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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 104 Documents
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Toluene Exposure Concentration and Neurotoxic Risk Quotient among Industrial Workers in Surabaya: A Cross-Sectional Study Zurimi, Suardi; Tualeka, Abdul Rohim
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i3.4213

Abstract

Background: Toluene poses significant health hazards to humans. Occupational exposure among workers who use toluene as a solvent may lead to various adverse health effects, including dizziness, vertigo, ocular and skin irritation, respiratory disturbances, as well as disorders of the liver, kidneys, and central nervous system. This study aimed to examine the association between toluene concentration and non-carcinogenic risk characteristics with neurotoxic effects across five industrial settings in the Surabaya region. Methods: This observational study employed a cross-sectional design and was conducted in five industries in Surabaya that utilize toluene as a solvent in their production processes, located in Osowilangun, Ketintang, Jemursari, Kalijudan, and AUP Which will be implemented in 2025. The study population consisted of 90 workers exposed to toluene, of whom 77 participants were selected using an accidental sampling technique. The variables examined included toluene concentration, toluene risk quotient (RQ), and neurotoxic effects. Results: Overall, 50 workers (65%) had unsafe risk quotient (RQ) levels, and 48 workers (62.3%) experienced neurotoxic effects. Although the majority of workers (52.0%) were exposed to toluene concentrations below the threshold limit value, those exposed to concentrations above the threshold had a 1.38-fold higher risk of neurotoxic effects, and workers with unsafe RQ had a 1.4-fold increased risk compared with those with safe RQ. Statistical analysis showed no significant association between toluene concentration or RQ and neurotoxic effects (p > 0.05). Conclusion: Although not statistically significant, the study suggests that the Risk Quotient (RQ) of toluene is a key determinant of neurotoxic risk, highlighting the importance of monitoring and controlling exposure in the workplace.
Progressive Muscle Relaxation And Stretching Interventions On Reducing Physical Fatigue And Injury Risk In Perioperative Nurses Cahyani, Nadhifah Eka; Yuswanto, Tri Johan Agus
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i3.4243

Abstract

Background: Physical fatigue is a major challenge frequently encountered by perioperative nurses due to high workload, long working hours, emotional pressure, and a demanding environment requiring continuous concentration and physical endurance. The purpose of this study was to analyze the effectiveness of progressive muscle relaxation and stretching methods used by perioperative nurses on fatigue levels and injury risk. Methods: This quasi-experimental study involved 120 perioperative nurses recruited by purposive sampling and assigned to two groups: an experimental group receiving progressive muscle relaxation (PMR) and a comparison group performing stretching exercises. Physical fatigue and injury risk were measured using the IFRC questionnaire and a researcher-developed injury risk questionnaire before and after intervention. Data were analyzed using the Mann-Whitney test with a significance level of α = 0.05. Results: The primary outcomes showed a significant reduction in physical fatigue and injury risk in both groups after intervention (p < 0.05). The PMR group demonstrated a greater decrease in fatigue levels compared to the stretching group (effect size = [insert effect size]). Additionally, the risk of injury was significantly lower post-intervention in the PMR group. No significant changes were observed in the control or baseline measures. These findings indicate that both PMR and stretching are effective in reducing fatigue and injury risk, with PMR showing superior effectiveness. Conclusion: The study supports the implementation of progressive muscle relaxation and stretching exercises as practical, low-cost strategies to reduce physical fatigue and injury risk among perioperative nurses, contributing to improved occupational health and safety in hospital settings.
Antioxidant and Antibacterial Activities of Palu Local Shallot (Allium cepa var. aggregatum L.) Extracts Using Various Solvents Lestari, Yudith Ayu; Taroreh, Mercy I. Riantiny; Dien, Henny Adeleida; Mangundap, Selvi Alfrida
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i3.4327

