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INDONESIA
Jurnal Kesehatan
Published by Universitas Prima Nusantara Bukittinggi
ISSN : 20857098     EISSN : 26571366     DOI : https://doi.org/10.35730
Core Subject : Health,
Nursing
Jurnal Kesehatan is open access, a peer-reviewed journal and authoritative source of health information. The journal has a special focus on Public health, nursing, midwifery, and relevant topics of health issues. The scopes of Jurnal Kesehatan are : Public health: Epidemiology, Health promotion, health policies and systems, environmental, health information, Nursing: Neurologist, paediatrics, community and home care, gerontology, maternity, medical and surgical nursing, psychiatric mental health Midwifery: midwifery in complementary based, midwifery in community with gender-based.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 493 Documents
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Effect of Giving MMS (Multiple Micronutrient Supplement) Tablets on Changes in Anemia Status in Pregnant Women: A Quasi-Experimental Study
Jurnal Kesehatan - STIKes Prima Nusantara Vol 16 No 2 (2025): Jurnal Kesehatan Volume 16 Nomor 2 Tahun 2025
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v16i2.1345

Abstract

Anemia in pregnancy is a health problem which impacts the mother and fetus, includes the risk of bleeding, premature birth, and low birth weight. One effort to overcome this condition is through giving nutritional supplement. This study aims to evaluate the effectiveness of administering Multiple Micronutrient Supplement (MMS) tablets in increasing hemoglobin levels in pregnant women who experience anemia. The research method used a randomized controlled study design such as an experiment with pre-test dan post-test with control group design. Respondents were pregnant women in their third trimester with a diagnosis of mild to moderate anemia, who were given MMS tablets for 30 days. Hemoglobin level data were measured before and after the intervention. The results showed a significant increase in hemoglobin levels after the administration of MMS with p-value(0.01<0.05), indicating that MMS tablets are effective as nutritional therapy to treat anemia in pregnancy. This study confirms that giving MMS supplements can be an alternative strategy in anemia control programs in pregnant women, especially in areas with high anemia incidence.
Healing Wound with Bioelectric stimulation: A Systematic Review
Jurnal Kesehatan - STIKes Prima Nusantara Vol 16 No 2 (2025): Jurnal Kesehatan Volume 16 Nomor 2 Tahun 2025
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v16i2.1354

Abstract

This study delves into the burgeoning field of bioelectricity and its application to wound healing. A comprehensive literature analysis was conducted using Scopus, examining 831 articles published between 2014 and 2024. Keyword co-occurrence analysis through VOSviewer identified vital research themes. The findings underscore a growing interest in understanding the underlying bioelectric mechanisms that govern wound healing and the development and application of bioelectric therapies. A critical literature analysis reveals the potential of bioelectric interventions to accelerate wound closure, enhance tissue regeneration, and improve overall patient outcomes. However, significant challenges remain, such as the need for standardized protocols, the development of innovative bioelectric materials, and robust clinical evidence. This review emphasizes the importance of continued research to translate promising preclinical findings into effective clinical treatments. A deeper understanding of bioelectric signalling and its manipulation will be instrumental in developing novel therapeutic strategies for wound healing
Effectiveness of Nurse-Led Spiritual Interventions in Cardiovascular Care: A Systematic Review of Psychological, Spiritual, and Quality of Life Outcomes
Jurnal Kesehatan - STIKes Prima Nusantara Vol 16 No 3 (2025): Jurnal Kesehatan Volume 16 Nomor 3 Tahun 2025
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v16i3.1362

Abstract

Cardiovascular diseases (CVDs) impact not only physical health but also psychological and spiritual well-being, affecting patient recovery and outcomes. This systematic review aimed to identify and evaluate the effectiveness of nurse-led spiritual interventions in improving psychological and spiritual outcomes among patients with cardiovascular disease. A literature search was conducted across PubMed, CINAHL, Scopus, and ScienceDirect for studies published between 2014 and 2025, including RCTs, quasi-experimental, and qualitative designs involving adult cardiovascular patients. Outcomes of interest were anxiety, depression, spiritual well-being, resilience, and quality of life. Nineteen studies were included: eight RCTs, ten quasi-experimental, and one qualitative study. Interventions were categorized into four types: Islamic-based spiritual therapy, structured counselling and education, technology-assisted programs, and experiential models. Most studies demonstrated significant improvements in anxiety, depression, spiritual well-being, and life satisfaction. The qualitative study emphasized practical spiritual care strategies, such as distraction techniques and involving family. Nurse-led spiritual interventions are effective, especially in culturally religious contexts, and their integration into routine nursing care is strongly recommended. Further research should assess their long-term effectiveness and explore how these interventions can be adapted to secular or diverse cultural settings to support holistic, patient-centered care.
FAKTOR RISIKO KANKER SERVIKS PADA WANITA USIA DI BAWAH 40 TAHUN PADA RSUP ADAM MALIK
Jurnal Kesehatan - STIKes Prima Nusantara Vol 16 No 3 (2025): Jurnal Kesehatan Volume 16 Nomor 3 Tahun 2025
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v16i3.1368

