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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 448 Documents
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The Hubungan Pola Makan, Aktivitas Fisik, dan Tingkat Stres dengan Kejadian Hipertensi pada Ibu Hamil di Kelurahan Talang Putri Kota Palembang Rista Silvana; Ratika Febriani; Yuni Fitrianti; Hasyifa Khaila Rahmawaty
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 3 (2026): 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.v5i3.6981

Abstract

Hypertension in pregnancy remains an important maternal health problem because it contributes to maternal morbidity and mortality. This study aimed to analyze the association of dietary pattern, physical activity, and stress level with the incidence of hypertension among pregnant women in Talang Putri Subdistrict, Palembang City. A quantitative study with a case-control design was conducted. The sample consisted of 78 respondents, including 26 cases and 52 controls, selected by simple random sampling from third-trimester pregnant women recorded in 2025 and 2026. Data were collected through interviews using a modified food frequency questionnaire, the 2018 Riskesdas physical activity instrument, and the Depression Anxiety Stress Scale for stress assessment. Bivariate analysis used the chi-square test at a 5% significance level and odds ratio estimation. The results showed that dietary pattern was significantly associated with hypertension in pregnancy (p=0.000; OR=12.4). Physical activity was also significantly associated with hypertension (p=0.032; OR=3.07). Similarly, stress level had a significant association with hypertension (p=0.000; OR=11.4). In conclusion, poor dietary pattern, heavy physical activity, and severe stress were associated with hypertension among pregnant women. These findings highlight the need for nutrition education, physical activity regulation, and stress management in antenatal care.  
Pengembangan Modul Kerja Ergonomis dengan Pendekatan pada Komunitas Pengrajin Anyaman Daun di Kabupaten Jombang Putri Ayuni Alayyannur; Bian Shabri Putri Irwanto; Shinta Arta Mulia; Addien Nadira; Muhammad Iqbal Ridho Maulana Arifin
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 3 (2026): 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.v5i3.7052

Abstract

 Introduction: Pandan leaf weaving artisans in Jombang Regency are part of the creative economy sector that contributes to community welfare. However, their work is still dominated by non-ergonomic postures, traditional tools, and less supportive environments, increasing the risk of musculoskeletal disorders and reducing productivity.Objective: This activity aims to develop and implement a community-based ergonomic work module to improve artisans’ knowledge, attitudes, and practices, as well as to empower Occupational Health Effort Post (Pos UKK) cadres as agents of change.Methods: A participatory approach was used through preparation, implementation, and monitoring and evaluation stages. Activities included training Pos UKK cadres in ergonomic workstation development and public speaking, training artisans in ergonomic practices, and developing educational media such as X-banners, pocket books, hand fans, and videos. Evaluation used pre-test and post-test to measure knowledge changes.Results: Most respondents had basic to intermediate education levels and long work experience. The Wilcoxon test showed a significant increase in knowledge after the intervention, with 58 of 60 respondents improving their post-test scores. A p-value of 0.000 (p < 0.05) indicates a significant positive effect of the intervention.Conclusion: The community-based ergonomic work module effectively improves artisans’ knowledge of ergonomic principles. This approach, along with the involvement of Pos UKK cadres, supports sustainable implementation, reducing musculoskeletal risks and improving comfort and productivity.
Intervensi Perilaku dan Aktivitas Fisik pada Pasien Gangguan Bipolar dengan Obesitas dan Emotional Eating: Laporan Kasus Meidian Sari; Abdullah Sahab; Lilis Khairani; Ahmad Ghiffari; Raden Ayu Tanzila
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 3 (2026): 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.v5i3.7057

