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Media Kesehatan Politeknik Kesehatan Makassar
Published by Poltekkes Kemenkes Makassar
ISSN : 19078153     EISSN : 25490567     DOI : https://doi.org/10.32382/medkes.v18i2
Core Subject : Health, Science, Social,
Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
Jurnal Media Kesehatan Poltekkes Kemenkes Makassar adalah jurnal ilmiah yang dipublikasi oleh Unit Penelitian Poltekkes Kemenkes Makassar. Jurnal Media Kesehatan merupakan Jurnal Nasional yang diterbitkan dalam Bahasa Indonesia. Jurnal Media Kesehatan Poltekkes Kemenkes Makassar fokus pada hasil-hasil penelitian asli dan terbaru dalam lingkup ilmu kesehatan mencakup ilmu keperawatan, kebidanan, kesehatan lingkungan, ilmu farmasi, analis kesehatan atau laboratorium medis, ilmu gizi, fisioterapi, kesehatan gigi, ilmu kesehatan masyarakat dan ilmu kesehatan lainnya. Jurnal Media Kesehatan Poltekkes Kemenkes Makassar adalah jurnal dengan reviewer teman sejawat sesuai dengan bidang keilmuannya yang dikembangkan untuk mendorong pengembangan keilmuan dalam bidang kesehatan secara umum sehingga dapat menjadi sumber referensi dalam mendukung terselenggaranya pelayanan kesehatan yang berbasis Evidence Based Practice di Indonesia. Selain itu, jurnal itu menjadi wadah bagi peneliti dalam bidang ilmu kesehatan untuk mempublikasikan hasil penelitiannya sehingga mampu memperkaya referensi ilmiah yang dapat dimanfaatkan untuk meningkatkan kualitas sumber daya manusia kesehatan di Indonesia
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 175 Documents
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The Effectiveness of Hematological Indicator and Iron Biomarkers Evaluation as an Early Detection of Anemia in Adolescent Girls: A Systematic Review Kedaton, Rafi’ Andyah Arum; Devi, Nabila Sinta; Kusworini, Kusworini; Wardani, Diadjeng Setya
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1708

Abstract

Due to elevated iron requirements during growth and menstruation, anemia in adolescent girls remains a major global health concern. Hemoglobin (Hb) testing alone has low sensitivity in detecting early iron deficiency anemia (IDA). This study aims to evaluate the diagnostic accuracy of hematological indicators (MCV, MCH, MCHC) and iron biomarkers compared to Hb alone. A systematic literature review was conducted in PubMed, Cochrane Library, SAGE Journals, ScienceDirect, Wiley Online Library, Taylor and Francis, and DOAJ, covering publications from 2015 to 2025, following PRISMA guidelines. The Joanna Briggs Institute (JBI) approach was used to assess methodological quality and risk of bias. Analysis of five relevant publications showed that Hb alone often misses subclinical iron deficiency. Sensitivity and specificity improve when combined with ferritin, soluble transferrin receptor (sTfR), and adjustments for inflammatory markers such as alpha-1-acid glycoprotein (AGP) and C-reactive protein (CRP). These findings support a multifaceted approach that integrates hematological indicators, iron biomarkers, and inflammation markers for early and accurate anemia detection in adolescent girls, in line with national and international recommendations to reduce prevalence and long-term complications.
Correlation Between Knowledge and Attitude Toward Treatment Adherence Among Patients with Type 2 Diabetes Mellitus in Makassar, Indonesia Zulfiah, Zulfiah; Kadang, Yuniharce; Suprapto, Suprapto
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1709

