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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 75 Documents
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Effectiveness of Antenatal Class Education in Improving Early Detection of Pregnancy Danger Signs Riska Sabriana; Jusni; Hartati; Muh. Faizal Mardi Saleh
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.v14i2.292

Abstract

Introduction: Maternal mortality remains a significant public health concern in Indonesia, with inadequate early detection of pregnancy danger signs contributing significantly to preventable complications. Maternal classes are one of the key educational strategies aimed at improving pregnant women’s knowledge and awareness related to pregnancy risks. This study aimed to analyze the effectiveness of maternal class education in improving early detection abilities regarding pregnancy danger signs among pregnant women in UPT Puskesmas Ulaweng, Bone Regency. Methods: his study applied a pre–pre-experimental design using a one-group pretest–posttest approach. A total of 30 pregnant women were selected through quota sampling. Data were collected using an observation sheet and a questionnaire assessing early detection abilities. Statistical analysis was performed using the Wilcoxon signed-rank test to determine differences before and after the educational intervention. Results: Pretest findings indicated that 70% of participants had low early detection abilities, while only 13% demonstrated good ability. Following the maternal class intervention, 84% of participants achieved good ability, with only 3% remaining in the low category. The Wilcoxon test showed a significant difference between pretest and posttest scores (p = 0.003), indicating a substantial improvement in early detection skills after participating in the maternal class. Conclusion: The findings of this study indicate that maternal class education plays a crucial role in improving pregnant women’s ability to identify early danger signs during pregnancy. A significant increase in post-intervention scores, supported by the Wilcoxon test result (p = 0.003), confirms that the educational sessions effectively enhance maternal knowledge and vigilance. Strengthening early detection skills is essential for preventing complications and ensuring the safety of both mother and fetus. Based on these results, it is recommended that maternal classes be implemented consistently and systematically at the primary healthcare level. The involvement of husbands and family members is also encouraged to optimize support and facilitate timely decision-making when danger signs arise.
Effect of service quality on inpatient satisfaction at Cibinong Regional General Hospital Ichsan Trisutrisno
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.v14i2.293

Abstract

Introduction: Patient satisfaction is a key indicator in evaluating the quality of healthcare services. Understanding the influence of service quality dimensions helps hospitals improve patient experience and service performance. Methods: This descriptive-analytic study employed a cross-sectional design and included 60 inpatients selected by simple random sampling. Data were collected using a SERVQUAL-based questionnaire assessing five dimensions: reliability, tangibles, assurance, responsiveness, and empathy. Statistical analysis was performed using the Chi-Square test with α = 0.05. Result: Most respondents (65%) reported being satisfied. All dimensions of service quality showed significant relationships with patient satisfaction: reliability (p = 0.001), tangible (p = 0.001), assurance (p = 0.023), responsiveness (p = 0.003), and empathy (p = 0.002). These findings indicate that inpatient satisfaction is influenced by consistent service performance, physical facility conditions, professional competence, responsiveness, and empathetic attitudes. Conclusion: Service quality dimensions significantly affect inpatient satisfaction. Strengthening all five SERVQUAL dimensions is essential for enhancing service quality and improving overall patient experience at RSUD Cibinong.
Behavior of transgender sex workers toward HIV/AIDS prevention in Makassar: A qualitative study Serli; Eka Mayasari; Dian Meiliani Yulis
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.v14i2.294

Abstract

Introduction: HIV/AIDS remains a critical public health issue in Makassar, with increasing cases reported across key populations, including transgender commercial sex workers (waria). Surveillance data indicate substantial HIV prevalence among waria, while behavioral factors such as limited knowledge, inconsistent preventive practices, and high-risk sexual networks contribute to ongoing transmission. This study explores the knowledge, attitudes, and preventive behaviors of transgender sex workers regarding HIV/AIDS. Methods: This qualitative study was conducted in 2011 along Jl. Perintis Kemerdekaan, Makassar. Data were collected through in-depth interviews, direct observation, and document review involving eight informants: seven transgender sex workers and one outreach worker from an NGO. Data were analyzed through reduction, narrative presentation, and thematic interpretation. Result: findings show that informants entered sex work due to early socialization, environmental influence, perceived enjoyment, and economic motives. Knowledge of HIV/AIDS varied; most informants recognized HIV as a virus that weakens the immune system, yet many were unable to differentiate clearly between causes and transmission routes. Attitudes toward peers living with HIV were generally positive, reflected by emotional support and encouragement to seek treatment. However, attitudes toward clients remained risky, with informants willing to engage in sexual activity even when clients showed symptoms of sexually transmitted infections. Preventive behaviors were inconsistent; although many preferred condom use, compliance depended heavily on client willingness. Self-treatment using non-prescribed medications was common, and formal healthcare utilization was limited. Conclusion: Transgender sex workers demonstrated partial understanding and inconsistent preventive practices related to HIV/AIDS. Strengthened health promotion, improved risk perception, and greater access to supportive services are essential to enhance safer behaviors and reduce HIV transmission within this population.
Neutrophil-to-lymphocyte ratio and chest x-ray severity in pediatric pulmonary tuberculosis: A cross-sectional analytic study Muhammad As Alukal Lutfa; Muhammad Ricky Ramadhian; Wiwi Febriani; Retno Ariza Soeprihatini Soemarwoto
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.v14i2.295

