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Citra Setyo Dwi Andhini
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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 171 Documents
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Pengaruh Relaksasi Autonomous Sensory Meridian Response (ASMR) Terhadap Tingkat Kecemasan Remaja Sherly Agustin; Asep Riyana; Iwan Somantri
Jurnal Kesehatan Mahardika Vol. 13 No. 1 (2026): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v13i1.293

Abstract

Remaja merupakan kelompok usia yang sangat rentan mengalami kecemasan, terutama remaja kelas XII rentan mengalami kecemasan akibat tekanan akademik dan ketidakpastian masa depan. Kecemasan yang tidak tertangani dapat memengaruhi kesehatan mental dan prestasi belajar. Relaksasi ASMR ini dilakukan untuk mengetahui perubahan terhadap tingkat kecemasan remaja kelas XII 7 dan 8 di SMA Negeri 1 Ciawi. Penelitian memakai pendekatan kuantitatif dengan desain pre-eksperimental one group pretest-posttest. Populasi penelitian adalah seluruh siswa kelas XII 7 dan 8 sebanyak 69 orang, dengan jumlah sampel 45 siswa yang dipilih melalui teknik purposive sampling berdasarkan kriteria inklusi dan eksklusi. Data dikumpulkan menggunakan kuesioner Hamilton Anxiety Rating Scale (HARS) sebelum dan sesudah intervensi ASMR sebanyak tiga sesi, kemudian dianalisis dengan uji Wilcoxon Signed Ranks Test. Hasil penelitian menunjukan setelah tindakan adanya penurunan kecemasan yang signifikan setelah intervensi dengan nilai 0.000 (p < 0.05). Mayoritas siswa mengalami pergeseran dari kecemasan sedang dan berat menjadi ringan atau tidak cemas. Kesimpulan dari penelitian ini menunjukkan bahwa teknik relaksasi ASMR terbukti efektif dalam menurunkan tingkat kecemasan pada remaja dan dapat dijadikan sebagai intervensi keperawatan yang sederhana dan aplikatif di sekolah. 
Prediktor Mekanisme Koping Terhadap Stres Pembelajaran Pada Mahasiswa Keperawatan Kurniastuti, Margaretha; Scholastica Fina Aryu Puspasari
Jurnal Kesehatan Mahardika Vol. 13 No. 1 (2026): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v13i1.298

Abstract

Background : Nursing students face academic demands that may negatively affect mental health and academic achievement. Coping mechanisms are essential strategies for managing stressors; however, the effectiveness of different coping types in influencing learning-related stress remains inconsistent.Objective: This study aimed to analyze coping mechanisms as predictors of learning-related stress among students. Methods: This study employed a quantitative cross-sectional design. A total of 71 students were included using a total sampling technique. The instruments used were the Brief COPE questionnaire and the Perceived Stress Scale (PSS-10). Data were analyzed using multiple linear regression with a significance level of 0.05. Results: The results of the analysis showed that the predictors of less useful coping [T1.1][MK1.2] had a significant effect on learning stress (p = 0.003). Conclusion: The use of less useful coping is a predictor of learning stress in nursing diploma students compared to problem-focused coping and emotional-focused coping. Strengthening adaptive coping and reducing the use of maladaptive coping needs to be the focus of educational interventions and student mentoring.
Faktor-Faktor Yang Memengaruhi Kualitas Hidup Pada Penderita Diabetes Melitus Tipe 2 Rosliana dewi -; Novi Puspita Darmawan; Salma Aiska Nayla; Bunga Ayu Tresna; Salsadila; Johan Budhiana
Jurnal Kesehatan Mahardika Vol. 13 No. 1 (2026): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v13i1.299

Abstract

Introduction: NCDs including diabetes are becoming an increasingly urgent health problem worldwide and in Indonesia. DMT2 can reduce quality of life through various complications, so it is important to understand the role of coping mechanisms, stress, self-care, and religiosity in supporting the well-being of DMT2 patients. This study aims to determine the factors that affect quality of life in DMT2 patients. Method: This was a correlational study with a cross-sectional approach. The population consisted of people with T2DM, with a sample of 162 people using proportional random sampling. Data collection methods included the TBCI, DDS, SDSCA, MUDRAS, and DQOL questionnaires. Multiple linear regression was used for statistical analysis. Result: The results showed that there was a significant simultaneous influence of coping mechanisms, stress, self-care, and religiosity on the quality of life of DMT2 patients (p < 0.05). Conclusion: There was a significant simultaneous influence of coping mechanisms, stress, self-care, and religiosity on the quality of life of DMT2 patients. It is recommended that non-pharmacological interventions targeting coping mechanisms, stress, self-care, and religiosity be developed to improve the quality of life of DMT2 patients.
Determinasi Dukungan Sosial Dan Kepatuhan Terapi Terhadap Kualitas Hidup Pasien Hemodialisis Berbasis Aplikasi Digital Hd-Care Karlina, Nonok; Sri Nurcahyati; Munawaroh, Magfirohtul; Tantri Maulani Putri; Terry Melany
Jurnal Kesehatan Mahardika Vol. 13 No. 1 (2026): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v13i1.300

