Jurnal Kesehatan Cendikia Jenius

Analysis of Knowledge, Attitudes and Behavior of SMAN 13 Padang Students Regarding Stunting

2026-01-25T15:22:07+07:00

Stunting remains a major public health problem in Indonesia, and its prevention requires early intervention, including among adolescents as future parents and productive generations. Adolescents play a strategic role in shaping long-term health and nutritional behaviors; therefore, understanding their knowledge, attitudes, and behaviors toward stunting is essential. This study aimed to describe the knowledge, attitudes, and behaviors of students at SMA Negeri 13 Padang regarding stunting. A descriptive study with a cross-sectional design was conducted. A total of 100 students were selected using an accidental sampling technique. Data were collected between November and December 2024 using a structured questionnaire that had been tested for validity and reliability. Data analysis was performed using univariate analysis with frequency and percentage distributions. The results showed that most respondents had good knowledge of stunting (87%) and positive attitudes toward stunting prevention (68%). However, preventive behaviors were predominantly categorized as moderate (45%) and were not fully aligned with the level of knowledge possessed. This study concludes that a gap exists between knowledge, attitudes, and preventive behaviors related to stunting among adolescents. Therefore, continuous school-based educational interventions focusing on behavioral change are recommended to strengthen stunting prevention efforts from an early age.

The Effect of 3M Educational Intervention on Parents’ Knowledge in Preventing Dengue Hemorrhagic Fever (DHF)

2026-01-25T13:46:10+07:00

Dengue Hemorrhagic Fever (DHF) remains a major public health problem in tropical countries, including Indonesia, with its incidence closely related to inadequate knowledge and preventive practices at the household level. The 3M strategy (draining, covering, and burying) is a key preventive approach that requires active parental involvement. This study aimed to determine the effect of 3M educational intervention on parents’ knowledge in preventing DHF. A quantitative study with a one-group pretest–posttest design was conducted. The sample consisted of 52 parents selected using total sampling. Data were collected using a structured knowledge questionnaire administered before and after the 3M educational intervention, conducted from January to March 2024 in the working area of Ardimulyo Public Health Center. Data were analyzed using the Wilcoxon Signed-Rank test. The results showed a significant increase in parents’ knowledge levels after the intervention, with a marked rise in the proportion of respondents classified as having good knowledge. Statistical analysis revealed a p-value < 0.05, indicating a significant effect of the 3M educational intervention on parents’ knowledge. In conclusion, 3M education effectively improves parents’ knowledge in preventing DHF. Continuous and structured health education programs are recommended as sustainable preventive strategies to reduce DHF incidence at the community level.

Analysis of Mothers' Knowledge on Initial Management of Febrile Seizure Emergencies in Toddlers at Home

2026-01-26T10:51:31+07:00

Febrile seizures are a common emergency in toddlers and carry the risk of complications if initial treatment at home is inadequate. Mothers' knowledge plays a crucial role in determining the first course of action when a child experiences a febrile seizure. This study aims to analyze mothers' knowledge regarding the initial emergency treatment of febrile seizures in toddlers at home. The study used a qualitative design with a descriptive phenomenological approach. Data were collected through in-depth interviews using a semi-structured guide with 12 mothers with toddlers with a history of febrile seizures in the Alai Community Health Center, Padang City, selected using purposive sampling. Data analysis was conducted thematically. The results revealed two main themes: not knowing what to do and doing whatever comes to mind. The first theme describes mothers' panic and lack of knowledge in dealing with febrile seizures, while the second theme reflects spontaneous actions taken by mothers, including taking the child to a health facility or performing other treatments that do not fully meet standards. This study concluded that mothers' limited knowledge and panic influence the inaccuracy of initial treatment of febrile seizures. Therefore, improved health education for families is needed to improve preparedness and appropriate treatment of febrile seizures in toddlers

Analysis of Medical Records Personnel Needs Based on Service Workload Using the ABK-Kes Method

