Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja
Cendekia Medika: Jurnal Stikes Al-Ma'arif Baturaja, with registered number ISSN 2503-1392 (Print) and ISSN 2620-5424 (Online), is an international peer-reviewed journal published four times a year by LPPM STIKES Al-Ma'arif Baturaja. Cendekia Medika: Jurnal Stikes Al-Ma'arif Baturaja is intended to be the journal for publishing articles reporting the results of research on Health Science field especially Nursing and Midwifery, Public Health as well as with their development through interdisciplinary and multidisciplinary approach. The submission process of the manuscript is open throughout the year. All submitted manuscripts will go through the blind peer review and editorial review before being granted with acceptance for publication. Initially published in 2016, Cendekia Medika has been using Open Journal System requiring all writers to register in advance before they are allowed to upload the manuscript they write online. Afterward, the editors, peer reviewers, and authors can monitor the manuscript processing. This journal has been accredited by SINTA 4 by Surat Keputusan Direktur Jenderal Pendidikan Tinggi, Riset, dan Teknologi Number 10/C/C3/DT.05.00/2025. Cendekia Medika: Jurnal Stikes Al-Ma'arif Baturaja has been indexing :
ANALYSIS OF VISUAL INSPECTION WITH ACETIC ACID SCREENING BEHAVIOR AMONG WOMEN OF REPRODUCTIVE AGE AT MUARA ENIM PUBLIC HEALTH CENTER
IVA examination is a screening examination of the post-smear smear because it is usually cheap, practical, very easy to do with simple equipment. This study aims to determine the factors related to the Behavior of IVA Test Examination in Women of Childbearing Age at the Muara Enim Health Center, Muara Enim Regency in 2025.The design of this study is quantitative with a cross-sectional approach. The population in the study were some women of childbearing age (WUS) at the Muara Enim Health Center, Muara Enim Regency in 2024, totaling 12,203 respondents. The sample in this study amounted to 94 people. The sampling method used Purposive sampling. This research was conducted on April 21- May 2, 2025.. Data collection using a questionnaire. Bivariate data analysis using the Chi-Square test and multivariate logistic regression. The results of the study showed that there was a relationship between knowledge (p value 0.00), husband's support (p value 0.02) and the role of cadres (p value 0.00) on the Behavior of IVA Test Examination in Women of Childbearing Age at the Muara Enim Health Center, Muara Enim Regency in 2025. There is no relationship between age (p value 0.13), education (p value 0.99), parity (p value 0.68) and attitude (p value 0.72) with the behavior of IVA Test Examination in Women of Childbearing Age at the Muara Enim Health Center, Muara Enim Regency in 2025. The dominant factor in IVA Test Examination Behavior in Women of Childbearing Age is husband's support (p Value 0.04). For the health center, it can provide health education to women of childbearing age, involve health cadres in various health services in the community including IVA test examination services and provide motivation to families in the IVA test examination
Copyright (c) 2025 Ervita Desi Marina, Ali Harokan, Lilis Suryani https://creativecommons.org/licenses/by-nc/4.0/
ANALYSIS OF STUNTING INCIDENCE IN TODDLERS AT MUARA ENIM HEALTH CENTER
Stunting is a condition where a child's physical development is impaired, resulting in a shorter stature than appropriate for their age. This study aims to determine the factors associated with stunting among children under five at Muara Enim Public Health Center, Muara Enim District, in 2025. This research employed a quantitative design with a case-control approach. The population consisted of mothers with stunted children in 2024. The sample included both case and control groups with a 1:1 ratio. The case group consisted of 30 children under five with stunting in 2024, while the control group included 30 non-stunted children from the Muara Enim Public Health Center area, totaling 60 respondents. The sampling technique used total sampling for the case group and simple random sampling for the control group. The research was conducted from May 2 to May 16, 2025. Data were collected using questionnaires. Bivariate data analysis was conducted using the Chi-Square test, and multivariate analysis was also performed. The results showed significant associations between stunting and the following variables: maternal age (p-value 0.00), maternal education (p-value 0.00), family income (p-value 0.00), birth weight (p-value 0.00), birth spacing (p-value 0.00), history of infectious disease (p-value 0.00), exclusive breastfeeding (p-value 0.00), clean water source (p-value 0.00), and feeding practices (p-value 0.00). The most dominant factor associated with stunting was the clean water source (p-value 0.00; OR: 25.0). The health center is advised to improve access to clean water and provide sanitation education to the community, particularly to families with children under five, deliver nutrition education to mothers of young children, and conduct screening for children at risk of stunting
Copyright (c) 2025 Risnia Oktavia, Arie Wahyudi, Lilis Suryani https://creativecommons.org/licenses/by-nc/4.0/
FACTOR ANALYSIS OF THE IMPLEMENTATION OF VISUAL INSPECTION OF ACETIC ACID (VIA) EXAMINATION IN WOMEN OF FERTILE AGE AT UJAN MAS HEALTH CENTER
