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JIKEN
Published by PT. Nasyah Medika Care
ISSN : 30476348     EISSN : 30476356     DOI : https://doi.org/10.1234/jiken.v1i1
Core Subject :
JIKEN: Jurnal Ilmu Kesehatan Nusantara is a peer-reviewed scientific journal that publishes original research articles, review articles, and case studies in the fields of nursing, midwifery, pharmacy, public health, medicine, health sociology, and other related health sciences. The journal is published by PT. Nasyah Medika Care, Indonesia. JIKEN is published three times a year, in April, August, and November, and welcomes manuscript submissions from academics, researchers, healthcare professionals, government institutions, and organizations engaged in research, science, and technology. All submitted manuscripts undergo a rigorous double-blind peer-review process conducted by independent reviewers and are evaluated by the Editorial Board before acceptance. Only original manuscripts that have not been previously published or submitted simultaneously to another scientific journal are considered for publication.
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Articles 37 Documents
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Exploring Patients’ Experiences of Hospital Administrative Services: A Patient Experience Perspective Asdi Lastari
Jurnal Ilmu Kesehatan Nusantara Vol. 2 No. 3 (2025): OCTOBER-JIKEN-2025-2026
Publisher : PT. Nasyah Medika Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67963/jiken.v2i3.71

Abstract

Background: Hospital administrative services influence accessibility, continuity, trust, and patients’ overall perceptions of healthcare. Fragmented procedures, uncertain waiting times, inconsistent information, and unequal digital access may create significant barriers, even when clinical care is adequately delivered. Research Objective: This study aimed to explore patients’ experiences of administrative services at RSUD Daya Makassar from a patient experience perspective. Methods: A qualitative descriptive study was conducted from May to July 2025. Eighteen patients were recruited through purposive sampling. Data were collected using face-to-face, semi-structured interviews addressing registration, document verification, waiting times, staff communication, digital systems, service coordination, and complaint handling. The data were analysed thematically. Trustworthiness was maintained through triangulation, member checking, peer debriefing, reflexive notes, and an audit trail. Results: Five themes were identified: administrative services as a complex patient journey; waiting time and procedural uncertainty; the importance of responsive and empathetic communication; unequal experiences with digital services; and expectations for integrated and humane administration. Positive experiences occurred when patients received clear information, respectful assistance, and coordinated services. Negative experiences were associated with repeated procedures, unclear queues, inconsistent information, and limited assistance for older adults and patients with low digital literacy. Conclusion: Hospital administrative quality is determined by efficiency, communication, integration, and accessibility. RSUD Daya Makassar should simplify procedures, provide transparent queue information, strengthen staff communication, integrate digital and on-site services, and ensure assistance for vulnerable patients.
Effectiveness of Midwife-Led Support in Improving Exclusive Breastfeeding Success among Breastfeeding Mothers Nur Ekawati; Nelly Nugrawati
Jurnal Ilmu Kesehatan Nusantara Vol. 2 No. 3 (2025): OCTOBER-JIKEN-2025-2026
Publisher : PT. Nasyah Medika Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67963/jiken.v2i3.72

Abstract

Background: Exclusive breastfeeding provides essential nutrition and immunological protection during the first six months of life. However, many mothers discontinue breastfeeding because of limited knowledge, low self-confidence, lactation difficulties, family pressure, and work-related barriers. Continuous support from midwives may improve breastfeeding success. Research Objective: This study aimed to determine the effectiveness of midwife-led support in improving exclusive breastfeeding success among breastfeeding mothers in Makassar. Methods: A quasi-experimental study with a non-equivalent control group was conducted from January to July 2025. Seventy-two breastfeeding mothers were recruited through consecutive sampling and allocated to intervention and control groups, with 36 participants in each group. The intervention included counselling, practical breastfeeding assistance, family involvement, scheduled follow-up, digital communication, and return-to-work preparation for six months. The control group received routine maternal and child health services. Data were analysed using descriptive statistics, the chi-square test, comparative tests, and multivariable logistic regression. Results: Six-month exclusive breastfeeding success was significantly higher in the intervention group than in the control group (77.8% versus 50.0%; p=0.014). Midwife-led support increased breastfeeding knowledge and self-efficacy and reduced positioning problems, nipple pain, perceived insufficient milk, and early formula introduction. Mothers receiving the intervention had 3.82 times greater adjusted odds of exclusive breastfeeding success (95% CI: 1.31–11.13). Conclusion: Structured and continuous midwife-led support effectively improved complete six-month exclusive breastfeeding. Its integration into routine maternal and child health services is recommended.
The Effectiveness of Non-Pharmacological Interventions in Reducing Pain and Anxiety during Post-Anesthesia Recovery Nurfatma Awalliyah Habib; Husriawan
Jurnal Ilmu Kesehatan Nusantara Vol. 2 No. 3 (2025): OCTOBER-JIKEN-2025-2026
Publisher : PT. Nasyah Medika Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67963/jiken.v2i3.74

