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Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Published by Pusat Riset dan Inovasi Nasional
ISSN : 28278488     EISSN : 2827797X     DOI : https://doi.org/10.55606/jikki.v5i3
Core Subject : Health,
Health Professions Public Health
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia (JIKKI), ISSN: 2827-797X online dan ISSN:2827-8488 cetak. Jurnal JIKKI diterbitkan Amik Veteran Porwokerto, terbit setahun Tiga kali (Maret, Juli dan November) menerapkan proses peer-review dalam memilih artikel berkualitas berdasarkan penelitian ilmiah dan teoritis. JIKKI diterbitkan untuk mengembangkan dan memperkaya diskusi ilmiah bagi para sarjana dan penulis yang menaruh minat pada isu-isu sosial-budaya di Indonesia. Redaksi menerima artikel berbasis teori dan penelitian. Cakupan keilmuan Jurnal ini meliputi bidang Kedokteran dan kesehatan yang meliputi: Ilmu kedokteran komunitas Ilmu kedokteran keluarga Ilmu pendidikan kedokteran Ilmu kedokteran klinis Ilmu kedokteran kerja Ilmu kedokteran olahraga Ilmu kedokteran dasar (biomedik) Ilmu keperawatan dan kebidanan Ilmu kesehatan psikologis Ilmu kesehatan masyarakat Ilmu terapi komplementer
Arjuna Subject : Kedokteran - Farmakologi (Medis)
Articles 431 Documents
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Gambaran Pola Makan Ibu Hamil Kekurangan Energi Kronis Wilayah Kerja Puskesmas Cilacap Selatan II Kabupaten Cilacap Endah Purwatiningsih; Dewi Ambarwati
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.7848

Abstract

Chronic Energy Deficiency (SEZ) in pregnant women is still a significant nutritional problem in Indonesia, contributing to maternal and infant morbidity such as the risk of Low Birth Weight (BBLR). The prevalence of SEZs in Central Java increased from 158,327 cases in 2022 to 344,806 in 2023. At the South Cilacap II Health Center, there were 24 cases of pregnant women in the SEZ out of 175 pregnant women in December 2024. An inadequate diet is often the main cause of SEZs. This study aims to describe the diet of pregnant women with SEZs in the working area of the South Cilacap II Health Center. This study used a quantitative descriptive method by involving as many as 85 pregnant women as respondents, consisting of 26 pregnant women in KEK and 59 pregnant women in non-KEK (as a comparison group). The sampling technique used incidental sampling. Data was collected using the Food Frequency Questionnaire (FFQ), then analyzed descriptively through frequency and percentage distribution. Food intake is the main indicator in the assessment of diet. The majority of pregnant women in KEK (88.5%; 23 out of 26 KEK respondents) have a diet that is categorized as "lacking". On the other hand, in the non-KEK pregnant women, the majority (83.1%; 49 out of 59 respondents) showed a "good" diet. Insufficient nutrition has been shown to be closely correlated with the incidence of SEZs. Maternal health during pregnancy is greatly influenced by the quality and quantity of daily food intake. Balanced nutrition must be met to support fetal growth and maternal health. Nutrition counseling and routine education from health workers are highly recommended. It is suggested that the South Cilacap II Health Center increase health promotion efforts through pregnant women's classes, individual counseling, and the provision of educational materials on a balanced nutritious diet to prevent and overcome KEK in pregnant women.
Evaluasi Program Pengendalian Hipertensi di Puskesmas Darul Imarah Kabupaten Aceh Besar 2022-2024 Natha Bella; Sari Wartini; Putri Nur Ramadhani; Farrah Fahdhiene; Mutia Zahara
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.7918

Abstract

The hypertension control program at the Darul Imarah Community Health Center has been running continuously for the past few years as part of the promotive and preventive efforts in the primary health care system. An evaluation of the program implementation for the period 2022–2024 was conducted to assess the effectiveness and shortcomings of the program based on the IPO-OI (Input, Process, Output, Outcome, Impact) evaluation approach. This study used a descriptive method with a mixed approach, namely qualitative and quantitative, with data obtained through documentation studies of activity reports, field observations, and in-depth interviews with health workers and cadres directly involved in program implementation. The evaluation results show that in terms of input, the program has been supported by the availability of adequate human resources, operational budget support, blood pressure check facilities, regular cadre training, and internal regulations that support program implementation. The target coverage also continues to expand as the number of at-risk populations increases. The implementation process includes routine activities such as hypertension screening, recording and reporting cases, education through counseling groups, and community-based innovations such as the KEPAK (Kendalikan Penyakit Kronis) program, which has been proven to increase community participation. The resulting outputs include an increase in the number of registered hypertension patients from 2,800 in 2022 to 3,500 by the end of 2024, increased follow-up visits, and increased community engagement in the program. Outcomes are evident in the proportion of patients able to control their blood pressure, reaching 80%, and increased adherence to long-term treatment. Meanwhile, the impact of this program is increased public awareness of the dangers of hypertension, improved health literacy, and strengthened community-based primary healthcare systems. Overall, the evaluation results indicate that the hypertension control program at the Darul Imarah Community Health Center is effective and has the potential to be replicated in other areas.
Meninjau Angka Kasus Hipertensi di Puskesmas Lampisang Kecamatan Peukan Bada Kabupaten Aceh Besar Defi Cintia Dewi; Muhammad Fikri; Eni Erlina; Farrah Fadhienie; Melania Hidayat; Dharina Baharuddin
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.7922

