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Jurnal Abdi Kesehatan dan Kedokteran
Published by Lembaga Chakra Brahmanda Lentera
ISSN : 29628245     EISSN : 29627133     DOI : 10.55018
Core Subject : Health, Science,
Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
Jurnal Abdi Kesehatan dan Kedokteran (JAKK), Prefix DOI: 10.55018, e-ISSN: 2962-7133, p-ISSN: 2962-8245, diterbitkan oleh Lembaga Chakra Brahmanda Lentera adalah peer-reviewed journal yang memuat artikel-artikel ilmiah dari disiplin ilmu Kesehatan dan Kedokteran yang diadopsi dalam berbagai aktivitas pengabdian kepada masyarakat dan penelitian terapan lainnya. Artikel-artikel yang dipublikasikan di JAKK merupakan dari hasil-hasil penelitian ilmiah asli, artikel ulasan ilmiah yang bersifat terbaru, dan aplikatif dan bermanfaat terhadap kesehatan di masyarakat. JAKK menerima manuskrip atau naskah artikel dalam bidang riset kesehatan dan kedokteran yang dapat diterapkan di masyarakat dan hilirisasi hasil penelitian ilmiah kuantitatif maupun kualitatif berbasis kesehatan dan kedokteran kedalam format pengabdian masyarakat yang mencakup bidang keilmuan yang relevan. Penerbitan Bulan Pertama di Bulan Juli dan Januari. Tujuan jurnal adalah untuk menyebarluaskan publikasi ilmiah dalam pengabian kepada masyarakat yang dapat menjadi reverensi dan bahkan dapat menjadi bagian dari pengembangan ilmu pengetahuan kesehatan dan kedokteran yang dapat diterapkan dan dirasakan langsung kepada masyarakat. Fokus jurnal ini pada rumpun keilmuan kesehatan dan kedokteran. Scope jurnal yang diterima diantaranya: Kesehatan Masyarakat, Kedokterani, Keperawatan, Kebidanan, Gizi dan Ilmu Pangan, Kesehatan Lingkungan, Farmasi dan Biomedik, Rekam Medis, Administrasi Rumah Sakit dan Kebijakan Kesehatan (ARS), Fisioterapi dan Terapi Modalitas Komplementer.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 163 Documents
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Penguatan Kader Kesehatan Masyarakat untuk Meningkatkan Pemanfaatan Antenatal Care pada Ibu Hamil: Studi Kuasi-Eksperimen: Strengthening Community Health Cadres to Improve Antenatal Care Utilization among Pregnant Women: A Quasi-Experimental Study Putri, Diana; Andriani, Aida
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.179

Abstract

delayed detection of pregnancy-related risks. Community health cadres play a strategic role in promoting maternal health; however, their capacity to encourage regular ANC visits is often limited due to inadequate knowledge and skills. Strengthening the role of health cadres is therefore essential to improve maternal health service utilization. This study employed a quasi-experimental design with a pretest–posttest approach without a control group. The participants were 25 active community health cadres in the working area of Mandiangin Public Health Center, Bukittinggi City. The intervention consisted of structured health education and mentoring sessions focusing on ANC standards, danger signs during pregnancy, and cadres' roles in motivating pregnant women to attend ANC visits. Data on cadres' knowledge and roles were collected using structured questionnaires before and after the intervention. Data analysis was conducted using descriptive statistics and the Wilcoxon signed-rank test. The results demonstrated a significant improvement in cadres' knowledge regarding ANC, with mean scores increasing from 60.4 ± 12.3 (pretest) to 82.6 ± 8.7 (posttest) (p < 0.001). The proportion of cadres with good knowledge category increased from 32% to 88% after the intervention. Similarly, cadres' role performance showed significant improvement, with median scores rising from 28.0 (IQR: 24.0–31.0) to 36.0 (IQR: 34.0–38.0) (p < 0.001). The proportion of cadres demonstrating good role performance increased from 48% to 84%. The findings indicate that educational and mentoring-based interventions are effective in enhancing cadres' capacity to support maternal health programs at the community level. Strengthening the role of community health cadres through continuous education and mentoring can serve as an effective strategy to improve ANC utilization. Integrating cadre empowerment programs into routine public health center activities is recommended to support sustainable improvements in maternal and child health services.
Edukasi Kesehatan tentang Pemanfaatan Daun Durian Secara Tradisional untuk Mengatasi Nyeri Sendi, Peradangan Ringan, dan Pembengkakan pada Lansia: Health Education on the Traditional Use of Durian Leaves for Managing Joint Pain, Mild Inflammation, and Swelling among Older Adults Putri, Yurizka; Wahyuny, Romy; Sianturi, Rismalia Br; Sari, Devi Novita; Oktavia, Dilla
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.180

