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Jurnal Kesehatan Metro Sai Wawai
Published by Poltekkes Kemenkes Tanjung Karang
ISSN : 1979469X     EISSN : 26571390     DOI : https://doi.org/10.26630
Core Subject : Health, Social,
Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Kesehatan Metro Sai Wawai E-ISSN 2657-1390 and P-ISSN 19779-469X is published by the Midwifery Department, Poltekkes Kemenkes Tanjung Karang, Metro City, Indonesia. The Jurnal Kesehatan Metro Sai Wawai was first published in December 2008 as print media. Since 2016, the Journal has been published in print and online twice a year (June and December). All manuscripts submitted will go through double-blind peer review and editorial before being given acceptance for publication. The scope is midwifery, public health, nursing, nutrition, complementary and alternative medicine (CAM), and education in health.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 200 Documents
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Molecular Docking Study of Phenolic Compounds from the Ethanolic Extract of Olive Leaves (Olea europaea L.) as Potential Treatment for Preeclampsia Yetti Anggraini; Yuliawati Yuliawati
Jurnal Kesehatan Metro Sai Wawai Vol. 18 No. 2 (2025): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v18i2.5519

Abstract

Preeclampsia is a pregnancy-related disorder characterized by hypertension and proteinuria and is closely associated with oxidative stress, inflammation, endothelial dysfunction, and apoptosis. Olive leaves (Olea europaea L.) are rich in phenolic compounds with well-documented antioxidant and anti-inflammatory properties, making them a promising source of natural therapeutic agents. This study aimed to evaluate the potential of phenolic compounds from the ethanolic extract of olive leaves as candidates for treating preeclampsia using a molecular docking approach. The two-dimensional structures of selected phenolic compounds, including kaempferol, luteolin, and oleuropein, were obtained from the PubChem database and prepared as ligands. Target proteins associated with the pathophysiology of preeclampsia were prepared using AutoDock Tools by removing water molecules and separating native ligands. Molecular docking simulations were conducted to analyze binding affinities and interaction patterns between the phenolic compounds and the target proteins. The results demonstrated that all tested compounds exhibited favorable binding energies and formed stable interactions with key amino acid residues at the active sites of the target proteins. Among the compounds evaluated, oleuropein showed the strongest binding affinity, followed by luteolin and kaempferol. These findings suggest that phenolic compounds from the ethanolic extract of olive leaves have potential as therapeutic agents for preeclampsia, possibly through antioxidant and anti-inflammatory mechanisms. However, further in vitro and in vivo studies are required to validate these computational findings and confirm their biological efficacy.
Dynamics and Literature Review of Malaria Cases in Indonesia in the Development of Diagnosis and Management in 2020-2025 Putu Ristyaning Ayu Sangging; Shifa Tanjia Zahira TS; M. Mahdi Al Ayubi; Faizah Zahra Aurelia; Rasha Andhika Satria; Rangga Pratama Wahyuono Putra
Jurnal Kesehatan Metro Sai Wawai Vol. 19 No. 1 (2026): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v19i1.5448

Abstract

Malaria remains a major public health problem in Indonesia, especially in eastern provinces such as Papua and West Papua. The period 2020–2025 is critical because it combines the national malaria elimination program with disruptions to health services during the COVID-19 pandemic. Understanding trends in diagnosis and clinical management is important to strengthen national strategies. This systematic review summarizes evidence on malaria trends in Indonesia from 2020 to 2025, focusing on diagnostic developments and treatment practices. A systematic search was conducted in PubMed, Scopus, Google Scholar, ScienceDirect, SINTA, and Garuda using keywords such as “malaria,” “Indonesia,” “diagnosis,” “management,” “RDT,” “microscopy,” “PCR,” and “ACT.” Articles published between January 2020 and February 2025 were screened using PRISMA guidelines. Studies were included if they reported malaria incidence, diagnostic methods, treatment strategies, or surveillance outcomes in Indonesia. Of 1,182 records identified, five studies met the final inclusion criteria. Data were extracted and analyzed narratively. The findings show that microscopy remains the gold standard for malaria diagnosis. However, its effectiveness is limited by uneven distribution of trained personnel and laboratory capacity. Rapid Diagnostic Tests (RDTs) are increasingly used in remote areas because they are practical and easy to use, although their sensitivity decreases in cases with low parasite levels. Polymerase Chain Reaction (PCR) offers better detection of low-density and mixed infections, but its use is largely restricted to research centers and tertiary laboratories. For treatment, Artemisinin-based Combination Therapy (ACT) remains the main therapy for uncomplicated malaria, while intravenous artesunate is the first-line treatment for severe cases. Across the reviewed studies, early diagnosis, appropriate use of antimalarial drugs, and reduction of mosquito exposure were consistently linked to better outcomes. Screening of students from endemic areas who were studying in non-endemic provinces did not detect asymptomatic malaria cases. Overall, the review shows both progress and ongoing challenges. Diagnostic capacity has improved, but regional disparities remain. Strengthening laboratory skills, better integrating RDT, microscopy, and PCR approaches, and improving surveillance and referral systems are essential to reach the 2030 malaria elimination target. Future research should focus on monitoring treatment response, mapping drug resistance, and evaluating the implementation of diagnostic strategies.
Reasons Why Infants Between the Ages of Seven and Twelve Months Do Not Receive Exclusive Breastfeeding Mareza Yolanda Umar; Psiari Kusuma Wardani; Abdullah
Jurnal Kesehatan Metro Sai Wawai Vol. 19 No. 1 (2026): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v19i1.5512

