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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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Hubungan kesejahteraan psikologis dengan postpartum stress pada ibu Farhan Hendiansyah; Yosi Dewi Setiowati; Elis Yulia Ningsih
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.v20i5.3298

Abstract

Background: Postpartum is a critical transition period marked by significant physical and psychological changes that may increase vulnerability to stress. Postpartum stress can interfere with maternal functioning, emotional regulation, and caregiving capacity. Psychological well-being is considered a protective factor that enables mothers to adapt to postpartum challenges. Purpose: To examine the relationship between psychological well-being and postpartum stress among mothers. Method: This study used a quantitative correlational design involving postpartum mothers 2–12 months after delivery. The study was conducted among postpartum mothers residing in the Greater Jakarta area with a postpartum period of 2–12 months, conducted from October 2025 to February 2026. Data were collected using validated psychological well-being and postpartum stress scales. Results: There was no significant relationship between psychological well-being and postpartum stress (r = 0.054, p = 0.569), indicating that the level of psychological well-being was not significantly associated with postpartum stress. Conclusion: No significant relationship was found between psychological well-being and postpartum stress among postpartum mothers. Postpartum stress appears to be more closely associated with situational, biological, and social factors than with psychological well-being.   Keywords: Maternal Mental Health; Postpartum Stress; Psychological Well-Being.
Analisis hubungan pengetahuan, sikap, dan persepsi risiko dengan perilaku pencegahan komplikasi pada pasien diabetes melitus tipe 2 berdasarkan health belief model Julia Vania Felicya Bahter; Bernabas Harold Ralph Kairupan; Jehosua Samratson Victor Sinolungan
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.v20i5.3364

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a chronic disease caused by impaired insulin utilization or insufficient insulin production, resulting in hyperglycemia and an increased risk of complications such as cardiovascular disease, kidney disorders, retinopathy, and neuropathy. The control and prevention of complications depend not only on medical therapy but also on patients' self-care behaviors. Maria Walanda Maramis Regional General Hospital is required to implement health education through the Hospital Health Promotion Program in accordance with the Minister of Health Regulation Number 44 of 2018. However, its implementation still faces several challenges. Purpose: To analyze the relationship between knowledge, attitude, and risk perception with T2DM complication prevention behaviors in patients. Method: This analytic observational study with a cross-sectional approach was conducted at Internal Medicine Polyclinic, Maria Walanda Maramis Regional Hospital, December 2025 to January 2026. A total of 103 respondents were selected using consecutive sampling. Data were collected using structured questionnaires covering knowledge, attitude, risk perception (Champion’s HBM Scale), and T2DM complications prevention behaviors. Data were analyzed using univariate analysis, bivariate analysis(Chi-Square), and multivariate analysis (ordinal logistic regression). Results: There was a significant relationship between attitude and T2DM complication prevention behaviors (p = 0.004). There was no significant relationship between knowledge level (p = 0.066) or risk perception (p = 0.421) and prevention behaviors. Multivariate analysis confirmed that attitude was the most dominant factor (p = 0.007, OR = 0.066), with a variable  contribution of 24.2% (Nagelkerke R² = 0.242). Conclusion: Increasing knowledge alone is insufficient to drive behavioral change. Complication preventive behavior is the outcome of a complex psychological process. Therefore, health interventions should not only focus on providing information but also on fostering positive attitudes, increasing motivation, and strengthening self-efficacy so  that individuals can consistently adopt preventive behaviors. Suggestion: Future research should examine other relevant factors such as self-efficacy, family support, and psychosocial factors, as well as utilize a longitudinal design to establish stronger causal relationships.   Keywords: Attitudes; Complications Prevention; Diabetes Mellitus Type 2; Health Belief Model; Knowledge; Risk Perception.
Hubungan rasio neutrofil limfosit terhadap derajat klinis kejadian DBD Asni Ramayana Tina; Reski Ananda Idris; Evi Damayanti; Sanatang Sanatang
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.v20i5.3416

