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Contact Name
Abdul Muchlis
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garuda@apji.org
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+6285695565558
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jurnal@admi.co.id
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Perumahan Bumi Dirgantara Permai Blok CL NO 5, Jl. Durian, Jati Asih, Bekasi, Provinsi Jawa Barat, 17421
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Kab. bekasi,
Jawa barat
INDONESIA
Jurnal Kesehatan dan Kedokteran
ISSN : 28290437     EISSN : 2829050X     DOI : 10.56127
Core Subject : 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
Articles 187 Documents
Application of the 45° Semi-Fowler Position and Pursed Lip Breathing in STEMI Patients with Ineffective Breathing Pattern: A Case Study Muhammad Fahrul Farizqi; Indah Dwi Pratiwi
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 2 (2026): Juni: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i2.2897

Abstract

ST-Elevation Myocardial Infarction (STEMI) is a cardiovascular emergency caused by complete occlusion of a coronary artery, which may result in myocardial ischemia, decreased cardiac function, pulmonary congestion, and impaired tissue oxygenation. Respiratory problems such as dyspnea, increased respiratory rate, and ineffective breathing pattern may occur in STEMI patients and require supportive nursing interventions. The combination of the 45° Semi-Fowler position and Pursed Lip Breathing is a simple non-pharmacological intervention that may help improve ventilation and oxygenation. Objective: This study aimed to describe the implementation of the combination of the 45° Semi-Fowler position and Pursed Lip Breathing in improving respiratory status among STEMI patients with ineffective breathing pattern. Methodology: This study used a descriptive nursing case study design involving two STEMI patients treated in the Intensive Cardiac Care Unit. Data were collected through direct observation of respiratory status before and after the intervention. The observed indicators were peripheral oxygen saturation (SpO₂) and respiratory rate. The data were analyzed descriptively by comparing respiratory parameters during the three-day observation period. Findings: The results showed a tendency toward improvement in respiratory status in both patients. Oxygen saturation increased from 96% to 98%, while respiratory rate decreased from 20–24 breaths per minute before the intervention to 16–20 breaths per minute after the intervention. Implications: The findings suggest that the combination of the 45° Semi-Fowler position and Pursed Lip Breathing may be used as a supportive independent nursing intervention to help improve oxygenation and reduce breathing effort in STEMI patients, without replacing standard medical therapy. Originality: This study provides a clinical description of the combined use of body positioning and breathing exercise in STEMI patients with ineffective breathing pattern, an area that remains limited in previous nursing case studies.
Effectiveness of Structured Preconception Nutritional Counseling on Pregnancy Readiness Among Women Planning Pregnancy in Rural North Sumatra, Indonesia Ika Damayanti Sipayung; Nurmalina Hutahaean; Yasrida Nadeak; Fazila Itawari; Juwita Pakpahan
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 2 (2026): Juni: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i2.2488

Abstract

Preconception nutritional readiness is an important component of maternal and neonatal health because women’s nutritional status before pregnancy may influence pregnancy outcomes, fetal growth, and newborn health. However, structured preconception nutritional counseling has not been widely implemented in rural community settings, including among women planning pregnancy in Bangun Rejo Village, North Sumatra, Indonesia. Objective: This study aimed to examine the effectiveness of structured preconception nutritional counseling on pregnancy readiness among women planning pregnancy. Methods: This study used a quantitative approach with a quasi-experimental non-equivalent control group design. A total of 80 women of reproductive age who intended to conceive within one year were selected using purposive sampling and divided into an intervention group and a control group, with 40 respondents in each group. The intervention group received structured preconception nutritional counseling for eight weeks, while the control group received routine health education. Data were collected using a pregnancy readiness questionnaire and analyzed using descriptive statistics, paired sample t-tests, and independent sample t-tests. Results: The results showed that the intervention group experienced a significant increase in pregnancy readiness scores from 61.75 ± 8.42 to 84.20 ± 6.11 after the counseling program (p < 0.001). In contrast, the control group showed only a small and statistically insignificant increase from 62.10 ± 7.95 to 65.45 ± 7.38 (p = 0.091). Improvements were also observed in nutritional knowledge, dietary behavior, and folic acid awareness, with the highest improvement found in folic acid awareness. Implications: These findings imply that structured preconception nutritional counseling can be integrated into community-based maternal and reproductive health services to improve women’s readiness before pregnancy. Originality: The originality of this study lies in its focus on structured nutritional counseling for women actively planning pregnancy in a rural Indonesian setting, providing practical evidence for strengthening preconception care at the community level.
Evidence-Based Midwifery Management of Premature Rupture of Membranes at Term Pregnancy in Primary Care: A Case Report Aylinda Hrp; Riska Hutapea; Salwa Adya Mecca Saragih; Lydia Riska Dini Pinem; Ninsah Mandala Putri Sembiring; Modesta Marpaung
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 2 (2026): Juni: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i2.2893

