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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 156 Documents
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Knowledge about menstruation with readiness to face menarche of elementary school students in the era of reproductive health education Ria Angelina Jessica Rotinsulu; Endang Puji Ati
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 1 (2025): 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.v14i1.322

Abstract

Introduction: Adolescence is a crucial period marked by various physical and psychological changes, including menarche, the first menstruation that often elicits mixed emotional responses. Adequate knowledge about menstruation can help mitigate feelings of fear, anxiety, and confusion, enhancing adolescents' readiness to face this natural developmental stage. This study aimed to investigate the correlation between the level of menstrual knowledge and the readiness to face menarche among female students. Method: A quantitative research design with an analytical survey and cross-sectional approach was applied. The research was conducted in April 2025 with 40 female students from grades IV to VI, selected via accidental sampling. Data collection used a structured questionnaire, and analysis involved univariate and bivariate statistics using the non-parametric Kendall Tau correlation test. Results: The results showed that 47.5% of respondents had good menstrual knowledge, and 95% were considered ready to face menarche. However, statistical analysis yielded a p-value of 0.281 with a significance level of 0.045 (α = 0.05), indicating no significant correlation between menstrual knowledge and readiness to face menarche. Conclusion: Despite most respondents demonstrating good knowledge and readiness, no statistically significant correlation was found. This suggests that other factors may influence menarche readiness beyond menstrual knowledge alone. These findings underscore the need for broader support systems in adolescent reproductive health education.
Analysis of the use of long-term contraceptive methods Sri Wahyuni; Farida Latif
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 1 (2025): 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.v14i1.323

Abstract

Introduction: Indonesia ranked third among ASEAN countries in maternal mortality rate (MMR) in 2017, with 177 deaths per 100,000 live births. This high rate has prompted various governmental initiatives to reduce MMR, with the family planning (FP) program being one of the most effective strategies. However, the uptake of long-acting and permanent contraceptive methods (LAPMs) remains low, particularly due to social and personal barriers. This study aims to analyse the factors influencing the use of long-acting contraceptive methods (LAPMs) among family planning acceptors. Method: A quantitative correlational study with a cross-sectional design was employed. The study involved 35 FP acceptors selected from a population 62 using accidental sampling. Data were collected using a structured questionnaire and analysed through the Chi-square test with a significance threshold of α = 0.05. Results: The findings revealed significant associations between LAPM use and three key factors: knowledge (p = 0.036), attitude (p = 0.027), and husband’s support (p = 0.005). Most respondents who did not use LAPMs had poor knowledge, unfavourable attitudes, and lacked spousal support. Conclusion: There is a statistically significant relationship between knowledge, attitude, husband’s support, and the use of long-acting contraceptive methods. These findings highlight the importance of educational interventions and partner involvement in enhancing LAPM uptake.
Determinants of chronic energy deficiency (CED) in pregnant women in stunting Irma; Sugirah Nour Rahman; Hasra Ryska; Veny Hadju
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 1 (2025): 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.v14i1.324

Abstract

Introduction: Chronic Energy Deficiency (CED) in pregnant women results from prolonged malnutrition, particularly insufficient energy and protein intake. This condition significantly increases the risk of maternal and infant mortality, low birth weight (LBW), and contributes to stunting in children. This study aims to identify the determinants influencing the incidence of CED among pregnant women in the stunting. Method: A cross-sectional observational study was conducted among 201 pregnant women selected through purposive sampling from 30 stunting-prone villages. Data collection involved Android-based questionnaires and anthropometric measurements using Mid-Upper Arm Circumference (MUAC). Statistical analyses included chi-square tests for bivariate analysis and logistic regression for multivariate analysis. Results: The prevalence of CED among the participants was 15.9%. Significant factors associated with CED included maternal age (p=0.000; OR=2.79; 95% CI: 1.67–4.64), employment status (p=0.016; OR=6.73; 95% CI: 1.58–27.94), antenatal care visits (p=0.004; OR=11.31; 95% CI: 2.71–28.19), pregnancy spacing (p=0.023; OR=6.80; 95% CI: 1.31–26.8), family smoking history (p=0.002; OR=0.45; 95% CI: 0.27–0.75), and family income (p=0.013; OR=5.24; 95% CI: 1.73–26.02). Conclusion: CED among pregnant women is significantly influenced by age, occupational status, antenatal care frequency, pregnancy interval, family exposure to cigarette smoke, and low household income. Strengthening antenatal care services, promoting family planning, enhancing nutrition education, and mitigating environmental risk factors such as secondhand smoke exposure are essential strategies to reduce CED and its adverse health outcomes.
Factors related to the knowledge of implementing nurses in handling emergency patients Badaruddin; Baso Witman Adiaksa; Fatmawati
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 1 (2025): 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.v14i1.325