Abstract

Joint pain, mild inflammation, and swelling are common health complaints among older adults and often interfere with daily activities and quality of life. In rural communities, older adults frequently rely on medical drugs without adequate knowledge of complementary traditional therapies. Durian (Durio zibethinus) leaves are locally available and traditionally believed to have anti-inflammatory properties; however, limited knowledge regarding their benefits, preparation, and safe use restricts their optimal utilization among older adults. This community service program employed a pre–post test design with a one-group approach. The participants consisted of 10 older adults aged 60 years and above living in Rambah Tengah Utara Village. The intervention was a health education session focusing on the benefits, preparation methods, and safe traditional use of durian leaves to manage mild inflammation and joint pain. Educational methods included lectures, discussions, and the use of leaflets and posters. Data on participants' knowledge were collected before and after the intervention using a structured questionnaire. Data analysis was conducted descriptively and supported by statistical comparison of pre- and post-intervention scores using Wilcoxon signed-rank test. The results showed a significant improvement in participants' knowledge after the health education intervention. The mean pre-test score was 4.8 ± 1.3, which increased to 8.7 ± 0.9 in the post-test (p < 0.001). All participants (100%) demonstrated increased understanding of the benefits of durian leaves, appropriate preparation techniques, and limitations of their use as complementary therapy for joint pain and mild inflammation. Health education on the traditional use of durian leaves effectively improves older adults' knowledge regarding complementary management of joint pain and mild inflammation. Community-based educational interventions utilizing local resources are recommended to support health promotion and improve the quality of life of older adults.
Mobilisasi Dini sebagai Intervensi Keperawatan dalam Mencegah Komplikasi Pasien Pasca Operasi: Systematic Literature Review: Early Mobilization as a Nursing Intervention in Preventing Postoperative Complications: A Systematic Literature Review Sucipto, Sucipto; Murtiningsih, Murtiningsih
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 2 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i2.183

Abstract

Postoperative complications remain a major problem in medical–surgical nursing care and contribute to increased morbidity, prolonged hospitalization, and higher healthcare costs. Complications such as pneumonia, deep vein thrombosis, paralytic ileus, persistent postoperative pain, and extended length of hospital stay are frequently associated with prolonged postoperative immobilization. Early mobilization has been recommended as an evidence-based nursing intervention to prevent these complications and enhance patient recovery. This study aimed to systematically review the scientific evidence on the effectiveness of early mobilization as a nursing intervention for preventing postoperative complications. A systematic literature review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Articles were retrieved from PubMed, Scopus, ScienceDirect, and Google Scholar databases for publications between 2019 and 2024. The review included original research studies involving adult postoperative patients who received early mobilization interventions. The main variables reviewed were postoperative complications, including respiratory complications, venous thromboembolism, gastrointestinal dysfunction, postoperative pain, and length of hospital stay. Data were collected using outcome measurements reported in the included studies. Fifteen studies met the inclusion criteria and were included in the synthesis. The findings consistently demonstrated that early mobilization significantly reduced the incidence of respiratory complications, venous thromboembolism, and gastrointestinal dysfunction. In addition, early mobilization was associated with lower postoperative pain and a shorter hospital stay across various surgical populations. Early mobilization is an effective and evidence-based nursing intervention that plays a crucial role in preventing postoperative complications and improving patient recovery. Integrating early mobilization into standard postoperative nursing care is strongly recommended to enhance clinical outcomes and support safe, efficient recovery processes.
Peningkatan Penyembuhan Luka dan Stabilitas Glikemik pada Pasien Diabetes Melitus Tipe 2 dengan Fasciitis Nekrotikan: Laporan Kasus: Improvement in Wound Healing and Glycemic Stability in a Patient with Type 2 Diabetes Mellitus and Necrotizing Fasciitis: A Case Report Xavier, Julieta de Carvalho; Luruk, Ricardo Correia; Bangun, Argi Virgona; Marpaung, Lilis Suryani
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 2 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i2.185

