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Jurnal Kesehatan Mahardika
Published by Institut Teknologi dan Kesehatan Mahardika
ISSN : 23550716     EISSN : 23550724     DOI : https://doi.org/10.54867/jkm.v10i2
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Physics Public Health
Jurnal Kesehatan Mahardika (JKM) is a peer reviewed and open access journal that publishes scientific work and covers all health fields including nursing, midwifery, medical records, public health, medicine, pharmacy, radiology.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 162 Documents
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Gambaran Kadar Gamma Glutamyl Transferase Pada Pasien Tuberkulosis Paru Yang Menjalani Terapi Oat Di Puskesmas Wonorejo Titik Srilestari; Maulida Julia Saputri; Dwi Setiyo Prihandono
Jurnal Kesehatan Mahardika Vol. 11 No. 2 (2024): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v11i2.221

Abstract

Terapi OAT dalam jangka panjang dapat menyebabkan Drug Induced Liver Injury karena hepatotoksisitas sehingga diperlukan pemeriksaan Gamma Glutamyl Transferase untuk melihat fungsi hati pada pasien TB paru. Penelitian bertujuan mengetahui gambaran GGT pada pasien TB paru di Puskesmas Wonorejo berdasarkan jenis kelamin, usia dan lama pengobatan. Metode penelitian observasional deskriptif dengan pendekatan cross-sectional. Sampel penelitian adalah serum pasien TB paru yang menjalani terapi OAT di Puskesmas Wonorejo diambil pada bulan Juli 2023 – 2 April 2024 sejumlah 17 pasien. Didapatkan kadar GGT diatas normal 10 pasien (59%), sedangkan kadar GGT normal 7 pasien (41%). Pasien perempuan memiliki kadar GGT diatas normal lebih banyak dibandingkan laki-laki sejumlah 6 pasien (35,3%) dan rerata kadar GGT tertinggi pada laki-laki 42 U/L. Pasien dewasa memiliki kadar GGT diatas normal lebih banyak yaitu 5 pasien (29%) dengan rerata kadar GGT tertinggi pada lansia 45 U/L. Pasien tahap intensif memiliki kadar GGT diatas normal lebih banyak dibandingkan tahap lanjutan sejumlah 7 pasien (41%) dengan rerata kadar GGT tertinggi tahap intensif 46 U/L. Dapat disimpulkan rerata kadar GGT tertinggi pada lansia laki-laki di tahap intensif.
Analisis Cakupan Universal Health Coverage (UHC) Di Kabupaten Tana Toraja Tahun 2024 Resky, Nurhayati; Uly, Nilawati; Iskandar, Ishaq; Zamli, Zamli
Jurnal Kesehatan Mahardika Vol. 11 No. 2 (2024): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v11i2.223

Abstract

Universal Health Coverage (UHC) is a type of health insurance in Indonesia that is managed by an official institution receiving direct orders from the President, known as the Health Social Security Administration Agency. Tana Toraja Regency is one of the areas where this program is implemented, providing health coverage to those without insurance. The goal of the study is to analyze the UHC program's implementation by the Tana Toraja Regency Government. The study used qualitative research methods, collected data through interviews, and conducted the research within Tana Toraja Regency. According to the interviews, the bureaucratic structure of UHC services in Tana Toraja Regency is straightforward, making patients feel comfortable with the service procedures. While there are still some obstacles in its implementation, 84.71% of the people in Tana Toraja have been registered as participants in the UHC program. Overall, Tana Toraja Regency has successfully achieved its target of providing health insurance for almost all its residents, despite some who have not been registered. This success is attributed to the commitment and hard work of the Tana Toraja Regency Government.
Pengaruh Waktu Tunggu Dan Respon Petugas Terhadap Kepuasan Pasien Di RSUD Dr. Alberth Torey Kabupaten Teluk Wondama Nethanelia Pokko, Jenny; Ma’rufi; Chandra M, Freddy; Zamli
Jurnal Kesehatan Mahardika Vol. 11 No. 2 (2024): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v11i2.224