Abstract

Many patients with diabetes mellitus still exhibit low adherence to long-term treatment. This study aimed to analyze the correlation between knowledge and attitude with treatment adherence among patients with type 2 diabetes mellitus. This research employed an analytical observational design with a cross-sectional approach. The study population consisted of patients receiving outpatient care at Nur Ichsan Clinic, Makassar City, from January to April 2025. A total of 74 respondents were selected using accidental sampling. Research instruments included the Diabetes Knowledge Questionnaire (DKQ-24), Diabetes Self-Management Education (DSME) attitude scale, and the Diabetes Self-Management Questionnaire (DSMQ) for treatment adherence. Each instrument had been validated in Indonesian with Cronbach’s alpha values of 0.82 (DKQ), 0.79 (DSME), and 0.85 (DSMQ), indicating good internal consistency. Knowledge, attitude, and compliance scores were categorized as good, fair, or poor based on mean cut-off points obtained from the total score distribution, as the data were normally distributed according to the Kolmogorov-Smirnov test (p = 0.119). Data were analyzed using Pearson’s correlation test, as the data met the assumptions of normality. The results showed that most patients had good levels of knowledge (75.7%), positive attitudes (75.7%), and high treatment adherence (75.7%). There was a significant positive correlation between knowledge and treatment adherence (r = 0.614, p < 0.001) and between attitude and treatment adherence (r = 0.587, p < 0.001). These findings indicate that patients with higher knowledge and more positive attitudes are more likely to adhere to treatment recommendations. In conclusion, knowledge and attitude are strongly correlated with treatment adherence among patients with type 2 diabetes mellitus. It is recommended that health education programs be strengthened through structured diabetes self-management interventions focusing on knowledge enhancement and attitude change to improve long-term adherence
Effectiveness of the Line Probe Assay Compared with Conventional Culture for Detecting Second-Line Anti-Tuberculosis Drug Resistance Aristoteles, Aristoteles; Nurhidayanti, Nurhidayanti
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1710

Abstract

Drug-resistant tuberculosis (MDR-TB and rifampicin-resistant TB) is a major challenge in TB control in Indonesia. Rapid detection of second-line anti-TB drug resistance is crucial for timely initiation of therapy. Line Probe Assay (LPA) is a molecular method recommended by WHO as an alternative to conventional culture tests such as Mycobacterium Growth Indicator Tube (MGIT) and Lowenstein Jensen, which have longer detection times. This research aimed to determine the effectiveness of the time and diagnostic efficiency of the Line Probe Assay method compared to conventional cultures (MGIT and Lowenstein Jensen) for identifying second-line anti-TB drug resistance in MDR-TB and rifampicin-resistant TB patients. This study employed an observational analytical design with a cross-sectional approach that incorporated a post-test-only control group framework to compare the performance of the Line Probe Assay (LPA) and conventional culture methods in detecting second-line anti-tuberculosis drug resistanceData were collected from two groups of patients: one group with multidrug-resistant tuberculosis (MDR-TB) and other with rifampicin-resistant TB. All samples were examined using the Line Probe Assay (LPA), Mycobacterium Growth Indicator Tube (MGIT), and Lowenstein-Jensen (LJ) culture methods. A total of 30 collected sputum specimens were analyzed based on the time of the results, ease of interpretation, and readiness for therapy. Findings indicated that the Line Probe Assay (LPA) provided results within 1–2 days, compared to Mycobacterium Growth Indicator Tube (MGIT) (average 17 days) and Lowenstein-Jensen (LJ) culture (average 28–42 days). LPA demonstrated higher efficiency in both laboratory workflow and clinical readiness for early therapeutic decision-making.For the MDR-TB group, LPA successfully detected resistance to fluoroquinolones (gyrA/gyrB mutations) and second-line injectable drugs such as amikacin and kanamycin (rrs/eis mutations), showing full concordance with culture results. Similarly, in the rifampicin-resistant TB group, LPA identified additional resistance patterns consistent with culture findings, confirming its broad applicability for detecting second-line drug resistance. Although the diagnostic accuracy of all three methods was equally high (100% sensitivity and specificity), LPA was clearly superior in terms of turnaround time and overall laboratory efficiency. This study concludes that the Line Probe Assay is more effective and efficient than conventional culture methods for identifying second-line anti-TB resistance in MDR-TB and rifampicin-resistant TB patients, and is strongly suggested for initial screening to accelerate clinical management.
Effectiveness of Endorphin Massage for Pain Reduction During the Active Phase of First-Stage Labor: A Quasi-Experimental Pretest–Posttest Study Fitrianingsih, Julia; Fitriani, Fitriani; Yulis, Dian Meiliani
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1711