Abstract

Premature Rupture of Membranes (PROM) is a common obstetric complication associated with maternal infection, neonatal morbidity, and adverse pregnancy outcomes if not managed promptly. Comprehensive and evidence-based midwifery care is essential to improve maternal and neonatal safety, particularly in primary healthcare settings. Objective: This case report aimed to describe the implementation of evidence-based midwifery management for a woman with term PROM using Helen Varney's Seven-Step Midwifery Management framework. Methods: A descriptive case report design was employed involving a 26-year-old primigravida (G1P0A0) at 39 weeks of gestation who presented with spontaneous rupture of membranes before the onset of regular uterine contractions. Clinical data were collected through patient interviews, physical and obstetric examinations, labor observations, medical records, and neonatal assessments. Data were analyzed descriptively using a narrative approach based on Helen Varney's Seven-Step Midwifery Management and interpreted according to current evidence-based recommendations. Findings: Following confirmation of PROM, continuous maternal and fetal monitoring was performed until spontaneous labor occurred. The patient delivered a healthy female infant vaginally with a birth weight of 3,000 g, body length of 49 cm, and an Apgar score of 9. The placenta was delivered completely, and the mother remained clinically stable despite experiencing a second-degree perineal laceration that was successfully repaired. No immediate maternal or neonatal complications were observed. Implications: The findings demonstrate that systematic assessment, continuous monitoring, and evidence-based midwifery management can support favorable maternal and neonatal outcomes in women with PROM and may strengthen the quality of maternity care in primary healthcare facilities. Originality: This report highlights the practical implementation of Helen Varney's Seven-Step Midwifery Management in a term PROM case within a primary healthcare setting, providing a structured example of evidence-based midwifery practice.
The Effect of Conscientiousness on Organizational Citizenship Behavior: The Mediating Role of Digital Self-Efficacy among University Lecturers Aprilia Maharani Ayuningsih; Wahyu Rahardjo; Maizar Saputra; Indria Hapsari; Ratna Maharani Hapsari
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 2 (2026): Juni: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i2.2886

Abstract

Organizational citizenship behavior (OCB) is increasingly important in higher education because lecturers are expected to contribute beyond their formal duties while adapting to digital transformation. This study examines whether digital self-efficacy mediates the effect of conscientiousness on organizational citizenship behavior among university lecturers. Methodology: This study employed a quantitative cross-sectional design involving 112 lecturers in Jakarta selected through convenience sampling. Data were collected using an online questionnaire distributed through Google Forms and analyzed using correlation and path analysis with JASP software. Findings: Conscientiousness positively influenced both digital self-efficacy and organizational citizenship behavior. Digital self-efficacy also positively affected organizational citizenship behavior. However, the indirect effect of conscientiousness on organizational citizenship behavior through digital self-efficacy was weaker than its direct effect. Therefore, digital self-efficacy did not significantly mediate the relationship between conscientiousness and organizational citizenship behavior. Implications: The findings indicate that lecturers’ voluntary contributions are more strongly influenced by stable personality traits, professional responsibility, and commitment to academic roles than by confidence in using digital technology. Higher education institutions should therefore strengthen professional values, collaborative culture, and recognition of lecturers’ extra-role contributions while continuing to support digital competency development. Originality: This study integrates conscientiousness, digital self-efficacy, and organizational citizenship behavior within a single empirical model and demonstrates that digital self-efficacy is not the primary psychological mechanism connecting conscientiousness with OCB among lecturers.
Behavioral, Reproductive, and Environmental Factors Associated with Infertility Among Reproductive-Age Couples I Gusti Ayu Ratih Agustini
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 2 (2026): Juni: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i2.2943

