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Contact Name
Riyadi
Contact Email
indexsasi@apji.org
Phone
+6281269402117
Journal Mail Official
indexsasi@apji.org
Editorial Address
Lembaga Pengembangan Kinerja Dosen
Location
Kab. demak,
Jawa tengah
INDONESIA
International Journal of Health Science
ISSN : 2827959X     EISSN : 28279603     DOI : 10.55606
Core Subject : Health, Social,
International Journal of Health Science, This journal publishes articles on practice, theory, and research in all areas of health, including: Surgical Medical Practice, Pharmacy, Maternity, Child Health, Mental Health, Public Health, Dental, Medical Education, Midwifery, Medicine and Nursing, Health Policy and Management, Community Nutrition, Environmental Health, Epidemiology, Reproductive Health, Health Promotion, Occupational Safety & Health, Other Health Professions. This journal publishes three times a year (March, July, November)
Articles 334 Documents
Timing of Appendectomy and Postoperative Outcomes in Adult Acute Appendicitis: Systematic Review and Meta-Analysis Alvian Dwisakti Kurniato
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6826

Abstract

The optimal timing of appendectomy for acute appendicitis in adults remains debated. Advances in imaging and perioperative care have questioned the necessity of immediate surgery. This systematic review and meta-analysis evaluated whether moderate, in-hospital delays in appendectomy impact rates of postoperative complications or surgical site infection (SSI). A systematic search of PubMed, Embase, Scopus, and Web of Science through July 2025 identified randomized trials and cohort studies comparing early (≤6–8 hours) versus delayed (>6–12 hours) appendectomy in adults. Primary outcomes were composite postoperative complications and SSI. Random-effects models were used to pool risk ratios (RR) and 95% confidence intervals (CI). Five studies (over 600,000 adults) were included. Meta-analysis demonstrated no significant difference in composite complications between early and delayed appendectomy (RR 1.07, 95% CI: 0.62–1.85, p=0.81). Similarly, the risk of SSI was not different between groups (RR 1.16, 95% CI: 0.49–2.73, p=0.74). Heterogeneity was moderate for both outcomes. Secondary endpoints, including readmission, mortality, and length of stay, also showed no clinically meaningful differences by surgical timing. Only prolonged delays beyond 24-48 hours were associated with increased risk in select cohorts. For clinically stable adults with acute appendicitis, a short in-hospital delay in appendectomy typically up to 12 or 24 hours does not increase the risk of postoperative complications or surgical site infection. Flexible scheduling is safe when accompanied by prompt diagnosis and antibiotics, while prolonged or unplanned delays should be avoided.
Analysis of Risk Factors in The Incident of Myopia in Students at The Al-Fakhry Hadiwijaya Islamic Boarding School Kajen Wahju Ratna Martiningsih; Chamim Faizin; Swasty Swasty; Dasif Syahrul Muharam
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6831

Abstract

In Indonesia, refractive errors are the most common eye disorder, affecting approximately 25% of the population or around 55 million individuals. Students in Islamic boarding schools are particularly vulnerable to myopia due to study habits such as reading while lying down, maintaining a reading distance of less than 30 cm, and using inadequate lighting. This study aims to analyze risk factors associated with myopia among students aged 14–18 years at Al-Fakhry Hadiwijaya Islamic Boarding School, Kajen. The research employed a quantitative observational analytic design using a cross-sectional approach. Total sampling was applied in December 2023, involving students from grades VIII MTs to XII MA who had lived in the boarding school for at least one year. Data were collected using questionnaires, Snellen charts, trial frames, lux meters, and visual inspection with correction. Statistical analysis was performed using the chi-square test, and ethical approval was obtained (No: 098/EC/KEPK-FK/UNIMUS/2023). The study involved 41 eligible respondents, showing that 56.1% experienced myopia while 43.9% did not. The most dominant risk factors identified were poor lighting (73.1%), improper reading position (69.2%), and close reading distance (38.1%). Statistical results indicated significant relationships between room lighting (p=0.004), reading position (p=0.026), and reading distance (p=0.017) with myopia occurrence. Among these factors, inadequate indoor lighting showed the strongest association with myopia incidence among students.
Secondary Metabolite Identification and Antibacterial Activity of Ethanol Extract of Coconut Husk (Cocos nucifera L.) Against Escherichia coli ATCC 25922 Bernadeta Videlsia Ikun; Syahrir Syahrir; Nimas Prita Rahajeningtyas Kusuma Wardani; Muhajirin Dean
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6838

