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Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Published by Lembaga Pengembangan Kinerja Dosen
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 481 Documents
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Analisis Gangguan Cairan Elektrolit dan Hipovolemia pada Penyakit Demam Berdarah Dengue (DBD): (Literatur Review) Hasna Sari Kusnandar; Elsa Devina Seftiani; Muhammad Fhaisal Nur Halim; Nazwa Rahma Putri; Rendi Rizki Priyanto; Tri Ayuni; Faiza Zahra Amelia; Zahra Arifah; Aura Rukmana; Amanda Saskia Raika Putri; Popi Sopiah
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 2 (2026): Juli: Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i2.11158

Abstract

Dengue Hemorrhagic Fever (DHF) remains a major public health problem in tropical countries, including Indonesia, due to its high incidence and risk of severe complications. One of the most critical complications is hypovolemia, which is closely associated with fluid and electrolyte imbalance caused by plasma leakage. This study aimed to analyze the relationship between fluid imbalance, electrolyte disturbances, and hypovolemia in patients with DHF using a narrative literature review approach. Data were collected from several scientific databases, including Google Scholar, PubMed, Semantic Scholar, and Crossref, covering publications from 2021 to 2025. A total of 894 articles were identified in the initial search, and 6 articles that met the inclusion criteria were further analyzed. The findings showed that increased capillary permeability plays a key role in plasma leakage, leading to decreased intravascular volume and hypovolemia. In addition, electrolyte imbalances, particularly hyponatremia and hypokalemia, were frequently reported and associated with disease severity. These conditions may contribute to serious complications such as shock and organ dysfunction if not properly managed. Therefore, early detection, careful monitoring of fluid balance, and appropriate clinical management are essential to prevent complications and improve patient outcomes.
Pengaruh Aromaterapi terhadap Kecemasan dan Kadar Gula Darah Penderita Diabetes Melitus di Kota Bengkulu Ervan Ervan; Hendri Heryanto; Halimatussa’diah
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 4 No. 3 (2024): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v4i3.10896

Abstract

Diabetes mellitus (DM) is a chronic disease caused by impaired insulin production or the body's inability to use insulin effectively (insulin resistance). In Bengkulu Province, DM is the leading cause of death among men (38.8%) and ranks third among women (59.9%). One of the common complications experienced by patients with DM is anxiety, which can trigger the release of stress hormones such as epinephrine and cortisol. The release of these hormones may increase blood glucose levels and worsen the patient's condition. This study aimed to examine the effect of aromatherapy on anxiety levels and blood glucose levels among patients with DM in Bengkulu City. The study involved 33 respondents selected using a simple random sampling technique. Anxiety levels and blood glucose levels were measured before and after the administration of aromatherapy for one month, given twice a week. This research employed a quasi-experimental design, using the Hamilton Rating Scale for Anxiety (HRSA) to measure anxiety levels and a glucometer to measure blood glucose levels. Data analysis showed a significant relationship between aromatherapy administration and changes in anxiety levels as well as blood glucose levels (p = 0.000). In conclusion, regular aromatherapy can reduce anxiety and lower blood glucose levels in patients with DM, approaching normal values. The use of aromatherapy as a nursing intervention is recommended to help stabilize blood glucose levels in patients with diabetes mellitus.
Hambatan dalam Sistem Rujukan Pasien BPJS Kesehatan: Literature Review Bintang Dwi Maharani; Inge Dhamanti
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 2 (2026): Juli: Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i2.11176

Abstract

The referral system is an essential component in the implementation of the National Health Insurance (JKN) managed by BPJS Kesehatan, aiming to ensure the continuity of tiered healthcare services. However, its implementation in hospitals still faces various complex challenges. Objective: To identify and analyze the obstacles in the implementation of the BPJS Kesehatan patient referral system through a literature review. This study employs a narrative review design based on eight articles retrieved from Google Scholar (2020–2025). Results: The review indicates that referral system barriers include limited human resources, low understanding of referral procedures, information system issues, weak internal coordination, and technical problems in online referrals. Administrative barriers and external factors such as low patient understanding, service disparities, and geographic constraints also worsen system effectiveness. Conclusion: Internal and external barriers in the BPJS Health patient referral system in hospitals require comprehensive improvements through strengthening human resources, governance, infrastructure, and community education in an integrated manner.
Analisis Hubungan Faktor Kepuasan Pasien dengan Response Time di Instalasi Gawat Darurat : Literature Review Alfina Arista Rahmawati; Inge Dhamanti
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 2 (2026): Juli: Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i2.11178

