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INDONESIA
Jurnal Kesehatan Masyarakat
Published by Universitas Negeri Semarang
ISSN : 18581196     EISSN : 23553596     DOI : -
Core Subject : Health,
Public Health
KEMAS Journal: Research Study in Public Health publishes the article based on research or equivalent to research results in public health or other disciplines related to public health that has not been loaded/published by other media. The journal contains articles about epidemiology and biostatistics, health policy and administration, public health nutrition, environmental health, occupational health and safety, health promotion, reproductive health, maternal and child health, and other related articles in public health. The journal can be used by health practitioners, health caregivers, teachers, medical students, and people who are interested in public health issues. The journal was first published in July 2005 and subsequently published twice a year, in July and January. KEMAS Journal is a peer review journal and can be accessed in http://journal.unnes.ac.id/nju/index.php/kemas. Semarang State University (Unnes) is a leading university in Indonesia with the vision to become a world-class conservation university. The conservation vision is closely related to the study of public health sciences. Unnes also published high quality e-journal from various disciplines, integrated, and managed through Open Access Journals that can be accessed in http://journal.unnes.ac.id. The IAKMI (Ikatan Ahli Kesehatan Masyarakat Indonesia/The Association of Indonesian Public Health Expert) is a non-profit membership association dedicated to advance public health as a scientific discipline and profession that serves public good for Indonesia and humanity.
Arjuna Subject : -
Articles 1,403 Documents
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The Effect of the SAMRY Model (Mahfudzat Adaptation Stress and Guided Imagery) on Nurse Work Stress Kurniawati, Ayu Khuzaimah; Pramana, Cipta; Pohan, Vivi Yosafianti; Hartiti, Tri; Soesanto, Edy; Astuti, Rahayu
Jurnal Kesehatan Masyarakat Vol 20, No 1 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i1.50035

Abstract

 Nurses’ work stress must be managed well. Work stress can affect nurses’ performance, reduce service quality, and cause turnover intention. The 2018 PPNI survey showed that 50.9% of Indonesian nurses experienced work stress. A preliminary study at K.R.M.T Wongsonegoro Hospital Semarang of 10 nurses in special units stated that 90% experienced work stress. The SAMRY (Stress Adaptation and Guided Imagery) model can reduce nurses’ work stress. This technique combines the application of the concepts of mahfudzat and guided imagery so that it can create relaxation distractions and increase adaptive coping patterns. This research aims to determine the effect of the SAMRY model on nurses’ work stress. The research method uses a pre-experiment with a pre-post-test one-group design. The population is 223 nurses who work in special units. Sample of 35 respondents using a purposive random sampling technique. Data collection was carried out by assessing work stress pre and post-intervention. The research instrument used the Expanded Nursing Stress Scale (ENSS) questionnaire. The results of the study reported an average pre-intervention work stress score of 114 and post-intervention 78.26. Data analysis using the paired sample t-test obtained p-value=0.000 (p0.05). It can be concluded that there is an influence of the SAMRY model on nurses’ work stress.
Giving Baby Porridge Made From Moringa Leaves and Snakehead Fish to Toddlers in Yogyakarta Indonesia Fitriahadi, Enny; Rosida, Luluk; Syagata, Anindhita Syahbi; Makbul, Ika Aida Aprilini binti; Intarti, Wiwit Desi
Jurnal Kesehatan Masyarakat Vol 20, No 2 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i2.48489

