JIKSH: Jurnal Ilmiah Kesehatan Sandi Husada
Not a member yet
583 research outputs found
Sort by
Monitoring 30° Head Elevation to Enhance Cerebral Perfusion in Traumatic Brain Injury Patients
Full text linkIntroduction: Traumatic Brain Injury (TBI) is one of the critical conditions that requires quick and appropriate treatment to prevent further damage to brain tissue. One non-invasive approach that can be applied is a head elevation of 30°, which is believed to increase cerebral tissue perfusion and reduce intracranial pressure. This study aims to evaluate the effectiveness of monitoring and the application of 30° head elevation in improving cerebral perfusion in patients with captive trauma.
Research Methodology: This study uses an observational design with a pre-post test approach. The study subjects were patients with capitis trauma who performed a 30° head elevation action. Parameters observed before and after the intervention included the Glasgow Coma Scale (GCS), blood pressure, body temperature, pulse, pain, frequency of vomiting, nausea intensity, and dizziness level.
Result: After applying a head elevation of 30°, the patient's GCS remained stable at a value of 15 (composmentis). Body temperature decreased from 38.6°C to 36.8°C, and pulse rate from 118x/min to 80x/min. The pain scale decreased from 8 to 3, vomiting from 5x/day to 1x/day, nausea from a score of 5 to 1, and dizziness from a score of 4 to 1. Blood pressure did not change significantly (140/90 mmHg).
Conclusion: The application and monitoring of 30° head elevation are effective in increasing the perfusion of cerebral tissue and lowering clinical symptoms related to capitis trauma. This intervention can be used as the first step in the nursing management of TBI patients
Analysis of the causes of diabetes mellitus occurrence in the chronic disease management program
Full text linkIntroduction: The Chronic Disease Management Program (Prolanis) is a health service system carried out with a proactive approach whose implementation involves participants, health facilities, and BPJS health for chronic disease sufferers. The purpose of this study was to determine the factors that influence the incidence of diabetes mellitus in Prolanis participants at the Pangkajene Health Center, Sidrap Regency.
Research Methodology: The type of research used is cross-sectional study research, which is a study where independent variables/causal factors/physical factors and dependent variables/consequential factors/effect factors are collected at the same time, which was carried out at the Pangkajene Health Center, Sidrap Regency, in the period March-April 2024 with a total of 68 participants.
Result: The results of the study showed that the variables of age (Ï=0.031), obesity (Ï=0.002), diet (Ï=0.026), and genetic history (Ï=0.005) had an influence on the incidence of diabetes mellitus in Prolanis participants at the Pangkajene Health Center, Sidrap Regency.
Conclusion: The age variable is the variable that most influences the incidence of Diabetes Mellitus. There is a need for early detection in people who have a genetic history of diabetes mellitus and increasing community participation in Prolanis activities in order to be able to monitor degenerative disease
Impact of PPE availability and safety training on occupational health implementation in rural construction projects: a cross-sectional study
Full text linkIntroduction: The construction sector remains one of the most hazardous industries worldwide, with significantly higher rates of fatal and major injuries. In Indonesia, construction accidents contribute to a considerable proportion of national occupational incidents. This study evaluates the implementation of Occupational Health and Safety (OHS) programs in a rural water supply infrastructure project.
Method: A cross-sectional quantitative study was conducted involving 54 construction workers selected through total sampling. The study assessed three key variables: availability of Personal Protective Equipment (PPE), PPE usage, and OHS training participation. Data were collected through structured interviews and direct observation. Statistical analysis was performed using the Chi-Square test with a significance level 0.05.
Results: The study found significant associations between OHS program implementation and PPE availability (p = 0.003), PPE usage (p = 0.001), and OHS training (p = 0.008). Workers with complete PPE availability and proper usage and those who had received safety training demonstrated a higher adherence to OHS protocols.
Conclusion: The successful implementation of OHS programs in construction sites, particularly in rural water infrastructure projects, relies heavily on the availability and use of PPE and structured safety training. Strengthening these components can lead to a safer work environment and significantly reduce workplace accident
Economic Income as a Cause of Stunting: an Analysis Based on the Perspective of Karl Marx: Literature Review
Full text linkIntroduction: Stunting begins to appear when the child is two years old and begins when the fetus is still in the womb. The increase in child morbidity and mortality is the impact caused by the incidence of stunting. Stunting children will be able to experience disturbances in their intelligence level, susceptibility to diseases, decreased productivity, and stunted economic growth, which impacts poverty.