2026-01-28T10:38:36+07:00

An imbalance between workload and the number of medical record officers may reduce service quality and increase work-related fatigue, making workload-based staffing analysis essential. This study aimed to analyze the staffing needs of medical record officers based on workload using the Health Workload Analysis Method (ABK-Kes) at Ciptomulyo Public Health Center. A quantitative descriptive design with an observational analytic approach was employed, involving all medical record officers totaling two respondents through total sampling. Data were collected in May 2025 using observation, interviews, and document review, and analyzed using the ABK-Kes method, including calculations of Available Working Time, time norms, Standard Workload, Support Task Factor, and Standard Support Task. The results showed that the workload of medical record officers was relatively high, with an average of 130 patient visits per day, a Support Task Factor of 24%, and a Standard Support Task value of 1.31. The ABK-Kes analysis indicated that the ideal number of medical record officers required was three, revealing a shortage of one officer. In conclusion, additional medical record staff are necessary to balance workload, improve service quality, and reduce the risk of work-related fatigue, and the findings are recommended as a basis for human resource planning at public health centers.

Synthesis of Fennel Extract-Based Nanoparticles (AgNPs) Using Proteomics as Larvicide for Aedes Aegypti Mosquitoes

2026-01-31T20:58:10+07:00

Dengue Hemorrhagic Fever (DHF) remains a major public health problem in Indonesia due to the high population of Aedes aegypti mosquitoes. Chemical-based larval control poses risks of resistance development and environmental impacts; therefore, effective and environmentally friendly natural larvicides are urgently needed. This study aimed to analyze the potential of silver nanoparticles (AgNPs) synthesized using essential oil extract of adas pagar (Eupatorium capillifolium) as a larvicide against Aedes aegypti through a proteomic approach. This research employed a laboratory experimental design using third-instar Aedes aegypti larvae as samples. Data were obtained through GC-MS, FTIR, PSA, larvicidal assays, BSLT toxicity tests, in silico analysis, and proteomic analysis, conducted from May to October 2025. Data analysis was performed using logarithmic regression to determine LC₅₀ values and one-way ANOVA. The results demonstrated that adas pagar essential oil-based AgNPs exhibited high larvicidal activity with an LC₅₀ value of 0.08091 µg/mL and caused significant disruption to metabolic and cellular defense proteins in larvae. In conclusion, adas pagar-based AgNPs have strong potential to be developed as an effective natural larvicide, with further in vivo studies and applicative formulation development recommended.

The Relationship Between Pregnant Women's Knowledge of Triple Elimination Screening and Their Satisfaction with the Service

2026-02-22T15:08:32+07:00

Triple Elimination screening is a strategic effort to prevent the transmission of HIV, syphilis, and hepatitis B from mother to infant; however, its coverage and quality of implementation at primary healthcare facilities remain suboptimal. This study aimed to analyze the relationship between pregnant women’s knowledge of Triple Elimination screening and their level of satisfaction with services at UPTD Puskesmas Banjar II. An analytic correlational study with a cross-sectional design was conducted. The sample consisted of 70 first-trimester pregnant women selected using accidental sampling. Data were collected using structured questionnaires measuring knowledge levels and service satisfaction and were analyzed using the Chi-square test. The results showed that most respondents had a good level of knowledge (40%) and reported satisfaction with the services (62.9%). Bivariate analysis revealed a significant relationship between pregnant women’s knowledge and satisfaction with Triple Elimination screening services (p = 0.000). These findings indicate that improving pregnant women’s knowledge plays an important role in shaping positive perceptions of service quality. Therefore, optimizing health education is recommended to enhance service satisfaction and the success of the Triple Elimination program.