Abstract

Exclusive breastfeeding during the first six months of life is essential for infant growth, immunity, and neonatal health. However, exclusive breastfeeding coverage remains suboptimal and is influenced by maternal and environmental factors. This study aimed to analyze determinants associated with the failure of exclusive breastfeeding among infants aged 7–12 months in Pesawaran Regency, Lampung Province, Indonesia. A cross-sectional study was conducted from May to June 2025 in five subdistricts with low breastfeeding coverage. The sample consisted of 343 mothers selected using stratified random sampling. Data were analyzed using chi-square tests and multiple logistic regression at a significance level of p < 0.05. Bivariate analysis showed that age, occupation, education, parity, knowledge, attitude, family support, and health worker support were significantly associated with exclusive breastfeeding (p < 0.05). Multivariate analysis indicated that age (OR=1.937), occupation (OR=0.521), education (OR=0.530), knowledge (OR=1.755), attitude (OR=2.192), and family support (OR=0.575) significantly influenced exclusive breastfeeding. Maternal attitude was the strongest predictor. Strengthening breastfeeding education, workplace lactation support, and family involvement is recommended to improve exclusive breastfeeding coverage.
Larvicidal Potential of Red Fruit Extract (Pandanus conoideus Lamk.) Against Anopheles Larvae: A Pilot Study Asrianto Asrianto; Rina Purwati; Eka Sari Gasela; Indra Taufik Sahli; Risda Hartati; Fajar Bakti Kurniawan; Afika Herma Wardani; Fachruddin Fachruddin
Jurnal Kesehatan Metro Sai Wawai Vol. 19 No. 1 (2026): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v19i1.5603

Abstract

Malaria continues to be a persistent public health issue, particularly in endemic regions such as Papua, Indonesia. Targeting mosquito larvae offers a practical point of intervention, especially in areas where breeding sites are accessible. In recent years, plant-derived compounds have gained attention as alternative larvicides, including red fruit (Pandanus conoideus), which is known to contain bioactive constituents with potential insecticidal properties. This study evaluated the larvicidal activity of ethanol and hexane fractions of red fruit extract against Anopheles larvae. A true experimental design with a completely randomised approach was applied. Extracts were prepared through ethanol maceration followed by fractionation. Larvae were exposed to five concentrations (0, 125, 250, 500, and 1000 ppm), and mortality was recorded at 60, 120, 180, and 240 minutes. Data were analysed using nonparametric tests, including the Kruskal–Wallis and Mann–Whitney U tests. Both ethanol and hexane fractions induced substantial larval mortality, with complete mortality observed at 240 minutes across all concentrations. Mortality increased progressively over time, while differences between concentrations and solvent fractions were not statistically significant (p > 0.05), suggesting a similar level of effectiveness under the experimental conditions. The findings indicate that red fruit extract possesses strong larvicidal activity against Anopheles larvae. The observed pattern suggests that exposure duration may play a more prominent role than concentration or solvent fraction in determining mortality outcomes. Further investigation is needed to explore dose–response relationships and assess performance under extended exposure and field conditions.
The The Relationship Between The Implementation of Sanitation Hygiene and Attitude and Knowledge Factors of School Snack Vendors In Karanganyar Regency Sheylla Yasmin Agnestya; Denny Saptono Fahrurodzi
Jurnal Kesehatan Metro Sai Wawai Vol. 19 No. 1 (2026): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v19i1.5640