Visual Inspection with Acetic Acid (VIA) is a low-cost and easy method for early detection of cervical cancer, but its implementation coverage remains low. This study aimed to analyze factors influencing VIA examination among women of reproductive age at Ujan Mas Health Center. A quantitative cross-sectional study was conducted involving 367 respondents selected through purposive sampling. Data were collected using validated questionnaires and analyzed through univariate, bivariate (chi-square), and multivariate (logistic regression) tests. Multivariate analysis revealed that age (p=0.018; OR=0.542), husband support (p=0.013; OR=1.933), and health cadre support (p=0.000; OR=10.393) were significantly associated with VIA examination. Cadre support emerged as the most dominant factor with a 53,9% probability contribution. Health cadre and husband support are crucial to enhancing VIA screening uptake. Knowledge, education, and access to information were not significantly associated in the final model. Strengthening the role of health cadres and involving husbands in health promotion interventions is recommended for improving early cervical cancer detection
Copyright (c) 2025 Aldesten Ikeliya, Ali Harokan, Erma Gustina https://creativecommons.org/licenses/by-nc/4.0/
ANALYSIS OF WEIGHT FALTERING INCIDENTS IN TODDLERS IN THE WORK AREA OF TANJUNG RAMBANG HEALTH CENTER, PRABUMULIH CITY
The maximum development potential of children under five is strongly influenced by nutrition. Estimates of stunting, wasting, overweight, and underweight as markers of child malnutrition. The most dominant stunting that occurs in toddlers is the problem of growth failure or weight faltering. Methods Research using cross-sectional. Population consists of mothers who have toddlers, who visit posyandu ILP Mekar Jaya in Talang Batu Village in February 2025 using purposive sampling technique obtained 53 respondents. The results of the study obtained age of toddlers p value = 0.04 OR 0.32, gender pvalue 0.90, birth weight pvalue 0.29, exclusive breastfeeding p value = 0.02 OR 0.27, maternal age p value =0.48, maternal education p value =0.16, parental income p value = 0.95, maternal knowledge p value Value =0.01 OR 4.25. From the final results of multivariate analysis. Variable knowledge with p value = 0.017 OR 4.250. Conclusion there is a significant relationship between the age of toddlers, exclusive breastfeeding and maternal knowledge of the incidence of weight falterin. The more dominant variableis knowledge
Copyright (c) 2025 Siti Anisa Maulidia, Akhmad Dwi Priyatno, Chairil Zaman https://creativecommons.org/licenses/by-nc/4.0/
ANALYSIS OF RISK FACTORS AFFECTING THE INCIDENCE OF HYPERTENSION IN THE WORKING AREA OF THE TALANG RATU PALEMBANG HEALTH CENTER
Hypertension is one of the non-communicable diseases whose prevalence continues to rise both globally and nationally, including in the working area of Talang Ratu Public Health Center, Palembang City. The risk factors for hypertension are classified into modifiable and non-modifiable factors. This study is an observational analytic research with a cross-sectional design. The sample consisted of 241 respondents selected using consecutive sampling from patients visiting the Talang Ratu Health Center in February 2025. Data were collected through interviews using questionnaires and direct measurement tools. Analysis was conducted using univariate, bivariate (Chi-square), and multivariate (multiple logistic regression) methods. The results showed that variables significantly associated with hypertension were age (p = 0.000), obesity (p = 0.001), physical activity (p = 0.005), fast food consumption (p = 0.003), stress (p = 0.010), and family history of hypertension (p = 0.000). Non-significant variables included gender (p = 0.748) and smoking habits (p = 0.576). The most dominant factor was age (OR = 6.912). It is concluded that age is the main risk factor for hypertension. Promotive and preventive efforts targeting modifiable risk factors should focus on high-risk age groups.
Copyright (c) 2025 Muhammad Baharul Iman, Akhmad Dwi Priyatno, Muhammad Prima Cakra Randana, Arie Wahyudi, R.A. Lisna Dwi Rahma https://creativecommons.org/licenses/by-nc/4.0/
ANALYSIS OF HEALTH SERVICE SATISFACTION IN OUTPATIENTS AT THE COMMUNITY LUNG HEALTH CENTER IN PRABUMULIH CITY
Patient satisfaction is the result of good healthcare. One of the goals of improving the quality of health services is to increase patient satisfaction. The purpose of this study was to determine patient satisfaction with outpatient health services at BKPM Prabumulih City in 2025. The research method used is quantitative with a cross-sectional approach which is the population, namely all patients or customers who receive services at BKPM in March 2025. sampling technique with a total population of 40 respondents. The results of the study obtained the pvalue of the age variable pValue = 0.031 OR 4.19, gender pValue = 0.822, education level pValue = 0.009 OR 0.163, Reliability pValue = 0.001 OR 11.900, responsiveness pValue = 0.45, Assurance pValue = 0.381, Empathy pValue = 0.000, Tangible pValue = 0.476. Empathy is a significant predictor of outpatient satisfaction with an OR of 15.750. The conclusion in this study is that there is a significant relationship between age, education level, reliability, and empathy on patient satisfaction and the most dominant variable is empathy. There is no significant relationship between gender, responsiveness, assurance, and tangible to patient satisfaction.
