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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 430 Documents
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Evaluasi Pengelolaan Obat Antibiotik di Puskesmas dalam Mendukung Program Pengendalian Resistensi Antimikroba Aisyah Qinthara Nabila Putri; Rasmi Zakiah Oktarlina; Ayu Tiara Fitri; Juspeni Kartika
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 1 (2026): Maret : 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.v6i1.9537

Abstract

Antimicrobial resistance (AMR) represents a serious global health threat caused by the irrational use of antibiotics. In Indonesia, this issue has become more complex due to the high rate of antibiotic purchases without prescriptions and weak distribution control. This study aims to evaluate the effectiveness of antibiotic management in community health facilities, particularly Puskesmas, and to identify factors influencing antibiotic use practices in support of the national antimicrobial resistance control program. A qualitative method with a literature study approach was used, reviewing national and international scientific sources, including WHO reports, the Indonesian Ministry of Health, and the National Action Plan for Antimicrobial Resistance Control (RAN-PRA) 2020–2024. The findings show that approximately 41% of antibiotics are still obtained without prescriptions, and 70.75% of pharmacies in Indonesia continue to sell antibiotics freely. Both public and healthcare workers’ awareness of AMR remains low, as antibiotics are often misused for viral infections. Although national policies such as RAN-PRA adopt a One Health approach, their implementation still faces challenges, including limited resources, weak monitoring, and regional disparities. Puskesmas plays a strategic role in education, supervision, and reporting on antibiotic use but requires capacity strengthening and intersectoral collaboration. This study concludes that AMR control demands synergy among government, medical professionals, academics, and the public through enhanced education, stricter antibiotic distribution control, and evidence-based policymaking. Continuous efforts are essential to preserve antibiotic effectiveness and strengthen Indonesia’s national health resilience against global antimicrobial resistance threats.
Masa Kerja sebagai Faktor Risiko Gangguan Fungsi Paru pada Pekerja yang Terpapar PM10: Tinjauan Literatur Fitri Maharani; Winda Trijayanthi Utama; M. Yogie Fadli; Sutarto Sutarto
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 1 (2026): Maret : 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.v6i1.9539

Abstract

Occupational exposure to particulate matter (PM₁₀) represents a significant health risk. Although the association between PM₁₀ exposure levels and impaired lung function has been well demonstrated in numerous studies, epidemiological literature shows highly contradictory findings regarding the relationship between exposure duration, commonly measured as “Length of Service” and lung function. To explore the sources of this inconsistency, this review examined literature published between 2020 and 2025 using a narrative synthesis approach. The analysis revealed that the divergent findings are not driven by biological factors, but rather by systematic methodological limitations. Non-significant results in several studies can be attributed to three major weaknesses: (1) Length of Service is a weak proxy variable that fails to capture the crucial intensity (dose) of exposure; (2) substantial statistical multicollinearity between Length of Service and Age, which distorts the estimated associations; and (3) the Healthy Worker Effect (HWE), a selection bias that is almost inevitable in occupational epidemiology studies especially those using cross-sectional designs, which systematically attenuates true associations. Therefore, non-significant findings related to Length of Service should not be interpreted as evidence of the absence of harm from chronic exposure. The relationship likely exists but is “masked” by design biases and the limitations of a weak proxy. Future research should avoid relying on Length of Service as a sole exposure indicator and instead adopt cumulative exposure metrics that are more representative.
Analisis Perbandingan Protein Hewani dan Nabati dalam Memenuhi Asupan Protein Harian Zahira Farini Hasbani; Dian Isti Angraini; Terza Afika Happy; Reni Zuraida
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 1 (2026): Maret : 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.v6i1.9542

