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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 429 Documents
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Efektivitas Tipe Pembelajaran Clinical Skill Lab pada Fase Preklinik dalam Pembentukan Keterampilan Klinik Mahasiswa Kedokteran
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6380

Abstract

The preclinical phase is crucial stage in preparing medical students for clinical practice, as students are required not only to master theoretical concepts but also to apply them accurately and safely. One important educational strategy at this stage is Clinical Skill Lab (CSL), which serves as a bridge between theory and clinical practice within safe and controlled learning environment. Through CSL activities, students are expected to develop psychomotor skills, clinical reasoning, and professional confidence before interacting directly with patients. This study aimed to evaluate the effectiveness of various CSL learning models, including Self-Directed Learning (SDL), video-based learning media, and Peer-Assisted Learning (PAL), in improving medical students’ clinical competence. A narrative literature review approach was employed. Data were obtained from the PubMed, Google Scholar, and ScienceDirect databases, covering publications from 2016 to 2025, and six relevant articles were systematically analyzed. The findings indicate differences in effectiveness among the learning methods. SDL was found to be less effective when applied independently due to limited supervision and minimal feedback. Video-based learning was shown to enhance visual understanding and memory retention but tended to be passive. In contrast, PAL emerged as the most effective approach, as it promotes active interaction and provides immediate feedback.
Potensi Probiotik sebagai Agen Terapi Rhinitis Alergi Terbarukan: Literature Review pada Uji Klinis
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6381

Abstract

Allergic rhinitis is a chronic inflammatory disease that occurs widely in the global population. This disease is related to the body's hypersensitivity to allergens from the external environment. Available therapy for allergic rhinitis is only symptomatic, while primary therapy has several problems, such as access, time, and cost. Research related to renewable rhinitis therapy is needed, one of which is the use of probiotics as a therapeutic agent. The research method used was a literature review through the PubMed and GoogleScholar databases using the keywords "Rhinitis," "Probiotics," "NSS," and "TNSS." The literature search process was carried out systematically by applying several inclusion criteria. In total, four final articles were obtained from a total of 27 available articles. The results of nasal symptom score (NSS) and total nasal symptom score (TNSS) measurements in several analyzed studies indicated the potential of probiotics such as NVP1703, the combination of B. animalis Subsp. Lactis BB12 with Enterococcus faecium L3, and Lacticaseibacillus paracasei GM-080 in treating allergic rhinitis symptoms. Probiotics as a renewable therapeutic agent for allergic rhinitis have been shown to reduce symptoms, as measured by a decrease in mean NSS and TNSS values. The antiallergic activity of probiotics occurs through regulatory mechanisms of Th1 cells, Th2 cells, inflammatory mediators, and the production of pro-inflammatory antagonist compounds.
Faktor-Faktor yang Berhubungan dengan Kunjungan Balita di Posyandu Karya Bhakti Wilayah Kerja Puskesmas Paduan Rajawali Kabupaten Tulang Bawang
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6394

Abstract

Posyandu is a vital community health service for monitoring toddler growth and development; however, toddler visits remain low. Data from the Indonesian Ministry of Health (2024) shows toddler weighing coverage in Lampung at 80.4%, with Paduan Rajawali Health Center achieving 85.1% in 2023, declining to 80.3% in 2024. Low attendance impacts malnutrition detection, stunting risk, and child development. A pre-survey in the area identified maternal knowledge, occupation, husband’s support, and perception as influential factors. This study aims to analyze factors associated with toddler visits to Karya Bhakti Posyandu to improve child health. Quantitative methods with an analytical cross-sectional design were used. The population included all mothers with toddlers aged 12–59 months (160), with a sample of 62 respondents using random sampling. The dependent variable was posyandu visits; independent variables were maternal knowledge, occupation, economic status, and perception. Data were collected via questionnaires and analyzed using univariate and bivariate (chi-square) analysis. Results showed most mothers at Karya Bhakti Posyandu had good knowledge (54.8%), informal employment (71%), and high economic status (62.9%). Positive perception reached 51.6%, with 56.5% routinely bringing toddlers to posyandu. Bivariate analysis revealed significant associations between maternal knowledge (p = 0.039) and perception (p = 0.005) with toddler visits, while occupation (p = 0.133) and economic status (p = 0.421) were not significant. Recommendations: Posyandu should offer engaging activities and active outreach by cadres. Mothers are encouraged to increase knowledge and consistently bring toddlers. The village should provide continuous information dissemination. Future researchers may explore other factors affecting toddler visits.
Korelasi Pengetahuan, Status Ekonomi, Paritas, dan Kepatuhan Konsumsi Tablet Fe dengan Kejadian Anemia pada Ibu Hamil di Wilayah Puskesmas Pedada Pesawaran Tahun 2025
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6402