Abstract

Secondary metabolites are bioactive compounds commonly found in plants and have potential as natural antibacterial agents. Coconut coir (Cocos nucifera Linnaeus), an abundant agricultural by-product, is known to contain various secondary metabolites such as flavonoids, tannins, terpenoids, and phenolic compounds, which have been reported to possess antibacterial properties. Escherichia coli is a pathogenic bacterium that frequently causes human infections and has shown increasing resistance to several antibiotics, highlighting the need for alternative antibacterial sources. Inconsistencies in previous studies regarding the antibacterial activity of coconut coir against E. coli indicate the necessity for further investigation. This study aimed to identify the secondary metabolite content and evaluate the antibacterial activity of ethanol extract of coconut coir against Escherichia coli ATCC 25922. This study was an in vitro laboratory experimental study with a descriptive–experimental approach. Identification of secondary metabolites was conducted qualitatively using phytochemical screening of the ethanol extract of coconut coir. Antibacterial activity was assessed using the disc diffusion method with a post-test only control group design against Escherichia coli ATCC 25922. The phytochemical screening results demonstrated that the ethanol extract of coconut coir contained flavonoids, tannins, terpenoids, and polyphenols. However, the antibacterial activity test showed no inhibition zones at all tested concentrations of the ethanol extract against Escherichia coli ATCC 25922. These findings indicate that although the ethanol extract of coconut coir contains several secondary metabolites, it does not exhibit antibacterial activity against Escherichia coli ATCC 25922 when tested using the disc diffusion method.
The Relationship Between Quality of Life and Psychological Well-Being Among Breast Cancer Patients at RSUD K.R.M.T Wongsonegoro Semarang Pricillia Veronica; Mariyati Mariyati
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6840

Abstract

Breast cancer is the growth of new tissue as a result of the proliferation (excessive growth) of abnormal cells that can attack and damage other tissues causing the growth of new tissue. Breast cancer is also included in the deadly diseases and suffered by most women. Breast cancer treatment has negative side effects in the form of physical impacts such as nausea, vomiting, fatigue, and psychological impacts such as anxiety, stress, and depression. This study is to determine the relationship between quality of life and psychological well-being in breast cancer patients. This study uses a quantitative method with 47 respondents and the criteria are able to communicate verbally, have composmentis awareness and are cooperative and willing to sign informed consent. All analyses use Spearman Rank. With ethical number 068 / Kom.EtikRSWN / VI / 2025. The results show that. According to the results of the Spearman rank statistical test, it shows a significant relationship of 0.000 <0.05 and a coefficient of +0.718, which indicates a positive relationship with strong strength. The better the quality of life received by breast cancer patients, the higher their psychological well-being.
The Relationship between Nutritional Adequacy and Physical Activity with the Menstrual Cycle in Adolescents Salsa Afidatur Risqo; Laksmi Maharani
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6841

Abstract

Menstrual cycle disorders are still common in adolescent girls and can be influenced by various factors, including nutritional adequacy and physical activity. During adolescence, an imbalanced nutritional intake and inadequate physical activity can disrupt reproductive hormone regulation, potentially leading to menstrual irregularities. This study aims to determine the relationship between nutritional adequacy and physical activity and menstrual cycle disorders in adolescent girls. This study used a cross-sectional design involving 78 female adolescents aged 15–19 at SMKN 52 Jakarta, selected using a simple random sampling technique. Nutritional adequacy was assessed through a 24-hour food recall and classified based on the percentage of the Recommended Intake (RDA). Physical activity was assessed using the Physical Activity Questionnaire for Adolescents (PAQ-A). Menstrual cycle disorders were determined based on the average length of menstrual cycles over the past three months. Data analysis was performed using the chi-square test with a p-value <0.05. Most respondents had adequate nutritional intake (53.8%), while the majority demonstrated low levels of physical activity (57.7%). Abnormal menstrual cycles were reported by 56.4% of respondents. Bivariate analysis showed significant associations between nutritional adequacy and menstrual cycle patterns (p = 0.009), as well as between physical activity and menstrual cycle patterns (p = 0.001). In conclusion, nutritional adequacy and physical activity are associated with menstrual cycle among adolescent girls. Therefore, adequate nutritional intake and balanced physical activity should be considered important factors in maintaining regular menstrual cycles in adolescents.
Overview of Daily Living Activities in Patients with Osteoarthritis Afra Qhotrunnada Syifa; Mohammad Arifin Noor; Suyanto Suyanto
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6842

Abstract

Osteoarthritis is a degenerative joint disease that causes cartilage damage, pain, stiffness, and decreased joint function, which can impair patients’ ability to perform Activities of Daily Living (ADL). Limitations in ADL reduce independence and quality of life, particularly among elderly patients. This study aimed to describe the level of ADL independence in patients with osteoarthritis at Sultan Agung Islamic Hospital, Semarang. A categorical descriptive study with a cross-sectional approach was conducted involving 98 respondents selected through stratified random sampling. Data were collected using a modified Barthel Index and analyzed descriptively to determine the distribution of dependency levels. The findings showed that most patients experienced mild dependency, followed by moderate dependency, while only a small proportion were fully independent. The activities most frequently affected were mobility, walking, and stair climbing. These results indicate that osteoarthritis significantly affects functional ability in daily activities. The findings are expected to provide evidence-based information for nursing practice, particularly in planning rehabilitative and supportive interventions aimed at improving functional independence and quality of life in patients with osteoarthritis.
Antiretroviral Therapy Adherence among Patients with HIV/AIDS Tassya Afifah Kustanti; Mohammad Arifin Noor; Suyanto Suyanto
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6843