Abstract

Background: Dengue Hemorrhagic Fever (DHF) is a global health problem caused by dengue virus infection, with the Aedes aegypti mosquito as the primary vector. This disease has a broad clinical spectrum, ranging from mild symptoms to severe complications such as Dengue Shock Syndrome (DSS), which can be fatal. Therefore, simple laboratory parameters are needed to help assess disease severity early. One widely studied hematological biomarker is the neutrophil-lymphocyte ratio (NLR), which represents the systemic inflammatory response. Purpose: To analyze the relationship between the neutrophil-lymphocyte ratio and the clinical severity of dengue hemorrhagic fever. Method: This observational, analytical, and cross-sectional study was conducted from July to August 2025 on 24 patients diagnosed with DHF at Benyamin Guluh Regional General Hospital, Kolaka Regency. The research equipment used included a hematology analyzer, 3cc syringes, tourniquets, hand spoons (PPE), EDTA tubes, and test tube racks. The research materials used were patient blood samples, cotton swabs, 70% alcohol, and plasters. Data collection used secondary data from DHF patient medical records and primary data from blood sample examination results. Data were analyzed using the Chi-Square test. Results: All participants with DHF grades 1 and 2 had normal NLR values, while the majority of participants with grades 3 and 4 had abnormal NLRs (5 participants with grade 3 and 7 participants with grade 4). The Chi-Square test yielded a p-value of 0.001, indicating a significant association between NLR values ​​and DHF severity. Conclusion: There is a significant association between NLR and DHF severity, with the higher the grade, the greater the likelihood of an abnormal NLR. Suggestion: Studies with larger sample sizes and including other variables, such as platelet count, hematocrit, and clinical manifestations, are recommended to provide a more comprehensive understanding of the relationship between NLR and DHF severity.   Keywords: Clinical Grade; Dengue Hemorrhagic Fever; Neutrophil-Lymphocyte Ratio.
Efektivitas edukasi kesehatan anemia berbasis kearifan lokal terhadap peningkatan pola konsumsi gizi pada ibu hamil Asri Aprilia Rohman; Nina Rosdiana; Ade Sity Riyantina; Yoga Ginanjar; Irfan Permana
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.v20i5.3449

Abstract

Background: Anemia in pregnant women remains a major public health problem in Indonesia and contributes to adverse maternal and fetal outcomes. Inadequate dietary consumption is one of the key factors associated with maternal anemia. Local wisdom–based health education is considered a promising approach to improve dietary behavior through culturally acceptable interventions Purpose: To examine the effectiveness of local wisdom based anemia health education on improving dietary consumption patterns among pregnant women. Method: A quantitative study with a pretest–posttest control group design was conducted in November 2025 at the Rancah Community Health Center in Ciamis Regency. The sampling technique used was purposive sampling, with a sample size of 106 participants divided into an intervention group and a control group. The independent variable in this study was anemia health education based on local wisdom, while the dependent variable was improvements in nutritional intake patterns among pregnant women. Data analysis included univariate analysis in the form of frequency distributions and bivariate analysis using the Wilcoxon and Chi-Square tests. Results: The average dietary pattern score in the intervention group increased from 0.26 ± 0.44 at the pre-test to 0.68 ± 1.00 at the post-test. The control group also showed an increase, albeit a smaller one, from 0.23 ± 0.42 to 0.36 ± 0.48. Statistical analysis revealed a p-value of 0.001, indicating that health education based on local wisdom has a significant effect on improving the nutritional intake patterns of pregnant women. Conclusion: Local wisdom–based anemia health education is effective in improving dietary consumption patterns among pregnant women and should be integrated into anemia prevention programs in primary healthcare settings.   Keywords: Dietary Consumption; Health Education; Local Wisdom; Maternal Anemia.
Dashboard monitoring kelengkapan rekam medis elektronik berbasis SIMRS Wiwid Kurniati; Edy Susena
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.v20i5.3506

Abstract

Background: Completeness of Electronic Medical Records (EMRs) is an important indicator of the quality of clinical documentation and healthcare services. However, monitoring the completeness of EMRs in hospitals remains suboptimal because it is still conducted manually. Therefore, a monitoring dashboard integrated with the Hospital Management Information System (HMIS) is required to facilitate accurate and real-time monitoring of clinical documentation. Purpose: To develop an HMIS-based dashboard for monitoring the completeness of Electronic Medical Records and to evaluate its implementation in improving the quality of clinical documentation in the inpatient ward. Method: A Research and Development (R&D) method with a pretest-posttest design. This research was conducted in April-May 2026 in the Camar Inpatient Ward, Ajibarang Regional Hospital. The samples consisted of 132 EMR documents assessed before the dashboard implementation and 126 EMR documents assessed after the implementation. The research stages included identifying the initial conditions, developing the dashboard, implementing the system, and evaluating the completeness of clinical documentation. Data were analyzed descriptively by comparing the percentages of EMR completeness before and after the dashboard implementation. Results: The average completeness rate of EMRs before the dashboard implementation was 32.4%, indicating that several clinical documentation components remained incomplete. Following the implementation of the HMIS-based monitoring dashboard, all assessed documentation components reached 100% completeness. The dashboard provided real-time monitoring of documentation completeness, summaries of incomplete records, and a warning system for incomplete clinical documentation. Conclusion: The HMIS-based Electronic Medical Record completeness monitoring dashboard was effective in improving the quality of clinical documentation and supporting faster, more structured, and more efficient monitoring and evaluation processes. Suggestion: Hospitals are encouraged to maintain and expand the implementation of the monitoring dashboard across other inpatient wards to ensure consistent and sustainable completeness of Electronic Medical Records.   Keywords: Clinical Documentation Quality; Electronic Medical Records; Hospital Management Information System; Monitoring Dashboard.
Aromaterapi zingiber officinale dalam mengurangi emesis gravidarum pada ibu hamil trimester I Mahfuzhah Deswita Puteri; Darmayanti Wulandatika; Siti Fatimah
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.v20i5.3512

