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Jurnal Ilmiah Kesehatan Sandi Husada (JIKSH)
Published by Politeknik Sandi Karsa Makassar
ISSN : 23546093     EISSN : 26544563     DOI : https://doi.org/10.35816/jiksh
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
The scope of this journal includes research that intends to review and understand nursing health care interventions and health policies that utilize advanced nursing research from an Asian perspective. The Sandi Husada Health Scientific Journal publishes research related to clinical, community, and health policy settings in Asia from a comparative and international perspective. We aim to evaluate and understand complex nursing care interventions on Nursing Fundamentals, Clinical Nursing, Community, and mental health nursing. The journal is also committed to improving high-quality research by publishing analytical research techniques, measures, and methods, including systematic review papers. Nursing, public health; public health nursing, home care nursing; midwifery, medical health, health policy administration, and pharmaceutical nursing. The journal prioritizes manuscripts with strong methodological rigor, ethical compliance, and clear implications for practice, policy, or future research.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 46 Documents
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Risk assessment of biological exposure in health workers of West Walenrang Health Center Nur Al Mughnia; Lusia Salmawati; Vidyanto; Musjaya M Guli; Sumarni
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): January - June
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.201

Abstract

Introduction: Biological hazards remain a primary occupational health concern for healthcare workers, particularly in primary healthcare centers where frequent contact with patients, biological specimens, and infectious medical waste occurs. Limited infrastructure and suboptimal occupational safety and health (OSH) implementation further increase the risk of biological exposure among healthcare workers at the primary care level. Research Methodology: This study employed a mixed-methods, sequential explanatory design at the West Walenrang Health Center. Quantitative data were collected through field observations and structured questionnaires administered to all 48 healthcare workers, using total sampling. Biological risks were identified and assessed using the Hazard Identification, Risk Assessment, and Determining Control (HIRADC) method with a risk matrix. Qualitative data were obtained through in-depth interviews with selected healthcare workers from high-risk units to explore contextual factors influencing biological risk exposure and control practices. Results: The findings indicated that biological hazards were the most dominant occupational risks. High-risk exposures were primarily associated with contact with blood and body fluids, needlestick and sharps injuries, and improper management of infectious medical waste, each scoring 12 on the HIRADC risk matrix. Moderate risks were identified in relation to direct contact with infectious patients and aerosol-generating medical procedures. Existing control measures were largely limited to personal protective equipment and administrative controls, while higher-level controls, such as engineering interventions, were insufficient. Qualitative findings supported these results, highlighting inconsistent use of protective equipment, inadequate waste management, limited training, and weak supervision. Conclusion: Biological risk management at the primary healthcare level remains inadequate. It is recommended that comprehensive HIRADC implementation, improved medical waste management systems, regular occupational safety training, and the integration of higher-level control measures be strengthened to reduce biological exposure among healthcare workers effectively.
Effect of self-efficacy and social support on medication compliance for tuberculosis patients Jessica Angelina Mangela; Muhammad Jusman Rau; Arwan; Rasyika Nurul Fadjriah; Ni Wayan Sridani
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): January - June
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.202

Abstract

Introduction: Tuberculosis remains a major public health problem, and medication non-adherence continues to hinder treatment success despite the implementation of the Directly Observed Treatment Short-course (DOTS) strategy. Psychological and social factors, particularly self-efficacy and social support, play an important role in determining patients’ adherence to long-term tuberculosis treatment. This study aimed to analyze the influence of self-efficacy and social support on medication adherence among tuberculosis patients in Palu City. Research Methodology: This study employed a quantitative, comparative, analytical design with a non-experimental, cross-sectional approach. The study population consisted of 489 registered tuberculosis patients in Palu City in 2025. A total of 83 respondents were selected using probability sampling with a cluster random sampling technique from seven public health centers. Data were collected using the Morisky Medication Adherence Scale (MMAS-8), the Tuberculosis Self-Efficacy Scale (TBSES), and the Multidimensional Scale of Perceived Social Support (MSPSS). Data analysis included univariate analysis and bivariate analysis using independent t-tests with a significance level of p < 0.05. Results: Medical care management (p = 0.003), support seeking (p = 0.047), and psychological adjustment (p = 0.038) were significantly associated with medication adherence, whereas transmission management was not (p = 0.993). All dimensions of social support, instrumental (p = 0.031), informational (p = 0.045), appraisal (p = 0.011), and emotional support (p = 0.015), demonstrated significant associations with medication adherence. Conclusion: These findings indicate that medication adherence among tuberculosis patients is strongly influenced by both self-efficacy and social support. Strengthening patients’ confidence in managing treatment and enhancing family and social support are essential to improve adherence and treatment outcomes
Quality of life and physical activity participation in adolescent girls with idiopathic scoliosis treated with bracing Ellysa Okky Gusma; Gatot Sunarto; Gian Lisuari Adityasiwi; Nathan Agwin Khenda; Nicolas Adi Perdana Susanto
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): January - June
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.203

