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Holistik Jurnal Kesehatan
Published by Universitas Malahayati
ISSN : 19783337     EISSN : 26207478     DOI : https://doi.org/10.33024/hjk.v18i10
Core Subject : Health,
Health Professions Nursing Public Health
Berisi kumpulan karya ilmiah dari peneliti diberbagai perguruan tinggi di Indonesia, di bidang ilmu kesehatan khususnya bidang ilmu keperawatan yang berdasarkan kepada kebutuhan pasien secara total meliputi: kebutuhan fisik, emosi, sosial, ekonomi dan spiritual. Adapun penelitiannya mencakup 4 aspek pokok, yakni: promotif, preventif, kuratif, dan rehabilitatif. Jurnal terbit setiap bulan dan artikel ditulis dalam bahasa Indonesia, untuk abstrak artikel ditulis dengan dua bahasa yaitu bahasa Inggris dan bahasa Indonesia.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 614 Documents
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Pengembangan formula enteral berbasis ikan lele, tepung ubi jalar putih, dan tepung daun kelor untuk ibu hamil anemia Sely Tri Anisa; Fitriana Mustikaningrum; Muwakhidah Muwakhidah
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3215

Abstract

Background: Anemia during pregnancy is a health problem that can have serious consequences for the mother and fetus. One way to prevent and treat anemia is through enteral nutrition based on local foods rich in iron and balanced nutrition. Utilizing local foods as enteral nutrition is an alternative to increase nutrient intake, especially iron. Purpose: To develop and evaluate an enteral nutrition formula based on catfish, white sweet potato flour, and moringa leaf flour for pregnant women with anemia. Method: An experimental study using a completely randomized design (CRD) approach was conducted to develop an enteral nutrition formula based on catfish, white sweet potato flour, and moringa leaf flour. The study subjects consisted of three formula groups: F0 = commercial enteral powder (peptisol) as the control formula, and formulas F1 (71%) and F2 (57%). Test parameters included nutritional value, osmolality, flowability, pH, water content, color intensity, and organoleptic testing. The evaluation was conducted by measuring and assessing acceptability by 15 panelists consisting of dietetics students from the Muhammadiyah University of Surakarta. Data were analyzed using the Shapiro-Wilk statistical test, followed by one-way ANOVA if the data were normally distributed, and if there was an effect, followed by the least significant difference (LSD) test. However, if the data were not normally distributed, the non-parametric Kruskal-Wallis statistical test was used, followed by the Dunnett post-hoc test. Results: The statistical test for color intensity (L*) yielded a p-value <0.000, for color intensity (a*) yielded a p-value <0.088, for color intensity (b*) yielded a p-value <0.000, for osmolality yielded a p-value <0.000, for fluidity yielded a p-value <0.000, for acidity yielded a p-value <0.007, and for water content yielded a p-value <0.104. Based on statistical test results, the color category obtained a p-value <0.000, the aroma category obtained a p-value <0.002, the texture category obtained a p-value <0.000, the taste category obtained a p-value <0.003, and all categories obtained p-values ​​<0.001. Formulas F1 and F2 met the energy, protein, fat, carbohydrate, and iron requirements of pregnant women with anemia. F1 had a higher omega-3 and omega-6 content, a faster flow rate, a whitish-green color, a better aroma, and a sweeter taste than F2. F1 was preferred by panelists and had a lower production cost than the commercial formula. Conclusion: Based on cost calculations, enteral formulas based on catfish, moringa leaf flour, and white sweet potato flour are more affordable than commercial enteral formulas. Suggestion: Future research can modify the raw materials or formula manufacturing techniques to meet viscosity standards and reduce osmolality to meet enteral formula standards.   Keywords: Anemia; Catfish; Enteral Nutrition; White Sweet Potato; Moringa Leaf Flour; Pregnant Women.
Insiden, faktor risiko, dan mortalitas rabies di Indonesia: A systematic literature review Regina Kezia Wantania; Angela Fitriani Clementine Kalesaran; Eva Mariane Mantjoro
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3223

