn 2024. The research used a quantitative approach with a retrospective case - control design. A total of 42 mothersn labor were selected using purposive sampling based on specific criteria. Analysis using the chi-square test showed a p-value of 0.000 (<0.05),ndicating a significant relationship between fetal malpresentation and maternal parity with the occurrence of PROM.t can be concluded that abnormal fetal position and the number of previous births (parity) are strongly related to the risk of premature rupture of membranes among mothers giving birth at Harapan Bunda Hospital.
Hubungan Kelelahan dan Ketegangan Emosional dengan Baby Blues pada Ibu Postpartum Apriani Apriani; Wira Ekdeni Aifa; Rizka Mardiya; Fajar Sari Tanberika
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.v9i2.962

Abstract

Baby blues is a mild and temporary mood disorder commonly experienced by mothers after childbirth. It is characterized by emotional instability, including sadness, anxiety, irritability, and frequent crying, which may interfere with maternal-infant bonding. This condition is often triggered by a combination of physical and psychological factors, such as hormonal changes, fatigue, and emotional tension. This study aims to examine the relationship between fatigue and emotional tension with the occurrence of baby blues among postpartum mothers at Klinik Pratama Annisa Medika 1. A quantitative research method with a cross-sectional design was employed. A total of 45 postpartum mothers were selected using purposive sampling. Data were collected through structured questionnaires measuring fatigue, emotional tension, and baby blues symptoms. The results were analyzed using the Chi-Square test with a significance level set at p<0.05. The findings indicate a statistically significant relationship between fatigue and the incidence of baby blues (p=0.019), as well as between emotional tension and baby blues (p=0.000). These results suggest that both physical and emotional well-being are crucial factors influencing postpartum mental health. The implications of this study highlight the importance of early identification and management of fatigue and emotional stress in postpartum mothers. Healthcare providers should prioritize psychological support, routine mental health screening, and postpartum education to help prevent the onset of baby blues. Early intervention may improve maternal well-being and promote healthier mother-infant interactions.
Penggunaan Pitch Rendah pada Pemeriksaan CT Scan Kepala pada Kasus Trauma di RSUD Banyumas Aliya Ambar Sari; Widya Mufida; Muhammad Za’im
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.v9i2.964

Abstract

RSUD (Regional General Hospital) Banyumas is a healthcare institution offering radiology services, such as head CT scans for trauma cases. The application of CT scan pitch parameters is essential for generating high-quality images while reducing the radiation exposure to the patient. This study employed a descriptive qualitative methodology utilizing a case study approach. The author presents an analysis of low pitch utilization in head CT scans for trauma cases at RSUD Banyumas. The research was carried out between May and June 2025. The participants included three radiographers and one radiologist. The methods employed for data collection comprised observation, interviews, and documentation. The study results demonstrate that the CT scan procedure for head trauma at RSUD Banyumas was executed with the patient in a supine head-first position and a pitch parameter set at 0.55. Employing a lower pitch enhances image detail and noise, although with the potential for increased radiation exposure. This study concludes that appropriate pitch utilization in head trauma CT scans at RSUD Banyumas significantly affects image quality.
Gambaran Tingkat Pengetahuan Tentang Anemia pada Remaja Putri di Pesantren Dar Maryam Aceh Besar Hafni Zahara; Maula Habna
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.v9i2.967

Abstract

Anemia is a global public health problem that has a serious impact, especially on young children, adolescent girls, pregnant women, and postpartum women. This condition is characterized by lower than normal hemoglobin (Hb) levels in the blood, thus interfering with the function of body tissues due to lack of oxygen. The impact includes a decrease in learning concentration, productivity, and endurance. This study aims to determine the level of knowledge of adolescent girls about anemia at the Dar Maryam Aceh Besar Islamic Boarding School. The study used a descriptive approach with a purposive sampling technique, involving 38 respondents. Data was collected through interviews using questionnaires. The results showed that 6 people (16%) had very good knowledge, 24 people (63%) had good knowledge, and 8 people (21%) had poor knowledge. Good knowledge plays an important role in increasing adolescents' awareness of nutritious food consumption patterns and healthy living behaviors. This study recommends increasing nutrition education, regular consumption of blood-boosting tablets, and periodic health check-ups with the assistance of medical personnel. This effort is expected to be able to increase knowledge and prevent anemia in adolescent girls in a sustainable manner.
Determinan Kejadian Stunting pada Anak Usia 0- 59 Bulan di Wilayah Kerja Puskesmas Dalu Sepuluh Desa Dalu 10 A Kecamatan Tanjung Morawa Kabupaten Deli Serdang Hilda Miranda Sejuk; Siti Khairani Novi Nurjanah; Masryana Siagian
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.v9i2.968