Abstract

Background: The Palu local shallot contains active compounds such as flavonoids and phenolics, which function as antioxidants to neutralize free radicals and possess antibacterial properties against pathogenic microbes. This study aimed to analyze and compare the phytochemical profile, total phenolic and flavonoid contents, antioxidant activity, metal-chelating capacity, and antibacterial potential of Palu local shallot extracts obtained using different solvents. Methods A maceration extraction method was performed using n-hexane, ethyl acetate, and ethanol. Each extract underwent phytochemical screening, total phenolic and flavonoid quantification, antioxidant assessment via the DPPH method, metal-chelating evaluation, and antibacterial testing. Results: The ethanol and ethyl acetate extracts contained alkaloids, flavonoids, saponins, tannins, and triterpenoids, while the n-hexane extract contained only alkaloids and triterpenoids. The ethyl acetate extract exhibited the highest phenolic content (30.35 ± 0.90 mg GAE/g), whereas the ethanol extract contained the highest flavonoid level (30.28 ± 0.57 mg QE/g). The strongest antioxidant activity was found in the ethanol extract (IC50 = 38.33 ± 1.85 μg/mL). The highest metal chelating activity is the ethanol extract (20.23 ± 0.54%). The ethyl acetate extract demonstrated the strongest antibacterial activity, yielding a 17.43 ± 0.85 mm inhibition zone. Conclusion: Ethanol is the most effective solvent for extracting antioxidant compounds from Palu local shallots, while ethyl acetate yields the strongest antibacterial activity.
Risk Factor Analysis of Soil-Transmitted Helminth Infections among Scavengers at the Denpasar City Landfill – Bali Daniel, Elvera Sukma; Subrata, I Made; Sawitri, Anak Agung Sagung; Bekti, Heri Setiyo
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i3.2536

Abstract

Background: Soil-transmitted helminth (STH) infection is a public health concern, particularly in developing countries, including Indonesia. Scavengers are a high-risk group due to their direct contact with garbage that is potentially contaminated with worm eggs. This study aims to determine the prevalence of STH infection and risk factors associated with STH infection among scavengers at a landfill in Denpasar, Bali. Methods: This research approach was an observational study with a cross-sectional design involving 101 scavengers as respondents. Data were collected through interviews using questionnaires, observation of personal hygiene behavior, and nail clipping examination to detect the sedimentation concentration method. Results: The results showed that the prevalence of STH infection was 37.6%. Factors significantly associated with STH infection were knowledge and nail hygiene. Meanwhile, hand washing habits, footwear use, personal hygiene, environmental sanitation, and deworming medication did not show a significant association. Conclusion:  These results emphasize the importance of enhancing knowledge and nail hygiene practices as a means of preventing STH infections. Continuous health education as a means of promoting clean and healthy living habits among scavengers need to be improved as a preventive measure to reduce the risk of STH transmission
The Impact of the Education Program for Stroke (EPSTRO) on Family Caregivers’ Competence in Home-Based Stroke Care Husni, Husni; Asmawati, Asmawati; Dharma, Kelana Kusuma
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i3.4075

Abstract

Background: Stroke is now one of the leading causes of adult disability, with negative effects on both individuals and families. Families have a responsibility to offer nursing care (family caregivers), which includes biological, psychological, social, and spiritual aspects of care. The family's ability to care for stroke victims at home is a major factor in determining the family's role as carers in the work environment of the Community Health Center. The initial survey found post-stroke patients with immobilization disorders, lack of good care by the family, and no structured education program for families. The research aimed to determine the impact of education program for stroke (EPSTRO) on caregiver competency, encompassing knowledge, attitudes, and abilities in caring for individuals with stroke. Methods: This study used a quasi-experimental approach with pre-and post-tests. 30 family carers who had experienced a stroke served as the study's sample. Instruments for collecting data on characteristics, knowledge, attitudes, and actions of caregivers were carried out using the modified Sirait questionnaire (2018). The Wilcoxon signed rank test and dependent t-test with p = 0.05 were used to evaluate the data. Results: According to analysis using the Wilcoxon signed rank test statistic, there is a difference in the median knowledge before and after treatment (p=0.0001 0.05), as well as the median skill level (p=0.0001 0.05). There was a difference in the average attitude before and after the treatment, according to the analysis's dependent t-test findings (p=0.0001, 0.05). Conclusions: The education provided by stroke programs significantly enhances caregiver competency.
Effectiveness of Birth Planning in Preventing Postpartum Depression: Evidence from Independent Midwifery Practices in West Java Indonesia Trisiani, Desi; Rizwanda, Armiyanti Ahmad; Septriliyana, Noucie; Hendayani, Siti Nur Endah; Nurmiaty, Nurmiaty
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i3.4210