Abstract

Background: Rabies is a zoonotic disease that remains a public health problem in Indonesia, with a high mortality rate, despite being preventable through vaccination and post-exposure care. Indonesia is a rabies-endemic country with a high bite rate from rabies-carrying animals, low animal vaccination coverage, delayed post-exposure prophylaxis (PEP), and a lack of public awareness, all of which contribute to the increased risk of death. Purpose: To conduct a systematic review of the incidence, risk factors, and mortality rates of rabies in Indonesia. Method: This systematic literature review (SLR) study used the PRISMA guidelines and the PICOS approach. The literature search was conducted from Google Scholar, PubMed/MEDLINE, and ScienceDirect databases for the period 2015-2025. Inclusion criteria included a cross-sectional design, Indonesian and English versions, and full-text access. Of the 4,344 articles searched, only 8 met the inclusion criteria and were reviewed. Results: The incidence of rabies in Indonesia remains high, particularly in endemic areas such as Bali, East Nusa Tenggara, and North Sulawesi, with most rabies cases caused by dog ​​bites. Key risk factors include low dog vaccination coverage, delayed or incomplete PEP, low public awareness, dense stray dog ​​populations, and limited access to health services. Rabies deaths are still reported annually, with a near 100% mortality rate after the onset of clinical symptoms, largely due to delayed treatment and a lack of public awareness of the importance of immediate action after a bite. Conclusion: Rabies in Indonesia remains a significant public health problem, with high incidence and mortality requiring serious attention. Strengthening mass vaccination programs for infected animals, improving access to and compliance with PEP, and ongoing public education are strategic steps to support the target of eliminating rabies deaths.   Keywords: Incidence; Mortality; Rabies; Risk Factors.
Determinan penggunaan aplikasi mobile JKN terhadap generasi muda Putri Widya Ningsih; Dwi Noerjoedianto; Adila Solida; Rumita Ena Sari
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3227

Abstract

Background: The development of digital technology in healthcare has prompted the Social Security Agency to introduce the Mobile JKN application as an innovation to facilitate public access to healthcare services. However, the application's utilization among adolescents remains suboptimal, despite the younger generation being a group familiar with digital technology. Purpose: To analyze the determinants of Mobile JKN application usage among the younger generation. Method: Quantitative research with a cross-sectional approach. The population in the study were students of Batanghari 5 State Senior High School in the 2025/2026 academic year. The research sample consisted of 110 respondents selected using a stratified random sampling technique. Data collection was carried out using a questionnaire based on the Technology Acceptance Model (TAM) theory. Data analysis was carried out univariately and bivariately using the chi-square test and Fisher Exact Test. Results: The study showed that 68.2% of respondents used the Mobile JKN application. There was a significant relationship between perceived usefulness and Mobile JKN application usage (p-value = 0.000; PR = 2.895), as well as a significant relationship between intention to use and Mobile JKN application usage (p-value = 0.000; PR = 5.613). Meanwhile, perceived ease of use (p-value = 0.206) and attitude toward use (p-value = 0.262) were not significantly associated with the use of the Mobile JKN application. Conclusion: Perceived usefulness and intention to use are significantly associated with the use of the Mobile JKN application among the younger generation.   Keywords: Mobile JKN; Perceived Usefulness; Technology Acceptance Model; Usage Intention; Young Generation.
Tujuh variasi snack berbahan pangan lokal untuk meningkatkan berat badan wanita premarital sebagai upaya mencegah kurang energi kronik Marlynda Happy Nurmalita Sari; Dina Dewi Anggraini; Meirina Dwi Larasati; Indri Kusuma Dewi; Dewi Susilowati
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3240