Abstract

Response time is a key quality indicator in Emergency Departments (ED) as it directly impacts patient safety and satisfaction. Delays in response time can lead to negative perceptions of hospital services, even when appropriate medical interventions are provided. A study by Wahyuni et al. (2021) in a regional hospital in Central Java reported that the average response time for high-priority cases was 16 minutes, which is far from ideal. The main contributing factors identified were limited healthcare personnel, suboptimal triage systems, and complex administrative processes. Objective: To identify and analyze the factors influencing response time on patient satisfaction in the ED through a literature review. Methods: A literature search was conducted using Google Scholar, PubMed, and ScienceDirect with the keywords “response time,” “patient satisfaction,” and “emergency department.” From a total of 14,078 articles, eight articles were selected based on predefined inclusion criteria. Results: The review found that faster response times (<5 minutes) significantly increased patient satisfaction in the ED. The influencing factors included individual aspects (healthcare personnel readiness and skills), organizational factors (triage systems and resource availability), and regulatory support (clear policies and standards for ED services). Conclusion: Efforts to improve the quality of ED services should focus on optimizing healthcare personnel capacity, enhancing triage systems, and strengthening clear and measurable service policies to ensure prompt response times and improve patient satisfaction.
Implementasi Sistem Healthical Puskesmas (He-Pus) Melalui Metode PIECES di Puskesmas Cilograng Banten Dini Feby Valencia; Lily Widjaja; Noor Yulia; Muhammad Fuad Iqbal
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 2 (2026): Juli: Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i2.11205

Abstract

The digital transformation of healthcare services requires public health centers (Puskesmas) to adopt integrated information systems, one of which is the Healthical Puskesmas (He-Pus) system. Objective: To evaluate the implementation of the He-Pus system at Puskesmas Cilograng Banten using the PIECES framework. Method: This descriptive qualitative study was conducted through observations and interviews with five informants from May 2024-June 2025. The data were analyzed using six PIECES dimensions: Performance, Information, Economic, Control, Efficiency, and Service. Results: The implementation of He-Pus has facilitated healthcare services, particularly in the registration unit, but it has not yet been fully optimized across all units. In terms of performance, the system is considered easy to use but is hindered by network connectivity issues. The information provided is relevant and relatively up-to-date, although the data input process is perceived as quite complex by some staff. Economically, operational costs are covered by a third party, thus not burdening the Puskesmas. In terms of control, the system uses account-based access. Regarding efficiency and service, the system helps speed up processes, although technical and non-technical limitations remain. Conclusion: The He-Pus system shows potential as a digital service solution, but further development, infrastructure improvements, and the establishment of Standard Operating Procedures (SOPs) are still needed. It is recommended to develop specific SOPs related to electronic medical records. Additionally, to enhance He-Pus performance at Puskesmas Cilograng, optimization should include improved network quality, simplified data input, ongoing technical training, and data validation.
Hubungan Sikap dengan Perilaku Pencegahan Diabetes Melitus Tipe 2 pada Remaja di SMK Nasional Purwokerto Rivana Rezeky Agustia; Suci Khasanah; Adiratna Sekar Siwi
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 2 (2026): Juli: Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i2.11211

Abstract

Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disease whose prevalence continues to increase, including among adolescents. Lifestyle changes, such as unhealthy dietary patterns, lack of physical activity, and sedentary habits, are major risk factors for the development of T2DM at a young age. Adolescents' attitudes toward T2DM prevention play an important role in shaping preventive behaviors. This study aimed to determine the relationship between attitudes and preventive behaviors of Type 2 Diabetes Mellitus among adolescents at SMK Nasional Purwokerto.This study used a quantitative method with a cross-sectional design. The sampling technique used was quota sampling. The sample size was determined using the Slovin formula with a 5% margin of error, resulting in 235 respondents. The research instruments were questionnaires measuring attitudes and T2DM preventive behaviors that had been tested for validity and reliability. Data were analyzed using univariate and bivariate analysis with the Chi-Square test. The results showed that most respondents had positive attitudes and good T2DM preventive behaviors. Bivariate analysis indicated a significant relationship between attitudes and T2DM preventive behaviors among adolescents (p-value < 0.05). Adolescents with more positive attitudes tended to demonstrate better preventive behaviors. The study concludes that there is a significant relationship between attitudes and preventive behaviors of Type 2 Diabetes Mellitus among adolescents. Continuous health education is needed to foster positive attitudes in order to improve T2DM preventive behaviors from an early age.
Tatalaksana Komprehensif Trikotilomania Ridho Akbar Syafwan
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 2 (2026): Juli: Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i2.11213

