cover
Contact Name
Kiki Kristiandi
Contact Email
kikikristiandi@pakisjournal.com
Phone
-
Journal Mail Official
miki@pakisjournal.com
Editorial Address
Jl. Tabrani, Saing Rambi, Sambas, 79462 Kalimantan Barat
Location
Kab. sambas,
Kalimantan barat
INDONESIA
Media Ilmiah Kesehatan Indonesia
ISSN : 29875404     EISSN : 29874009     DOI : https://doi.org/10.58184/miki
Core Subject : Health,
Media Ilmiah Kesehatan Indonesia (MIKI) is a peer-reviewed and open-access triannually (January, Mei, and September) published by the PAKIS JOURNAL INSTITUTE. The aim of MIKI is to publish exciting, empirical research, recent science development, and high-quality science that addresses fundamental questions in nutrition, public health, midwifery, and nursing. Processes submitted original scripts related to scope nutrition, public health, midwifery, and nursing and not being published by other publishers. This journal gives readers the state of the art of the theory and its applications in all aspects of nutrition, public health, midwifery, and nursing.
Articles 62 Documents
Efektivitas Intervensi Keperawatan Komunitas dalam Menurunkan Stres Remaja di Provinsi Aceh Dedi Irawan
Media Ilmiah Kesehatan Indonesia Vol. 4 No. 2 (2026): MAY
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v4i2.939

Abstract

Stress among adolescents has become an increasingly important public health issue, particularly due to academic pressure, social demands, and limited access to mental health services. This study aimed to examine the effectiveness of a community nursing intervention in reducing stress levels among adolescents in Aceh Province. This study employed a quantitative approach with a quasi-experimental design using a non-equivalent control group design. A total of 60 respondents were selected through purposive sampling and divided into an intervention group (n = 30) and a control group (n = 30). Stress levels were measured using the validated Depression Anxiety Stress Scale (DASS-42). The intervention was delivered as a structured program consisting of psychoeducation, group-based stress management, and peer support over six sessions. The Paired t-test showed a significant reduction in stress scores in the intervention group, from 26.43 to 16.15 (p < 0.001). The Independent t-test also showed a significant difference between the intervention and control groups after the intervention (p < 0.05). These findings indicate that the community nursing intervention was effective in improving coping ability and reducing stress among adolescents. The integration of community-based programs is needed as a preventive strategy to support adolescent mental health.
The Relationship Between Medication Adherence and Hypertension Status: A Cross Sectional Study in the Working Area of Tamalanrea Jaya Public Health Center Makassar City Firman Firman; Askar Yusuf; Andi Muh Muharfian
Media Ilmiah Kesehatan Indonesia Vol. 4 No. 2 (2026): MAY
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v4i2.946

Abstract

Hypertension is a major public health problem that contributes substantially to an increased risk of cardiovascular disease and mortality. Hypertension control is strongly influenced by patients’ adherence to medication, as poor adherence may lead to uncontrolled blood pressure and increase the risk of complications. This study aimed to analyze the association between medication adherence and hypertension status among patients with hypertension in the working area of Tamalanrea Jaya Public Health Center, Makassar City. This study employed an analytical cross-sectional design. The study population consisted of all productive-age patients with hypertension aged 15–64 years who were recorded in the register book of Tamalanrea Jaya Public Health Center from January to September 2020, with an estimated population of 215 individuals. A total of 140 respondents were selected using accidental sampling. Data were analyzed using univariate and bivariate analyses, with the Chi-square test applied at a significance level of p < 0.05. The findings showed that most respondents with poor medication adherence had uncontrolled hypertension, whereas most adherent respondents had controlled hypertension. Statistical analysis revealed a significant association between medication adherence and hypertension status, with a p-value of 0.002. These findings indicate that medication adherence plays an important role in blood pressure control among patients with hypertension. Strengthening health education, routine monitoring, and the role of healthcare professionals at the primary care level is essential to support effective hypertension management.
THE EFFECT OF BITTER TUAK DRINK TYPES ON THE ROUGHNESS OF HEAT-CURED ACRYLIC RESIN SURFACES Nur Aedah Ahmad Rani; Firman Firman; Aisyah AR
Media Ilmiah Kesehatan Indonesia Vol. 4 No. 2 (2026): MAY
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v4i2.947

