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Karya Kesehatan Siwalima
Published by Universitas Kristen Indonesia Maluku
ISSN : 28288408     EISSN : 28288181     DOI : https://doi.org/10.54639/kks.v1i1
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Karya Kesehatan Siwalima merupakan jurnal yang dikelola oleh Fakultas Kesehatan Universitas Kristen Indonesia Maluku. Karya Kesehatan Siwalima merupakan jurnal yang menerbitkan artikel hasil dari kegiatan Pengabdian pada Masyarakat, atau kegiatan penelitian yang terintegrasi dengan Pengabdian pada Masyarakat. Tema Pengabdian pada Masyarakat dapat bersumber dari program kerja (pendidikan kesehatan, penyuluhan, sosialisasi), dampak suatu program pembangunan atau inovasi, hasil survei, dan eksperimen di bidang kesehatan.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 66 Documents
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Pengaruh Edukasi Dengan Visual Audio Terhadap Self Management Pada Penderita Gout Arthritis Victoria, Arlies Zenitha; Zulianti, Rika; Lestari, Dilla Fitri Ayu
Karya Kesehatan Siwalima Vol 4, No 1 (2025): Maret
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i1.1483

Abstract

Gout arthritis merupakan penyakit metabolisme yang disebabkan karena tingginya kadar asam urat dalam darah akibat dari metabolisme purin. Self management adalah upaya pasien yang secara aktif berpartisipasi dalam rencana perawatan, membuat pilihan gaya hidup yang berbeda, seperti kebiasaan makan, pilihan olahraga, kondisi hidup, dan memantau gejala sendiri. Audiovisual merupakan media yang menstimulasi indra pendengaran dan penglihatan pada waktu terjadinya proses pendidikan. Tujuan penelitian ini adalah untuk mengetahui adanya pengaruh edukasi dengan visual audio terhadap self management pada penderita gout arthritis. Design penelitian ini menggunakan kuantitatif dengan pendekatan eksperimental semu (quasi eksperiment) one group pre-post test design. Dengan menggunakan teknik pengambilan sampel yaitu total sampling dengan responden sebanyak 50 responden. Hasil penelitian didapatkan bahwa nilai p value = 0.000 0,05 yang bararti terdapat pengaruh yang signifikan pada edukasi dengan visual audio terhadap self management pada penderita gout arthritis. Saran untuk penelitian selanjutnya diharapkan dapat digunakan menjadi referensi dengan mengembangkan penelitian pemberian edukasi melalui Visual Audio dalam meningkatkan pengetahuan, sikap dan prilaku untuk mencegah peningkatan modibilitas gout arthritis dengan kelompok usia yang lebih spesifik dan faktor lain yang belum peneliti cantumkan.
Pengenalan Jenis dan Metode Pemeriksaan Golongan Darah Kepada Anak di Kompleks Pengungsian Tial Baru Kecamatan Salahutu Orno, Theosobia Grace; Madiuw, Devita; Lenderts, Elita Stephanie
Karya Kesehatan Siwalima Vol 4, No 1 (2025): Maret
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i1.1510

