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Poltekita: Jurnal Ilmu Kesehatan
Published by Poltekkes Kemenkes Palu
ISSN : 1907459X     EISSN : 25277170     DOI : https://doi.org/10.33860/jik.v18i1.3700
Core Subject : Health, Science, Social,
Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology
Poltekita : Jurnal Ilmu Kesehatan (e-ISSN: 2527-7170, p-ISSN: 1907-459X) is a peer-reviewed open access scientific journal published by Poltekkes Kemenkes Palu. The scope for Poltekita: Jurnal Ilmu Kesehatan includes nutrition, midwifery, nursing, public health, environmental health, food, and nutrition.Each volume of Poltekita: Jurnal Ilmu Kesehatan is counted in each calendar year that consists of 4 issues. Poltekita: Jurnal Ilmu Kesehatan is published two times per year every February, May, August, and November. Articles could be written in either Bahasa Indonesia or English
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 12 Documents
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Search results for , issue "vol. 20 no. 1 (2026)" : 12 Documents clear
Factors Associated with Healthcare Fraud and Fraud Prevention in Indonesia’s National Health Insurance Hospitals: A PRISMA-Guided Literature Review Mutmainnah, Susanna; Sulistiadi, Wahyu
Poltekita: Jurnal Ilmu Kesehatan Vol. 20 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v20i1.4369

Abstract

Background: This PRISMA-guided literature review synthesizes available evidence on factors associated with fraud risk and fraud-prevention practices in hospitals participating in Indonesia’s National Health Insurance (Jaminan Kesehatan Nasional/JKN) program. Methods: Literature searches were conducted in Scopus, PubMed, and Google Scholar for studies published between 2020 and 2025. A total of six studies (n=6) met the inclusion criteria, consisting of qualitative, quantitative, and socio-legal research designs. Due to heterogeneity in study methods and outcomes, findings were integrated using a thematic literature review approach rather than statistical aggregation. Results: The reviewed studies suggest that fraud-related risks are associated with interacting individual, organizational, and systemic contexts, including financial pressures, coding practices, internal control environments, organizational commitment, information systems, and regulatory implementation factors. Several studies also indicate that strengthened governance mechanisms, such as internal controls and antifraud teams, may support fraud-prevention capacity, although most findings remain perception-based. Overall, the review highlights the need for future empirical research using administrative claims data, audits, and evaluated antifraud interventions to strengthen governance within Indonesia’s national health insurance system. Conclusion: Strengthening governance mechanisms such as internal controls, anti-fraud teams, and integrated claim monitoring systems may support fraud-prevention capacity in JKN hospitals. Nevertheless, the current evidence base remains limited, highlighting the need for future empirical studies using administrative claims data, audits, and evaluated antifraud interventions to improve accountability within Indonesia’s national health insurance system.
Digital Fatigue and Performance Challenges in Smart Hospitals: A Workforce Resilience Perspective Nugroho, Anton; Sarjito, Aris; Setiawati, Deni; Lusianah, Lusianah; Mustika, Wenni
Poltekita: Jurnal Ilmu Kesehatan Vol. 20 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v20i1.4375

Abstract

Background: Digital transformation in hospital systems has accelerated globally, embedding electronic health records, clinical decision-support systems, interoperability platforms, and performance dashboards into governance architectures. Leading institutions, including the World Health Organization and the Organisation for Economic Co-operation and Development, position digital health as central to system resilience and efficiency. However, growing scholarship highlights unintended consequences, including documentation burden, alert overload, and clinician cognitive strain. This study develops a governance-oriented interpretive model linking digital work intensification, digital fatigue, performance paradox dynamics, and multilevel human resource (HR) resilience in smart hospitals. Methods: A qualitative secondary analysis was conducted on 28 documents (2020–2026), comprising peer-reviewed articles, international policy reports, and institutional governance frameworks. Reflexive thematic analysis, informed by socio-technical systems theory, performance paradox theory, and workforce resilience theory, was applied to examine documents as institutional artifacts shaping accountability regimes, workload structures, and adaptive capacities. Results: Four governance-mediated dynamics were identified. First, digital work intensification emerged through expanded documentation mandates, dense alert systems, and interoperability-driven coordination complexity. Second, digital fatigue was framed as an institutional risk marked by cumulative cognitive load and relational strain. Third, a performance paradox was evident, with efficiency gains coexisting alongside workforce strain. Fourth, HR resilience, through individual coping, team buffering, and participatory IT governance, functioned as an adaptive moderator but did not eliminate structural workload misalignment. Conclusion: Workforce sustainability in digitally intensive hospitals depends less on technological sophistication than on governance alignment among accountability systems, digital infrastructure, and human capacity.
Association between Maternal Characteristics and Maternal Capabilities: A Quantitative Study in The Special Region of Yogyakarta Nurunniyah, Siti; Fatimatasari; Paramita, Dyah Pradnya; Subarto, Claudia Banowati; Khoirun Nisa, Fatikha; Asusan; Ashari, Vera Tasya; Sator, Patricia
Poltekita: Jurnal Ilmu Kesehatan Vol. 20 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v20i1.4156

