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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 377 Documents
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Pengaruh Pemberian Fraksi Etil Asetat Daun Kelor (Moringa Oleifera Lamk.) terhadap Daya Ingat Mencit Jantan dengan Menggunakan Metode Labirin Y-Maze Bagas Ardiyantoro; Muhamad Farid Nurohman Krisnadi; Danang Raharjo
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.v5i3.8021

Abstract

Memory decline is an early symptom of neurodegenerative disorders such as dementia, often caused by oxidative stress due to an imbalance between the production of Reactive Oxygen Species (ROS) and the body’s antioxidant defense system. Moringa leaves (Moringa oleifera Lamk.) are known to contain flavonoids, particularly quercetin, which exhibit antioxidant activity and are potentially beneficial for cognitive function. This study aimed to evaluate the effect of the ethyl acetate fraction of Moringa leaves on memory improvement in male mice induced with 10% ethanol. The ethyl acetate fraction was obtained through maceration using 70% ethanol, followed by fractionation with ethyl acetate. A total of 25 male mice were divided into five groups: negative control (1% CMC Na), positive control (Ginkgo biloba 60 mg/kgBW), and three treatment groups receiving the ethyl acetate fraction of Moringa leaves at doses of 50, 100, and 150 mg/kgBW. Memory performance was assessed using the Y-Maze method, consisting of three phases: acclimatization (T0), induction (T1), and treatment (T2). Data were analyzed using one-way ANOVA followed by Duncan’s post hoc test.The results showed that the ethyl acetate fraction of Moringa leaves significantly (p value < 0.05) reduced error counts and latency time, with the most optimal effect observed at a dose of 150 mg/kgBW. This dose led to a significant improvement in memory performance compared to the control groups, including the positive control. These findings suggest that the ethyl acetate fraction of Moringa leaves has a more effective potential to enhance memory compared to the positive control, with a time difference of 40 seconds and an error rate difference of 11.67%.
Manajemen Pemberian Foot Massage sebagai Intervensi Keperawatan Maternitas Nyeri Akut Akibat Post Operasi Sectio Caesarea di RSD Gunung Jati Kota Cirebon Marwati Marwati; Tasya Dwi Amanda
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.v5i3.8023

Abstract

Caesarean section (CS) is a surgical delivery method whose incidence continues to increase globally. The World Health Organization (2021) reports that approximately 21% of births worldwide are by CS, and this figure is expected to increase to 29% by 2030. In Indonesia, 21.4% of mothers still experience labor complications, while in Cirebon City, approximately 2,700 mothers gave birth in 2024. One of the main problems after CS is acute pain, which is reported to be experienced by 60% of patients within the first 24 hours despite analgesic therapy. This condition can affect patient comfort, sleep quality, and mobility. Therefore, additional safe and effective interventions are needed to help reduce postoperative pain. One non-pharmacological method that has proven beneficial is foot massage, which can increase relaxation, improve blood circulation, and reduce pain perception. This case study was conducted on Mrs. L, a post-CS patient at Gunung Jati Regional Hospital. Foot massage intervention was given for 15 minutes, twice daily, for three consecutive days. Pain levels were measured using the Numerical Rating Scale (NRS). The results showed a decrease in pain from a scale of 7 before the intervention to a scale of 4 after three days of foot massage. The patient reported feeling more comfortable, improved sleep quality, and improved mobility, with no side effects observed. The conclusion of this case study is that foot massage therapy is effective in reducing acute pain in post-C-section patients and can be used as an additional intervention in maternity nursing practice. Nurses are advised to implement this therapy as part of comprehensive care to help reduce pain from surgical wounds and improve the quality of maternal recovery after C-section.
Evaluasi Program Hipertensi di Puskesmas Beutong Kabupaten Nagan Raya Sari Wartini; Natha Bella; Putri Nur Ramadhani; Dharina Baharuddin; Asnawi Abdullah
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.v5i3.8030