Abstract

Stunting is a growth failure condition in toddlers caused by chronic malnutrition, making children shorter than their age. Stunting is a public health issue that requires serious attention due to its long-term impact on children’s development. Based on observations at Puskesmas Dalu Sepuluh, the prevalence of stunting was recorded at 52 children in 2022 and 35 children in 2023 out of a total of 6,737 toddlers. In addition, 8 children were identified as stunted during this research. This study aims to analyze the determinants of stunting in children aged 0–59 months in the working area of Puskesmas Dalu Sepuluh, Dalu 10 A Village, Tanjung Morawa District, Deli Serdang Regency. The research design used was observational analytic with a cross-sectional approach. The population consisted of 445 toddlers, and a sample of 211 respondents was selected using the Slovin formula with probability random sampling. Data were analyzed using the Chi-Square test, Fisher’s Exact test, and Multiple Logistic Regression Enter Method at a 95% confidence level. The findings showed that complementary feeding (OR = 9.13, 95% CI: 1.39–76.01) reduces the risk of stunting, while family income (OR = 12.92, 95% CI: 1.56–106.91) and parenting patterns (OR = 11.56, 95% CI: 1.39–96.01) increase the risk. Addressing these factors is vital to reduce stunting prevalence in toddlers.  
Hubungan Durasi Pembedahan dengan Nyeri Tenggorokan pada Pasien Post General Anestesi Teknik Intubasi Endotracheal Tube di RSI Purwokerto Ghaihab Dzikir Mufiid Alkatiri; Tophan Heri Wibowo; Ita Apriliyani
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.v9i2.971

Abstract

Surgery is one of the medical procedures divided into three periods of pre operative, intra operative, and post operative. At least 11% of the global disease burden comes from conditions that can actually be addressed through surgery. Surgical procedures will certainly require anesthesia, one of which is general anesthesia with the Endotracheal Tube (ETT) intubation technique. Endotracheal Tube (ETT) intubation can cause various complications, the most common being postoperative sore throat. One of the risk factors for sore throat after Endotracheal Tube (ETT) intubation is the duration of surgery. This research is a quantitative study with a descriptive correlational design and a cross-sectional approach. The sample in this study consisted of 30 patients undergoing surgery with general anesthesia using the Endotracheal Tube (ETT) intubation technique, determined by quota sampling. The research instruments used were a clock to measure the duration of surgery and an observation sheet containing the measurement of sore throat level using the Numeric Rating Scale (NRS). Data analysis in this study included univariate and bivariate analyses, with the latter tested using the Spearman rank test. The results of the Spearman rank test between the variables of surgical duration and postoperative sore throat in general anesthesia with the Endotracheal Tube (ETT) intubation technique showed a p = 0.000 and an r = 0.912, which means that the two variables have a significant and positive relationship in line with a very strong correlation strength. This indicates that the longer the duration of surgery, the higher the postoperative sore throat scale in general anesthesia with the Endotracheal Tube (ETT) intubation technique.
Faktor yang Memengaruhi Tindakan Ibu Hamil dalam Mengatasi Kurang Energi Kronik di Wilayah Kerja Puskesmas Perawatan Pining Kecamatan Pining Debby Lestari; Ismail Efendy; Nur Aini
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.v9i2.972

Abstract

Chronic Energy Deficiency (CED) is a condition in which a person’s nutritional status is poor due to a prolonged or chronic lack of consumption of energy-rich foods containing macronutrients. The purpose of this study was to determine the factors that influence the prevention of chronic energy deficiency (CED) in pregnant women in the Pining Health Center Work Area, Pining District, Gayo Lues Regency. The type of research is quantitative with a cross-sectional design. The population in this study was 72 respondents with the sample being the total sampling. Data analysis used univariate, biavariate analysis using chi-square and multivariate test statistik with logistic regression test statistics at a confidence level of 95% (α=0.05). Based on the research results of the study, it shows that there is an influence of income on overcoming CED (p= 0,002), knowledge about overcoming CED (p= 0,000), attitudes about overcoming CED (p= 0,007), and family support on overcoming CED (p= 0,002) in the working area of the Pining Care Health Center, Pining District, Gayo Lues Regency. The conclusion of this research is that income, knowledge, attitude, and family support have an effect on the prevetion of chronic energy deficiency (CED). It is recommended that pregnant women’s knowledge be continuously improved, both by seeking health information every time the importance of consuming a diverse diet to meet the mothers nutrition needs so that nutritional needs can be met
Faktor yang Memengaruhi Status Gizi pada Balita di Wilayah Kerja Puskesmas Perawatan Pining Kecamatan Pining Kabupaten Gayo Lues Kota Aceh Nona Juli Piarni; Nur Aini; Ramadhani Syafitri Nasution
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.v9i2.973

