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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 217 Documents
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Lived psychological experiences of adolescents exposed to bullying: Implications for nursing practice Merysambo Merysambo; Kristia Novia; Triwira Siagian; Ria Setia Sari; Nikodemus Sili Beda
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.v15i2.389

Abstract

Introduction: Bullying among adolescents is a psychosocial health issue that significantly affects emotional well-being and self-identity development. Although its prevalence and impact have been widely reported, limited research has explored how adolescents interpret and give meaning to their lived experiences of being bullied, particularly within their socio-cultural context. Objective: This study aims to explore the psychological meaning of adolescents lived experiences of bullying using an Interpretative Phenomenological Analysis (IPA) approach. Research Methodology: This qualitative study employed an IPA approach and was conducted in Makassar, South Sulawesi, Indonesia. Ten adolescents aged 16–19 years were recruited through purposive sampling based on predefined inclusion criteria. Data were collected using in-depth semi-structured interviews and analyzed following IPA procedures. Trustworthiness was ensured through member checking and peer debriefing. Results: Four main themes emerged: (1) body image and self-identity as sources of social stigma, (2) emotional responses to bullying experiences, (3) diminished self-esteem and emotional vulnerability, and (4) efforts to seek safe spaces and self-recovery strategies. These findings indicate that bullying is internalized as a stigmatizing social experience that shapes adolescents’ identity, emotional regulation, and interpersonal relationships. Conclusion: This study highlights the importance of culturally sensitive, empathetic, and family-centered nursing interventions that address adolescents’ identity development and emotional resilience. The findings contribute to a deeper understanding of bullying as a meaning-making process and support the development of holistic psychosocial care in adolescent nursing.
Associations between nutritional status, body image, and self-esteem among university students: An analytical cross-sectional study Andi Nursiah; Idris Idris; Fatmawati Fatmawati; Badaruddin Badaruddin
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.v15i2.392

Abstract

Introduction: Social pressure regarding ideal body standards among university students has intensified concerns about body image and self-esteem, particularly during the transition to early adulthood. Nutritional status may influence psychological well-being; however, evidence suggests that subjective perception of the body may play a more critical role than objective physical measures. This study aimed to analyze the relationships between nutritional status, body image, and self-esteem among university students. Research Methodology: A quantitative analytic survey with a cross-sectional design was conducted among 142 university students in Makassar, Indonesia. Nutritional status was assessed using Body Mass Index (BMI), body image using the Body Shape Questionnaire (BSQ), and self-esteem using the Rosenberg Self-Esteem Scale (RSES). Data were analyzed using Spearman correlation due to non-normal distribution (Shapiro–Wilk p<0.05). Results: A significant positive correlation was found between BMI and body image (r=0.288; p=0.001), indicating that higher BMI was associated with poorer body image perception. A significant negative correlation was observed between body image and self-esteem (r=−0.305; p<0.001), suggesting that more negative body image was associated with lower self-esteem. No significant relationship was found between BMI and self-esteem (r=−0.086; p=0.307). Confidence intervals were not computed due to non-parametric analysis. Conclusion: Body image plays a more influential role than objective nutritional status in shaping self-esteem among university students. Interventions focused on body acceptance, mental health promotion, and the reduction of body dissatisfaction are recommended to improve student well-being.
Community-based social network analysis measuring tuberculosis control intervention impact: A quasi-experimental study La Ode Asrianto; Teti Susliyanti Hasiu; Wa Ode Nusyuhada; Ahmad Noor; Dedi Harfan
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.v15i2.393

Abstract

Introduction: Tuberculosis (TB) control remains a major public health challenge in Indonesia, with persistent transmission despite established programs. Conventional approaches often overlook the role of social structures in shaping treatment adherence and case detection. This study aimed to evaluate the effectiveness of a community-based TB intervention informed by social network analysis (SNA) in improving treatment adherence and case detection in Baubau City. Research Methodology: A quasi-experimental design with a non-equivalent control group was employed. A total of 240 participants (120 in the intervention group; 120 in the control group) were selected through purposive and snowball sampling. Data were collected through structured interviews, medical records, and network mapping. Bivariate analysis was conducted using chi-square tests, followed by multivariate logistic regression to estimate adjusted effects. Statistical significance was set at α = 0.05. Results: The intervention significantly improved treatment adherence (AOR = 2.52; 95% CI: 1.39–4.56; p = 0.002). High degree centrality was also associated with increased adherence (AOR = 2.83; 95% CI: 1.49–5.38; p = 0.001), as was peer support (AOR = 2.26; 95% CI: 1.21–4.20; p = 0.010). Network density was associated with case detection in bivariate analysis (OR = 1.71; 95% CI: 1.05–2.79; p = 0.032), but this association was not significant after adjustment. Sociodemographic variables were not significant predictors. Conclusion: Community-based TB interventions integrating social network analysis significantly enhance treatment adherence and case detection. Targeting influential network actors and strengthening peer support systems offer a scalable, evidence-based strategy to improve TB control outcomes.
Effect of virgin coconut oil on total cholesterol levels in patients with hypercholesterolemia: A quasi-experimental study Fransisca Anjar Rina Setyani; Chatarina Setya Widyastuti; Hiasinta Anastasia Purnawijayanti
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.v15i2.394

