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Suprapto
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+6281242800025
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LPPM Politeknik Sandi Karsa, Indonesia, Jln. Bung 37 Makassar, South Sulawesi, Indonesia, 90245
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Kota makassar,
Sulawesi selatan
INDONESIA
Jurnal Ilmiah Kesehatan Sandi Husada (JIKSH)
ISSN : 23546093     EISSN : 26544563     DOI : https://doi.org/10.35816/jiksh
Core Subject : 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.
Articles 112 Documents
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): January - June
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.249

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): January - June
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.251

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
Determinants of Antenatal Care Utilization Among Pregnant Women: A Qualitative Study Hasni Hasni; Saman Saman; Novica Ariyanti Putri; Sova Evie; Enggar Enggar
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.v15i1.254

Abstract

Introduction: Antenatal care (ANC) plays a critical role in preventing pregnancy-related complications and improving maternal and neonatal outcomes. Despite expanded maternal health services, inadequate utilization of ANC remains a significant challenge in many settings. Understanding the contextual factors that influence women’s decisions to seek antenatal services is essential for improving maternal healthcare delivery. This study aimed to explore the determinants influencing antenatal care utilization among pregnant women. Research Methodology: This study employed a qualitative exploratory design. Data were collected through in-depth interviews with pregnant women who had experience accessing antenatal services. Participants were selected using purposive sampling to ensure inclusion of individuals with relevant experiences. Data collection continued until thematic saturation was achieved. Interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis to identify patterns and themes related to antenatal care utilization. Results: The analysis identified four major themes influencing antenatal care utilization: maternal knowledge and awareness of pregnancy care, accessibility of health services, family support and decision-making dynamics, and socio-cultural beliefs regarding pregnancy. Women who had better knowledge of antenatal care benefits were more motivated to attend routine visits. However, structural barriers such as distance to health facilities, transportation constraints, and long waiting times sometimes limited-service utilization. Family encouragement, particularly from husbands, facilitated antenatal care attendance, while cultural perceptions that pregnancy is a natural process occasionally reduced the perceived need for routine check-ups. Conclusion: Antenatal care utilization is shaped by a complex interaction of individual, social, and health system factors. Strengthening maternal health education, improving accessibility of primary healthcare services, and promoting family involvement in pregnancy care are essential strategies to increase ANC utilization. Policies and interventions addressing these multidimensional determinants are necessary to improve maternal health outcomes.
Effect of Lemon Aromatherapy on Sleep Quality among Third-Trimester Pregnant Women: A Pre-Experimental Study Suci Nanda Resti Tarigan; Friska Margaret Parapat; Elisa Silvia Aritonang
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.v15i1.255

Abstract

Introduction: Sleep disturbances are commonly experienced by pregnant women during the third trimester due to physiological, hormonal, and psychological changes. Poor sleep quality during late pregnancy may increase the risk of adverse maternal and fetal outcomes, including hypertension, fatigue, and complications during delivery. Non-pharmacological interventions are recommended to manage sleep problems during pregnancy because pharmacological therapies may pose potential risks to the fetus. Aromatherapy using lemon essential oil (Citrus limon) is considered a safe complementary therapy that may promote relaxation and improve sleep quality. This study aimed to analyze the effect of lemon aromatherapy on sleep quality among third-trimester pregnant women. Research Methodology: This study employed a quasi-experimental design with a one-group pretest–posttest approach. The research was conducted at PMB Theresia Anggraini Medan Deli from January to April 2025. A total of 30 pregnant women in the third trimester were recruited using total sampling. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Participants received lemon aromatherapy inhalation for approximately 15 minutes before bedtime for seven consecutive days. Data were analyzed using descriptive statistics and paired statistical tests to compare sleep quality before and after the intervention with a significance level of 0.05. Results: The findings indicated an improvement in sleep quality following the aromatherapy intervention. Before the intervention, all participants experienced poor sleep quality. After receiving lemon aromatherapy, most participants reported improved sleep patterns characterized by easier sleep initiation, reduced nighttime awakening, and greater feelings of relaxation before sleep. The statistical analysis demonstrated a significant improvement in sleep quality after the intervention. Conclusion: Lemon aromatherapy may serve as a safe, simple, and accessible complementary intervention to improve sleep quality among pregnant women in the third trimester. Integrating aromatherapy into routine antenatal care may support maternal comfort and contribute to holistic maternal health services.
From Expectations to Experience: Prioritizing Quality Improvement in Inpatient Nursing Care Through Importance–Performance Analysis Hermin Husaeni; Boby Nurmagandi; Nur Amaliah Sawal; Aco Mursid; Muhammad Amin R; Maryati Maryati; Ika Muzdali
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.v15i1.257

