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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 204 Documents
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Chronic Energy Deficiency Mediates the Effect of Socioeconomic Status on Anemia in Pregnancy: A Case-Control Study in Rural Gorontalo St. Surya Indah Nurdin; Sitti Mukarramah; Zul Fikar Ahmad; Yuliandary Yunus
Media Kesehatan Politeknik Kesehatan Makassar Vol 21 No 1 (2026): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v21i1.2120

Abstract

Anemia during pregnancy remains an important public health problem and is closely associated with socioeconomic inequality and maternal nutritional status. This study aimed to examine the role of chronic energy deficiency (CED) as a potential mediator in the relationship between socioeconomic status and anemia among pregnant women in rural Gorontalo, Indonesia. An observational analytic study with a case–control design was conducted involving 168 pregnant women, consisting of 56 anemia cases and 112 non-anemic controls, selected using consecutive sampling. Cases were defined as pregnant women with hemoglobin levels <11 g/dL, while controls were pregnant women with hemoglobin levels ≥11 g/dL. Data were obtained from primary data collection and maternal health records. Causal mediation analysis guided by a directed acyclic graph (DAG) was performed using logistic regression to estimate the adjusted total effect, natural direct effect, and natural indirect effect. After adjustment for potential confounders, low socioeconomic status was significantly associated with anemia during pregnancy, with a total effect of aOR = 4.05; 95% CI: 1.841–8.896. The natural indirect effect through CED was also statistically significant, with aOR = 1.31; 95% CI: 1.018–1.693, accounting for 23.76% of the total effect. The natural direct effect remained significant, with aOR = 3.08; 95% CI: 1.351–7.030. These findings indicate that CED partially mediates the relationship between socioeconomic status and anemia during pregnancy. Anemia prevention strategies should therefore integrate maternal nutritional interventions with broader socioeconomic and antenatal care approaches, particularly for pregnant women from socioeconomically disadvantaged backgrounds.
Association Between Seasonal Variation and Hypertension in Pregnancy at Anna Medika Madura Hospital Novi Anggraeni; Samsiah Mat; Andriyanto Andriyanto; Rohilatul Jannah; Siti Rochimatul Lailiyah; Moh. Lutfi; Vivin Wijiastutik; Alis Nurdiana
Media Kesehatan Politeknik Kesehatan Makassar Vol 21 No 1 (2026): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v21i1.2125

Abstract

Hypertension in Pregnancy are classified as follows: chronic hypertension, preeclampsia/eclampsia, chronic hypertension with superimposed preeclampsia and gestational hypertension. Hypertensive problems in pregnancy particularly pre eclampsia and eclampsia afflicts nearly 28% of pregnant women globally and are an important cause of maternal and neonatal morbidity and mortality. First-time mothers with a previous pregnancy termination, a high body mass index and a paternal effect are at a higher risk of developing pre-eclampsia. Again, Mediterranean seasonal pattern documentation showed variations in severe preeclampsia rates; all of which warrant a more comprehensive study. The purpose of this study is to analyze the relationship between seasonal variations and hypertension in pregnancy. This study used an analytical cross-sectional design. The independent variable in this study was seasonal variation, while the dependent variable was the incidence of hypertension in pregnancy. The study population consisted of 1,210 pregnant women registered in the medical records of ANNA Medika Madura General Hospital from January 1 to December 31, 2025, with a sample size of 291 pregnant women determined using the Lemeshow formula, based on the inclusion criterion of residing in Madura. . The exclusion criterion in this study was incomplete medical records and chronic hypertension . The sampling technique used stratified random sampling. Statistical analysis used chi-square test only; no adjustment for potential confounders was performed. During the dry season, 24% of pregnant women had hypertension, while 76% did not. Conversely, during the rainy season, the incidence of hypertension in pregnancy was higher than during the dry season, at 33%, with 67% of pregnant women not having hypertension. Statistical analysis results indicate a significant association between seasonal variations and the incidence of hypertension in pregnancy (p = 0.024), suggesting that the incidence of hypertension in pregnancy differs significantly between the dry season and the rainy season. Seasonal variations are significantly associated with hypertension in pregnancy, with a higher number of cases during the rainy season compared to the dry season. Healthcare providers are advised to intensify antenatal monitoring during the rainy season, particularly for pregnant women with risk factors. Strategies for prevention, early detection, and management of hypertension in pregnancy need to be further optimized. Additionally, further research is recommended to investigate the mechanisms underlying this association and to develop season-specific intervention strategies.
Fast Food Consumption, Physical Activity, and Knowledge of Diabetes in Relation to Body Mass Index in Urban Adolescents: A Cross-Sectional Study Indah Puspitasari; Amzal Mortin Andas; Ashar Prima; Maratun Shoaliha; Andi Tenri Nurwahidah
Media Kesehatan Politeknik Kesehatan Makassar Vol 21 No 1 (2026): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v21i1.2150