Abstract

Introduction: Chronic kidney disease is a global health problem that significantly affects the quality of life of hemodialysis patients. Social support and therapy adherence are key determinants, particularly with the use of digital applications such as HD-Care. Purpose: To analyze the determinants of social support and therapy adherence on the quality of life among hemodialysis patients using the HD-Care digital application. Methods: A quantitative observational analytic study was conducted on 83 hemodialysis patients at Permata Kuningan Hospital in 2025. Data were collected using MSPSS, ESRD-AQ, and WHOQOL-BREF. Multiple linear regression analysis was applied with a significance level of 0.05. Results: Social support (p=0.003) and therapy adherence (p=0.000) significantly influenced quality of life. Therapy adherence was the dominant factor (β=0.498). Both variables explained 37.4% of the variance in quality of life (R²=0.374). Conclusions: Social support and therapy adherence play an important role in improving quality of life. Digital-based nursing interventions may enhance patient outcomes.
Determinan Internal Dan Eksternal Pembentuk Konsep Diri Masa Remaja: Scoping Review Berbasis Prisma 2009 Made Deisyana Winaryanta; Galih Gayatri; Shofi Khaqul Ilmy
Jurnal Kesehatan Mahardika Vol. 13 No. 1 (2026): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v13i1.288

Abstract

Adolescence is an important period for the formation of self-concept. This review aims to identify internal and external factors that influence adolescent self-concept and serve as a basis for nursing interventions to support healthy psychosocial development. This review was conducted using a scoping review approach based on the 2009 PRISMA protocol, with four databases, namely ProQuest, PubMed, and Google Scholar. The selected keywords were self-concept, self-image, identity, self, self-esteem, and adolescence. Full English-language articles indexed in at least Sinta and published between 2019 and 2025 were included in the inclusion criteria. Fifteen articles were reviewed. The review results show that internal factors such as physical changes related to puberty and childhood trauma affect adolescents' self-concept, as do external factors such as peer support, parenting style, national identity, and exposure to social media. Adolescents are highly vulnerable to psychological stress due to complex physical, mental, and social changes. Nurses, especially in schools and communities, can help adolescents develop a positive and adaptive self-concept by providing psychoeducation, psychosocial screening, counseling, and collaborating with teachers and parents.
Pengaruh Relaksasi Napas Dalam Terhadap Kecemasan Ibu Preoperatif Sectio Caesarea Di Rumah Sakit utami, rina; Nonok Karlina; Pipit Indra Lestari; Rosiyana Amila
Jurnal Kesehatan Mahardika Vol. 13 No. 1 (2026): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v13i1.303

Abstract

Introduction: Preoperative anxiety in mothers undergoing sectio caesarea is a common psychological condition that may negatively affect maternal readiness and surgical outcomes. Midwifery care requires effective non-pharmacological interventions to manage this condition. This study aimed to determine the effect of deep breathing relaxation on anxiety levels among preoperative sectio caesarea mothers. Method: A pre-experimental design with a one group pretest-posttest approach was applied. A total of 40 respondents were selected using total sampling. Anxiety levels were measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Data were analyzed using the Wilcoxon test. Result: The results showed that prior to the intervention, most respondents experienced panic-level anxiety (45%), while after the intervention, the majority reported mild anxiety (82.5%). Statistical analysis indicated a significant effect (p-value = 0.000; p<0.05). Conclusion: Deep breathing relaxation effectively reduces anxiety and can be integrated into holistic midwifery care to improve maternal psychological readiness before surgery.
Peran Budaya Organisasi Dan Kepemimpinan Transformasional Dalam Meningkatkan Komitmen Afektif Dan Kinerja Perawat Tetik Nurhayati; Novi Enis Rosuliana; Kusmiyati; Anah Sasmita; Peni Cahyati
Jurnal Kesehatan Mahardika Vol. 13 No. 1 (2026): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v13i1.305