Copyright (c) 2025 Merry Iriai, Akhmad Dwi Priyatno, Ali Harokan, Nurul Fitriyah, Lisa Fitri https://creativecommons.org/licenses/by-nc/4.0/
ANALYSIS OF HYPERTENSION INCIDENCE IN PRODUCTIVE AGE GROUP AT PLAJU HEALTH CENTER PALEMBANG CITY
Hypertension is a non-communicable disease with increasing prevalence, particularly among the productive age group. Lifestyle factors and family history are suspected to significantly contribute to the incidence of hypertension. This study aimed to analyze the association between various risk factors and the incidence of hypertension in individuals of productive age. This was a cross-sectional study involving 375 respondents aged 15–59 years registered at Plaju Public Health Center. Samples were selected using accidental sampling. Data were collected using questionnaires, blood pressure measurements, and metabolic status assessments. Data analysis included univariate, bivariate (Chi-Square test), and multivariate (logistic regression). Bivariate analysis revealed significant associations between several factors—including education, family history of hypertension, sodium intake, physical activity, BMI, smoking, cholesterol, and stress—with hypertension. Logistic regression identified sodium intake as the most dominant factor influencing hypertension. The regression model demonstrated strong predictive ability. Hypertension among the productive age population is influenced by a combination of lifestyle and genetic predisposition. Controlling sodium intake, promoting healthy lifestyles, and conducting routine screening are essential for hypertension prevention in this age group.
Copyright (c) 2025 Grease Prathama, Ali Harokan, Dianita Ekawati https://creativecommons.org/licenses/by-nc/4.0/
ANALYSIS OF PATIENT SATISFACTION WITH EMERGENCY SERVICES AT PRABUMULIH CITY HOSPITAL
Patient satisfaction is a key metric for evaluating service quality in Emergency Departments (EDs). Service quality is assessed across five dimensions: reliability, responsiveness, assurance, empathy, and tangibility. Objective to analyze the relationship between service quality dimensions and patient satisfaction in the ED of Prabumulih General Hospital in 2025. A cross-sectional quantitative study was conducted with 99 respondents selected via purposive sampling. Data were collected using a structured questionnaire and analyzed using chi-square and logistic regression tests. Significant associations were found between each service quality dimension and patient satisfaction: reliability (p=0.001), responsiveness (p=0.002), assurance (p=0.001), empathy (p=0.001), and tangibility (p=0.001). Logistic regression identified assurance as the most dominant predictor (p=0.000; OR=6.422). The assurance dimension is the strongest predictor of patient satisfaction. Quality improvement efforts in the ED should prioritize enhancing healthcare professionals’ competence and professionalism
Copyright (c) 2025 Dwi Yuliani, Ali Harokan, Gema Asiani, Sutrisari Nainggolan https://creativecommons.org/licenses/by-nc/4.0/
PARENTAL SMOKING HABITS AND THE INCIDENCE OF ACUTE RESPIRATORY TRACT INFECTIONS IN TODDLERS
Acute Respiratory Tract Infection (ARI) remains a major cause of morbidity and mortality in toddlers in developing countries, including Indonesia. Toddlers are particularly vulnerable to ARI because their immune systems and respiratory tracts are not yet fully developed. One significant yet often overlooked environmental factor is parental smoking at home. Based on these conditions, this study was conducted to determine the relationship between parental smoking habits and the incidence of ARI in toddlers. This research is a quantitative analytical study with a cross-sectional approach involving 30 parents with toddlers in RT 03 RW 02, Sukaraya Village, within the working area of the Sukaraya Community Health Center (UPTD). A total sampling technique was used to obtain a comprehensive sample. Data were collected through interviews using a structured checklist instrument, then analyzed using the Chi-Square test. The results of the analysis showed that of the 17 parents who smoked, 47.1% of toddlers experienced ARI. In contrast, of the 13 parents who did not smoke, only 7.7% of toddlers experienced ARI. Statistical testing showed a p-value of 0.042 (p<0.05), indicating a significant association between parental smoking habits and the incidence of ARI in toddlers. This finding underscores the importance of family health education and interventions, particularly in reducing exposure to cigarette smoke at home, as an effort to prevent ARI and continuously protect toddler health.