Abstract

Background: The Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are still high in Indonesia due to various causal factors. Mothers play a crucial role in improving family health. Maternal capabilities are an important factor in fulfilling their role in maintaining family health. The overview of maternal capabilities in Indonesia is not yet known. Given the limited research on maternal capabilities in Indonesia, it is necessary to examine the relationship between demographic characteristics and maternal capabilities to identify the factors that affect them.   This study aimed to explore the relationship between demographic characteristics and maternal capabilities. Method: This study uses a quantitative, cross-sectional design. Sampling in this study uses a consecutive sampling technique with a total of 211 respondents. The research instrument used questionnaires. The analysis uses the chi-square test and logistic regression. Result: Education level and place of residence were significantly associated with maternal capabilities (p < 0.05), whereas level of income, age, and parity showed no significant association. Mothers with >12 years of education and those residing in urban areas were 2.6 and 1.8 times more likely, respectively, to demonstrate strong maternal capabilities. Poor mental health is the highest prevalence indicator of all indicators of maternal capability, with a percentage of 28.4%. Conclusion: There is a relationship between education level and place of residence with maternal capabilities. Maternal capabilities may be enhanced by targeted interventions in education and health promotion programs, especially in rural areas.
Relationship Between Functional Independence and Fall Risk in Indonesian Community-Dwelling Elderly Rasyid, Djusmadi; Rante, Anshar; Warda, Warda; Ismunandar, Ismunandar; Salimung, Hardianto Dg.
Poltekita: Jurnal Ilmu Kesehatan Vol. 20 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v20i1.4293

Abstract

Background: Falls among older adults remain a leading cause of injury and loss of independence worldwide. Early detection of functional decline is essential to prevent fall-related complications. This study aimed to examine the correlation between functional independence and fall risk among older adults by employing the Barthel Index and the Timed Up and Go Test (TUGT). Given projections that the global elderly population will surpass 2 billion by 2050, these findings emphasize the importance of integrating functional independence screening into community-based fall prevention programs. Methods: This observational analytical study with a cross-sectional design was conducted in Saronda Village, North Sulawesi, Indonesia, involving 32 community-dwelling elderly aged 60 years and above. Functional independence was assessed using the Barthel Index, while fall risk was evaluated with the TUGT. Data were analyzed using the Spearman rank correlation test. Ethical approval was obtained from the Health Research Ethics Committee of STIKES Kamus Arunika, and all participants provided informed consent. Results: The majority of participants (56.25%) demonstrated functional independence; however, 59.38% were identified as having a high fall risk. Statistical analysis revealed a significant negative correlation between Barthel Index scores and TUGT completion time (r = –0.904; p < 0.001), indicating that higher functional independence was associated with lower fall risk. Conclusion: Greater functional independence is significantly associated with a reduced risk of falls among elderly. These findings highlight the importance of regular functional assessments using the Barthel Index and TUGT as practical tools for early identification of fall risk and for guiding gerontological nursing interventions in community settings.
Environmental Determinants of Fecal Microplastic Abundance: A Cross-Sectional Study in the Musi River Basin, Indonesia Navianti, Diah; Khairil Anwar; Miftahurrizqiyah
Poltekita: Jurnal Ilmu Kesehatan Vol. 20 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v20i1.4308

Abstract

Background: Microplastics have been detected across multiple environmental compartments and can enter the human body through food and drinking water, representing an emerging concern in environmental toxicology related to chronic human exposure. Methods: A cross-sectional study was conducted among residents of the Musi River watershed, Indonesia, involving samples of refilled drinking water, tea products, and human feces. Microplastics were identified using digital microscopy and classified according to GESAMP guidelines. Associations between environmental exposure factors and fecal microplastic abundance were analyzed using correlation analysis and multiple linear regression. Results: Microplastics were detected in all analyzed matrices. Fecal microplastic abundance was significantly associated with duration of residence (r = 0.241, p = 0.041), consumption of refilled drinking water (r = 0.284, p = 0.037), and teabag consumption (r = 0.312, p = 0.021). Teabag consumption showed the strongest association; however, documented consumption patterns indicated that teabags were routinely prepared using refilled drinking water. In multivariate analysis, all three factors were independent predictors, explaining 31.2% of the variance (R² = 0.312; p < 0.05). Conclusion: Microplastics present in refilled drinking water and teabags represent an additional route of human exposure that should be considered in strategies to improve drinking water quality and reduce environmental health risks.
Non-Communicable Disease Early Detection Among Older Adults in Gorontalo: Baseline Findings for a Family-Centered Nursing Digital System Ilham, Rosmin; Lamusu, Rizal; Abas, Ilyas; Febriyona, Rona
Poltekita: Jurnal Ilmu Kesehatan Vol. 20 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v20i1.4309