Abstract

Introduction: Pulmonary tuberculosis (TB) remains a major health problem in children, particularly in low- and middle-income countries. Early assessment of disease severity is essential to guide clinical management. The neutrophil-to-lymphocyte ratio (NLR) has been proposed as a simple inflammatory biomarker that may reflect disease burden. However, evidence in pediatric TB remains limited. This study aimed to determine the association between NLR and chest X-ray (CXR) severity in pediatric patients with pulmonary TB aged 0–18 years. Methods: A cross-sectional analytic study was conducted at Dr. H. Abdul Moeloek Hospital, Bandar Lampung. Total sampling was applied, yielding 60 pediatric TB cases meeting inclusion and exclusion criteria. Secondary data were obtained from medical records, including baseline hematologic parameters and CXR severity classified as minimal, moderate, or extensive lesions. NLR values were categorized according to systemic inflammation levels. The Spearman correlation test was used to assess the association between NLR and CXR severity, with a significance threshold of p < 0.05. Results: Most participants were toddlers aged 1–<5 years (40%). More than half had normal NLR values (51.6%), and the most frequent CXR severity category was moderate lesions (53.3%). Correlation analysis demonstrated no significant association between NLR and CXR severity (r = –0.084, p = 0.524). These findings indicate that NLR does not correspond to radiological severity in pediatric TB. Conclusion: NLR appears unsuitable as a simple biomarker for predicting chest X-ray severity in pediatric pulmonary TB. Age-related immune immaturity and paucibacillary disease patterns in children may limit the utility of NLR in this population. Further studies with larger cohorts and additional inflammatory markers are recommended.
Effectiveness of phototherapy in reducing pathological jaundice in newborns at Tenriawaru Hospital Marhayana; Hasnidar; Hasliana; Sulfianti
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.v14i2.296

Abstract

Introduction: Pathological jaundice remains a common neonatal condition characterized by an excessive rise in serum bilirubin, which may lead to severe complications such as acute bilirubin encephalopathy and kernicterus if not promptly treated. Phototherapy is the primary non-invasive intervention used to lower bilirubin levels by converting unconjugated bilirubin into water-soluble forms. Increasing cases of neonatal jaundice reported at Tenriawaru Hospital highlight the need to evaluate the clinical effectiveness of phototherapy within this setting. This study aims to determine the efficacy of phototherapy in reducing bilirubin levels among newborns diagnosed with pathological jaundice at Tenriawaru Hospital, Bone. Methods: This quantitative descriptive study used secondary data obtained from neonatal medical records. Variables assessed included gestational age, initial bilirubin levels, duration of phototherapy, and post-therapy bilirubin levels. Data were analyzed using the chi-square test at the 0.05 significance level to identify associations between clinical factors and phototherapy outcomes. Results: A total of 84 newborns with pathological jaundice underwent phototherapy. There was a statistically significant reduction in bilirubin levels after phototherapy (p = 0.000), indicating a strong therapeutic effect. The duration of phototherapy and the initial bilirubin concentration were found to influence treatment effectiveness, with more prolonged therapy associated with greater reductions in bilirubin. Conclusion: Phototherapy is highly effective in reducing serum bilirubin levels among newborns with pathological jaundice at Tenriawaru Hospital. Timely initiation and adequate duration of phototherapy are critical for preventing complications and improving neonatal outcomes.
Implementation of occupational safety and health in a medical laboratory: A Qualitative Study Marisca Jenice Sanaky; Nuril Sofiantin; Army Dwi Israyanti; Nur Ismi
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.v14i2.297