Abstract

Kompleks pengungsian Tial Baru merupakan salah satu wilayah relokasi pasca konflik sosial Maluku sekaligus merupakan wilayah terdampak gempa bumi beberapa tahun yang lalu. Anak-anak di wilayah seperti ini perlu diberikan perhatian khusus dalam segala aspek termasuk aspek pendidikan dan kesehatan. Pengetahuan tentang golongan darah merupakan salah satu pengetahuan kesehatan dasar yang sangat baik bagi anak usia dini. Selain meningkatkan pengetahuan tentang fisiologis tubuh manusia, kegiatan ini juga dapat mengasah kepedulian sosial anak tentang pentingnya manfaat donor darah bagi kelangsungan hidup sesama manusia. Tujuan kegiatan ini adalah pengenalan jenis golongan darah yang dilakukan dengan metode edukasi menggunakan video serta metode pemeriksaan golongan darah ABO dan Rhesus yang dilakukan dengan cara demonstrasi dan praktikum mandiri bagi anak-anak di Kompleks Pengungsian Tial Baru kecamatan Salahutu. Hasil kegiatan menunjukkan terjadi peningkatan pengetahuan tentang golongan darah dari kurang baik menjadi sangat baik serta kemampuan anak-anak untuk menginterpretasikan golongan darahnya sendiri dengan golongan darah A, B, AB dan O berturut-turut 58%, 25%, 10% dan 8% disertai 100% rhesus positif (Rh+) sebagai mayoritas golongan darah hasil pemetaan. Diharapkan kegiatan edukasi dan pembelajaran kreatif tentang kesehatan pada anak dapat terus ditingkatkan dengan melibatkan kolaborasi antar pihak menuju generasi emas Indonesia yang sehat dan cerdas.
The Improvement of Elderly Health through the Utilization of Posyandu at Rumberu Public Health Center Paunno, Magdalena; Djurumana, Yohana; Titarsole, Clara
Karya Kesehatan Siwalima Vol 4, No 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1652

Abstract

Elderly individuals are characterized by a decline in biological functions, which can manifest through physical symptoms, including reduced cognitive abilities. Therefore, accessible healthcare facilities are essential to provide routine health examinations for older adults. The utilization of the Elderly Posyandu (Integrated Health Post) at Rumberu Public Health Center remains notably low, influenced by various factors. The aim of this community service activity was to provide education and guidance on the importance of the Elderly Posyandu and its utilization at Rumberu Public Health Center. The findings indicate that many elderly individuals have not yet accessed the Elderly Posyandu, and available facilities remain limited. Strengthened collaboration among health cadres and the provision of adequate facilities are expected to enhance the utilization of Elderly Posyandu services at Rumberu Public Health Center.
An Overview of Electronic Medical Record Completeness in the Management of Fracture Patients Ginting, Arjuna; Boris, Jey; Pasaribu, Angelia
Karya Kesehatan Siwalima Vol 4, No 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1651

Abstract

Medical records are comprehensive documents that provide detailed information throughout a patient’s hospitalization. The quality of a medical record is determined by its accuracy, completeness, validity, and timeliness. This study aimed to evaluate the completeness of electronic medical records for fracture patients at Santa Elisabeth Hospital, Medan. Samples were selected using simple random sampling and Slovin’s formula. Data analysis focused on patient identity sheets, anamnesis, informed consent forms, and medical resumes. The review of medical record completeness from January to December 2024 revealed 100% completeness for patient identity sheets, 90.8% for anamnesis, and 98.7% for medical resumes. In contrast, informed consent forms had a notably low completeness rate of only 19.7%, particularly in sections requiring patient or family signatures and administrative authorization. These findings highlight the need for targeted improvements, especially in completing informed consent forms, to meet the standards for optimal medical record quality.
The Relationship Between Climate Factors and Leptospirosis Incidence in Central Java in 2019-2023 Nasution, Amalia Rahmi; Ashar, Yulia Khairina
Karya Kesehatan Siwalima Vol 4, No 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1666

Abstract

Each year, more than 500,000 cases of Leptospirosis are reported worldwide. This disease is spread globally, especially in humid tropical countries like Indonesia. Based on the 2023 Indonesian Health Profile, there were 2,554 cases with a CFR of 8%, and Central Java ranked second (884 cases). This study aims to determine the relationship between climate factors and the incidence of Leptospirosis in Central Java in 2019–2023. The study used a quantitative approach with an ecological study design. The sample includes data on Leptospirosis incidence, air temperature, humidity, rainfall, and sunshine duration for 60 months. This study utilized secondary data sourced from the Central Java Provincial Health Office, accessed through the Central Java PPID website, for Leptospirosis case data and the BMKG website for Climate data. Data processing was carried out using the Spearman rho correlation test method. The results are the relationship between air temperature and leptospirosis incidence (p=0.053; r=-0.251), the relationship between humidity and leptospirosis incidence (p=0.000; r=0.546), the relationship between rainfall and leptospirosis incidence (p=0.022; r=0.295), and the relationship between the duration of sunlight and leptospirosis incidence (p=0.002; r=-0.383). It was concluded that humidity, rainfall, and duration of sunlight were significantly related to leptospirosis incidence, while temperature was not. It is recommended that the government strengthen vector control, especially during the rainy season, that the community maintain personal and environmental hygiene, and that further research use a wider time and area coverage with more complex methods.
The Marmet Technique as an Effort to Improve Breast Milk Production in Postpartum Mothers Yuliandini, Astri; Ghita, Dwi; Azis, Reskiawati; Ani, Ani
Karya Kesehatan Siwalima Vol 4, No 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1678

