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Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan
Published by Lembaga Pengembangan Kinerja Dosen
ISSN : 2809235X     EISSN : 28092090     DOI : 10.55606
Core Subject : Health,
Medicine & Pharmacology Nursing Public Health
Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan diterbitkan 3 (tiga) kali dalam satu tahun yaitu Edisi Januari, Mei, dan September. Jurnal Ilmiah Kedokteran dan Kesehatan menyajikan hasil penelitian dan tinjauan pustaka sehingga jurnal ini bermanfaat bagi dokter, pengambil kebijakan, tenaga kesehatan, dosen serta mahasiswa yang tertarik dengan publikasi ilmiah terkait Ilmu Kedokteran dan Kesehatan
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 481 Documents
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Pengaruh Terapi Kompres Hangat pada Tempat Penyuntikan terhadap Respon Nyeri pada Bayi Saat Imunisasi DPT Combo di PMB Pera Tahun 2025 Kamelia Sinaga; Rolasnih Lilista Simbolon; Asnita Sinaga; Riza Novianti
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 1 (2025): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i1.4574

Abstract

According to WHO data (2023), global DPT immunization coverage has decreased due to the impact of the COVID-19 pandemic. Around 25 million children worldwide have not received complete DPT immunization in 2022, which is the highest figure in the last decade. Meanwhile, the 2023 Indonesian Health Profile noted that the coverage of complete DPT-HB-Hib immunization doses (three times) has only reached 85.3%, still below the national target of 95% (WHO, 2023). Giving warm compresses to babies who receive DPT immunization injections can cause a warm, comfortable and calming effect, in the form of touch that can cause the release of endorphins, thereby blocking the transmission of pain stimuli, and can also reduce redness and swelling at the DPT immunization injection site. (Runiari & Surinati 2012) The purpose of this study was to analyze the Effect of Warm Compress Therapy at the Injection Site on Pain in Infants During DPT Combo Immunization at PMB Pera, Medan Tuntungan District, Medan City. This type of research is a quasi-experimental study using the Post-test only control group design approach, namely to determine the effect of warm compress therapy at the injection site on pain responses in infants during DPT Combo immunization. The population in this study that will be used is 40 babies (20 babies for the experimental group and 20 babies for the control group). The sampling technique used is a non-probability sampling technique with a purposive sampling approach. The research instrument is a closed questionnaire that has been tested for validity and reliability. Data was analyzed using the Kolmogorov Smirnov statistical test to determine the distribution of data. Meanwhile, to compare the warm compress group with the control group using the Mann-Whitney test. Based on the results of data analysis with the Mann Whitney Test, the Symp.sig value of 0.000 <0.05 means that Ho is rejected. So it can be concluded that there is a significant effect between warm compress therapy at the injection site during DPT Combo immunization on pain responses in infants at PMB Pera, Medan Tuntungan District, Medan City, North Sumatra Province in 2025.
Analisis Korelasi antara Faktor Kesehatan Wilayah dan Jumlah Kasus Difteri di Kabupaten Sampang Tahun 2023 Mesy Anggrini Putri; Mahmudah Mahmudah
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 3 (2025): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i3.4590

Abstract

Diphtheria is an infectious disease that is still a public health problem, including in Sampang Regency which recorded the highest number of cases in East Java Province in 2023. This study aims to analyze the relationship between several health factors that are suspected to have an effect on the number of diphtheria cases in Sampang Regency. This study uses a quantitative approach with an observational analytical design and uses secondary data from 14 sub-districts in Sampang Regency. The variables analyzed included the number of undernourished toddlers, the percentage of DPT immunization coverage, population density, the percentage of unhealthy houses, and the ratio of health facilities. The results of the Pearson correlation test showed that there were three variables that had a significant relationship with the number of diphtheria cases, namely the number of undernourished toddlers (r = 0.589; p-value = 0.027), population density (r = 0.768; p-value = 0.001), and the ratio of health facilities (r = 0.543; p-value = 0.045). Meanwhile, the variables of the percentage of DPT immunization coverage and the percentage of unhealthy houses did not show a significant relationship. These findings emphasize the importance of improving nutritional status, managing population density, and improving access to health services as a diphtheria control strategy.
Hubungan Pola Makan dengan Kejadian Kekurangan Energi Kronik pada Ibu hamil di Desa Sanankerto Kecamatan Turen Heppy Sri Pratikasari; Rosyidah Alfitri
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 3 (2025): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i3.4591