Abstract

Introduction: The effectiveness of emergency care heavily depends on the knowledge and skills of nurses. Errors in emergency treatment often lead to severe disability or death, highlighting the need for ongoing nurse training. This study aims to identify factors related to the knowledge of implementing nurses in handling emergency patients. Method: An analytical survey with a cross-sectional approach was used, involving 30 respondents. Data were analyzed using univariate and bivariate techniques, including the Chi-Square test, with a significance level of α = 0.05. Results: The majority of respondents were aged 20–30 (80%), had higher education (53.3%), and were relatively new in service (60%). More than half (53.3%) had received emergency training. Bivariate analysis revealed significant relationships between knowledge and education (p = 0.011), length of service (p = 0.007), and training attendance (p = 0.014). Nurses with higher education, longer service, and formal training demonstrated better emergency handling knowledge. Conclusion: Education, experience, and training significantly influence nurses’ knowledge in emergency care. Continuous professional development, through formal education and certified emergency response training, is recommended to improve nursing care quality in emergencies.
Urban rural inequities in breastfeeding practices in low- and middle-income countries: A Scoping Review Herlianty Herlianty; Jusrawati Jusrawati; Evi Sri Dahrianti; Brenda Mpazo
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): 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.v15i1.244

Abstract

Introduction: Breastfeeding is a critical intervention for reducing infant morbidity and mortality and improving maternal health outcomes. Despite global recommendations supporting early initiation and exclusive breastfeeding, substantial disparities persist across low- and middle-income countries (LMICs), particularly between urban and rural populations. Urban–rural inequities reflect complex structural, socioeconomic, and cultural determinants that influence breastfeeding practices beyond maternal knowledge. This scoping review aimed to systematically map evidence on urban–rural differences in breastfeeding practices in LMICs and to identify key determinants contributing to these disparities. Research Methodology: A scoping review was conducted following Arksey and O’Malley’s framework and the Joanna Briggs Institute guidelines, with reporting aligned to PRISMA-ScR. Four databases (PubMed, Scopus, CINAHL, and ProQuest) were searched for studies published between 2015 and 2025. Eligible studies were original research conducted in LMICs that compared breastfeeding outcomes across urban and rural settings. Data were extracted, charted, and synthesised narratively. Results: Seven cross-sectional studies from Ethiopia, Tanzania, Lao PDR, Indonesia, Nigeria, Niger, and Sierra Leone were included. Most studies demonstrated a higher prevalence of early initiation and exclusive breastfeeding in rural areas despite limited health service access. Urban residence, increasing infant age, caesarean delivery, maternal employment, and exposure to formula marketing were consistently associated with suboptimal breastfeeding. Conclusion: Urban–rural disparities in LMICs are driven by structural and contextual inequities rather than maternal intention alone. Policies should prioritise breastfeeding-friendly workplace regulations, enforcement of the International Code of Marketing of Breast-milk Substitutes, and culturally responsive maternal support systems.
Self-efficacy and psychological well-being among first year nursing students: A cross-sectional study Wulida Litaqia; Ainun Najib Febrya Rahman; Fadma Aji Pramudita; Sri Yulian Hunowu; Ryan Nuari Pratama
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): 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.v15i1.245

