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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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Transformational Leadership and Employee Performance in Hospitals: An Explanatory Survey with Path Analysis Approach Syaiful Bachri; Abubakar Betan; Samila; Yenny Sima; Abdullah; Nur Anbiya
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.v15i1.213

Abstract

Introduction: Leadership plays a critical role in improving employee performance in hospital organizations, yet empirical evidence regarding its direct and indirect mechanisms remains inconsistent. This study examines how transformational leadership influences employee performance through knowledge sharing and teamwork creativity. Research Methodology: A quantitative explanatory survey was conducted among 123 hospital employees selected through purposive sampling. Data were collected using structured questionnaires and analyzed using path analysis to assess direct and indirect relationships among variables. Mediation effects were tested using the Sobel test at a 5% significance level. Results: Transformational leadership did not have a significant direct effect on employee performance (p > 0.05). However, it significantly influenced knowledge sharing and teamwork creativity (p < 0.001). Both mediating variables demonstrated strong positive effects on employee performance. Mediation analysis confirmed full mediation, indicating that leadership improves performance indirectly through enhanced knowledge exchange and creative teamwork. The model explained a substantial proportion of variance in employee performance. Conclusion: Leadership effectiveness in hospitals depends on fostering collaborative knowledge sharing and stimulating team creativity rather than relying solely on inspirational attributes. Strengthening knowledge management systems and fostering innovation-oriented teamwork are essential to improving organisational performance,
Family Support and Self-Management Behavior Among Clients with Hypertension: A Cross-Sectional Study Rasdiyanah Rasdiyanah; Nurul Farah Dila; Nur Al Marwah Asrul; Eny Sutria; Nur Andani
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.v15i1.214

Abstract

Introduction: Hypertension remains a leading global public health challenge. The World Health Organization (WHO) reported that the number of adults living with hypertension increased from 650 million in 1990 to 1.3 billion in 2019, contributing substantially to premature mortality and disability worldwide. In Indonesia, hypertension is a major non-communicable disease and a significant contributor to cardiovascular morbidity. Effective blood pressure control requires sustained self-management, including adherence to medication, dietary modifications, physical activity, and stress management. Family support is theoretically considered a reinforcing factor for improving self-management behavior among patients with chronic diseases. To examine the relationship between family support and self-management behavior among clients with hypertension at the Rappokalling Community Health Center, Makassar City. Research Methodology: A quantitative cross-sectional study was conducted among 164 hypertensive clients selected using purposive sampling. Self-management was measured using the High Blood Pressure Self-Care Profile (HPB-SCP), and family support was assessed using a validated Family Support Questionnaire. Data were analyzed using descriptive statistics and Spearman’s rank correlation test with a 95% confidence interval (α=0.05). Results: Most respondents reported adequate family support (66.5%) and adequate self-management (95.8%). Spearman’s analysis showed a weak negative correlation between family support and self-management (r = −0.099) with no statistically significant association (p = 0.207; 95% CI). Conclusion: Family support was not significantly associated with self-management behavior among hypertensive clients. Public health interventions should not rely solely on family involvement but also address individual motivational and psychological determinants to improve hypertension self-management.
Parenting Styles, Psychosocial Stimulation, and Healthcare Access as Determinants of Social Development in Children with Disabilities Wilda Rezki Pratiwi; St. Hasriani; Asmah Sukarta
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.v15i1.220

Abstract

Background: A vital component of children with disabilities' growth and development is their social development, which is impacted by a number of circumstances, such as those pertaining to the family and the healthcare system. Important elements of the bio-psycho-social framework that influence children's social interaction and adaptive abilities include parenting practices, psychosocial stimulation, and health service accessibility. Methods: This study used a cross-sectional design with an observational analytical technique and a quantitative methodology. Parents or primary caregivers of disabled children living in Sidenreng Rappang Regency participated in the study. Using a complete sampling technique, 45 respondents in all were included. Structured questionnaires that had undergone validity and reliability testing were used to gather data. The chi-square test was used for both univariate and bivariate data analysis. Results: The results showed statistically significant associations (p < 0.05) between the social development of children with disabilities and parenting style, psychosocial stimulation, and health service accessibility. Conclusion: Access to health services, psychosocial stimulation, and parenting practices are important factors that influence how well children with impairments develop socially
Workload, Stress, and Patient Safety in Emergency Nursing Units: An Analytic Cross-Sectional Study Rasi Rahagia; Zusana A.Sasarari; Yunita Kristina; Darmi Arda
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.v15i1.221