Abstract

Introduction: Occupational Safety and Health (OSH) plays a vital role in ensuring safe and effective learning environments in medical laboratory education. Academic laboratories pose inherent risks from chemical, biological, physical, and ergonomic hazards. Despite established OSH standards, their implementation in educational laboratory settings remains inconsistent, particularly in developing country contexts. Methods: A qualitative study was conducted in the Medical Laboratory Technology Program laboratory at Politeknik Sandi Karsa, Indonesia. Data were collected through moderate participant observation, semi-structured interviews, and document review. A total of 25 participants were purposively selected, including students, laboratory instructors, laboratory personnel, and program administrators. Data were analysed thematically using an OSH management framework encompassing the preparation, planning, organising, and implementation stages. Results: The study found that OSH implementation was not fully optimised across all management stages. Significant challenges included the absence of structured OSH training and socialisation, a lack of comprehensive laboratory standard operating procedures, unclear organizational roles for OSH responsibilities, inadequate laboratory infrastructure, and inconsistent compliance with personal protective equipment requirements. Additionally, routine monitoring and evaluation of OSH practices were not systematically conducted. Conclusion: These findings suggest that limited institutional commitment, insufficient awareness, and infrastructural constraints hinder effective OSH implementation. Strengthening governance mechanisms, enhancing human resource capacity, establishing clear procedures, and improving facilities are critical to advancing laboratory safety. Comprehensive and sustained OSH management is essential to minimize occupational risks and to promote a safe and productive academic medical laboratory environment.
Short-Term Health Coaching on Breast Self-Examination in Adolescent Girls: A Randomized Controlled Study Indargairi; Sintawati; Fitri Afiati Nur; Nasywa Khaira Syukur; Imran Pashar
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.v15i1.223

Abstract

Introduction: Breast cancer remains the leading cancer among women globally, with increasing incidence in low- and middle-income countries. Despite improvements in adolescents’ knowledge of Breast Self-Examination (BSE), regular practice remains inconsistent. This study aimed to determine the effectiveness of BSE Calendar–based Health Coaching in improving knowledge, attitudes, and BSE behaviors among adolescent girls. Research Methodology: A randomized pretest–posttest control-group design was used with 96 female students (intervention n=50; control n=46) at a public secondary school in Makassar, Indonesia. The intervention group received three structured health coaching sessions combined with monthly self-monitoring using a BSE Calendar over three months, while the control group received conventional lecture-based education. Data were analyzed using the Wilcoxon signed-rank and Mann–Whitney U tests, followed by multivariate linear regression to adjust for baseline scores and covariates (α=0.05). Results: Post-intervention, the intervention group demonstrated significantly higher scores compared with the control group. Adjusted regression analysis showed significant effects on knowledge (β=1.21; 95% CI: 0.42–2.01; p=0.003), attitude (β=1.06; 95% CI: 0.45–1.67; p=0.001), and behavior (β=4.67; 95% CI: 3.02–6.31; p<0.001). Conclusion: BSE Calendar–based Health Coaching significantly enhances adolescents’ cognitive and behavioral preventive outcomes. Integrating structured coaching and self-monitoring tools into school-based health programs is recommended to strengthen early breast cancer detection strategies.
General Self-Efficacy and Self-Directed Learning Readiness among Nursing Internship Students: A Cross-Sectional Study Tiwi Sudyasih; Candra Anita, Diyah
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.v15i1.224

