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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 157 Documents
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Pengaruh Terapi Akupresur Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi Di Wilayah Kerja Uptd Puskesmas Loji Kabupaten Majalengka Al Farez, M.Fahad; Muadi, Muadi; Dwi Andhini, Citra Setyo
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.v12i1.237

Abstract

Penyebab utama dari kematian dini di seluruh dunia disebut dengan Tekanan Darah Tinggi atau Hipertensi. Salah satu cara untuk mengatasi hipertensi yaitu dengan terapi Akupresur. Penelitian ini bertujuan untuk mengetahui pengaruh terapi akupresur terhadap penurunan tekanan darah tinggi pada penderita hipertensi. Penelitian ini menggunakan desain penelitian Quasi Experiment dengan Pre test – post Test Without Control dengan sampel Non Probability Sampling dengan Dengan cara Purposive Sampling, yang melibatkan 94 Lansia dengan hipertensi Tekanan darah diukur menggunakan spigmomanometer dan terapi akupresur dengan Standar Operational Procedure (SOP). Hasil Penelitian Sebelum terapi akupresur rerata tekanan darah sistolik dan diastolik sebelum terapi akupresur sebesar 156,62/103,64 mmHg sedangkan rerata tekanan darah sistolik dan diastolik  setelah terapi akupresur  146,72/97,23 mmHg, mengalami penurunan signifikan dengan mean rank tekanan darah sistolik dan diastolik berada pada angka 47,50, sementara setelah terapi, mean rank turun menjadi 0,00. Nilai p-value sebesar 0,001 < 0,05 menunjukkan bahwa perbedaan ini signifikan secara statistik, artinya Pengaruh terapi akupresur terhadap penurunan tekanan darah pada penderita hipertensi di wilayah kerja Puskesmas Loji.
Hubungan Status Gizi Dengan Lama Rawat Inap Pasien Pneumonia Balita Rizone, Alifya Shifwah; Meirina, Fathia; Hamdi, Tasrif; Aldy, Fithria
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.v12i1.239

Abstract

Introduction: Pneumonia is known as a primary contributor to hospital admissions among toddlers globally. Numerous factors influence the duration of hospitalization in toddlers with pneumonia, one of them is nutritional status. This study aims to ascertain the correlation between nutritional status and the duration of hospitalization in pediatric pneumonia patients. Methods: This was an analytic observational study with a cross-sectional design. The study samples were children aged 2-59 months with pneumonia who were hospitalized in the period January 2022-January 2024 selected through the consecutive method. After calculating using the Slovin formula, a minimum sample size of 67 people was required. Data were analyzed through univariate analysis and bivariate analysis through chi-square through SPSS software version 27. Results: Of the 77 patients, the majority were aged 12-59 months (61%), male (55.8%), well-nourished (62.3%), and length of stay ≤5 days (55.8%). The bivariate analysis found no relationship between nutritional status and the length of stay of pneumonia patients under five with a p-value = 0.422 (p-value > 0.05). Conclusion: There is no relationship between nutritional status and the length of stay of pneumonia patients under five.
Literature Review: Peluang Dan Tantangan Penggunaan Keceerdasan Buatan Dalam Meningkatkan Pelayanan Farmasi Klinis farah; Putri Auliya Serawaidi, Nadya
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.v12i1.240

Abstract

Artificial Intelligence offers opportunities has to optimize clinical pharmacy services in hospitals or other pharmaceutical services. AI can assist clinical pharmacists in the field of clinical pharmacy such as prescription review, therapeutic drug monitoring, monitoring of drug adverse effects, and providing drug information services. The aim of this literature review is to analyze and summarize the opportunities and challenges of AI in supporting clinical pharmacy services. This study uses a literature review method with a qualitative research approach. The selected journal criteria are journals published between 2015 and 2025 and are fully accessible. From the review, eight journals were found that met the criteria for analysis. The result of this literature review indicate that AI can enhance the quality and effectiveness of clinical pharmacy services. The development of AI in clinical pharmacy has just begun, and there are several challenges that need to be addressed, such as data bias, data security, the lack of regulations and ethics, and resistance to AI usage. Evaluation and collaboration with other healthcare professionals and technology experts are needed to improve AI-based clinical pharmacy services.
Pengaruh Pakan Yang Diradiasi Sinar Ultraviolet C Terhadap Nilai Sgot Dan Sgpt Pada Tikus Putih (Rattus Novergicus) Jantan Galur Wistar Septiani; Rumahorbo, Christhophorus Carol Wotjila
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.v12i1.230

