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INDONESIA
Jurnal Kesehatan Sejahtera
Published by CV. Armas Suan Sejahtera
ISSN : 30629322     EISSN : -     DOI : -
Core Subject : Health, Science,
Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health
Jurnal Kesehatan Sejahtera (JKS ) adalah jurnal kesehatan yang diterbitkan sebanyak 2X1 Tahun pada setiap bulan Juni dan Desember. Proses penyerahan naskah terbuka sepanjang tahun. Jurnal Kesehatan Sejahtera meliputi literatur, artikel penelitian serta studi kasus yang berfokus pada bidang ilmu kebidanan, keperawatan, Kesehatan masyarakat, Perekam dan Informasi Kesehatan, Farmasi dan ilmu Kedokteran. Jurnal Kesehatan Masyarakat Sejahtera (JKS) sebagai jurnal media cetak dengan ISNN 3062-9322 (Online).
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 20 Documents
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Comparative Case Report: Divergent Outcomes in Two Pregnant Women with Intracerebral Hemorrhage Associated with Preeclampsia Yaleswari Hayu Pertiwi; I Gede Sutaniyasa
Jurnal Kesehatan Sejahtera Vol. 2 No. 1 (2025): Juni
Publisher : SUAN PUBLISHER

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Abstract

Preeclampsia is a pregnancy complication that can lead to various serious cerebrovascular complications, including intracerebral hemorrhage (ICH). Although the incidence of ICH in pregnancy is relatively low, this complication can cause high mortality and morbidity. Early diagnosis and rapid intervention are crucial for improving patient prognosis. This report aims to compare two cases of pregnant women with preeclampsia who experienced ICH, to highlight significant differences in clinical outcomes based on the timing of diagnosis and medical intervention. Two cases of ICH in pregnant women with preeclampsia are reported. The first case was diagnosed quickly, and surgical intervention, such as a craniectomy, was performed immediately after diagnosis. In the second case, the diagnosis was delayed, and a more conservative management approach was applied. The clinical outcomes of these two cases are compared, focusing on the time of diagnosis, therapy, and patient outcome. The first case showed a better outcome, with almost complete recovery and minimal disability, after prompt and aggressive medical intervention. Conversely, the second case experienced delays in diagnosis and intervention, which led to the patient's death after undergoing intensive care. Significant differences in the time from symptom onset to diagnosis were found in both cases, contributing to the differing clinical outcomes. Early detection and rapid medical intervention are crucial in managing ICH in pregnant women with preeclampsia. Delays in diagnosis and management can increase the risk of long-term disability or death. Therefore, vigilance for neurological signs in preeclampsia patients and immediate management in a well-equipped facility are highly necessary to improve clinical prognosis.
Evaluasi Pengelolaan Obat Hipertensi Pada Tahap Pengadaan Dan Perencanaan di Gudang Farmasi Apotek Varia GATSU Alex Handani Sinaga; Mandike Ginting
Jurnal Kesehatan Sejahtera Vol. 2 No. 1 (2025): Juni
Publisher : SUAN PUBLISHER

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Abstract

Effective and efficient drug management is a crucial element in ensuring the availability of medications, especially for chronic diseases such as hypertension. This study aims to evaluate the management system of antihypertensive drugs during the planning and procurement stages at the pharmaceutical warehouse of Varia Pharmacy, located on Gatot Subroto Street (Gatsu). The main focus of this research is to identify the extent to which drug needs planning and procurement systems are appropriately implemented to support optimal pharmaceutical services. This study uses a descriptive qualitative method through direct observation, interviews with warehouse staff and pharmacists, as well as document reviews related to drug procurement and planning. The evaluation results indicate that the planning process for antihypertensive drugs is not entirely based on actual usage data but still relies on routine estimations that do not consider fluctuations in patient demand. Furthermore, there are challenges in procurement, such as delays in supplies from distributors and lack of synchronization between service units and the pharmaceutical warehouse. These issues have resulted in stockouts during certain periods, potentially disrupting the continuity of hypertension treatment. Therefore, it is recommended to implement a planning system based on historical data and to digitize the logistics process to improve efficiency. This research provides valuable insights for pharmacy managers to enhance drug management quality and patient service
DRP (DRUG RELATED PROBLEM) MENURUT KLASIFIKASI CIPOLLE PADA PENYAKIT CKD (CHRONIC KIDNEY DISEASE) + PNEUMONIA Hohiyando Sitompul; Jefri Siswanto Buulolo; Miratun Sopiah Ritonga; Qomariah Ritonga; Wina Rizky Octavia; Yelli Simarmata
Jurnal Kesehatan Sejahtera Vol. 2 No. 1 (2025): Juni
Publisher : SUAN PUBLISHER