Abstract

Introduction: Adolescent idiopathic scoliosis (AIS) is a common musculoskeletal condition that predominantly affects adolescent girls and often requires prolonged brace treatment. Although bracing is effective in preventing curve progression, it may negatively influence physical comfort, emotional well-being, and psychosocial functioning. Quality of life has therefore become an essential outcome in the management of AIS. Physical activity, particularly swimming, is frequently recommended as a safe form of exercise for adolescents with scoliosis; however, evidence on its association with quality of life during brace treatment remains limited. Research Methodology: This study employed a quantitative cross-sectional design involving 50 adolescent girls aged 10–18 years diagnosed with idiopathic scoliosis and undergoing brace treatment for at least six months. Participants were selected using purposive sampling. Quality of life was assessed using the Brace Questionnaire (BrQ), covering eight domains. Physical activity participation was measured by swimming frequency and categorised as low (1–2 times/week) or high (≥3 times/week). Data were analysed using univariate statistics, independent t-tests, and multivariate regression analysis. Results: The mean total quality-of-life score indicated a moderate level of quality of life among participants. Higher participation in physical activity was significantly associated with better physical and emotional functioning, vitality, and overall quality of life (p < 0.05). Adolescents who swam three or more times per week had higher total quality-of-life scores than those who swam fewer times per week. No significant differences were observed in self-esteem and social functioning domains. Conclusion: Regular physical activity, particularly swimming, is positively associated with improved quality of life among adolescent girls with idiopathic scoliosis undergoing brace treatment. Integrating safe physical activity promotion into conservative scoliosis management may enhance both physical and psychosocial well-being.
Patients’ Perceptions of the Frequency of Medication Counseling by Pharmacists: A Qualitative Case Study Dian Meiliani Yuli; Nun Sudiar Astati; Hairuddin K; Julia Fitrianingsih
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): January - June
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.204

Abstract

Introduction: Medication counseling is an essential component of patient-centered pharmaceutical care, contributing to medication safety, adherence, and patient satisfaction. In hospital pharmacy settings, counseling practices are often influenced by workload and service constraints, resulting in variability in counseling frequency. Understanding how patients perceive and interpret the frequency of medication counseling is therefore important for improving the quality of pharmacy services. This study aimed to explore patients’ perceptions of the frequency of medication counseling provided by pharmacists and to examine its role in shaping patient satisfaction within a hospital pharmacy setting. Research Methodology: A qualitative case study design was employed at the pharmacy installation of a regional general hospital in Indonesia. Data were collected through in-depth interviews with patients, pharmacists, and supporting staff, complemented by non-participant observations and document review. Participants were selected using purposive sampling. Data were analyzed thematically through data condensation, data display, and conclusion drawing, with credibility ensured through triangulation of sources and techniques. Results: The findings revealed that medication counseling frequency was delivered inconsistently and varied according to workload, patient volume, and medication characteristics. Patients perceived frequent counseling as a sign of professional care that enhanced understanding, confidence, and trust in pharmacists. Consistent counseling contributed positively to patient satisfaction, whereas limited counseling led to uncertainty in medication use. Organizational factors, such as staffing limitations and service flow, were identified as key constraints on counseling practices. Conclusion: Medication counseling frequency is a meaningful experiential factor that shapes patient satisfaction and the quality of pharmacist-patient interactions. Strengthening counseling consistency through organizational support and standardized practices may improve patient-centered pharmaceutical care in hospital settings.
Effect of Home Care Services on Anxiety in Pregnant Women Facing Childbirth: A Quasi-Experimental Study Uliarta Marbun; Irnawati; Lili Purnama Sari; Dahniar; Arisna Kadir
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): January - June
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.205