Gustilo–Anderson Type II to IIIA Transition as a Critical Point in Osteomyelitis Risk Among Open Tibial Fractures

2026-02-12T21:42:51+07:00

Background: Open tibial fractures are severe orthopaedic injuries with a substantial risk of infection, including osteomyelitis, which may complicate treatment and worsen outcomes. Fracture severity is commonly assessed using the Gustilo–Anderson (GA) classification, but its role in stratifying osteomyelitis risk remains incompletely defined. Objective: This study aimed to evaluate osteomyelitis risk stratification based on the Gustilo–Anderson classification in open tibial fractures. Methods: A systematic search of PubMed, the Cochrane Library, and EMBASE was conducted up to February 2026. Studies reporting osteomyelitis incidence in open tibial fractures according to GA classification were included. Data were extracted independently by two reviewers. A network meta-analysis was performed using MetaInsight software, calculating relative risks (RRs) with 95% confidence intervals (CIs), and visualized using SUCRA rankings. Results: Five studies involving 1,134 open tibial fractures were included. Osteomyelitis prevalence ranged from 9.5% to 33%. The risk of osteomyelitis increased with higher GA grades, with a significant increase observed from GA type II to type IIIA (RR 2.86; 95% CI: 1.24–6.60). No significant risk differences were found between GA types I and II or among GA type III subtypes. Conclusion: The transition from GA type II to IIIA represents a critical threshold for osteomyelitis risk in open tibial fractures. Early GA-based classification provides important prognostic value and may guide clinical decision-making for infection prevention

Impact of Chemotherapy on Venous Thromboembolism in Cervical Cancer: Systematic Meta-Analysis Observational Studies

2026-02-19T15:56:22+07:00

Objective: Cervical cancer is associated with an increased risk of venous thromboembolism (VTE), which may be further aggravated by chemotherapy. This study aimed to assess the impact of chemotherapy on VTE incidence in patients with cervical cancer. Methods: A systematic review was conducted according to PRISMA 2020 guidelines. PubMed, the Cochrane Library, and EMBASE were searched from inception to October 2024 for observational studies reporting VTE incidence in cervical cancer patients receiving chemotherapy. Studies including women with cervical cancer treated with chemotherapy and reporting VTE outcomes were eligible, while studies evaluating radiotherapy or surgery alone were excluded. Results: Three observational studies involving 2,292 patients met the inclusion criteria. Pooled analysis showed that chemotherapy significantly increased VTE risk (RR 2.83; 95% CI: 2.05–3.90; p < 0.001), with low statistical heterogeneity. The reported incidence of chemotherapy-associated VTE ranged from 10.0% to 18.7%. Conclusion: Chemotherapy is associated with a nearly threefold increased risk of VTE in cervical cancer patients. These findings support routine VTE risk stratification prior to chemotherapy and consideration of individualized thromboprophylaxis. Further prospective studies are needed to define optimal prevention strategies.

The Relationship Between Staff Skills and Patient Satisfaction in Venous Blood Collection Procedures

2026-02-22T15:00:19+07:00

Introduction: Venous blood sampling services are an important procedure in laboratory services because staff skills influence patient comfort and the quality of examination results. This study is necessary to determine the relationship between staff skills and patient satisfaction in primary healthcare settings.
Objective: This study aims to analyze the relationship between staff skills and patient satisfaction levels in venous blood sampling procedures. Methods: This study used a descriptive correlational design with a cross-sectional approach. The sample consisted of 52 respondents selected using purposive sampling. Data were collected through staff skills and patient satisfaction questionnaires during the 2025–2026 research period and were analyzed using the Spearman Rank test. Results: The results showed that staff skills were mostly categorized as very good (51.9%) and good (40.4%), while patient satisfaction was dominated by satisfied (50.0%) and very satisfied (46.2%) categories. The Spearman Rank test showed p=0.000 with a correlation coefficient of 0.956, indicating a very strong and positive relationship. Conclusion: It can be concluded that improving staff skills impacts patient satisfaction; therefore, continuous training and routine evaluation are recommended to maintain service quality.