Abstract

Urban adolescents tend to increase fast-food consumption and engage in unbalanced physical activity, which may contribute to abnormal Body Mass Index (BMI) and increase the risk of type 2 diabetes mellitus (DM). This study aimed to analyse the relationships among diabetes mellitus knowledge, fast-food dietary patterns, and physical activity with BMI among adolescents. A cross-sectional study was conducted among 290 urban adolescents from public senior high schools in Bekasi City, Indonesia, in December 2025, using stratified cluster sampling. DM knowledge was measured using the Diabetes Knowledge Questionnaire-24 (DKQ-24), fast-food intake using the Food Frequency Questionnaire (FFQ), and physical activity using the International Physical Activity Questionnaire (IPAQ). BMI was calculated from weight and height measurements. Data were analysed using Chi-Square and binary logistic regression tests with a significance level of α = 0.05. Fast-food dietary pattern (χ2 = 11.237; p = 0.010) and physical activity (χ2 = 17.584; p = 0.001) were significantly related to BMI; DM knowledge was not (χ2 = 1.838; p = 0.934). Fast-food dietary pattern was the dominant clinical factor for abnormal BMI (OR = 2.447; 95% CI 0.852–7.032; p = 0.098). Although fast-food dietary patterns showed a higher odds ratio for abnormal BMI, the association was not statistically significant (p = 0.098); however, the finding may still indicate a potential clinical trend that warrants attention. Physical activity was significantly associated with adolescent BMI. Nurses and health professionals should develop school-based nutrition education to reduce fast-food consumption and prevent early type 2 DM.
Institutional Readiness of Baubau City Regional General Hospital in Implementing the Standardised Inpatient Care Class Policy Andi Yaumil Bay Ramdayana Thaifur; Reski Dewi Pratiwi; Mangindara Mangindara; Afriyana Amelia Nuryadin; Julia Bani
Media Kesehatan Politeknik Kesehatan Makassar Vol 21 No 1 (2026): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v21i1.2153

Abstract

The Standardised Inpatient Care Class (KRIS) is a national policy within the National Health Insurance (JKN) programme in Indonesia that mandates hospitals to fulfil 12 technical criteria to ensure equitable inpatient services for all BPJS Kesehatan participants. This study evaluated the institutional readiness of Baubau City Regional General Hospital in implementing KRIS as mandated by Presidential Regulation (No.59/2024). A convergent mixed-methods design was employed, involving four key informants with direct authority over the implementation process. Data were collected through in-depth interviews, readiness assessments based on the 12 KRIS criteria, direct field observations, and document reviews. Qualitative and quantitative data were analysed separately and integrated during interpretation using SWOT and fishbone analyses. The findings indicated that the hospital had not yet achieved readiness to implement KRIS, particularly in infrastructure standards, clinical-support facilities, and service system requirements. Major barriers included limited regional fiscal capacity, disparities in governance authority between local and centrally managed hospitals, and weak inter-unit coordination. These constraints may affect policy implementation effectiveness and equitable service delivery. The study concludes that Baubau City Regional General Hospital remains institutionally unprepared for full KRIS implementation. A phased PDCA (Plan–Do–Check–Act) approach is recommended to strengthen infrastructure readiness, coordination mechanisms, and institutional implementation capacity.
Association Between Antiretroviral Therapy Adherence and Viral Suppression Among People Living with HIV in Bogor City: A Case-Control Study Ike Nurjana Tamrin; Arabia Tamrin
Media Kesehatan Politeknik Kesehatan Makassar Vol 21 No 1 (2026): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v21i1.2170

