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International Journal of Health Science
Published by Lembaga Pengembangan Kinerja Dosen
ISSN : 2827959X     EISSN : 28279603     DOI : 10.55606
Core Subject : Health, Social,
Health Professions Public Health Social Sciences
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)
Arjuna Subject : Ilmu Sosial - Kesehatan (Ilmu Sosial)
Articles 334 Documents
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The Relationship between Physical Activity and Quality of Life in Patients with Congestive Heart Failure (CHF) Aliya Marsiana; 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.v6i1.6848

Abstract

Background: Maintaining long-term regular physical activity is crucial for several weeks. Unfortunately, only 10% of patients benefit from cardiac rehabilitation programs after hospitalization for acute heart failure, and the majority of patients do not pursue long-term physical activity. The purpose of this study was to determine the relationship between physical activity and quality of life in CHF patients at Sultan Agung Islamic Hospital, Semarang. Method: This study was a quantitative study using a cross-sectional design. Data collection was conducted using a questionnaire. A total of 108 respondents were selected using a purposive sampling technique. The data obtained were analyzed statistically using the chi-square test. Result: Based on the analysis, it was found that of the 108 respondents, the average age was 55 years, the average diagnosed with CHF for 3 years, with the characteristics of the majority of male gender, namely 66.7%, the last education was high school level as much as 56.6%, and the majority worked as private employees as much as 47.2%. The results also showed that 65.7% of respondents had moderate activity, 27.8% had light activity and 6.5% had heavy activity. A total of 61.1% of respondents had a good quality of life, 31.5% had a moderate quality of life, and 7.4% had a poor quality of life. Conclusion: There is a significant relationship between physical activity and quality of life (p-value <0.05).
The Effect of Combined Cutaneous Stimulation (Massage) and Lavender Aromatherapy on Sleep Quality in Patients with Diabetes Mellitus Sugiyarti Sugiyarti; 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.v6i1.6850

Abstract

Diabetes Mellitus (DM) is a chronic disease often accompanied by sleep disturbances, which can worsen the patient's physiological and psychological conditions. Non-pharmacological interventions such as cutaneous stimulation and lavender aromatherapy are known to increase relaxation and improve sleep quality. This study aims to determine the effect of a combination of cutaneous stimulation and lavender aromatherapy on the sleep quality of DM patients. This study used a pre-experimental design with a one-group pretest–posttest approach in 38 outpatient DM patients selected using a purposive sampling technique. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). The intervention was administered for seven consecutive days. Data analysis was performed using the Wilcoxon Signed Ranks Test. The results showed that before the intervention, most respondents had poor sleep quality (97.4%), whereas after the intervention, the majority of respondents experienced an improvement in sleep quality to good (81.6%). The Wilcoxon test results showed a p value = 0.001 (p < 0.05), indicating a significant difference between PSQI scores before and after the intervention. Thus, the combination of cutaneous stimulation and lavender aromatherapy has been proven effective in improving the sleep quality of Diabetes Mellitus patients.
The Relationship between Fatigue and Sleep Quality in Patients with Congestive Heart Failure (CHF) Amrina Rosada; 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.v6i1.6851

Abstract

Congestive Heart Failure (CHF) is a chronic cardiovascular condition characterized by the heart’s inability to pump sufficient blood to meet the body’s metabolic demands, leading to various physical and functional disturbances. Among the most frequently reported symptoms in patients with CHF are fatigue and impaired sleep quality, both of which may negatively affect daily functioning and quality of life. This study aimed to examine the relationship between fatigue and sleep quality in patients with Congestive Heart Failure. A quantitative study with a cross-sectional design was conducted at Sultan Agung Islamic Hospital, Semarang, from September to November 2025. A total of 163 patients with CHF were recruited using a sampling technique based on the Isaac and Michael formula. Data were collected using the Fatigue Severity Scale (FSS) to measure fatigue levels and the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality, supported by medical record data. Statistical analysis was performed using the Chi-Square test. The results showed that most respondents were male (52.8%), aged 56–65 years (25.1%), and had been diagnosed with CHF for approximately two years (33.1%). More than half of the patients experienced high levels of fatigue (54.6%), while the majority reported poor sleep quality (71.2%). The Chi-Square test revealed a statistically significant relationship between fatigue and sleep quality in patients with CHF (p = 0.001; p < 0.05). This study concluded that low and high fatigue affect sleep quality in CHF patients.  The study highlights the importance of comprehensive nursing care that includes early assessment and management of fatigue and sleep disturbances to improve patient well-being and support optimal clinical outcomes.
Understanding the Triage System With the Level of Anxiety of Patient Families in the Emergency Room Pipit Anggraini; Agung Widiastuti; Adi Buyu Prakoso
International Journal Of Health Science Vol. 6 No. 2 (2026): July: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i2.7632