Abstract

Heat-cured acrylic resin is widely used as a denture base material due to its favorable esthetics, biocompatibility, and ease of manipulation. However, this material has water absorption properties, and exposure to acidic and alcoholic solutions may affect its surface roughness. Bitter palm wine derived from aren, lontar, and nipah contains alcohol and has an acidic nature that may interact with the surface of acrylic resin. This study aimed to analyze the effect of immersion in three types of bitter palm wine on the surface roughness of heat-cured acrylic resin denture bases. This laboratory experimental study employed a pretest–posttest with control group design. A total of 24 heat-cured acrylic resin plates measuring 30 × 10 × 2 mm were divided into four groups: distilled water as the control group and bitter palm wine from aren, lontar, and nipah as treatment groups. Surface roughness was measured before and after immersion using a Surface Roughness Tester (SRT). Data were analyzed using the One Way ANOVA and LSD tests. Surface roughness values varied among the immersion groups. However, statistical analysis showed no significant difference between groups (p = 0.778). Descriptively, immersion in bitter palm wine showed a tendency to alter the surface roughness of heat-cured acrylic resin, although the effect was not statistically significant.
Comparison of Proximate Composition of Tuna and Mackerel Protein Hydrolysates for Diet Development in Non-Communicable Disease Septi Nur Rachmawati; Baiq Dewi Sukma Septiani
Media Ilmiah Kesehatan Indonesia Vol. 4 No. 2 (2026): MAY
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v4i2.951

Abstract

Non-communicable diseases (NCDs) remain the leading causes of death worldwide and are closely associated with unhealthy dietary patterns. This condition highlights the need for comprehensive interventions, including dietary approaches. One strategy to reduce the severity of NCDs is the development of food innovations that can improve diet quality, particularly in terms of palatability, without increasing disease risk. Fish protein hydrolysate (FPH) contains amino acids such as glutamate, which contributes to umami taste and can be utilized as a flavor enhancer to improve food acceptability. This study aimed to compare the proximate composition of FPH derived from tuna (Thunnus sp.) and kawakawa (Euthynnus affinis) as a basis for developing flavor enhancers for NCD dietary management. This study used a laboratory experimental design with a quantitative descriptive approach. FPH was produced through enzymatic hydrolysis using papain, followed by proximate analysis including ash, moisture, carbohydrate, protein, and fat contents. The results showed that protein content was higher in tuna FPH, whereas its moisture content was lower than that of kawakawa FPH. Both samples had low fat and ash contents. All parameters differed significantly between samples (p < 0.05), including ash content (p = 0.014), moisture content (p = 0.019), protein content (p = 0.026), carbohydrate content (p = 0.038), and fat content (p = 0.047). Overall, tuna FPH showed better nutritional characteristics and has potential as a natural flavor enhancer to support dietary management in NCDs.
Self-efficacy and Determinants of Self-Management Behaviors in Patients With Type 2 Diabetes Mellitus: A Cross-Sectional Study Victor Trismanjaya Hulu; Cynthia Theofani Marpaung; Kristina Waty Br Manullang
Media Ilmiah Kesehatan Indonesia Vol. 4 No. 2 (2026): MAY
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v4i2.956