Abstract

This study aims to analyze the relationship between dietary patterns and the incidence of Chronic Energy Deficiency (CED) among pregnant women in Sanankerto Village, Turen District. Poor dietary habits in terms of quantity, quality, and frequency of food intake can lead to insufficient energy intake during pregnancy, increasing the risk of CED. This research employed a descriptive quantitative approach with a comparative design involving 30 pregnant women divided into intervention and control groups. Data were collected through structured questionnaires and analyzed using an Independent T-Test with a significance level of 0.05. The results showed that the intervention group, which received nutritional education, had significantly higher diet scores compared to the control group, with a significance value of p = 0.000. These findings indicate that nutritional education interventions have a positive effect on improving the quality of dietary intake and reducing the risk of CED. Therefore, nutrition-based interventions should be integrated into maternal health services, especially in rural communities, to prevent CED and associated pregnancy complications.
Pengaruh Terapi Murottal terhadap Tingkat Kecemasan pada Ibu Hamil Trimester III di Desa Tawang Rejeni Kecamatan Turen Lilik Farihatul Mufarrohah; Tut Rahyani A. W
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 3 (2025): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i3.4592

Abstract

The third trimester of pregnancy is a period highly vulnerable to anxiety, as expectant mothers begin to face fears related to the labor process and the safety of their babies. If left unaddressed, this anxiety can negatively impact both maternal and fetal health. Murottal therapy, which involves listening to rhythmic recitations of the Holy Qur'an, is a non-pharmacological approach considered effective in reducing anxiety through its relaxing and spiritually calming effects. This study aims to determine the effect of murottal therapy on anxiety levels among third-trimester pregnant women in Tawangrejeni Village, Turen District. The method used is descriptive quantitative with a comparative design involving two groups: intervention and control, each consisting of 20 respondents selected through total sampling. A Guttman-scale questionnaire was used to assess anxiety levels. Data analysis using the Mann-Whitney U test showed a significant result (p = 0.000), indicating that murottal therapy had a significant effect in reducing anxiety in pregnant women. Therefore, murottal therapy can be considered a simple, low-cost, and culturally appropriate non-pharmacological alternative for addressing anxiety, especially in primary healthcare settings such as community health posts (posyandu).
Hubungan Antara Pemberian Makanan Tambahan Lokal Berbahan Dasar Daging Ayam dengan Perubahan Status Gizi Balita di Desa Sananrejo Turen Ulva Annas; Tut Rahyani A. W
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 3 (2025): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i3.4593

Abstract

The nutritional status of toddlers is a key indicator in assessing the quality of child growth and development, which is strongly influenced by mothers' knowledge and attitudes toward balanced nutrition. A lack of understanding regarding proper nutritional intake may lead to slow weight gain and an increased risk of undernutrition in toddlers. This study aims to analyze the relationship between the provision of local supplementary food (PMT) made from chicken meat and changes in the nutritional status of toddlers in Sananrejo Village, Turen. The research used a descriptive quantitative design with a comparative approach. A total of 30 mothers with toddlers participated as respondents through total sampling. Data were collected using questionnaires and weight measurements of children before and after the intervention, and analyzed using an Independent T-Test. The results showed a significant difference (p < 0.05) in toddlers' weight gain between the intervention and control groups. Toddlers who received high-quality PMT based on chicken meat, along with nutrition education, showed better improvements in nutritional status. Thus, it can be concluded that good maternal knowledge and attitudes, as well as local PMT interventions based on animal protein, effectively improve toddler nutritional status. This strategy is feasible for implementation in community-based nutrition programs at the village level.
Hubungan Teknik Menyusui dengan Kejadian Regurgitasi pada Bayi Usia 0-6 Bulan di Posyandu Desa Kemulan Elfa Rahmawati Rifamad; Sulistiyah Sulistiyah
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 3 (2025): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i3.4595

Abstract

Regurgitation, or spitting up, is a common condition in infants caused by the immaturity of the digestive system, particularly the lower esophageal sphincter muscle. One contributing factor to regurgitation is improper breastfeeding techniques. This study aims to analyze the relationship between breastfeeding techniques and the incidence of regurgitation in infants aged 0–6 months by comparing two groups: a control group and an intervention group that received education on proper breastfeeding methods. This research employed a descriptive quantitative design with a comparative approach involving two independent groups. A total of 40 mothers were selected using total sampling. Data were collected through structured questionnaires and analyzed using the Independent Sample T-Test with SPSS version 22. The results showed a significant difference between the control and intervention groups in terms of regurgitation incidence, with a significance value of p = 0.005 (p < 0.05). Mothers who practiced proper breastfeeding techniques were more likely to have infants with milder or no regurgitation. In conclusion, there is a significant relationship between breastfeeding techniques and the incidence of regurgitation in infants, indicating the importance of providing breastfeeding education as a promotive and preventive measure.
Hubungan Tingkat Pengetahuan Akseptor terhadap Pemilihan Alat Kontrasepsi Hormonal di Desa Gedog Wetan Ima Rusmawati; Rifzul Maulina
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 3 (2025): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i3.4598

