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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 504 Documents
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The Digital and non-digital educational media for stunting prevention among children : a scoping review: intervention digital and non digital educational media for stunting prevention among children under five Kusuma, Inggar Ratna; Pangesti , Wilis Dwi; Agung, Rendi Marta; wibowo, Much Ilham Novalisa Aji Wibowo; Safitri, Mutiara Dien
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.v16i3.1471

Abstract

Background: The prevalence of stunting in Indonesia reached 21.5 percent in 2023. Effective and accessible educational strategies are crucial for prevention interventions. With the advancement of technology, both digital and non-digital media have become essential tools for disseminating health information. Objective: This study aims to map and identify the types, characteristics, and effectiveness of digital and non-digital educational media that have been used in stunting prevention programs . Method: This study utilized a scoping review approach following the framework outlined by Arksey and O’Malley, in accordance with the JBI guidelines. Literature searches were conducted across five major electronic databases—PubMed, ScienceDirect, Cochrane Library, Taylor & Francis, and Google Scholar using keywords related to “stunting,” “education,” “digital media,” “non-digital media,” Inclusion criteria consisted of studies focusing on educational media interventions for stunting prevention among children. Extracted data included media type, target audience, intervention design, geographical context, and reported outcomes. Results: Out of 849 identified articles, 10 met the inclusion and exclusion criteria. The analysis revealed four main themes: (1) digital media for pregnancy monitoring, (2) digital media for parental education of children (3) non-digital media for maternal education during pregnancy, and (4) digital media for parental education of children. Conclusion: Non-digital media ensure deeper understanding and cultural relevance, whereas digital media enhance reach and message reinforcement. The effective integration of both digital and non-digital media is essential to develop comprehensive and sustainable stunting prevention programs .
High Risk Of Gestational Hypertension And Preconception Care On Incidence Of Pregnancy Hypertension Anggraeni, Novi; Kasiati; Dwi Prihartini, Sabrina
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.v17i1.1485

Abstract

Background: Hypertension in pregnancy is known to contribute to a variety of serious complications leading to maternal death. According to the World Health Organization (WHO), every day about 80% of maternal deaths are caused by complications that arise during pregnancy, childbirth, and postpartum. It was also found that out of 10 pregnant women in Jaddih Village with a gestational age of ≥20 weeks there were 2 people who experienced pre-eclampsia in the previous pregnancy. A total of 30% had carried out laboratory tests such as blood and urine tests before pregnancy, 100% received TT catin, and 50% had received information about healthy nutrition, signs of a healthy pregnancy during a consultation with a midwife before planning a pregnancy. Given that the exact cause of preeclampsia is not yet fully known, prevention measures focus on avoiding risk factors and controlling determinants that can trigger this condition. Prevention and control of risk factors can be initiated by screening for high risk of pregnancy hypertension and preconception care with the target starting before marriage.. Purpose: The purpose of this study was to analyze the effect of high risk of pregnancy hypertension and preconception care on the incidence of pregnancy hypertension. Methods: This type of research is observational with a cross sectional study design. The research was conducted in Jaddih Village, Bangkalan Regency April-May 2025. The sample in the study was 40 pregnant women. The sampling technique was accidental sampling. The instruments used were questionnaires and blood pressure gauges. Data analyzed by chi-square test. Results: Less than half of pregnant women are in the adequate preconception care category and more than half of pregnant women are not at high risk of gestational hypertension. Conclusion: High risk of pregnancy hypertension and preconception care influence the incidence of pregnancy hypertension
Urinary Zinc Levels and Nutritional Status in Children with Acyanotic Congenital Heart Disease: A Cross-Sectional Study Pradhana Putra, Fajar; Hariyanto, Didik; Rachmawati Masnadi, Nice; Dianne Jurnalis, Yusri; Nurdin, Asrawati; Perdana Harmen, Anggia
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.v17i1.1622