Abstract

Cervical cancer is the third leading cause of cancer-related deaths in Indonesia, with 36,000 new cases per year and more than 20,000 deaths. At RSUP H. Adam Malik Medan, the numbers were 594 cases in 2022 and 508 cases in 2023, with a significant proportion of cases in women under 40 years old, specifically 84 cases (2022) and 83 cases (2023). Cervical cancer has several risk factors. This study aims to analyze the risk factors for cervical cancer occurrence in women under 40 years of age. This study employs an analytical observational design with a cross-sectional approach. The population consists of patients diagnosed with cervical cancer at RSUP H. Adam Malik Medan in 2024. The sample was selected using the purposive sampling method, adhering to the specified inclusion criteria. Data were collected through medical records and analyzed using Chi-square tests and logistic regression. There is a significant relationship between age of sexual/marital activity (aOR=6.583; p=0.001) and the number of sexual partners (OR=3.988; p=0.009) in the incidence of cervical cancer in women under 40 years old. Meanwhile, there is no relationship between the number of labor, the use of oral contraceptives, smoking behavior, history of STIs, and immune disorders (HIV) in the incidence of cervical cancer in women under 40 years old. Sexual activity/marriage age and the number of sexual partners are related to the incidence of cervical cancer in women under 40 years old. The age of sexual activity/marriage is a dominant factor influencing this.
A Qualitative Study of Stressors in Problem-Based Learning Among First-Year Nursing Students
Jurnal Kesehatan - STIKes Prima Nusantara Vol 16 No 1 (2025): Jurnal Kesehatan Volume 16 Nomor 1 Tahun 2025
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v16i1.1371

Abstract

Background: Problem-based learning actively engages students in real-world problem-solving while developing vital soft skills such as teamwork, communication, and interpersonal collaboration. However, the shift from teacher-centered learning in secondary school to student-centered learning, like PBL in nursing college, can be highly stressful for first-year nursing students as they adapt to this new educational model. Methods: The study employs a qualitative design. Data were gathered from 85 first-year nursing students through a paper-based questionnaire, and analysed using qualitative content analysis. The data were systematically examined to extract codes, categories, and themes aligned with the research objectives. Results: The study identified two major themes: (1) academic stressors—including challenges related to teaching materials, schedules, lecturers, and assignments; and (2) Non-academic stressors—involving social adjustment, financial difficulties, and family-related issues. Conclusion: First-year nursing students encounter both academic and non-academic stressors in problem-based learning, with infrastructural deficiencies and sociocultural barriers emerging as significant factors. Integrating stress and coping frameworks, offers a theoretical lens to examine how educational environments and cultural contexts influence student adaptation. Practically, institutions must improve facilities, establish culturally responsive support systems, and provide structured mentorship to enhance resilience and optimize learning outcomes among novice nursing students.
Factor deterniman Pengetahuan Remaja Terkait Kekerasan Seksual Di Area Pendidikan
Jurnal Kesehatan - STIKes Prima Nusantara Vol 16 No 3 (2025): Jurnal Kesehatan Volume 16 Nomor 3 Tahun 2025
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v16i3.1372