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Abstract

Drug Related Problem (DRP) is a significant issue in clinical practice that can have a serious impact on patient outcomes, especially in complex cases with comorbidities. This study aims to identify and classify DRP according to the Cipolle Classification in patients with Chronic Kidney Disease (CKD) and pneumonia in the hospital (hospital name, if any). The design of this study is descriptive observational with retrospective data collection from medical records of CKD patients who were also diagnosed with pneumonia during the period (eg) January 2023 - December 2024. The study sample involved (number of samples) patients who met the inclusion and exclusion criteria. DRP data will be identified from medical records, including treatment history, laboratory results, and medical records, then classified using the Cipolle system, which includes DRPs such as the need for additional drugs, ineffective drugs, too low doses, too high doses, drug side effects, drug interactions, and non-compliance. The expected results show the prevalence and specific types of DRPs that most often occur in this patient population, with a focus on drug interactions and drug dose adjustments due to decreased kidney function. This study is expected to provide important information for health workers, especially clinical pharmacists, to optimize drug therapy, minimize the risk of DRP, and improve the quality of life of CKD patients with pneumonia complications.
DRP (DRUG RELATED PROBLEM) MENURUT KLASIFIKASI CIPOLLEPADA PENYAKIT DIABETES TIPE  2 + HIPERTENSI Hazizah Octarisa; Minanda Nashwa Junelfa; Nova Adelia Ber Tamba; Yenni Diila Anggraeni4; Shafira Zifa
Jurnal Kesehatan Sejahtera Vol. 2 No. 1 (2025): Juni
Publisher : SUAN PUBLISHER

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Abstract

Drug Related Problems (DRP) are a significant challenge in the management of patients with comorbidities, potentially affecting therapeutic efficacy and clinical outcomes. This study aims to identify and classify DRP based on the Cipolle Classification in patients with Type 2 Diabetes Mellitus (T2DM) and Hypertension in health facilities (mention the type or name of the facility, e.g.: Hospital X or Health Center Y) in [mention the location, e.g.: City/Regency Z]. The study design is descriptive observational with a retrospective approach using medical record data from patients who meet the inclusion criteria (patients with T2DM and hypertension) during the period [mention the time range, e.g.: January 2024–June 2025]. The study sample will involve [number of samples, e.g.: 150] relevant patient medical records. DRPs will be identified from demographic data, medication history, physical examination results, and laboratory data, then categorized based on the Cipolle Classification, covering issues such as the need for additional therapy, ineffective drugs, too low or high doses, drug side effects, drug interactions, and patient non-compliance. The expected results will show the prevalence and types of DRPs most frequently found in this patient population, especially related to the complexity of the drug regimen, interactions of antihypertensive and antidiabetic drugs, and dose adjustments. This study is expected to provide crucial information for health workers, especially pharmacists, in optimizing pharmacotherapy management, improving patient safety, and ultimately improving the quality of life of T2DM patients with hypertension complications.
PELAYANAN INFORMASI OBAT PADA TENAGA VOKASI KEFARMASIAN DI APOTEK KESHIA FARMA Rosita Surbakti; Julini Paradit; Nilta Sibayang; Anggita4 Anggita
Jurnal Kesehatan Sejahtera Vol. 2 No. 1 (2025): Juni
Publisher : SUAN PUBLISHER

