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International Health Sciences Journal
Published by RAJAKI OF TULIP MEDIKA PUBLISHER
ISSN : -     EISSN : 30256437     DOI : https://doi.org/10.61777/ihsj.v1i3
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Physics Public Health
International Health Sciences Journal (IHSJ) contains manuscripts of Health Sciences which include: midwifery and nursing holistically, including complementary care, herbal, traditional medicine, physiological, psychological, and sociocultural therapy, spiritual, both in nursing management, medical surgery, emergency nursing, psychiatry, community, geriatrics, family, children, maternity, and maternal and child health.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 71 Documents
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Comparison of Uric Acid Levels in Farmers and Office Workers in Koto Cayo Village, Air Hangat Barat District, Kerinci Regency Arniat Christiani Telambanua; Lolita Meno Oktaria
International Health Sciences Journal Vol. 3 No. 3 (2026): IHSJ Third Issue
Publisher : Rajaki of Tulip Medika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61777/ihsj.v3i3.124

Abstract

Everyone has different levels of uric acid based on the risk factors that influence it. This study aims to determine differences in the results of the examination of uric acid levels in farmers and office workers in the village of Koto Cayo, West Air District, Kerinci Regency. This research is a type of quantitative research with an observational design. This research was conducted in May 2023. Sample of 92 people. Research data analysis was carried out by a t-test. The average number of uric acid levels in farmers was 5.6 mg/dL, with a minimum score of 3.2 mg/dL and a maximum score of 8.9 mg/dL, while the average uric acid level in office workers was 4. 9 mg/dL, minimum score of 3.2 mg/dL and a maximum score of 8.2 mg/dL. The results of the t test, the difference in the results of examining uric acid levels between farmers and office workers is p-value = 0.046 (α = 0.05), meaning that the p-value is smaller than α, which means that Ha is accepted and Ho is rejected. The research results conclude that there are differences in uric acid levels in farmers and office workers in the village of Koto Cayo, West Air District, Kerinci Regency.
Overview Of Burnout Levels in Nurses Working in the ICU Ni Putu Wida Listiyani; Ni Komang Sukra Andini; Ni Nyoman Ayuningsih
International Health Sciences Journal Vol. 4 No. 1 (2026): IHSJ Fourth Issue
Publisher : Rajaki of Tulip Medika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61777/ihsj.v4i1.127

Abstract

Burnout is an occupational psychological syndrome associated with chronic work stress and characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. Intensive care nurses face high clinical complexity, critical patient conditions, continuous monitoring, complex technology, and rapid decision-making, which may increase burnout risk. This study aimed to describe the level of burnout among nurses working in an adult intensive care unit at a tertiary referral hospital in Bali, Indonesia. A quantitative descriptive design was used. The population consisted of 57 nurses and all were included using total sampling. Data were collected from 31 May to 27 June 2026 using the Maslach Burnout Inventory (MBI) administered through Google Forms. Data were analyzed univariately and presented as frequencies and percentages. Most respondents were female (70.18%), aged >35 years (77.19%), had a bachelor’s degree in nursing (59.65%), were married (92.98%), and had 5 to <10 years of ICU work experience (26.32%). Most nurses had low burnout (55; 96.49%), while 2 respondents (3.51%) had moderate burnout and none had high burnout. The findings indicate that burnout was generally low among the nurses studied. Maintaining a supportive work environment, adequate staffing, effective teamwork, and preventive Burnout is an occupational psychological syndrome associated with chronic work stress and characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. Intensive care nurses face high clinical complexity, critical patient conditions, continuous monitoring, complex technology, and rapid decision-making, which may increase burnout risk. This study aimed to describe the level of burnout among nurses working in an adult intensive care unit at a tertiary referral hospital in Bali, Indonesia. A quantitative descriptive design was used. The population consisted of 57 nurses and all were included using total sampling. Data were collected from 31 May to 27 June 2026 using the Maslach Burnout Inventory (MBI) administered through Google Forms. Data were analyzed univariately and presented as frequencies and percentages. Most respondents were female (70.18%), aged >35 years (77.19%), had a bachelor’s degree in nursing (59.65%), were married (92.98%), and had 5 to <10 years of ICU work experience (26.32%). Most nurses had low burnout (55; 96.49%), while 2 respondents (3.51%) had moderate burnout and none had high burnout. The findings indicate that burnout was generally low among the nurses studied. Maintaining a supportive work environment, adequate staffing, effective teamwork, and preventive
Anxiety Levels in Acute Coronary Syndrome (ACS) Patients Before Percutaneous Coronary Intervention (PCI) Desak Putu Meiwulan Ratnasari; Ni Kadek Yuni Lestari; Ni Nyoman Ayuningsih
International Health Sciences Journal Vol. 4 No. 1 (2026): IHSJ Fourth Issue
Publisher : Rajaki of Tulip Medika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61777/ihsj.v4i1.128