Abstract

Makanan yang tersisa setelah dikonsumsi dapat menyebabkan penumpukan sampah makanan. Paparan sinar Ultra Violet (UV) merupakan salah satu paparan radiasi yang dapat menyebabkan kematian bagi mikroorganisme, pentingnya penelitian ini untuk memahami pengaruh radiasi UVC pada pakan terhadap kesehatan tikus, khususnya fungsi hati, serta sebagai alternatif pengawetan makanan tanpa panas yang dapat mengurangi limbah makanan. Penelitian ini bertujuan untuk mengetahui pengaruh pakan terpapar sinar UVC terhadap nilai SGOT dan SGPT pada tikus putih serta memantau efeknya pada kesehatan tikus. Penelitian ini merupakan penelitian eksperimental yang menggunakan metode random sampling. Tikus putih (Rattus novergicus) galur Wistar dengan jenis kelamin jantan dan berat badan awal sekitar 150 gram dikelompokkan menjadi kelompok dengan konsumsi pakan dengan radiasi sinar ultraviolet C dan tanpa radiasi sinar ultraviolet C. Hasil pengamatan aktivitas motorik pada hewan coba tikus putih (Rattus novergicus) tidak menunjukkan perubahan pada gerak, pernafasan, luka, tremor dan tidak adanya kematian selama perlakuan dan dapat dilakukan pemeriksaan lebih lanjut.  Pemeriksaan parameter SGOT yang didapatkan pada tikus perlakuan adalah 64 U/L, hasil nilai SGOT tersebut termasuk dalam kategori normal berdasarkan acuan yang berlaku yaitu 63-175 U/L. Pemeriksaan parameter SGPT yang didapatkan pada tikus perlakuan adalah 55 U/L, hasil nilai SGPT tersebut termasuk dalam kategori tidak normal berdasarkan acuan yang berlaku yaitu 19-48 U/L. Tidak ada pengaruh pemberian pakan yang diiradiasi dengan sinar ultraviolet C terhadap nilai SGOT dan SGPT tikus putih jantan (Rattus novergicus) galur wistar.
Analisis Monosit dan Neutrofil pada Pasien Tuberkulosis Paru di Puskesmas Wonorejo Samarinda. Julia Saputri, Maulida; Fadilah, Nur; Trianditha, Rinanda; Srilestari, Titik
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.v12i1.243

Abstract

Tuberculosis (TB) remains a significant global health concern, with the immune response involving key roles for monocytes and neutrophils. Analysis of immune cells, such as monocytes and neutrophils, is crucial for understanding the host response to TB infection and for monitoring treatment effectiveness. This cross-sectional study analyzed the distribution of monocyte and neutrophil counts among 17 pulmonary TB patients in Puskesmas Wonorejo Samarinda from January-April 2024. The collected data were analyzed descriptively. Results showed that 64.70% of patients had elevated monocyte counts, while 35.30% had normal monocyte levels. For neutrophils, 41.20% of patients had normal counts, 17.60% had increased counts, and 41.20% had decreased counts. The predominance of monocyte elevation and the heterogeneous neutrophil response underscore the importance of these cells as potential biomarkers for TB monitoring and prognosis. Strengthening the use of these parameters may improve clinical management and outcomes for TB patients. 
Hubungan Asupan Zat Gizi Makro Pada Pekerja Dengan Obesitas Sentral Di Kecamatan Tenggarong Sari, Rinten Anjang; Saqowati, Lika; Indah Mulyani, Rieska
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.v12i1.244

Abstract

Central obesity is a condition characterized by excess fat accumulation in the abdominal area, which increases the risk of degenerative diseases such as type 2 diabetes mellitus, cardiovascular disease, and cancer. This study aims to analyse the relationship between macronutrient intake, level of nutrition knowledge, and physical activity with the incidence of central obesity in workers at the Tenggarong District Office. This research used a cross-sectional design with a quantitative approach. The sample consisted of 35 workers selected through total sampling. Data on macronutrient intake were collected using a 24-hour food recall form for two non-consecutive days and analysed with Nutrisurvey 2007 software. Central obesity was assessed by measuring abdominal circumference using a metline according to the Indonesian Ministry of Health standards. The Spearman rank test was used for bivariate analysis. The results showed that the prevalence of central obesity among the workers was 85.7%. There was a significant relationship between energy intake (p=0.002), fat (p=0.001), carbohydrate (p=0.005), and physical activity (p=0.002) with central obesity. However, there was no association between protein intake (p=0.096) or level of nutrition knowledge (p=1.000) with central obesity. These findings indicate that dietary intake and physical activity play important roles in the incidence of central obesity among workers. Therefore, this study recommends implementing dietary changes and increasing physical activity as preventive measures to reduce or prevent central obesity in this population
Literature Riview: Kekurangan Energi Kronis Sebagai Faktor Risiko Terjadinya Anemia Pada Ibu Hamil Dayu Cindy, Ida Ayu Cindy Paramitha; Adi Wibowo
Jurnal Kesehatan Mahardika Vol. 12 No. 2 (2025): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v12i2.247