Abstract

Abstract The ability of patients with type 2 diabetes mellitus (T2DM) to engage in self-care practices, including dietary control, exercise, medication adherence, and foot care, is crucial for diabetes management. This study aims to analyze self-efficacy and the determinants of self-management behaviors in patients with T2DM. A cross-sectional design was used in this study, conducted at UPT Puskesmas Martubung, Medan, from November 2025 to December 2025. The research population consists of all patients with T2DM in 2024, totaling 453 individuals. The research sample comprised 113 individuals obtained using a simple random sampling technique. Data were collected by distributing questionnaires to research subjects, and analyzed using the Chi-Square and Logistic Regression tests. The research results show that the duration of suffering from diabetes mellitus with OR = 5.08 (95% CI: 2.247-11.518), attitude with OR = 3.11 (95% CI: 1.432-6.776), self-motivation with OR = 4.28 (95% CI: 1.917-9.588), self-efficacy with OR = 8.80 (95% CI: 3.719-20.823), and family support with OR = 3.20 (95% CI: 1.453-7.090) are related to the self-management behavior of T2DM. Furthermore, education (elementary/middle school) with OR = 1.05 (95% CI: 0.397- 2.799), secondary education (high school/vocational school) with OR = 0.54 (95% CI: 0.171-1.706), and knowledge with OR = 1.20 (95% CI: 0.565-2.548) are not related to the self-management behavior of T2DM. In conclusion, low self-efficacy, with an AOR of 8.24 (95% CI: 2.811-24.150), is a substantial risk factor for self-management behavior.
The Effect of Distance to Health Care Facilities on Tuberculosis Treatment Compliance in Tuberculosis Patients: A Meta-Analysis Rizki Aqsyari; Hendra Dwi Kurniawan; Safaruddin Safaruddin
Media Ilmiah Kesehatan Indonesia Vol. 4 No. 2 (2026): MAY
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v4i2.957

Abstract

Patient adherence to tuberculosis (TB) treatment is an essential factor in ensuring therapeutic success, preventing relapse, and mitigating the rate of drug resistance in the community. One structural barrier frequently associated with suboptimal adherence levels is the geographical distance between the patient's residence and healthcare facilities. Given that previous literature still exhibits variations in empirical findings, this study aims to quantitatively synthesize and estimate the magnitude of the effect of healthcare facility distance on the treatment adherence of TB patients. This systematic review and meta-analysis was designed in adherence to the standard Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The literature search strategy focused on the Google Scholar database by establishing inclusion criteria based on the PICO framework: TB patients (Population), easily accessible healthcare facilities (Exposure), inaccessible healthcare facilities (Comparator), and the level of treatment adherence (Outcome). Statistical synthesis was executed using Review Manager 5.3 software. The eligibility evaluation identified three case-control primary studies included in the analysis. The forest plot visualization confirmed that patients facing inaccessible healthcare facilities possess a significantly higher probability of non-adherence by 3.76 times compared to patients with easy access (aOR = 3.76; 95% CI = 2.11–6.70; p = 0.0001). Although the statistical test demonstrated perfect methodological homogeneity across the studies (I² = 0%), an indication of potential publication bias was detected through the funnel plot visualization. In conclusion, geographical distance barriers are proven to significantly degrade TB treatment adherence. Proactive policy interventions, such as service decentralization and community-based medical governance innovations, are highly crucial to overcome these spatial obstacles.
Relationship Between Maternal Parenting Practices and Risk of Stunting in Toddlers Aged 12–59 Months in Talagasari, Tasikmalaya Rosye Syifa Fadillah; Ade Kurniawati; Sri Wahyuni Sundari; Meti Patimah; Rissa Nuryuniarti
Media Ilmiah Kesehatan Indonesia Vol. 4 No. 2 (2026): MAY
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v4i2.963

Abstract

Stunting is chronic nutritional problem that impacts physical growth, cognitive development, learning abilities, and future productivity. Among the indirect factors suspected to influence this is maternal parenting, especially for toddlers aged 12–59 months who are in a period of active growth. This study seeks to examine the association between maternal caregiving practices and stunting in Talagasari Village, within the Kawalu Community Health Center, Tasikmalaya City. The study used a quantitative method with a cross-sectional design and involved 82 respondents selected using a purposive sampling technique. Data were collected using a maternal parenting questionnaire and toddler anthropometric data from the Integrated Health Post (Posyandu), then analyzed using the Chi-square test at significance level of p < 0.05. Results showed that the majority of mothers had good parenting patterns (91.5%), while the remainder had adequate parenting patterns (8.5%). In addition, the majority of toddlers did not suffer from stunting (78.0%), while 22.0% experienced stunting. The statistical test results showed p-value of 0.162 (p > 0.05), indicating no significant association between maternal parenting patterns and stunting. This finding indicates that stunting is triggered by various other factors, such maternal nutritional status during pregnancy, socioeconomic conditions, recurrent infectious diseases, environmental sanitation, and long-term nutritional adequacy. Therefore, stunting prevention requires a comprehensive approach through nutrition education, improved sanitation, family support, and cross-sector collaboration.
Impact of Environmental Sanitation on Stunting Risk in Talagasari, Tasikmalaya Reva Dewari Daniswara; Ade Kurniawati; Meti Patimah; Melsa Sagita Imaniar; Rissa Nuryuniarti
Media Ilmiah Kesehatan Indonesia Vol. 4 No. 2 (2026): MAY
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v4i2.964