Abstract

Trichotillomania is a psychiatric disorder characterized by recurrent and irresistible urges to pull out one’s own hair. It is classified as a habit and impulse control disorder in ICD-10 and as part of the Obsessive-Compulsive and Related Disorders group in DSM-5. Epidemiologically, this condition affects approximately 1.14% to 3% of the global population, with a higher prevalence among adult females, and is often accompanied by comorbidities such as anxiety disorders or depression. The etiology is multifactorial, involving a complex interaction between genetic vulnerability, abnormalities in brain structure and metabolism, and maladaptive coping mechanisms to stress. The main clinical manifestation is noticeable hair loss resulting from repetitive hair-pulling behavior, typically preceded by emotional tension and followed by a temporary sense of relief. Comprehensive management involves a multimodal approach, in which behavioral therapy—particularly Cognitive Behavioral Therapy (CBT) with Habit Reversal Training (HRT)—is considered the first-line treatment, while pharmacotherapy such as clomipramine or selective serotonin reuptake inhibitors (SSRIs) may be considered in moderate to severe cases. Prognosis varies depending on the age of onset and treatment success; however, early detection and management of comorbidities are crucial to prevent long-term psychosocial consequences and to improve patients’ quality of life.
Dampak Wisata Kesehatan (Wellness Tourism) terhadap Penurunan Tingkat Stres dan Kecemasan: Literature Review William Akwila Nathanael; Made Suadnyani Pasek; Muhammad Farriz Hariri; Nayaka Ramadhany Syafari; Ni Nyoman Artika Pradnya Sari; Putu Devany Amarthya Dewi
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 2 (2026): Juli: Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i2.11214

Abstract

More than 300 million people are affected by anxiety and stress disorders, which have increased by 25% globally. This condition requires the use of non-pharmacological medications. Wellness tourism has become one of the non-pharmacological treatment options with a market growth prospect of 20.9% per year. This study reviews the literature on how health recreation activities impact stress and anxiety reduction. The article selection process in this study used a literature review design in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. With a publication limit of the last 5 years, the literature search was conducted through online databases such as Google Scholar, PubMed, and ScienceDirect. The inclusion criteria focused on intervention studies with validated psychological instruments before and after recreational activities. Health tourism such as forest therapy, meditation, yoga, and melukat showed a positive correlation with better mental health. According to the study, anxiety scores and physiological stress, such as cortisol levels, decreased significantly. The main factors that aid psychophysiological relaxation are interaction with nature and breaking away from daily routines. The findings in this literature analysis study indicate that wellness tourism can help reduce anxiety and stress and improve overall mental well-being.
Pemanfaatan Daun dan Bunga Senduduk (Melastoma malabathricum L.) sebagai Pewarna Alami Alternatif Pengganti Eosin 2% pada Identifikasi Telur Trichuris trichiura Umi Latifah; Vincentia Ade Rizky; Maria Selviana Joni; Rachmat Saleh; Nasrullah Tamrin; Adipura Atmadja Egok; Awaluddin Awaluddin
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 2 (2026): Juli: Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i2.11216

Abstract

Examination of helminth eggs in fecal samples remains the primary method for diagnosing helminth infections. A 2% eosin stain is commonly applied to improve contrast in microscopic preparations; however, synthetic dyes have limitations due to their chemical properties and low environmental friendliness. The senduduk plant (Melastoma malabathricum L.) contains natural pigments such as anthocyanins and flavonoids, which may serve as potential natural staining agents. This study aimed to evaluate the effectiveness of senduduk leaf and flower extracts as alternative stains to replace 2% eosin in identifying Trichuris trichiura eggs. This research used a laboratory experimental design consisting of one control group and five treatment groups. The treatments included flower extract with a flower-to-distilled water ratio of (1:5), pure flower extract (100%), flower extract with 70% alcohol (1:5), leaf extract with distilled water (5:1), and leaf extract with 70% alcohol (5:1). The results showed that all extract preparations were able to stain the microscopic slides, enabling clear observation of T. trichiura egg morphology. Extracts using alcohol as a solvent produced stronger and clearer contrast compared to those prepared with distilled water. In conclusion, senduduk leaf and flower extracts demonstrate potential as environmentally friendly natural alternative stains for parasitological microscopic examinations.
Transcranial Doppler (TCD) Examination is One of the Ancillary Investigations Used to Establish the Diagnosis of Brain Death Crodia Hernandes; Bowo Adiyanto
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 2 (2026): Juli: Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i2.11219

Abstract

Background: The determination of brain death relies primarily on clinical neurological assessment; however, ancillary investigations are often required when standard examination or apnea testing cannot be fully performed. Transcranial Doppler (TCD) ultrasonography offers a noninvasive bedside method to assess cerebral hemodynamics and may provide supportive evidence of severely impaired cerebral perfusion. Case Presentation: We report a serial case of critically ill patients with severe neurological impairment following cardiac arrest, in whom TCD was performed as part of the evaluation for suspected brain death. TCD examinations focused on intracranial arterial flow patterns, particularly within the middle cerebral artery. The observed waveforms demonstrated high-resistance pulsatile flow with markedly reduced diastolic velocities, reflecting impaired cerebral perfusion rather than immediate cerebral circulatory arrest. Serial neurological deterioration and neuroimaging findings were consistent with severe hypoxic–ischemic brain injury. Conclusion: Transcranial Doppler ultrasonography serves as a valuable ancillary tool in the assessment of suspected brain death by providing real-time information on cerebral blood flow dynamics. Although TCD should not replace clinical criteria, its bedside availability and ability to demonstrate evolving high-resistance flow patterns make it a useful supportive modality in selected clinical situations.

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