Abstract

Problems in toddlers who are inadequate in consuming MP-ASI cause one of them is stunting. Stunting is a major health problem in communities in developing countries. The purpose of this study was to determine the effect of providing MPASI baby porridge made from moringa leaves and snakehead fish on body weight. The research method used This study design used a randomized controlled trial (RCT) which investigated the effect of providing MPASI baby porridge made from moringa leaves and snakehead fish on toddler body weight. The sample size calculated was 30 respondents. The sample size of 30 toddlers aged 1-12 months was divided into 15 toddlers who were given treatment and 15 toddlers who were not given treatment. The results showed that the percentage of toddlers with underweight in the intervention group decreased from a mean of 6513.33 to 6706.67 while in the control group it only decreased from a mean of 6500.00 to 6586.67. Overall, the weight status of toddlers in the intervention group changed significantly (p 0.000).
Doctor Consultation Duration on Patient Satisfaction at The Internal Medicine Outpatient Clinic Iskandar, Muhamad Taufan; Sundari, Sri
Jurnal Kesehatan Masyarakat Vol 20, No 1 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i1.48763

Abstract

 Long waiting times for healthcare services are one of the causes of patient dissatisfaction. The average waiting time for patient services at the Internal Medicine outpatient clinic is 280 minutes with the average duration of a doctor’s consultation being only 6 minutes. Nowadays, patients can decide for themselves whether long waiting times for short doctor consultations are worth the effort. This study aimed to determine patient satisfaction based on the duration of the doctor’s consultation. This research was conducted at the Internal Medicine Clinic using a quantitative observational analytical research design with a cross-sectional data collection method using a questionnaire. The patient satisfaction questionnaire uses a 1-5 Likert scale, while the doctor consultation duration questionnaire uses actual recording in minutes. The respondents for this study were 139 respondents based on epi-info software calculations with a confidence interval of 95%, and the sampling method used consecutive sampling. The research results were analyzed using SPSS version 21 with the chi-square analysis method. The duration of the doctor consultation, with an average of 6 minutes, does not affect patient satisfaction (p-Value 0.842). There are many other factors that can influence patient satisfaction, not limited to the duration of the doctor consultation.
Antecedents of Referring Healthcare-provider Engagement and its Impact on Willingness to Re-refer Wijaya, Reisa Melisa; Antonio, Ferdi
Jurnal Kesehatan Masyarakat Vol 20, No 1 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i1.47675

Abstract

Expansion of the healthcare sector in emerging nations aligns with the growth of private hospitals. This situation gives private hospitals some new challenges, like how to provide good quality care while growing the business, such as increasing the number of patients. An increasing number of patients is related to the referral system and healthcare providers. However, limited studies explained factors influencing healthcare provider engagement (HCPE) associated with willingness to re-refer within healthcare providers (WRH). This study investigated the relationship between factors influencing HCPE toward WRH within healthcare providers. A quantitative survey with a cross-sectional technique with a questionnaire asked 181 healthcare provider who usually refers patients to RSKK. Partial least squares structural equation modelling (PLS-SEM) was utilized to analyze the data. The result of study showed that five of the six antecedents from HCPE were significant (p-value0.05), and the HCPE showed a substantial relationship with WRH (p-value0.05). As conclusion, patient-specialist interaction has an essential relation with HCPE. Furthermore, HCPE has a crucial relationship with WRH. Therefore, the hospital management needs to prioritize this part more to encourage HCPE. This study shows antecedents from HCPE related with WRH and this model can be replicated in different hospitals as the contribution.
Effect of Avocado Flesh (Persea Americana) Extract on HbA1c and Fasting Blood Glucose Levels in Type 2 Diabetes Mellitus Patients Rahman, Shahrul; Septina, Lina; Nasution, Huwainan Nisa
Jurnal Kesehatan Masyarakat Vol 20, No 1 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i1.47573