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Abstract

This study aims to evaluate the quality of Drug Information Services (DIO) provided by vocational pharmacy personnel (Pharmacy Assistants/Pharmacy Technical Personnel) at Keshia Farma Pharmacy. Accurate, comprehensive, and easy-to-understand DIO is crucial to ensure rational and optimal drug use by patients. The research method used is descriptive qualitative, with data collection through direct observation, in-depth interviews with vocational pharmacy personnel, and patient simulations to assess DIO responses in various scenarios. The data is also supplemented with a review of standard operating procedure (SOP) DIO documents at Keshia Farma Pharmacy. Data analysis was carried out using triangulation techniques to compare information from various sources. The expected results show a comprehensive picture of the level of knowledge of vocational personnel, communication skills, and the availability of drug information sources used. Potential obstacles in the implementation of DIO, such as workload or lack of ongoing training, will also be identified. This study is expected to provide valuable input for Keshia Farma Pharmacy in improving the quality of DIO, which ultimately contributes to increasing patient safety and compliance in drug use.
STUDI RASIONALITAS PENGGUNAAN OBAT ANTIDIABETES PADA PASIEN DIABETES MELITUS TIPE 2 DI RSU IMELDA PEKERJA INDONESIA Mutiara Siahaan; Sukri Ramadhan
Jurnal Kesehatan Sejahtera Vol. 2 No. 2 (2025): Desember
Publisher : SUAN PUBLISHER

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Abstract

Diabetes Mellitus (T2DM Type 2 is a chronic metabolic disorder characterized by hyperglycemia due to insulin resistance and impaired insulin secretion. The management of T2DM requires rational pharmacological therapy to achieve optimal glycemic control and prevent complications. This study aimed to evaluate the rationality of antidiabetic drug use in T2DM patients at RSU Imelda Pekerja Indonesia, including aspects of appropriate indication, appropriate drug, appropriate dose, appropriate patient, and appropriate route of administration, as well as to identify the patterns of antidiabetic drug use. This research employed a descriptive observational design with a retrospective approach. Data were collected from the medical records of T2DM outpatients during the period of May–July 2025 with a total sample of 46 patients, selected using purposive sampling. Data were analyzed descriptively by referring to the Indonesian PERKENI 2024 guideline. The pattern of antidiabetic drug use showed that metformin was the most frequently prescribed agent, either as monotherapy or in combination with sulfonylureas (glimepiride/gliclazide MR). The evaluation of rationality demonstrated: appropriate indication (100%), appropriate drug (93.5%), appropriate dose (91.3%), appropriate patient (95.6%), and appropriate route of administration (100%). Overall, the use of antidiabetic drugs at RSU Imelda Pekerja Indonesia was rational. The use of antidiabetic drugs in T2DM patients at RSU Imelda Pekerja Indonesia has been rational according to the five parameters of rationality. These findings support the study hypothesis that antidiabetic drug use is in accordance with therapeutic standards.
DAMPAK KONSUMSI MINUMAN KEMASAN TINGGI GULA TERHADAP KESEHATAN FISIK DAN KONSENTRASI BELAJAR SISWA SEKOLAH DASAR Gracia Sinuraya
Jurnal Kesehatan Sejahtera Vol. 2 No. 2 (2025): Desember
Publisher : SUAN PUBLISHER

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Abstract

This study examines the impact of sugar-sweetened beverage (SSB) consumption on Body Mass Index (BMI) and learning concentration among elementary school students. Using a quantitative cross-sectional design, the research involved 98 students in grades IV–VI selected through stratified random sampling. Data were collected using a validated Food Frequency Questionnaire (FFQ), anthropometric measurements based on BMI-for-age standards, and cognitive assessments through the Digit Span Test and Grid Test. Statistical analysis included descriptive tests, normality tests, correlation analysis, and simple linear regression. The findings indicate a significant positive correlation between frequent SSB consumption and increased BMI (p < 0.05). Additionally, a significant negative correlation was found between sugar intake and post-break concentration levels, suggesting that high glycemic load contributes to decreased sustained attention due to reactive hypoglycemia. The study highlights that obesogenic school environments and low nutritional literacy intensify health and cognitive risks among children. These findings emphasize the urgent need for school-based nutrition regulation and integrated health education programs to prevent obesity and support optimal academic performance in primary education settings
PENGARUH PROBIOTIK BAGI KESEHATAN USUS (STUDI KASUS: PROBIOTIK TEH KOMBUCHA) Wiscana, Selita
Jurnal Kesehatan Sejahtera Vol. 2 No. 2 (2025): Desember
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Abstract

