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Tina Yuli Fatmawati
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Jurnal Akademika Baiturrahim Jambi
Published by Universitas Baiturrahim
ISSN : 23028416     EISSN : 26542552     DOI : 10.36565/jab
Core Subject : Health,
Health Professions Nursing Public Health
Jurnal Akademika Baiturrahim Jambi is scientific, peer-reviewed and open access journal managed and published by Universitas Baiturrahim. Journal Akademika Baiturrahim Jambi publishes original research and/or library analysis on Health Community focuses on nursing, nutrition, midwifery, epidemiology, phsyoteraphy, environmental health, promoting health, reproductive health, occupational health and safety, health policy and administration, community nursing, community midwifery.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 445 Documents
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Analisis Faktor yang Berhubungan dengan Pencegahan TBC Berbasis Keluarga di Wilayah Kerja Puskesmas Maliana Kabupaten Maliana Jose Marcal da Cruz; Marthia Ikhlasiah
Jurnal Akademika Baiturrahim Jambi Vol. 15 No. 2 (2026): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v15i2.1099

Abstract

Tuberculosis is a communicable disease caused by Mycobacterium tuberculosis. Transmission inside the home requires special attention because family members share space and interact with patients for long periods. This study analyzed factors associated with family-based tuberculosis prevention in the working area of Maliana Public Health Center, Maliana Regency. A quantitative cross-sectional design was used. The respondents were 92 family members living in the same household as pulmonary tuberculosis patients. Data were collected using a structured questionnaire and analyzed using univariate analysis, the chi-square test, and multiple logistic regression. Knowledge, attitude, household crowding, and income were significantly associated with tuberculosis prevention behavior. In the bivariate analysis, knowledge showed the strongest association (p = 0.001; OR = 4.8). In the multivariate model, knowledge was the dominant factor (p = 0.002; OR = 4.403; 95% CI = 1.721-11.265), followed by attitude and household crowding. These findings show that tuberculosis prevention in the family setting is related to family understanding, attitudes toward health information, housing conditions, and economic capacity. Continuous health education, healthier home environments, and active guidance from health workers are needed to strengthen tuberculosis prevention practices.
Kepuasan Pasien Memediasi Pengaruh Kualitas Layanan dan Citra Puskesmas Terhadap Loyalitas Pasien di Kecamatan Cilincing Jakarta Utara Putri Handayani; Budi Haryono; Melitina Tecoalu
Jurnal Akademika Baiturrahim Jambi Vol. 15 No. 2 (2026): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v15i2.1101

Abstract

The high operational density of 24-hour community health centers (Puskesmas) frequently leads to prolonged waiting times and reduced physical comfort, which may negatively affect patient loyalty. This study aimed to analyze the effects of service quality and the health center's image on patient loyalty, both directly and indirectly through patient satisfaction as a mediating variable. A quantitative approach using Structural Equation Modeling–Partial Least Squares (SEM-PLS) with SmartPLS and SPSS was employed to analyze data from 120 outpatients at the Cilincing District Community Health Center, North Jakarta. The findings revealed that service quality (p = 0.000) and the health center's image (p = 0.026) had significant positive effects on patient satisfaction. Furthermore, the health center's image (p = 0.048) and patient satisfaction (p = 0.000) significantly influenced patient loyalty. In contrast, service quality did not have a significant direct effect on patient loyalty (p = 0.572). Mediation analysis confirmed that patient satisfaction significantly mediated the effects of service quality (p = 0.003) and the health center's image (p = 0.027) on patient loyalty. Patient satisfaction acted as a full mediator in the relationship between service quality and patient loyalty, indicating that high-quality services alone do not automatically generate patient loyalty unless they first create patient satisfaction. This finding may be attributed to the tiered referral system under Indonesia's national health insurance scheme and the greater importance patients place on clinical outcomes compared with non-clinical comfort. Therefore, health center management should prioritize reducing waiting times, improving waiting room comfort, and optimizing medical staff competencies to maintain and strengthen patient loyalty
Pengaruh Terapi Akupresur Titik Li-4 (Hegu) terhadap Tekanan Darah pada Pasien Hipertensi di Puskesmas Merdeka Palembang Vinka Novitasari; Yofa Anggriani Utama; Aris Citra Wisuda; Chaera Maya Sari
Jurnal Akademika Baiturrahim Jambi Vol. 15 No. 2 (2026): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v15i2.1110