Copyright (c) 2025 Nesa Ayu Murthisari Putri, Elis Desmawati https://creativecommons.org/licenses/by-nc/4.0/
ANALYSIS OF FACTORS CONTRIBUTING TO PULMONARY TUBERCULOSIS INCIDENCE AT UPTD HEALTH CENTER SIDORAHAYU, PLAKAT TINGGI DISTRICT, MUSI BANYUASIN REGENCY
Mycobacterium tuberculosis, better known as tuberculosis (TB), is an infectious disease that attacks the body system through the lungs. Based on data from the Care Detection Rate (CDR) of Tuberculosis Cases at the UPTD Puskesmas Sidorahayu, the number of positive Tuberculosis cases from 2023 to 2025 has increased. Where in 2023 the number of Tuberculosis cases was 15 cases and in 2024 the number of Tuberculosis cases was 19 cases and in 2025 there were 20 cases. The achievement of the discovery of suspected tuberculosis in 2023 amounted to 147 cases and in 2024 amounted to 178 cases, while in 2025 the number of suspected tuberculosis cases amounted to 46 cases. The purpose of this study was to analyze the picture of the incidence of pulmonary tuberculosis (TB) at the UPTD Puskesmas Sidorahayu in 2025. Research methodology with a Quantitative approach with a cross-sectional study, the research was conducted in May 2025 at UPTD Puskesmas Sidorahayu. The population in this study amounted to 263 which was obtained from positive patients and suspected Tuberculosis patients who received treatment at the Sidorahayu UPTD Puskesmas from 2024-2025, sampling techniques with Purposive sampling using the slovin formula obtained 72 samples, with Univariate, Bivariate, Multivariate data analysis with Chi-Square Test. The results obtained pvalue variable age 0.515, gender 0.206, education 0.328, income 0.792, ventilation 0.025 occupancy density 0.006, humidity 0.004, temperature 0.004, lighting 0.025. In conclusion, there is a significant relationship between ventilation, occupancy density, humidity, temperature, and lighting with the incidence of TB while the variables of age, gender, education, income have no significant relationship with the incidence of TB. The most dominant variable is lighting.UPTD Puskesmas Sidorahayu needs to provide clear and easy-to-understand information to the community about environmental risk factors that can trigger Tuberculosis, such as occupancy density, poor ventilation, poor lighting, and high humidity.
Copyright (c) 2025 Ida Royani, Akhmad Dwi Priyatno, Gema Asiani, Syahrizal, Hermanto https://creativecommons.org/licenses/by-nc/4.0/
ANALYSIS OF SKILLS OF POSYANDU COACHES IN PUSKESMAS AIR BELITI, MUSI RAWAS DISTRICT
In the era of Life Cycle Primary Care Confirmation, cadres are required to have Posyandu cadre skills. Posyandu cadre skills are very important to improve the quality of services in all life cycles ranging from infants and toddlers, pregnant women, adolescents, productive age and the elderly. Posyandu cadres in the Air Beliti Health Center area have never attended Posyandu cadre skills training. The research method uses a cross sectional design, the population is all posyandu cadres in 2025 using total sampling of 124 respondents. the test used is chi square test and logistic regression and multiple linear regression. The results obtained pvalue variable age 0.534 OR = 0.787, variable education 0.386 OR = 0.642, variable length of work 0.260 OR = 0.582, knowledge 0.000 OR = 31.182, cadre motivation 0.000 OR = 9.701. In conclusion, there is a significant relationship between the variables of knowledge and motivation of cadres, while the variables of age, education and length of service were not found to have a significant relationship with the skills of posyandu cadres. It is recommended that regular and continuous training be organized that focuses on the 25 basic skills of cadres, with a hands-on approach and evaluation of learning outcomes
Copyright (c) 2025 Hari Agus Pranata, Akhmad Dwi Priyatno, Lilis Suryani, Helen Evelina, Syarifah Nadya Assegaf https://creativecommons.org/licenses/by-nc/4.0/
WEB-BASED AUDIOVISUAL NUTRITION EDUCATION VIA WHATSAPP FOR ADOLESCENTS: A PRE-EXPERIMENTAL STUDY
Adolescence is a critical period that plays an essential role in fulfilling nutritional needs. Inadequate nutrient intake during this phase can hinder physical growth and cause mental developmental disorders. One effort to improve nutritional knowledge is through technology-based edutainment, such as the use of Android applications and websites. Audiovisual educational media delivered via WhatsApp provides an effective interactive platform to enhance adolescents’ knowledge, attitudes, and behaviors regarding balanced nutrition. This study aimed to evaluate the effectiveness of website-based audiovisual media delivered through WhatsApp in improving nutritional knowledge and attitudes among 11 students at SMP Darul Qur’an Padang, with inclusion criteria: (1) had never received health education, (2) were active students, (3) were willing to participate in the intervention, (4) owned a personal smartphone, and (5) had WhatsApp installed and accessible for video calls. Data were collected using pretest and posttest questionnaires. The results showed a significant improvement in both knowledge and nutritional attitudes after the intervention (p-value = 0.000). The average knowledge score increased from 11.55 (pretest) to 17.09 (posttest), while the average attitude score increased from 40.09 to 44.36. Based on these findings, future studies are recommended to expand educational media by incorporating interactive features (such as educational games or online discussion forums) to further enhance student engagement