Abstract

Acute Coronary Syndrome (ACS) patients scheduled for Percutaneous Coronary Intervention (PCI) may experience anxiety because of uncertainty about the procedure and its outcomes. This study aimed to describe anxiety levels among ACS patients prior to PCI in an emergency department. A quantitative descriptive study with a cross-sectional approach was conducted among 55 ACS patients scheduled for PCI. Participants were recruited consecutively during the data-collection period from 14 May to 15 June 2026. Anxiety was assessed using the Amsterdam Preoperative Anxiety and Information Scale (APAIS), and data were analyzed descriptively using frequency and percentage distributions. Most respondents were aged 56–65 years (40.0%), male (89.1%), had senior high school education (41.8%), and had no previous PCI history (94.5%). Moderate anxiety was the most common category (61.8%), followed by severe anxiety (20.0%), very severe anxiety/panic (10.9%), and mild anxiety (7.3%). These findings indicate that moderate anxiety was common among ACS patients before PCI. Routine anxiety screening, clear pre-PCI education, and therapeutic communication should be considered as part of nursing care to support patient preparedness before the procedure.
The Relationship Between Therapeutic Communication and Anxiety Levels among CAD Patients Before PCI Luh Gede Candra Pratiwi; Ni Komang Sukra Andini; I Gede Juanamasta
International Health Sciences Journal Vol. 4 No. 1 (2026): IHSJ Fourth Issue
Publisher : Rajaki of Tulip Medika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61777/ihsj.v4i1.129

Abstract

Background: Therapeutic communication is an essential component of nursing care that facilitates trust, improves patient understanding, and provides psychological support. Patients with Coronary Artery Disease (CAD) scheduled for Percutaneous Coronary Intervention (PCI) frequently experience anxiety due to uncertainty regarding the procedure, possible complications, and treatment outcomes. Effective nurse–patient communication is expected to reduce anxiety and improve psychological readiness before intervention. Purpose: This study aimed to determine the relationship between nurses' therapeutic communication and anxiety levels among patients with Coronary Artery Disease prior to Percutaneous Coronary Intervention. Methods: A quantitative correlational study with a cross-sectional approach was conducted among 82 patients who were scheduled to undergo PCI. Participants were recruited using consecutive sampling. Data were collected using a therapeutic communication questionnaire and an anxiety questionnaire. Descriptive statistics were used to summarize respondent characteristics, while the relationship between variables was analyzed using Spearman's Rank correlation with a significance level of 0.05. Results: Most respondents perceived nurses' therapeutic communication as good (84.1%), while mild anxiety was the predominant anxiety level (69.5%). The mean therapeutic communication score was 53.52±7.263, whereas the mean anxiety score was 29.41±10.226. Spearman's Rank correlation analysis revealed no statistically significant relationship between therapeutic communication and anxiety level (r = −0.084; p = 0.454). Conclusion: Nurses' therapeutic communication was not significantly associated with anxiety levels among CAD patients prior to PCI. Anxiety experienced by patients before undergoing PCI is likely influenced by multiple factors beyond therapeutic communication, including individual characteristics, previous medical experiences, family support, coping mechanisms, and clinical conditions. Further studies should investigate these variables to obtain a more comprehensive understanding of factors influencing pre-procedural anxiety.
Effects of Stretching on Creatine Kinase (CK) Level: A Systematic Literature Review Arwan Bin Laeto; Catherine Dwi Augusthi; M. Iman Tarmizi Thaher; Rara Inggarsih; Septi Purnamasari; Masayu Farah Diba
International Health Sciences Journal Vol. 4 No. 1 (2026): IHSJ Fourth Issue
Publisher : Rajaki of Tulip Medika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61777/ihsj.v4i1.130