Abstract

Background: Non-Communicable Diseases are a major health concern among the elderly, especially in developing regions such as Gorontalo, Indonesia. Early detection and continuous monitoring are often limited due to low health literacy, inadequate family involvement, and limited access to healthcare services. To address these challenges, the development of a Family Centered Nursing based digital system is proposed as an innovative approach to empower families in managing elderly health. This system aims to integrate digital health monitoring, family education, and early warning features to support preventive care and reduce complications among the elderly. Methods: A descriptive quantitative design was used, involving 125 elderly respondents and their families selected through purposive sampling. Data were collected using a structured questionnaire on non-communicable disease status and components of Family Centered Care, then analyzed using descriptive statistics. Results: The study findings indicate a high proportion of participants who screened positive for NCD indicators based on the early-detection checklist, with 114 of 125 (91.2%) classified as NCD-positive. Regarding Family-Centered Nursing (FCN), most families demonstrated low involvement, with 101 (80.8%) categorized as low and 24 (19.2%) categorized as high. These results suggest that family participation in older adults’ health monitoring and early detection remains limited, highlighting the need to strengthen family engagement and awareness to support preventive health behaviors and improve well-being and quality of life. Conclusion: This study highlights the importance of developing family-based digital systems to improve family involvement, health literacy, and disease prevention among older adults. The integration of digital tools such as health apps for early detection of NCDs can strengthen the role of families in supporting early detection, prevention, and management of noncommunicable diseases in older adults. By empowering families through accessible technology and tailored health information, this system can encourage continuous monitoring, timely intervention, and adherence to preventive practices.
Factors Associated with Stunting among Children Under Five: a Cross-Sectional Study in Southwest Papua, Indonesia Loihala, Maria; Likewati, Wa Ode
Poltekita: Jurnal Ilmu Kesehatan Vol. 20 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v20i1.4334

Abstract

Background: one of the most worrying long term impacts of child marriage is the high rate of stunting among under-fives which is still prevalent in many areas, including in Southwest Papua. This study aims to analyze the associative relationship between stunting and child marriage in Klalin District, Sorong Regency, Southwest Papua. Methods: a cross-sectional approach was adopted for this research, and the research was performed from June to September 2025. The research involved 113 families selected with cluster sampling techniques at 4 areas in Klalin District using the Lameshow formula. Chi-square and multiple binary regression analyses were applied in this study. Results: most mothers who married under 18 years old had a junior high school education (41.6%) and were not employed (52.2%). In multivariate analysis, maternal age under 18 years was significantly associated with stunting (AOR = 2.72; 95% CI: 1.17–6.32; p = 0.020). Low maternal education was also significantly associated with stunting (AOR = 1.69; 95% CI: 1.16–2.47; p = 0.007), while maternal occupation was not significantly associated with stunting (AOR = 1.15; 95% CI: 0.93–1.41; p = 0.198). Conclusion: child marriage among girls under 18 is prevalent in Southwest Papua and is significantly associated with low maternal education, which is also associated with an increased risk of stunting in children. These findings suggest that stunting prevention strategies should prioritize efforts to delay the age of marriage and improve women’s educational attainment, alongside initiatives to enhance women’s economic opportunities.
Spiritual Emotional Freedom Technique and Progressive Muscle Relaxation to Reduce Fatigue in Hemodialysis Patients Rosdiana, Ida; Cahyati, Yanti; Riyana, Asep
Poltekita: Jurnal Ilmu Kesehatan Vol. 20 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v20i1.4190