Abstract

The Emergency Department (ED) is the primary entry point for patients requiring urgent medical attention, and the triage system used to classify patients by severity often becomes a source of confusion for waiting families. When families do not understand why patients are treated in a particular order rather than by arrival time, feelings of worry and distress tend to increase. This study aimed to determine the relationship between family understanding of the triage system and the level of anxiety experienced by patients' families in the Emergency Department of RSUD Dr. Moewardi Surakarta. This research applied a quantitative observational-analytic design with a cross sectional approach. Ninety respondents were recruited through purposive sampling based on inclusion criteria. Data were collected using a validated triage-understanding questionnaire and the Hamilton Anxiety Rating Scale (HARS), then analyzed using the Spearman Rank correlation test. The results showed that most respondents had insufficient understanding of the triage system (62.2%) and experienced severe anxiety (42.2%). The correlation test produced a p-value of <0.001 (p<0.05) with a correlation coefficient of 0.504, indicating a moderate, positive, and statistically significant relationship: the lower the family's understanding of triage, the higher their anxiety level, and vice versa. These findings suggest that structured therapeutic communication and triage education for waiting families could be an effective strategy to reduce anxiety in the emergency setting.
The Effect of Oxytocin Massage to Increase Breast Milk Production in Post-Post Mothers in the Working Area of Alalak South Public Health Center, Banjarmasin City Yona Repalia; Nelly Mariati; Indrayadi; Fika Aulia; Zaiyidah Fathony
International Journal Of Health Science Vol. 6 No. 2 (2026): July: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i2.7763

Abstract

Exclusive breastfeeding plays an important role in infant health, but the achievement of exclusive breastfeeding globally and internationally has not yet met the set targets. One of the main obstacles faced by postpartum mothers is the lack of smooth milk production in the early postpartum period due to physiological and psychological factors such as stress, fatigue, and impaired let-down reflex. Oxytocin massage is believed to be able to stimulate the release of the oxytocin hormone, thereby helping to facilitate breast milk production, but its application at the primary care level is still limited. This study aims to determine the effect of oxytocin massage on the smoothness of breast milk in primiparous postpartum mothers in the working area of the Alalak Selatan Community Health Center, Banjarmasin City. The study used a quantitative approach with a pre-experimental one group pretest-posttest design. The population was all primiparous postpartum mothers in the working area of the Alalak Selatan Community Health Center, with samples taken using an accidental sampling technique. The oxytocin massage intervention was given for three consecutive days, the smoothness of breast milk was measured before and after the intervention using an observation sheet. The results showed a significant increase in breast milk flow after the intervention, with all 30 respondents reaching the smooth category ( Wilcoxon Signed Rank Test , Z = 4.806; p = 0.000).
Dermatological Disease Patterns by Age and Sex: A Two-Year Analytical Study in an Urban Private Practice, Jakarta (2024–2025) Medina Aulia Rahmi; Windy Keumala Budianti
International Journal Of Health Science Vol. 6 No. 2 (2026): July: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i2.7767