Abstract

Background Anemia in pregnant women has the potential to endanger both mother and child, the prevalence of anemia in Lampung Province increased to 9.10% in 2020. Causes of anemia include non-compliance during pregnancy with iron supplementation tablets, low knowledge, and other factors. The purpose of this study was to determine the correlation between knowledge, economic status, parity, and compliance with iron tablet consumption with the incidence of anemia. Method: This type of research is quantitative with a cross-sectional design. The study population was pregnant women with a sample of 68 respondents using a total sampling technique. The study was conducted in the Pedada Pesawaran Community Health Center working area from October 29, 2025, to December 2, 2025. Data collection used a questionnaire and the chi-square test. Results: Based on the results of the study, it was found that 35 (51.5%) had anemia, while 33 (48.5%) did not experience anemia. Knowledge was lacking in 31 (45.6%), knowledge was sufficient in 20 (29.4%), and knowledge was good in 17 (25%). Low economic status was low in 37 (54.4%), and high economic status was high in 31 (45.6%). Parity was at risk in 41 (60.3%), and parity was not at risk in 27 (39.7%). Further analysis showed a relationship between knowledge (p-value = 0.031), economic status (p-value = 0.001), parity (p-value = 0.015), and adherence to iron tablet consumption (p-value = 0.000) with the incidence of anemia in pregnant women. Therefore, it is recommended that pregnant women increase their adherence to regularly consuming iron tablets as a measure to prevent anemia from an early age.  
Uji Efektivitas Ekstrak Etanol Daun Jarak Pagar (Jatropha curcas L.) dalam Menurunkan Kadar Gula Darah pada Mencit (Mus musculus) yang Diinduksi Glukosa Monohidrat
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6414

Abstract

Diabetes mellitus is a chronic metabolic disorder with an increasing global prevalence, emphasizing the need for safe, effective, and affordable alternative therapies. This study aimed to evaluate the antidiabetic potential of ethanol extract from physic nut leaves (Jatropha curcas L.) in reducing blood glucose levels in glucose monohydrate–induced mice (Mus musculus). An experimental design was applied using 25 male mice divided into five groups: a negative control group receiving Na-CMC, a positive control group treated with glibenclamide (5 mg), and three treatment groups administered ethanol extract doses of 21.8 mg/25 g body weight, 43.7 mg/25 g body weight, and 65.6 mg/25 g body weight. Blood glucose levels were measured to assess the hypoglycemic effect of each treatment. The results showed that the ethanol extract of Jatropha curcas leaves significantly reduced blood glucose levels compared to the control groups (p < 0.05). The highest dose, 65.6 mg/25 g body weight, demonstrated the greatest reduction in blood glucose levels. These findings suggest that ethanol extract of physic nut leaves has promising potential as a natural antidiabetic agent and may serve as an alternative therapeutic option for diabetes management.
Efusi Pleura Masif Hemoragik Akibat Keganasan: Laporan Kasus
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6416

Abstract

Pleural effusion is an accumulation of excess fluid in the pleural cavity, and can be classified as transudate and exudate. Transudate effusion occurs because of other diseases not primary to the lungs such as liver cirrhosis. Exudate efusion happens when there are inflammatory processes in pleura such as terror, tuberculosis (TB), and parapneumonia. Hemorrhagic pleural effusion occurs due to inflammatory processes. A 71-year-old woman complained of a sickness, a pain in the chest a day before she was admitted to the hospital, a relieved pain while lying down, and an unproductive cough and chest pain on her left side. An abnormal physical examination resulted in a faint sound and a decreased basal vesicular voice on the left chest. The thorax photo resulted in a massive effusion covering the left hemithorax. CT scan showed the pulmonary mass on the left. The cytological results indicate the presence of an inflammatory process. After performing Water Sealed Drainage (WSD), a concentrated red fluid of 2250 cc is produced. The patient was diagnosed with comparative pleural effusion due to violence, tuberculosis, and pulmonary Ca. The patient's diagnosis is a hemorrhagic massive pleural effusion with the cause of violence. The diagnosis of TB and pneumonia is eliminated because there is no TB trias and the pleural fluid is not colored green, yellow and purulent.
Pengaruh Teman Sebaya, Peran Orang Tua, Peran Sekolah, Pengetahuan dan Peran Penyuluhan terhadap Pernikahan Dini
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6420