Abstract

Introduction: The quality of nursing services plays a crucial role in shaping patients’ experiences and overall hospital service quality. In inpatient wards, nurses maintain the most frequent interaction with patients, making their caring behavior, communication, and responsiveness essential determinants of patient-centered care. However, many evaluations of nursing services focus mainly on overall satisfaction scores and fail to identify which service attributes require priority improvement. Therefore, this study aimed to analyze the gap between the importance and performance of nursing service attributes in inpatient wards and to identify priority areas for quality improvement using the Importance–Performance Analysis (IPA) approach. Research Methodology: This study employed a quantitative descriptive–analytic design with a cross‑sectional approach. The research was conducted in hospital inpatient wards involving 201 adult patients selected through purposive sampling. Data were collected using a structured questionnaire developed based on the SERVQUAL framework and Swanson’s Theory of Caring, measuring patients perceived importance and performance of nursing service attributes. Instrument validity was tested using Pearson Product Moment correlation and reliability using Cronbach’s Alpha. Data analysis was performed using mean score comparison, gap analysis (Performance − Importance), and Importance–Performance Analysis (IPA) matrix mapping with IBM SPSS and Microsoft Excel. Results: The findings indicated that most nursing service attributes were perceived as highly important by patients, with an overall mean importance score of 3.69 compared with a lower mean performance score of 2.79. Negative gap values were observed across nearly all service attributes, indicating that nursing service performance had not fully met patient expectations. The largest gaps were identified in caring-related attributes, particularly therapeutic communication, individualized attention, emotional support, and responsiveness to patient needs. IPA matrix mapping showed that several relational attributes were located in the high‑priority improvement quadrant, while aspects related to professional competence, patient safety, and trust were positioned within the key strength’s quadrant. Conclusion: The study demonstrates that relational aspects of nursing care particularly communication, empathy, and responsiveness represent the primary areas requiring quality improvement in inpatient services. Strengthening therapeutic interaction, improving service consistency, and ensuring nurse availability are essential strategies to enhance patient-centered nursing care and sustain continuous quality improvement in hospital settings.
Health Information Exposure and Obstetric Emergency Knowledge Among Pregnant Women: A Cross-Sectional Study in Makassar, Indonesia Alamsyah Alamsyah; Arfinayanti Arfinayanti; Ruqaiyah Ruqaiyah; Tut Handayani; Ayatullah Harun
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.v15i1.261

Abstract

Introduction: Maternal mortality remains a significant public health concern, particularly in low- and middle-income countries where delays in recognizing obstetric danger signs contribute to preventable complications. Adequate maternal knowledge regarding obstetric emergencies is essential for timely care-seeking. This study aimed to examine the association between health information exposure and knowledge of obstetric emergencies among pregnant women attending antenatal care services. Research Methodology: An analytical cross-sectional study was conducted at the Antenatal Care (ANC) clinic of Labuang Baji Hospital, Makassar, Indonesia, from August to September 2025. A total of 45 pregnant women were recruited using accidental sampling. Data were collected using validated questionnaires measuring health information exposure (10 Likert-scale items; Cronbach’s α = 0.856) and obstetric emergency knowledge (20 true–false items; Cronbach’s α = 0.876). Descriptive statistics were used to summarize respondent characteristics. Fisher’s Exact Test and logistic regression analysis were performed to examine associations between variables. Statistical significance was set at α = 0.05. Results: Exposure to maternal health information was significantly associated with knowledge of obstetric emergencies. Pregnant women exposed to health information were nearly seven times more likely to demonstrate good knowledge compared with those who were not exposed (OR = 6.93; 95% CI: 1.18–40.55; p = 0.026). Multivariate logistic regression confirmed that information exposure remained the strongest predictor of obstetric emergency knowledge (OR = 6.96; 95% CI: 1.11–43.41; p = 0.038). Conclusion: Health information exposure plays a critical role in improving pregnant women’s knowledge of obstetric emergencies. Strengthening structured maternal health education within antenatal care services, complemented by community and digital health communication strategies, may enhance maternal awareness and support early recognition of obstetric complications
Determinants of Reproductive Health Behavior among Adolescents: A Cross-Sectional Study Putu Noviana Sagitarini; Ni Komang Tri Agustini; Ida Ayu Ningrat Pangruating Diyu; Ni Made Candra Citra Sari
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.v15i1.263

Abstract

Introduction: Adolescents are vulnerable to reproductive health problems due to limited knowledge, inadequate access to information, and a lack of family support. These conditions may influence adolescents’ reproductive health maintenance behaviors and increase the risk of reproductive health problems in the future. Research Methodology: This study aimed to analyze the factors influencing adolescent reproductive health behavior. This study employed a quantitative analytic design with a cross-sectional approach conducted among 243 female students at SMPN 1 Kediri Tabanan. Data were collected using a structured questionnaire that included variables of knowledge, attitudes, peer influence, access to information, family support, and reproductive health behavior. Data analysis was performed using the Spearman Rho test and ordinal logistic regression. Result: The results showed that knowledge, attitudes, access to information, and family support were significantly associated with adolescent reproductive health behavior (p < 0.05), whereas peer influence was not significant. Multivariate analysis indicated that knowledge and family support simultaneously had a significant effect on adolescent reproductive health behavior, with family support emerging as the dominant factor (OR = 2.64). Conclusion: Adolescent reproductive health behavior is influenced by both individual and environmental factors. Therefore, integrated interventions that enhance health education and strengthen family involvement are necessary to promote optimal reproductive health behaviors among adolescents.
Depressive Symptoms, Resilience, and Psychological Well-Being Among Older Adults with Non-Communicable Diseases: A Correlational Study Made Dian Shanti Kusuma; Ida Ayu Putri Wulandari; I Gusti Ayu Rai Rahayuni; Anak Agung Ayu Yuliati Darmini
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.v15i1.264

