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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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Hubungan Profil Pasien Gagal Jantung terhadap Efektivitas Terapi Kombinasi Antihipertensi di Rawat Inap RSUD dr. Loekmono Hadi Kudus Zulia Tri Rahayu; Eko Retnowati; Galih Kurniawan
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.v4i3.4838

Abstract

As one of the cardiovascular diseases, heart failure is a condition in which the heart loses its ability to pump blood adequately to deliver oxygen throughout the body's tissues. According to a WHO survey in 2016, non-communicable diseases such as cardiovascular problems accounted for 38 million out of 56 million total global deaths. Of these, 17.5 million deaths were specifically caused by circulatory system disorders. In Indonesia, heart failure ranks as a leading cause of mortality. Based on the 2018 Basic Health Research (Riskesdas) data, the prevalence rate of heart disease in the country reached 1.5%. Hypertension has been identified as one of the main risk factors that can trigger heart failure. This study aims to analyze the correlation between the profiles of heart failure patients and the effectiveness of combination antihypertensive therapies involving Beta Blocker–ACEI, Beta Blocker–ARB, and Beta Blocker–Diuretic in patients hospitalized at Dr. Loekmono Hadi Regional Hospital, Kudus. The study employed an observational analytic method with a cross-sectional approach using patient medical records. The data were collected from Dr. Loekmono Hadi Regional Hospital, Kudus. The sample population included heart failure patients who received combination antihypertensive therapy (Beta Blocker–ACEI, Beta Blocker–ARB, or Beta Blocker–Diuretic) during their inpatient care in 2024. The sampling technique used was total sampling, with 77 patients meeting the established inclusion and exclusion criteria. Data analysis was performed using univariate and bivariate methods supported by the Chi-Square test. The most commonly used combination therapy was Beta Blocker + Diuretic, administered to 36 patients (46.8%). The average blood pressure of heart failure patients before therapy was 143.81/83.05 mmHg, and after therapy, it was 126.10/76.23 mmHg. Most patients (69 patients or 89.6%) achieved normal blood pressure levels (<140/90 mmHg) post-therapy. Chi-Square analysis indicated a significant correlation between age (p=0.04) and therapy effectiveness. In contrast, no significant association was found between gender (p=1.000) or the type of combination therapy used (p=0.895) and therapeutic outcomes.
Pengaruh Hypnotherapi terhadap Pengurangan Nyeri Primer Menstruasi pada Mahasiswi Poltekkes Kemenkes Palembang Jurusan Keperawatan Nur Purnama Sari; Ramesia Ratnawati; Satra Yunola; Helni Anggraini
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.v4i1.4843

Abstract

Women who are experiencing menstruation, Menstrual Pain felt. These events can cause trauma because of the pain that had befallen him. The primary pain of menstruation can be reduced with one pharmacological methods namely Hypnotherapi. To know the influence of the Hypnotherapi against the reduction of the primary pain of menstruation at Coed poltekkes kemenkes Nursing Department in Palembang. The design used is posttes-group pretest design, research conducted on campus nursing poltekkes kemenkes palembang March 7, s. d. 18 March 2019. The population of this research is all a Nursing Sorority experience pain primer Mnstruasi. The selection of the sample with the Accidental Sampling techniques, where the samples that give as much intervention 30 people. This research data taken using sheet VDS. After the data tabulated, analyzed using the Wilcoxon signed rank test test with error rate α = 0.05. Based on research conducted showed that prior to the granting of Hypnotherapi (86.7%) and (80%) the respondents experienced moderate pain. After being given Hypnotherapi the majority (80%) the respondents suffered mild pain. Of the test being performed then obtained significant value at Hypnotherapi (p value = 0.000) so that a p value 0.05 <. There is the influence of the Hypnotherapi against the reduction of the primary pain of menstruation at Coed poltekkes kemenkes Palembang year 2019. Refer to the results of this research are the health workers especially midwives always provide motivation and Hypnotherapy treatment on a Coed primary menstrual pain experienced pain so that primary menstrual periods can be reduced.
Pengaruh Aktivitas Seksual Selama Kehamilan terhadap Kejadian Persalinan Preterm di RSU Kec. Obi, Halmahera Selatan Sulastri La Taja; Widia Shofa Ilmiah
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.v4i3.4844