Abstract

The Marmet technique, which combines breast expression and massage, is designed to stimulate the breast milk ejection reflex. This method is believed to enhance the smooth flow of breast milk in postpartum mothers, but requires scientific validation. This study aimed to examine the effect of the Marmet technique on breastfeeding smoothness among postpartum mothers in the working area of the Watunohu Health Center, North Kolaka Regency. A quasi-experimental design with a two-group post-test only approach was employed. The study involved 32 postpartum mothers, divided into an intervention group (n=16) and a control group (n=16) through purposive sampling. The intervention group received the Marmet technique according to standard operating procedures (SOP), while the control group did not receive any treatment. Breastfeeding smoothness was assessed using a questionnaire covering eight indicators. Data were analyzed with the Mann-Whitney test, with a significance level set at p 0.05. On the fourth day postpartum, exclusive breastfeeding smoothness was achieved in 62.5% of mothers in the intervention group compared to only 18.8% in the control group. The Mann-Whitney test yielded a p-value of 0.017 (0.05), indicating a statistically significant effect of the Marmet technique. These findings demonstrate that the Marmet technique results in a significant increase in exclusive breastfeeding rates among postpartum mothers. It is recommended that healthcare providers in maternal and child health services adopt this technique as part of routine interventions to promote successful breastfeeding.
The Role of Clinical Instructors in Guiding Nursing Students during Clinical Practice at Gunung Maria Hospital Toreh, Pricilia Maria; Ria, Maria Novita
Karya Kesehatan Siwalima Vol 4, No 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1694

Abstract

Nursing education requires the integration of theory and practice, making clinical guidance essential in shaping students’ competencies. Clinical Instructors serve as educators, caregivers, and role models who directly influence the success of clinical learning. This study aims to identify and analyze the role of Clinical Instructors in implementing clinical guidance for nursing students at Gunung Maria Hospital, Tomohon. An analytical observational design with a cross-sectional approach was employed, involving all Clinical Instructors who met the inclusion criteria through a total sampling technique. The instrument used was a questionnaire that had been tested for validity and reliability, and the data were analyzed univariately using frequency distribution. The results showed that the majority of respondents assessed the role of Clinical Instructors as good (70%), while 24% rated it as fair and 6% as poor. The good ratings were mainly reflected in aspects of education, motivation, and serving as professional role models for students. However, limitations were identified in the intensity of interactions, consistency of feedback, and availability of mentoring time due to workload demands. In conclusion, the role of Clinical Instructors has generally been carried out well and contributes positively to the achievement of nursing students’ competencies, although improvements are still needed in consistency and mentoring strategies. The study recommends continuous training for Clinical Instructors on clinical guidance strategies, institutional policies to balance the instructor-to-student ratio, and strengthened collaboration between hospitals and educational institutions to further optimize the quality of clinical learning.
Education on Healthy Household Practices in Efforts to Prevent Stunting : Case Study in Sidomulyo Village, Tanjungpinang Martias, Indra; Pitriyanti, Luh; Kurnia, Risman; Daswito, Rinaldi; Horiza, Hevi; Pratiwi, Suci Yuliana
Karya Kesehatan Siwalima Vol 4, No 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1685