Abstract

Human Immunodeficiency Virus (HIV) continues to be a major global public health problem. HIV requires Antiretroviral (ARV) treatment to suppress the amount of HIV virus in the body. Adherence to ART can be influenced by a number of factors, including the patient's social situation and clinical condition, the prescribed regimen, and the patient-provider relationship. Adherence to ARV treatment is essential for PLWHA to achieve treatment success. Conversely, non-adherence to treatment can result in virologic failure. Virologic failure is an early sign of treatment failure. Over time, virologic failure will be followed by immunologic failure and ultimately clinical failure will occur. The purpose of this study was to determine the relationship between adherence to antiretroviral therapy and viral suppression in HIV patients in Bogor City. Research Methods This study is a quantitative study using an analytical observation method with a case-control study design. The study population was all people with HIV recorded in SIHA version 1.7 in Bogor City. The sampling technique used total sampling for the case group and simple random sampling for the control group. Data were taken from viral load examinations on a sample of 84 people and controls 3 times more than the number of cases, namely 252 people. The results of the study showed a significant relationship between adherence to antiretroviral therapy and viral suppression in HIV sufferers in Bogor City with a large association of 13.39 (95% CI: 6.09 - 29.41, p value: 0.000). Conclusion People with HIV in Bogor City who do not experience viral suppression have a low level of adherence with a proportion of 34.52% greater than in the group of people with HIV who experience viral suppression with a proportion of only 5.16% at the same level of adherence
The Effect of Gamification-Based Peer Learning on CPR Knowledge and Self-Efficacy Among Secondary School Students: A Quasi-Experimental Study Muhammad Purqan Nur; Nasriani Nasriani; Andi Aridhasari Sudirman; Sitti Maryam Bachtiar; Andi Sudirman
Media Kesehatan Politeknik Kesehatan Makassar Vol 21 No 1 (2026): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v21i1.2183

Abstract

Noncommunicable diseases are the leading cause of global mortality, and one of their serious complications is sudden cardiac arrest, which requires immediate intervention through cardiopulmonary resuscitation (CPR). CPR education at the school level is crucial for enhancing students’ readiness to respond to cardiac arrest incidents outside of hospitals. This study aims to evaluate the effectiveness of gamification-based CPR training in improving knowledge and self-efficacy among high school students. A quasi-experimental study with a pretest–posttest control group design was conducted on 90 students. The intervention group received CPR training based on American Heart Association (AHA) guidelines through peer-to-peer learning integrated with gamification elements. The control group received peer-to-peer CPR training without gamification. The sample was selected using stratified random sampling based on grade level. Data were analyzed using the Wilcoxon Signed-Rank and Mann–Whitney U tests with a significance level of α = 0.05. The results showed that the intervention group experienced a significant increase in knowledge (p < 0.001) and self-efficacy (p = 0.010), while the control group experienced a significant increase in knowledge (p < 0.001), but not in self-efficacy (p = 1.000). In the between-group analysis, post-test knowledge scores differed significantly with a small effect size (p = 0.039; Cohen’s d = 0.262), but the change in knowledge scores did not differ significantly (p = 0.795; Cohen’s d = 0.030). Significant differences were found in post-test self-efficacy (p = 0.009; Cohen’s d = 0.436) and changes in self-efficacy (p = 0.002; Cohen’s d = 0.555). Gamification-based CPR training is associated with increased knowledge and self-efficacy among high school students. However, this increase in knowledge was not significantly different from that of the control group. Therefore, gamification may be particularly beneficial for enhancing students’ self-efficacy and their readiness to provide first aid in out-of-hospital cardiac arrest situations.
Infectious Disease and Maternal Factors Associated with Stunting among Children in Mimika, Central Papua: A Case–Control Study Rosmin Mariati Tingginehe; Muhamad Sahiddin
Media Kesehatan Politeknik Kesehatan Makassar Vol 21 No 1 (2026): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v21i1.2186