Abstract

Introduction: Emergency departments represent high-risk clinical environments where workforce strain may compromise patient safety. The World Health Organization reports a global shortage of health workers exceeding 10 million, disproportionately affecting acute care settings. According to the Global Burden of Disease study, non-communicable diseases and injury-related conditions continue to drive emergency service utilization worldwide. In many middle-income countries, increasing patient volume and limited staffing contribute to excessive nurse workload and occupational stress, which are recognized determinants of adverse events and reduced safety compliance. To examine the association between workload, occupational stress, and patient safety practices among nurses working in emergency units. Research Methodology: An analytic cross-sectional study was conducted among 80 emergency nurses in a tertiary hospital. Total sampling was applied. Data were collected using validated self-administered questionnaires measuring workload, occupational stress, and patient safety practices. Bivariate analysis was performed using Chi-square tests, followed by multivariate logistic regression to estimate adjusted odds ratios (AOR) with 95% confidence intervals (CI). Statistical significance was set at α = 0.05. Results: High workload was significantly associated with inadequate patient safety practice (AOR = 3.05; 95% CI: 1.14–8.15; p = 0.026). High occupational stress also independently predicted inadequate safety practice (AOR = 2.47; 95% CI: 1.01–6.05; p = 0.048). The final model explained 31% of the variance in patient safety outcomes. Conclusion: Excessive workload and occupational stress are significant determinants of patient safety performance in emergency nursing units. Workforce regulation, staffing optimization, and stress mitigation strategies should be integrated into hospital quality improvement and public health workforce policies.
Effectiveness of Aloe Vera–Menthol Combination Gel in Reducing Breast Engorgement and Pain among Postpartum Mothers: A Quasi-Experimental Study Yoga Tri Wijayanti; Martini; Yulyuswarni
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.v15i1.222

Abstract

Introduction: Breast engorgement is a common postpartum complication that contributes to maternal discomfort and early discontinuation of breastfeeding. Effective, accessible, and non-pharmacological management strategies are needed to support maternal and child health outcomes. Objective: To determine the effectiveness of a topical aloe vera–menthol combination gel in reducing breast engorgement severity and pain intensity among postpartum mothers. Research Methodology: A quantitative quasi-experimental study with a posttest-only control group design was conducted among 32 postpartum mothers experiencing breast engorgement in the working area of the East Lampung District Health Office, Indonesia. Participants were allocated into an intervention group (n=16) receiving aloe vera–menthol gel twice daily for four days and a control group (n=16) receiving standard breast care. Breast engorgement severity was measured using the Six-Point Engorgement Scale (SPES), and pain intensity was assessed using the Numeric Rating Scale (NRS). Data were analyzed using the Mann–Whitney U test and multivariable linear regression (α=0.05). Results: The intervention group demonstrated significantly lower SPES and NRS scores compared with the control group (p<0.001). After adjustment for age, parity, and breastfeeding frequency, the gel remained an independent predictor of reduced engorgement severity (β = -1.49; 95% CI: -2.05 to -0.93) and pain intensity (β = -2.21; 95% CI: -3.01 to -1.41). Conclusion: The aloe vera–menthol gel is an effective complementary topical therapy for reducing breast engorgement and pain in postpartum mothers and may support breastfeeding continuity in primary healthcare settings.
Risk factors associated with stunting among toddlers aged 24–59 months: A Case Control Kumbendy Sada; Zakaria; Muhammad Rifai
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.266