Abstract

Background: Pain and anxiety are common problems during post-anesthesia recovery and may delay mobilization, reduce patient satisfaction, and negatively affect overall recovery. Non-pharmacological interventions offer safe, simple, and inexpensive complementary strategies for managing these conditions. Research Objective: This study aimed to determine the effectiveness of structured non-pharmacological interventions in reducing pain and anxiety among patients during post-anesthesia recovery. Methods: This quantitative study used a quasi-experimental pretest–posttest control group design. Sixty postoperative patients at Baubau City Regional General Hospital were selected through consecutive sampling and assigned to intervention and control groups, with 30 participants in each group. The intervention consisted of slow deep breathing, calming music, therapeutic communication, and comfort positioning for 20 minutes. Pain was measured using the Numeric Rating Scale, while anxiety was assessed using the Visual Analogue Scale for Anxiety. Data were analysed using paired, independent, and repeated-measures statistical tests. Results: The mean pain score in the intervention group decreased from 6.10 to 3.03, while the control group decreased from 5.93 to 4.47. Anxiety scores decreased from 6.03 to 2.87 in the intervention group and from 5.87 to 4.37 in the control group. Differences in pain and anxiety reductions between groups were statistically significant (p < 0.001). Conclusion: Structured non-pharmacological interventions effectively reduced pain and anxiety during post-anesthesia recovery. Their integration into routine nursing care is recommended as a complement to standard pharmacological management.
Effectiveness of Parent Empowerment Program on Parental Self-Efficacy and Quality of Life in Children with: A Quasi-Experimental Study Hermanto; Sri Nurlian; Haslina; Budi Prasetyo
Jurnal Ilmu Kesehatan Nusantara Vol. 2 No. 3 (2025): OCTOBER-JIKEN-2025-2026
Publisher : PT. Nasyah Medika Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67963/jiken.v2i3.76

Abstract

Background: Parents of children with long-term health conditions often experience substantial caregiving demands that may affect their confidence and their children’s quality of life. Parent empowerment is considered an important family-centred strategy to strengthen caregiving capacity and improve child well-being. Research Objective: This study aimed to determine the effectiveness of a Parent Empowerment Program in improving parental self-efficacy and quality of life among children with long-term health conditions in Baubau City, Southeast Sulawesi, Indonesia. Methods: A quantitative quasi-experimental study with a pretest–posttest control group design was conducted among 40 parents selected using purposive sampling. Participants were divided equally into intervention and control groups. The intervention group received a structured Parent Empowerment Program, while the control group received routine care. Data were analysed using paired-samples and independent-samples t-tests with a significance level of p<0.05. Results: Parental self-efficacy in the intervention group increased from 58.40±7.12 to 76.85±6.34 (p<0.001), while children’s quality-of-life scores increased from 61.75±8.21 to 78.30±7.46 (p<0.001). Improvements in both outcomes were significantly greater in the intervention group than in the control group. Conclusion: The Parent Empowerment Program was effective in improving parental self-efficacy and children’s quality of life. Integrating structured parental empowerment into paediatric and community health services is recommended to strengthen family-centred care.
Exploring Pregnant Women’s Experiences in Recognizing the Signs and Symptoms of Preeclampsia: A Qualitative Study Rina Inda Sari; Sri Wahyuni
Jurnal Ilmu Kesehatan Nusantara Vol. 2 No. 3 (2025): OCTOBER-JIKEN-2025-2026
Publisher : PT. Nasyah Medika Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67963/jiken.v2i3.79