Abstract

Background: The prevalence of chronic energy deficiency among pregnant women in Indonesia remains relatively high, at 17.3%. If left untreated, chronic energy deficiency can cause health problems for both the mother and the fetus. Innovation is needed to provide supplementary food in the form of snacks made from local foods with a variety of variations for pregnant women to prevent chronic energy deficiency. Purpose: To determine the effect of seven variations of local food-based snacks on weight gain in pregnant women in an effort to prevent chronic energy deficiency. Method: This quantitative quasi-experimental study, with a single-group pretest-posttest design, was conducted in December 2025 at the Blora Community Health Center. The sampling technique used a total of 30 participants, divided into an intervention group and a control group. The independent variable in this study was snack provision, while the dependent variable was weight gain. Data analysis used univariate frequency distributions and bivariate Wilcoxon tests. Results: A significance value of 0.006 indicated a difference in weight gain between the intervention and control groups after the intervention. Conclusion: The intervention of providing seven snack variations to respondents resulted in a higher average weight gain compared to those who did not receive the seven snack variations.   Keywords: Chronic Energy Deficiency; Local Snacks; Premarital Women.
Evaluasi pembiayaan kesehatan pada program tuberkulosis: A systematic review Dewi Wulan Anugrah Sari; Sartini Risky; Irlan Septian Hidayat; La Ode Liaumin Azim
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3242

Abstract

Background: Background: Tuberculosis (TB) remains a major public health problem worldwide, particularly in developing countries, including Indonesia. This disease impacts not only individual health but also social and economic aspects of society. The high incidence of TB leads to an increased need for health services, long-term treatment, and the strengthening of sustainable disease control systems. Health financing is a critical component of the success of tuberculosis (TB) control programs, particularly in ensuring access to services and the sustainability of treatment. Purpose: To evaluate health financing in tuberculosis programs. Method: This study is a Systematic Literature Review (SLR) using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach. A systematic literature search was conducted in several international scientific databases, namely PubMed, Scopus, ScienceDirect, Web of Science, and Google Scholar. The search process was conducted from January to March 2026 using a combination of keywords and Boolean operators (AND, OR) to identify relevant articles. Results: The review findings indicate that health financing contributes to increased TB service coverage, treatment success, and strengthened disease surveillance programs. However, the implementation of TB program financing still faces various challenges, such as budget constraints, dependence on external donors, unequal access to services, and a high financial burden borne by patients. Conclusion: A sustainable, integrated, and needs-based health financing system is needed to effectively support tuberculosis eradication.   Keywords: Evaluation; Financing; Health Programs; Tuberculosis.
Pengaruh antioksidan ekstrak daun gambir (Uncaria gambir Roxb.) terhadap peningkatan aktivitas enzim katalase pada model tikus dengan stres oksidatif Diah Septiyanti Kesumaningrum; Arum Setiawan; Zen Hafy
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3246

Abstract

Background: Oxidative stress contributes to the pathogenesis of degenerative diseases by decreasing the activity of endogenous antioxidant enzymes, including catalase. Gambier leaves (Uncaria gambir Roxb.) from Babat Toman, South Sumatra, contain bioactive compounds with potential antioxidant activity. Purpose: To analyze the bioactive compounds of gambier leaf extract from Babat Toman and evaluate their effect on catalase enzyme activity in Wistar rats experiencing oxidative stress induced by the Forced Swimming Test, and to determine the most effective dose. Method: This experimental study used a post-test-only randomized control group design with 25 male Wistar rats divided into five groups: negative control (K1), Forced Swimming Test control (K2), and treatment groups given gambier extract at doses of 50 mg/kgBW (K3), 75 mg/kgBW (K4), and 100 mg/kgBW (K5). The extract was obtained from Babat Toman gambir leaves through a maceration method using 96% ethanol. Bioactive compounds were analyzed using GC-MS, while catalase activity was analyzed using the Kruskal-Wallis and Mann-Whitney tests. Results: GC-MS showed that gambir extract was dominated by n-hexadecanoic acid (27.24%), hexadecanoic acid ethyl ester (24.80%), and heptadecanoic acid ethyl ester (12.03%). Catalase activity showed a significant difference between groups (χ² = 10.453; p = 0.033), with the Mann-Whitney test indicating that catalase activity in group K5 was significantly higher than in group K2 (p = 0.028) and approached the level of group K1. Conclusion: Gambir leaf extract from Babat Toman effectively increased catalase enzyme activity in rats experiencing oxidative stress due to the Forced Swimming Test, with 100 mg/kgBW being the most effective dose.   Keywords: Antioxidant; Catalase Enzyme; Gambir Leaf Extract (Uncaria gambir Roxb.); Oxidative Stress; Rats.
Penerapan safety talk sebagai upaya pencegahan kecelakaan kerja terhadap petugas unit pelayanan teknik di PT. PLN Rahma Oktaria; Dwi Noerjoedianto; David Kusmawan; Oka Lesmana
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3259