Abstract

Clean and healthy living behaviours (PHBS) are habits practised by individuals or families that enable them to take independent action on health issues and play an active role in health initiatives both within the family and in the community. PHBS can start with oneself and one's family through clean and healthy habits in daily life. The implementation of PHBS is also an important step in preventing various diseases in children, especially diseases that are difficult to prevent, one of which is stunting. The target audience for this outreach programme was housewives in Kampung Sidomulyo RT 002/RW 13. The outreach programme was conducted through presentations and discussions. Before the outreach programme was implemented, a pre-test questionnaire was administered to determine the level of knowledge about PHBS related to stunting. Then, outreach material on household PHBS and clean water was provided. Following the presentation of the material, a discussion session and post-test were conducted to assess the level of understanding of the material provided. The results of the respondents' knowledge before the PHBS counselling (pre-test) were 5.12%, and the results of the respondents' knowledge after the PHBS counselling (post-test) were 5.94%. Socialisation of PHBS to housewives has been proven to increase their knowledge about the importance of implementing clean and healthy living behaviours in the household environment. This increased understanding plays an important role in encouraging the adoption of daily healthy habits, which not only maintain family hygiene and health, but also serve as a strategic step in preventing stunting in children. With better knowledge, housewives can play an active role as the main drivers of family and community health.
The Triple Burden Phenomenon and Eating Behaviors of Generation Z: A Phenomenological Study among Health Students Ramadhani, Lutfiah; Tanjung, Nadya Ulfa
Karya Kesehatan Siwalima Vol 4, No 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1720

Abstract

The digital era has transformed dietary behaviors among Generation Z, contributing to the triple burden of malnutrition. This study explored the experiences of health students at the Faculty of Public Health, State Islamic University of North Sumatra, focusing on the relationship between social media exposure, eating patterns, and self-efficacy. A qualitative phenomenological approach was applied with ten participants. Data were obtained through in-depth interviews, observations, and 3x24-hour food recalls, then analyzed using Miles and Huberman’s framework. Findings revealed that seven participants consumed excessive calories, averaging 2,102 kcal/day, above recommended levels. Social media food content, particularly simulacra and mukbang, triggered increased appetite and grazing patterns, with frequent snacking episodes accounting for more than half of daily intake. Low self-efficacy in portion control further reinforced overeating behaviors, even among students with adequate nutrition knowledge. These patterns illustrate overnutrition within the broader triple burden of malnutrition. Social media creates a hyperreality that shapes consumption beyond biological needs, complicating nutritional challenges in the digital age. Strengthening digital literacy and enhancing self-efficacy are essential strategies to mitigate the risks of overeating and address the triple burden among Generation Z.
Analysis of Traders’ Knowledge Level on Formalin Detection in Fresh Fish at Tavip Market Binjai City Sibarani, Adinda Azima Riskiya; Ashar, Yulia Khairina
Karya Kesehatan Siwalima Vol 4, No 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1665

Abstract

Formalin is a prohibited food additive due to its harmful effects on human health. An inspection conducted by the Indonesian Food and Drug Authority (BPOM) in North Sumatra at Tavip Market, Binjai City, found the presence of formalin in several types of fresh fish being sold. The low level of traders’ knowledge regarding the dangers of formalin is believed to be one of the main factors contributing to its use in fresh fish. This study aimed to analyze the association between traders’ knowledge levels and the presence of formalin in fresh fish at Tavip Market, Binjai City. A quantitative approach with a cross-sectional design was employed. The study population consisted of all 32 fresh fish traders at Tavip Market, selected using a total sampling technique. Data were collected through a validated questionnaire to measure traders’ knowledge levels and laboratory testing using the spot test method to detect formalin in fish. Data analysis was conducted using Fisher’s exact test. The results revealed a significant association between traders’ knowledge levels and the presence of formalin in fresh fish (p-value = 0.021). Low knowledge levels were found to increase the risk of formalin use in fresh fish. Continuous education and intensive supervision by relevant authorities are necessary to reduce the circulation of formalin-contaminated fish in traditional markets. 

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