Abstract

Background: Changes in pregnant women can cause discomfort during pregnancy, one of which is nausea and vomiting. Nausea and vomiting are common pregnancy complications. This study is novel in that it examines the effect of ginger aromatherapy in reducing nausea and vomiting in pregnant women in the first trimester. Purpose: To determine the effect of ginger aromatherapy in reducing nausea and vomiting in pregnant women in the first trimester. Method: This study used a quasi-experimental design with a single-group pre-test-post-test. The population was all pregnant women in the first trimester of pregnancy in the Sungai Mesa Community Health Center working area from January to August 2023. Sampling used non-probability sampling, resulting in 15 participants. The independent variable in this study was ginger aromatherapy, while the dependent variable was nausea and vomiting in pregnant women in the first trimester. The checklist used in this study was to obtain data on emesis gravidarum variables, which were assessed using the Pregnancy-Unique Quantification of Emesis/Nausea (PUQE) emesis measurement tool within 24 hours. Bivariate analysis used the Mann-Whitney test. Results: Nausea and vomiting in pregnant women in the first trimester before receiving ginger aromatherapy had an average score of 12.9, and after receiving ginger aromatherapy, the average score was 6.20. The Wilcoxon test showed a significance value of 0.001 (<0.05), indicating that ginger aromatherapy is effective in reducing nausea and vomiting in pregnant women in the first trimester. Conclusion: Ginger aromatherapy is effective in reducing hyperemesis gravidarum in pregnant women in the first trimester, with a p-value of 0.000. Suggestion: Further research can examine other therapies to reduce nausea and vomiting in pregnant women, by trialing one therapy or comparing them to determine which method is most effective.   Keywords: Aromatherapy; Emesis Gravidarum; Pregnant Women in the First Trimester; Zingiber Officinale.
Gambaran pengetahuan, sikap, dan tindakan masyarakat pesisir Kota Manado terhadap penggunaan obat Shalomitha Aurel Karamoy; Angela Ftiriani 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.v20i5.3530

Abstract

Background: Irrational drug use remains a public health concern and contributes to the increasing burden of antimicrobial resistance (AMR). Coastal communities have unique geographical and socio-cultural characteristics that may influence medication-use behavior. Purpose: To describe the knowledge, attitudes, and practices regarding medication use among coastal communities. Method: A descriptive observational design with a cross-sectional approach. The study was conducted in coastal areas of Manado City, including Sindulang I, Sindulang II, Bitung Karangria, Maasing, Tumumpa II, and Tongkeina. A total of 87 respondents were selected using purposive sampling. Data were collected through interviews using structured questionnaires and analyzed using univariate analysis. Results: Most respondents were female. Knowledge regarding medication use was predominantly categorized as poor (40.2%), followed by good (37.9%) and moderate (21.8%). The majority of respondents demonstrated positive attitudes toward medication use (75.9%). Drug-use practices were predominantly categorized as moderate (41.4%), followed by good (29.9%) and poor (28.7%). More than half of respondents (51.7%) reported purchasing or consuming medication without a doctor's prescription. Conclusion: Low drug literacy among Manado's coastal community, particularly regarding antibiotic usage, drug classification, and irrational drug use risks. Despite positive attitudes, practice remains moderate with high rates of unsupervised self-medication, highlighting a significant knowledge-to-practice gap that requires urgent health literacy interventions. Suggestion: Continuous health education on rational medicine use and stricter monitoring of prescription-only drug sales are urgently needed. Pharmacists and public health staff should enhance active counseling, while future research should employ analytical designs to identify the underlying factors driving community drug behavior.   Keywords: Antibiotic; Antimicrobial; Coastal Community; Drug Use; Self-medication.
Hubungan pengetahuan, sikap, dan dukungan sekolah dengan kepatuhan konsumsi tablet tambah darah pada remaja putri Salsabiila Salsabiila; Muammar Iksan; Nur Husnul Khatimah; Alkhair Alkhair
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.v20i6.3533

