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INDONESIA
VISIKES
Published by Universitas Dian Nuswantoro
ISSN : -     EISSN : -     DOI : -
Core Subject : Education,
Education
Arjuna Subject : -
Articles 484 Documents
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Knowledge and Breast Self-Examination Practice Among Health and Non-Health University Students Rahmansyah, M Badzlul; Hermawan, Farhan Aqil Putra; Nurhidayati, Nurhidayati; Lestari, Rizka Vidya; Afifah, Hanan
VISIKES Vol. 25 No. 1 (2026): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v25i1.15950

Abstract

Breast cancer remains the most prevalent malignancy in Mataram City, with many cases diagnosed at advanced stages due to inadequate early screening. This study aims to analyze the relationship between breast cancer knowledge and Breast Self-Examination (BSE/SADARI) practice among health and non-health university students in Mataram. An observational analytic quantitative design with a cross-sectional approach was utilized. Data were collected from 256 female students across multiple universities in Mataram using a validated questionnaire distributed via Google Forms, selected through quota sampling. Data analysis included univariate descriptive statistics, Chi-Square tests, and Independent Sample T-tests. The results revealed that 41.4% of respondents had poor knowledge, while 56.3% demonstrated poor BSE practices. Bivariate analysis showed a statistically significant positive relationship between knowledge levels and BSE practice (), although the correlation strength was relatively weak. Students in the health cluster demonstrated significantly higher scores in both knowledge and practice compared to those in the non-health cluster (). This study concludes that while knowledge serves as a foundational requirement, a prominent "knowledge-practice gap" exists, likely influenced by psychological barriers such as fear and forgetfulness. Future interventions should move beyond disseminating theoretical facts and focus on digital-based technical training and self-efficacy to bridge the gap between awareness and consistent preventive behavior among university students.  
Patterns of Fracture - Causing Traffic Injuries and Accuracy of ICD-10 External Cause Coding: A Case Study at a Type B Hospital in Semarang Ernawati, Dyah; Putri, Novenda Kusuma; Abiyasa, Maulana Tomy
VISIKES Vol. 25 No. 1 (2026): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v25i1.15956

Abstract

Traffic accidents, particularly motorcycle crashes, constitute a leading cause of musculoskeletal fractures in urban Indonesia, yet inaccurate ICD-10 external cause coding undermines epidemiological surveillance and injury prevention efforts. This study aimed to analyze patterns of accident causes leading to fractures and evaluate the accuracy of external cause coding in medical records at a Type B hospital in Semarang. A quantitative descriptive study was conducted using retrospective observation of 88 inpatient medical record documents for fracture cases in 2022, sampled via the Slovin formula from a population of 757 cases. Data on accident patterns (type, location, activity) and coding accuracy were extracted per ICD-10 guidelines (V01-Y98), with conformity assessed descriptively based on completeness to the fifth character and alignment with clinical chronology. Motorcycle accidents dominated (58.8%), primarily traffic-related driver injuries (72.0%), followed by falls (31.8%); non-traffic incidents frequently occurred at home (74.3%). Fracture coding accuracy reached 69.3%, but external cause coding was critically low at 19.3%, with major discrepancies in accident type (56.3%), location (33.8%), and activity (9.9%). These findings highlight systemic coding deficiencies that distort injury epidemiology data. Enhanced coder training, standardized chronology documentation, and hospital policies for external cause coding are recommended to improve data quality for public health interventions.
Cost-Effectiveness of Antihypertensive Therapy in Ischemic Stroke Patients Nurul Janah, Rowiyah Sufi; Wibowo S, F.X. Sulistiyanto; Advistasari, Yustisia Dian
VISIKES Vol. 25 No. 1 (2026): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v25i1.16101

Abstract

Ischemic stroke is an acute condition caused by the interruption of blood flow to the brain due to blood vessel obstruction, which can lead to permanent disability and death. Hypertension is a major risk factor and the most common comorbidity in ischemic stroke patients. The use of antihypertensive therapy in stroke patients plays a crucial role in controlling blood pressure and preventing complications, but it also increases the burden of medical costs. Therefore, a pharmacoeconomic evaluation is necessary to assess the cost-effectiveness of the therapy. This study aims to analyze patient characteristics and evaluate the cost-effectiveness of oral antihypertensive therapy in ischemic stroke patients at Hospital "X" from September 2024 to August 2025. The method used was Cost-Effectiveness Analysis (CEA) with the Average Cost-Effectiveness Ratio (ACER), in which the therapy with the lowest ACER is considered the most cost-effective. The results showed that the majority of patients were male (32 patients), and the largest age group was elderly aged 56–65 years (23 patients), with an average length of stay of 4.63 days. As a single therapy, calcium channel blockers (CCBs) demonstrated the lowest ACER value of Rp34,013.77, making them the most cost-effective therapy. In combination therapy, the combination of CCBs and beta-blockers had the lowest ACER value (Rp29,766.44). These results indicate that selecting the right antihypertensive therapy can improve cost efficiency and support more rational healthcare delivery.
Readiness of RSUD X in the Implementation of Standard Inpatient Class (KRIS) Amaliah, Muthiah; Arranury, Zilfadhilah; Raodhah, Sitti
VISIKES Vol. 25 No. 1 (2026): VISIKES
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/visikes.v25i1.16180

Abstract

The Standard Inpatient Class (Kelas Rawat Inap Standar / KRIS) is a policy embedded within Indonesia's National Health Insurance (Jaminan Kesehatan Nasional / JKN) Programme, designed to achieve equity in inpatient services for all BPJS Kesehatan participants by replacing the three-tier ward system (Classes I–III) with a single minimum standard. This study aimed to analyse the readiness of Daya Regional General Hospital (RSUD Daya), Makassar City, in implementing KRIS. A qualitative case study design was employed. Seven informants were selected through purposive sampling, comprising the Vice Director of Medical Services (key informant), three main informants (Head of Nursing Division, Head of General Affairs, Planning Staff), and three supporting informants (Head of Surgical Ward, Head of Mawar Ward, and a bedside nurse). Data were collected through in-depth interviews, direct physical observation of four representative wards using a 12-criteria KRIS checklist with calibrated instruments (lux metre, thermohygrometer, measuring tape), and hospital document review. Data analysis followed the Miles-Huberman-Saldana model (reduction, presentation, conclusion-drawing), with source and method triangulation applied to verify validity. Results showed that the KRIS policy was well understood at all management levels and phased governance steps had been initiated since 2023. However, implementation remained incomplete due to constrained budget and ageing building conditions. Of 12 technical KRIS criteria, seven were consistently met. Persistent non-conformities were identified in inter-bed spacing, sleep lighting, room humidity, and curtain floor clearance.

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