Abstract

Stunting is a chronic nutritional problem that affects children’s physical growth, cognitive development, learning ability, and future productivity. Indirect factors presumed to be associated with stunting include maternal parenting practices, particularly among children aged 12–59 months. This study aimed to analyze the association between maternal parenting practices and the incidence of stunting in Talagasari Urban Village, within the working area of Kawalu Public Health Center, Tasikmalaya City. A quantitative cross-sectional design was employed, with a sample of 83 children selected using stratified random sampling. Data were collected through a maternal parenting practices questionnaire and anthropometric measurements of children, then analyzed using the Chi-square test at a significance level of p < 0.05. The results showed that most mothers had good parenting practices, and the majority of children were not stunted. However, statistical analysis indicated no significant association between maternal parenting practices and the incidence of stunting. These findings suggest that stunting is influenced by other factors, including maternal nutritional status during pregnancy, socio-economic conditions, recurrent infectious diseases, and Clean and Healthy Living Behaviors (PHBS). Comprehensive stunting prevention should be implemented through nutrition education, sanitation improvement, family support, and cross-sectoral collaboration.
Relationship Between Digital Health Literacy and Hypertension Preventive Behavior among Adolescents in Urban Areas Hendra Dwi Kurniawan; Safaruddin Safaruddin; Rizki Aqsyari
Media Ilmiah Kesehatan Indonesia Vol. 4 No. 2 (2026): MAY
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v4i2.975

Abstract

Hypertension in adolescents is an emerging public health concern because it can increase the risk of cardiovascular complications later in life. The advancement of digital technologies has made digital health literacy an important factor in shaping hypertension prevention behaviors. This study aimed to analyze the association between digital health literacy and hypertension prevention behaviors among adolescents in urban areas. A cross-sectional observational analytic design was employed, with a sample of 225 adolescents selected using purposive sampling. Data were collected using questionnaires on digital health literacy and hypertension prevention behaviors and analyzed using the Chi-square test. The results showed that most respondents had good digital health literacy and demonstrated appropriate hypertension prevention behaviors. Bivariate analysis indicated a significant association between digital health literacy and hypertension prevention behaviors (p < 0.001; OR = 3.225; 95% CI: 1.713–6.071). Adolescents with good digital health literacy were more likely to engage in hypertension prevention behaviors. Enhancing digital health literacy is a crucial strategy for promotive and preventive efforts targeting hypertension among adolescents in urban settings.
Pengaruh Variasi FFD pada Anoda Heel Effect Terhadap Kualitas Citra Radiografi Melalui Parameter Pixel Value Sitti Normawati; Syahrir Syahrir; Nur Fitri Qalbina Syahdan; Jumardin Jumardin
Media Ilmiah Kesehatan Indonesia Vol. 4 No. 2 (2026): MAY
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v4i2.978

Abstract

This study aimed to analyze the effect of variations in focus-to-film distance (FFD) on the anode heel effect and radiographic image quality, based on the Pixel Value (PV) parameter. A quantitative experimental approach was employed. The testing was conducted using a phantom articulatio genu with FFD variations of 90 cm, 100 cm, and 120 cm, and object positions varied between the cathode and anode sides. The results indicated that the anode heel effect was more effectively utilized at shorter FFD when the thick side of the object was positioned on the cathode side. The highest PV value was obtained under this condition, whereas a decrease of approximately 11% was observed when the thick side was positioned on the anode side. Furthermore, an FFD of 100 cm produced lower PV standard deviation (PVSD) values, resulting in more homogeneous images with minimal noise. These findings demonstrate that variations in FFD and object positioning influence the distribution of X-ray intensity and radiographic image quality. Appropriate selection of FFD and placement of the thick side of the object on the cathode side can produce more uniform radiographs in terms of sharpness, brightness, and density.