Abstract

Introduction: Stunting remains a significant public health concern in Indonesia, particularly in remote and highland regions such as the Bintang Mountains of Papua. It is characterized by impaired physical and cognitive development due to chronic malnutrition, repeated infections, and inadequate health services. Understanding the determinants of stunting in these settings is critical to inform effective interventions and policies. Methods: This study employed an analytical survey with a case-control design to examine risk factors associated with stunting among toddlers aged 24–59 months in the Oksibil Health Center working area, Bintang Mountains Regency, Papua. A total of 66 respondents were recruited between April and May 2024, consisting of 33 stunted toddlers (cases) and 33 non-stunted toddlers (controls). Data were collected through structured interviews and analyzed using odds ratios (ORs) with 95% confidence intervals to identify significant risk factors. Results: The findings revealed that several factors were significantly associated with stunting: maternal knowledge (OR = 1.911), history of infectious diseases (OR = 8.090), environmental sanitation (OR = 1.375), socio-cultural practices (OR = 3.801), and health service utilization (OR = 9.339). Among these, inadequate health service utilization posed the highest risk. Socio-cultural norms, poor hygiene practices, and limited maternal awareness were also strongly linked to stunting prevalence. Conclusion: Stunting in the Bintang Mountains is strongly influenced by a combination of health service gaps, infectious diseases, socio-cultural factors, and insufficient maternal knowledge. Strengthening maternal Education, improving sanitation, addressing harmful cultural practices, and expanding access to health services are critical strategies to reduce stunting prevalence in highland and resource-limited areas of Indonesia.
Nutritional content and acceptability of milkfish and purple sweet potato sambusa in an effort to prevent stunting Lydia Fanny; Nur Armadiah; Rudy Hartono
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.267

Abstract

Background: Stunting remains a major public health issue caused by chronic malnutrition and recurrent infections. In South Sulawesi, Indonesia, the prevalence of stunting in 2024 was 23.3%. One contributing factor is chronic energy deficiency (CED) among pregnant women. The government promotes supplementary feeding (PMT) to address this. Sambusa made from milkfish (Chanos chanos) and purple sweet potato has potential as a local PMT due to its nutritional value and local availability. Methods: This experimental study used a randomized design to analyze the sensory characteristics and nutritional content of Sambusa with milkfish and purple sweet potato substitution. The organoleptic test was conducted at the Organoleptic Laboratory of Poltekkes Kemenkes Makassar, and nutrient analysis (protein, omega-3, anthocyanin) at the Integrated Biotechnology Laboratory, Hasanuddin University, during May–June 2025. Results: Sensory evaluation showed significant differences in color and texture (p<0.05) but not in aroma or taste (p>0.05). The protein content in the control (F0) and best formula (F3) was 13.88% and 13.72%, respectively. The proportion of omega-3 to total fatty acids increased from 0.74% (F0) to 0.78% (F3), and anthocyanin levels rose from 2.57 CyE/g (F0) to 7.85 CyE/g (F3). Conclusion: Substitution with milkfish and purple sweet potato influenced the sensory and nutritional qualities of Sambusa. The modification enhanced omega-3 and anthocyanin content without significantly affecting protein levels. This product shows promise as a nutritious local supplementary food for pregnant women to help prevent stunting.
Surgical management of non-obstetric vulvar hematoma in a pediatric patient: A Case Report Karnel Singh; Indah Dina Maritha
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.268