Abstract

Hypertension is a non-communicable disease that poses a major challenge to the health system, particularly in rural areas. Community health centers (Puskesmas), as first-level service facilities, play a crucial role in the early detection, control, and prevention of hypertension complications. However, the achievement of Minimum Service Standards (SPM) targets is often hampered by various factors. This study aims to evaluate the implementation of the hypertension prevention and control program at the Beutong Community Health Center, Nagan Raya Regency, and to identify supporting and inhibiting factors in achieving program targets. The study used a mixed methods approach with formative and summative evaluation designs. Quantitative data were collected through secondary documents, while qualitative data were obtained through field observations and in-depth interviews with health workers and cadres. The evaluation was conducted using an input–process–output–outcome approach. Data analysis was descriptive and thematic with source triangulation to enhance validity. The evaluation results indicate that from the input side, the availability of tools and human resources is still limited, especially in Posbindu activities. In terms of process, screening and education are ongoing but not evenly distributed across all work areas. From the output side, the coverage of hypertension case examinations and detection has not yet reached the SPM target. The outcomes indicate that patient adherence to treatment and healthy lifestyle changes still need to be improved. The main inhibiting factors include lack of community participation, limited facilities, and suboptimal recording and reporting. The hypertension program at the Beutong Community Health Center (Puskesmas) has been running but is not yet optimal. Strengthening logistics, information systems, empowering cadres, and improving community education are needed to support the achievement of Minimum Service Standards (SPM) and reduce the number of complications caused by hypertension.  
Senyawa Metabolit Sekunder pada Daun Kelengkeng dan Daun Jeruk Limau yang Berkhasiat sebagai Obat Tradisional Rifda Naufa Lina; Anggita Dipika Wulandari; Laelatul Husniyah
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.v5i3.8041

Abstract

Public interest in natural remedies has increased significantly in recent years, leading to a growing reliance on traditional medicinal plants as alternative or complementary therapies. Among the plants widely used across generations in various cultural practices are longan leaves (Euphoria longan (Lour.) Steud) and kaffir lime leaves (Citrus amblycarpa (Hassk.) Ochse). Both are believed to possess a variety of health-promoting properties and have long been utilized in traditional medicine for their therapeutic potential. Despite their popularity, scientific investigations that specifically explore their phytochemical composition and pharmacological activities remain limited. This study was therefore conducted to examine the secondary metabolite content of both plants and to evaluate their potential as sources of bioactive compounds. The extraction process was carried out using the maceration technique with 96% ethanol as a solvent, followed by a series of phytochemical screening tests. The analysis aimed to identify the presence of key classes of secondary metabolites such as flavonoids, alkaloids, tannins, saponins, terpenoids, and steroids, which are known to contribute to various biological activities including antioxidant, anti-inflammatory, antimicrobial, and hepatoprotective effects. The results revealed that both longan and kaffir lime leaves tested positive for all targeted secondary metabolite groups. The consistent presence of flavonoids, alkaloids, tannins, saponins, terpenoids, and steroids suggests that these plants hold considerable pharmacological promise. Their metabolite profiles align with the reported therapeutic uses of these leaves in traditional medicine, providing scientific support for their continued application as herbal remedies. Overall, this research strengthens the understanding of Euphoria longan and Citrus amblycarpa as potential sources of phytopharmaceuticals. The findings not only validate their traditional medicinal uses but also highlight their potential in the development of natural-based drug formulations. Further in-depth studies, including isolation of active compounds and pharmacological assays, are recommended to fully characterize their therapeutic properties and clinical applications.
Pengaruh Brisk Walking Exercise terhadap Nilai Tekanan Darah pada Lansia Penderita Hipertensi di Posyandu Nusa Indah Kabupaten Sukoharjo Kharisma Wahyu Widodo; Eska Dwi Prajayanti
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.v5i3.8043

Abstract

Old age is a phase of change caused by the aging process. One of the health problems experienced by the elderly is hypertension. Hypertension in the elderly usually occurs due to degenerative factors. to determine the effect of brisk walking exercise on blood pressure in elderly people with hypertension. using experimental Quasy with one group pre-test and post-test design. A sample of 33 respondents was selected using purposive sampling techniques. Bivariate test using the Wilcoxon test. The intervention was carried out three times in one week, with a duration of 20 minutes per session. univariate test results before 154.52/93.70 mmHg and after 146.33/86.30 mmHg. The results of the bivariate test showed a significant decrease in systolic and diastolic blood pressure after the intervention (p < 0.05). This study is effective in lowering blood pressure in elderly people with hypertension. So there is an effect of the intervention  of brisk walking exercise on the blood pressure value of elderly people with hypertension at Posyandu Nusa Indah, Cemani Village.
Pengaruh Isometric Handgrip dan Relaksasi Nafas dalam terhadap Mean Arterial Pressure pada Penderita Hipertensi di Puskesmas Juwiring Klaten Zayrika, Neiska Lala Putri; Hermawati Hermawati
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.v5i3.8044