Abstract

Introduction: Anxiety during pregnancy, particularly in the third trimester, is a common psychological condition that may adversely affect the childbirth process and maternal well-being. Home care services provide a holistic and continuous approach that integrates education, emotional support, and family involvement, potentially reducing childbirth-related anxiety. However, evidence on the effectiveness of home care in primary health care settings remains limited. This study aimed to examine the effect of home care services on anxiety levels among third-trimester pregnant women facing childbirth. Research Methodology: A quantitative quasi-experimental study with a posttest-only control group design was conducted at Pattingaloang Primary Health Center from June to August 2025. A total of 40 third-trimester pregnant women were selected using accidental sampling and assigned to an intervention group (n = 20) receiving home care services and a control group (n = 20) receiving standard antenatal care. Anxiety levels were measured using a structured questionnaire. Data were analyzed using univariate analysis and the Independent Sample t-test. Results: Most pregnant women in the intervention group were not anxious (85.0%), while the majority in the control group experienced anxiety (75.0%). The mean anxiety score in the intervention group was significantly lower than that in the control group (17.90 ± 4.05 vs. 25.80 ± 5.12; p < 0.001). Conclusion: Home care services significantly reduce anxiety among third-trimester pregnant women facing childbirth. Integrating home care into routine antenatal services may enhance psychological preparedness and maternal well-being.
Family Health Tasks and Childhood Stunting in Primary Care: A Cross-Sectional Study in Indonesia Isymiarni Syarif; Wahyuni Langelo; Jukarnain; Andi Nursiah; Nur Masita
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): January - June
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.206

Abstract

Introduction: Stunting remains a major public health problem in low- and middle-income countries, including Indonesia, and is influenced by biological, environmental, and behavioral factors within the family context. Evidence examining the role of comprehensive family health task performance in relation to stunting severity is still limited. To examine the association between family health task performance and the degree of stunting among children aged 0–24 months attending a primary health care center. Research Methodology: An analytical cross-sectional study was conducted among 120 families with stunted children in the catchment area of Bantimurung Primary Health Center, South Sulawesi, Indonesia. Family health task performance was assessed using a validated questionnaire covering five domains: recognizing health problems, making health decisions, caring for sick family members, modifying the home environment, and utilizing health facilities. Stunting severity was determined using height-for-age z-scores. Data were analyzed using descriptive statistics and Spearman’s rank correlation. Results: Family health task performance was significantly and negatively correlated with stunting severity (ρ = −0.341; p < 0.05). Utilization of health facilities (ρ = −0.421; p < 0.01) and environmental modification (ρ = −0.356; p < 0.05) showed the strongest associations with reduced stunting severity. Low birth weight and non-exclusive breastfeeding were also significantly associated with more severe stunting. Conclusion: Better family health task performance, particularly in engaging primary health services and maintaining a healthy home environment, is associated with less severe stunting. Strengthening family-centered interventions in primary care is essential to reducing the severity of stunting in early childhood
Effectiveness of video-based home exercise program on physical activity and glycemic control in patients with type 2 diabetes mellitus Asnuddin Asnuddin; Adillah Nurfatiyah; Sulaeman; Meriem Meisyaroh Syamson
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): January - June
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i2.207

Abstract

Introduction: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder characterized by persistent hyperglycemia and is frequently associated with low levels of physical activity. Limited access to structured exercise programs remains a major barrier to optimal diabetes management, particularly in primary healthcare settings. Video-based home exercise programs offer a practical and accessible approach to promoting physical activity and improving glycemic control. This study aimed to evaluate the effectiveness of a video-based home exercise program on physical activity levels and fasting blood glucose among patients with T2DM. Research Methodology: A quantitative quasi-experimental study with a one-group pretest–posttest design was conducted among 30 patients with T2DM at a primary healthcare facility. Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ), while fasting blood glucose levels were measured before and after the intervention. Data were analyzed using the Wilcoxon Signed Ranks Test and paired t-test, with statistical significance set at p < 0.05. Results: The intervention resulted in a significant increase in physical activity levels (Z = –4.704; p = 0.000). In addition, mean fasting blood glucose levels decreased significantly from 172.60 ± 29.41 mg/dL to 151.87 ± 27.83 mg/dL (t = 2.665; p = 0.012). Conclusion: The video-based home exercise program was effective in improving physical activity and glycemic control among patients with T2DM. This intervention is a feasible, low-cost strategy to support diabetes self-management in primary healthcare settings
Role of transformational leadership of primary health center heads in the success of the national immunization program: a qualitative study Nawir Rahman
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): January - June
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.208