Abstract

Pregnancy causes a significant increase in macro- and micronutrient requirements, so nutritional fulfillment is key in maintaining maternal and fetal health. Chronic energy deficiency (CED) is one of the most common nutritional problems in pregnant women and acts as a major risk factor for anemia. This literature review aims to determine the relationship between CED and anemia in pregnant women. Data were obtained from 12 articles published in 2015-2025 accessed through Google Scholar and PubMed. The results of the review showed that CED, characterized by upper arm circumference (LiLA) < 23.5 cm, is significantly associated with low hemoglobin levels. Nutrient deficiencies in mothers significantly impair erythropoiesis, increasing the risk of iron deficiency anemia and megaloblastic anemia. Thus, CED is proven to be a major risk factor for anemia in pregnant women and has the potential to cause obstetric and neonatal complications. Early detection and appropriate nutritional interventions are essential for prevention.
Stres Dan Pemberian Asi Pada Ibu Post Sectio Caesarea Di Poli Obstetri Ginekologi Rohanifah; Setyo Dwi Andhini, Citra; Suci Astuti, Apriani
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.v12i1.265

Abstract

Postpartum stress is the pressure or psychological burden experienced by mothers after giving birth. Babies should be exclusively breastfed for at least 6 months and continue until the age of 2 years. The purpose of this study was to determine the relationship between stress and breastfeeding in post-cesarean section mothers. This study used a correlational design with a cross-sectional approach. Respondents were 49 post-cesarean section mothers who visited the Obstetrics and Gynaecology Clinic of RSUD, selected using purposive sampling. The instruments used were the Maternal Postpartum Stress Scale (MPSS) to measure stress levels in postpartum mothers and the Breastfeeding and Milk Expression questionnaire. Serveri (BaByMAkeRS). Data analysis used the Spearman test. The results showed that 55.1% moderate stress, post-cesarean section mothers who breastfed directly were 65.3%. The results of the Spearman rank test p-value 0.000 < α (0.01), r = 0.562, then Ha is accepted and H0 is rejected, which means there is a relationship between stress and breastfeeding in post-cesarean section mothers in the obstetrics and gynaecology clinic of RSUD. The higher the stress level, the worse the breastfeeding and vice versa, the less stress, the better the breastfeeding.
Penerapan Terapi Relaksasi Napas Dalam Dan Murottal Al- Qur’an Terhadap Penurunan Kecemasan Pada Pasien Hipertensi Asep Riyana; Sri Rejeki Maharani; Dudi Hartono
Jurnal Kesehatan Mahardika Vol. 12 No. 2 (2025): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v12i2.249

Abstract

Hypertension is a persistent increase in arterial blood pressure and is often accompanied by anxiety, which can hinder treatment effectiveness. Non-pharmacological interventions are needed to address these psychological issues. Deep breathing relaxation therapy and Qur’an recitation are considered effective complementary nursing strategies. This case study aims to describe the application of a combination of these two therapies and to evaluate the response of hypertensive patients to the intervention. A qualitative case study design with a comparative approach was conducted on two hypertensive patients hospitalized from April 11–16, 2025. The intervention was carried out over five consecutive days, with daily evaluation of anxiety signs and symptoms. The results showed a significant reduction in anxiety, with 11 signs and symptoms decreasing in the first patient and 15 in the second. The combination of deep breathing relaxation therapy and Qur’an recitation proved effective in reducing anxiety among hypertensive patients. This intervention is recommended as part of nursing management and can be consistently applied as an independent practice by patients.
Faktor yang Mempengaruhi Hemostasis PCI Transradial : Systematic Literatur Review ali, abda; Muhammadong; Bakir, Alsilnus; Aleq, Nur
Jurnal Kesehatan Mahardika Vol. 12 No. 2 (2025): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v12i2.252

Abstract

Pendahuluan: Hemostasis pasca intervensi koroner perkutan (PCI) transradial sangat penting untuk mencegah komplikasi seperti hematoma dan oklusi arteri radial (RAO). Meskipun akses transradial (TRA) lebih aman daripada pendekatan transfemoral, faktor yang memengaruhi keberhasilan hemostasis belum sepenuhnya terdefinisi. Tujuan: Mengidentifikasi faktor-faktor yang memengaruhi keberhasilan hemostasis setelah PCI transradial. Metode: Systematic Literature Review dilakukan sesuai pedoman PRISMA dengan pencarian di PubMed, Scopus, dan Google Scholar. Sepuluh artikel yang memenuhi kriteria dianalisis secara kualitatif. Hasil: Faktor yang memengaruhi hemostasis meliputi karakteristik pasien (jenis kelamin, usia, IMT, komorbid), faktor prosedural (ukuran sheath, jumlah tusukan, durasi prosedur), dan teknik hemostasis (metode dan lama kompresi). Penggunaan TR Band dengan teknik patent hemostasis dan waktu kompresi lebih singkat menurunkan risiko RAO. Kesimpulan: keberhasilan hemostasis setelah PCI transradial dipengaruhi oleh faktor klinis dan teknis. Strategi individual berbasis bukti dapat menurunkan komplikasi dan memperbaiki luaran pasien.

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