Abstract

Hypertension is one of the non-communicable diseases that is a leading cause of death worldwide, with a prevalence of 341,727 hypertensive patients in Klaten District. In Juwiring Subdistrict, there were 15,951 residents in 2023. Hypertension treatment can be conducted using non-pharmacological methods such as isometric handgrip and deep breathing relaxation. To determine the effect of isometric handgrip exercise and deep breathing relaxation therapy on Mean Arterial Pressure in hypertensive patients at the Juwiring Health Center, Klaten. A quasi-experimental design with a two-group pretest-posttest approach was used. The study population consisted of 126 individuals, with a sample of 62 respondents divided into an intervention group and a control group, each comprising 31 respondents, selected using purposive sampling. The intervention was conducted over five days, with each session lasting approximately four minutes. The Mann-Whitney MAP test yielded a p-value of 0.000 < 0.05, indicating a significant difference in MAP reduction after the intervention. This study found that isometric handgrip and deep breathing relaxation therapy are effective in lowering MAP in hypertensive patients. The intervention can serve as an alternative in hypertension management and improve quality of life.
Studi Kasus Teknik Pemeriksaan Radiografi Ossa Pedis Pediatrik dengan Klinis Congenital Talipes Equino Varus (CTEV) di Rumah Sakit Islam Kendal Irmawati, Seli; Meita Astari, Fisnandya; Maharani, Ayu
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.v5i3.8047

Abstract

Congenital Talipes Equino Varus (CTEV) is a congenital foot deformity that is commonly found in pediatric patients, with a fairly high prevalence in Indonesia. Radiographic examination of the foot becomes important to assess the degree of deformity and assist in therapy planning. The projections used in cases of Congenital Talipes Equino Varus (CTEV) include the anterior-posterior (AP) projection (Kite Method), lateral projection (Kite Method), and axial dorsoplantar projection (Kandel Method). The objective of this study is to identify the examination techniques for pediatric feet with clinical congenital talipes equino varus (CTEV) and to understand the reasons for using the anteroposterior (AP) and lateral (Kite method) projections. This research uses a qualitative method with a case study approach. Data were collected through observation, interviews, and documentation on five pediatric patients diagnosed with CTEV who underwent foot radiographic examinations at the Radiology Installation of Islamic Hospital Kendal. Data analysis was conducted to compare the radiographic examination techniques applied at RSI Kendal with the recommended radiographic projection standards in the literature, as well as to assess their impact on image quality and diagnostic accuracy. Results radiographic examination of the feet in pediatric patients with CTEV at RSI Kendal was performed without any special preparation, other than removing metal objects from the area being examined. The equipment used includes a CR X-ray machine, 24x30 cm cassette, computer, printer, and image reader. The examination was conducted with two projections, namely anteroposterior (AP) and lateral, both with the patient in a supine position and the X-ray beam perpendicular to the cassette. The FFD used was 100 cm with an exposure factor of 4 mAs and 40-50 kVp. This technique is deemed sufficient to produce diagnostic images in cases of CTEV. Conclusions, pediatric foot examination techniques with two projections (AP and lateral) are deemed effective in establishing the diagnosis of CTEV and producing optimal diagnostic images. The aim of using the anteroposterior (AP) projection is to assess the talo first metatarsal angle and the talocalcaneal angle, while the lateral projection helps to evaluate the laterocalcaneal angle. To achieve better visualization of the foot anatomy, it is advisable to add an axial dorsoplantar projection to enhance the quality of visualization of the anatomical structures of the foot.
Hubungan Keragaman Pangan, Konsumsi Makan, dan Status Ekonomi Keluarga terhadap Status Gizi Siswa SMP XYZ Qurbani, Nabila Mahadita; Ayu Mutiara Santanu; Widya Astuti; Isti Kumalasari
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.v5i3.8066