Abstract

Obesity is a growing global health problem. Obesity is more common among patients with bipolar disorder than in the general population and has been associated with greater clinical burden, including depressive symptoms, impaired functioning, poorer quality of life, and metabolic complications. Case Presentation: A 38-year-old woman with a five-year history of bipolar III disorder presented with a 15 kg weight gain over two years. She had a history of manic episodes followed by depressive episodes. During depressive phases, she reported fatigue, low motivation, emotional eating, increased appetite, and preference for high-carbohydrate foods. She had been treated with valproate 750 mg/day and olanzapine 10 mg/day. Management included pharmacotherapy review, switching olanzapine to lurasidone due to lower metabolic risk, nutritional counselling, structured physical activity, cognitive behavioral strategies for emotional eating, sleep routine education, and family support. Conclusion: Behavioral intervention combined with regular physical activity may be a relevant adjunctive approach for patients with bipolar disorder, obesity, and emotional eating. This case highlights the need to assess eating behavior, sleep routine, physical activity, metabolic risk, and adaptive coping strategies in patients with bipolar disorder and obesity.
Asuhan Akupuntur pada Kasus Sulit Buang Air Besar di Praktik Mandiri Sely Meting Pluit Jakarta Utara Sely Meting; Amal Prihatono; Mayang Wulandari; Chantika Mahadini
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 3 (2026): 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.v5i3.7090

Abstract

Constipation is a global health problem experienced by about 14% of the adult population and 30% of the elderly. Around 23% occurs in women and 11% in men in Asia, including Indonesia. The aim of the study was to provide acupuncture care for constipation cases at Sely Meting Independent Practice, Pluit, North Jakarta. The research method used was a case study, with a sample of 1 person using purposive sampling, and data collection was carried out using a client data sheet instrument (DSI). The acupuncture points used in the therapy were LI4, KI6, LI11, SP15, BL25, ST25, ST44. The therapy was provided in 12 sessions, twice a week for 6 weeks. The analysis of the case study results used content analysis. Research using the case study method found a significant difference between the first therapy session and the twelfth therapy session. Patient complaints in the final session improved from difficulty in bowel movements to normal. Acupuncture therapy at this point can be recommended to therapists in managing patients based on syndromes and a high-fibre diet therapy.
Hubungan Kejadian Dry Eye Syndorme pada Pasien Glaukoma terhadap Lama Penggunaan Obat Tetes Mata Topikal Yunani Setyandriana; Muhammad Baharuddin Yusuf
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 3 (2026): 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.v5i3.7103

Abstract

Introduction: Glaucoma is a leading cause of irreversible blindness that requires long-term treatment using topical eye drops. Prolonged use, especially those containing preservatives, may cause ocular surface damage and lead to dry eye syndrome, affecting patients’ quality of life. Purpose: This study aimed to determine the relationship between long-term use of topical eye drops and the incidence of dry eye syndrome in glaucoma patients. Methods:This study used an observational analytic design with a cross-sectional approach involving 52 respondents. Data were collected using the Ocular Surface Disease Index (OSDI) questionnaire to assess dry eye symptoms. Data were analyzed using univariate and bivariate analysis with a significance level of p < 0.05. Results: The majority of respondents were female (73.1%) and aged 50 –59 years (30.8%). Most respondents experienced severe dry eye syndrome (32.7%). The bivariate analysis showed a p-value of 0.001 (p < 0.05), indicating a significant relationship between long-term use of eye drops and dry eye syndrome. Conclusion: There is a significant relationship between long-term use of topical eye drops and the incidence of dry eye syndrome in glaucoma patients.
Faktor-Faktor yang Berhubungan dengan Kejadian Heat strain pada Pekerja Industri: Literature review Nyndia Syafira Nofanto; Meirinia Ernawati
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 3 (2026): 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.v5i3.7106