Method: This study is a literature review using the PRISMA method. Articles published in 2022-2024 were found by conducting database searches (Garuda and Google Scholar) and using the keywords "Stunting" and "Economic Income," and limited to using Chi-Square analysis so that articles meet the criteria for analysis, as many as 10 articles.
Results: The search results for the ten articles were obtained, all stating the relationship between economic income and stunting. The author claims that Karl Marx's point of view highlights this problem as a social problem from a social system that subjugates a particular economic class. Dependence on the wage system, inadequate social security, and the exploitation of labor by capitalism trap many proletarian families in a cycle of poverty. This leaves children in these homes vulnerable to chronic malnutrition, which adversely affects their physical and cognitive development.
Conclusion: The problem of low economic income in society as the cause of stunting is not only technical interventions, such as supplementary nutrition programs, but rather more fundamental structural changes, as seen from a Marxist perspective. Systematic reduction of economic inequality and stunting prevention can be achieved through wealth redistribution, wage system improvement, and labor exploitation elimination
Effect of family history on the incidence of hypertension in the pre-elderly
Full text linkIntroduction: Hypertension is a significant public health issue, particularly in pre-elderly populations, and can lead to various chronic diseases if not properly managed. This study aims to investigate the effect of family history on the incidence of hypertension in the pre-elderly population.
Method: A quantitative research design with a case-control approach was employed, involving 42 respondents (21 cases and 21 controls). Data were collected using a questionnaire and analyzed with the Chi-square test.
Results: The findings revealed a significant association between family history and the occurrence of hypertension in the pre-elderly, with a p-value of 0.000. Conversely, no significant relationship was found between physical activity and hypertension incidence (p-value = 0.634).
Conclusion: The study concludes that family history is a significant risk factor for hypertension in the pre-elderly. At the same time, physical activity does not appear to influence the condition in this group. Regular monitoring and management of blood pressure, particularly for those with a family history of hypertension, are crucial for preventing the development of hypertension in the pre-elderly populatio
Relationship between knowledge and parity with parental participation in child developmental screening
Full text linkIntroduction: Child development is a fundamental aspect determining their future quality of life. Stunting, as a long-term nutritional disorder, remains a significant health issue in Indonesia, with a prevalence of 30.8%, according to Riskesdas 2018. Developmental check-ups play a key role in detecting developmental deviations. Yet, parental involvement remains low and is closely related to the level of understanding and number of children they have.
Method: his research employed a cross-sectional approach using a questionnaire on parental knowledge and participation in child development screening, involving 47 respondents.
Results: Chi-square test results showed a significant correlation between knowledge level and parental participation (p=0.01), while parity was not significantly associated with parental involvement (p=0.60).
Conclusion: The analysis results indicate a significant relationship between knowledge and parental participation in child developmental screening, whereas parity does not show a statistically significant relationship with parental involvement
Comprehensive management of osteoarthritis and hypertension in an elderly patient: a family medicine case study
Full text linkIntroduction: Osteoarthritis (OA) and hypertension are common chronic degenerative diseases in the elderly, often affecting physical function and quality of life. This case study aimed to assess a holistic management plan for an elderly male patient using the principles of family medicine.
Method: This was a descriptive case study involving a 76-year-old male patient presenting with bilateral knee and ankle pain for three years and newly diagnosed hypertension. Data were collected through anamnesis, physical examination, home visits, and family assessments. Interventions included pharmacological treatment and structured non-pharmacological management with educational counseling based on patient-centred and family-focused care.
Results: Pharmacological therapy included meloxicam, vitamin B12, and amlodipine. Non-pharmacological strategies focused on lifestyle modification, OA-targeted exercises, and disease education for the patient and family. Post-intervention, the patient reported reduced pain (VAS score reduced from 7 to 2), improved blood pressure (from 159/90 mmHg to 140/83 mmHg), and enhanced disease knowledge (pre-test 60% to post-test 90%). Family support and environmental factors also improved. No adverse effects or complications were observed during the intervention.