Abstract

Background: Fatigue represents a common and debilitating complaint in individuals undergoing dialysis, with substantial implications for quality of life and overall well-being. This study investigated the effect of combining Spiritual Emotional Freedom Technique (SEFT) therapy with Progressive Muscle Relaxation (PMR) exercises on fatigue levels among hemodialysis patients at Dr. Soekardjo Tasikmalaya Regional General Hospital. Methods: A quasi-experimental pretest-posttest design was employed to evaluate the effects of a combined intervention involving Spiritual Emotional Freedom Technique (SEFT) and Progressive Muscle Relaxation (PMR) on fatigue levels. The study included 49 hemodialysis patients who fulfilled the established inclusion criteria. Fatigue intensity was assessed using the Fatigue Severity Scale (FSS), and statistical analysis was performed with a paired t-test, with significance determined at p < 0.001. Data collection took place between July and September 2022. Results: The mean fatigue score significantly decreased from 51.8 ± 10.0 before the intervention to 17.5 ± 5.2 after the intervention (p < 0.001). Conclusion: SEFT therapy combined with PMR exercises effectively reduces fatigue in hemodialysis patients. Nurses are encouraged to incorporate these techniques into comprehensive self-care interventions for hemodialysis patients. The study was constrained by being conducted at a single institution and by the inclusion of a relatively limited number of participants, factors that may restrict the broader applicability of the results. Future research with a larger, multi-center sample is recommended.
The Relationship Between Body Mass Index (BMI) And Walking Speed in Users of SACH Foot Designed Transtibial Prosthesis Ningsih, Cica Tri Mandasari; Suprayogi, Dody; Syarifah, Syarifah
Poltekita: Jurnal Ilmu Kesehatan Vol. 20 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v20i1.4236

Abstract

Background: Walking speed is an important indicator for assessing mobility in prosthesis users. One factor suspected to influence walking speed is Body Mass Index (BMI). This study aims to determine the relationship between BMI and walking speed in transtibial prosthesis users with a SACH (Solid Ankle Cushion Heel) foot design. Methods: This observational study used a cross-sectional approach and was conducted at Klinik Bangkit Kaki Palsu from January to June 2025. A total of 15 subjects were purposively selected from a population of 40 patients who met the inclusion and exclusion criteria. BMI was calculated from body weight and height measurements, while walking speed was assessed using the 10-Meter Walk Test on a 14-meter walkway. Data normality was tested using the Shapiro-Wilk test, and the correlation analysis was performed using the Pearson product-moment test. Results: The majority of subjects were aged 26–35 years (53.3%), male (66.7%), and had a normal BMI (80%). The average walking speed between male and female subjects did not differ significantly. Statistical analysis revealed a significant correlation between BMI and walking speed, with a correlation coefficient of 0.590 and a p-value of 0.020 (p < 0.05), indicating a moderate positive relationship. Conclusion: This study found a significant relationship between BMI and walking speed among transtibial prosthesis users with a SACH foot design. These findings support the importance of considering BMI in prosthesis design and adjustment to enhance walking efficiency and user comfort.
Relationship Between the Use of Pantyliners and Feminine Cleansing Soap on the Incidence of Leucorrhea Among Women of Reproductive Age in Kebon Jeruk Village, Bandar Lampung, Indonesia Mariza, Ana; Sunarsih, Sunarsih; Susilawati, Susilawati
Poltekita: Jurnal Ilmu Kesehatan Vol. 20 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v20i1.4299

Abstract

Background: Leucorrhea (vaginal discharge) is not a disease itself but a clinical manifestation of various gynecological conditions. It is reported that approximately 90% of cervical cancer cases are accompanied by leucorrhea. A preliminary survey conducted in July 2024 in Kebon Jeruk Village, Bandar Lampung, found that 205 out of 345 women of reproductive age experienced symptoms of leucorrhea. Inappropriate genital hygiene practices, including frequent use of pantyliners and feminine cleansing soap, are suspected risk factors for this condition. Methods: This study employed a quantitative cross-sectional design. The study population consisted of 345 women of reproductive age, with 205 participants selected using purposive sampling. Data were collected through structured interviews using validated questionnaires. Bivariate analysis was performed using the chi-square test. Ethical approval was obtained from the Health Research Ethics Commission (No. 4557/EC/KEPP-UNMAL/IX/2024) Results: The results showed a statistically significant association between frequent pantyliner use and the incidence of leucorrhea (p = 0.007; OR = 5.098). Similarly, frequent use of feminine cleansing soap was significantly associated with leucorrhea (p < 0.001; OR = 4.203). Women who frequently used pantyliners and feminine cleansing soap had a higher likelihood of experiencing leucorrhea compared to those who did not use these products. Conclusion: Frequent use of pantyliners and feminine cleansing soap is significantly associated with an increased incidence of leucorrhea among women of reproductive age. Health education programs should emphasize appropriate genital hygiene practices and discourage excessive use of pantyliners. Carrying spare underwear is recommended as a safer alternative to routine pantyliner use to reduce the risk of leucorrhea.

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