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Jurnal Kesehatan dan Kedokteran
Published by Asosiasi Dosen Muda Indonesia
ISSN : 28290437     EISSN : 2829050X     DOI : 10.56127
Core Subject : Health,
Health Professions Public Health
Anatomi Anestesiologi Bedah Mulut Biokimia dan Biologi Molekular Cardiovaskular Dermatologi dan Venerologi Epidemiologi Farmakologi Farmasi Fisiologi Forensik Geriatri Genetika Gizi Medik Hematologi Histologi Ilmu Bedah Ilmu Kedokteran Gigi Anak Ilmu Kesehatan Anak Ilmu Kesehatan Masyarakat Ilmu Penyakit Dalam Ilmu Penyakit Mulut Kedaruratan Medik Kedokteran Preventif Konservasi Gigi Mikrobiologi Neurologi Obstetrik dan Ginekologi Onkologi Optalmologi Oral Diagnostik Ortodonti Otorinolaringologi Oral Biologi Parasitologi Patalogi Anatomi Patologi Klinik Periodonti Prostodonti Psikiatri Pulmonologi Radiologi Rehabilitasi Medik
Arjuna Subject : Kedokteran - Kebijakan Kesehatan
Articles 147 Documents
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Association Between Anti-Tuberculosis Drug (OAT) Adherence and Tuberculosis Recurrence Among Pulmonary TB Patients at Dr. Pirngadi Regional Hospital, Medan Ginting, Metia Ariani Br; Batubara, Heppy Jelita Sari; Hapsah, Hapsah; Sari, Mila Trisna
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 1 (2026): Februari: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i1.2582

Abstract

Pulmonary tuberculosis (TB), caused by Mycobacterium tuberculosis, remains a major public health problem. Treatment success depends heavily on adherence to anti-tuberculosis drug (ATD) therapy; however, the long treatment duration may reduce adherence and increase the risk of recurrence. Objective: This study aimed to describe the demographic characteristics of pulmonary TB patients and to analyze the association between adherence to ATD therapy and TB recurrence at Dr. Pirngadi General Hospital, Medan. Methods: A quantitative observational analytic study with a cross-sectional design was conducted among 33 pulmonary TB patients treated at Dr. Pirngadi General Hospital, Medan (November–December 2025). Data were collected using an ATD adherence questionnaire and complemented with medical record data. Descriptive statistics were used to summarize patient characteristics, adherence levels, and recurrence status, while the Chi-square test was applied to assess the association between adherence and recurrence (p < 0.05). Results: Most respondents exhibited low adherence to ATD therapy (66.7%), and a high proportion experienced TB recurrence (78.8%). The majority were male (51.5%), predominantly in the adult age group (41–60 years; 51.5%), had a senior high school education (87.9%), and were self-employed. A statistically significant association was found between adherence to ATD therapy and TB recurrence (p = 0.046). Implications: These findings reinforce the need to strengthen adherence-support strategies in hospital TB services, including structured counseling, active follow-up, and family or treatment supervisor involvement, to reduce recurrence risk and improve program outcomes. Originality/Value: This study provides facility-based evidence from Dr. Pirngadi General Hospital, Medan, demonstrating a significant relationship between adherence level and recurrence status, offering locally relevant data to guide targeted adherence interventions and recurrence prevention in hospital settings.
Impact of Clean and Healthy Living Education on Parental Knowledge and Independence in Supporting Child Growth at Sarfina Johor Clinic, Medan Sianipar, Yesica Geovany; Ika Damayanti Sipayung; Sonia Novita Sari; Yarman Gulo; Yeni Aprilia; Viona Manik; Sarfina Sembiring
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 1 (2026): Februari: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i1.2594

Abstract

The first 1,000 days of life are a critical window for long-term health, yet many urban parents still prioritize curative care over preventive practices that support optimal child growth and development. Objective: This study aims to evaluate the impact of Clean and Healthy Living Behavior (CHLB) education on parental knowledge and independence in maintaining child growth and development at Sarfina Johor Clinic, Medan. Methodology: A quasi-experimental one-group pre-test and post-test design was applied. A total of 50 parents were recruited using purposive sampling. Data were collected using validated questionnaires and analyzed with the Paired Sample T-test. Findings: CHLB knowledge increased significantly from a mean of 61.44 to 87.82 (mean difference = 26.38; p = 0.000). Parental independence also improved from 56.52 to 83.24 (mean difference = 26.72; p = 0.000). Implications: Structured clinic-based education can strengthen parental self-efficacy and shift family practices toward preventive care, positioning parents as proactive managers of child health at home. This approach can be adopted by primary clinics as an operational strategy to support stunting prevention programs. Originality: This study offers a clinical-based intervention model that connects routine medical consultation with domestic health maintenance, providing a practical framework for strengthening preventive parenting practices.
Socratic Leaflet Education to Improve Couples’ Knowledge on Long-Term Contraceptive Selection Hutabarat, Dewi Sartika; Tambun, Mastaida; Bakara, Srimuliana Putri; Butarbutar, Dyanti SR; Subroto, Edi; Aufa, Ka'sil
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 1 (2026): Februari: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i1.2596