Abstract

The quality of health services is closely related to patient satisfaction and is one measure of the success of the quality of health services. The purpose of the study was to determine the effect of patient waiting time and officer response on patient satisfaction at the Outpatient Unit of the Regional General Hospital (RSUD) Dr. Alberth H. Torey Teluk Wondama. The research method used quantitative research with a cross sectional study design. The population is outpatients at RSUD Dr. Alberth H. Torey Teluk Wondama totaling 480 people taken in March 2024. The sample size needed was 83 people. Data collection using questionnaires and interviews. Data analysis using the Chi-Square Test / Fisher's Exact Test. The results showed that there was a relationship between waiting time and patient satisfaction in the outpatient unit of Dr. Alberth H. Torey Hospital with a p value = 0.011 (p value <0.05), and there was a relationship between officer response and patient satisfaction in the outpatient unit of Dr. Alberth H. Torey Hospital with a p value = 0.002 (p value <0.05). There is a relationship between waiting time and officer response with patient satisfaction in the outpatient unit of Dr. Alberth H. Torey Teluk Wondama Hospital.
Penerapan Latihan Range Of Motion Untuk Meningkatkan Kekuatan Otot Pasien Stroke Iskemik Di Ruang Flamboyan Rsud Banjar Indriani, Novi; Rahmawati Putri , Tari
Jurnal Kesehatan Mahardika Vol. 11 No. 2 (2024): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v11i2.225

Abstract

Penyakit stroke merupakan penurunan sirkulasi darah ke otak yang menyebabkan defisit neurologik fokal dan global yang dapat menjadi berat keadaannya selama 24 jam setelah muncul pertama atau lebih serta bisa menyebabkan kematian. Angka kejadian stroke di dunia sebesar 13,7 juta (2020), Indonesia 731.783 kasus atau 10,9% (2018), Jawa Barat 52.511 kasus atau 11,4 %, Kota Banjar 9.03%. Tujuan karya tulis ilmiah ini adalah untuk menggambarkan asuhan keperawatan pada pasien stroke yang diberikan latihan range of motion. Metode yang digunakan dalam karya tulis ilmiah ini adalah metode gabungan (kualitatif dan kuantitatif). Kedua responden diberikan implementasi latihan ROM selama 5 hari. Responden 1 pada hari pertama kekuatan otot tangan dan kaki kanan adalah 5 sedangkan kiri 3, dan pada hari kelima, tangan kiri dari 3 menjadi 4. Responden 2 pada hari pertama kekuatan otot tangan dan kaki kiri 5 sedangkan kanan 3, dan pada hari kelima tangan dan kaki kanan dari 3 menjadi 4. Kesimpulan yang dapat diambil adalah latihan range of motion efektif untuk meningkatkan kekuatan otot pada stroke.
Penerapan Dan Identifikasi Kandungan Alkaloid Pada Daun Katuk (Sauropus Androgynus (L.) Merr) Sebagai Pelancar Asi Di Desa Simpang Pulo Rambung Dian Pratiwi; Ramadhani, Putri
Jurnal Kesehatan Mahardika Vol. 11 No. 2 (2024): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v11i2.226