Abstract

A robust organizational culture combined with transformational leadership significantly contributes to nurses forming a strong emotional bond with their workplace. This research aims to explore and assess the influence of organizational culture and transformational leadership style on nurses' emotional attachment and job performance in hospital wards. The outcomes of this study can guide hospitals in enhancing nurses' work in patient care settings. Employing a descriptive method alongside verification analysis, the study collects and verifies data. Data collection was conducted through a questionnaire, and proportional random sampling was used to select 189 participants. Path analysis was utilized for data examination. Descriptive analysis results reveal that organizational culture, transformational leadership, affective commitment, and nurse performance in inpatient units range from poor to good. Verification analysis results show that both organizational culture and transformational leadership simultaneously impact affective commitment. Additionally, affective commitment influences nurses' job performance. It was found that organizational structure and leadership style, particularly transformational leadership, enhance nurses' performance by fostering a stronger emotional connection to their work.
Home Pharmacy Care Meningkatkan Kepuasan Pelayanan Kefarmasian Rizki Rahmah Fauzia; Ahmad Azrul Dzuniarto; Cut Diva Rachma Alya Putri; Fitri Nurul Ramadhani
Jurnal Kesehatan Mahardika Vol. 13 No. 1 (2026): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v13i1.307

Abstract

Background: Home Pharmacy Care (HPC), a home visit service by pharmacists to provide education, counseling, and monitoring of safe, effective, and rational drug use, has not yet become part of the routine service program at Pharmacies. Objective: This study aims to determine the effect of Home Pharmacy Care on the level of satisfaction with pharmaceutical services at Pharmacy S in Sukamandi Jaya, Subang Regency. Method: The research method used is descriptive quantitative with a pre-experimental design approach. The research sample consisted of 30 respondents who had a history of cholesterol and met the inclusion criteria. Data were collected using a questionnaire based on five dimensions of SERVQUAL and leaflet as a medium used for HPC. Data analysis was carried out using the McNemar test. Results: The test results showed a significant effect of Home Pharmacy Care on increasing satisfaction with pharmaceutical services at Syiara Pharmacy (p < 0.05). Conclusion: Home Pharmacy Care has a positive effect on increasing patient satisfaction with pharmaceutical services, so it can be used as a routine strategy in pharmacy services, especially for strengthening the role of pharmacists as drug consultants and part of the primary health team in the community.
Keberhasilan Program Makan Bergizi Gratis di Jawa Barat Tahun 2026: Tinjauan Literatur Scoping moh sadli; Lili Amaliah
Jurnal Kesehatan Mahardika Vol. 13 No. 1 (2026): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v13i1.308

Abstract

Introduction: The Free Nutritious Meals Program (MBG) is a national priority program intended to improve human resource quality through nutrition fulfillment for schoolchildren and other vulnerable groups. Purpose: This study aimed to analyze the factors determining the success of MBG implementation in West Java Province in 2026. Design/methods/approach: A scoping literature review was conducted using a structured search of books, technical guidelines, laws, presidential regulations, government policy documents, health profiles, international reports, and national and international journals related to school feeding, nutrition governance, food safety, policy implementation, and regional health systems. Findings/results: The success of MBG in West Java is determined not only by food availability, but also by governance clarity, targeting accuracy, human resource capacity, menu quality, food safety, SPPG effectiveness, integration with Puskesmas and Posyandu, multisectoral coordination, local government support, local supply chains, and data-based monitoring and evaluation. Conclusions: MBG success should be measured using input, process, output, outcome, and food safety indicators, rather than the number of meals distributed alone.
Analisis Faktor-Faktor Yang Berhubungan Dengan Length Of Stay (Los) Pasien Di Instalasi Gawat Darurat Uobk Rumah Sakit Paru Putri Gaudy; Suhat; Budiman
Jurnal Kesehatan Mahardika Vol. 13 No. 1 (2026): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v13i1.315

Abstract

Length Of Stay (LOS) is an important indicator of the effectiveness and efficiency of Emergency Department (ED) services and ideally should not exceed 4 hours, considering the critical role of the ED in managing emergency cases. This study aims to analyze the most dominant factors associated with LOS in the ED of UOBK West Java Provincial Pulmonary Hospital. This study employed an analytic observational design with a cross-sectional approach involving 125 ED patients during the period of December 21–31, 2025, using a total sampling technique. Data were collected through observation sheets and medical records, and analyzed using Chi-Square tests and binary logistic regressio. The results showed significant associations between age (p = 0.024), time of arrival (p = 0.036), level of acuity (p = 0.0001), and final service disposition (p = 0.0001) with LOS. No significant associations were found for gender (p = 0.596), education level (p = 0.368), employment status (p = 1.000), diagnosis (p = 0.461), and payment status (p = 0.692). Binary logistic regression analysis identified final service disposition (OR = 11.198; p = 0.0001) and time of arrival (OR = 2.834; p = 0.027) as the most dominant factors influencing LOS in the ED. Final service disposition and time of arrival were the most dominant factors affecting LOS in the ED of UOBK West Java Provincial Pulmonary Hospital. Therefore, optimization of resource allocation to accelerate service delivery, reduce overcrowding, and improve the quality and safety of patient care.

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