Abstract

Introduction: Older adults with non-communicable diseases (NCDs) are vulnerable to psychological challenges, including depressive symptoms and reduced psychological well-being. Resilience is recognized as a protective factor that may buffer these negative effects. This study aimed to examine the relationships between depressive symptoms, resilience, and psychological well-being among older adults with NCDs. Research Methodology: A quantitative study with a cross-sectional correlational design was conducted among 54 older adults selected using total sampling. Data were collected using standardized instruments: the Geriatric Depression Scale (GDS-15), the Connor-Davidson Resilience Scale (CD-RISC-10), and Ryff’s Psychological Well-Being Scale. Data were analyzed using Spearman’s correlation test to assess relationships between variables. Results: The findings showed significant correlations among all variables. Depressive symptoms were strongly negatively correlated with resilience (r = −0.906; p = 0.005) and psychological well-being (r = −0.860; p = 0.013). Resilience demonstrated a strong positive correlation with psychological well-being (r = 0.835; p = 0.019). These results indicate that higher depressive symptoms are associated with lower resilience and psychological well-being, while higher resilience is associated with better psychological well-being. Conclusion: Depressive symptoms, resilience, and psychological well-being are significantly interrelated in older adults with NCDs. Interventions focusing on reducing depressive symptoms and strengthening resilience may improve psychological well-being. Integrating mental health screening and resilience-based interventions into routine care for older adults is recommended to enhance overall quality of life.
Stunting Policy Implementation in Indonesia: A Primary Health Care Perspective Suprapto Suprapto; Sri Wahyuni; Sarifudin Andi Latif
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.v15i1.302

Abstract

Introduction: Stunting remains a persistent public health challenge in Indonesia despite comprehensive national policies and multisectoral strategies. The primary issue lies not only in policy design but in its implementation at the primary health care level. This study aimed to examine how stunting policies are communicated, interpreted, and implemented, and to identify factors influencing implementation effectiveness within primary health care settings. Research Methodology: A qualitative, theory-informed design was employed using Edwards III’s policy implementation framework. Data were collected through semi-structured in-depth interviews with 25 purposively selected health workers, including nurses, midwives, nutritionists, and public health officers. Additional data sources included document reviews and observational notes. Thematic analysis was conducted to explore patterns related to communication, resources, implementer disposition, and bureaucratic structure. Results: Findings indicate that policy communication is predominantly top-down, with variable clarity and limited feedback mechanisms. Interpretation of policies is highly context-dependent, shaped by workload and local conditions. Implementation is largely integrated into routine maternal and child health services, with limited emphasis on preventive and multisectoral approaches. Key barriers include human resource constraints, insufficient funding, and rigid bureaucratic procedures. Despite these challenges, strong professional commitment among health workers emerged as a critical enabling factor supporting policy execution. Conclusion: The effectiveness of stunting policy implementation depends on strengthening communication clarity, resource allocation, and intersectoral coordination. Enhancing frontline engagement and reducing bureaucratic rigidity are essential to align policy intent with practice. A process-oriented approach to implementation improvement is necessary to achieve sustainable reductions in stunting.
Correlation between stress and primary dysmenorrhea at SMAN 4 Kediri Diana Rahmatul Putri; L. A Wijayanti; Ira Titisari
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 13 No. 2 (2024): July - Desember
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v13i2.344

Abstract

Introduction: The physiological disorder experienced by most women in Indonesia every month is primary dysmenorrhea (60-70%). The incidence of primary dysmenorrhea was experienced by female students at SMAN 4 Kediri City, as many as (90.8%) of all female students. One factor is stress. Objective: Determine the relationship between stress and the incidence of primary dysmenorrhea at SMAN 4 Kediri City. Methods: This research used the Analytical research design correlation with a cross-sectional approach, a population of 258 students, and a simple random sampling with a sample of 39 female students. The instrument used was questionnaires, with Spearman rank correlation analysis. Result: The results of this study were moderate stress 28.2% and moderate pain dysmenorrhea 53.8%. Statistical tests showed the correlation coefficient of Spearman rank sig value was 0.030; there was a significant relationship with a reasonably strong relationship strength of 0.347. Stress is the cause of dysmenorrhea to prevent dysmenorrhea can be minimized by preventing stress. Conclusion: the higher the stress, the higher the risk of dysmenorrhea in female students at SMAN 4 Kediri City. The higher the stress level experienced by female students, the greater their risk of experiencing dysmenorrhea (menstrual pain). This suggests that psychological factors such as stress can affect physical health conditions, particularly related to menstrual disorders in adolescent girls. To reduce the risk of dysmenorrhea, it is important to pay attention to stress management in students.

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