Abstract

Pain during the first stage of labor frequently heightens maternal stress and may interfere with the physiological progress of childbirth. This study examined the effectiveness of endorphine massage as a non-pharmacological technique for reducing pain experienced by women in the active phase of first-stage labor. A quasi-experimental one-group pretest–posttest design was conducted with sixteen consecutively recruited participants from a community health center. The intervention consisted of a structured endorphine-massage protocol delivered by trained midwives, involving gentle rhythmic strokes and light pressure applied for approximately 15 minutes to the lower back, shoulders, and pelvic area. Pain intensity was measured before and after the intervention using the validated Numeric Rating Scale (NRS). Normality was confirmed with the Shapiro–Wilk test, permitting the use of a paired t-test. The mean pain score decreased from 7.40 before the intervention to 6.13 afterward, indicating a statistically significant reduction (p = 0.001) with a moderate effect size. These findings suggest that endorphine massage may serve as a supportive option for managing pain during the active phase of labor. However, the small sample size and single-site setting limit generalizability, and larger multi-center studies are recommended to strengthen the evidence base for clinical application
The Relationship between Psychosocial Stress on The Quality of Life and Self-Control in Adolescent Girls Jumrah, Jumrah; Stang, Stang; Fitriani, Nurlaila; Mumang, Andi Agus; Al Mukarramah, Mukminah
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1714

Abstract

Introduction: High academic pressure affects adolescents’ emotional and social well-being, resulting in a decline in their overall quality of life and impacting their self-control abilities. Objective: This study aimed to analyze the relationship between stress on the quality of life and self-control of adolescents. Methods: This was a cross-sectional study. The sample consists of 225 11th-grade female students, determined using the Lemeshow formula with an α=5% margin of error. Simple random sampling was employed. The instruments used were the Perceived Stress Scale (PSS) questionnaire, WHOQOL-BREF questionnaire, and Self-control Competency Scale questionnaire. Data were analyzed using SPSS version 16 with a chi-square test. Results: Most respondents experienced moderate stress (188 people, 83.6%), most female students had a low quality of life (160 people, 71.1%), and had moderate self-control (188 people, 83.6%). There is a significant correlation between stress and the quality of life of adolescent girls (P=0.000<0.05) and self-control (P=0.000<0.05). Conclusion: High stress is associated with low quality of life and self-control in adolescent girls.
The Effectiveness of Antibiofilm Synergy of Parijoto Leaf Extract (Medinilla speciosa) and Gentamicin on Methicillin-Resistant Staphylococcus aureus (MRSA) from Diabetic Ulcers Sa'adah, Arina Lis; Sari, Fariza Yulia Kartika; Sukoharjanti, Bintari Tri; Darmawati, Sri
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1715

Abstract

Diabetic foot ulcers (DFU) are chronic complications of diabetes that are generally accompanied by bacterial infections. Methicillin-Resistant Staphylococcus aureus (MRSA) is one of the most dominant pathogenic bacteria isolated from DFU wounds. The significant number of MRSA bacteria and the formation of bacterial biofilms result in prolonged wound treatment and high amputation rates. Several medicinal plants in the Muria Mountains have the potential to be alternative antibiofilms supporting gentamicin antibiotic treatment, one of which is the parijoto plant (Medinilla speciosa). This study aims to evaluate the effectiveness of the combination of parijoto leaf extract with gentamicin in inhibiting the growth of MRSA biofilms isolated from DFU. Parijoto leaves were extracted using the UAE (Ultrasound-Assisted Extraction) technique, followed by phytochemical tests and antibiofilm inhibition tests using the microdilution method. The results of phytochemical identification showed that there were saponin, flavonoid, tannin, alkaloid, quinone, and phenol compounds. The combination of gentamicin and parijoto leaf extract with several variations obtained the highest percentage of biofilm inhibition, namely 95%. The IC50 value in the antibiofilm inhibition test of the combination of parijoto leaf extract and gentamicin was 6.90 μg/mL. The chemical bioactive content in parijoto leaf extract can synergize as a supporting treatment with gentamicin to accelerate the treatment of diabetic ulcer wound infections. Further research needs to be carried out to explore and further study to determine the QS (Quorum Sensing) mechanism against MRSA (Methicillin-Resistant Staphylococcus aureus) bacteria by bioactive compounds in parijoto leaf extract and invivo test.
Nurses’ Role in Culturally Sensitive Diabetes Care: A Scoping Review Yusra, Aini; Wahyuni, Aria; Gafar, Abd; Suryarinilsih, Yosi; Dewi, Sri
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1722