Abstract

Food is a basic human need that not only serves as a source of nutrition but also has the potential to become a medium for the spread of pathogenic microbes if not managed properly. In Indonesia, street food is a popular choice for the public, but often does not meet food safety standards. Inadequate sanitation hygiene from the production process to serving can trigger serious health problems and even death. This study aims to identify and analyze factors that influence the implementation of sanitation hygiene among street food vendors, with a focus on the attitude and knowledge aspects of the vendors. The method used in this study was a quantitative approach with 146 respondents. Data were collected through questionnaires and analyzed using univariate and bivariate tests. The results of the Chi-Square test on the attitude variable showed a p-value of 0.120 and knowledge 0.137. Because this value is greater than 0.05, it can be concluded that there is no significant relationship between the attitude of vendors and the implementation of sanitation hygiene. Although the majority of vendors with poor sanitation hygiene practices have poor attitudes (56.2%), and their knowledge is also classified as poor (66.4%), attitude and knowledge are not the primary determinants of these practices.
The Effect of a Combination of Foot Exercises and Warm Water Soaks on Improving Peripheral Circulation in Patients with Diabetic Neuropathy Nelly Emilia Wulandari; Anis Ika Nur Rohmah
Jurnal Kesehatan Metro Sai Wawai Vol. 19 No. 1 (2026): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v19i1.5654

Abstract

Diabetic neuropathy is a common complication of diabetes mellitus that impairs peripheral circulation and increases the risk of foot ulcers and eventual amputation. Non-pharmacological interventions such as diabetic foot exercises and warm water foot soaks have not yet been fully optimized in nursing practice, despite their potential to improve peripheral circulation. This case report aimed to evaluate the effectiveness of combining diabetic foot exercises with warm water foot soaks in enhancing peripheral circulation and reducing blood glucose levels in a patient with diabetic neuropathy. The study employed a descriptive design based on the nursing process, involving a 73-year-old female patient diagnosed with Type 2 Diabetes Mellitus and diabetic neuropathy. The combined intervention consisted of 15–20 minutes of diabetic foot exercises followed by a 15-minute warm water foot soak at a temperature of 37–40°C. The intervention was administered daily for seven consecutive days. Evaluation measures included the Ankle–Brachial Index (ABI) and daily blood glucose monitoring. The results demonstrated an improvement in the ABI value from 0.60 to 1.02, indicating enhanced peripheral circulation, progressing from moderate Peripheral Arterial Disease to a borderline normal category. Blood glucose levels decreased from 381 mg/dL to 189 mg/dL. It should be noted that the patient began taking acarbose 100 mg on the sixth and seventh days, obtained from a community health post (Posyandu). No adverse effects were observed during the intervention period. In conclusion, the combination of diabetic foot exercises and warm water foot soaks improved peripheral circulation and supported glycemic control in a patient with diabetic neuropathy, suggesting that this approach may serve as a safe and practical self-care therapy modality.
Effectiveness of Self-Management in Improving Glycemic Control Among Patients with Type 2 Diabetes Mellitus: A Literature Review Elin Angraini; Hernizah; Erika
Jurnal Kesehatan Metro Sai Wawai Vol. 19 No. 1 (2026): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v19i1.5690

Abstract

Type 2 diabetes mellitus is a chronic disease that requires continuous management to prevent complications. One important approach is self-management, which includes patients’ ability to regulate diet, physical activity, treatment adherence, and independent monitoring of blood glucose levels. This study aimed to analyze the effectiveness of self-management interventions on glycemic control in patients with type 2 diabetes mellitus. The method used was a literature review, with databases including PubMed, ScienceDirect, and Google Scholar. The keywords used were “self-management,” “type 2 diabetes mellitus,” “glycemic control,” “HbA1c,” and “DSMES.” A total of 10 articles were obtained from the literature search. The selected articles were screened using predefined inclusion and exclusion criteria, and methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Tools. The results of the review indicate that diabetes self-management education and support (DSMES) interventions generally have a positive effect on reducing HbA1c levels and improving patients’ self-care behaviors. However, the effectiveness of the intervention varies depending on program duration, delivery methods, and population characteristics. In addition, social support factors and the use of digital technology contribute to enhancing the success of self-management. In conclusion, self-management interventions may contribute to improving glycemic control in patients with type 2 diabetes mellitus, but it requires a continuous, integrated, and patient-centered approach.
Effectiveness of Educational Calendar on Pregnant Women’s Attitudes Toward Anemia: A Pre-Experimental Study Audi Nisa Fadila; Ikhwah Mu’minah; Sawitri Dewi; Diah Atmarina Yuliani
Jurnal Kesehatan Metro Sai Wawai Vol. 19 No. 1 (2026): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v19i1.5696