Abstract

 Diabetes mellitus is a complicated necessitates ongoing medical attention and is a serious health problem that has grown to worrisome proportions. The study aimed to assess the avocado pulp extract’s glycemic control in individuals with type 2 diabetes mellitus (T2DM) in a clinical setting in 2023. From the Klinik IMAN database, patients 18 years with T2DM who had previously been treated with oral hypoglycemic medications were included. The index date—the first day that avocado pulp extract was consumed—was used to collect baseline data. A laboratory measurements analysis was used to evaluate the change in glycated hemoglobin (HbA1c) and fasting blood glucose levels after a month of consuming avocado pulp extract and placebo. At one month, the percentage of patients who achieved their goal HbA1c and fasting blood glucose levels was determined. Overall, 30 patients were included and had baseline HbA1c and fasting blood glucose levels values available. Added avocado flesh extract not associated with improved HbA1c (0.04 [95% CI: -0.22-0.30], p0.05) and fasting blood glucose levels values (0.85 [95% CI: - 24.7-26.4], p0.05) versus baseline at a month. Added avocado flesh extract not associated with improved glycemic control during a month of follow-up in patients with T2DM.
Video-based Training for Health Cadres on Mental Health and Social Support for Pregnant Women Kusumawati, Yuli; Sari, Marlynda Happy Nurmalita; Wijayanti, Anisa Catur; Zulaekah, Siti; Nurfaiza, Elita Nadia; Firantika, Rima
Jurnal Kesehatan Masyarakat Vol 20, No 1 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i1.47251

Abstract

  The lack of knowledge of cadres about mental health causes a lack of social support for pregnant women. This study aims to analyze the effectiveness of mental health education for maternal and child health cadres on the knowledge and social support of cadres. This study was conducted with a quasi-experimental pre-test and post-test design with a control group. Sampling was carried out by cluster random sampling in the city of Surakarta. The intervention group consisted of 45 cadres in the Gajahan health center area and the control group consisted of 47 cadres in the Pajang health center area. While educational interventions use short story video media equipped with infographics. Data on knowledge and social support were collected using a questionnaire that had been tested for validity. Data analysis used independent t-tests and paired t-tests because the data were normally distributed. To analyze the data, this research used free statistical software. The results of this study are there were differences in the scores of mental health knowledge and social support between the intervention group and the control group (p-value 0.001). The intervention effectiveness test was carried out on the difference between the two groups’ pretest and post-test data. This study concluded that mental health education with video media for maternal and child health cadres is effective in increasing mental health knowledge and cadre social support for pregnant women.
History of Falls and The Use of Walking Aids on The Incidence of Depression in The Elderly in Indonesia Rahmadanty, Nadiya Kamila; Novi Handayani, Maria Dara; Turana, Yuda; Hardi, Nicholas; William, William
Jurnal Kesehatan Masyarakat Vol 20, No 1 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i1.46202

Abstract

Depression is a prevalent concern, especially among the elderly who are at risk of falling and rely on walking aids. This study examines the relationship between falls, walking aid usage, and depression in the elderly using data from the Indonesian Family Life Survey 5 (IFLS-5). Conducted as a cross-sectional study, it included respondents aged ≥ 60 years. Among the 2909 respondents, the majority of respondents were aged below 75 years (13.4%), women (51.6%), and lower level of education (84.1%) with a prevalence of depression of 24,1%. The research revealed that age, education, and a history of falls were significantly associated with the occurrence of depression (p0.05). Age above 75 years old (OR: 0,653; 95% CI: 0,495-0,862) and higher education level (OR: 0,626; 95% CI: 0,483-0,811) was found to be a protective factor, while a history of falls was found to be a predictive factor to depression in elderly (OR: 1,996; 95%CI: 1,393-2,332). However, the use of walking aids showed no correlation with depression. These findings suggest that while age and education act as protective factors, a history of falls serves as a predictive factor for depression in the elderly.
Pesticide Exposure, Neurobehavioral Symptoms, and Neurobehavioral Performance in Pesticide Applicator in West Java, Indonesia Liem, Jen Fuk; Frendy, Holie; Handoko, Yusuf; Hudyono, Johannes; Sutanti, Yosephin Sri
Jurnal Kesehatan Masyarakat Vol 20, No 1 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i1.44599