Abstract

The high maternal mortality rate associated with frequent childbirth remains a significant public health issue, partly due to limited knowledge among couples of reproductive age about long-term contraception. The 2024 Indonesian Demographic and Health Survey reported that only 24.6% of respondents used long-term contraceptive methods. Low uptake is often linked to insufficient understanding and persistent myths in the community, indicating the need for interactive educational approaches. Objective: This study aims to analyze the effect of the Socratic method delivered through leaflets on improving the knowledge of couples of reproductive age in selecting Long-Term Contraceptive Methods (LTCM) at the Pematang Cengal Community Health Center. Methodology: The study employed a quantitative approach with a quasi-experimental one-group pre-test–post-test design. The population consisted of all couples of reproductive age within the health center’s service area, with 120 respondents selected through purposive sampling. Data were collected by measuring knowledge levels before and after the educational intervention and analyzed using the Wilcoxon Signed Rank Test. Findings: The results showed a statistically significant increase in the average knowledge scores after the Socratic-based education with leaflets (p-value < 0.05). Prior to the intervention, most respondents were categorized as having poor knowledge; afterward, the majority shifted to the good knowledge category. Implications: These findings suggest that interactive education using the Socratic method combined with leaflet media can serve as an effective strategy in primary healthcare settings to correct misconceptions, enhance understanding, and support informed decision-making regarding long-term contraception. Originality/Value: The originality of this study lies in the application of the Socratic method in LTCM education at the primary healthcare level, integrated with leaflet support, which promotes critical thinking about the effectiveness and safety of long-term contraception compared to conventional one-way education.
Comparison of Labor Duration by Parity Among Mothers at Rizki Clinic, Medan Tembung District Ribur Sinaga; Sari Khowajan Tondang; Eva Ratna Dewi; Marliani; Ali Imran Sirait; Butarbutar, Dyanti SR
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 1 (2026): Februari: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i1.2599

Abstract

Prolonged labor remains an important clinical issue because it can increase maternal fatigue and the risk of complications during delivery. Parity is known to influence the progress of labor, yet stage-specific evidence comparing primiparous and multiparous mothers in primary care settings is still limited. Understanding these differences is essential to improve intrapartum monitoring and maternal support. Objective: This study aimed to compare labor duration between primiparous and multiparous mothers at Rizki Clinic, Medan Tembung District, and to identify which stages of labor contribute most to the observed differences. Method: This study employed a quantitative observational analytic approach with a cross-sectional design conducted from April to July 2024. The sample consisted of 30 mothers (15 primiparous and 15 multiparous) selected using predetermined inclusion and exclusion criteria. Data on labor duration were obtained through direct observation and medical records. Descriptive analysis and the Mann–Whitney U test were used to examine differences between groups. Findings: The overall mean labor duration was longer in primiparous mothers (10.60 hours) compared with multiparous mothers (5.13 hours). Stage-specific analysis showed a significant difference in the first stage (Kala I), with primiparous mothers averaging 10.24 hours (7–11 hours 30 minutes) and multiparous mothers 6.5 hours (4–8 hours 45 minutes) (p = .000). No statistically significant differences were found in the second stage (mean 19 vs 15 minutes; p = .065) or the third stage (mean 10 vs 7 minutes; p = .086). Implications: The findings highlight the importance of focused monitoring and supportive care during the first stage of labor, particularly for primiparous mothers, to reduce anxiety and prevent prolonged labor. The results can inform clinical practice in primary care settings to improve labor management strategies. Originality/Value: This study provides stage-based comparative evidence on labor duration using clinic-level data, offering practical insight into parity-related differences and contributing to improved intrapartum care planning.
Overview of Hemoglobin Levels in Pregnant Women in the Working Area of Delitua Community Health Center in 2024 Grace Hanshella; Sinurat, Samfriati; Siallagan, Ance
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 1 (2026): Februari: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i1.2601

