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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 205 Documents
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Determinant Factors of Emotional Mental Health in Adolescents: An Exploratory Study Florensa Florensa; Nurul Hidayah; Lintang Sari; Fajar Yousrihatin; Wulida Litaqia
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 2 (2026): Articles in Press
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i2.260

Abstract

Introduction: Adolescent emotional and mental health is an important component of overall development and well-being. During adolescence, individuals experience significant biological, psychological, and social changes that may increase vulnerability to emotional difficulties. Internal psychological factors such as coping mechanisms, self-esteem, and resilience are considered important determinants influencing adolescent mental health. Objective: This study aimed to explore the determinants of adolescent emotional mental health, particularly emotional difficulties. Research Methodology: This study employed a quantitative descriptive-analytic design. Data were collected from 478 adolescents aged 12–15 years in Pontianak, Indonesia, using structured questionnaires. The variables examined included coping mechanisms, self-esteem, and resilience as independent variables, while emotional difficulties and prosocial strengths served as dependent variables. Data were analyzed using Spearman Rank multivariate analysis to identify the strength and contribution of each determinant factor. Results: Most adolescents had normal prosocial abilities (83.5%), while emotional difficulties were considered normal in 52.7% of respondents. Coping mechanisms had the strongest contribution to emotional difficulties (R² = 0.391; 39.1%), followed by self-esteem (R² = 0.287; 28.7%) and resilience (R² = 0.042; 4.2%). In contrast, prosocial strengths were primarily influenced by resilience (R² = 0.148; 14.8%), followed by coping mechanisms (R² = 0.063; 6.3%) and self-esteem (R² = 0.048; 4.8%). Conclusion: Coping mechanisms, self-esteem, and resilience are significant determinants of adolescent emotional and mental health. Strengthening adaptive coping skills, enhancing self-esteem, and fostering resilience may improve adolescents’ emotional well-being and prosocial development
Menopause related hormonal and inflammatory regulation of BCL2-mediated apoptosis in cervical cancer: A Systematic review Amanda Fransisca Rhevytasari; Arini Widya Risanti; Tatit Nurseta; Safrina Dewi Ratnaningrum; Sutrisno Sutrisno; Agustina Tri Endarti
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 2 (2026): Articles in Press
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i2.303

Abstract

Introduction: Menopause is characterized by a decline in estrogen levels that may alter inflammatory signaling and apoptotic regulation. Dysregulation of apoptosis, particularly involving B-cell lymphoma-2 (Bcl2), plays a critical role in cervical cancer progression. This systematic review aimed to synthesize current evidence on menopause-related hormonal changes and inflammatory mechanisms in regulating Bcl2-mediated apoptosis in cervical cancer. Research Methodology: This systematic review followed PRISMA 2020 guidelines. Literature searches were conducted in October 2025 using PubMed and ScienceDirect. Eligible studies included human and animal research examining menopause-related hormonal status, inflammation, and Bcl2-associated apoptotic pathways in cervical cancer. Risk of bias was assessed using the Cochrane RoB 2 tool for human studies and the SYRCLE tool for animal studies. Due to heterogeneity, data were synthesized narratively. Results: Six studies (2 human, 4 animal) published between 2019 and 2024 were included. Human studies demonstrated menopause-associated inflammatory changes, including elevated cytokines (IL-1α, IL-6, CRP), suggesting a pro-inflammatory environment relevant to apoptosis regulation. Animal studies consistently showed downregulation of Bcl2 and upregulation of pro-apoptotic markers (BAX, caspase-3), indicating mitochondrial apoptosis activation under estrogen-deprived conditions. Quantitative effect measures (e.g., OR, RR) were not consistently reported due to the predominance of mechanistic and preclinical designs. Conclusion: Menopause-related hormonal decline is associated with increased inflammation and modulation of Bcl2-dependent apoptotic pathways in cervical cancer. While preclinical evidence strongly supports a mechanistic link, clinical evidence remains limited. Future translational studies integrating molecular, hormonal, and inflammatory biomarkers are needed to establish clinical relevance.
Knowledge sharing mediates the relationship between nurses’ job well-being and innovative behavior: A cross-sectional study Syahrir Syahrir; Dewi Nurhanifah; Cheristina Cheristina; Yunita Kristina
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 2 (2026): Articles in Press
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i2.326