Abstract

Preterm labor remains one of the leading challenges in maternal health due to its association with increased neonatal morbidity and mortality. Among behavioral factors suspected to contribute to early delivery, sexual activity during pregnancy may induce uterine stimulation and physiological changes in the cervix. This study aimed to examine the relationship between the frequency of sexual activity during pregnancy and the incidence of preterm birth. A cross-sectional quantitative approach was employed, involving 30 postpartum women who delivered at the Obi Subdistrict General Hospital, South Halmahera. Data were collected using structured questionnaires and medical records, then analyzed using the Spearman correlation test. The findings show that most respondents engaged in sexual activity 1–5 times during pregnancy, while a smaller portion reported six or more times. A total of 20% of participants experienced preterm delivery. The statistical analysis reveals a very strong relationship between sexual activity frequency and preterm birth, with a correlation coefficient of 0.894 and a p-value of 0.000. Frequent sexual activity during pregnancy tends to be associated with a higher incidence of preterm labor. These findings highlight the need for antenatal education to include accurate information about safe sexual practices during pregnancy, particularly for women with cervical vulnerability or a history of obstetric risk. Clear, evidence-based counseling can help couples make informed decisions and contribute to better pregnancy outcomes.
Pengaruh Dukungan Keluarga terhadap Rendahnya Kunjungan K1 Murni (0-12 Minggu) di Desa Lomuli UPTD Puskesmas Lemito Nita Ernawati; Widia Shofa Ilmiah
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.v4i3.4845

Abstract

The initial antenatal care visit, known as K1 murni, conducted between 0 and 12 weeks of gestation, plays a pivotal role in identifying early pregnancy risks and establishing a foundation for continuous maternal care. However, in several rural areas such as Lomuli Village, the rate of K1 murni attendance remains low despite the presence of health facilities. This study aimed to examine the relationship between family support and early antenatal visit behavior among pregnant women. A quantitative approach was used with a cross-sectional design involving 34 respondents who met the inclusion criteria. Data were collected through structured questionnaires and analyzed using Kendall’s Tau-b correlation test. The findings show that most respondents who failed to attend the K1 visit belonged to the group reporting poor family support. The statistical analysis revealed a strong and statistically meaningful correlation, with a Tau-b coefficient of 0.866 and a p-value of 0.000. These results suggest that early antenatal behavior is deeply influenced by the social support system surrounding the pregnant woman, particularly within households where health-related decisions are shaped collectively. The study concludes that family involvement during early pregnancy enhances maternal compliance with antenatal services. Health promotion strategies must therefore explicitly integrate families as active participants in antenatal education and support.
Perbedaan Tingkat Nyeri Metode Konvensional dan Eracs pada Ibu Post SC di Ruang Nifas Rsia Sitti Khadijah Kota Gorontalo Ani Retni; Fahmi A. Lihu; Dwi Safira Putri S. Giu; Dwi Nur Octaviani Katili
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.v4i3.4853