Correlation of Pregnant Women’s Knowledge of Purine Intake with Uric Acid Levels

2026-03-26T12:16:50+07:00

Backgroud: Uric acid is the final product of purine metabolism, and one of the factors contributing to elevated uric acid levels is excessive purine consumption. High purine intake can increase the production of uric acid in the body. The prevalence of elevated uric acid levels in pregnant women is still common and, in advanced clinical conditions, may lead to preeclampsia. This may occur because during the second and third trimesters of pregnancy there is a decrease in glomerular filtration rate due to changes in renal function. Objective: To determine the relationship between the level of knowledge of pregnant women regarding purine intake and uric acid levels at UPTD Puskesmas III North Denpasar. Methods: This study was an analytical observational study with a cross-sectional approach. The sample consisted of 56 pregnant women in the second and third trimesters selected using accidental sampling technique. Data on the level of knowledge regarding purine intake were obtained through a questionnaire, while uric acid levels were measured using capillary blood examination with the Point of Care Testing (POCT) method. Results: The results showed that 62.5% of pregnant women had good knowledge and 71% had normal uric acid levels. The Spearman Rank correlation test showed a significance value of p = 0.000 and a correlation coefficient of r = 0.915. Conclusion : There is a significant relationship between pregnant women's knowledge about purine intake and uric acid levels, and it shows a very strong positive direction. Pregnant women are advised to be selective in choosing the foods they consume to prevent an increase in uric acid levels during pregnancy.

The Relationship Between APTT Values and LDL Levels in Heart Disease Patients with a History of Hypercholesterolemia

2026-03-28T10:37:04+07:00

Introduction: Heart disease with a history of hypercholesterolemia is associated with the atherosclerotic process, which may affect coagulation mechanisms, making the assessment of LDL and APTT important to analyze. Objective: This study aimed to determine the relationship between Activated Partial Thromboplastin Time (APTT) and Low-Density Lipoprotein (LDL) levels in heart disease patients with a history of hypercholesterolemia. Methods: The study employed an analytical observational cross-sectional design with 40 samples selected through consecutive sampling, conducted at the Laboratory Installation of RSUD Bangli from November 1 to December 31, 2025. Data were obtained from 8–12-hour fasting blood samples; LDL levels were analyzed using the BA 200 analyzer, while APTT was measured using the STart Max Stago instrument. Data were analyzed using Spearman’s Rank correlation test. Results: The results showed that 50% of respondents had normal APTT values and 50% had prolonged APTT, while LDL levels were predominantly in the normal category (75%), followed by the high category (25%). Spearman’s test yielded p=0.759 and r=−0.050. Conclusion: There was no significant relationship between LDL and APTT, indicating that LDL levels are not directly associated with changes in APTT. Further studies are recommended to evaluate other factors that may influence coagulation.

The Relationship Between Mother's Knowledge Level and Parenting Patterns with Stunting in Toddlers Aged 12–59 Months

2026-03-30T14:04:09+07:00

Introduction: Stunting remains a major global and national public health problem, including in Sukamulya Village, where a high prevalence of growth disorders among toddlers indicates the need for further investigation of contributing factors. Objective: This study aimed to analyze the relationship between mothers’ knowledge and parenting patterns and the incidence of stunting in toddlers aged 12–59 months. Methods:This quantitative study applied a descriptive–correlative approach with a cross-sectional design. A total of 63 mothers were selected using a purposive sampling technique. Data were collected using questionnaires on maternal knowledge and parenting patterns, and analyzed using the Gamma test. Results: The findings show that most mothers had good knowledge (81.0%) and good parenting practices (57.1%), while the proportion of toddlers categorized as stunted (short and very short) reached 19.1%. There was a significant relationship between maternal knowledge and stunting (p = 0.000), as well as between parenting patterns and stunting (p = 0.000). Conclusion : In conclusion, higher maternal knowledge and optimal parenting practices are associated with a lower risk of stunting. Strengthening health education on balanced nutrition, sanitation, and increasing mothers’ participation in community health services is recommended to support effective stunting prevention.