Abstract

Introduction: Innovative behavior among nurses is essential for improving healthcare quality; however, its underlying mechanisms remain insufficiently understood. This study aimed to examine the relationship between nurses’ job well-being and innovative behavior, and to test the mediating role of knowledge sharing. Research Methodology: A quantitative cross-sectional study was conducted among 100 nurses selected using stratified random sampling from public and private hospitals. Data were collected using validated Likert-scale instruments measuring job well-being, knowledge sharing, and innovative behavior. Data analysis included descriptive statistics, Pearson correlation, and Structural Equation Modeling (SEM) to assess direct and indirect effects. Results: Job well-being was significantly associated with innovative behavior (β = 0.21; 95% CI: 0.08–0.34; p = 0.002) and knowledge sharing (β = 0.48; 95% CI: 0.35–0.61; p < 0.001). Knowledge sharing showed a strong effect on innovative behavior (β = 0.50; 95% CI: 0.36–0.64; p < 0.001). The indirect effect of job well-being on innovative behavior through knowledge sharing was significant (β = 0.24; 95% CI: 0.15–0.36; p < 0.001), indicating partial mediation. Conclusion: Knowledge sharing plays a critical mediating role in translating nurses’ job well-being into innovative behavior. Strengthening psychological well-being and institutionalizing knowledge-sharing practices are essential strategies to enhance innovation capacity in healthcare organizations.
Development and effectiveness of ADDIE-based case-based learning model enhancing motivation, critical thinking, and outcomes Hardin Hardin; Hairuddin Safaat; Lestari Lorna Lolo
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 2 (2026): Articles in Press
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i2.327

Abstract

Introduction: Psychiatric nursing education remains largely teacher-centered, resulting in low student motivation, limited engagement, and suboptimal critical thinking. Innovative, student-centered approaches are needed. This study aimed to develop and evaluate the effectiveness of an ADDIE-based Case-Based Learning (CBL) model in improving learning motivation, critical thinking, and cognitive learning outcomes among nursing students. Research Methodology: This study employed a Research and Development design using the ADDIE framework (Analysis, Design, Development, Implementation, Evaluation). A total of 38 fifth-semester nursing students participated. Instruments included an ARCS-based motivation questionnaire, case-based essay tests for critical thinking, and multiple-choice tests for cognitive learning outcomes. Data were analyzed using descriptive statistics and paired-samples t-tests with α = 0.05. Results: Significant improvements were observed across all variables. Learning motivation increased from 64.00 to 70.98 (mean difference = 6.98; t (37) = 14.96; p < 0.001). Critical thinking scores improved from 59.61 to 67.45 (mean difference = 7.84; t (37) = 12.58; p < 0.001). Cognitive learning outcomes increased from 62.72 to 72.32 (mean difference = 9.60; t (37) = 13.55; p < 0.001). These results indicate statistically significant improvements following the implementation of the ADDIE-based CBL model. Conclusion: The ADDIE-based CBL model is valid, practical, and effective in enhancing student motivation, critical thinking, and learning outcomes in psychiatric nursing education. This model supports the adoption of student-centered learning strategies to improve educational quality and readiness for clinical competency.
Correlation of blood glucose variability with peripheral neuropathy risk in type 2 diabetes patients: a cross-sectional analytical study Rusli Rusli; Maria Kurni Menga; Rita Erlina; Nurlina Nurlina; Sara Palander
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 2 (2026): Articles in Press
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i2.329