Abstract

The pain level of Post SC patients varies, depending on the perception and pain threshold of each patient. Post SC patients will experience pain in the incision area wound because it is caused by tears in the front abdominal wall tissue. This study aims to determine the difference in pain levels between conventional methods and the ERACS (Enhanced Recovery After Cesarean Section) method in post-SC mothers in the Postpartum Room of RSIA Sitti Khadijah Gorontalo City. The design of this study was quantitative with a cross-sectional approach, involving 40 respondents selected using purposive-sampling technique. The instrument used was an observation sheet to measure pain levels using the Numeric Rating Scale (NRS). The results showed that the highest level of maternal pain post SC conventional method was moderate pain as many as 13 people (65.0%), mild pain as many as 4 people (20.0%) and the lowest was severe pain as many as 3 people (15.0%). While the highest level of maternal pain post SC Eracs method was mild pain as many as 16 people (80.0%), moderate pain was 4 people (20.0%) and there were no respondents who experienced severe pain. The P value obtained was 0.001 <0.05. In conclusion, the ERACS method is more effective in reducing pain intensity than conventional methods, allowing patients to recover faster and start early mobilization.
Analisis Risiko Gangguan Pendengaran pada Pekerja Bagian Produksi Basah di PT. Hok Tong Jambi Salsabila Salsabila; Willia Novita Eka Rini; Rd. Halim; Budi Aswin; Puspita Sari
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.v4i3.4856

Abstract

The rapid development of the industrial sector in Indonesia increases the risk of exposure to physical hazards such as noise, especially in the rubber processing industry. One of them is PT. Hok Tong Jambi, which shows noise levels exceeding the Threshold Limit Value (NAB) to reach 99.1 dBA. This study aims to analyze the risk of hearing loss in wet production workers. This study uses a qualitative method with a descriptive approach, data were collected from 6 informants through observation, interviews, document review and noise measurement using a Sound Level Meter. Data analysis techniques are carried out by data reduction, data presentation, and drawing conclusions, in accordance with the Miles and Huberman approach. The results showed that most workers were exposed to high noise for more than 8 hours per day, with an intensity exceeding 85 dBA, and minimal use of ear protection. Early symptoms such as tinnitus and headaches were reported by workers. The risk of hearing loss in wet production workers at PT. Hok Tong Jambi is high and real. This study emphasizes the importance of comprehensive noise control that includes technical, administrative, and educational approaches. These findings are expected to be the basis for strengthening OHS policies and developing participatory interventions based on field contexts.
Faktor yang Berhubungan dengan Perilaku Minum Obat Terapi Pencegahan Tuberkulosis (TPT) di Wilayah Kerja Puskesmas Putri Ayu Kota Jambi Aditya Gumara; Rumita Ena Sari; Rizalia Wardiah; Guspianto Guspianto; Helmi Suryani Nasution
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.v4i3.4857

Abstract

Globally, tuberculosis has affected 10 million people in world. 1,060,000 of these cases are from Indonesia. Providing Tuberculosis Preventive Therapy (TPT) is one of the strategies TB control. TPT achievements in Jambi City are low (1.65%) 2022 and (1.08%) 2023. Putri Ayu Health Center is health center with most TB cases in Jambi City with total 84 cases 2022 and 95 cases 2023. This study aims to determine factors associated with behavior of taking medication for TPT in working area of Putri Ayu health center. Research method used was quantitative with cross-sectional design. Population in this study people who were at home with TB patients who sought treatment at Putri Ayu health center with sample size of 78 people, sample selection technique used purposive sampling. Results of study, there was a significant relationship in perceived vulnerability with p-value = 0.001, perceived severity with p-value = 0.000, perceived benefits with p-value = 0.000, perceived barriers with p-value = 0.000, and perceived self-efficacy with p-value = 0.009 to behavior of taking TPT drugs. It’s hoped there will be an increase in role of health workers in providing complete counseling and education related to TPT drugs to the community.
Evaluasi Formulasi Sediaan Floating Mikroenkapsulasi yang Mengandung Ekstrak Etanol Daun Salam (Syzygium Polyanthum) Rahma Yulina Al-Farini; Razoki Razoki; Muhammad Yunus; Hariyadi Dharmawan Syahputra
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.v4i1.4894