Copyright (c) 2025 Dzikra Fitria Amita, Muhammad Panji Muslim https://creativecommons.org/licenses/by-nc/4.0/
THE EFFECT OF A PEER SUPPORT BASED NURSING EDUCATION PROGRAM ON ADOLESCENT ENGAGEMENT IN HEALTH SELF-MANAGEMENT
Adolescence is a critical phase in individual development, where awareness and skills in managing self-health are very important to be formed. This study aims to determine the effect of a peer support-based nursing education program on adolescent involvement in self-health management. The research method used was a quasi-experimental with a pretest-posttest design and a control group. The subjects of the study were adolescents aged 15–18 years who were selected purposively from two high schools. The intervention was given in the form of a nursing education session facilitated by peers (peer educators) for four weeks. Data were collected through a validated self-health involvement questionnaire and analyzed using paired t-test and independent t-test statistical tests. The results showed a significant increase in the level of adolescent involvement in the intervention group compared to the control group (p < 0.05). These findings indicate that the peer support approach is effective in increasing adolescent awareness and participation in managing their health. This program is recommended as a relevant and sustainable health promotion strategy in the school environment
Copyright (c) 2025 Nurharlinah Nurharlinah, Karyatain Karyatain, Rini Herdiani https://creativecommons.org/licenses/by-nc/4.0/
RELATIONSHIP BETWEEN ACADEMIC STRESS LEVEL AND SLEEP QUALITY OF CLASS XII STUDENTS IN PREPARATION FOR STATE UNIVERSITY ENTRANCE SELECTION EXAMS
Stres akademik dan kualitas tidur adalah dua faktor yang krusial yang dapat mempengaruhi performa siswa, terutama bagi mereka yang sedang mempersiapkan ujian seleksi masuk Perguruan Tinggi Negeri (PTN). Penelitian ini bertujuan untuk memastikan adanya hubungan tingkat stres akademik dengan kualitas tidur siswa kelas XII dalam persiapan ujian seleksi masuk PTN. Penelitian ini menggunakan desain cross-sectional, yang dilakukan terhadap 252 siswa di SMAN1 Kota Tangerang. Instrumen pada penelitian ini menggunakan Percieved Stress Scale-10 (PSS-10) untuk mengetahui tingkat stres akademik dan Pitssburgh Sleep Quality Indeks (PSQI) untuk mengetahui kualitas tidur. berdasarkan tingkat stres akademik, ditemukan 75% responden mengalami tingkat stres akademik sedang, sedangkan sebanyak 73% responden mengalami kualitas tidur yang buruk. Uji chi-square menunjukkan nilai p = 0,01 (p <a; a= 0,05), menandakan terdapat hubungan signifikan antara tingkat stres akademik dengan kualitas tidur siswa kelas XII dalam persiapan ujian seleksi masuk PTN. Sekolah perlu memberikan perhatian terhadap kesehatan mental dengan program manajemen stres, pentingnya manajemen waktu dalam belajar dan kebiasaan tidur yang sehat (sleep hygiene). Peneliti selanjutnya dapat menambahkan responden yang berbeda yaitu SMA Negeri maupun SMA Swasta agar terlihat gambaran kejadian secara keseluruhan dalam suatu populasi
Copyright (c) 2025 Ahmad Basofi Mujahidin, Yossie Susanti Eka Putri, Yudi Ariesta Chandra, Ria Utami Panjaitan https://creativecommons.org/licenses/by-nc/4.0/
ANALYSIS OF THE INCIDENCE OF DENGUE FEVER (DHF) IN THE WORKING AREA OF THE TALANG UBI HEALTH CENTER, PALI REGENCY IN 2025
The Dengue virus is a virus that can transmit disease, as its transmission is carried out by disease-carrying vectors, namely the Aedes aegypti and Aedes albopictus mosquitoes, through biting humans. The primary cause of the increase in DBD cases is the low level of DBD prevention behavior. There has been a fluctuation in the incidence of dengue fever in the service area of the Talang Ubi Health Center in PALI District, with 38 cases in 2022, increasing to 66 cases in 2023, and decreasing again to 43 cases in 2024. The objective of this study is to analyze the incidence of dengue fever (DBD) in the service area of the Talang Ubi Health Center. The research method used is analytical with a case-control study design. The study was conducted in the service area of the Talang Ubi Health Center in PALI District from April to May 2025. The research design was case-control. The population was 61,428 people living in the working area of Talang Ubi Health Center in PALI Regency. The sample was divided into 43 case group respondents and 43 control group respondents. The case group was DHF patients in the working area of Talang Ubi Community Health Center in PALI Regency from January to December 2024. Meanwhile, the control group was people in the working area of the Talang Ubi Community Health Center of PALI Regency who were not diagnosed with Dengue Fever (DHF). The sampling technique used was purposive sampling. Bivariate analysis used Chi-Square test, multivariate analysis used multiple logistic regression test, and univariate analysis was the first step in the data analysis process. The results showed the p value of knowledge 0.825, attitude 1.000. Water storage 0.004, garbage disposal system 0.093, home environmental conditions 0.093, cadre support 0, 049. The conclusion is that there is a relationship between water reservoirs, garbage disposal systems, home environmental conditions and cadre support. The most dominant factor is the cadre support variable compared to other factors (OR 2.98). In preventing dengue fever cases, good cooperation between the community and health workers is essential in order to create a clean and safe environment that is free from such cases.