Abstract

The working area of the Lampisang Community Health Center, Peukan Bada District, Aceh Besar Regency, has shown an increasing trend in hypertension cases over the past three years, making this disease the most common case treated. Hypertension is one of the main causes of morbidity and mortality due to non-communicable diseases, and is a significant burden both clinically and economically in various countries, including Indonesia. This study aims to conduct the implementation of the hypertension program at the Lampisang Community Health Center in 2022–2024 with a comprehensive evaluation approach that includes input, process, output, outcome, and impact. The evaluation was conducted using quantitative and qualitative descriptive approaches. Data were collected from Posbindu PTM forms, Community Health Center activity reports, and interviews with cadres and health workers. The analysis focused on service achievements, education effectiveness, therapy fulfillment, and long-term impacts on patients and the health care system. During 2022–2024, the number of hypertension patients increased from 320 to 404 cases. Blood pressure screening coverage reached 63.4% in 2024. The percentage of educated patients increased from 56.3% to 73.0%, and therapy adherence reached 62.6% in 2024. Outcomes showed that 64.0% of patients experienced a decrease in blood pressure and 59.0% made positive lifestyle changes. Long-term impacts showed improved early detection, but complications were still found in 36 cases over three years. Key challenges included limited facilities, low service coverage, and minimal village fund allocation for Posbindu (Community Health Post). The hypertension program at the Lampisang Community Health Center (Puskesmas) showed increasing achievements and outcomes year after year. However, program effectiveness still needs to be improved through strengthening facilities, ongoing education, and cross-sector collaboration to significantly reduce the prevalence and complications of hypertension.
Hubungan Peran Tenaga Kesehatan dengan Perilaku Masyarakat dalam Pencegahan Demam Berdarah Dengue di Wilayah Puskesmas Purwosari Yully Kurniawati; Mulyaningsih Mulyaningsih
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.7928

Abstract

Jajar Village has been identified as the area with the highest risk of Dengue Hemorrhagic Fever (DHF) within the Purwosari Health Center Work Area. Several environmental and demographic factors contribute to this elevated risk, including the village’s proximity to a river, high population density, presence of stagnant water that facilitates mosquito breeding, and scattered waste that serves as additional breeding sites. Although health workers have implemented various DHF prevention programs, their execution has not yet reached optimal effectiveness. Objective: This study aimed to determine the relationship between the role of health workers and community behavior in preventing DHF in the Purwosari Health Center Work Area. Methods: A quantitative approach was employed using a correlational analytic design with a cross-sectional framework. The study population consisted of 549 individuals, from which 56 respondents were selected as the sample through purposive sampling. Data collection was conducted using structured questionnaires assessing both the perceived role of health workers and community preventive behaviors. Statistical analysis was carried out using univariate and bivariate techniques to explore the association between variables. Results: The majority of respondents were female, in their early twenties, and had completed senior high school education. Most respondents (88.2%) rated the role of health workers as good, while 82.4% demonstrated good behavior in preventing DHF, including eliminating mosquito breeding sites and maintaining environmental cleanliness. Bivariate analysis revealed a statistically significant relationship between the role of health workers and community behavior in DHF prevention, indicating that greater health worker involvement is associated with improved preventive actions among residents. Conclusion: The findings highlight that the active and effective role of health workers plays a critical role in shaping positive community behavior toward DHF prevention. Strengthening health worker engagement and sustaining community education programs are recommended to reduce DHF incidence in high-risk areas.
Pengaruh Spiritual Emotional Freedom Technique (SEFT) terhadap Tekanan darah pada Lansia dengan Hipertensi Aminatun Indah Kumalasari; Riyani Wulandari
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.7930