Abstract

Hypertension is a major non-communicable disease and an important risk factor for cardiovascular disease, stroke, and chronic kidney disease. This study aimed to determine the effect of LI-4 (Hegu) acupressure therapy on blood pressure among patients with hypertension at Merdeka Public Health Center, Palembang, in 2026. A quantitative quasi-experimental study with a pre-test post-test control group design was conducted among 60 respondents selected by purposive sampling, comprising 30 respondents in the intervention group and 30 in the control group. The intervention group received LI-4 acupressure for 10–15 minutes per session, twice daily for 7 consecutive days, while the control group received no acupressure intervention and underwent the same pre-test and post-test measurements. Blood pressure was measured using a digital sphygmomanometer. Data were analyzed using the Wilcoxon Signed-Rank Test and Mann–Whitney U Test because the data were not normally distributed. The mean systolic/diastolic blood pressure in the intervention group decreased from 153.77/92.53 mmHg to 137.50/87.33 mmHg. In the control group, the mean decreased from 152.50/94.80 mmHg to 150.57/91.47 mmHg. Wilcoxon testing showed significant pre-post differences in the intervention group for systolic (p=0.000) and diastolic (p=0.008) blood pressure, while the control group also showed significant changes for systolic and diastolic blood pressure (both p=0.000). Mann–Whitney testing showed a significant difference in systolic blood pressure change between groups (p=0.000), but not in diastolic blood pressure change (p=0.185). These findings indicate that LI-4 acupressure was associated with a greater reduction in systolic blood pressure than the control condition, whereas the between-group difference in diastolic blood pressure was not statistically significant.
Efektivitas Kegiatan Pos Gizi terhadap Status Gizi Balita Stunting di Puskesmas Duren Sawit Jakarta Timur Anugrah Novianti; Sunersi Handayani
Jurnal Akademika Baiturrahim Jambi Vol. 15 No. 2 (2026): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v15i2.1113

Abstract

Stunting is a nutritional problem characterized by chronic nutritional deficiencies. In 2022, 18.5% of toddlers in North Jakarta, 15.20% in West Jakarta, 14% in South Jakarta, and 11.9% in East Jakarta experienced stunting in DKI Jakarta. This activity was carried out in the Duren Sawit Community Health Center (Puskesmas) working area. This activity includes Nutrition Posts (Measurement of Nutritional Status and Providing Supplementary Food/PMT for stunted toddlers) which were funded by self-help funds and community donations under the BATMAN DUWIT program (Together with Foster Parents Intervening in Stunting Children in Duren Sawit). Respondents in this study were 33 stunted children at three Posyandu points within the Duren Sawit District Community Health Center working area: Duren Sawit, Majasari, and Pondok Kelapa Villages. The results of the statistical test using the Paired Sample T-Test showed a p-value of 0.0001, this indicates a significant difference between the intake of energy and macronutrients (protein, fat and carbohydrates), Body Weight (BB) and Height (TB) of stunted toddlers before and after the Nutrition Post intervention (p-value <0.05). Stunting is a nutritional problem characterized by chronic nutritional deficiencies. In 2022, 18.5% of toddlers in North Jakarta, 15.20% in West Jakarta, 14% in South Jakarta, and 11.9% in East Jakarta experienced stunting in DKI Jakarta. This activity was carried out in the Duren Sawit Community Health Center (Puskesmas) working area. This activity includes Nutrition Posts (Measurement of Nutritional Status and Providing Supplementary Food/PMT for stunted toddlers) which were funded by self-help funds and community donations under the BATMAN DUWIT program (Together with Foster Parents Intervening in Stunting Children in Duren Sawit). Respondents in this study were 33 stunted children at three Posyandu points within the Duren Sawit District Community Health Center working area: Duren Sawit, Majasari, and Pondok Kelapa Villages. The results of the statistical test using the Paired Sample T-Test showed a p-value of 0.0001, this indicates a significant difference between the intake of energy and macronutrients (protein, fat and carbohydrates), Body Weight (BB) and Height (TB) of stunted toddlers before and after the Nutrition Post intervention (p-value <0.05).
Hubungan Self Efficacy terhadap Kemampuan Self Care pada Pasien Stroke I Ketut Aribawa; Ni Luh Putu Thrisna Dewi; Ni Nyoman Gunahariati
Jurnal Akademika Baiturrahim Jambi Vol. 15 No. 2 (2026): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v15i2.1114

Abstract

Stroke is a neurological condition characterized by brain injury resulting from impaired cerebral blood flow and inadequate oxygen supply to brain tissue. Stroke may lead to paralysis, cognitive impairment, and disability, which can affect patients’ ability to perform self-care activities. One factor that may influence self-care ability is self-efficacy. This study aimed to determine the relationship between self-efficacy and self-care ability among stroke patients in the Nagasari Ward of Prof. Dr. I.G.N.G. Ngoerah General Hospital, Bali, Indonesia. This study employed a correlational analytic design with a cross-sectional approach. The study was conducted from mei - june 2026 in the Nagasari Ward of Prof. Dr. I.G.N.G. Ngoerah General Hospital. A total of 53 stroke patients who met the inclusion criteria were recruited using consecutive sampling. Data were collected by Data were collected by the researchers through direct observation and interviews with the patients. Using standardized instruments. Self-efficacy was measured using the Stroke Self-Efficacy Questionnaire (SSEQ), while self-care ability was assessed using the Barthel Index. Data were analyzed using descriptive statistics and Spearman’s rank correlation test, with a significance level of p < 0.05. The results showed that the majority of respondents had low self-efficacy, comprising 25 patients (47.2%), while 38 patients (71.7%) had severe dependence in self-care ability. Spearman’s rank correlation analysis showed a p-value of 0.001 (p < 0.05) and a correlation coefficient of r = 0.469, indicating a statistically significant, moderate positive relationship between self-efficacy and self-care ability among stroke patients. Higher levels of self-efficacy were associated with better self-care ability. Therefore, interventions aimed at enhancing self-efficacy may support improvements in the self-care ability of stroke patients.

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