Abstract

Introduction: The National Immunization Program is a cornerstone of public health policy; however, variations in immunization performance persist at the primary health care level. Leadership at Primary Health Centers (Puskesmas) plays a crucial role in translating national policies into effective local implementation. Transformational leadership has been increasingly recognized as a potential mechanism for strengthening program performance, yet qualitative evidence from primary health care settings in low- and middle-income countries remains limited. This study aimed to explore the role of transformational leadership exercised by heads of Primary Health Centers in supporting the success of the National Immunization Program. Research Methodology: A qualitative descriptive–exploratory design was employed. In-depth, semi-structured interviews were conducted with 23 purposively selected informants, including heads of Primary Health Centers and health workers directly involved in immunization services. Data were analyzed using thematic analysis to identify key leadership-related mechanisms influencing program implementation. Results: Four interrelated themes emerged from the analysis: vision-oriented leadership, empowerment and motivation of health workers, team collaboration and coordination, and community engagement and trust building. Clear vision-setting by leaders aligned staff efforts with immunization targets, while supportive supervision and participatory decision-making enhanced health worker motivation. Effective teamwork facilitated adaptive problem-solving in response to operational challenges, and active community engagement strengthened public trust and acceptance of immunization services. Conclusion: The findings indicate that transformational leadership at the primary health care level supports successful immunization program implementation through integrated leadership practices that combine strategic vision, workforce empowerment, collaboration, and community engagement. Strengthening the capacity for transformational leadership among Primary Health Center heads may enhance the sustainability and effectiveness of national immunization programs in decentralized health systems.
Determinants of subdermal contraceptive use among women of reproductive age: A Cross-Sectional Study Dahniar; Uliarta Marbun; Lili Purnama Sari; Irnawati; Arisna Kadir
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): January - June
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.211

Abstract

Introduction: Family planning is a key global public health strategy to reduce maternal morbidity and mortality. The World Health Organization (WHO) reports that millions of women of reproductive age worldwide still have unmet needs for modern contraception, contributing to preventable maternal deaths and adverse reproductive outcomes. Although long-acting reversible contraceptives such as subdermal implants are highly effective (failure rate <1%), their utilization remains lower than short-term methods in many low- and middle-income countries, including Indonesia. Understanding the determinants of implant use is essential to strengthening family planning programs at the primary health care level. Objective: To analyze factors associated with the use of subdermal contraceptives (Alat Kontrasepsi Bawah Kulit/AKBK) among women of reproductive age at Puskesmas Pattingalloang. Research Methodology: An analytic cross-sectional study was conducted among 50 women of reproductive age, selected by simple random sampling, between December 2024 and January 2025. Data were collected using validated structured questionnaires. Descriptive statistics, chi-square tests, and multivariate logistic regression were performed using SPSS version 26. Statistical significance was set at α = 0.05. Results: Good information exposure (AOR = 9.12; 95% CI: 1.78–46.76; p = 0.008), good husband’s support (AOR = 7.45; 95% CI: 1.56–35.58; p = 0.012), good knowledge (AOR = 6.74; 95% CI: 1.38–32.94; p = 0.019), and age 20–30 years (AOR = 5.21; 95% CI: 1.02–26.60; p = 0.047) were independently associated with AKBK use. Parity, education level, and duration of contraceptive use were not significantly associated. Conclusion: Cognitive and relational determinants play a central role in subdermal contraceptive uptake. Strengthening structured counseling, improving information dissemination, and implementing couple-centered family planning interventions are recommended to enhance long-acting contraceptive utilization and improve maternal health outcomes
Mental stress and fast-food consumption as determinants of early hypertension among students: A Qualitative Study Cipto Susilo; Ari Setyawati; Indrawati Aris Tyarini; Matilda Martha Paseno
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): January - June
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.212

Abstract

Introduction: Hypertension is a major global public health problem affecting more than 1.2 billion people worldwide and contributing substantially to cardiovascular morbidity and premature mortality. Recent evidence indicates a rising trend of elevated blood pressure among young adults, particularly in low- and middle-income countries experiencing rapid lifestyle and dietary transitions. University students are increasingly exposed to chronic academic stress and easy access to high-sodium fast food, potentially accelerating early cardiovascular risk. However, limited qualitative evidence integrates psychosocial and dietary determinants of early hypertension within student populations. Research Methodology: This qualitative study employed a phenomenological approach to explore students lived experiences related to mental stress, fast food consumption, and perceived early hypertension risk. The study was conducted at a public university in Indonesia between March and June 2025. Twenty undergraduate students aged 18–25 years were recruited using purposive maximum variation sampling. Data were collected through in-depth semi-structured interviews and analyzed using thematic analysis following Braun and Clarke’s framework. Data saturation was achieved at the 18th interview and confirmed in subsequent interviews. Results: Four major themes emerged: (1) academic and psychosocial stress as persistent pressure; (2) fast food as a stress-driven coping mechanism; (3) limited awareness of early hypertension risk; and (4) the interconnection between stress, diet, and physical symptoms. Participants described chronic stress leading to frequent fast-food consumption, which was perceived to contribute to headaches, palpitations, and fatigue. A knowledge behavior gap was evident, as awareness did not translate into preventive action. Conclusion: Early hypertension risk among students is shaped by the interaction between psychosocial stress and maladaptive dietary coping behaviors. Integrated campus-based strategies incorporating stress management, healthier food environments, and routine blood pressure screening are essential to prevent long-term cardiovascular disease

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