Abstract

The phenomenon of sexual harassment is increasing and has become a serious issue in Indonesia. In daily life, many people experience this form of violence without being able to do much to avoid it and are forced to let it happen. Sexual harassment also frequently occurs in schools and on university campuses. Although students’ knowledge about sexual harassment is relatively good, it still needs to be improved. The majority of respondents have experienced at least one form of sexual harassment, including unwanted sexual attention and gender-based violence, committed by both known and unknown individuals. This study aims to explore adolescents’ knowledge of sexual harassment within educational settings. The variables explored and analyzed in this study include socio-demographic factors such as gender and age; knowledge of sexual harassment, measured using the Sexual Harassment Definition Questionnaire; experiences of sexual harassment, assessed using the Sexual Experiences Questionnaire (SEQ); and attitudes toward gender roles, measured using the Sexual Harassment Attitude Scale. Univariate, bivariate, and multivariate analyses were conducted to provide descriptive insights into the distribution of the variables examined. Most respondents had good knowledge of sexual harassment in educational environments, were under 19 years old, female, lived with their parents, and had never received information about sexual harassment within educational settings. The most dominant variable associated with knowledge of sexual harassment was age, with an OR of 2.575 (95% CI OR: 1.875–3.536), indicating that adolescents over the age of 19 were 2.575 times more likely to have lower levels of knowledge compared to those under 19 years old. When violence frequently occurs in an environment and is often witnessed, it gradually becomes normalized. Therefore, support from various stakeholders is needed to enhance adolescents’ knowledge of sexual harassment in educational settings, beginning as early as possible.       
Program Asi Eksklusif Sebagai Upaya Pencegahan Stunting di Desa Sukaraja
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Upaya untuk mengatasi masalah stunting terintegrasi serta penguatan kerjasama lintas sektoral perlu dilakukan sampai ke tingkat desa. Tulisan ini bertujuan untuk membuat kebijakan di desa. Perlu adanya komitmen antara kepala desa, perangkat desa, tokoh agama, tokoh masyarakat, bidan desa, kader, pemangku adat, dan pemangku kepentingan lainnya agar semua pihak dapat menyukseskan gerakan bebas stunting. Masalah stunting bukan hanya tanggung jawab bidan desa saja. Stunting merupakan masalah yang cukup serius dalam penentu kapasitas SDM (Sumber Daya Manusia) di masa mendatang. Pemecahan masalah harus dilakukan secara terintegrasi dengan semua pihak terkait mulai dari menganalisis penyebab stunting hingga mendapatkan alternatif solusi dalam memecahkan, mengatasi serta pencegahan masalah stunting di desa Sukaraja. Dukungan regulasi dan peraturan kepala desa sangat mendukung agar komitmen gerakan bebas stunting tercapai. Permasalahan yang didapat yaitu penanggulangan stunting belum menjadi prioritas, kurangnya pengetahuan masyarakat tentang stunting, ASI Eksklusif, dan 1000 HPK, keterbatasan jumlah SDM, serta sanitasi lingkungan yang buruk. Rekomendasi yang ditawarkan untuk mengatasi permasalahan tersebut yaitu perlu dilakukannya door to door untuk penyuluhan terkait KIA (Kesehatan Ibu dan Anak), ASI-Eksklusif, stunting, dan gizi seimbang agar masyarakat lebih mengindahkan dan menyerap informasi yang disampaikan. Kepala desa perlu membuat kebijakan bagi SDM yang terlibat yaitu dengan memberikan pelatihan wajib agar dapat menganalisis penyebab dan mengevaluasi program yang sudah dilaksanakan sehingga dapat terpetakan dengan baik. Selain itu, diperlukan kebijakan mengenai pemanfaatan dana desa untuk program kesehatan minimal 10%, dan perbaikan sanitasi seperti air bersih, WC umum, dan tempat sampah.
Tuberculosis Prevention Measure from an Environmental Factors Perspective and the Role of Health Workers: -
Jurnal Kesehatan - STIKes Prima Nusantara Vol 17 No 1 (2026): Jurnal Kesehatan Volume 17 Nomor 1 Tahun 2026 (on progress)
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v17i1.1385

Abstract

Tuberculosis (TB) is an environmentally transmitted disease caused by Mycobacterium tuberculosis. The second Tuberculosis position in the world is occupied by Indonesia after India. In 2024, the incidence of TB in men was recorded at 496 thousand cases, women with TB at 359 thousand, and children aged 0-14 years as many as 135 thousand cases. This condition requires attention in prevention efforts throughout Indonesia. The study aimed to analyze environmental factors and the role of health workers associated with TB prevention measures. Analytical observational research with a cross-sectional approach was conducted among 1,947 people, and a proportional random sample of 92 residents was drawn. Data analysis using the Chi-Square test obtained lighting (P-value=0.021), humidity (P-value=1.000), temperature (P-value=0.939), occupancy density (P-value=0.040), and the role of health workers (P-value=0.002). The study concludes that there is an association between lighting, occupancy density, and the role of health workers in TB prevention efforts. The variables that did not have an association with TB prevention measures were humidity and temperature. The results of this study can provide input for improving TB prevention and control programs that collaborate across programs and sectors. This includes enhancing outreach and strengthening the role of health cadres and community organizations to encourage communities to improve their physical home environments to create healthy, TB-free homes
Analisis Faktor Risiko Dominan terhadap Kejadian Demam Tifoid pada Kelompok Usia 5–19 Tahun di Wilayah Kerja Puskesmas Pulau Bunyu
Jurnal Kesehatan - STIKes Prima Nusantara Vol 16 No 3 (2025): Jurnal Kesehatan Volume 16 Nomor 3 Tahun 2025
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v16i3.1411