Abstract

Exercise-induced muscle damage (EIMD) commonly occurs following strenuous or unaccustomed exercise, particularly eccentric exercise, and may result in delayed-onset muscle soreness, reduced muscle strength, stiffness, and impaired physical performance. Creatine kinase (CK) is widely used as an indirect biomarker of EIMD. This systematic literature review aimed to evaluate the effects of stretching on CK levels following EIMD. A systematic search was conducted in PubMed, Cochrane, and ScienceDirect from database inception to August 2026. Eligible studies included human randomized controlled trials or comparative experimental studies evaluating stretching, reporting CK levels, and including a control or comparative group. Of 202 records identified, 11 duplicates were removed. Following screening and full-text assessment, six studies were included. All six studies evaluated static stretching. Three studies reported lower CK levels at specific post-exercise time points compared with passive or no-intervention controls, although these findings were not consistently supported by overall group-by-time analyses. High-intensity stretching showed an unfavorable CK response, while static stretching was less effective than active recovery and cold-water immersion. No significant difference was observed between static stretching and foam rolling. Overall, stretching, particularly static stretching, did not consistently reduce CK levels following EIMD. The available evidence is limited by small sample sizes and heterogeneity in stretching protocols, exercise stimuli, and CK measurement methods. Therefore, static stretching cannot currently be considered a reliable strategy for reducing CK following EIMD.
Omental Torsion Triggered by Abdominal Massage in Acute Appendicitis: A Case Report Dzaka Ogan Amirudin Lutfi; Raden Tri Gunawan Wibowo; Muhammad Akmal Fauzi; Syahriyatur Amaliyah; Nazwa Sheika Nabila
International Health Sciences Journal Vol. 4 No. 1 (2026): IHSJ Fourth Issue
Publisher : Rajaki of Tulip Medika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61777/ihsj.v4i1.131

Abstract

Background: Omental torsion is a rare condition that can cause acute abdominal pain similar to appendicitis, making preoperative diagnosis difficult. Abdominal massage, although commonly used as a complementary therapy to relieve pain and digestive disorders, has the potential to increase intra-abdominal pressure, which can trigger serious complications, including omental torsion. Case description: A 29-year-old man came to the surgical clinic of the Yogyakarta Hospital with 18 hours of abdominal pain that began in the upper abdomen and then moved to the right lower quadrant, with a history of self-administered abdominal massage. The patient underwent emergency laparoscopy, which revealed a hyperemic appendix and a twisted and necrotic greater omentum. Laparoscopic appendectomy and omentectomy were performed. Anatomic pathology confirmed the diagnosis of acute appendicitis and omental torsion. This simultaneous occurrence is rarely reported and poses clinical and radiological diagnostic challenges. Conclusion: This study highlights the potential risk of intense abdominal massage as a trigger for omental torsion, especially in individuals with anatomical predispositions such as obesity or intra-abdominal adhesions. Therefore, caution is required when performing abdominal massage, particularly in patients with acute abdominal pain. Early treatment through laparoscopy provides a definitive diagnosis and adequate therapy, avoiding life-threatening complications. This study adds insight into the potential interaction between massage therapy and omental complications, as well as the need for public and medical education regarding the risks of abdominal massage in conditions of intra-abdominal inflammation.
Association Between Parental Roles and Risky Sexual Behavior Among Junior High School Students: A Cross-Sectional Study Ika Suryani Sababak; Santa Maria Pangaribuan; Loritta Yemina
International Health Sciences Journal Vol. 4 No. 1 (2026): IHSJ Fourth Issue
Publisher : Rajaki of Tulip Medika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61777/ihsj.v4i1.132

Abstract

Free sexual behavior can be influenced by how parents relate to adolescents, parents who do not monitor adolescent relationships will have more impact on sexual behavior. The lack of role of parents is one of the factors causing sexual deviations for children. The role of parents for children is to provide religious teachings, create a warm home atmosphere, and teach good and bad norms for children. Purpose: This study aims to determine the relationship between the role of parents and free sexual behavior in adolescents at Candra Naya Junior High School, West Jakarta. Methods: This study is a cross sectional study with 124 respondents who attend Candra Naya Junior High School, West Jakarta. Bivariate analysis used chi square test. Results: 72 respondents (58.1%) had a moderate parental role and 122 respondents (90.3%) had good free sex behavior or did not behave freely. Based on statistical analysis shows the number 0.525 p-value> 0.005 which means there is no relationship between the role of parents and free sexual behavior. Conclusion: there is no relationship between the role of parents and free sexual behavior in adolescents at Candra Naya Junior High School, West Jakarta.
Adolescent Characteristics, Knowledge, Hand Hygiene, Food Hygiene, and Dietary Patterns Associated with Typhoid Fever Erika Martining Wardani; Riezky Faisal Nugroho; Difran Nobel Bistara; Tata Mahyuvi
International Health Sciences Journal Vol. 4 No. 1 (2026): IHSJ Fourth Issue
Publisher : Rajaki of Tulip Medika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61777/ihsj.v4i1.133