Abstract

Ethanol extract of bay leaves is known to have pharmacological activities such as anti-inflammatory, antihypertensive, and antidiabetic. However, its stability and solubility are still challenges. Therefore, a microencapsulation-based delivery system with floating characteristics that can last longer in the stomach was developed. This study aims to evaluate floating microencapsulation preparations containing ethanol extract of bay leaves (Syzygium polyanthum) as an effort to increase the effectiveness and bioavailability of active substances orally. The results showed that microencapsulation had a total floating of more than 4 hours with a water content of 0.47% -2.14%. Stability tests showed no significant changes in physical and chemical characteristics after cycling tests.
Hubungan Pengetahuan dan Informasi terhadap Perilaku WUS pada Pemeriksaan IVA Test di Batu Intan Tahun 2024 Shandy Kusumawardhani; Dira Saputri; Sitawati Sitawati
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.v4i1.5003

Abstract

Cervical cancer is one of the leading causes of death in women worldwide, generally caused by Human Papilloma Virus (HPV) infection. In Indonesia, this cancer ranks second as the most common type of cancer affecting women after breast cancer. Early detection through VIA (Visual Inspection with Acetic Acid) examination has been proven effective in reducing the risk of death from cervical cancer. However, the coverage of VIA examinations among women of childbearing age (WUS) is still relatively low. This study aims to determine the relationship between the level of knowledge and access to information on the behavior of WUS in conducting VIA examinations in Batu Intan Village, Girimaya District, Pangkalpinang City. This study used an observational analytical approach with a cross-sectional study design and involved 28 respondents of childbearing age women who met the inclusion criteria in 2024. The results of data analysis showed that there was a significant relationship between the level of knowledge and behavior in conducting VIA examinations with a significance value of p = 0.006, as well as a relationship between access to information and behavior with a significance value of p = 0.021. This indicates that the higher a person's knowledge about cervical cancer and the importance of early detection, as well as the better their access to health information, the more likely they are to participate in VIA screening. This study concludes that knowledge and access to information significantly influence the behavior of women of childbearing age in undergoing VIA screening. Therefore, interventions in the form of intensive education and the provision of easily accessible information need to be carried out continuously, both through health services, social media, and community outreach activities. Efforts to increase awareness and active participation in preventive screenings such as VIA testing are a strategic step in reducing the incidence and mortality from cervical cancer among women of childbearing age, especially in areas with limited screening coverage.
Penerapan Diabetes Self-Management Education (DSME) terhadap Manajemen Kesehatan Keluarga di Desa Sungai Putih Kec. Tapung Kab. Kampar Nurul Afni; Candra Saputra; Emul Yani; Donny Hendra
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.v4i1.5094

Abstract

. Indonesia ranks 7th with the number of DM patients as many as 10.7 million people and this number is expected to continue to increase every year. Diabetes mellitus is a complex disease that requires making many decisions every day about eating, physical activity and medication, also requires patients to be proficient in a number of self-management skills. Low knowledge in self-management of DM sufferers causes various complications. The purpose of the Final Scientific Paper for Nurses is to provide an overview of the results of the practice of the Nursing Profession with the Application of Family Nursing Care with the Implementation of Diabetes Self-Management Education (DSME) Against the Problem of Ineffective Family Health Management Nursing in Sungai Putih Village, Tapung District, Kampar Regency. The method used in implementing nursing interventions is the provision of Diabetes Self-Management Education (DSME). The advantages of Diabetes Self-Management Education (DSME) for families and patients are to increase knowledge and awareness, develop skills in managing diabetes mellitus, improve quality of life, and improve decision-making skills. The provision of Diabetes Self-Management Education (DSME) is carried out for 3 meetings. The results of this case study after conducting 3 meetings of Diabetes Self-Management Education (DSME) obtained an average value of increasing family health management towards the implementation of Diabetes Self-Management Education (DSME) before the intervention was given on the first day, namely 9.5 (average value of SLKI) and after being given intervention for three consecutive days, namely the final value obtained was an increase in family health management towards the implementation of Diabetes Self-Management Education (DSME) 33 (average value of SLKI) there was a significant increase.

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