Abstract

Culturally sensitive care is essential in diabetes management, as cultural beliefs, language, family roles, and religious practices strongly shape health behaviors and outcomes. Nurses, through their close contact with patients, are uniquely positioned to deliver such care, yet their contributions remain underexplored in previous reviews. This scoping review aimed to map nurse-led culturally sensitive interventions in diabetes care, describe adaptation strategies, synthesize reported outcomes, and identify knowledge gaps. Guided by Arksey and O’Malley’s framework, enhanced by Levac et al., and aligned with PRISMA-ScR and the JBI Manual, a systematic search was conducted across PubMed, Scopus, CINAHL, ScienceDirect, ProQuest, and Google Scholar for English-language studies published between January 2015 and May 2025. Sixteen studies met the inclusion criteria. Nurse-led interventions included Diabetes Self-Management Education (DSME), family-centered programs, faith-based initiatives, mHealth follow-ups, and community-based culturally contextualized care. Strategies applied were language adaptation, religious and spiritual integration, dietary alignment with traditional foods, family and community engagement, and respect for local norms. Reported outcomes were consistently positive across behavioral, clinical, psychosocial, and knowledge domains. However, gaps persist, including underrepresentation of Southeast Asian and Indigenous populations, inconsistent measurement of psychosocial outcomes, minimal reporting on nurse training, and limited system-level integration. This review underscores the central role of nurses as cultural brokers in diabetes care and calls for embedding cultural competence in nursing education, clinical practice, and policy.
The Kacirebonan Gamelan Music Accompaniment in Ergonomic Exercise and Its Impact on Blood Pressure Hypertensive Elderly Rohmana, Omay; Rochayati, Ati Siti; Rahayu, Dian Yuniar Syanti; Susanti, Susi
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1730

Abstract

Ergonomic exercise has been recommended for older adults with hypertension. However, initially, it was carried out without music. Kacirebonan gamelan music is a traditional music that has characteristics of music therapy. The research objective is to determine the effects of ergonomic exercises accompanied by kacirebonan gamelan music and those not accompanied by kacirebonan gamelan music on systolic and diastolic blood pressure in hypertensive elderly in Cirebon. The research design is a quasi-experimental pretest-posttest intervention with two treatment groups: the first received ergonomic exercise accompanied by kacirebonan gamelan music, and the second received ergonomic exercise only. The intervention was carried out daily for 12 days, with two sessions per day, each lasting about 30 minutes, every 9 hours in the morning. The sample size was formulated by (t-1) (r-1) > 15, so the sample for each group consisted of 16 hypertensive elderly and 32 people for the whole sample, selected by simple random sampling and meeting the inclusion and exclusion criteria. Data analysis was performed using a t-test based on the Shapiro-Wilk normality test, with a p-value> 0.05. The result: there was no significant difference between before and after the intervention in systolic pressure (p=0.787>0,05) and diastolic pressure (p=0.229>0,05) in hypertensive elderly in the treatment group. There was no significant difference between the treatment and control groups in systolic pressure (p = 0.468 > 0.05) or diastolic pressure (p = 0.761 > 0.05) after treatment in hypertensive elderly. Ergonomic exercise without the accompaniment of kacirebonan gamelan music produces a greater effect on systolic (0.036 < 0.05) and diastolic (0.045 < 0.05) blood pressure in hypertensive elderly.  The research conclusion is that the accompaniment of kacirebonan gamelan music during ergonomic exercises did not have a significant effect on systolic or diastolic blood pressure in elderly hypertensives. Ergonomic exercise without the accompaniment of kacirebonan gamelan music had a greater impact on reducing systolic and diastolic pressure in hypertensive elderly in Cirebon. Future research should formally operationalise and measure participants' cultural perceptions and expectations of an intervention before implementation.
Profile of Self Medication Practices in the Tarramatekkeng Village Luwu District South Sulawesi Asrina, Rina; Roosevelt, Alfreds; B, Muthmainna; Hasma, Hasma; Rusli, Rusli
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1731