Abstract

Background: Postpartum depression is a common mental health disorder among women after childbirth, with high prevalence in developing countries, including Indonesia. Inadequate birth preparation may increase maternal stress and emotional disturbances during the postpartum period. This study aimed to examine the effect of a birth plan on the prevention of postpartum depression in independent midwifery practices in the Derwati Health Center area, Bandung City. Methods: A quasi-experimental study with a post-test only control group design was conducted on 30 third-trimester pregnant women, divided into an experimental group (with a birth plan) and a control group (without a birth plan). Postpartum depression was measured using the Edinburgh Postnatal Depression Scale (EPDS). Data were analyzed using the Mann– Whitney test. Results: In the experimental group, 1 respondent (6.7%) experienced postpartum depression, compared with 2 respondents (13.3%) in the control group. The Mann–Whitney test indicated a statistically significant difference between groups (p = 0.019). However, the small sample size limits the generalizability of these findings. Conclusion: Birth planning may contribute to reducing the risk of postpartum depression; however, larger and more rigorous studies are required to confirm this finding.
Effectiveness of Growth and Development Screening and Stimulation Methods among Toddlers in Central Sulawesi, Indonesia: a Quasi-Experimental Study Mbaloto, Freny Ravika; Mua, Estelle Lilian; Sekeon, Robi Adikari; Ra'bung, Alfrida Semuel
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i3.4270

Abstract

Background: Stunting remains a major public health problem in Indonesia. The 2023 Indonesian Health Survey reported a stunting prevalence of 27.2% in Central Sulawesi, exceeding the national average of 21.5%. Stunting adversely affects early childhood development, yet developmental delays often go undetected due to limited developmental screening and inadequate training of health workers. This study evaluated the effectiveness of developmental screening and stimulation using the Denver Developmental Screening Test (DDST) and the Pre-Screening Developmental Questionnaire (KPSP). Methods: A quasi-experimental study with a pretest–posttest non-equivalent control group design was conducted among toddlers (n = 34). Nutritional status was assessed using anthropometric z-scores, while child development was evaluated using the DDST and KPSP instruments. Children who were ill, had physical disabilities, or had diagnosed developmental disorders were excluded. Data were analyzed using Pearson chi-square, Mann–Whitney, and Wilcoxon tests. Results: A significant difference in nutritional status proportions between groups was identified based on anthropometric screening (p = 0.036). Developmental screening scores differed significantly between DDST and KPSP assessments (p = 0.001), with higher mean ranks observed for KPSP. Post-stimulation analysis demonstrated a significant improvement in KPSP scores compared to pre-stimulation results (p = 0.009), indicating the positive effect of developmental stimulation. Conclusion: Developmental screening and stimulation significantly improved developmental outcomes in toddlers. The KPSP demonstrated higher sensitivity in detecting developmental changes compared to the DDST, supporting its use in community-based child development monitoring.
Modes of Tuberculosis Transmission among New Patients in Blitar District: A Case Study Mujito, Mujito; Suprajitno, Suprajitno; Mugianti, Sri
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i3.4282

Abstract

Background: Prevention efforts have been carried out massively and early through immunization. However, transmission still occurs, especially to people living in the same house as tuberculosis sufferers. This research aims to describe the mode of transmission and efforts to cure it. Methods: This research design is a case study to uncover the phenomenon of transmission. The participant of this study was 14 new sufferers and 17 old sufferers who were suspected as transmitters selected by purposive sampling. Data collection through in-depth interviews to uncover the phenomenon was carried out from June 2024 to April 2025. Data analysis used the Miles and Huberman model was continued with triangulation validation to program holders at the Puskesmas. Results: Old and new sufferers were found in childhood. New sufferers were found in 8 people including infant, when diagnosed was 18 days old. New sufferers were infected during activities in the school environment transmitted by school friends and also infected from adults in the household. The transmission that occurred was not realized by new sufferers because it could be caused by unexpected people, even those closest to them. Transmission easily occurs if individuals live in the same house as an infected person and have a weak immune system. The danger of transmission to children can lead to stigma from peers and the community. Preventive measures that everyone should maintain include healthy behaviors such as consuming nutritious food, wearing a mask, covering when coughing, and avoiding spitting carelessly. Conclusion: Children are highly vulnerable, and prevention efforts need to be enhanced through healthy behaviors.
The Impact of Spiritual Emotional Freedom Technique (SEFT) on Adolescent Nicotine Dependence: A Quasi-Experimental Study Linda, Linda; idramsyah, Idramsyah; Marleni, Wisuda Andeka
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i3.4289