Abstract

The proper selection of hormonal contraceptive methods is a crucial component in supporting the success of the Family Planning (FP) program. However, variations in knowledge levels among acceptors remain a major factor influencing the accuracy of contraceptive method choices. This study aims to analyze the relationship between the level of acceptors' knowledge and the selection of hormonal contraceptive methods in Gedog Wetan Village. A descriptive quantitative approach with a comparative design was used, involving two independent groups: an intervention group and a control group. A total of 30 women of reproductive age were selected using a total sampling technique. Data were collected through a structured questionnaire using the Guttman scale, and analyzed using the Independent Samples Test via SPSS version 22. The results showed a significant difference between knowledge levels and the accuracy of hormonal contraceptive selection (p = 0.000), with the intervention group that received educational sessions demonstrating more accurate choices compared to the control group. In conclusion, the level of knowledge significantly influences the selection of hormonal contraceptive methods. Therefore, structured and continuous education is essential to support rational decision-making in contraceptive use.
Efektivitas Edukasi Aplikasi Permainan Ular Tangga Digital Terhadap Pengetahuan Konsumsi Buah dan Sayur pada Remaja Rumapea, Lastri Margareth; Kalsum, Ummi; Kasyani Kasyani
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 3 (2025): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i3.4604

Abstract

Fruit and vegetable consumption in Jambi Province in 2018 was still relatively low, due to a lack of knowledge about fruits and vegetables. Knowledge among adolescents can be improved by providing education through digital snake and ladder games. The purpose of this study was to examine the effectiveness of nutrition education through digital snake and ladder game applications on knowledge about fruit and vegetable consumption among adolescents. This quasi-experimental study used a pretest-posttest design with a control group. The sampling technique was proportional random sampling, with 40 treatment groups and 40 control groups. The treatment group (digital snakes and ladders game) was located at SMPN 2 Muaro Jambi, and the control group (leaflet) was located at SMPN 10 Muaro Jambi. The dependent variable was knowledge, measured using a questionnaire. This study used the Paired T Test and Mann-Whitney tests. The average knowledge scores before and after the intervention in the treatment group increased (p-value 0.000). The average knowledge scores before and after the intervention in the control group also increased (p-value 0.016). The average knowledge score after the intervention in the treatment group was higher than that in the control group (p-value 0.003). The digital snakes and ladders game was more effective than the leaflet in improving knowledge about fruit and vegetable consumption among adolescents.
Akurasi Pengkodean Diagnosis dan Prosedur Medis serta Implikasinya terhadap Klaim JKN di RSUD Pandan Arang Anton Susanto; Galih Maheswari Candraningtyas; Agus Trijono
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 3 (2025): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i3.4610

Abstract

The National Health Insurance (JKN) program requires accurate coding of diagnoses and medical procedures for claims submission under the INA-CBGs payment system. This study aims to analyze the accuracy of diagnosis and procedure coding and its impact on claim verification and payment status at Pandan Arang Regional Hospital, Boyolali. A descriptive qualitative method with a retrospective approach was applied to 100 randomly selected inpatient claim files from January to March 2023. Results showed that 18% of diagnosis codes and 1% of procedure codes were inaccurate, leading to pending claim statuses with a total unreimbursed amount of IDR 286,930,600. Common coding errors included incorrect code selection, misidentification of the principal diagnosis, and inappropriate use of multiple and combination codes. These inaccuracies caused delays in verification, disrupted hospital cash flow, and increased administrative workload. The findings highlight the urgent need for continuous training, regular coding audits, and strengthened collaboration between medical and coding teams to enhance coding quality and ensure the effectiveness of the JKN claim process.
Hubungan Tingkat Pengetahuan Gizi dan Asupan Makronutrien terhadap Status Gizi Anggota UKM Bolavoli Universitas Negeri Surabaya Kinanthi Nur Rachmawati; Anindya Mar’atus Sholikhah; Ratna Candra Dewi; Soni Sulistyarto
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 3 (2025): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i3.4617

Abstract

Good nutritional knowledge can help individuals to consume macronutrient intake in accordance with the body's needs, so that nutritional status can be adequately met. A cross-sectional study design and quantitative research methodology are employed. The study's sample consisted of twenty people who were chosen by purposive sampling. The Spearman rank correlation test was applied in both univariate and bivariate analyses. The results showed that most individuals' nutritional status was normal status (55%). Based on the Spearman rank test, no significant association was identified between nutritional knowledge (p=0.206), protein consumption (p=0.762), and carbohydrate consumption (p=0.772) with nutritional status. Nevertheless, fat consumption (p=0.049) showed a significant link with nutritional status. The results of this research suggest that nutritional status does not correlate with nutritional awareness, protein intake, or carbohydrate intake. However, fat intake is associated with nutritional status. It is intended that this study will inspire participants to practice mindfulness of their macronutrient intake. Coaches are also expected to provide guidance to UNESA volleyball club members to be more discerning in selecting foods for consumption

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