Abstract

Background: Occupational safety and health (OSH) is a crucial aspect in creating a safe work environment and preventing workplace accidents. One example of OSH implementation in a company is the implementation of safety socialization as a means of communicating occupational safety before work begins. The state electricity company procurement service unit in Kota Baru Jambi routinely conducts safety outreach as part of its efforts to increase worker awareness and discipline regarding occupational safety. Purpose: To determine the policy and implementation of safety socialization, as well as the challenges, obstacles, and successes of safety socialization implementation at state electricity company. Method: This qualitative research uses a case study approach to in-depth examine the implementation of safety socialization as an effort to prevent workplace accidents. This research was conducted at State Electricity Company procurement service unit in Kota Baru Jambi, Jelutung District, Jambi City, since November 2025. Seven informants were selected using a purposive sampling technique. Data were collected through in-depth interviews, observation, and documentation of informants involved in safety socialization. Results: Safety discussions have been routinely implemented and integrated into the company's operational activities. The implementation of safety discussions has contributed to increasing worker awareness regarding the use of personal protective equipment (PPE) and compliance with work safety procedures. Challenges encountered include differences in worker understanding, time constraints, and lack of participation from some workers. Other obstacles include monotonous delivery methods and one-way communication. Nevertheless, the implementation of safety discussions has shown positive results, marked by improved work discipline and a minimum of fatal workplace accidents. Conclusion: The implementation of safety discussions has been quite successful and has contributed to improving worker compliance with OSH procedures and preventing workplace accidents, although challenges remain in the delivery method, worker participation, and evaluation of their implementation. Suggestion: Future research should use more diverse methods, expand research locations, and examine other factors and the use of digital media to increase the effectiveness of safety discussions in supporting an OSH culture.   Keywords: Occupational Accident Prevention; Occupational Safety and Health (OSH); Safety Discussions.
Hubungan interdialytic weight gain (IDWG) dengan tekanan darah intradialitik pada pasien yang menjalani hemodialisis Rindang Isnenti; Lia Novianty; Astri Zeini Wahida
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3265

Abstract

Background: Chronic kidney disease (CKD) is a global health problem requiring lifelong hemodialysis therapy. Excessive fluid accumulation between dialysis sessions, or Interdialysis Weight Gain (IDWG), poses a clinical challenge because it directly affects hemodynamic stability, particularly intradialysis blood pressure fluctuations. Purpose: To analyze the relationship between Interdialysis Weight Gain (IDWG) and intradialysis blood pressure in patients with chronic kidney disease. Method: This quantitative, observational, and analytical study involved 136 respondents at Sekarwangi Regional Hospital, selected using a total sampling technique. IDWG and blood pressure data were collected through direct observation during two hemodialysis sessions. Data were analyzed using the Chi-Square test with Continuity Correction (Yates). Results: This study found that 67.6% of respondents had severe IDWG (>3%), and 57.4% had intradialysis hypertension. Bivariate analysis showed a significant association between IDWG and intradialysis blood pressure (p = 0.000). Conclusion: There is a significant relationship between interdialysis weight gain (IDWG) and intradialysis blood pressure in patients with chronic kidney disease undergoing hemodialysis.   Keywords: Chronic Kidney Disease; Hemodialysis; Intradialysis Blood Pressure; Interdialysis Weight Gain (IDWG).
Analisis kualitas pelayanan program pemeriksaan kesehatan gratis dengan metode servqual terhadap kepuasan pasien Charissa Peresia Ango; Harsali Fransiscus Lampus; Jimmy Posangi
Holistik Jurnal Kesehatan Vol. 20 No. 6 (2026): Volume 20 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i6.3285