Abstract

The global elderly population (>60 years) has reached 1.4 billion, with a high vulnerability to cardiovascular disease, including hypertension, which affects approximately 1.28 billion individuals worldwide. Hypertension in the elderly is often chronic and requires long-term management, both pharmacological and non-pharmacological approaches. While antihypertensive medications have proven effective, long-term side effects can include kidney disorders, electrolyte imbalances, and decreased quality of life due to drug dependence. Therefore, the development of non-invasive, affordable, and low-risk alternative interventions is crucial. One non-pharmacological approach currently being studied is the Spiritual Emotional Freedom Technique (SEFT), an emotional healing method that combines spiritual elements, positive affirmations, and stimulation of the body's meridian points. SEFT works through the autonomic nervous system and is believed to reduce psychological stress that contributes to high blood pressure. This therapy is easy to learn, can be performed independently, and does not require special equipment, making it highly suitable for use in elderly communities with limited access to advanced medical services. The purpose of this study was to determine the impact of SEFT therapy on blood pressure in hypertensive elderly people at the Nakula Elderly Integrated Health Post (Posyandu). This study also aims to provide a scientific basis for developing a spiritual and emotional-based community intervention model to lower blood pressure in the elderly, while supporting a promotive-preventive approach in the primary health care system. Furthermore, it is important to understand that blood pressure in the elderly is influenced not only by physiological factors but also by psychological conditions such as stress, anxiety, and feelings of loneliness, which are common in old age.
Hubungan Tingkat Stres dengan Kejadian Hipertensi pada Lansia di Panti Sosial Tresna Werdha Natar Fitri Julianti; Rika Yulendasari; Eka Yudha Chrisanto
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.7939

Abstract

Introduction: Numerous reactions, including behavioral, emotional, cognitive, and physiological ones, are brought on by stress. The hormone adrenaline causes the arteries to tighten (vasoconstriction) and the heart rate to rise in response to stress, which raises blood pressure. Objective: At the Tresna Werdha Natar Social Home in South Lampung Regency, this study is to determine the association between stress levels and the prevalence of hypertension among the elderly in 2025.Method: This type of research uses a quantitative approach with a cross-sectional design. The population in this study is all elderly people in the Tresna Werdha Natar Social Home, South Lampung Regency in 2025 as respondents and stress levels are measured using a validated questionnaire while hypertension status is determined based on measurements. blood pressure according to WHO standards. In this study the sampling techniques used were total sampling and purposive sampling.Results: Based on the results of the study, it shows that out of 30 respondents who did not experience stress were 8 respondents (26.7%), and mild stress with 12 respondents (40.0%), moderate stress with 1 respondent (3.3%), and those who experienced severe stress were 6 respondents (20.0%). and some who experienced very severe stress with 3 respondents (10.0%).And respondents who experienced hypertension level 1 with a total of 18 respondents (60.0%), while hypertension level 2 amounted to 7 people (23.3%) and hypertension level 3 amounted to 5 respondents (16.7%). Stress levels and hypertension in the Tresna Werdha social home are significantly correlated, according to the statistical test results, which showed a p-value of 0.005 <0.05.Conclusion: The prevalence of hypertension among senior citizens at the Tresna Werdha communal home in 2025 is correlated with stress levels.Suggestion: It is hoped that it can increase knowledge about stress prevention, especially in the elder.
Gambaran Tentang Perilaku Hidup Bersih dan Sehat (PHBS) pada Siswa/Siswi di Sekolah Dasar Negeri 02 Bejen Karanganyar Paramastri Sita Nabila; Dewi Kartika Sari
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.7968

Abstract

There are still behaviors that do not align with the principles of Clean and Healthy Living Behavior (PHBS), such as littering, not washing hands with soap, and limited sanitation facilities available. According to UNICEF data (2023), the lack of handwashing habits is one of the leading causes of death from diarrhea, with 25,671 cases of diarrhea recorded in Karanganyar Regency. This study aims to assess the clean and healthy living behavior (PHBS) of students at SDN 02 Bejen Karanganyar based on eight main PHBS indicators. This research uses a descriptive quantitative method with a survey approach and stratified random sampling for data collection. The population consists of 373 students from grades I to VI, and a sample of 79 students was selected. The instrument used was a questionnaire consisting of 17 questions related to PHBS. The results show that the level of PHBS among the students of SDN 02 Bejen Karanganyar falls into the very good category, with 62% of the students in this range. The highest-scoring indicators are healthy snack consumption and waste disposal, with a percentage of 98.1%. However, the indicator for using latrines has the lowest score, which is 80.4%. The conclusion of this study is that while the clean and healthy living behavior of the students at SDN 02 Bejen Karanganyar is already quite good, improvements are still necessary, especially for the latrine usage indicator. These improvements can be achieved through continuous education on the importance of cleanliness and health, as well as improvements in supporting facilities in the school environment, such as better sanitation facilities. It is expected that with these efforts, students' awareness of PHBS will increase, and healthy living behaviors will become more integrated into their daily lives.
Gambaran Tingkat Kecemasan Warga tentang Bencana Tanah Longsor Akibat Penambangan Liar di Desa Paseban Klaten Herawati, Nora; Susilowati, Tri
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.7990