Abstract

The success of Antiretroviral (ARV) therapy is highly dependent on patients’ discipline in taking medication consistently. Various factors, including self-efficacy, are believed to influence the patient’s ability to maintain treatment routines. Poor adherence can reduce therapeutic effectiveness and increase the risk of treatment failure. This study aims to identify the relationship between self-efficacy with ARV therapy adherence among HIV/AIDS patients. This study employed a cross-sectional design involving 64 respondents at RSMD Soepardjo Roestam Semarang. Data were collected using questionnaires and analyzed with the Chi-Square test. Most respondents had low self-efficacy (51,6%), and low ARV therapy adherence (54,7%). Moderate adherence was found in 25% of respondents, while high adherence was found in 20,3%. Statistical analysis showed no significant relationship between ARV adherence (p = 0,291), nor between self-efficacy and adherence (p = 0,566). Other external factors are presumed to influence patients’ adherence levels. and self-efficacy were not significantly associated with ARV therapy adherence among HIV/AIDS patients.
The Relationship between Glycemic Control and Peripheral Neuropathy in Patients with Type 2 Diabetes Mellitus Nasya Amelia Putri; Mohammad Arifin Noor; Suyanto Suyanto
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6844

Abstract

People with diabetes mellitus are prone to various complications, uncontrolled blood sugar increases the risk of peripheral neuropathy. The purpose of this study is to determine the relationship between blood sugar control and peripheral neuropathy in patients with type 2 diabetes mellitus. This study employed a quantitative, non-experimental design with a correlational approach. Data were collected using monofilament examinations and a review of medical records. The study involved 104 participants recruited via purposive sampling. Subsequently, data analysis was performed using the Chi-Square test to determine statistical significance. The results of the univariate analysis mostly had characteristics of late elderly at 32,7%, housewife occcupation at 35,6%, BMI indicating overweight at 47,1%, stage 1 hypertension with systolic blood pressure at 35,6%, and stage 2 hypertension with diastholic blood pressure at 31,7%. Uncontrolled blood glucose was 73%, and peripheral neuropathy was 81%. Bivariate analysis yielded a p-value of 0.001 (p < 0.05), indicating a statistically significant relationship between blood sugar control and peripheral neuropathy in patients with Type 2 Diabetes Mellitus.
The Relationship Between Family Support and Treatment Adherence Among Patients With Tuberculosis Urnila Afriliani; Mohammad Arifin Noor; Suyanto Suyanto
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6845

Abstract

Tuberculosis is an infectious disease that requires long-term treatment and high compliance to ensure recovery. Family support is a crucial external factor that can influence patient behavior in completing the treatment regimen. This study aims to determine the relationship between family support and the level of medication adherence in tuberculosis patients at Soepardjo Roestam Regional General Hospital and Welahan 1 Community Health Center. The study used a descriptive analytical design with a cross-sectional approach . Data were collected through a family support questionnaire and the MMAS-8 ( Morisky Medication Adherence Scale ) questionnaire and analyzed using the chi-square test . The results showed that most respondents received good family support and had a high level of medication adherence. The results of the bivariate analysis showed a significant relationship between family support and medication adherence. The conclusion of this study is that optimal family support significantly increases medication adherence in tuberculosis patients, which is very important to prevent therapy failure and drug resistance.
Fatigue Characteristics in Patients with Type 2 Diabetes Mellitus and Diabetic Ulcer Complications Liya Maya Listianah; Mohammad Arifin Noor; Suyanto Suyanto
International Journal Of Health Science Vol. 6 No. 1 (2026): March: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i1.6847

Abstract

Introduction: Fatigue is a common complaint in individuals with type 2 DM accompanied by diabetic ulcers due to metabolic disorders, chronic pain, and limited activity. This condition can last for a long time and have an impact on the patient's physical and psychological function. This study aims to describe the characteristics of Fatigue in patients with type 2 diabetes mellitus who experience complications of diabetic ulcers. Methodology: This study used an analytical descriptive design with a cross-sectional approach, involving 133 respondents as a sample obtained through purposive sampling techniques. The research instrument used Multidimensional Fatigue Inventory-20 (MFI-20). Data analysis was carried out descriptively using frequency distribution and descriptive statistics. Results: The mean age of the respondents was 57.64 years (95% CI 56.63–58.65). Most of the respondents were female (55.6%), had diabetes for more than 5.56 years, had a junior high school education level (31.6 %), and the majority of the job types did not work (27.8%). As many as 72.9% of respondents experienced Fatigue . Discussion: The characteristics of type 2 diabetes mellitus patients with diabetic ulcers who experience Fatigue show variations based on age, sex, education level, type of occupation, and length of illness. The condition of diabetic ulcers contributes to increased Fatigue through limited mobility, pain, and psychological stress.