Abstract

Typhoid fever remains a major public health issue in Indonesia, particularly among adolescents living in densely populated urban areas, where poor sanitation and the consumption of unsafe food increase the risk of exposure to Salmonella Typhi. This study analyzed the relationship between adolescent characteristics, knowledge, hand hygiene, food hygiene, eating habits, and a history of typhoid fever in Surabaya. An observational analytic study with a cross-sectional design was conducted involving 160 adolescents aged 13–18 years attending junior and senior high schools in Surabaya. Participants were selected using multistage random sampling. Data were collected using a validated structured questionnaire to assess adolescent characteristics, knowledge, hand hygiene, food hygiene, eating habits, and history of typhoid fever. Bivariate relationships were analyzed using the chi-square test, followed by multivariate logistic regression analysis to identify independent predictors. The results showed that a total of 54 adolescents (33.8%) reported a history of typhoid fever. Bivariate analysis showed a significant association between a history of typhoid fever and knowledge (p = 0.007), hand hygiene (p = 0.001), food hygiene (p < 0.001), and eating habits (p = 0.004), whereas age and gender did not show significant associations. Multivariate analysis revealed that poor food hygiene (aOR = 2.76; 95% CI: 1.37–5.58), poor hand hygiene (aOR = 2.41; 95% CI: 1.20–4.85), and poor eating habits (aOR = 2.18; 95% CI: 1.10–4.33) were independent predictors of a history of typhoid fever. Poor food hygiene, poor hand hygiene, and unhealthy eating habits are significant independent predictors of a history of typhoid fever among adolescents. School-based hygiene promotion and food safety interventions are recommended to reduce the risk of typhoid fever among adolescents in urban areas of Indonesia.
The Relationship Between Knowledge, Energy, And Protein Intake With The Incidence Of Chronic Energy Deficiency (CED) In Brides-To-Be In West Rengat District, Indragiri Hulu Regency Yulianto
International Health Sciences Journal Vol. 4 No. 1 (2026): IHSJ Fourth Issue
Publisher : Rajaki of Tulip Medika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61777/ihsj.v4i1.134

Abstract

The incidence of Chronic Energy Deficiency (CED) among prospective brides (brides-to-be) is caused by a lack of knowledge as well as inadequate energy and protein intake. The purpose of this study was to analyze the relationship between knowledge, energy intake, and protein intake with the incidence of CED in prospective brides in West Rengat District, Indragiri Hulu Regency. This was a quantitative study with a cross-sectional design. The research was conducted from March 6 to April 15, 2026, with a sample size of 45 prospective brides selected using total sampling. Data were collected using questionnaires, Upper Arm Circumference (MUAC/LILA) measurements, and 2x24-hour Food Recalls. Data analysis involved univariate and bivariate analysis using the Chi-Square test. The results showed that 30 brides-to-be (66.7%) had adequate knowledge, 23 (51.1%) had adequate energy intake, 25 (55.6%) had inadequate protein intake, and 29 (64.4%) did not experience CED. The Chi-Square test revealed significant relationships between knowledge (p-value = 0.006), energy intake (p-value = 0.004), and protein intake (p-value = 0.024) with the incidence of CED in prospective brides. In conclusion, there is a significant relationship between knowledge, energy intake, and protein intake with the incidence of CED in prospective brides in West Rengat District, Indragiri Hulu Regency. Prospective brides are expected to regularly monitor their nutritional status and pay close attention to energy and protein intake to prevent CED.
The Effect of Lavender Aromatherapy on Dysmenorrhea Pain Among Adolescent Girls at SMPN 1 Rengat Barat, Indragiri Hulu Regency, 2026 Yulianto; Deswita
International Health Sciences Journal Vol. 4 No. 1 (2026): IHSJ Fourth Issue
Publisher : Rajaki of Tulip Medika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61777/ihsj.v4i1.135

Abstract

Dysmenorrhea is a health problem among adolescent girls that can make it difficult to concentrate during learning activities. One treatment approach is aromatherapy using essential oils. This study aimed to determine the effect of lavender aromatherapy on dysmenorrhea pain among adolescent girls at SMP Negeri 1 Rengat Barat, Indragiri Hulu Regency. This was a quantitative pre-experimental study using a one-group pretest-posttest design. The sample consisted of 28 adolescents selected using purposive sampling, with data collected using a questionnaire. Data were analyzed using a paired-samples t-test. The results showed that the mean dysmenorrhea pain score before lavender aromatherapy was 6.46, while after lavender aromatherapy it was 1.25. The paired-samples t-test yielded t = 12.262 and p = 0.000; because p < 0.05, there was a significant difference before and after lavender aromatherapy. Lavender aromatherapy therefore affected reducing dysmenorrhea pain among adolescent girls at SMPN 1 Rengat Barat, Indragiri Hulu Regency.

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