Abstract

Child stunting persists as a critical nutritional challenge in Indonesia, with a disproportionately high burden in its eastern provinces, where infectious diseases are endemic. This study aimed to identify the determinants of stunting among children aged 24–59 months in Mimika District, Papua Tengah. A retrospective case–control study was carried out in the service area of the Pasar Sentral Primary Health Center. The analysis included 330 children aged 24–59 months, including 110 stunted cases and 220 controls, who were recruited from the same community health posts; controls were selected using simple random sampling with a 1:2 case-to-control ratio Information was obtained through structured interviews with caregivers and the verification of health records, including maternal and child health books and the electronic community-based nutrition recording system (e-PPGM). The associations between potential risk factors and stunting were evaluated using chi-square tests, followed by multivariable logistic regression analysis. A history of infectious disease had the strongest association (aOR 4.81; 95% CI 2.69–8.58). Additional factors associated with stunting were household income below the provincial minimum wage (aOR 3.52; 95% CI 1.98–6.26), low maternal education (aOR 2.92; 95% CI 1.63–5.23), low birth weight (aOR 2.78; 95% CI 1.37–5.64), incomplete immunization (aOR 2.21; 95% CI 1.24–3.94), lack of exclusive breastfeeding (aOR 2.32; 95% CI 1.29–4.16), incomplete antenatal care visits (aOR 1.96; 95% CI 1.10–3.49), and maternal anemia during pregnancy (aOR 1.85; 95% CI 1.04–3.30). Integrated strategies focusing on infection prevention, maternal and child health services, and household living conditions are needed to reduce stunting in malaria-endemic areas.
Effect of the SADIVA Digital Application on Knowledge, Counseling, and Screening Skills of Health Cadres for Early Breast and Cervical Cancer Detection: A Quasi-Experimental Study Syajaratuddur Faiqah; Fitra Arsy Nurcory’ah; Mutiara Rachmawati Suseno; Endah Wijayanti
Media Kesehatan Politeknik Kesehatan Makassar Vol 21 No 1 (2026): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v21i1.2190

Abstract

Breast cancer and cervical cancer are among the most common cancers affecting women. Health cadres play an important role in encouraging women to undergo visual inspection with acetic acid (VIA) and clinical breast examination (CBE) at healthcare facilities. The “SADIVA” app was developed as an educational tool to assist health cadres in promoting awareness about the early detection of breast and cervical cancer. This study aimed to determine the effect of the “SADIVA” digital media on improving the knowledge, counseling skills and screening skills of health cadres in conducting education and early detection for breast and cervical cancer among women of reproductive age. This study used a Two Group Pretest-Posttest design. The population included health cadres working in the jurisdiction of the Sesela Community Health Center. A total of 60 participants were selected through purposive sampling and divided into two groups, consisting of 30 participants in the intervention group and 30 participants in the control group. The intervention was conducted for four weeks. The intervention group received training on how to use the SADIVA app, while the control group received a booklet. The training was conducted for approximately 60 minutes. Following the training session, all respondents carried out independent practice at least three times per week and were monitored using a checklist and a WhatsApp group. The results of the Mann–Whitney test for the knowledge variable in the post-test showed a Z-score of -2.317, a p-value of 0.016 (p < 0.05), and an effect size of 0.30. Meanwhile, the screening skills variable demonstrated a Z-value of -6.318, a p-value of < 0.001 (p < 0.05), and an effect size of 0.82. And for the health education skills variable, a Z-value of -3.508 was obtained; p-value < 0.001 (p < 0.05); with an effect size of 0.46. Thus, it can be concluded that there are significant differences in the post-test scores for knowledge, screening skills, and counseling skills between the intervention group and the control group, with the effect sizes for each variable being moderate for the knowledge and counseling skills variables, and having a large effect on the improvement in the respondents’ screening skills. The “SADIVA” digital media significantly enhanced the knowledge, counseling abilities, and screening skills of health cadres in supporting the early detection of breast and cervical cancer among women of reproductive age.
Association Between Enteral Nutrition Management And Glucose Stability Among Hospitalized Patients With Type 2 Diabetes Mellitus Patients: A Cross-Sectonal Study Kartika Sari Wijayaningsih; Ernawati Ernawati; Andi Fajriansi; Nurafriani Nurafriani; Sitti Nurbaya; Alfiah Alfiah; Hasifah Hasifah; Shinta Arini Ayu
Media Kesehatan Politeknik Kesehatan Makassar Vol 21 No 1 (2026): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v21i1.2195