Abstract

Background: Skin diseases represent a major burden in outpatient dermatology settings in Indonesia. The pattern of dermatological diagnoses varies substantially by age group and sex, reflecting differences in hormonal milieu, environmental exposures, and immune function. Objective: To describe and analytically assess the distribution of dermatological diagnoses stratified by age group and sex among patients attending in a private health and beauty clinic in Menteng, Central Jakarta, from January 2024 to December 2025. Methods: A cross-sectional, analytic observational study was conducted using secondary data from the clinic’s visit records. A total of 8,105 patient visits were included. Diagnoses were classified by ICD-10 code and stratified into eight broad age groups: Infants (<1 years), Young Children (1-4 years), Older Children (5-9 years), Young Adolescent (10-14 years), Older Adolescents (15-19 years), Young Adults (20-24 years), Adults (25–59 years), and Elderly (≥60 years). Chi-square (X²) goodness-of-fit was used for hypothesis testing. Results: Female patients predominated (74.9%; x2 = 2,016.761, p < 0.001). The most common diagnoses were acne vulgaris (n = 1,230; 15.2%), atopic dermatitis (n = 756; 9.3%), chloasma (n = 740; 9.1%). Acne vulgaris peaked in the Adults group (65.2% of all acne cases), chloasma in the Adults group (87%), and atopic dermatitis in the Adults group (34.9%). Chi-square analysis revealed that all top-10 diagnoses showed statistically significant non-uniform age distribution (all p < 0.001). Conclusion: Dermatological diagnoses at this private health and beauty clinic are age- and sex-patterned. These findings provide a basis for age-targeted prevention, early detection, and clinical resource allocation in urban private dermatology practice.
Impact of Psychological Stress on Immunity in Chronic Infections (HIV and TB): A Literature Review Made Lady Adelaida Purwanta; Dian Pritasari Jeger; Made Edwin Sridana
International Journal Of Health Science Vol. 6 No. 2 (2026): July: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i2.6980

Abstract

Human immunodeficiency virus (HIV) infection and tuberculosis (TB) remain major global health challenges, affecting not only morbidity and mortality but also patients’ quality of life and everyday functioning. In both chronic infections, psychological stress and common mental disorders—particularly depression and anxiety—often coexist and are strongly shaped by social determinants. These psychological conditions may, in turn, influence immune function and contribute to poorer clinical outcomes. This literature review explores the relationship between psychological stress, mental disorders, and immune alterations through a psychoneuroimmunology perspective. The review highlights how chronic stress activates the hypothalamic–pituitary–adrenal (HPA) axis and the sympathetic nervous system, increasing cortisol and catecholamines and forming a neuroendocrine–immune network that may suppress cellular immunity when stress is persistent. The findings support the importance of integrating medical care with psychological and social interventions to improve long-term outcomes among people living with HIV and TB.
The Relationship Between Molecular Subtypes and Histological Grade of Nottingham Breast Carcinoma at dr. H. Jusuf SK Regional General Hospital Fitri Firdausi; Ladyna Rumapar
International Journal Of Health Science Vol. 6 No. 2 (2026): July: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i2.6988

Abstract

subtype and histological grade, both of which influence prognosis and therapeutic strategy. Although molecular classification using immunohistochemistry has become a standard component of breast cancer management, data regarding its correlation with histological grade in secondary healthcare facilities remain limited. This study aimed to analyze the relationship between molecular subtypes and histological grade of Nottingham breast carcinoma at dr. H. Jusuf SK Regional General Hospital. This retrospective analytical cross-sectional study included breast carcinoma patients diagnosed between January 2023 and September 2025. Only cases with complete immunohistochemical data (ER, PR, HER2, and Ki-67) were included in the analysis. Molecular subtypes were classified as Luminal A, Luminal B, HER2-enriched, and Triple-negative, while histological grading was determined using the Nottingham Histologic Score system (Grade I–III). The association between molecular subtype and histological grade was analyzed using Fisher’s Exact test, with statistical significance set at p < 0.05. A total of 51 patients met the inclusion criteria. Luminal B was the most frequent subtype (39.2%), followed by Luminal A (27.5%), HER2-enriched (25.5%), and Triple-negative (7.8%). Grade III tumors accounted for 51.0% of cases. HER2-enriched (69.2%) and Triple-negative (75.0%) subtypes were predominantly associated with Grade III tumors, whereas Luminal A tumors were more frequently associated with Grade II (57.1%) and lower-grade tumors. Statistical analysis demonstrated a significant association between molecular subtype and histological grade (Fisher’s Exact test, p < 0.05). These findings indicate a statistically significant relationship between molecular subtype and histological grade in Nottingham breast carcinoma. More aggressive molecular subtypes, particularly HER2-enriched and Triple-negative, are strongly associated with higher histological grade. This result highlights the biological concordance between molecular behavior and tumor differentiation and underscores the importance of comprehensive immunohistochemical evaluation in breast cancer management.
The Relationship Between Therapy Compliance and the Incidence of Diabetic Retinopathy in Type 2 Diabetes Mellitus Patients. A Study at the Primary Health Facility (FKTP) Pratama Clinic Tanjung Purwokerto Amanah Sekar Kinasih; Nabila Rizmi Pradina; Dwi Arini Ernawati; Ika Murti Harini; Muhamad Rifqy Setyanto
International Journal Of Health Science Vol. 6 No. 2 (2026): July: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i2.6989