Abstract

Nutrition status is a condition of the body as a result of food consumption and the use of nutrients that are very much needed by the body as a source of energi, grouth and maintenance of body tissues, and regulators of body processes. The purpose of this study was to determine the factors that influence malnutrition in toddlers in the Pining Health Center Work Area, Pining District, Gayo Lues Regency, Aceh City. The type of research is quantitative with a cross-sectional design. The population in this study was 234 respondents with the sample being the purposive sampling. Data analysis used univariate, biavariate analysis using chi-square and multivariate test statistik with logistic regression test statistics at a confidence level of 95% (α=0.05). Based on the research results, it shows that there is an infuluence of feeding practices (p=0.002), parenting practices (p=0.002), hygiene practices (p=0.001), and health care practices (p=0.008) on malnutrition in toddlers in the Pining Health Center Work Area, Pining District, Gayo Lues Regency, Aceh City. The conclusion of this study is that health care practices are the most influence with malnutrition. It is recommended to increase community empowerment in each village in malnutrition to improve nutrition and improve the health of the community, especially toddlers who are malnourished.
Inovasi Manajemen Organisasi Kesehatan dalam Meningkatkan Mutu Layanan di Era Digital Rahmah Dwi Asti; Nadiyah Rahma Dalimunthe; Ajib Atha Syah Putra; Meisa Putri Rangkuty; Findyani Siregar; Latifah syahrani; Adillah Maharani; Dewi Agustina
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.v9i2.974

Abstract

Innovation in healthcare organization management in the digital era plays a crucial role in enhancing the efficiency, accessibility, and quality of healthcare services. As digital technologies continue to evolve, healthcare institutions are increasingly adopting systems such as Electronic Medical Records (EMR), Hospital Management Information Systems (HMIS or SIMRS), telemedicine platforms, mobile health applications, Big Data analytics, and Artificial Intelligence (AI) to streamline operations and improve patient outcomes. This literature review highlights how the implementation of these technologies can accelerate service delivery, reduce administrative burdens, support data-driven clinical and managerial decision-making, and enable remote healthcare access—particularly beneficial in rural or underserved areas. For instance, EMRs improve the accuracy and availability of patient data, while AI can assist in diagnostics and predictive analytics for disease prevention. However, despite these promising developments, several significant challenges persist. These include limited digital infrastructure in some regions, low levels of digital literacy among healthcare professionals, high implementation and maintenance costs, organizational resistance to technological change, and concerns over data privacy and cybersecurity. Therefore, successful digital transformation in healthcare is not solely dependent on technology itself. It also requires strong organizational readiness, supportive regulatory frameworks, investment in workforce training and development, and effective change management strategies. Collaborative efforts between government, private sector, and healthcare providers are essential to overcome these barriers. In conclusion, innovation in healthcare management must be holistic—integrating technological advancements with human, organizational, and policy-level adaptations—to ensure the delivery of high-quality, efficient, and sustainable healthcare services in the digital age.
Cost Effectivie Analysis (CEA) Pengobatan Tunggal dan Kombinasi pada Pasien Tuberkulosis Paru di RSUD dr. La Palaloi Kabupaten Maros Ira Widya Sari; Yani Pratiwi; Irfan Kurniawan; A.Aulia Salsabila
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.v9i2.976

Abstract

TB treatment requires long-term therapy using anti-tuberculosis drugs (OTAs), either singly or in combination. The use of combination therapy is considered more effective in preventing drug resistance and increasing treatment success. However, the choice of therapy method is also influenced by economic considerations, considering the continuing increase in health care costs. Therefore, a pharmacoeconomic analysis is needed, specifically a Cost Effectiveness Analysis (CEA) to compare the costs and effectiveness of two treatment alternatives, namely single OAT therapy and combination therapy. Cost Effectiveness Analysis (CEA) is a type of pharmacoeconomic analysis in which all costs are compared with the effects of two or more treatment options. Single OAT treatment is a medical action undertaken by tuberculosis patients, while combination treatment is a treatment method consisting of two or more drugs or treatment techniques used simultaneously to increase treatment effectiveness, reduce the risk of resistance, or improve clinical outcomes. The research method is a descriptive non-experimental, the data studied are retrospective using secondary data from patient medical records. The results showed that treatment of pulmonary tuberculosis using combination therapy (rifampicin and isoniazid) is more cost-effective with an ACER value of Rp132. 182 compared to single therapy (ethambutol) with an ACER value of Rp. 170,536 and an ICER value of combination and single therapy of Rp. 119,857.

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