Abstract

  Glucose instability is a common challenge among hospitalized patients with Type 2 Diabetes Mellitus (T2DM) and is associated with adverse clinical outcomes, including prolonged hospitalization, increased risk of complications, and higher healthcare utilization. Enteral nutrition management may play an important role in maintaining glycemic control during hospitalization; however, evidence regarding its association with glucose stability remains limited, particularly in Indonesian healthcare settings. To analyze the association between enteral nutrition management and glucose stability among hospitalized patients with Type 2 Diabetes Mellitus. An analytical observational study with a cross-sectional design was conducted in the inpatient ward of RSAU dr. Dody Sardjoto Hospital, Indonesia, from July to September 2025. Thirty hospitalized patients with T2DM who received enteral nutrition therapy for at least 72 hours were recruited using purposive sampling. Enteral nutrition management was evaluated based on formula appropriateness, energy adequacy, protein adequacy, feeding frequency, and feeding method. Glucose stability was assessed using the coefficient of variation (CV) of blood glucose measurements obtained during the first 72 hours of enteral nutrition therapy. Data were analyzed using Chi-square, Fisher’s Exact, and logistic regression tests with a significance level of p < 0.05. Ethical approval was obtained from the Health Research Ethics Committee of STIKES Notokusumo (No. 034/STIKES-NH/KEPK/V/2025). The participants had a mean age of 59.4 ± 3.1 years and a mean diabetes duration of 12.0 ± 3.8 years. Overall, 19 patients (63.3%) achieved stable glucose levels (CV < 36%), whereas 11 patients (36.7%) experienced glucose instability. Diabetes-specific enteral formulas were significantly associated with a higher proportion of glucose stability compared with standard polymeric formulas (p = 0.003). Enteral feeding administered 5–6 times daily was also significantly associated with better glucose stability than feeding frequencies of 3–4 times daily (p = 0.021). No significant association was observed between total daily energy intake and glucose stability (p = 0.074). In addition, the proportion of hyperglycemia was lower among patients receiving diabetes-specific formulas than among those receiving standard formulas. Diabetes-specific enteral formulas and more frequent enteral feeding schedules were associated with better glucose stability among hospitalized patients with Type 2 Diabetes Mellitus. These findings support the importance of optimizing enteral nutrition management as part of comprehensive glycemic care in hospital settings. Further prospective studies with larger sample sizes are warranted to confirm these findings.
Formulation and In Vitro Evaluation of Fig Leaf (Ficus carica L.) Ethyl Acetate Extract Transdermal Patch as a Candidate for Wound Healing Application Ratih Aryani; Safira Qamarani; Hanifa Rahma; Taufik Muhammad Fakih
Media Kesehatan Politeknik Kesehatan Makassar Vol 21 No 1 (2026): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v21i1.2198

Abstract

Wound healing can be enhanced through both non-pharmacological and pharmacological approaches. Non-pharmacological methods include proper wound cleaning and dressing, while pharmacological strategies utilize antiseptics and synthetic antibiotics to prevent infection. Recently, natural compounds such as Ficus carica L. leaves, rich in flavonoids, have gained attention for their wound-healing potential. Flavonoids play a crucial role in accelerating wound contraction, enhancing collagen deposition, and promoting granulation tissue formation. This study aimed to formulate and evaluate a wound-healing patch incorporating the ethyl acetate extract of Ficus carica L. leaves, obtained via multistep maceration. The total flavonoid content (TFC) of the extract was 89.299 ± 0.14 mgQE/g. The patch was developed using the solvent casting method with HPMC K100M as the polymer matrix and propylene glycol as a plasticizer. The optimized formulation, containing 5.6% ethyl acetate extract (equivalent to 50 mg quercetin), met key evaluation criteria, exhibiting a uniform structure without wrinkling, a thickness of 1.0 ± 0.2 mm, a pH of 5, and a folding endurance of >200 cycles. In vitro permeation studies demonstrated effective active compound penetration, with a cumulative quercetin permeation of 21.76% within 180 minutes. The flux profile revealed an initial burst release followed by a transition toward controlled diffusion behavior, which is characteristic of HPMC-based monolithic matrices.

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