Abstract

It was known that pesticide applicators are at risk of experiencing neurotoxicity and neurobehavioral alterations related to occupational pesticide exposure. This study aims to evaluate the association between pesticide exposure and the neurobehavioral performance of pesticide applicators in West Java, Indonesia where chemical pesticides were heavily used. We conducted a cross-sectional study in a vegetable farming center in West Java Province, Indonesia. A total of 88 pesticide applicators were included in the study on November 2022. A structured interviewer-administered questionnaire was used to obtain the participants’ characteristics. We performed the German Q18 questionnaire to screen the neurobehavioral symptoms and the WHO Neurobehavioral Core Test Battery (NCTB) for each participant to identify the neurobehavioral performance among pesticide applicators. Data were summarized descriptively and statistical analysis using chi-square and independent sample t-test was performed. We found that the most common neurobehavioral symptoms were symptoms related to memory, concentration, and fatigue. Poor neurobehavioral performance was found in 29.5% of participants and it was found to be associated with those grouped at age ≥ 44 years and categorized as having a high CEL. The pieces of evidence presented here suggest that neurobehavioral performance was associated with pesticide exposure.
Anthropometry and Biomotor of Various position Young Football Athletes: does it affect performance? Annas, Mohamad; Soegiyanto, Soegiyanto; Hidayah, Taufiq; Hartono, Mugiyo; Setyawati, Heny; S, Adi
Jurnal Kesehatan Masyarakat Vol 20, No 1 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i1.44488

Abstract

This study aims to determine the relationship between anthropometry and biomotor on the performance of young soccer athletes. The sample is football academy athletes from Central Java. The sample is 221 Football Academy Athletes. This research uses total sampling. The selected sample is the 12-year-old group. Researchers directly collected data on the subject. All samples have filled the willingness to be studied. In anthropometry, researchers collected data on height, weight, head circumference, arm circumference, abdominal circumference, thigh circumference, chest circumference, arm length, and leg length. Biomotor components were measured using flexibility, leg strength, agility, coordination, and a 12-minute and 20-meter run. Performance was measured by observation from the researcher. Researchers see the appearance of players in a match The data obtained is processed using descriptive statistics, which include: minimum, maximum, mean, and std. Deviation. Researchers processed the data using normality, homogeneity, and correlation tests—statistical tests using SPSS version 22. There is an anthropometric and bio-motor relationship to the performance of young soccer athletes. There are positively correlated in all positions (Forwards, Backs, Goalkeepers, Centers). The researcher suggested that other groups accomplish further research with a broader range of subjects. Efforts to advance the football sector are expected to continue to be pursued to promote sports development.
Leveraging Delphi Technique to Develop Breastfeeding Support Modules in East Java, Indonesia Kowara, Mellysa; Lubis, Dinar Saurmauli; Crosita, Yessi; Octaviana, Betty; Kurnianingsih, I Desak Ketut Dewi Satiawati; Januraga, Pande Putu
Jurnal Kesehatan Masyarakat Vol 20, No 1 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i1.42775

Abstract

Improving knowledge and skills are crucial factors in increasing the commitment of health facility staff to support exclusive breastfeeding. This study presents the steps to formulate the modules using Delphi technique and implemented those modules in the training. This study used a mix-methods method consisting of four stages, namely literature review, qualitative study, module validity and module implementation. The modules were validated by 14 lactation experts to assess reliability, feasibility, and linguistics.  The study was conducted from 2020-2021 in 5 regions in East Java Province. A pre-post-test measurement with 493 health works and non-health workers was conducted to assess the effectiveness of the modules. The first round of Delphi showed agreement proportion between 80-100% on the three aspects. In the second round of Delphi, the strong consensus stated that the modules can be implemented in training was achieved with percentage of feasibility (79.4%), reliability (44.4%) and linguistics (44.4%). The results of the training using the modules showed a significant improvement in knowledge between 6-26 points in 5 areas (p-value0.000). In conclusion, three modules have been developed and validated successfully. The modules were effectively used to improve the breastfeeding knowledge and practice among health and non-health workers.

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