Copyright (c) 2025 Ni Putu Yanti, Nani Sari Murni, Gema Asiani, Yusnilasari, Indriany https://creativecommons.org/licenses/by-nc/4.0/
ANALYSIS OF ADHERENCE TO TAKING ANTI-TUBERCULOSIS DRUGS IN PATIENTS WITH PULMONARY TBC
The large number of Tuberculosis cases in the world and Indonesia's number 2, Puskesmas Gasing Laut contributes a large number of patients. There is a risk of increasing the number of Tuberculosis patients if not handled properly. This study was conducted in May-June 2025. The population and samples of this study were patients with pulmonary tuberculosis who were still undergoing treatment at the Gasing Laut Health Center. This research is quantitative with analytic survey method with cross sectional approach. Data analysis used Chi square test with a meaning level of 95% and multivariate analysis using multiple logistic regression test. The results of this study obtained a pvalue on the age variable p value 0.637, gender variable p value 0.217, education variable 0.441, knowledge 0.001, occupation 1,000, attitude 0.035, family support 0.080, side effects of drugs pvalue 0.010, distance from home to health center 1,000. So it can be concluded that there is a correlation between the variables of knowledge, attitude, family support and side effects of drugs with adherence to taking anti-tuberculosis drugs and conversely there is no correlation between the variables of age, gender, education, occupation and distance from home to the health center while the most dominant variable is knowledge with an OR value = 30.332 (95% CI: 2.408-382.129) so that respondents with high knowledge have a 30.332 times higher chance of adherence to taking Anti-Tuberculosis Drugs (OAT) than respondents with low knowledge.
Copyright (c) 2025 Ardika Pratiwi, Akhmad Dwi Priyatno, Chairil Zaman, Nurul Fitriah, Andri Irawan https://creativecommons.org/licenses/by-nc/4.0/
ANALYSIS OF THE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS (EMR) IN THE OUTPATIENT INSTALLATION OF ERNALDI BAHAR HOSPITAL, SOUTH SUMATRA PROVINCE
The problems that often occur are the repair of the Health Information System (SIMRS) with 50 cases and issues related to the local area network (LAN) with 34 cases. The use of Electronic Medical Records (RME) in the Outpatient Installation of RS Ernaldi Bahar has not yet improved the waiting time for services in the clinic. In addition, healthcare workers still need to fill out manual medical record forms. The research employed a qualitative descriptive study approach. The research was conducted from May 20, 2025, to June 10, 2025. The informants in this study consisted of 8 respondents who played a role in the implementation of electronic medical records (RME) using purposive sampling techniques. Data collection was carried out using interviews, observations, and documentation. Based on the research findings, it was found that the availability of facilities and infrastructure is almost 100%, although the common problem is disruptions in internet connectivity. Human resources are still insufficient, but all personnel have participated in socialization and RME training; however, the use of RME is more dominated by the younger age group. Regulations and guidelines are already available electronically in the SIMRS application. The RME interface is user-friendly but still needs improvement according to the hospital's needs.
Copyright (c) 2025 Herlenni Evi Sesty, Akhmad Dwi Priyatno, Erma Gustina, Syahrizal, Zuhro Haris https://creativecommons.org/licenses/by-nc/4.0/
ANALYSIS OF FACTORS ASSOCIATED WITH INDOOR AIR GERM COUNTS IN INPATIENT ROOMS AT ERNALDI BAHAR HOSPITAL
The air germ count in the inpatient room of Ernaldi Bahar Hospital tends to exceed the maximum concentration of the indoor air germ count index which is set at an average of above 500 CFU/m3. This condition has the potential to increase the risk of nosocomial infections, especially lower respiratory tract infections, which can have an impact on the safety of patients and medical personnel. Various physical environmental factors such as temperature, humidity, lighting, and building technical requirements as well as staff compliance in the implementation of hand washing are thought to play a role in influencing airborne germ counts in inpatient rooms. The main objective of this study was to find and analyze the variables that contribute to the air germ rate in the inpatient room of Ernaldi Bahar Hospital in 2025. The study was conducted of May 21 th – June 20 th, 2025. The design of this study was quantitative with a cross-sectional study. The population of this study were all psychiatric inpatients and nurse all psychiatric inpatients at Ernaldi Bahar Hospital, South Sumatra Province. The sample in his study totaling 45 inpatient rooms with total sampling technique anda 45 nurse with purposive sampling . data collection and retricval was using a direct measurement and observation. Analysis used univariate, bivariate and multivariate. The statistis test used an chi-square test and logistic regression with significance level (α) 0,05. The results showed taht room temperature (p value = 0,009), room humidity (p value = 0,012), room lighting (p value = 0,002), technical requirements of the room building (p value = 0,951), compliance with hand washing implementation (p value = 0,019). Multivariate statistical tests obtained the most dominant variable associated with indoor air germ numbers is lighting. In conclusion, there is a relationship between room temperature, humidity, room lighting and compliance with hand washing implementation with air germs in the inpatient rooms at Ernaldi Bahar Hospital.