Abstract

Introduction: Hypercholesterolemia is closely associated with increased cardiovascular risk and is influenced by unhealthy dietary patterns, aging, obesity, and limited physical activity. Virgin coconut oil (VCO) has been widely introduced as a complementary nutritional therapy because it contains medium-chain fatty acids, polyphenols, and antioxidant compounds that may improve lipid metabolism. Nevertheless, findings regarding its effectiveness in reducing cholesterol levels remain inconsistent. This study aimed to analyze the effect of VCO administration on total cholesterol levels among patients with hypercholesterolemia in Padukuhan Tegalsari, Pakembinangun, Yogyakarta. Research Methodology: This study employed a quasi-experimental pre–post test design with a control group approach. A total of 66 respondents with total cholesterol levels >180 mg/dL were selected using purposive sampling and were equally allocated to the intervention (n=33) and control (n=33) groups. The intervention group received VCO at a dose of 2 × 20 mL daily for 14 consecutive days, while the control group received no intervention. Total cholesterol levels were measured using peripheral blood samples before and after the intervention period. Data were analyzed using the Mann–Whitney test with a significance level of 0.05. Results: Most respondents were elderly (89.4%) and female (59.1%). Risk-related behaviours remained common, including daily consumption of fried foods (46.96%) and low physical activity (<3 times/week; 46.96%). Before treatment, both groups showed comparable cholesterol levels (p=0.326), with most respondents classified in the very high cholesterol category. After the intervention, the proportion of respondents in the very high cholesterol category increased from 63.8% to 84.8% in the intervention group. Statistical analysis demonstrated no significant difference in total cholesterol levels between the intervention and control groups after treatment (p=0.200). Conclusion: Administration of VCO at a dose of 2 × 20 mL for 14 days did not significantly reduce total cholesterol levels in patients with hypercholesterolemia. Lipid profile management requires a comprehensive approach that takes various risk factors into account. The limitations of this study include the relatively short duration of the intervention (14 days) and the fact that a complete lipid profile assessment was not carried out. Future studies are recommended to employ a longer intervention period and to evaluate lipid profiles comprehensively, including HDL, LDL and total cholesterol.
Demographic and policy determinants of stunting among under-five children in Indonesia: A qualitative public health perspective Suprapto Suprapto; Tirta Asprimi Angreani; Amir Hossein Goudarzian
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.v15i2.395

Abstract

Introduction: Stunting remains a persistent public health challenge in Indonesia, reflecting structural socioeconomic inequalities and uneven policy implementation. While demographic determinants are well documented, limited evidence explains how these factors interact with health policy processes. This study aimed to explore how demographic determinants of stunting among children under five are mediated through local health policy implementation dynamics. Research Methodology: A qualitative multiple-case study design was conducted in selected Indonesian districts with high stunting prevalence. A total of 25 informants participated, including 10 policy and health system actors and 15 caregivers, recruited through purposive sampling. Data were collected using semi-structured in-depth interviews and policy document review. Thematic analysis was performed using a combination of deductive coding based on the Social Determinants of Health framework and inductive coding to capture emerging themes. Results: The findings identified four interconnected themes: structural demographic vulnerability, health service delivery gaps, policy implementation and governance challenges, and socio-cultural dynamics. Although qualitative, the results indicate consistent directional relationships supported by prior evidence, where low maternal education, low socioeconomic status, high parity, and rural residence increase the risk of stunting (OR>1; p<0.05). These effects are mediated by targeting accuracy, workforce competence, intersectoral coordination, and service responsiveness. Misalignment between demographic risk profiles and policy implementation capacity contributes to persistent stunting disparities. Conclusion: Demographic determinants of stunting are structurally embedded and operate through policy-mediated mechanisms. Effective stunting reduction requires integrating demographic risk mapping with adaptive, equity-oriented policy implementation strategies, strengthening workforce capacity, and improving intersectoral coordination.
Phenylephrine versus ephedrine as prophylactic vasopressors for spinal anesthesia-induced hypotension: A randomized double-blind clinical trial Awaluddin Awaluddin; Mhd Ihsan; Bastian Lubis; Rina Amelia
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.v15i2.396