Abstract

Diabetes Mellitus (DM) is a chronic metabolic disease that frequently leads to serious complications, including severe soft tissue infections such as necrotizing fasciitis. Chronic hyperglycemia contributes to impaired tissue perfusion, decreased immune response, and delayed wound healing, thereby increasing the risk of severe infection and poor clinical outcomes. This case report describes the implementation of comprehensive nursing care for a patient with Type 2 Diabetes Mellitus complicated by necrotizing fasciitis. This study employed a descriptive case report design involving a 72-year-old male patient diagnosed with necrotizing fasciitis of the left lower extremity, accompanied by Type 2 Diabetes Mellitus and systemic complications. Nursing care was delivered using the nursing process approach, including assessment, nursing diagnosis, planning, implementation, and evaluation. The main nursing variables addressed were skin/tissue integrity, infection risk, and blood glucose stability. Data were collected through patient interviews, physical examination, wound observation, blood glucose monitoring, and review of medical and nursing records. The primary nursing diagnoses identified were impaired skin/tissue integrity, risk of infection, and unstable blood glucose levels. Nursing interventions focused on aseptic wound care, glycemic control management, infection prevention, pain management, and patient education. Evaluation outcomes demonstrated improvement in wound condition, reduced purulent exudate, stabilization of blood glucose levels, and decreased pain intensity during the course of nursing care. This case report indicates that comprehensive and evidence-based nursing care, particularly strict glycemic control combined with appropriate wound management, plays a critical role in supporting wound healing and preventing further complications in patients with Type 2 Diabetes Mellitus and necrotizing fasciitis.
Penerapan Posisi Semi Fowler dalam Meningkatkan Kualitas Tidur dan Mengurangi Sesak Napas pada Pasien Congestive Heart Failure : Studi Kasus Berbasis Evidence-Based Nursing: Implementation of Semi-Fowler Position to Improve Sleep Quality and Reduce Dyspnea in Patients with Congestive Heart Failure : An Evidence-Based Nursing Case Study Luruk, Ricardo Correia; Xavier, Julieta de Carvalho; Bangun, Argi Virgona; Marpaung, Lilis Suryani
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 2 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i2.188

Abstract

Congestive Heart Failure (CHF) is a chronic cardiovascular condition frequently accompanied by dyspnea and impaired sleep quality as a result of pulmonary congestion and reduced cardiac output. These symptoms significantly affect patient comfort and quality of life, highlighting the need for effective non-pharmacological nursing interventions. This study aimed to describe the implementation of the semi-Fowler position as an Evidence-Based Nursing (EBN) intervention to reduce dyspnea and improve sleep quality in patients with CHF. This study employed an Evidence-Based Nursing case study design involving one patient diagnosed with CHF who was hospitalized at Immanuel Hospital Bandung. The patient experienced dyspnea and sleep disturbances but was hemodynamically stable and fully conscious. The intervention consisted of positioning the patient in a semi-Fowler position with head-of-bed elevation of 30–45 degrees for approximately 15 minutes once daily over three consecutive days. Data were collected through nursing assessments, direct clinical observation, and evaluation of patient responses before and after the intervention. The findings demonstrated a positive clinical response following the implementation of the semi-Fowler position. The patient reported reduced dyspnea, improved respiratory comfort, and decreased use of accessory muscles during breathing. In addition, improvements were observed in sleep duration and perceived sleep quality, with fewer nocturnal awakenings related to shortness of breath. In conclusion, the semi-Fowler position is an effective, simple, and safe non-pharmacological nursing intervention for reducing dyspnea and improving sleep quality in patients with Congestive Heart Failure . This intervention can be integrated into routine nursing care as part of Evidence-Based Nursing practice to enhance patient comfort and overall quality of life.
Analisis Tingkat Kelelahan Postpartum terhadap Motivasi Pemberian ASI: Analysis of Postpartum Fatigue Levels on Breastfeeding Motivation Hapsari, Elvina Amelia; Indrianingrum, Irawati; Azizah, Noor
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 2 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i2.191