Abstract

Self medication is the practice of treating oneself using over the counter medicines, limited over-the-counter drugs, or prescription medications obtained from pharmacies. This practice requires adequate knowledge to ensure safe and effective use. Self medication is becoming increasingly common due to its affordability, convenience, and easy access to pharmacies and drugstores, as well as the availability of health information through various media. This study aimed to describe self-medication practices in the community of Kasumang Hamlet, Tarramatekkeng Village, especially in terms of illnesses treated, types of medications used, sources of information, places where medicines were obtained and and they purchased medicines either for immediate use or for future stock. A descriptive research design with a cross-sectional quantitative approach was employed. This study was conducted in Dusun Kasumang, Tarramatekkeng Village, Luwu Regency, from May to June 2025. The sample size was determined using the Slovin formula, resulting in a total of 81 participants. Participants were selected using purposive sampling based on predetermined inclusion criteria. Headaches were the most common reason for self-medication (20%), followed by fever (19%). The most commonly purchased drug was Paracetamol (17%), with 53% of participants buying medication at pharmacies. The main source of information was relatives (47%), and 51% of participants were currently using medication. These findings highlight the need for increased public awareness regarding the safe use of medicines, greater access to professional pharmaceutical guidance, and strengthened regulation of prescription drug sales to reduce the risk of inappropriate self-medication and protect community health
The Role of Nurses to Optimizing the Mechanical Ventilation for Acute Respiratory Failure in the Intensive Care Unit (ICU) of Hospital Junaidi, Abd Hady; Angriani, Sri; Hariani, Hariani; AR, Masdiana; Nur, Muh; Rahman, Rahman
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1736

Abstract

Background: The largest component at every health care facility center is the Nurse. In hospitals, nurses are placed in various health care units or sections, one of which is the Intensive Care Unit (ICU). Generally, Nurses at ICU have greater duties, roles, and responsibilities than nurses in other service units. Every day, these nurses must deal with critical patients, especially patients with acute respiratory failure on ventilators whose lives are threatened and have a high risk of death. Therefore, ICU nurses are increasingly required to play an integrated and comprehensive role to optimize mechanical ventilation management so that critical patients (acute respiratory failure) can be saved. Objective: To examine the nurse’s role of ICU and any supporting and inhibiting factors them to optimizing mechanical ventilation in patients with acute respiratory failure at the ICU. Method: A qualitative descriptive as type of this study, and use analytical, exploratory, phenomenological, and evaluative design. This research has been conducted in the ICU Room of Dr. Wahidin Sudirohusodo General Hospital of Makassar, Makassar City, South Sulawesi Province, Indonesia. The subjects are 21 nurses at ICU’s room. The informants include: the doctor in charge of the ICU, the Head of the Nursing Section, nurses, patients and families. Observation, interviews, and documentation as methods are used to collecting any data need to analyses problem and objective this study. A qualitative used as analyses approach.Results: All nurses at ICU room of hospital have an urgent, important and strategic role to optimizing mechanical ventilation against patients with acute respiratory failure. The specifically roles that must be played them by stages, integrated and holistic include: observation (observer), monitoring (monitor), evaluation of monitoring results and data analysis, airway management, examination and assessment of patient conditions, nursing care and actions, communication and coordination, preparedness and collaboration, as well as prevention and management of complications. The supporting factors of the role of nurses at ICU include: the human resources (HR) competence of nurses, the increasing number of acute respiratory failure patients requiring care, policy support and mechanisms as guidelines, support from hospital management, infrastructure and facilities and equipment, communication relationships and lines of coordination and collaboration, and the support of the patient's family. While the inhibiting factors include: patient factors, nurse negligence factors (in monitoring and managing ventilators, evaluating and analyzing data, managing patient breathing), quantity and quality of nurse HR factors, high nurse workload factors, limited time management factors in assessments, limited infrastructure and facilities and equipment factors. ineffective communication factors, conflict of interest factors, and poor role conflict management factors

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