Copyright (c) 2025 Menny Apriani, Akhmad Dwi Priyatno, Erma Gustina, Ali Harokan, Helmy Adriansyah https://creativecommons.org/licenses/by-nc/4.0/
ANALYSIS OF FACTORS AFFECTING MEDICATION ADHERENCE IN TYPE 2 DIABETES MELLITUS PATIENTS
Diabetes mellitus type 2 is a chronic metabolic disease characterized by hyperglycemia due to impaired insulin secretion, insulin action, or both. Medication adherence is a crucial factor in achieving optimal glycemic control and preventing complications. This study aims to analyze various factors associated with medication adherence among type 2 diabetes mellitus patients at Peninjauan Health Center, Ogan Komering Ulu Regency, in 2025. A cross-sectional analytical study was conducted involving 73 patients selected through quota sampling. Data were collected via interviews using structured questionnaires, including the Medication Adherence Rating Scale-10 (MARS-10), Hensarling Diabetes Family Support Scale (HDFSS), and Diabetes Obstacles Questionnaire (DOQ). The variables studied included age, gender, education level, employment status, income, disease duration, family support, and healthcare provider support. Data analysis was performed using chi-square tests and multivariate logistic regression. The results showed that 53.4% of respondents were adherent to medication. Bivariate analysis indicated significant associations between medication adherence and age (p=0.041), education level (p=0.042), employment status (p=0.034), disease duration (p=0.026), family support (p=0.003), and healthcare provider support (p=0.002). Multivariate analysis identified healthcare provider support as the dominant factor influencing medication adherence (p=0.001; OR=5.289; 95% CI: 1.929–14.503). These findings conclude that healthcare provider support plays a critical role in improving medication adherence among type 2 diabetes mellitus patients. It is recommended that healthcare providers enhance their support and communication strategies to promote optimal adherence behavior
Copyright (c) 2025 Marina Dwi Putri, Nani Sari Murni, Prima Cakra Rendana, Arie Wahyudi, Anif Budiyanto https://creativecommons.org/licenses/by-nc/4.0/
ANALYSIS OF PATIENT SATISFACTION WITH THE QUALITY OF OUTPATIENT SERVICES IN THE INTERNAL MEDICINE POLYCLINIC OF THE PRABUMULIH GENERAL HOSPITAL
Public satisfaction is influenced by healthcare services because it is one of the factors contributing to improving the quality of healthcare services. The results of the public satisfaction survey have fluctuated over the past three years, from 2022 to 2024. In 2022, the SKM score was 81.25 in the first semester and 80.70 in the second semester, in 2023, 81.70 in the first semester and 81.35 in the second semester, and in 2024, 82.425 in the first semester and 85.2 in the second semester. The research method used a cross-sectional approach. The population consisted of outpatients receiving treatment at the internal medicine polyclinic at Prabumulih General Hospital. A purposive sampling technique was used to obtain 88 respondents. The study found no correlation between age, gender, and assurance on patient satisfaction. However, the variables that were correlated with patient satisfaction were education (p-value = 0.021), tangibles (p-value = 0.035), reliability (p-value = 0.008), responsiveness (p-value = 0.001), and empathy (p-value = 0.001). The final multivariate analysis revealed that the dominant variable influencing satisfaction was responsiveness, with a p-value = 0.009 and an Exp(B) value of 22.654. Conclusion: There is a significant correlation between education, tangibles, reliability, responsiveness, and empathy on outpatient satisfaction at Prabumulih City Hospital. Responsiveness was the dominant variable
Copyright (c) 2025 Dina Riana, Akhmad Dwi Priyatno, Chairil Zaman, Sutriana Sabrina N, Indra Martiandra https://creativecommons.org/licenses/by-nc/4.0/
EVALUATION OF DRUG PLANNING AND PROCUREMENT AT THE HEALTH OFFICE OF KEPULAUAN MERANTI REGENCY
Inability to properly plan drug needs at the health department level affects drug availability in public health services. This study aims to evaluate the drug planning and procurement process at the Health Office of Kepulauan Meranti Regency. This is a descriptive qualitative research using a case study approach. Data were collected through in-depth interviews, observations, and document reviews from the Pharmaceutical Installation Unit. The findings show that planning was not data-driven, and the Integrated Drug Planning Team (TPOT) has not been formally established. Distribution was conducted without synchronization with actual needs in primary health centers. The study concludes that strengthening information systems, improving human resources capacity, and forming an active TPOT are essential to ensure efficient drug procurement.
Copyright (c) 2025 Melna Heriati, Seftika Sari, Husnawati https://creativecommons.org/licenses/by-nc/4.0/
THE RELATIONSHIP BETWEEN KNOWLEDGE AND ATTITUDES ABOUT REPRODUCTIVE HEALTH AND THE PREVENTION OF SEXUALLY TRANSMITTED INFECTIONS AMONG ADOLESCENTS
The number of cases of STIs (sexually transmitted infections) caused by bacteria, viruses, parasites or lice in the genitals and transmitted through sexual intercourse is still relatively high, This is because the public, especially teenagers, do not have adequate understanding of sexually transmitted infections. They have an attitude of curiosity and want to try, but they are not aware of the impact of sexually transmitted infections in the form of health problems. Good knowledge is an important foundation in forming an attitude of avoiding and avoiding free sex. Objective: to be able to increase understanding of reproductive health and prevent the prevention of STIs in teenagers at Baturaja Development Cadre High School. Method: The author uses a descriptive quantitative research method, with a cross-sectional approach. The population in this study was all students who attended Kader Pembangunan Baturaja High School, totaling 82 people, and the sample in this study was 76 respondents who were taken using a purposive sampling technique according to the inclusion and exclusion criteria. Results: After conducting research on 76 respondents, it was found that the results of the Chi Square test obtained a ρ Value of 0.000 < (0.05). This means that there is a relationship between attitudes about reproductive health and the prevention of STIs in teenagers at Baturaja Development Cadre High School. Conclusion: There is a relationship between knowledge and attitudes about reproductive health and the prevention of STIs in teenagers at Baturaja Development Cadre High School.