Abstract

Exclusive breastfeeding is an essential intervention to improve infant health, yet its achievement in many regions remains below established targets. Postpartum mothers frequently experience fatigue resulting from physiological and psychological changes, insufficient rest, and the demands of adapting to a new maternal role, which may affect their motivation to breastfeed. The purpose of this study was to analyze the relationship between postpartum fatigue and breastfeeding motivation among postpartum mothers who attended Srikandi Husada Kudus Clinic. This study employed a cross-sectional design with a quantitative, observational-analytic approach. The sample consisted of postpartum mothers on days 3 to 7 after childbirth, selected purposively based on predetermined inclusion and exclusion criteria. Sample characteristics included age, education level, employment status, type of delivery, parity, and breastfeeding method. The variables analyzed were postpartum fatigue (independent) and breastfeeding motivation (dependent). Data were collected using standardized questionnaires and analyzed using univariate and bivariate methods, including the Spearman Rho test. The findings showed that most postpartum mothers on days 3 to 7 experienced severe postpartum fatigue with relatively low breastfeeding motivation. The results also indicated a tendency that the higher the fatigue experienced by mothers, the lower their motivation to breastfeed, particularly during the early postpartum phase. This study indicates that postpartum fatigue in the early puerperium is closely associated with low maternal motivation to breastfeed. Therefore, early identification of fatigue and optimization of breastfeeding support from the beginning of the postpartum period are necessary to improve breastfeeding success.
Pengaruh Posisi Miring Menggunakan Peanut Ball terhadap Lama Kala I Fase Aktif pada Ibu Bersalin: The Effect of Inclined Position Using Peanut Ball on the Duration of the Active Phase I in Maternal Mothers Shadrina, Yasmin Alya; Asiyah, Nor; Khoirunnisa’, Fania Nurul
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 2 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i2.193

Abstract

Normal delivery is a physiological process that ends with the birth of the fetus and placenta. However, the extension of the active phase still often occurs and has the potential to cause complications such as bleeding, infection, and maternal fatigue. Safe and simple nonpharmacological measures are needed to accelerate labor. A primary therapeutic method available involves the left-tilt position with a peanut ball, which expands the pelvic cavity, optimizes contraction efficiency, and accelerates fetal vertex progression. This inquiry employs a numerical analytical framework using a quasi-experimental post-test-only control-group methodology. The participants were 45 healthy mothers in labor recruited through a deliberate selection procedure. The intervention group was given a left-leaning position using a peanut ball, while the control group was without a tool. Information acquisition was executed through monitoring using a partograph and a chronometer to quantify the length of the first phase of the active phase. Evidence examination used an independent t-test or a Mann-Whitney test at the significance threshold of α = 0.05. The findings revealed that the mean length of the first stage of the active phase in the treatment cohort was shorter than that of the comparison group. Numerical assessments indicate that a substantial disparity exists between the two clusters (p < 0.05), suggesting that the use of peanut balls in the left-leaning position is effective in accelerating the progress of labor during the I phase. The left-slanted position with the peanut ball has been shown to provide physiological benefits by optimizing uteroplacental circulation, increasing contraction strength, and promoting pelvic dilation. This intervention can be an innovative, safe, and easy-to-apply alternative in obstetric practice to speed up labor, improve maternal comfort, and support evidence-based labor services.
Rehabilitasi Medik Dengan Metode William Flexion Exercise Pada Pasien Low Back Pain Pasca Trauma: Medical Rehabilitation Outcomes Using the William Flexion Exercise Method in Post-Traumatic Low Back Pain Patients Yustisia, Meuthia Sendy; Safei, Imran; Putra, Fadil Mula; Muchsin, Achmad Harun; Pangnguriseng, Utomo A.
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 2 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i2.194