Abstract

Background: Acyanotic congenital heart disease (CHD) causes increased metabolic demands and nutrient malabsorption, potentially triggering zinc deficiency. Urinary zinc measurement offers a non-invasive method to assess zinc status. This study evaluates the association between urinary zinc levels and nutritional status in children with acyanotic CHD. Methods: An analytical cross-sectional study involving 50 children aged 2–60 months with echocardiography-confirmed acyanotic CHD was conducted at the Pediatric Cardiology Outpatient Clinic, DR. M. Djamil General Hospital, Padang, from October 2024 to August 2025. Nutritional status was assessed by anthropometry using WHO growth standards (weight-for-height z-scores). Spot urinary zinc levels were measured using a colorimetric zinc assay kit (Elabscience, E-BC-K137-M) with absorbance read at 560 nm. One-way ANOVA and post-hoc tests were used for group comparisons. Results: Malnutrition prevalence reached 62% (undernutrition 32%, severe malnutrition 30%). Hypozincuria (urinary zinc <8 µmol/L) was found in 38% of subjects. A highly significant difference in urinary zinc levels was observed across nutritional status groups (p<0.001). Urinary zinc was highest in the well-nourished group (9.6±1.2 µmol/L), followed by undernutrition (8.4±1.8 µmol/L), and lowest in severe malnutrition (6.1±1.5 µmol/L). Post-hoc analysis confirmed significant differences between well-nourished and severely malnourished (p<0.001), and between undernutrition and severe malnutrition (p<0.001). Conclusion: Urinary zinc levels are significantly associated with nutritional status in children with acyanotic CHD, particularly in those with severe malnutrition. Urinary zinc assessment may serve as a practical screening tool to identify zinc deficiency in this population and guide targeted nutritional interventions.
Effects of Stevia Leaf Extract on Blood Glucose and SOD Activity in Hyperglycemic Rats Zoni, Salsa Billa Pratami; Yerizel, Eti; Rahmatini
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.v17i1.1603

Abstract

Background: Hyperglycemia is characterized by elevated blood glucose levels and may induce oxidative stress through excessive production of reactive oxygen species (ROS) that exceed the capacity of antioxidant defense systems. Stevia rebaudiana leaf extract (Stevia rebaudiana) contains antihyperglycemic and antioxidant compounds, including polyphenols and steviol glycosides. Objectives: This study aimed to determine the effect of Stevia leaf extract on blood glucose levels and Superoxide Dismutase (SOD) enzyme activity in hyperglycemic rats (Rattus norvegicus). Methods: This experimental study involved 35 rats divided into a negative control group (K−), a positive control group (K+), and three treatment groups (P1, P2, P3) receiving Stevia rebaudiana extract at doses of 100, 200, and 400 mg/kg body weight. Hyperglycemia was induced using alloxan. Blood glucose levels were measured using a digital analyzer, while SOD activity was assessed colorimetrically. Data were analyzed using the Kruskal–Wallis test followed by the Mann–Whitney test. Results: The mean blood glucose levels in groups K−, K+, P1, P2, and P3 were 93.2 mg/dL, 371.08 mg/dL, 134.3 mg/dL, 130.42 mg/dL, and 113.22 mg/dL, respectively. The mean SOD enzyme activity in groups K−, K+, P1, P2, and P3 were 14.92 U/mL, 13.53 U/mL, 14.57 U/mL, 14.74 U/mL, and 14.93 U/mL, respectively. The P3 group, which received a dose of 400 mg/kgBW, demonstrated the greatest effect on reducing blood glucose levels and increasing SOD activity. Conclusion: Stevia rebaudiana leaf extract significantly reduced blood glucose levels in hyperglycemic rats and showed a tendency to increase superoxide dismutase activity, although the differences in SOD activity were not statistically significant
The Challenges Faced by Hemodialysis Patients in Maintaining Quality of Life: A Scoping Review A. M. Albatta, Rana; Fitri Arofiati
Jurnal Kesehatan - STIKes Prima Nusantara Vol 17 (2026): Supplementary internasional The 3rd Payung Negeri International Health Conference (PA
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v17i1.1530

