Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan
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
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<![CDATA[Pengaruh Aktivitas Seksual Selama Kehamilan terhadap Kejadian Persalinan Preterm di RSU Kec. Obi, Halmahera Selatan ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 3 (2025): September: Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i3.4844
<![CDATA[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.]]>
<![CDATA[Pengaruh Dukungan Keluarga terhadap Rendahnya Kunjungan K1 Murni (0-12 Minggu) di Desa Lomuli UPTD Puskesmas Lemito ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 3 (2025): September: Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i3.4845
<![CDATA[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.]]>
<![CDATA[Perbedaan Tingkat Nyeri Metode Konvensional dan Eracs pada Ibu Post SC di Ruang Nifas Rsia Sitti Khadijah Kota Gorontalo ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 3 (2025): September: Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i3.4853
<![CDATA[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.]]>
<![CDATA[Analisis Risiko Gangguan Pendengaran pada Pekerja Bagian Produksi Basah di PT. Hok Tong Jambi ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 3 (2025): September: Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i3.4856
<![CDATA[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.]]>
<![CDATA[Faktor yang Berhubungan dengan Perilaku Minum Obat Terapi Pencegahan Tuberkulosis (TPT) di Wilayah Kerja Puskesmas Putri Ayu Kota Jambi ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 3 (2025): September: Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i3.4857
<![CDATA[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.]]>
<![CDATA[Evaluasi Formulasi Sediaan Floating Mikroenkapsulasi yang Mengandung Ekstrak Etanol Daun Salam (Syzygium Polyanthum) ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 1 (2025): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i1.4894
<![CDATA[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.]]>
<![CDATA[Hubungan Pengetahuan dan Informasi terhadap Perilaku WUS pada Pemeriksaan IVA Test di Batu Intan Tahun 2024 ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 1 (2025): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i1.5003
<![CDATA[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.]]>
<![CDATA[Penerapan Diabetes Self-Management Education (DSME) terhadap Manajemen Kesehatan Keluarga di Desa Sungai Putih Kec. Tapung Kab. Kampar ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 1 (2025): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i1.5094
<![CDATA[. 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.]]>
<![CDATA[Penerapan Terapi Spiritual Berdzikir pada Pasien dengan Halusinasi Pendengaran di Ruangan Indragiri RSJ Tampan Pekanbaru ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 1 (2025): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i1.5096
<![CDATA[Hallucinations are one of the symptoms of positive schizophrenia. Hallucinations are the loss of human ability to distinguish between internal stimuli (thoughts) and external stimuli (the outside world). One therapy that can be given to patients with auditory hallucinations is psychoreligious therapy. One of the most effective psychoreligions is dhikr, scientific evidence states that dhikr is a manifestation of a person's religious commitment. Psychoreligious therapy: dhikr by reading istighfar (Astaqfirullahal'adzim) 3 times, followed by tasbih (Subhannallah) 33 times, tahmid (Alhamdulillah) 33 times, and takbir (Allahu akbar) 33 times, this therapy is carried out for 3 days with a duration of 10-20 minutes. The purpose of this study was to explain Evidence Based Practice as a therapy for patients with auditory hallucinations using dhikr therapy. The implementation method used was the experimental technique (treatment) for patients with auditory hallucinations. The number of respondents needed was 2 people with a nursing diagnosis of auditory hallucinations. The study was conducted for 5 days, starting from April 23-28, 2025. Assessed using the Auditory Hallucination Rating Scale (AHRS) and SLKI questionnaires with a pretest and posttest testing process. The results of the study showed a decrease in pretest and posttest scores for performing dhikr spiritual therapy.]]>
<![CDATA[Penerapan Terapi Reminiscence pada Lansia dengan Ansietas di Desa Sungai Putih Kec.Tapung Kab. Kampar ]]>
<![CDATA[ Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 1 (2025): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/klinik.v4i1.5097
<![CDATA[Elderly people are individuals who are vulnerable to experiencing psychosocial problems, one of which is anxiety. Factors that influence anxiety in the elderly include changes in the psychological condition of the elderly. Anxiety in the elderly can be overcome with reminiscence therapy. Reminiscence therapy is a therapy that is carried out by the process of collecting a person's memories in the past, so reminiscence therapy is a suitable therapy for the elderly. The method used is a case study by providing reminiscence therapy to the elderly with anxiety. The implementation time is carried out with 3 sessions in 3 days. The research subjects were 3 people. This therapy lasted for approximately 30 minutes. The place of implementation was in Sungai Putih Village, Tapung District, Kampar Regency. The instrument for this case study used the TMAS (Taylor Minnesota Anxiety Scale) questionnaire. The results of this application can be concluded that there was a decrease in anxiety scores in the elderly after the application of reminiscence therapy for 3 consecutive days, with the highest anxiety score before the application of reminiscence therapy, namely 32, including severe anxiety. Meanwhile, the lowest anxiety score after reminiscence therapy was 8, which is normal anxiety.]]>