This study aims to investigate the effects of routine kombucha tea consumption on gut health, specifically focusing on the modulation of intestinal microbiota and the reduction of functional gastrointestinal symptoms. Using a quasi-experimental approach with a pre-test and post-test design, 30 adult respondents with mild digestive complaints were selected via purposive sampling. The participants were intervened with 200 ml of standardized kombucha tea (containing $10^7$ to $10^8$ CFU/ml of Lactic Acid Bacteria) daily for 21 days. Data were collected using the Gastrointestinal Symptom Rating Scale (GSRS) to measure digestive discomfort and the Bristol Stool Chart to evaluate bowel movement frequency and stool consistency. The results demonstrated a significant reduction in GSRS scores, particularly in dimensions of bloating and abdominal pain. Furthermore, 70% of respondents reported a transition toward ideal stool types (Type 3 and 4) on the Bristol Stool Chart, indicating an improvement in intestinal transit time and peristaltic activity. The symbiotic relationship between the live microorganisms in the SCOBY (Symbiotic Culture of Bacteria and Yeast) and the tea polyphenols proved effective in suppressing pathogenic bacteria and restoring gut homeostasis. This study concludes that kombucha tea serves as a potent non-dairy probiotic alternative that significantly enhances digestive function. These findings advocate for the integration of traditional fermented beverages into modern diets as a preventive strategy against functional gastrointestinal disorders
PENGARUH MODUL HIPERTENSI BERBASIS MODEL IMB (INFORMATION, MOTIVATION, AND BEHAVIORAL SKILL) DALAM MENINGKATKAN KEPATUHAN MINUM OBAT PADA PASIEN HIPERTENSI Jean Surinala Sitepu
Jurnal Kesehatan Sejahtera Vol. 2 No. 2 (2025): Desember
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Abstract

Medication adherence is a critical determinant in the successful management of hypertension, yet it remains significantly low in Indonesia, leading to increased risks of cardiovascular complications. This study aims to evaluate the effectiveness of an educational intervention using a Hypertension Module based on the Information, Motivation, and Behavioral Skills (IMB) model in improving medication adherence among primary hypertension patients. A quasi-experimental research design with a non-equivalent control group was employed. The sample included [Insert Number] participants, divided into an intervention group and a control group. Data were collected using the 8-item Morisky Medication Adherence Scale (MMAS-8) and clinical blood pressure measurements. Statistical analyses were performed using Paired T-Tests and Independent T-Tests. The results demonstrated a significant increase in medication adherence scores within the intervention group following the module's implementation (p < 0.05), which correlated with improved blood pressure control. In contrast, the control group showed no substantial change in adherence behavior. The findings indicate that integrating information, personal/social motivation, and practical behavioral skills within a structured module effectively enhances patients' self-efficacy and long-term treatment management. This study concludes that the IMB-based module is a superior educational tool compared to conventional verbal education. It is recommended that primary healthcare facilities adopt this model-based module as a standardized part of chronic disease management programs to reduce hypertension-related morbidity and mortality
PERAN PENGETAHUAN, DUKUNGAN KELUARGA, DAN EFEK SAMPING TERHADAP KEPATUHAN SUPLEMENTASI ZAT BESI PADA IBU HAMIL Siswanti, Maharani; Salsabila
Jurnal Kesehatan Sejahtera Vol. 2 No. 2 (2025): Desember
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Iron deficiency anemia remains a major public health problem and contributes significantly to maternal morbidity and adverse birth outcomes. In Indonesia, the prevalence of anemia among pregnant women reached 48.9% in 2018 despite high coverage of iron tablet distribution. Low medication adherence remains a key barrier to program effectiveness. This study aimed to analyze factors associated with adherence to iron supplementation among pregnant women at the Midwifery Clinic of RSUD Maluku. An analytic observational study with a cross-sectional design was conducted among 60 pregnant women in their second and third trimesters. Data were collected using structured questionnaires and pill count methods, and analyzed using Chi-Square test. The results showed significant associations between adherence and knowledge (p = 0.002), family support (p = 0.001), and perceived side effects (p = 0.014). Pregnant women with good knowledge and strong family support were more likely to adhere to iron supplementation, while discomfort from side effects acted as a barrier. Strengthening health education and involving family members as treatment supervisors are recommended to improve adherence and reduce anemia prevalence

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