Abstract

Introduction: The transition to higher education increases first-year nursing students' risk of psychological vulnerability. Self-efficacy has been identified as a potential protective factor; however, evidence focusing on early-stage nursing students remains limited. This study aimed to examine the association and predictive role of general self-efficacy on psychological well-being among first-year nursing students. Research Methodology: An analytical cross-sectional study was conducted among 119 first-year nursing students at a public university in Indonesia using convenience sampling. Data were collected through an online survey using the General Self-Efficacy Scale (GSES) and the WHO-5 Well-Being Index. Descriptive statistics, independent-samples t-tests, Pearson correlation, and linear regression analyses were performed using SPSS with α = 0.05. Results: Self-efficacy demonstrated a moderate positive correlation with psychological well-being (r = 0.42; 95% CI: 0.26–0.56; p < 0.001). Linear regression analysis showed that self-efficacy significantly predicted psychological well-being (β = 0.42; p < 0.001), explaining 18% of the variance (R² = 0.18). No significant gender differences were identified. Conclusion: Self-efficacy is a significant psychological determinant of well-being among first-year nursing students. Early educational interventions aimed at strengthening self-efficacy may enhance students’ mental well-being and academic adjustment
Medical record analysis in supporting bpjs health claims in a hospital: A retrospective descriptive quantitative study Wa Ode Novi Angraeni; Jessy Andre Mangaya Takke; NurZetty Sofia Zainuddin
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): 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.v15i1.246

Abstract

Introduction: Delays in inpatient BPJS Health claims represent a persistent operational challenge within Indonesia’s National Health Insurance (JKN) system and may compromise hospital financial stability under case-based reimbursement (INA-CBGs). Inefficiencies are frequently attributed to incomplete medical documentation and weak integration with health information systems. This study aimed to analyze the role of the Hospital Management Information System (HMIS), medical record completeness, and coding accuracy in determining inpatient BPJS claim pending status at a tertiary teaching hospital. Research Methodology: An analytical cross-sectional study with retrospective document review was conducted at Hasanuddin University Hospital from November to December 2025. A total of 156 inpatient BPJS claim files for May 2025 were included using total sampling. Data were extracted from casemix records, HMIS databases, and medical documentation. Bivariate associations were tested using chi-square analysis, and multivariate predictors were identified through binary logistic regression (α = 0.05). Results: Of 156 claims, 66.7% were classified as pending. Incomplete medical records (AOR = 9.84; 95% CI: 3.21–30.18; p < 0.001), HMIS data non-conformity (AOR = 8.92; 95% CI: 3.45–23.06; p < 0.001), and coding inaccuracies (AOR = 6.17; 95% CI: 1.78–21.42; p = 0.004) were independently associated with increased odds of pending claims. Conclusion: Inpatient BPJS claim delays are primarily driven by weaknesses in documentation governance and digital system integration. Strengthening standardized clinical documentation, enhancing coder competency, and improving HMIS interoperability are critical to reducing claim discrepancies, improving reimbursement efficiency, and supporting the financial sustainability of Indonesia’s National Health Insurance system
Effectiveness of 0.9% sodium chloride irrigation and oral propolis in diabetic foot ulcer infection: A case study Syaharuddin Syaharuddin; Fardi Fardi
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): 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.v15i1.248

Abstract

Introduction: Diabetic foot ulcer (DFU) is a major complication of diabetes mellitus characterized by infection, delayed healing, and increased risk of amputation. Effective management requires both local infection control and systemic metabolic stabilization. This study aimed to analyze the clinical effectiveness of combined 0.9% sodium chloride wound irrigation and oral propolis supplementation in reducing infection indicators in a patient with DFU. Research Methodology: A descriptive single-case study design was conducted in an inpatient ward of a secondary-care hospital in Makassar, Indonesia, over three consecutive days (March 9–11, 2025). One adult patient with post-debridement DFU and clinical signs of infection was selected using purposive sampling. Infection indicators (rubor, tumor, purulent exudate) and random blood glucose levels were assessed daily. Data were analyzed using within-case effect estimation, including percentage change, composite Infection Severity Index (ISI), and non-overlapping data analysis. Inferential statistics were not applied due to the single-case design. Results: Within three days, the purulent exudate resolved completely, and the composite ISI decreased by 66%. Random blood glucose declined from 300 mg/dL to 120 mg/dL (−60%), indicating a large within-case effect size. All measured infection indicators demonstrated consistent directional improvement. Conclusion: The combined intervention showed strong descriptive clinical effectiveness in reducing local infection severity and improving glycemic control. These findings support further controlled studies to validate integrative immunometabolic strategies in DFU management
Antibacterial and antiplaque effects of alpinia monopleura herbal toothpaste against streptococcus mutans Nia Afdilla; Prayoga Ridha Faisal; Musdalipah Musdalipah
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): 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.v15i1.249