Abstract

Post-traumatic Low Back Pain (LBP) is one of the most common musculoskeletal disorders and can lead to prolonged pain and limitations in daily activities. Medical rehabilitation using the William Flexion Exercise (WFE) method is a therapeutic approach that aims to reduce pain and improve lumbar function through structured flexion movements. This study aimed to describe the outcomes of medical rehabilitation using the William Flexion Exercise method in patients with post-traumatic low back pain at Ibnu Sina Hospital, Makassar. This study employed a quantitative descriptive design with a cross-sectional approach. A total of 60 patients were selected using purposive sampling based on inclusion and exclusion criteria. Respondent characteristics included age, sex, and diagnosis. The research variables consisted of pain intensity as the dependent variable and the William Flexion Exercise intervention as the independent variable. The instruments used were the Visual Analog Scale (VAS) to assess pain intensity (pain at rest, pain during movement, and tenderness) and the Roland-Morris Disability Questionnaire (RMDQ) to measure functional disability. Data were analyzed descriptively using frequency distributions and percentages. The results showed that the majority of respondents were female (65%) and belonged to the adult age group (53.3%), with the most common diagnosis being non-specific LBP (70%). After undergoing rehabilitation with the WFE method, pain intensity improved significantly, with most patients categorized as having mild pain: at rest (63.3%), during movement (65%), and on tenderness (80%). Additionally, 35% of patients no longer experienced pain at rest. Functional disability outcomes were also favorable, with 70% of respondents categorized as having mild disability and no patients experiencing severe disability. In conclusion, medical rehabilitation using the William Flexion Exercise method demonstrates favorable outcomes in reducing pain intensity and improving functional ability in patients with post-traumatic low back pain.
Pengaruh Teknik Kompres Dingin terhadap Mobilisasi dan Intensitas Nyeri pada Pasien Pasca Operasi ACL: The Effect of Cold Compress Technique on Mobilization and Pain Intensity in Patients After ACL Reconstruction Surgery Prihartini, Budi; Setiyowati, Yovita Dwi
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 2 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i2.197

Abstract

Pain and limited mobilization are major problems experienced by patients after Anterior Cruciate Ligament (ACL) reconstruction surgery. Uncontrolled postoperative pain may delay rehabilitation, reduce joint function recovery, and increase the risk of complications. The cold compress technique is a non-pharmacological nursing intervention that may help reduce pain intensity and improve mobilization in postoperative patients. This study used a descriptive case study design with a pre–post intervention approach. The participants were patients who underwent ACL reconstruction and were hospitalized in the inpatient ward of Hospital X. Pain intensity was measured using the Numeric Rating Scale (NRS), and mobilization was assessed by observing range of motion (ROM) and ambulation ability. Cold compress intervention was administered according to the standard operating procedure during the observation period. The findings demonstrated a reduction in pain intensity and improved mobilization following the application of the cold compress technique. The intervention reduced local inflammatory responses and enhanced patient comfort during the early rehabilitation phase. Cold compress therapy can be recommended as an evidence-based independent nursing intervention in the postoperative management of ACL reconstruction patients.
Hubungan Keteraturan Kunjungan Antenatal Care (ANC) Dengan Kejadian Anemia Pada Ibu Hamil: The Relationship Between Regularity of Antenatal Care (ANC) Visits and the Incidence of Anemia in Pregnant Women efendi, Aprilianti mayang; Wulandatika, Darmayanti; Azhari, Fahrin; Ulfa, Siti Maria
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 2 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i2.203

Abstract

Anemia during pregnancy remains a significant public health problem because it increases the risk of maternal and fetal complications. Regular antenatal care (ANC) visits are important for early detection and prevention of anemia among pregnant women. This study aimed to analyze the relationship between the regularity of ANC visits and the incidence of anemia among pregnant women at Alalak Selatan Community Health Center, Banjarmasin. This quantitative study used a cross-sectional design with an observational analytic approach. The sample consisted of 30 third-trimester pregnant women with gestational age ≥37 weeks selected using purposive sampling technique. Data were collected through maternal and child health (MCH) books and direct observation after informed consent was obtained. The independent variable was the regularity of ANC visits, while the dependent variable was the incidence of anemia among pregnant women. Data were analyzed using univariate and bivariate analysis with Fisher’s Exact Test. A total of 73.3% of respondents experienced anemia, and 56.7% had irregular ANC visits. Statistical analysis showed that there was no significant relationship between the regularity of ANC visits and the incidence of anemia among pregnant women (p = 0.242; p > 0.05). The regularity of ANC visits was not significantly associated with anemia among pregnant women. Other factors such as nutritional intake, adherence to iron tablet consumption, and maternal health behavior may contribute to the incidence of anemia during pregnancy

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