Abstract

Background: Adolescent smoking remains a major public health concern in Indonesia, with increasing rates of nicotine dependence and limited effectiveness of existing cessation strategies. Culturally relevant, low-cost, and non-pharmacological interventions are needed, particularly for adolescents with strong religious backgrounds. The Spiritual Emotional Freedom Technique (SEFT), which integrates emotional regulation, acupressure tapping, and spiritual affirmation, may offer a holistic approach to smoking cessation. This study aimed to evaluate the effectiveness of SEFT in reducing nicotine dependence among adolescent smokers. Methods: A quasi-experimental pretest–posttest control group study was conducted in Bengkulu City, Indonesia, involving 60 Muslim adolescent smokers aged 18–25 years who intended to quit smoking. Participants were consecutively recruited and allocated to an intervention group (SEFT; n=30) or a control group (hypnotherapy without tapping; n=30). SEFT was delivered individually for approximately 10 minutes per session over three consecutive days. Nicotine dependence was assessed using the Fagerström Test for Nicotine Dependence (FTND) at baseline and one week post-intervention. Data were analysed using the Wilcoxon signed-rank test and Mann–Whitney U test. Results: The intervention group showed a significant reduction in FTND scores from pretest to posttest (p=0.001), whereas no significant change was observed in the control group (p=0.177). Post-intervention FTND scores differed significantly between groups (p<0.001), indicating a substantial effect of SEFT in reducing nicotine dependence. Conclusion: SEFT was effective in reducing nicotine dependence among adolescent smokers and demonstrated greater benefits than hypnotherapy alone. SEFT represents a culturally congruent, low-cost complementary intervention with potential for integration into school- and community-based smoking cessation programs in Indonesia.
Group Counseling with A Behavioral Approach to Develop Adolescent Life Skills for Mitigating Occupational Health Risks at SMAN 4 Raha Sari, Elna; Sarumi, Rasniah; Naningsih, Ayu; Mulyawati, Endang Sri; Rianse, Muhammad Suriyadarman
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i3.4294

Abstract

Background: In this study, we aimed to evaluate the effectiveness of group counseling with a behavioral approach in preventing risky sexual behavior among adolescents within the context of rising public health concerns in Indonesia. With worrying national trends in premarital sexual activity and STI prevalence among youth, our objective was to assess the impact of a behavioral modification intervention to address gaps in existing school-based preventive programs. Methods: This pre-experimental study involved a one-group pretest-posttest design conducted at SMA Negeri 4 Raha in September 2024. A total of 34 students were enrolled, selected via proportionate stratified random sampling, and data were collected through structured self-administered questionnaires. Ethical approval was obtained from the relevant institutional review board, and participants provided informed assent. Results: The primary outcome of the study was the change in knowledge and awareness scores of safe sexual behavior, and a significant increase from a pre-test mean of 7.94 (SD=2.741) to a post-test mean of 11.44 (SD=3.230) was observed. Statistical analyses revealed a p-value of 0.001, confirming the intervention's significant effect. The findings highlight the effectiveness of group counseling in enhancing adolescent understanding and promoting safer decision-making. Conclusion: In conclusion, our study contributes to the understanding of adolescent sexual health prevention by demonstrating the efficacy of a behavioral group counseling model. This research provides insights into practical, school-based interventions that can be integrated into reproductive health programs. Future studies should address the long-term behavioral outcomes and incorporate a control group design, ultimately advancing knowledge in the field of international adolescent health.

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