Abstract

Background: Preeclampsia remains a major cause of maternal and perinatal morbidity and mortality. Early detection depends not only on clinical screening but also on pregnant women’s ability to recognise and interpret warning signs. However, symptoms may be normalised as ordinary pregnancy discomforts, potentially delaying timely care. Research Objective: This study explored pregnant women’s experiences of recognising, interpreting, and responding to the signs and symptoms of preeclampsia. Methods: A descriptive phenomenological study was conducted in the working area of Katobengke Community Health Centre, Baubau, Indonesia, from April to June 2025. Twenty pregnant women were recruited through criterion-based purposive sampling. Data were collected through individual, in-depth semi-structured interviews, supported by field notes and observations. Colaizzi’s method guided the analysis. Credibility was supported through member checking, peer debriefing, triangulation, reflexivity, and an audit trail. Results: Four themes were identified: interpreting ambiguous bodily changes, constructing knowledge about preeclampsia, negotiating decisions within the family, and moving from uncertainty to professional care. Participants frequently considered headaches, swelling, and visual disturbances normal pregnancy experiences until the symptoms persisted or worsened. Fragmented health information, family interpretations, access barriers, and healthcare professionals’ responses shaped care-seeking decisions. Data saturation was achieved when later interviews produced no new thematic insights. Conclusion: Recognition of preeclampsia is a socially situated interpretive process rather than simple factual knowledge. Antenatal services should provide repeated, understandable, action-oriented education, involve influential family members, and ensure responsive referral pathways while maintaining routine clinical screening.
Exploring Experiences, Barriers, and Needs in Medication and Dietary Adherence among Type 2 Diabetes Patients: Qualitative Study Yuniharce Kadang; Gerfan Patandung
Jurnal Ilmu Kesehatan Nusantara Vol. 2 No. 4 (2026): JANUARY-JIKEN-2025-2026
Publisher : PT. Nasyah Medika Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67963/jiken.v2i4.80

Abstract

Background: Type 2 diabetes requires sustained medication use and dietary modification, yet adherence is disrupted by treatment burden, family routines, food practices, financial constraints, and interpretations of illness. Understanding these interacting influences is essential for feasible patient-centred care. Research Objective: This study aimed to explore patients’ experiences of medication and dietary adherence, identify perceived barriers, and describe the support needed for sustainable self-management. Methods: A qualitative descriptive study was conducted at Sandi Karsa Hospital from January to March 2026. Twenty-six people with type 2 diabetes were recruited through purposive sampling. Data were collected through face-to-face semi-structured interviews. Transcripts were analysed thematically. Credibility was supported through member checking, peer discussion, reflexive notes, and an audit trail. Data saturation occurred by interview 23 and was confirmed through three interviews. Results: Five themes were identified: interpreting adherence through bodily experiences; managing practical medication barriers; negotiating dietary recommendations in family and social life; developing adherence strategies; and expecting individualised care. Participants sometimes adjusted medication according to symptoms, concerns about adverse effects, or disrupted routines. Dietary adherence was constrained by family meals, food costs, and social obligations. Medication routines, family reminders, affordable dietary guidance, and professional communication facilitated adherence. Conclusion: Medication and dietary adherence were interconnected behaviours shaped by personal, relational, economic, and healthcare conditions. Sandi Karsa Hospital should implement family-inclusive counselling involving physicians, nurses, pharmacists, and nutritionists. Care should address treatment concerns, simplify routines, and provide culturally appropriate dietary recommendations.
The Effectiveness of Pharmacist-Led Counseling in Improving Medication Adherence and Self-Management among Patients with Hypertension Muhammad Khaerul Nur; Fahruddin
Jurnal Ilmu Kesehatan Nusantara Vol. 2 No. 4 (2026): JANUARY-JIKEN-2025-2026
Publisher : PT. Nasyah Medika Care

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67963/jiken.v2i4.81

Abstract

Background: Hypertension requires continuous medication use and effective self-management, yet treatment adherence often declines because the condition is usually asymptomatic, therapy is prolonged, and patients receive insufficient medication information. Pharmacists can address these barriers through individualised counselling integrated with pharmaceutical care. Research Objective: This study evaluated the effectiveness of pharmacist-led counselling in improving medication adherence and hypertension self-management. Methods: A quasi-experimental pretest–posttest study with a control group was conducted at the Pharmacy Unit of Universitas Indonesia Timur Hospital, Makassar, in January 2026. Twenty adults with hypertension were recruited consecutively and allocated to intervention and control groups, with ten participants each. The intervention group received structured individual pharmacist counselling, while the control group received routine pharmacy services. Medication adherence and self-management were measured using validated questionnaires. Data were analysed using descriptive statistics, paired tests, and between-group comparisons at α=0.05. Results: Medication adherence increased from 57.8 to 78.6 in the intervention group and from 59.0 to 62.8 in the control group. The estimated between-group effect was 17.0 points (95% CI: 8.1–25.9; p=0.001). Self-management increased from 60.9 to 79.2 after counselling, producing a between-group effect of 15.6 points (95% CI: 7.4–23.8; p=0.001). Systolic blood pressure decreased by 13.6 mmHg in the intervention group compared with 3.9 mmHg in controls. Conclusion: Pharmacist-led counselling improved adherence, self-management, and blood-pressure outcomes. Integrating structured counselling into routine pharmacy services may strengthen multidisciplinary hypertension management; however, larger controlled studies with longer follow-up are required.

Page 4 of 4 | Total Record : 37

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