Abstract

Background: Adolescent girls are at risk of anemia due to increased iron requirements during growth and menstruation. Although the iron supplementation program has been implemented, adherence rates regarding the consumption of these supplements remain low. Purpose: To determine the relationship between knowledge, attitudes, and school support and adherence to iron supplementation consumption among adolescent girls. Method: A quantitative study with a cross-sectional design was conducted involving 89 respondents selected via purposive sampling. This research was conducted at State Islamic High School 2 Bima City in April and May 2026. Data were collected using questionnaires and analyzed using the Chi-Square test and multiple logistic regression. Results: Most respondents possessed good knowledge (69.7%) and fair attitudes (59.6%) but perceived school support as inadequate (71.9%); additionally, 52.8% of respondents were non-adherent to consumption. Knowledge was not associated with adherence (p=0.096; OR=2.3), whereas attitudes (p=0.004; OR=3.8) and school support (p=0.020; OR=1.4) showed significant associations. Attitude was the most dominant factor influencing adherence. Conclusion: There is no significant relationship between knowledge and adherence to Iron Supplementation consumption among adolescent girls. Conversely, there are significant relationships between attitudes and school support and adherence to consumption among adolescent girls. Suggestion: Schools need to strengthen education and monitoring regarding consumption. Future research is advised to include factors such as family support, peer support, motivation and side effects.   Keywords: Attitude; Compliance; Iron-Folic Acid Tablets; Knowledge; School Support.
Analisis ketahanan pangan fungsional berbasis kearifan lokal “uma lengge” dalam mendukung pencapaian SDGs Nur Fitrianingsih; Darmin Darmin; Hairunnisah Hairunnisah; Dea Zara Avila
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.v20i6.3540

Abstract

Background: Food security is a strategic issue in sustainable development, directly related to meeting the basic needs of the community. The community of Maria Village, Bima Regency, possesses local wisdom in the form of Uma Lengge, which functions as a traditional food barn for long-term storage of agricultural produce. This system not only maintains food availability but also maintains cultural values ​​and social solidarity. Purpose: To analyze functional food security based on the local wisdom of Uma Lengge in supporting the achievement of sustainable development goals (SDGs). Method: Using a qualitative approach with sociocultural phenomenology, the study was conducted in Maria Village, Wawo District, Bima Regency through participatory observation, in-depth interviews, and documentation with traditional leaders, Uma Lengge users, and the village government. Results: The study shows that Uma Lengge functions as a traditional food storage system that maintains food availability, strengthens social solidarity, maintains local cultural values, and supports the achievement of the SDGs, particularly the goals of zero poverty, zero hunger, and a healthy and prosperous life. Conclusion: Uma Lengge is a form of food security based on local wisdom that remains relevant in supporting sustainable development and can be used as a model for strengthening local food systems. Suggestion: Future research should quantitatively measure the impact of Uma Lengge on household food security status and community nutrition indicators. Furthermore, further studies are needed to integrate traditional food systems with SDG-based regional development programs.   Keywords: Food Security; Local Wisdom; Sustainable Development Goals (SDGs); Uma Lengge.
Predicting outcomes of brain metastases treated with stereotactic radiosurgery using deep learning: A systematic review Mirza Wafiyudin Baehaqi; Shahifa Audy Rahima; Dita Rahmania; Mauliya Sri Sukmawati Wahyudi
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.v20i5.3586

Abstract

Background: Brain metastases are a major cause of morbidity in cancer patients and are commonly treated with stereotactic radiosurgery. However, accurate prediction of post-treatment outcomes, including local control, recurrence, and radiation-induced toxicity, remains a significant clinical challenge. Deep learning has emerged as a promising approach to improve predictive modeling by integrating high-dimensional imaging and clinical data. Purpose: To systematically evaluate the performance and clinical utility of deep learning models in predicting treatment outcomes in patients with brain metastases following SRS. Method: A systematic review was conducted following PRISMA guidelines. After duplicate removal and screening, eligible full-text articles applying deep learning for outcome prediction were included. Risk of bias was assessed using the PROBAST tool. Results: DL approaches included convolutional neural networks, transformers, ensemble models, and hybrid radiomics-DL frameworks. Reported performance was high, AUC values ranging from 0.71 to 0.99. Multimodal models integrating imaging, clinical, and genomic features achieved superior performance (AUC up to 0.945; accuracy up to 0.98) to unimodal approaches Conclusion: Deep learning models show strong potential for predicting outcomes in brain metastases after SRS, However, methodological limitations and heterogeneity remain significant challenges.   Keywords: Brain Metastases; Deep Learning; Stereotactic Radiosurgery; Radiomics; Predictive Modelling.

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