Abstract

Introduction: Blood glucose variability (GV) has emerged as a potential determinant of microvascular complications beyond traditional glycemic markers such as HbA1c. However, evidence regarding its association with diabetic peripheral neuropathy (DPN), particularly in resource-limited settings, remains limited. This study aimed to analyze the correlation between GV and the risk of peripheral neuropathy among patients with type 2 diabetes mellitus (T2DM). Research Methodology: An analytical cross-sectional study was conducted among 85 patients with T2DM attending primary healthcare facilities in Makassar, Indonesia. Blood glucose variability was assessed using the coefficient of variation (CV), while peripheral neuropathy was evaluated using the Michigan Neuropathy Screening Instrument (MNSI). Bivariate analysis was performed using chi-square and correlation tests, followed by multivariable logistic regression to determine independent associations. Statistical significance was set at α = 0.05. Results: High GV (CV ≥36%) was significantly associated with peripheral neuropathy in bivariate analysis (OR = 3.46; 95% CI: 1.39–8.59; p = 0.007). In multivariate analysis, GV remained an independent predictor (adjusted OR = 2.98; 95% CI: 1.12–7.91; p = 0.028), whereas HbA1c ≥7% was not statistically significant (AOR = 2.67; 95% CI: 0.92–7.73; p = 0.071). Duration of diabetes showed a positive but non-significant association (AOR = 2.41; 95% CI: 0.89–6.54; p = 0.082). Conclusion: Blood glucose variability is an independent and clinically relevant predictor of peripheral neuropathy in T2DM patients. These findings support integrating GV assessment into routine diabetes management and highlight the need for strategies to improve glycemic stability and reduce the risk of complications.
The Effect of Post-Placental Intrauterine Contraceptive Devices on Decreasing in Uterine Fundus Height in Postpartum SC Mothers Tutuk Yuliyanti; Juda Julia Kristiarini; Bima Suryantara
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 13 No. 1 (2024): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

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Abstract

Introduction: Contraception and family planning services are an essential part of reproductive health. Postpartum IUDs in SC postpartum have a much lower expulsion rate than vaginal delivery. Objective: to determine the effect of post-placental intrauterine devices on the decrease in fundus uteri. Methods: Using a correlational analytical research design, the research design used is a prospective cohort with a sample size of 30 for the treatment group and 30 for the control group. Result: It can be concluded that the effect 2 hours after the installation of post-placental IUD is known (p-value = 0.279), which indicates that there is no influence between the variable of post-placental IUD installation of SC delivery mothers and the decrease in fundus uteri height. The effect of post-placental IUD insertion on the decrease in fundus uteri height in SC postpartum mothers at Karanganyar Regional Hospital on day 3 shows a p-value of 0.262, and it shows that there is no influence between the variable post-placental IUD insertion of SC mothers and the decrease in fundus uteri height. On day 7, the p-value = 0.008 means that the p-value is smaller than the value of α = 0.05 (p-value < 0.05) and that there is an influence between the variable of post-placental IUD insertion of SC mothers and the decrease in fundus uteri height. Post-placental IUD is a reference for making birth control choices during the postpartum period without interfering with breast milk. Conclusion: The conclusion does not prove the hypothesis in part because the rapid effect on the decrease in TFU in SC postpartum mothers is only after 7 days from the insertion of the IUD, while at 2 hours of IUD insertion and day 3 of IUD insertion does not have a rapid effect on reducing TFU in SC postpartum mothers. implications for the management of maternity women who plan to postpone the next pregnancy and this research can be used as empirical evidence, that a post-placental intrauterine device acceptor has the potential to increase uterine contractions, accelerate the decrease in fundus uteri height on day 7.
Dental odyssey: a comprehensive literature review on global strategies, behavioral programs, and creative approaches for ages 6-12 years Meysa Ayu Cahyani; Agus Sudaryanto
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 13 No. 1 (2024): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

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Abstract

Introduction: Oral and dental hygiene serves as an indicator of a condition free from diseases, debris, and health issues in the oral cavity, affecting individuals of all age groups. Health education through various global learning systems, behavioral programs, and creative approaches has proven effective in enhancing children's understanding of the importance of maintaining oral and dental cleanliness. Objective: Objective: This research aims to review relevant journals contributing to the development of insights, behaviors, and understanding regarding children's oral and dental health across crucial age ranges. Methods: Using a literature review method, we filtered articles from Google Scholar, PubMed, Garuda (Digital Reference Library), and Science Direct published within the last six years. Searches in both Indonesian and English languages yielded ten articles that, after a selection process, provided diverse results regarding the implementation of learning models to enhance children's understanding of their oral and dental hygiene. Result: From the ten articles, it can be concluded that the application of education on oral and dental hygiene through various learning systems can effectively improve children's knowledge. Conclusion: the oral hygiene of elementary school children from various countries. Variations in research designs were found, and there is low awareness among children regarding dental health in Indonesia. Educational programs, such as "Brush Day & Night," and collaborations between FDI and Unilever have proven effective in improving children's toothbrushing habits. The use of music and the snake ladder game was also considered appropriate for developing awareness and behaviors related to dental hygiene.
Determinants associated with carpal tunnel syndrome complaints Andi We Tenri Batari Toja Kamri; Nasruddin Syam; Arman Arman
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 13 No. 1 (2024): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