Abstract

Background: Chronic kidney disease (CKD) affects 9.1% of the global population and is a major cause of mortality. Hemodialysis, the primary treatment for end-stage renal disease (ESRD), sustains survival but creates significant psychological, physical, social, and clinical challenges that reduce quality of life. Methods: This scoping review followed Arksey and O’Malley’s framework, Joanna Briggs Institute (JBI) methodology, and PRISMA-ScR guidelines. Six databases: Scopus, Sage, PubMed, Springer, Emerald and ScienceDirect from the period of 2019 to 2024 were searched for studies on adult hemodialysis patients addressing quality of life. Ten studies met the inclusion criteria and were charted and thematically analyzed. Results: The studies (n = 10) were conducted in Asia, the Middle East, and South America, with 12–271 participants. Four challenge domains were identified: (1) psychological challenges; depression and anxiety were the most frequent predictors of poor quality of life; (2) physical challenges; fatigue, pain, anemia, and dialysis-related complications limited daily functioning and work; (3) social challenges; isolation, stigma, and caregiver burden reduced participation; and (4) clinical challenges; comorbidities, infections, and adherence issues further worsened outcomes. Conclusion: Hemodialysis patients face complex, overlapping burdens. Multidisciplinary interventions that integrate psychological care, symptom control, social support, and stigma reduction are needed. Future research should use longitudinal and interventional approaches to improve long-term patient outcomes.
Preconception Stunting Prevention Education in Premarital Classes on the Knowledge and Attitudes of Prospective Brides Lady Wizia1, Suci Rahmadheny2, Laura Dwi Putri 3 Wizia, Lady; Ramadheny, Suci; Dwi Pratiwi, Laura
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.v17i1.1426

Abstract

Background: The stunting rate in Indonesia in 2022 was 21.6%. I was reduced when compared to the SSGI data in 2021 of 24.4%. Stunting prevention is a much more effective step than stunting treatment itself. Prevention of stunting can be done by optimizing the role of mothers in the golden phase of child development. Stunting can be prevented by implementing infant and child feeding, which consists of Early Initiation of Breastfeeding (IMD), exclusive breastfeeding, and timely initiation of complementary feeding. Unfortunately, the achievement of this component of infant and child feeding practices is still far from the target. In 2022, the percentage of infants who received exclusive breastfeeding was 69.7%. Purpose: To determine the influence of Infant Young Child Feeding education on the knowledge and attitudes of pregnant women in the practice of proper feeding of children as a prevention of stunting. Methods:The research method was quasi-experimental design, This study took place in the Kapau and IV Koto Health. The population and sample of the study were pregnant women. 57 pregnant women became samples of this study who taken using consecutive sampling. The intervention in this study was health education of Infant and Young Child Feeding material developed from a module issued by WHO, namely: Infant and Young Child Feeding Counseling: An Integrated Course. Measurement of knowledge and attitudes was carried out before and after the intervention using a questionnaire. Results: The results showed that knowledge and attitudes before and after the intervention obtained a ρ Value of 0.00 (<0.05), so it can be concluded that there is a significant difference in knowledge anda attitude between before and after the intervention. Conclusion: This study found that there was significant difference in knowledge anda attitude between before and after the intervention. it is recommended that health workers can optimize the prevention of stunting using health education.
Social Support Saiyo Sakato Culture in the Management of Hypertension in Minangkabau Ethnic Group Kurnia, Vera; Pauzi, Muhhammad; Aurura, Cindi Yunita
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.v17i1.1660

Abstract

Introduction: Hypertension is a major risk factor for mortality globally, nationally, and locally. Bukittinggi is one of the cities in West Sumatra that has experienced significant growth every year. Despite the high and increasing prevalence of hypertension, hypertension control remains very low due to non-compliance with treatment. One factor that influences compliance is social support, but locally-based support is still rare and limited of research. This is the basis for researcher to conduct research on social support integrated with saiyo sakato culture in the management of hypertension. Objective: to examine the correlation between saiyo sakato social support and hypertension management. Method: The study used a correlational design with a cross-sectional approach involving 38 respondents using a questionnaire that had been tested for validity and reliability, which was analyzed using Spearman's rho correlation test. Result: The showed no significant relationship between saiyo sakato-based social support with hypertension management, as evidenced by a correlation coefficient of 0.288 and a sig. (2-tailed) of 0.079. Conclusion : This was because the majority of respondents were elderly and did not have a spouse so that the assessment of nuclear family members is low. This proves that family support is very important in the management of hypertension.
- Cost Driver of Diabetes Mellitus Care in JKN Healthcare Facilities: A Case Study from Indonesia: - Gunawan, Susilawati
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.v17i1.1243