Copyright (c) 2025 Maya Sartika https://creativecommons.org/licenses/by-nc/4.0/
SELF-EFFICACY AND DIETARY ADHERENCE IN PATIENT WITH DIABETES MELLITUS: A CROSS SECTIONAL STUDY
Diabetes mellitus is a non-communicable disease with a steadily increasing prevalence. Diet management plays an pivotal role in controlling blood glucose and preventing complications, but patient compliance still varies. Self-efficacy is a major factor that influences the success of diet management. The purpose of this study is to investigate the correlation between self-efficacy and dietary management in individuals with diabetes mellitus. A descriptive cross-sectional study was conducted from March to April 2024 involving 181 respondents within the working area of Pasie Panjang Public Health Center. Data were analyzed using the Spearmen rank correlation test. The finding showed that 36.5% of patients had moderate self-efficacy, while 51.4% had high dietary compliance. There was a significant relationship between self-efficacy and diet adherence (p=0.000; r=0.785), indicating a strong correlation. Individuals with high self-efficacy tended to be more compliant in following their diet, while low self-efficacy was associated with low diet adherence. Thus, increasing self-efficacy needs to be a focus in interventions to improve diet compliance in individuals with diabetes mellitus
Copyright (c) 2025 Serli Kause, Theodehild M. Theresia Dee, Priska K. Lette https://creativecommons.org/licenses/by-nc/4.0/
DETERMINANTS OF ADHERENCE TO TAKING MEDICATION IN PULMONARY TUBERCULOSIS PATIENTS
Pulmonary tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis bacteria that most often affects the lungs and even other organs. WHO stated that in 2021 there will be 10 million people infected with pulmonary Tb each year, and 1.5 million people die each year. Based on the results of the Basic Health Research conducted by the Research and Development Agency of the Ministry of Health of the Republic of Indonesia in 2018, there were 1,017,290 cases of pulmonary Tb in Indonesia. The effects of patient non-adherence in Tb treatment can increase the risk of morbidity, mortality and drug resistance both in patients and in the wider community. The purpose of this study was to analyze various factors associated with adherence to taking medication in patients with pulmonary Tb in the work area of the Tanjung Baru Health Center, Ogan Komering Ulu Regency in 2025. This study is a type of observational analytic research using a quantitative approach and cross-sectional design. The research was conducted in the work area of the Tanjung Baru Health Center, OKU Regency in May-June 2025. The population in this study were all Tb patients, both suspected and confirmed pulmonary Tb in the work area of the Tanjung Baru Health Center in 2024, totaling 67 people. The research sample that has met the inclusion and exclusion criteria was obtained as many as 45 respondents. The results showed that several independent variables such as family income, family support, knowledge and attitude of respondents were significantly associated with medication compliance (Pv<0.05). Other variables such as respondents' age, gender, education level, employment status and duration of taking medication were not associated with adherence to taking medication (Pv>0.05). Suggestions to improve efforts to manage Pulmonary TB disease by optimizing health promotion activities by cadres and health workers regarding Pulmonary TB disease and its treatment. Remind patients about the importance of taking medicine regularly and regularly according to recommendations. Remind patients that compliance in taking Lung TB drugs can minimize the risk of complications and drug resistance and increased transmission of Lung TB disease.
Copyright (c) 2025 Fitratul Harits, Nani Sari Murni, Lilis Suryani https://creativecommons.org/licenses/by-nc/4.0/
THE ROLE OF FAMILY KNOWLEDGE IN THE INCIDENCE OF PULMONARY TUBERCULOSIS
Tuberculosis can be caused by the bacteria Mycobacterium tuberculosis, which attacks the lungs in 80% of cases. Socioeconomic conditions, age, gender, family knowledge and support, nutritional status, and smoking habits are some of the factors that influence pulmonary TB disease. This study aims to investigate the role of family support and knowledge in cases of pulmonary TB at the Lubuk Rukam Community Health Center, although smoking is not the main cause of the disease. Cross-sectional study of the population of TB patients who came to the polyclinic, consisting of 125 patients aged 23 to 50 years. Samples taken by chance from 80 samples in this study showed the results of univariate analysis of 12.5 percent, suffering from pulmonary TB who did not suffer 87.5 percent, 20.0 percent, and lack of knowledge 80.0 percent. There is family support of 25.0% and no family support of 75.0%. Bivariate analysis showed that the p value of 0.003 indicates that statistically there is a significant relationship between knowledge and the incidence of pulmonary tuberculosis. Meanwhile, family support had a p-value of 0.002. Statistically, there was a significant relationship between family support and the incidence of pulmonary TB. Conclusion: There was a significant relationship between understanding and family support and the incidence of pulmonary tuberculosis at the Lubuk Rukam Community Health Center.
Copyright (c) 2025 Eva Yustati https://creativecommons.org/licenses/by-nc/4.0/