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Abstract

Introduction: Carpal Tunnel Syndrome (CTS) is one of the most common problems in the upper extremities caused by the narrowing of the carpal tunnel, which results in pressure on the median nerve. Increased pressure in the carpal tunnel causes compression and damage to the median nerve. Objective: determinants associated with carpal tunnel syndrome . Methods: quantitative research with a cross-sectional research design. The sampling technique in this study used a total sampling technique in which the entire population is equal to the number of samples, namely 36 people. Data was obtained by using a questionnaire. The analytical method used was univariate and bivariate analysis using the chi-square test. Result: showed that there was a relationship between length of work and carpal tunnel syndrome (p-value = 0.0190). There is a relationship between age and complaints of carpal tunnel syndrome (p-value = 0.032). There is no relationship between personal protective equipment and complaints of carpal tunnel syndrome (p-value = 0.759). There is no relationship between repetitive movements and carpal tunnel syndrome (p-value = 0.787). Conclusion: It was concluded that there is a relationship between length of service and carpal tunnel syndrome complaints; there is a relationship between age and carpal tunnel syndrome complaints; and there is no relationship between body mass index and carpal tunnel syndrome complaints . In this study, researchers suggest that companies pay more attention to employees who have a long working period so as not to do excessive work and for employees to take advantage of adequate rest time to minimize the occurrence of complaints of Carpal Tunnel Syndrome (CTS).
Analysis of the influence of communication, leadership, and work teams on nurse discipline Lumastari Ajeng Wijayanti; Dewi Nurhanifah; Nordianiwati; Yolanda Anastasia Sihombing; Sova Evie
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 13 No. 1 (2024): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

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Abstract

Introduction: The availability of quality health services for the community must receive attention from the government as one of the efforts to develop the health sector. Disappointing evidence regarding improvement in nurses' safe and quality care elevates the need to broaden our knowledge regarding the factors that enhance constant learning in nursing teams. Objective: analyzes the effect of communication, leadership, and teamwork on nurse discipline. Methods: This quantitative research uses an analytical observational approach and a cross-sectional research design. With the analysis of data linear regression test. The sample was selected using the cluster random sampling method of 36 respondents. Result: Shows the results of a linear regression test with a communication value of p = 0.024, leadership p = 0.057, and a work team p = 0.004, so it can be supposed that there is an influence between the effectiveness of the work team on nurse discipline. So, it can be concluded that the point of communication and the effectiveness of the work team affects the discipline of nurses. Conclusion: the effect of the level of communication effectiveness and the effectiveness of the work team on the discipline of nurses. The story of the effectiveness of nurses can be increased by regulating the flow of information by sending authorized delegates. They are utilizing feedback to maintain organizational communication effectiveness by providing nurses orientation, direction, and supervision
Analysis of tera gymnastic as an intervention of acute pain nursing problems in elderly families with hypertension Arita Murwani; Anna Nur H; Fatimah Sari
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 13 No. 1 (2024): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v13i1.343

Abstract

Background: One of the problems that occurs in the elderly is hypertension. Hypertension has many symptoms, including dizziness, fatigue, difficulty sleeping, and one of them is acute pain in the nape of the neck. In treating pain, there are two methods of treatment, namely pharmacological techniques and non-pharmacological, one of the non-pharmacological treatments is tera exercise. Terra exercise is an alternative way to reduce pain. Objective: To analyze the implementation of acute pain nursing care for elderly families who experience hypertension problems in Trayeman Pleret Hamlet, Bantul. Method: This research method uses descriptive methods. The approach used is a case study with the management of one case using a nursing care process approach involving elderly families who experience acute pain nursing problems with hypertension. This research with quantitative method Results: After performing tera exercises three times for ± 60 minutes, participants said the pain had decreased from a pain scale of 5 to 2. Conclusion: The application of tera exercise can reduce the problem of acute pain nursing in elderly families with hypertension. The benefits for nursing with the discovery of tera exercise have become an innovation for the implementation of nursing care for elderly patients.

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