Abstract

Background: Diabetes Mellitus is one of the most serious global health issues, with a sharply increasing healthcare cost burden, particularly in low- and middle-income countries such as Indonesia. Research on the determinants of DM treatment cost in JKN-affiliated healthcare facilities in Indonesia remains limited. Purpose: This study aims to analyze the factors influencing variations in the treatment costs of diabetes mellitus patients at advanced referral healthcare facilities under JKN scheme. Method: This research employed a quantitative analytical observational design with a cross-sectional approach. Data were obtained from a sample of JKN patients in 2021, comprising 25,539 primary DM cases. Statistical analysis was performed using the Kruskal-Wallis and Mann-Whitney tests with a significance level of p<0.05 to examine length of stay, type of healthcare facility, type of clinical intervention, disease severity, region, referral pattern, and JKN membership classification Result: The average treatment cost for DM was IDR 2,512,968, while the weighted average cost was IDR 25,600,935. Statistically significant variations in treatment costs were identified across all independent variables. Factors such as prolonged length of stay, higher disease severity, intensive clinical interventions, and referral to tertiary care facilities were associated with increased treatment costs. Regional disparities were also observed, with the highest treatment cost found in provinces on Java Island. Conclusion: Effective management of DM treatment costs in Indonesia requires a regionally based approach, risk stratification according to service complexity, and the optimization of healthcare facility and workforce distribution. Strengthening preventive and promotive health programs is crucial to reducing long-term treatment costs. Keywords: diabetes mellitus, treatment costs, national health insurance, cost variation analysis, Indonesia
A Survival Analysis of Breast Cancer Patients at Andalas University Hospital from 2019 to 2023 Yeffi Masnarivan; Muchtariza, Suci; Widoyo, Ratno
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.v17i1.1324

Abstract

Background: Breast cancer is one of the leading health problems among women worldwide, including in Indonesia. More than 80% of cases in Indonesia are diagnosed at an advanced stage and are associated with low survival rates. Objective: This study aims to analyze the survival of breast cancer patients at Andalas University Hospital from 2019 to 2023. Methods: This study employed a retrospective cohort design. Secondary data were collected from breast cancer patients at Andalas University Hospital between 2019 and 2023. A total of 52 breast cancer patients were selected using simple random sampling. The data were analyzed using survival analysis methods, including the log-rank test, Kaplan–Meier curves, and Cox regression. Results: During the five-year observation period, 63.5% of patients experienced the event of interest. Most breast cancer patients at Andalas University Hospital from 2019 to 2023 were over 45 years old (75.0%), unemployed (69.2%), diagnosed at clinical stage IV (40.4%), had anemia (51.9%), and received combination therapy (59.6%). A significant association was found between cancer stage and patient survival. However, age, employment status, type of treatment, and anemia status were not significantly associated with breast cancer patient survival.
ISBAR Communication Implementation in Nursing Handover: A Sequential Explanatory Mixed Method Study at Pariaman Hospital Husna, Novriani; Rahman, Waldi
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.v17i1.1343

Abstract

Effective communication during nursing handovers is fundamental to patient safety and care continuity, yet standardized protocols remain underutilized in Indonesian regional hospitals. This study examined ISBAR (Identify, Situation, Background, Assessment, Recommendation) communication implementation in nursing handover processes at Pariaman Hospital, West Sumatra. A sequential explanatory mixed-method design was employed because quantitative measurement alone cannot explain the contextual mechanisms, nurses' lived experiences, and organizational dynamics that determine implementation success or failure; the qualitative strand was therefore necessary to contextualize and explain numerical findings. Quantitative data were collected from 35 implementing nurses using a validated 25-item questionnaire adapted from the ISBAR Communication Assessment Tool, followed by semi-structured interviews with nine purposively selected informants. Quantitative analysis utilized SPSS version 26.0 for descriptive statistics and Spearman correlation tests, while qualitative data underwent Braun and Clarke's thematic analysis framework. Findings revealed moderately effective implementation overall (mean=3.61), with practical implementation highest (mean=3.78) and handover quality lowest (mean=3.45). Strong correlations emerged between knowledge-implementation (r=0.612), attitude-implementation (r=0.548), and implementation-quality (r=0.689). Qualitative analysis identified management support (88.9%), practical tools (77.8%), and continuous training (66.7%) as key facilitators, while time constraints (66.7%), senior nurse resistance (44.4%), and documentation system gaps (44.4%) hindered implementation. A critical knowledge-practice gap existed particularly under high-workload conditions. The study proposes a four-phase implementation model addressing identified barriers through preparation, graduated rollout, continuous evaluation, and organizational integration to optimize handover quality in resource-constrained settings.

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