Abstract

Introduction: Dental caries remains a prevalent global oral health problem primarily associated with Streptococcus mutans colonization and dental plaque accumulation. Increasing concerns about the prolonged use of synthetic antibacterial agents have prompted the exploration of plant-based alternatives. Alpinia monopleura, an endemic plant from Southeast Sulawesi, contains bioactive phytochemicals with reported antimicrobial activity. This study aimed to evaluate the antibacterial activity and antiplaque effectiveness of herbal toothpaste containing A. monopleura extract against S. mutans. Research Methodology: A quasi-experimental, randomized pre-test and post-test design was conducted involving 64 participants, allocated into two groups: F1 (20% A. monopleura extract) and F2 (30% A. monopleura extract). Antibacterial activity was assessed in vitro using the agar diffusion method against Streptococcus mutans (ATCC 25175). Clinical effectiveness was evaluated by measuring the plaque index before and after a 7-day intervention. Data were analyzed using paired and independent t-tests, followed by multivariate linear regression at α = 0.05. Results: The 30% formulation demonstrated stronger antibacterial activity with a mean inhibition zone of 14.92 mm compared to 6.87 mm in the 20% group. Both formulations significantly reduced plaque index scores. In F1, the mean plaque index decreased from 2.19 ± 0.69 to 1.34 ± 0.48 (p < 0.001), while in F2 it decreased from 2.50 ± 0.51 to 1.84 ± 0.37 (p < 0.001). Multivariate analysis confirmed extract concentration as a significant predictor of plaque reduction. Conclusion: Alpinia monopleura-based herbal toothpaste exhibits significant antibacterial activity against S. mutans and effectively reduces dental plaque. The 30% concentration shows superior antimicrobial potency, supporting its potential development as a natural dentifrice alternative for caries prevention.
Risk factors for stunting among children under five in dolok sanggul district: A case-control study Rinawati Sembiring; Henny Syapitri; Marthalena Simamora; Agnes Purba; Ivan Elisabeth Purba; Asima Sirat; Irna Nursanti
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): 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.v15i1.251

Abstract

Introduction: Stunting remains a major public health challenge affecting children under five years of age in many developing countries, including Indonesia. Chronic undernutrition during early childhood can impair physical growth, cognitive development, and long-term health outcomes. Despite national efforts to reduce its prevalence, stunting continues to occur in many regions due to multiple biological, behavioral, and socioeconomic determinants. Therefore, this study aimed to analyze the risk factors associated with the incidence of stunting among children under five years of age in Dolok Sanggul District, North Sumatra, Indonesia. Research Methodology: This study employed an observational analytic design using a case–control approach. The study was conducted from March to July 2023 in Dolok Sanggul District. A total of 240 children under five years of age were included in the study, consisting of 120 stunted children (case group) and 120 non-stunted children (control group). Participants were selected using a simple random sampling technique from the population of registered children under five. Data were collected through structured interviews with mothers and anthropometric measurements using standardized instruments. Statistical analysis included descriptive analysis and bivariate analysis using the Chi-square test to determine the association between risk factors and stunting at a significance level of α = 0.05. Results: The results showed that several factors were significantly associated with the incidence of stunting. Low birth weight (p = 0.040), lack of exclusive breastfeeding (p = 0.030), inadequate complementary feeding (p < 0.001), poor maternal knowledge (p = 0.003), and low household economic status (p < 0.001) were significantly related to stunting among children under five. However, maternal education level was not significantly associated with stunting (p = 0.301). Conclusion: Stunting among children under five is influenced by multiple maternal, child, and socioeconomic factors. Interventions aimed at improving maternal nutrition, promoting exclusive breastfeeding, strengthening complementary feeding practices, and enhancing maternal knowledge are essential to prevent stunting. In addition, policies that address socioeconomic disparities and improve access to health services are crucial for sustainable stunting reduction

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