Abstract

Introduction: Vulvar hematoma is an uncommon condition in pediatric patients, often caused by blunt trauma to the perineum. Its management differs from that in adults due to children's anatomical and physiological characteristics. Proper diagnosis and treatment are essential to prevent complications such as necrosis, infection, or recurrent bleeding. Methods: An 11-year-old girl presented with pain and swelling in the genital region following a fall in a sitting position with a mobile phone underneath her. Physical examination revealed a right-sided vulvar hematoma measuring 7×7×5 cm. Due to the progressive enlargement and pain, surgical evacuation was performed under anesthesia, followed by drainage and wound suturing with Vicryl 2.0 thread. Postoperative management included pediatric co-treatment, analgesics, and antibiotics. Results: The patient showed significant improvement within three days post-surgery, with a reduction in swelling and pain. The drain was removed on the second postoperative day, and wound healing progressed well without complications. The case emphasizes the importance of prompt intervention to prevent pressure necrosis and infection, especially in large hematomas or those with progressive symptoms. Conclusion: Non-obstetric vulvar hematoma, although rare in children, requires prompt evaluation and management. Surgical evacuation is recommended for large or progressively enlarging hematomas to prevent necrosis and other complications. Appropriate surgical technique, postoperative care, and interprofessional collaboration ensure optimal patient outcomes.
No significant association between term premature rupture of membranes and neonatal APGAR score: A cross-sectional study Shelvy Era Chintia; Henidekasari; Veronica Ela Rimawati; I Nengah Budiarta
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.269

Abstract

Introduction: Premature rupture of membranes (PROM) is defined as the rupture of the amniotic sac before the onset of labor, potentially increasing the risk of infection, hypoxia, and a low APGAR score in newborns. The APGAR score assesses neonatal health immediately after birth and can be influenced by maternal and delivery factors, including the duration of PROM. Methods: This analytical observational study employed a cross-sectional design and involved 119 term-pregnant women with PROM, selected through purposive sampling from medical records at Dr H. Abdul Moeloek Regional General Hospital, Lampung Province, in 2024. The independent variable was PROM duration (<12 hours or >12 hours), and the dependent variable was the neonatal APGAR score (>7 or <7). Data analysis employed the Chi-square test with a 95% confidence level. Results: Most respondents (83.2%) experienced PROM lasting <12 hours, and 79% of newborns had APGAR scores >7. Chi-square analysis revealed no statistically significant association between PROM duration and APGAR score (p = 0.092; OR = 0.93). Although a higher proportion of low APGAR scores occurred in the >12-hour PROM group, the relationship was not statistically significant. Conclusion: The study indicates no significant correlation between PROM duration in term pregnancies and neonatal APGAR scores. Prompt medical interventions may mitigate potential risks, reducing the impact of PROM duration on immediate neonatal outcomes. These findings underscore the importance of timely obstetric management and suggest that further research with larger sample sizes is warranted to investigate other potential contributing factors.
Impact of family support on chemotherapy adherence among breast cancer patients: A Cross-Sectional Study in Indonesia Muhammad Farhan Syahrefi; Upik Pebriyani; Muhammad Hatta; Asri Mutiara Putri
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 2 (2025): July - December
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i2.270

Abstract

Introduction: Breast cancer remains the most prevalent malignancy among Indonesian women, comprising approximately 30% of all cases. Most patients present in advanced stages, necessitating chemotherapy, which often causes side effects such as alopecia, nausea, and anxiety that may reduce treatment adherence. Family support plays a vital psychosocial role in enhancing motivation and compliance. Methods: This observational analytical study employed a cross-sectional design at Dr. H. Abdul Moeloek Regional General Hospital, Bandar Lampung, from June 20 to 30, 2025. A total of 47 breast cancer patients undergoing chemotherapy were selected through purposive sampling. Family support was assessed via a validated questionnaire, and adherence data were extracted from medical records. The Chi-square test was applied with a significance level of α = 0.05. Results: Most respondents were aged 46–60 (44.7%) and worked as housewives (55.3%). Good family support was reported by 68.1% of participants, and 72.3% demonstrated good chemotherapy adherence. Statistical analysis revealed a significant association between family support and chemotherapy adherence (p = 0.000 < 0.05). Patients with strong family support consistently showed higher adherence levels. Conclusion: Family support has a significant influence on chemotherapy adherence in breast cancer patients. Interventions that strengthen family involvement could enhance treatment success and improve patient quality of life. Integrating psychosocial support into cancer care programs is crucial for addressing both medical and emotional needs, thereby promoting optimal adherence and therapeutic outcomes.

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