Abstract

Protein is an essential macronutrient that plays a crucial role in growth, tissue repair, enzyme and hormone synthesis, and in supporting metabolic and immune functions. This study aims to comparatively analyze the effectiveness of animal and plant proteins in meeting daily protein requirements. The method used is a literature review by examining 19 scientific journal articles and official reports that discuss the role of protein, amino acid quality, bioavailability, and the long‑term health impacts of each protein source. The analysis shows that animal protein has high biological quality, contains all essential amino acids, and is easily absorbed by the body, making it effective in supporting growth, muscle mass development, and metabolic functions. Meanwhile, plant protein, although some sources lack certain essential amino acids, offers long‑term health benefits, is low in cholesterol, high in fiber, and environmentally friendly. Combining various plant protein sources can ensure the intake of all essential amino acids. In conclusion, the optimal strategy for meeting daily protein needs is to combine animal and plant proteins, thereby supporting high nutritional quality, optimal growth and body function, as well as long‑term health and environmental sustainability. These findings provide an important reference for the general public, nutritionists, and policymakers in designing healthy and balanced dietary patterns.
Peran Asupan Zink dan Vitamin D terhadap Perkembangan Kognitif dan Fisik Anak Rojwa Azka Syakira; Dian Isti Angraini; Muhammad Aditya; Reni Zuraida
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 1 (2026): Maret : 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.v6i1.9543

Abstract

Physical and cognitive development in children are strongly affected by adequate intake of zinc and vitamin D, as both nutrients play essential roles in bone formation, motor skills, immune function, and neurocognitive processes such as memory and learning. This review compiles evidence from studies published over the last decade showing that sufficient zinc intake is linked to improved linear growth, neuromuscular coordination, and overall motor performance. Meanwhile, vitamin D supports optimal absorption of calcium and phosphorus, promotes skeletal integrity, and may also contribute to cognitive development. Several studies emphasize the synergistic relationship between zinc and vitamin D, particularly through vitamin D receptor activity that involves zinc-finger domains, highlighting how deficiencies in both nutrients can increase the risk of impaired growth and cognitive delays in children. The findings underscore the importance of ensuring adequate nutritional intake through balanced diets, appropriate sunlight exposure, food fortification programs, and targeted supplementation for vulnerable populations. Addressing these nutritional needs is crucial for supporting optimal physical growth, brain development, and long-term health outcomes in children.
Hubungan Kadar Kalsium-Fosfat Terhadap Derajat Pruritus dan Kualitas Hidup Pada Pasien Penyakit Ginjal Kronis Yang Menjalani Hemodialisis Di Rumah Sakit Prof. Dr. Chairuddin P. Lubis Universitas Sumatera Utara Azzuhra Putri Siregar; Dina Arwina Dalimunthe; Abdul Halim Raynaldo; Andre Marolop Pangihutan Siahaan
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 1 (2026): Maret : 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.v6i1.9576

Abstract

Background. Chronic kidney disease (CKD) remains a significant global health issue because it often leads to long-term complications that affect patients’ physiological and functional status. One factor that may influence disease progression and symptom burden is the imbalance of calcium and phosphate levels. Objective. This study aims to evaluate the association between calcium–phosphate levels, the severity of pruritus, and the quality of life in CKD patients receiving hemodialysis at Prof. dr. Chairuddin P. Lubis Hospital, Universitas Sumatera Utara, Medan. Methods. A correlational analytic design was employed using the Slovin formula, resulting in 63 respondents selected through a cross-sectional approach. Data were obtained from laboratory findings, medical records, and standardized questionnaires collected between August and October 2025. Results. Most respondents were in the 46–65-year age group (54%), with women representing 55.6% of the sample. A total of 58.7% were unemployed, 31.7% identified as Batak, and 58.7% had completed senior high school. Nearly half of the patients had undergone hemodialysis for more than 36 months (45%), and 62.5% presented with normal calcium–phosphate levels. Moderate pruritus, assessed using the 5D Itch Scale, was the most common category (56.3%), while the KDQOL-36 indicated that 45.3% of patients had a moderate quality of life. Statistical testing revealed a significant association between calcium–phosphate levels and pruritus severity (p = 0.044), as well as quality of life (p = 0.011). Conclusion. Calcium–phosphate balance is significantly related to both pruritus severity and quality of life in CKD patients undergoing hemodialysis at RS CPL USU.
Hubungan Pengetahuan Ibu dengan Kepatuhan Pemberian Imunisasi Measles Rubella (MR 1) pada Bayi di Wilayah Kerja Puskesmas Saritani Ni Kadek Puryanti
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 1 (2026): Maret : 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.v6i1.9593