Abstract

Background: Diabetic retinopathy is a microvascular complication of diabetes resulting from blood vessel damage in the retina, which can lead to blindness. Several studies indicate low levels of therapy adherence in diabetes mellitus patients. At FKTP Tanjung Clinic Purwokerto, one-third of diabetic patients fail to perform routine glycemic control. Objective: To examine the relationship between therapy adherence and the incidence of diabetic retinopathy in type 2 diabetes mellitus patients at FKTP Tanjung Clinic Purwokerto. Method: This study employed an observational analytic design with a cross-sectional approach. A total of 35 patients from FKTP Tanjung Clinic Purwokerto were selected through consecutive sampling. Therapy adherence was measured using the MMAS-8 questionnaire, while the incidence of diabetic retinopathy was determined via posterior segment examination using an indirect ophthalmoscope by an ophthalmologist. Fisher’s exact test was used for hypothesis testing. Results: Among the 35 respondents, 2.9% had high adherence, 42.9% had moderate adherence, and 54.3% had low adherence. The incidence of diabetic retinopathy was 28.6%, while 71.4% showed no signs of retinopathy. Fisher’s test analysis revealed a p-value of 0.474, indicating no significant relationship between therapy adherence and the occurrence of diabetic retinopathy in type 2 diabetes mellitus patients. Conclusion: There is no significant relationship between therapy adherence and the incidence of diabetic retinopathy in type 2 diabetes mellitus patients at FKTP Tanjung Clinic Purwokerto.
The Effect of Health Education About Tuberculosis on Knowledge and Attitudes Toward Preventing the Transmission of Tuberculosis in the Families of TB Patients at the Purbalingga Community Health Center Shinta Dewi Dian Puspitasari; Maya Safitri; Tin Utami
International Journal Of Health Science Vol. 6 No. 2 (2026): July: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v6i2.6997

Abstract

Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis and transmitted through the air when individuals with pulmonary TB cough and release bacteria that can be inhaled by others. Preventive efforts are necessary to reduce its spread, and health education is one strategy to increase public awareness. This study aimed to examine the effect of tuberculosis health education on the knowledge and attitudes of families in preventing TB transmission among patients’ families at the Purbalingga Community Health Center. This quantitative study used a pre-experimental method with a one-group pre-test–post-test design. A total of 48 families of TB patients were selected using purposive sampling. Data were collected through questionnaires measuring respondents’ knowledge and attitudes. Most respondents were female (79.2%), aged 46–55 years (39.6%), related to the patient as siblings (37.5%), and had a senior high school or vocational school education level (56.3%). The findings showed that knowledge improved from the adequate category before education (64.6%) to the good category after education (72.9%). Attitudes also changed significantly from mostly negative (66.7%) to positive (95.8%) after the intervention. Statistical analysis using the Paired Sample T-Test showed a p-value of 0.000 (<0.05), indicating a significant effect of health education on improving knowledge and attitudes toward preventing TB transmission. These results indicate that health education is an effective intervention to increase awareness and promote preventive behavior among families of TB patients.

Page 29 of 34 | Total Record : 334

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