Abstract

Introduction: Self-directed learning readiness (SDLR) is a core competency in nursing education, particularly during internship programs that require autonomy, accountability, and clinical adaptability. General Self-Efficacy (GSE) has been theoretically associated with motivation, persistence, and self-regulation, which are central to self-directed learning. However, empirical evidence regarding the relationship between GSE and SDLR in structured internship contexts remains inconclusive. This study aimed to examine the association between GSE and SDLR among nursing students undertaking internship projects. Research Methodology: A cross-sectional analytic study was conducted involving 295 nursing internship students at Universitas Aisyiyah Yogyakarta, Indonesia, selected through total sampling. Data were collected using validated General Self-Efficacy (GSE) and Self-Directed Learning Readiness (SDLR) scales. Descriptive statistics were used to summarize respondent characteristics. Bivariate analysis was performed using the chi-square test, and odds ratios (OR) with 95% confidence intervals (CI) were calculated. Multivariate logistic regression analysis was conducted to control for sex. Statistical significance was set at p < 0.05. Results: Most respondents demonstrated high GSE (69.8%) and high SDLR (86.4%). Students with high GSE were more likely to report high SDLR compared to those with moderate GSE (OR = 1.468; 95% CI: 0.732–2.940; p = 0.277). After adjustment for sex, the association remained non-significant (AOR = 1.420; 95% CI: 0.701–2.875; p = 0.320). Although a positive directional trend was observed, the effect size was weak and did not reach statistical significance. Conclusion: General self-efficacy was not an independent predictor of self-directed learning readiness in this internship context. These findings suggest that a combination of individual psychological factors and structured educational support influences SDLR. Nursing education programs should integrate mentorship, scaffolded autonomy, and training in problem-solving and self-management to strengthen students’ readiness for professional practice.
Fast Food Consumption Frequency and Prediabetes Among Young Adults in Makassar: A Cross-Sectional Study Sitti Masita; Hasniati Haeruddin; Harbaeni; Syafira Rulmadani; Maria Kurnya Rante Kada
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.v15i1.226

Abstract

Introduction: Prediabetes is a critical intermediary metabolic condition that substantially increases the risk of type 2 diabetes mellitus and cardiovascular disease. Rapid urbanization and dietary transition in Indonesia have contributed to increased consumption of energy-dense fast food among young adults, potentially accelerating early metabolic dysregulation. This study aimed to determine the association between the frequency of fast-food consumption and prediabetes among young adults in an urban primary healthcare setting in Makassar, Indonesia. Research Methodology: An analytical cross-sectional study was conducted from August to September 2023 at Malimongan Baru Community Health Center. A total of 57 young adults aged 20–35 years were recruited using convenience sampling. Fast food consumption frequency was assessed using a structured Food Frequency Questionnaire. Prediabetes was defined as fasting blood glucose levels of 100–125 mg/dL. Descriptive statistics were performed, followed by bivariate analysis and multivariable logistic regression to estimate adjusted odds ratios (AOR) with 95% confidence intervals (CI). Statistical significance was set at α = 0.05. Results: 86.0% of participants reported high fast-food consumption, and 54.4% were classified as having prediabetes. In multivariable analysis, frequent fast-food consumption was independently associated with prediabetes (AOR = 2.03; 95% CI: 1.12–3.87; p = 0.021). Participants with BMI ≥25 kg/m² also had higher odds of prediabetes (AOR = 2.67; 95% CI: 1.18–6.02; p = 0.018). Conclusion: Frequent fast-food consumption is a significant behavioral determinant of prediabetes among urban young adults. Integrating dietary risk screening and nutrition counseling within primary healthcare services is essential to prevent early progression to type 2 diabetes.
Correlation of Body Mass Index and Physical Activity with Serum Uric Acid Levels: A Cross-Sectional Study among Medical Students Shaula Arabia; Arif Rahman; Yanuarita Tursinawati
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.v15i1.227

Abstract

Introduction: Hyperuricemia is increasingly recognized as an early marker of metabolic disturbance among young adults. Body Mass Index (BMI) and physical activity are modifiable determinants that may influence serum uric acid levels, particularly in medical students who are exposed to sedentary academic routines and irregular lifestyle patterns. This study aimed to examine the association between BMI and physical activity levels with serum uric acid levels among medical students at Muhammadiyah University of Semarang. Research Methodology: An analytical observational study with a cross-sectional design was conducted in October 2025 involving 62 medical students selected through purposive sampling. BMI was calculated from measured weight and height; physical activity was assessed using the International Physical Activity Questionnaire–Short Form (IPAQ-SF); and serum uric acid levels were measured by capillary blood analysis. Data were analyzed using descriptive statistics, Spearman’s rank correlation test, and multivariable linear regression with a significance level of α = 0.05. Results: Most respondents had normal BMI (46.8%), high physical activity levels (53.2%), and normal uric acid levels (67.7%). Significant associations were found between BMI and serum uric acid (r = −0.286; p = 0.024) and between physical activity and serum uric acid (r = 0.271; p = 0.033). After adjustment for age and sex, both BMI (β = −0.254; p = 0.031) and physical activity (β = 0.236; p = 0.039) remained independently associated with uric acid levels. Conclusion: BMI and physical activity are significant determinants of serum uric acid levels in early adulthood. These findings support early metabolic screening and lifestyle-based interventions within university settings to prevent future cardiometabolic complications.

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