Abstract

Introduction: Spinal anesthesia-induced hypotension (SAIH) remains one of the most frequent hemodynamic complications during spinal anesthesia, particularly among high-risk surgical patients. Vasopressor agents such as phenylephrine and ephedrine are commonly administered to prevent hypotension; however, their comparative effectiveness in maintaining hemodynamic stability remains controversial. This study aimed to analyze the differences between phenylephrine and ephedrine in preventing SAIH among patients undergoing surgery with spinal anesthesia at Haji Adam Malik General Hospital, Medan. Research Methodology: A double-blind randomized clinical trial was conducted between July and September 2023 at Haji Adam Malik General Hospital, Medan. A total of 38 elective surgical patients receiving spinal anesthesia were randomly allocated into two groups: phenylephrine bolus 50 μg (n=19) and ephedrine bolus 5 mg (n=19). Hemodynamic parameters, including systolic and diastolic blood pressure and heart rate, were measured every 2 minutes for 30 minutes after spinal anesthesia. Data were analyzed using an independent t-test and Mann–Whitney test with a significance level of p<0.05. Results: No statistically significant differences were observed in baseline demographic characteristics between groups (p>0.05). Systolic blood pressure was significantly higher in the ephedrine group at minutes 18–22 after spinal anesthesia (T9–T11) compared with the phenylephrine group (p=0.026; p=0.039; p=0.031, respectively). No significant differences in diastolic blood pressure were found during the observation period (all p > 0.05). Heart rate was significantly higher in the ephedrine group during the first 14 minutes of observation, particularly at T4 and T5 (90.6±11.2 vs 73.3±17.3 bpm; p=0.001 and 90.3±8.6 vs 71.0±14.5 bpm; p=0.001). Conclusion: Phenylephrine and ephedrine demonstrated comparable effectiveness in maintaining systolic and diastolic blood pressure during spinal anesthesia. However, ephedrine was associated with a significantly greater heart rate response than phenylephrine. Phenylephrine may therefore be considered a preferable option for preventing SAIH in patients requiring more stable heart rate control
Effectiveness of social media as a health promotion tool for reproductive health among adolescents: A cross-sectional study Matilda Martha Paseno; Rosmina Situngkir; Yunita Gabriela Madu
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.v15i2.399

Abstract

Introduction: Adolescent reproductive health remains a significant public health concern, particularly in developing countries where access to accurate reproductive health information is often limited. Social media has emerged as a widely used communication platform among adolescents and may serve as an alternative medium for reproductive health promotion. This study aimed to analyze the effectiveness of social media as a health promotion tool for reproductive health among adolescents. Research Methodology: A quantitative cross-sectional analytical study was conducted among 250 adolescents from selected senior high schools in Makassar, South Sulawesi, Indonesia. Respondents were selected using stratified random sampling. Data were collected through a structured self-administered questionnaire assessing information accessibility, perceived credibility, user engagement, and frequency of exposure to reproductive health content on social media. Data analysis was performed using descriptive statistics, Chi-square tests, Pearson correlation tests, and multiple logistic regression, with a significance level of α = 0.05, in SPSS version 26. Results: Perceived credibility was the strongest predictor of social media effectiveness in reproductive health promotion (AOR = 3.06; 95% CI: 1.67–5.59; p < 0.001). Frequent exposure to reproductive health content was significantly associated with higher perceived effectiveness (AOR = 2.39; 95% CI: 1.28–4.46; p = 0.004). High user engagement (AOR = 2.10; 95% CI: 1.16–3.79; p = 0.011) and information accessibility (AOR = 2.54; 95% CI: 1.39–4.65; p = 0.002) were also significantly associated with positive educational outcomes. Conclusion: Social media is an effective platform for reproductive health promotion among adolescents when information is accessible, credible, and interactive. The findings highlight the importance of evidence-based digital health communication and support, integrating adolescent-centered social media strategies into reproductive health promotion programs

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