Abstract

Adolescents are an age group that is in a period of rapid growth and development so that their nutritional needs are relatively high. However, adolescents are also classified as vulnerable to experiencing nutritional problems. Factors that affect the nutritional status of adolescents include the diversity of food available, daily consumption habits, and family socioeconomic conditions. This study aims to analyze the relationship between food diversity, consumption patterns, and family economic status to the nutritional status of junior high school students in the city of Bandung. The study used a cross-sectional design with a quantitative approach, involving 43 students selected through purposive sampling. Data were collected through interviews using the Household Dietary Diversity Score (HDDS) questionnaire to assess family food availability, the Individual Dietary Diversity Score (IDDS) to measure individual food diversity, and a 2x24-hour food recall to determine the adequacy of nutrients. The economic status of the family was determined by the Kuppaswamy scale, while anthropometric measurements were carried out using microtoa and digital scales to determine the height and weight of the respondents. The results showed that economic status was positively significantly related to nutritional status (r = 0.389). This means that the better the family's economic status, the better the nutritional status of adolescents. In contrast, food diversity had a negative relationship with nutritional status (r = -0.030), as well as IDDS scores (r = -0.068). This shows that the variety of food consumed by adolescents is not always directly proportional to nutritional quality, because the factors of amount, portion, and balance of nutrients are also very decisive. In conclusion, the economic status of families influenced by education, type of work, and income level of parents plays an important role in maintaining the nutritional adequacy of adolescents.
Gambaran Tingkat Kecemasan Penderita Diabetes Melitus di Prolanis Puskesmas Cepogo Salsabilla Az Zahra; Eska Dwi Prajayanti
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.v5i3.8071

Abstract

Diabetes mellitus (DM) is a chronic condition characterized by elevated blood glucose levels due to impaired insulin production or function. This disease is progressive and cannot be fully cured, often causing significant psychological burdens, including anxiety, in sufferers. Anxiety can negatively impact disease management, medication adherence, and the overall quality of life of sufferers. To address this problem, the Chronic Disease Management Program (Prolanis), initiated by BPJS Kesehatan, is one of the Indonesian government's strategic efforts. This comprehensive and sustainable program aims to prevent complications and improve the quality of life of chronic patients, including DM sufferers, through promotive, preventive, curative, and rehabilitative approaches involving a multidisciplinary health team. This study aims to determine the level of anxiety in diabetes mellitus sufferers participating in the Prolanis program at the Cepogo Community Health Center. The approach used was a quantitative descriptive approach with a simple random sampling technique and involved 57 respondents. The results showed that the majority of DM sufferers experienced mild anxiety (54.4%), followed by moderate anxiety (22.8%), severe anxiety (19.3%), and no anxiety (3.5%). Respondents were predominantly middle-aged (82.5%), female (68.4%), and had diabetes for ≤ 5 years (80.7%). Based on these results, it can be concluded that most DM patients in the Prolanis program at the Cepogo Community Health Center experienced mild anxiety, especially in the middle-aged and female groups with a relatively short disease duration. These findings demonstrate the importance of psychological interventions, ongoing education, and emotional support in the care of DM patients to improve their mental resilience and overall quality of life. An active role for healthcare workers in routinely monitoring the psychological aspects of patients is needed to support more effective DM management.
Hubungan Tingkat Pengetahuan Ibu Hamil Tentang Anemia dengan Kejadian Anemia pada Ibu Hamil di Wilayah Puskesmas Cilacap Selatan I Kabupaten Cilacap Tahun 2025 Nuryanti Nuryanti; Ima Syamrotul Muflihah
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.v5i3.8103

Abstract

Anemia is a significant public health concern, particularly among pregnant women, as it can adversely affect both maternal and fetal health. During pregnancy, the body’s iron requirements increase due to the demands of the growing fetus and the increased blood volume in the mother. Iron deficiency anemia (IDA) is the most common type of anemia among pregnant women, and it can lead to complications such as preterm birth, low birth weight, and maternal morbidity. Adequate iron intake is crucial for preventing anemia, and adherence to iron supplementation is essential for managing and preventing this condition. Knowledge of anemia, including its causes, consequences, and prevention methods, is a key factor influencing the adherence to iron tablet consumption among pregnant women. Women with better knowledge are more likely to understand the importance of iron supplementation and are more consistent in taking their prescribed iron tablets. In contrast, those with limited knowledge may fail to recognize the significance of proper nutrition and the necessity of adhering to medical recommendations. Health education interventions have been shown to improve maternal knowledge about anemia and, in turn, enhance compliance with iron supplementation regimens. The findings of this study underscore the relationship between maternal knowledge and the occurrence of anemia during pregnancy. It was found that women with good knowledge about anemia had a lower incidence of the condition. This emphasizes the need for health education programs at the community level to enhance awareness and promote the importance of iron supplementation. Health professionals should focus on educating pregnant women about the risks of anemia, the benefits of iron tablets, and the proper consumption methods to reduce the prevalence of anemia and improve maternal and fetal health outcomes.  

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