Abstract

Early marriage is a marriage that is carried out at a young age, namely under the age of 18 years. Early marriage can be caused by lack of economy from the family, reproductive health, namely where it is seen from reproductive health such as the uterus where the age of the uterus is not mature enough for fertilization. The purpose of this study was to determine the direct and indirect influence between peers, the role of parents, the role of schools, knowledge, and health counseling on early marriage in the SMPN 1 Kopang area, NTB in 2023. The method used in this study is a quantitative approach using a cross-sectional design. The sample used was 84 female students as respondents. The analysis method used is the Structural Equation Model (SEM) using SmartPLS 3.3 and SPSS 20. The results of hypothesis testing with the Structural Equation Model (SEM) with the smart PLS method found that the variable of early marriage is influenced by peers (31.3%), the role of parents (4.63%), the role of schools (9.64%), knowledge (2.04%), counseling (39.48%). The conclusion obtained in this study is that the role of counseling is a dominant factor that greatly influences early marriage. The more often one receives counseling, the more open one's mindset is in carrying out early marriage. It is expected that the schools in this study will provide more counseling, especially health counseling evenly in each class to add information and knowledge to students who attend school there.
Penerapan Teknik Relaksasi Nafas dalam terhadap Tingkat Nyeri Persalinan Kala 1 Fase Laten
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6435

Abstract

Irregular (inefficient) labor pain in the first stage can be fatal, causing prolonged labor (prolonged labor), severe stress for the mother (anxiety, fear), increased oxygen demand, circulatory changes (decreased placental perfusion), and the risk of acidosis in the mother and fetus, which can disrupt labor progress and endanger the mother and baby. Deep breathing relaxation is a technique that has been widely used in the context of stress and labor pain management. The purpose of this case report is to determine the effectiveness of applying breath relaxation on labor pain in the latent phase of the first stage of labor. The method used in this case study is a case report. This technique was performed in the latent phase of the first stage of labor, namely cervical dilation of 0–3 cm. The instrument used was the Numeric Rating Scale (NRS). The results of this study showed that after applying the deep breathing relaxation technique, the labor pain scale decreased from 6 (moderate pain) to 3 (mild pain). It can be concluded that the application of the deep breathing relaxation technique in laboring mothers in the latent phase of the first stage is effective in reducing the level of labor pain. This technique can be used as a non-pharmacological intervention that is safe, easy to implement, and in accordance with maternity nursing care standards.
Penerapan Pijat Oksitosin dalam Meningkatkan Produksi ASI pada Ibu Post Partum Sectio Caesarea: Case Report
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6436

Abstract

Optimal breast milk production is a major factor in the success of exclusive breastfeeding, but postpartum mothers with cesarean sections often experience suboptimal breast milk production due to ineffective oxytocin hormone stimulation after surgery. Non-pharmacological interventions such as oxytocin massage are reported to stimulate oxytocin hormone secretion, thereby facilitating the let-down reflex and increasing the volume of breast milk available to the baby. The purpose of this case report is to determine the results of the application of oxytocin massage to increase breast milk production in postpartum mothers at PKU Muhammadiyah Gamping Hospital. The case study method focuses on providing nursing interventions to evaluate the results of the intervention in 1 respondent of postpartum cesarean section patients. Data were collected through interviews and observations of postpartum mothers. The results of observations showed a significant increase in optimal breast milk output reaching 80-100 ml and signs of successful breastfeeding such as increased breastfeeding frequency and signs of satiety in the baby. This intervention is concluded to be effective as part of nursing care to address suboptimal breast milk production in postpartum mothers with cesarean sections.
Identifikasi Drug Related Problems Potensial Kategori Interaksi Obat pada Pasien Hipertensi di RSU Royal Prima Medan
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6448

Abstract

Hypertension is a disease whose prevalence continues to increase from year to year, and the success of its therapy is largely determined by the appropriateness of drug selection and use. Treatment failure may occur when the chosen and administered medications do not match the patient’s condition, particularly when accompanied by drug-related problems (DRPs). Poorly controlled hypertension can lead to complications such as heart disease, kidney failure, and stroke. This study aims to identify DRPs among hypertensive patients with or without comorbidities, assessed in terms of the use of medications without indications, indications without medications, excessive dosage, insufficient dosage, and drug interactions. This research is a descriptive, non-experimental study employing a cross-sectional design with retrospective data collection among hypertensive patients with or without comorbidities at RSU Royal Prima Medan during the January–June 2025 period. The sample was selected using purposive sampling based on the inclusion criteria, resulting in a total of 135 patients.

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