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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 Tingkat Kepuasan Pelayanan Makanan dengan Tingkat Kecukupan Zat Gizi Makro pada Pasien Non Diit Rawat Inap Kelas III di RS Bhayangkara Bandar Lampung Ridha Anggraini Rio; Dera Elva Junita
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.v5i2.6344

Abstract

High-quality food service can enhance patient satisfaction and positively impact nutritional adequacy, thereby accelerating recovery and preventing complications. This study aims to analyze the relationship between the level of satisfaction with food service and the adequacy of macronutrient intake in non-diet meals among Class III inpatients at Bhayangkara Hospital, Bandar Lampung. This research employed a quantitative analytical method with a cross-sectional approach involving 133 patients as the population and 102 patients selected through random sampling during October–December 2024. Research instruments included a food service satisfaction questionnaire, a 2 × 24-hour food recall form, a food weighing form to measure leftover food, and the NutriSurvey application to calculate nutrient intake. Data were analyzed using univariate and bivariate analysis with the gamma test and presented in percentages. The results showed a significant relationship between satisfaction with food service and the adequacy of macronutrients, including energy (p-value = 0.000), protein (p-value = 0.012), fat (p-value = 0.000), and carbohydrates (p-value = 0.000), indicating that food service satisfaction influences patients’ macronutrient intake. Therefore, hospitals are recommended to continuously improve the quality of food services to support adequate macronutrient intake.
Pengaruh Prenatal Yoga terhadap Penurunan Nyeri Punggung pada Ibu Hamil Trimester III di Wilayah Kerja Puskesmas Kedondong Kabupaten Pesawaran Deya Panesa; Juwita Desri Ayu; Eka Tri Wulandari; Riona Sanjaya
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.v5i2.6378

Abstract

Back pain is a common complaint experienced by third-trimester pregnant women due to physiological changes such as weight gain, postural changes, and ligament relaxation. This condition can interfere with comfort and daily activities, therefore requiring safe and effective management, one of which is a non-pharmacological therapy in the form of prenatal yoga. This study aimed to determine the effect of prenatal yoga on reducing back pain among third-trimester pregnant women in the working area of Kedondong Public Health Center, Pesawaran Regency, in 2025.This study employed a quantitative method with a One Group Pre-Test Post-Test design. The sample consisted of 26 third-trimester pregnant women selected through random sampling. Back pain intensity was measured using the Numeric Rating Scale (NRS) before and after the prenatal yoga intervention. Data analysis was conducted using the Wilcoxon test because the normality test results indicated that the data were not normally distributed (p < 0.05). The results showed that the mean back pain score before the intervention was 6.04 (moderate–severe category) and decreased to 3.04 (mild–moderate category) after the intervention. All respondents (100%) experienced a reduction in back pain, with 26 negative ranks and no positive ranks or ties. The Wilcoxon test yielded a p-value of 0.000 (p < 0.05), indicating a statistically significant effect of prenatal yoga on reducing back pain in third-trimester pregnant women. In conclusion, prenatal yoga is effective in reducing back pain among third-trimester pregnant women and can be recommended as a safe and beneficial non-pharmacological intervention in antenatal care services to improve maternal comfort.
Efektivitas Tipe Pembelajaran Clinical Skill Lab pada Fase Preklinik dalam Pembentukan Keterampilan Klinik Mahasiswa Kedokteran Lutfiah Hanani; Sabrina Earley Almufit; Giska Tri Putri; Maya Ganda Ratna
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 Giska Tri Putri; Aloysius Krishartadi Damar Bawono; Gresia Rosi Chofifah; Nisrina Zalfa Fatin; Aulia Fifi Malika; Julian Mahendra; Faalih Mathul Hajariyah
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 Alfa Sukmawati; Hikmah Ifayanti; Iis Tri Utami
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 Nabela Dwi Damayanti; Nila Qurniasih; Yetty Dw Fara; Yunita Anggriani
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 Nadira Aisyah Lubis; Erida Novriani; Finna Piska
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 Lulu Setyawati Purwaningsih; Krisbiyanto
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 Suciani Suciani; Rindu Rindu; Kusumastuti, Istiana
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 Rohmiasih Rohmiasih; Yuni Purwati
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.

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