Abstract

Background: A high prevalence of anemia in pregnancy has occurred for 2 years in the working area of a Puskesmas Puwrokerto Selatan. Anemia can cause complications during pregnancy. Educational calendars can improve pregnant women’s knowledge and attitudes towards anemia. Objective: To analyze the effectiveness of educational calendars on the attitudes of pregnant women with anemia. Method: This study employed a pre-experimental design with a one-group pretest-posttest type, conducted from March-April 2026 involving 15 pregnant women with anemia determined using a total sampling technique. Instrument used questionnaires and an educational calendar that had been tested for the feasibility of media and materials. Data were analyzed using univariate and bivariate with Paired Sample t-test. Results: The pre-test revealed that 66.67% of participants had good attitudes. After getting an educational calendar intervention for 30 minutes, a posttest conducted on the same day showed an increase to 93.33%, resulting in a difference of 26.67%. Paired sample t-test showed a significance value of p=0.004. Conclusion: Educational calendar effectively improves pregnant woman’s attitudes, with an increase of the mean value of 6.27 and a p-value of 0.004 (<0.05). Educational calendar can be an alternative tool to support efforts in reducing the cases of anemia during pregnancy.
Reduction of Preoperative Anxiety in Patients Undergoing General Anesthesia Using Combined Finger Hold Technique and Deep Breathing Relaxation Hilda Arifiah; Suanda Saputra; Lido Sianipar; Deni Alamsah
Jurnal Kesehatan Metro Sai Wawai Vol. 19 No. 1 (2026): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v19i1.5671

Abstract

Preoperative anxiety is a common psychological condition experienced by patients before surgery and may negatively affect the anesthetic process and postoperative recovery. This condition can increase anesthetic requirements, cause hemodynamic instability, and delay recovery. Non-pharmacological interventions, such as the combination of the finger hold technique and deep breathing relaxation, may help reduce anxiety.  This study aimed to analyze the effect of the combination of the finger hold technique and deep breathing relaxation on preoperative anxiety levels in patients undergoing general anesthesia at RSUD Kabupaten Bekasi. A quantitative study with a quasi-experimental one-group pretest–posttest design was conducted. A total of 40 respondents were selected using purposive sampling. Anxiety levels were measured using The Amsterdam Preoperative Anxiety and Information Scale (APAIS). Data were analyzed using the Marginal Homogeneity test. Before the intervention, most respondents experienced severe anxiety (70.0%). After the intervention, the majority showed a decrease in mild anxiety (92.5%). Statistical analysis revealed a significant difference in anxiety levels before and after the intervention (χ² = 106.000; p < 0.001). The combination of the finger hold technique and deep breathing relaxation is effective in reducing preoperative anxiety and can be considered a simple and practical non-pharmacological intervention in preoperative nursing care.  
Implementation of Audiovisual Distraction Intervention Using a Playmate Music Set to Reduce Infant Pain Response During Immunization: A Case Study Nur Aulia Jayanti Nandasari; Ika Rizki Anggraini
Jurnal Kesehatan Metro Sai Wawai Vol. 19 No. 1 (2026): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v19i1.5726

Abstract

Immunization is an essential preventive measure for protecting infants and children from infectious diseases and reducing morbidity and mortality. However, immunization procedures often cause pain, fear, and distress due to needle insertion, which may negatively affect the experiences of both infants and parents and potentially influence adherence to future immunization schedules. Therefore, practical non-pharmacological interventions are needed to support infant comfort during immunization procedures. This study aimed to explore the use of audiovisual distraction using a playmate music set during infant immunization in a primary healthcare setting. A case study design was employed involving two six-month-old infants with similar demographic characteristics. One infant received audiovisual distraction using a playmate music set before and during immunization, while the other underwent routine immunization without distraction. Pain responses were assessed immediately after immunization using the Face, Legs, Activity, Cry, and Consolability (FLACC) scale. The infant who received the audiovisual distraction intervention demonstrated a lower FLACC score than the infant who did not receive the intervention (5 vs. 10). The intervention case also appeared calmer during the procedure, cried for a shorter duration, and was easier to soothe following vaccine administration. Preliminary findings from this case study suggest that audiovisual distraction using a playmate music set may help reduce observable pain responses and discomfort during infant immunization. As a simple, safe, and practical intervention, it has potential to support atraumatic immunization practices in primary healthcare settings. However, given the limited number of cases, further studies with larger sample sizes and more rigorous research designs are required to confirm these findings.

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