Abstract

Measles Rubella (MR) immunization plays a crucial role in protecting children from measles and rubella, both of which can lead to severe disability or even death. The effectiveness of this immunization program largely depends on mothers’ level of knowledge and their consistency in ensuring their children receive vaccines on schedule. This study aimed to examine the relationship between maternal knowledge and adherence to the Measles Rubella (MR 1) immunization among infants in the Saritani Public Health Center area. A quantitative approach with a cross-sectional design was applied. The study population included 168 mothers with infants aged 9–12 months, and 62 of them were selected as respondents through convenience sampling. Data were gathered using a structured questionnaire measuring mothers’ knowledge and adherence, adapted from the instrument developed by Rosada Uli Simangunsong (2021). The data were analyzed using the Chi-Square test in Microsoft Excel with a 0.05 significance threshold. The results revealed that most mothers had a moderate level of knowledge (61.29%) and low adherence (58.06%). The Chi-Square analysis produced a p-value of 0.028 (p < 0.05), demonstrating a significant association between knowledge and adherence to MR immunization. These findings suggest that maternal knowledge plays an important role in determining immunization adherence. Strengthening health education, enhancing the involvement of health workers and Posyandu cadres, and developing innovative immunization reminder systems are necessary to increase MR immunization coverage in the community.
Stress Kerja pada Perawat di Rumah Sakit Fairuz Khanza Amalia; Fitria Saftarina; Putri Damayanti; Rika Lisiswanti
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 1 (2026): Maret : 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.v6i1.9647

Abstract

Work-related stress among nurses is a critical issue in modern healthcare, directly affecting patient safety, quality of care, and the well-being of nursing personnel. Work-related stress emerges from organizational factors such as high workload, unbalanced nurse-to-patient ratios, understaffing, and increased administrative demands. Operational stressors including night shifts, rapid rotations, and long working hours further intensify stress through disruptions in sleep patterns and circadian rhythms. Psychosocial pressures, such as constant exposure to critically ill patients, clinical trauma, death, and workplace violence add substantial emotional burden. Global studies consistently report high prevalence of moderate to severe stress among nurses. The impacts include emotional exhaustion, anxiety, depression, burnout, sleep disturbances, reduced immunity, and heightened clinical errors. Effective stress management requires comprehensive interventions at organizational, individual, and policy levels. Structural improvements, personal resilience training, and strong regulatory frameworks for healthcare worker protection are essential to build a safe, healthy, and sustainable work environment. Through an integrated approach, nurse stress management can enhance healthcare quality while ensuring the resilience of the broader health system.
Efektivitas Teknik Relaksasi Napas dalam Terhadap Penurunan Sesak Napas pada Pasien Asma : Narrative Literatur Elsa Devina Seftiani; Agisni Fatihaturrohmah; Nadia Mawaddah; Septiyani Ayusita Aprilia; Faiza Zahra Amelia; Popi Sopiah
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 1 (2026): Maret : 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.v6i1.9658