Abstract

Sauropus Androgynus (L.) Merr atau daun katuk lebih dikenal sebagai tanaman obat tradisional Indonesia yang memiliki berbagai kandungan nutrisi, seperti 7% protein, 19% serat kasar, pro-vitamin A, vitamin B, C, K, serta mineral lainnya sebanyak 2,8%. Penelitian ini bertujuan untuk mengidentifikasi kandungan alkaloid dalam daun katuk menggunakan tiga pereaksi, yaitu Mayer, Wagner, dan Dragendorff dan mengetahui pengaruh konsumsi daun katuk pada kelancaran produksi air susu ibu. Penelitian ini menggunakan desain Deskriptif Kuantitatif dan metode Eksperimen. Sampel terdiri dari simplisia daun katuk dan 38 orang Ibu Menyusui di Desa Simpang Pulo Rambung, Sumatera Utara dengan rentang usia anak 0-24 bulan. Teknik pengambilan sampel menggunakan total sampling. Analisis data dilakukan menggunakan Uji Wilcoxon Signed Rank Test. Hasil uji kualitatif menunjukkan bahwa ekstrak simplisia daun katuk positif mengandung alkaloid dengan pereaksi Mayer, Wagner, dan Dragendorff. Selain itu, terdapat pengaruh signifikan sebelum dan sesudah konsumsi daun katuk terhadap kelancaran ASI dengan nilai p-value <0,001. Hasil penelitian menunjukkan bahwa terdapat alkaloid di dalam ekstrak daun katuk dan konsumsi daun katuk berpengaruh terhadap kelancaran produksi air susu ibu.
Effectiveness of SEFT (Spiritual Emotional Freedom Technique) on Labor Pain in the First Stage of The Active Phase in Watubelah-Cirebon Yuniannisa, Risma; Rizki Nurfita, Nisa; Magasida, Diani; Yulianti, Ria
Jurnal Kesehatan Mahardika Vol. 11 No. 2 (2024): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v11i2.227

Abstract

Nyeri persalinan merupakan tanda bahwa ibu memasuki proses persalinan. Muncul karena adanya kontraksi uterus yang disebabkan karena peningkatan hormone oksitosin, keregangan otot uterus, penurunan hormone progesterone, peningkatan hormone prostaglandine. Nyeri persalinan dapat dikendalikan dengan 2 metode yaitu farmakologis dan nonfarmakologis. Teknik SEFT ini terdiri dari 3 tahap yaitu the set up, the tune in, dan the tapping. Penelitian ini merupakan penelitian Pra Eksperimen dengan design penelitian One Group Pre and Post Test. Subjek dalam penelitian ini yaitu ibu bersalin pada persalinan kala 1 fase aktif di Wilayah Kerja Puskesmas Watubelah Kabupaten Cirebon pada bulan Juni-Juli 2024. Berdasarkan hasil analisis yang dilakukan peneliti dengan menggunakan uji T berpasangan (Paired Samples T Test) dengan signifikansi (2-tailed) 0.000 < 0.05 menunjukan adanya pengaruh terapi SEFT (Spiritual Emotional Freedom Technique) terhadap tingkat nyeri pada persalinan kala 1 fase aktif di Wilayah Kerja Puskesmas Watubelah Kabupaten Cirebon. Adanya perubahan skala nyeri setelah dilakukan terapi SEFT (Spiritual Emotional Freedom Technique).
Pola Asuh Orang Tua Pada Remaja Yang Melakukan Kenakalan Di Sekolah Menengah Pertama Maemunah, Ai; Yusuf, Hediyana; Setyo Dwi Andhini, Citra
Jurnal Kesehatan Mahardika Vol. 11 No. 2 (2024): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v11i2.229

Abstract

Juvenile delinquency is an act or behavior that is contrary to the law and social norms carried out by adolescents. One of the causes of juvenile delinquency is the inappropriate parenting pattern applied to adolescents, thus forming a negative character of adolescents. This study aims to identify how the parenting pattern of adolescents who commit delinquency in junior high school. This type of research is quantitative descriptive with respondents being students who have a history of committing delinquency in junior high school totaling 36 students. Parenting patterns were measured using the Style of Parenting questionnaire with the components seen being warmth and control. The results of this study explain that 44.4% of parenting patterns are permissive indulgent, 33.3% authoritarian, 13.9% democratic and 8.3% permissive neglectful. The conclusion of this study is that the parenting pattern of parents with students who experience delinquency is permissive indulgent and neglectful.
Efektifitas Peer Education dengan Metode Ceramah Terhadap Pengetahuan SADARI Pada Remaja Di Puskesmas Kalitanjung Kota Cirebon Tahun 2024 Wahyuni, Lily; Susan, Yanti
Jurnal Kesehatan Mahardika Vol. 12 No. 1 (2025): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v12i1.220