Abstract

Anemia during pregnancy remains a significant maternal health problem because it can increase the risk of complications for both mother and fetus. Operationally, anemia in pregnancy is defined as hemoglobin (Hb) levels below 11 g% in the first and third trimesters and below 10.5 g% in the second trimester. Local data are needed to describe the magnitude of the problem and to support strengthening screening and education services at primary healthcare facilities. Objective: This study aimed to determine the profile of hemoglobin levels among pregnant women in the working area of the Delitua Community Health Center in 2024. Methods: This study employed a descriptive quantitative design. The population consisted of 245 pregnant women based on Delitua Community Health Center data as of July 2024. A total of 31 respondents were selected using non-probability sampling, specifically convenience sampling. Data were collected using observation sheets and hemoglobin measurements with the EasyTouch GCHb device, and analyzed descriptively using frequency and percentage distributions. Results: Most respondents were in the late adulthood age group (48.4%), the majority were in the third trimester (77.4%), and most were multigravida (77.4%). The distribution of hemoglobin levels showed that 64.5% of pregnant women were classified as anemic. Implications: These findings highlight the need to strengthen routine Hb screening during pregnancy, improve adherence to iron (Fe) tablet consumption, enhance nutritional intake, and intensify structured education and counseling through Posyandu and antenatal care services to reduce anemia prevalence among pregnant women. Originality/Value: This study provides a localized profile of hemoglobin levels among pregnant women in the Delitua primary healthcare setting in 2024, offering context-specific evidence to support program planning, risk mapping, and evaluation of anemia prevention interventions at the primary care level.
Therapeutic Communication Phases and Patient Satisfaction in Meeting Basic Care Needs: A Cross-Sectional Study in Inpatient Care Simbolon, Rolasnih Lilista; Afriani, Dina; Zega, Petra Diansari; Hutabarat, Dewi Sartika; Manurung, Herna Rinayanti; Manik, Elisabet; Risna, Risna
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 1 (2026): Februari: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i1.2602

Abstract

Therapeutic communication is a core nursing competency that influences patient perceptions of care quality, comfort, safety, and the fulfillment of basic needs during hospitalization. However, evidence remains limited regarding how each phase of therapeutic communication contributes differently to patient satisfaction in inpatient settings. Objective: This study aimed to analyze the relationship between therapeutic communication phases orientation, working, and termination and patient satisfaction in fulfilling basic care needs among inpatients at Mitra Sejati General Hospital, Medan. Methods: A quantitative analytical study with a cross-sectional design was conducted from January to March 2024. The sample consisted of 71 inpatients selected using consecutive sampling. Data were collected through structured questionnaires administered via interviews and analyzed using descriptive statistics and Spearman’s rho correlation test with a significance level of α = 0.05. Findings: Therapeutic communication was generally rated as good across phases, yet patient satisfaction was predominantly neutral (52.1%). Significant positive correlations were found between the orientation phase and patient satisfaction (rₛ = 0.911; p < 0.001) and between the working phase and patient satisfaction (rₛ = 0.787; p = 0.003), while the termination phase showed no significant relationship (rₛ = −0.134; p = 0.265). Implications: The findings highlight the importance of strengthening trust-building communication at the initial and active stages of care. Hospitals should prioritize communication training and clinical protocols that emphasize admission interactions and continuous engagement to improve patient satisfaction and care quality. Originality/Value: This study demonstrates that therapeutic communication phases contribute unequally to patient satisfaction and identifies the orientation phase as the most dominant relational component in the inpatient context, offering new insights for patient-centered nursing practice in Indonesia.
Respiratory Physiotherapy Management in Pediatric Bronchial Asthma Apriani, Dika; Sudaryanto, Wahyu Tri; Sulistyowati, Fatonah
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 1 (2026): Februari: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i1.2636

Abstract

Bronchial asthma is a chronic inflammatory disease of the respiratory tract characterized by airway narrowing, bronchial hyperresponsiveness, and reversible airflow limitation. This condition may cause symptoms such as dyspnea, coughing, wheezing, and reduced functional activity capacity, particularly in pediatric patients. Therefore, supportive interventions such as respiratory physiotherapy are important to improve respiratory function and reduce asthma symptoms. Objective: This study aims to describe the effectiveness of respiratory physiotherapy management in a pediatric patient with bronchial asthma treated at RSUP Surakarta and to highlight the role of physiotherapy as a complementary intervention in improving respiratory function. Method: This study used a qualitative case report design involving a five-year-old boy diagnosed with bronchial asthma. Data were collected through clinical examination and repeated evaluations during five physiotherapy sessions, including thoracic expansion measurement, peak expiratory flow assessment, auscultation examination, vital sign monitoring, and dyspnea assessment using the Borg Scale and the Modified Medical Research Council (mMRC) scale. Data were analyzed descriptively by comparing the patient’s clinical condition before and after intervention across treatment sessions. Findings: The results showed improvement in several respiratory indicators after the intervention. Thoracic expansion increased at all measurement points, peak expiratory flow improved from 200 L/min to 550 L/min, and breath sounds changed from wheezing and rhonchi to normal vesicular sounds. In addition, vital signs showed improvement and perceived dyspnea decreased based on the Borg Scale, although the mMRC score remained unchanged. Implications: These findings suggest that respiratory physiotherapy may contribute to improving ventilation, chest wall mobility, and respiratory efficiency in pediatric asthma patients. Physiotherapy interventions can therefore be considered as supportive therapy in comprehensive asthma management. Originality: The originality of this study lies in the detailed clinical documentation of multimodal respiratory physiotherapy interventions in a pediatric bronchial asthma case, particularly in evaluating changes in thoracic expansion, peak expiratory flow, auscultation findings, and dyspnea during repeated treatment sessions.

Page 15 of 15 | Total Record : 147

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