Abstract

Hot work environments are a frequently overlooked health risk factor in Indonesia’s small and medium-scale manufacturing sector. This study aims to analyze the factors associated with heat strain incidents among industrial workers through a literature review of 8 national articles published between 2021 and 2025, sourced from Google Scholar, Garuda Kemdikbud, and institutional repositories. The results of the review indicate that workplace heat stress is the most dominant factor associated with heat strain, identified in 5 of the 8 analyzed articles. Inadequate water intake, high physical workload, and excessive work duration were also found to significantly contribute to the risk of heat strain. In addition, individual factors such as age, nutritional status, underlying health conditions, and medication use were found to influence workers’ susceptibility to heat strain, although the consistency of findings across studies remains variable. Environmental and organizational factors, particularly poor ventilation and insufficient workplace cooling systems, further exacerbate exposure to heat stress. The interaction between these physical and individual risk factors suggests that heat strain is a multifactorial occupational health issue rather than a single-cause condition. Therefore, managing heat strain requires a comprehensive approach that includes workplace environmental management, ensuring adequate fluid intake, regulating work-rest cycles, improving occupational safety supervision, and conducting regular health screenings to reduce long-term health risks among workers.
Literatur Review: Edukasi Kesehatan Dalam Meningkatkan Perilaku Hidup Bersih Dan Sehat (PHBS) M Bachtiar Safrudin; Risnawati Sari; Marlina Damayanti; Anita Pasha Dwi Wulandari; Salsabil Wulandari Saputri; Husnul Khotimah Mei Syahadati Saragih; Fadhila Zarifa Az Zahra; Nabilah Fikriyah Sarah; Nathania Zahra Hafizha; Novita Ramadhany; Sandriana Putri Faysha; Syalum Fayzayunda
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 3 (2026): 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.v5i3.7163

Abstract

Clean and Healthy Living Behavior (PHBS) is an important effort to improve public health status through the implementation of healthy habits in daily life. However, the level of public awareness and understanding regarding PHBS is still relatively low, causing various health problems related to poor hygiene and unhealthy lifestyles. This literature review aimed to analyze the effectiveness of health education in improving Clean and Healthy Living Behavior among students and communities. The method used in this study was a literature review by analyzing scientific articles published between 2020 and 2026 from national and international journals related to health education and PHBS. The findings showed that health education had a significant positive effect on increasing knowledge, attitudes, and healthy behaviors. Various educational methods such as counseling, demonstrations, simulations, audiovisual media, interactive discussions, and digital media were proven effective in improving participants’ understanding and awareness regarding personal and environmental hygiene. In addition, continuous and interactive educational approaches were able to encourage sustainable healthy habits in schools, households, and communities. The implication of this study indicates that health education should be implemented continuously using innovative and participatory approaches to create a healthier society and improve overall quality of life.
Acute Total Bowel Obstruction Caused by Locally Advanced Rectal Carcinoma without Confirmed Distant Metastasis: A Case Report Rizky Hardwiansyah; Begard Mada Sagaling; Sahrul Anam; Wisnu Widiyatmoko
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 3 (2026): 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.v5i3.7226

Abstract

Rectal cancer may present with nonspecific symptoms that are frequently overlooked, leading to delayed diagnosis and advanced disease. Acute bowel obstruction is a severe complication associated with increased morbidity and emergency surgical management. A 49-year-old male presented with a three-day history of inability to defecate and pass flatus, accompanied by severe abdominal pain, distension, vomiting, and fever. He had a two-year history of an untreated anal mass, chronic constipation, rectal bleeding, and significant weight loss. Physical examination revealed a friable mass completely obstructing the anal canal. Imaging showed obstructive ileus and generalized peritonitis. Emergency exploratory laparotomy revealed a large, fixed tumor at the distal rectum with extensive bowel dilatation. Transverse colostomy and tumor debulking were performed. The postoperative diagnosis was rectal carcinoma staged intraoperatively as T4bN1Mx. This case demonstrates that severe local tumor progression may result in life-threatening obstruction even in the absence of confirmed distant metastasis at presentation. Diagnostic delay and emergency presentation significantly influence management strategy and outcomes. Rectal cancer can progress to total bowel obstruction due to extensive local disease. Early evaluation of chronic anorectal symptoms is crucial to avoid emergency presentations and associated complications.

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