Abstract

Background: The high incidence of breast cancer and tumors underscores the importance of early detection methods, one of which is Breast Self-Examination (SADARI). Increasing adolescents’ awareness and knowledge of SADARI is crucial for promoting preventive health behavior from an early age. Objective: This study aims to evaluate the effectiveness of peer education using the lecture method on adolescents’ knowledge of SADARI at the Kalitanjung Public Health Center, Cirebon City, in 2024. Methods: This research employed a quantitative approach with a quasi-experimental design, specifically a pretest-posttest design. The data were collected using a structured questionnaire and analyzed through paired sample t-tests. Both univariate and bivariate analyses were conducted to interpret the results. Results: The peer group education method led to 35 participants (100%) reaching the “skilled” category, while the lecture method resulted in 31 participants (88.57%) achieving the same. Statistical analysis revealed a significance value of 0.000 (p < 0.05), indicating a significant improvement in knowledge after the interventions. Furthermore, the peer education group had a higher mean posttest score (25.49) compared to the lecture group (23.07). The difference between the two methods was statistically significant, with a p-value of 0.005 (< 0.05). Conclusion: Peer education using the lecture method significantly improves adolescents’ knowledge of SADARI. Moreover, peer education demonstrates greater effectiveness than the conventional lecture method in enhancing understanding and awareness.
Efektivitas Akupresur Pada Titik Perikardium 6 Terhadap Emesis Gravidarum Pada Ibu Hamil Di Klinik Arsy Medika Desa Cikalahang Kecamatan Dukupuntang Kabupaten Cirebon Tahun 2024 Nisa Rizki Nurfita; Diani Magasida; Sri Ayu Kurnia; Nunung Nurjanah
Jurnal Kesehatan Mahardika Vol. 12 No. 1 (2025): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v12i1.231

Abstract

Nausea and vomiting in pregnant women in Indonesia reach 14.8%. Complaints of nausea and vomiting occur in 60-80% of primigravidas and 40-60% of multigravidas. The impact of excessive nausea and vomiting in pregnancy causes hyperemesis gravidarum which results in abortion, anemia, LBW, premature labor and IUGR. Acupressure of the P6 point can stimulate the nerves to reduce emesis gravidarum. Pressure on the P6 point sends signals to the brain, balances neurotransmitters, and suppresses the gag reflex naturally. The aim of this study was to determine the effectiveness of acupressure in reducing emesis gravidarum at the Arsy Medika Clinic. The method used in the research is an experimental study design with post-test only design with control group. Sampling was taken using purposive sampling. The results of the study using statistical tests with the Mann Whitney test obtained a P value of 0.001 (< 0.005), which means that there is effectiveness of acupressure at pericardium point 6 against emesis gravidarum in pregnant women at the Arsy Medika Clinic. Acupressure on pericardium point 6 affects the intensity of nausea and vomiting in pregnant women
Korelasi Antara Body Shaming Dengan Mekanisme Koping Pada Remaja Di SMP Asiah, Asiah; Safitri, Debby
Jurnal Kesehatan Mahardika Vol. 12 No. 1 (2025): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v12i1.233

Abstract

Adolescence is marked by physical and psychological changes that can trigger body shaming, defined as ridicule toward a person’s physical appearance. This study aimed to examine the relationship between body shaming and coping mechanisms among students of SMPN 1 Pabuaran, Cirebon Regency. This correlational study employed a cross-sectional design with 73 respondents selected through proportional random sampling from a population of 265 students. The instruments used were the Body Shaming questionnaire and the Ways of Coping questionnaire. Data were analyzed using univariate and bivariate methods with the Chi-Square test. Results showed that 67% of respondents experienced moderate body shaming, and 79% used Emotion-Focused Coping. The Chi-Square test yielded a p-value of 0.030, indicating a significant relationship between body shaming and coping mechanisms. It is recommended to provide educational programs for adolescents to improve understanding and awareness, reduce body shaming practices, and promote the development of more adaptive coping strategies.

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