Abstract

Landslides are natural disasters that cause significant harm to communities, commonly triggered by extreme geomorphological conditions and tropical climates. In Indonesia, 809 landslide incidents have been recorded. These disasters not only disrupt daily life but also impact mental health. While many individuals exhibit normal psychological responses, others may experience disorders such as PTSD, psychosis, depression, and severe anxiety. Objective: To identify the characteristics of respondents and describe the anxiety levels of residents regarding landslides caused by illegal mining in Paseban Village, Klaten. Method: This study employed a descriptive quantitative design using cluster random sampling. The total population was 5,393, with 98 respondents selected as the sample. Results: Most respondents were adults aged 20–44 years (40.8%) and female (58.2%). The majority had an elementary school education (46.9%). The residents' anxiety level regarding landslides caused by illegal mining was predominantly in the mild anxiety category (43.9%). Conclusion: The majority of residents in Paseban Village, Klaten, experienced mild anxiety related to landslide disasters caused by illegal mining.
Pengaruh Metode Peer Education Terhadap Perubahan Pengetahuan dalam Pencegahan Skabies di Pesantren Aceh Besar Dewi Sartika
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.8008

Abstract

Scabies is a contagious skin disease that remains a significant public health problem, particularly in developing countries such as Indonesia. This disease is commonly found in densely populated environments, including Islamic boarding schools and orphanages, where close physical contact and limited sanitation practices facilitate rapid transmission. Effective prevention of scabies requires adequate knowledge, awareness, and healthy behavioral practices among individuals at risk. Therefore, innovative educational strategies that are participatory and contextual are urgently needed. This study aims to analyze the effect of health education using the peer education method on students’ knowledge in preventing scabies. The research applied a quasi-experimental design with a one-group pre-test and post-test approach. The population of the study consisted of all students in the selected institution, and the total sampling technique was used so that every student became part of the research sample. Data were collected through structured questionnaires assessing knowledge about scabies transmission, symptoms, prevention, and treatment. Statistical analysis was performed using the paired sample t-test to measure differences between pre-test and post-test scores. The results of the study showed a significant increase in students’ knowledge after receiving health education through peer education. The paired sample t-test revealed a p-value of 0.000, which is less than 0.05, indicating a statistically significant difference between pre-test and post-test results. These findings demonstrate that peer education is an effective method for improving knowledge in scabies prevention. By involving peers as educators, the program fosters more interactive communication, increases student engagement, and enhances the likelihood of knowledge retention and behavioral change. In conclusion, health education using the peer education method has a positive impact on students’ knowledge regarding scabies prevention.
Efektivitas Terapi Dzikir dalam Menurunkan Risiko Perilaku Kekerasan pada Pasien Skizofrenia di Panti Gramesia Cirebon Ruswati Ruswati; Berlian Ayu Rahmawati; Duri Harto
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.8020

Abstract

Schizophrenia is a chronic mental disorder characterized by disturbances in the mind, emotions, and behavior that can affect an individual's ability to carry out daily activities. According to the World Health Organization (WHO, 2022), there are approximately 24 million people with schizophrenia worldwide, while in Indonesia the prevalence reaches 1.8 per 1,000 population. This condition is often accompanied by the risk of violent behavior that can harm oneself and others. Based on data from the Panti Gramesia Cirebon, 24 patients were recorded at risk of violent behavior due to schizophrenia. One intervention that can be provided to reduce this risk is spiritual therapy, specifically through the practice of dhikr, which is believed to provide mental peace and reduce agitation levels in patients. This paper uses a case study design with a nursing process approach that includes the stages of assessment, establishing a nursing diagnosis, intervention planning, implementation, and evaluation. The case subject is Ms. S, a patient at risk of violent behavior due to schizophrenia. The intervention provided was spiritual therapy dhikr for three consecutive days with the assistance of a psychiatric nurse. The implementation results showed a decrease in symptoms in the form of reduced verbal threats, decreased agitation, increased patient cooperation, and active participation in spiritual activities. Further evaluation showed the achievement of short-term and long-term goals, namely a reduced risk of violent behavior and increased emotional calm of the patient. The findings of this case study indicate that spiritual therapy dhikr is an effective intervention that can be applied in psychiatric nursing care, especially for schizophrenia patients at risk of violent behavior. Therefore, it is recommended that dhikr therapy be made a routine and integrated intervention in healthcare facilities to support patient recovery holistically.

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