Abstract

Infertility is a reproductive health problem that can affect the biological, psychological, social, and economic well-being of couples. Its occurrence may be associated with various behavioral, reproductive, and environmental factors, requiring a comprehensive assessment involving both partners. Objective: This study aimed to analyze factors associated with infertility among couples of reproductive age in Denpasar, Bali. The study specifically examined smoking, alcohol consumption, reproductive disease history, and risky environmental exposure as potential factors associated with infertility. Methodology: This quantitative observational analytic study employed a case-control design involving 100 participants, consisting of 50 participants in the infertility group and 50 participants in the control group. Primary data were collected using a structured questionnaire, while secondary data were obtained from medical records and reproductive health service documentation. Data were analyzed using descriptive statistics and bivariate analysis. The strength of each association was reported using crude odds ratios, 95% confidence intervals, and p-values. Findings: Smoking was significantly associated with infertility (OR = 4.70; 95% CI: 1.93–11.42; p < 0.001). Alcohol consumption was associated with higher odds of infertility (OR = 8.43; 95% CI: 1.79–39.70; p = 0.002). A history of reproductive disease was also significantly associated with infertility (OR = 8.33; 95% CI: 2.60–26.72; p < 0.001), while risky environmental exposure increased the odds of infertility by 4.24 times (95% CI: 1.41–12.70; p = 0.007). These findings indicate that infertility is associated with multiple behavioral, reproductive, and environmental factors. Implications: Reproductive health services should adopt a couple-centered approach that includes smoking cessation, reduction of alcohol consumption, early detection and management of reproductive disorders, and minimization of hazardous environmental exposure. The findings may support the development of preventive programs, reproductive health education, and early screening strategies for couples of reproductive age. Originality: This study provides an integrated assessment of behavioral, reproductive, and environmental factors associated with infertility at the couple level. Unlike studies that examine female or male factors separately, this research emphasizes infertility as a shared reproductive health condition requiring the involvement of both partners. However, multivariable analysis is still required to identify the factors independently associated with infertility.
Relationship Between Pregnant Women's Knowledge of Iron (Fe) Tablets and Incidence of Anemia at PMB Shinta, Medan Polonia District, North Sumatera Province Friza Situmorang; Henny Rista; Dessy Ratna Sari; Yasrida Nadeak; Eva Dona Sinaga; Nita Nasefa
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 2 (2026): Juni: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i2.2944

Abstract

Anemia during pregnancy remains a major public health problem in Indonesia. One of the contributing factors is inadequate maternal knowledge regarding iron (Fe) tablets, which may affect adherence to supplementation and increase the risk of anemia. Objective: This study aimed to analyze the relationship between pregnant women's knowledge of iron (Fe) tablets and the incidence of anemia at PMB Shinta, Medan Polonia District, North Sumatera Province, in 2025. Methods: This quantitative study employed a cross-sectional design. The study involved all 30 pregnant women attending antenatal care at PMB Shinta, selected through total sampling. Data were collected using a structured questionnaire and hemoglobin examination. The data were analyzed using descriptive statistics and the Chi-Square test. Findings: The results showed that 56.7% of respondents had poor knowledge and 60.0% experienced anemia. A significant relationship was found between maternal knowledge and the incidence of anemia, with a p-value of 0.013. Pregnant women with poor knowledge had a 10.5-times higher likelihood of experiencing anemia than those with good knowledge (OR = 10.5; 95% CI: 1.889–58.359). Implications: The findings indicate the need to strengthen health education during antenatal care, particularly regarding the benefits, dosage, timing, and proper consumption of iron tablets. Improved maternal knowledge is expected to support adherence to iron supplementation and reduce the incidence of anemia during pregnancy. Originality: This study provides recent empirical evidence from a primary midwifery practice in Medan Polonia by directly examining the relationship between maternal knowledge of iron tablets and anemia incidence. The findings offer practical value for developing targeted, community-based maternal health education strategies.
Integrating Maternal Health Literacy and the Health Belief Model for Predicting Preeclampsia Screening Adherence Sonia Novita Sari; Sri Murtini; Yesica Geovany Sianipar; Nova Isabella Mariance Br Napitupulu; Amelia Erawaty Siregar; Natalya Rut Naomi Nainggolan
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 2 (2026): Juni: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i2.3029

Abstract

Preeclampsia remains one of the leading causes of maternal morbidity and mortality, highlighting the importance of improving pregnant women's adherence to early screening and timely clinical decision-making. Objective: This study aims to examine the integrated role of Maternal Health Literacy (MHL) and the Health Belief Model (HBM) in predicting preeclampsia screening adherence and mitigating delays in medical decision-making among pregnant women. Methods: A quantitative predictive study with a cross-sectional design was conducted involving 64 pregnant women at the Sarfina Sembiring Primary Clinic selected through purposive sampling. Data were collected using validated questionnaires measuring MHL and HBM constructs and analyzed using multiple logistic regression. Findings: The results showed that both MHL and HBM significantly predicted preeclampsia screening adherence and mitigation of delay in decision-making. HBM was identified as the strongest predictor of screening adherence (OR = 6.52), whereas MHL demonstrated the greatest influence on reducing delays in clinical decision-making (OR = 8.21). These findings indicate that psychological beliefs and cognitive health literacy play complementary roles in improving maternal preventive health behavior. Implications: The findings support the development of integrated maternal health education programs that combine health literacy enhancement with behavior-based interventions, including digital health education and counseling, to strengthen screening adherence and maternal self-efficacy in primary healthcare settings. Originality: This study proposes and empirically validates an integrated predictive framework combining Maternal Health Literacy and the Health Belief Model. Unlike previous studies that examined these constructs separately, this research demonstrates their complementary roles in improving preeclampsia prevention strategies and reducing delays in maternal healthcare decision-making.