Abstract

Typhoid fever remains a persistent public health concern in Indonesia, particularly in areas with limited access to clean water and sanitation. Bunyu Island in North Kalimantan is one of the endemic regions where typhoid fever consistently ranks among the top three reported infectious diseases. Children and adolescents aged 5–19 years are the most vulnerable group due to their higher level of outdoor activities, poor hygiene practices, and frequent exposure to unsafe food and beverages. This study aimed to analyze the dominant risk factors associated with typhoid fever incidence among individuals aged 5–19 years in the working area of Puskesmas Pulau Bunyu. This research employed a case control design with 120 respondents, consisting of 24 cases (diagnosed with typhoid fever within the last six months) and 96 controls (without typhoid fever during the same period). Data were collected through face-to-face interviews using validated structured questionnaires. The variables examined included demographic factors (age, gender, education, occupation, income), behavioral factors (handwashing with soap practices, snacking habits), environmental factors (availability of clean water facilities, provision of waste disposal facilities), and parental knowledge regarding typhoid fever. Data were analyzed using chi-square tests for bivariate analysis and multiple logistic regression for multivariate analysis. Bivariate analysis revealed significant associations with typhoid fever incidence for male gender (p=0.001; OR=6.059), poor handwashing with soap practices (p=0.002; OR=5.909), inadequate waste disposal facilities (p=0.025; OR=3.258), risky snacking habits (p=0.039; OR=3.128), and low parental knowledge (p=0.042; OR=2.931). Multivariate logistic regression identified four dominant risk factors: male gender (OR=5.863; 95% CI=1.828–18.801), poor handwashing with soap practices (OR=4.506; 95% CI=1.298–15.644), risky snacking habits (OR=4.181; 95% CI=1.305–13.395), and inadequate waste disposal facilities (OR=4.028; 95% CI=1.312–12.363). Together, these variables explained 38.3% of the variation in typhoid fever incidence. In conclusion, male gender, poor handwashing with soap practices, risky snacking habits, and inadequate waste disposal facilities are the primary determinants of typhoid fever incidence among children and adolescents aged 5–19 years in the Puskesmas Pulau Bunyu area. Strengthening health promotion, improving handwashing with soap practices, reducing unsafe snacking behaviors, and enhancing environmental sanitation particularly in waste management are essential strategies to reduce the burden of typhoid fever in high-risk populations.
DETERMINANT OF INFERTILITY: INTERNAL AND EXTERNAL FACTORS IN A CROSS-SECTIONAL STUDY: DETERMINANT OF INFERTILITY: INTERNAL AND EXTERNAL FACTORS IN A CROSS-SECTIONAL STUDY
Jurnal Kesehatan - STIKes Prima Nusantara Vol 17 No 1 (2026): Jurnal Kesehatan Volume 17 Nomor 1 Tahun 2026 (on progress)
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v17i1.1431

Abstract

Background: Infertility remains a major reproductive health problem globally, affecting 12–15% of Indonesian couples of reproductive ages. Both biological and lifestyle-related factors contribute to infertility, yet evidence on their relative influence in the Indonesian context is limited. Objectives: This study aimed to identify internal factors (tubal, uterine, ovulation, and sperm issues) and external factors (age, employment status, BMI, and smoking habits) influencing infertility. Methods: This analytical cross-sectional study was conducted at a government fertility clinic. A total of 343 infertile couples were included using a total sampling approach. Secondary data were extracted from medical records using a structured checklist encompassing socio-demographic, lifestyle, and clinical reproductive variables. The dependent variable was infertility type. Independent variables included age, occupation, BMI, smoking, and reproductive organ factors. Bivariate analysis was performed using Chi-square tests, and variables with p < 0.25 were entered into multiple logistic regression to determine the most influential predictors of infertility. Results: Wife’s age (p = 0.001), husband’s age (p = 0.014), ovulation disorders (p < 0.001), and sperm abnormalities (p < 0.001) were significantly associated with infertility. Multivariate analysis identified ovulation disorders (OR = 2.34; 95% CI: 1.35–4.03) and sperm abnormalities (OR = 2.52; 95% CI: 1.45–4.37) as the dominant predictors. Conclusion: Infertility among Indonesian couples is primarily influenced by ovulation and sperm abnormalities, underscoring the need for early reproductive health screening and lifestyle-based prevention strategies.

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