Conclusion: A comprehensive family medicine approach combining medical therapy and targeted education effectively improved clinical symptoms and patient understanding in managing OA and hypertension in the elderly. These findings highlight the importance of family involvement and continuous health education at the primary care level
Level of public knowledge on the principle of DAGUSIBU in antacid drugs at thalhah pharmacy
Full text linkIntroduction: Antacids are commonly used over-the-counter medications for treating gastritis, yet public knowledge regarding their proper use remains limited. The DAGUSIBU (Obtain, Use, Store, Dispose) campaign by the Indonesian Pharmacists Association aims to improve rational drug use among the community. However, initial observation at Thalhah Pharmacy in Makassar revealed a lack of counseling related to DAGUSIBU principles. This study aims to assess the level of public knowledge regarding the DAGUSIBU principles related to antacid use at Thalhah Pharmacy.
Method: This was a descriptive study using a survey method. A total of 48 respondents were selected from 90 pharmacy visitors through accidental sampling using the Slovin formula. Data were collected using a Likert-scale questionnaire and analyzed using Microsoft Excel, with results presented in percentage tables and categorized into three levels: good, fair, and poor.
Results: Findings show that 73.25% of respondents had good knowledge, 20.82% had fair knowledge, and 5.91% had poor knowledge of DAGUSIBU principles. Knowledge of obtaining antacids was good (77.8%), while use (59%), storage (58%), and disposal (43.7%) scored moderately.
Conclusion: The public demonstrates adequate knowledge in obtaining antacids, but further education is needed in the areas of usage, storage, and disposal to support safe and responsible self-medication practice
Analysis of the use of long term contraceptive methods
Full text linkIntroduction: Indonesia ranked third among ASEAN countries in maternal mortality rate (MMR) in 2017, with 177 deaths per 100,000 live births. This high rate has prompted various governmental initiatives to reduce MMR, with the family planning (FP) program being one of the most effective strategies. However, the uptake of long-acting and permanent contraceptive methods (LAPMs) remains low, particularly due to social and personal barriers. This study aims to analyse the factors influencing the use of long-acting contraceptive methods (LAPMs) among family planning acceptors.
Method: A quantitative correlational study with a cross-sectional design was employed. The study involved 35 FP acceptors selected from a population 62 using accidental sampling. Data were collected using a structured questionnaire and analysed through the Chi-square test with a significance threshold of α = 0.05.
Results: The findings revealed significant associations between LAPM use and three key factors: knowledge (p = 0.036), attitude (p = 0.027), and husband’s support (p = 0.005). Most respondents who did not use LAPMs had poor knowledge, unfavourable attitudes, and lacked spousal support.
Conclusion: There is a statistically significant relationship between knowledge, attitude, husband’s support and the use of long-acting contraceptive methods. These findings highlight the importance of educational interventions and partner involvement in enhancing LAPM uptak
Determinants of chronic energy deficiency (CED) in pregnant women in stunting
Full text linkIntroduction: Chronic Energy Deficiency (CED) in pregnant women is a condition resulting from prolonged malnutrition, particularly insufficient energy and protein intake. This condition significantly increases the risk of maternal and infant mortality, low birth weight (LBW), and contributes to stunting in children. This study aims to identify the determinants influencing the incidence of CED among pregnant women in the stunting.
Method: A cross-sectional observational study was conducted among 201 pregnant women selected through purposive sampling from 30 stunting-prone villages. Data collection involved Android-based questionnaires and anthropometric measurements using Mid-Upper Arm Circumference (MUAC). Statistical analyses included chi-square tests for bivariate analysis and logistic regression for multivariate analysis.
Results: The prevalence of CED among the participants was 15.9%. Significant factors associated with CED included maternal age (p=0.000; OR=2.79; 95% CI: 1.67–4.64), employment status (p=0.016; OR=6.73; 95% CI: 1.58–27.94), antenatal care visits (p=0.004; OR=11.31; 95% CI: 2.71–28.19), pregnancy spacing (p=0.023; OR=6.80; 95% CI: 1.31–26.8), family smoking history (p=0.002; OR=0.45; 95% CI: 0.27–0.75), and family income (p=0.013; OR=5.24; 95% CI: 1.73–26.02).
Conclusion: CED among pregnant women is significantly influenced by age, occupational status, antenatal care frequency, pregnancy interval, family exposure to cigarette smoke, and low household income. Strengthening antenatal care services, promoting family planning, enhancing nutrition education, and mitigating environmental risk factors such as secondhand smoke exposure are essential strategies to reduce CED and its adverse health outcomes