Abstract

Background: Human resource development in the health sector has driven the implementation of a free health screening program aimed at fostering a healthy, productive, and globally competitive Indonesian population, as mandated by the Minister of Health Decree Number HK.01.07/MENKES/33/2025. Although the Wenang Community Health Center has implemented this program, various technical and non-technical obstacles persist, potentially affecting patient satisfaction. Healthcare service quality is a crucial factor due to its direct impact on patient satisfaction. Purpose: To analyze the service quality of the free health screening program using the servqual method and to examine the relationship between service quality dimensions and patient satisfaction. Method: This study employed an observational analytic quantitative design with a cross-sectional approach. A sample of 72 respondents was selected using Slovin's formula. Data were collected via a structured questionnaire that had undergone validity and reliability testing. Data analysis included gap measurement using the Servqual method, as well as statistical analysis using the Chi-Square test (bivariate) and logistic regression (multivariate) to identify variables significantly influencing patient satisfaction. Results: The average gap scores were negative. Chi-Square analysis yielded p-values ​​< 0.05 for the variables of tangibles, reliability, responsiveness, and empathy. Logistic regression analysis showed that the empathy variable had an Exp(B) value of 23.9. Average gap scores were negative, while the Q-value was < 1. Conclusion: All dimensions of service quality are associated with patient satisfaction. However, when analyzed simultaneously in a logistic regression model, only the empathy variable demonstrated a significant influence on patient satisfaction regarding the free health check-up program. Furthermore, service quality remains suboptimal. These research findings can serve as a reference for improving healthcare service quality, particularly concerning free health check-up programs at community health centers.   Keywords: Free Health Check-Ups; Patient Satisfaction; Service Quality.
Faktor-faktor yang berhubungan dengan keaktifan kepesertaan BPJS kesehatan di kalangan pekerja informal pada pedagang Florencia Tamba; Dwi Noerjoedianto; Andy Amir
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3294

Abstract

Background: Active participation by the social health insurance administration agency among informal workers remains a challenge in supporting the achievement of universal health insurance in Indonesia. Market traders, as part of the informal sector, have levels of participation and activity influenced by various factors such as knowledge, perception, income, and education. Purpose: To determine the relationship between knowledge, perception, income, and education with the active participation of traders in social health insurance administration agency. Method: This study used a quantitative design with a cross-sectional approach. The study was conducted from January to March 2026 at Angso Duo Market in Jambi City, with a sample of 98 respondents. Data were collected using a questionnaire and analyzed univariately and bivariately using the chi-square test. Results: The majority of respondents had high knowledge (79.6%), neutral perception (57.1%), high income (51.0%), and active BPJS membership status (85.7%). The bivariate analysis results showed a relationship between knowledge (p-value = 0.032), perception (p-value = 0.041), and income (p-value = 0.027) and active participation of the social health insurance administration agency. Meanwhile, education was not associated with active participation of the social health insurance administration agency (p-value = 0.218). Conclusion: Knowledge, perception, and income are associated with active participation of the social health insurance administration agency, while education level did not have a significant relationship. Suggestion: Future research can examine other variables related to active participation of the social health insurance administration agency among informal workers, especially traders.   Keywords: Active Participation; Informal Workers; Knowledge; Market Traders; Social Health Insurance Administration Agency.

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