Abstract

Asthma is a chronic inflammatory disease of the respiratory tract characterised by symptoms such as difficulty breathing, coughing, and wheezing, which can affect the quality of life of individuals who experience it. In addition to medical treatment, non-medical approaches such as relaxation breathing techniques have been widely used to reduce breathing difficulties and improve lung function. This study is a literature review that aims to assess the effectiveness of deep breathing techniques, such as slow deep breathing, diaphragmatic breathing, and pursed-lip breathing, in reducing breathing difficulties in asthma patients. Data were collected through a search of articles on Google Scholar, Semantic Scholar, and Crossref with a publication range from 2015 to 2025. Of the total 423 articles found, 10 articles met the inclusion criteria and were analysed further. The results of this study show that deep breathing techniques can increase oxygen saturation, reduce breathing frequency, and improve lung ventilation. This approach also contributes to reducing perceived symptoms and improving asthma control, making it a safe and easy-to-apply complementary therapy. However, variations in study design, number of respondents, and duration of intervention are challenges that need to be addressed. Further research with stronger methods and standardised guidelines is needed so that this technique can be properly integrated into asthma management.
Peran Keterampilan Sosial Emosional (KSE) terhadap Kesiapan Psikologis Murid Kelas VI SD dalam Menghadapi Tes Kemampuan Akademik (TKA) Nur Hidayati; Moch Widjanarko; Indah Lestari
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 1 (2026): Maret : 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.v6i1.9720

Abstract

The implementation of the Academic Ability Test (TKA) at the elementary school level requires not only students’ cognitive readiness but also psychological readiness to enable them to cope adaptively with evaluation-related pressure. One factor believed to play an important role in developing psychological readiness is Social Emotional Learning (SEL), which include self-awareness, self-management, social awareness, relationship skills, and responsible decision-making. This study aims to analyze the role of Social Emotional Skills in the psychological readiness of sixth-grade elementary school students in facing the Academic Ability Test. This research employed a quantitative approach with a correlational design. Data were collected through a Likert-scale questionnaire administered to sixth-grade students at SDN 1, 2, and 3 Ngetuk, Ngetuk village, Nalumsari district, Jepara regency. Data analysis was conducted using correlation analysis and simple linear regression. The results indicate a significant positive relationship between Social Emotional Learning and students’ psychological readiness. Regression analysis further reveals that Social Emotional Skills make a substantial contribution to students’ psychological readiness in facing the Academic Ability Test, indicating that higher levels of Social Emotional Learning are associated with higher levels of psychological readiness. These findings confirm that Social Emotional Skills play a crucial role in fostering mental resilience, self-confidence, and students’ ability to manage anxiety when confronting nationally standardized academic assessments. The implications of this study suggest that elementary schools in Indonesia need to systematically integrate the development of Social Emotional Learning into instructional practices and school culture to ensure that students possess optimal psychological readiness when undergoing nationally standardized academic evaluations such as the Academic Ability Test.
Analisis Ergonomi Posisi Duduk dan Desain Kursi terhadap Keluhan Nyeri Punggung Bawah pada Mahasiswa Kedokteran Universitas Tarumanagara Tia Aura Caroline; Octavia Dwi Wahyuni
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 1 (2026): Maret : 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.v6i1.9769

Abstract

Low back pain is a musculoskeletal disorder characterized by pain in the lumbar region. The occurrence of low back pain is often associated with improper ergonomics, particularly related to sitting posture and the design of seating used. These conditions may lead to increased static load on the lumbar spine, resulting in excessive stretching of muscles and ligaments, impaired muscle circulation, and decreased strength of the back and abdominal muscles. Over time, these biomechanical changes can contribute to the development of low back pain. The aim of this study was to analyze the relationship between sitting posture ergonomics and chair design with complaints of low back pain among medical students at Tarumanagara University. This study was an observational analytic study with a cross-sectional design conducted from March to August 2025 involving 232 subjects from the Faculty of Medicine, Tarumanagara University, selected using simple random sampling. Data were collected through self-administered questionnaires using Google Forms, anthropometric measurements using a measuring tape, and photographic documentation of sitting posture taken by the researchers. This study obtained ethical clearance and research permission. Data were analyzed using SPSS with the Chi-square test. The results showed a significant association between sitting posture and complaints of low back pain (p-value = 0.042; PRR = 1.68), as well as between chair design and low back pain complaints (p-value = 0.046; PRR = 2.52).In conclusion, there is a significant relationship between sitting posture ergonomics and chair design with complaints of low back pain among medical students at Tarumanagara University.    

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