Jurnal Kesehatan Cendikia Jenius

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

Sandra Ilona — 2026-04-30

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)

Affila Hanindar Aspasya Putri — 2026-04-30

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

Afrah Diba Faisal — 2026-01-26

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

Ervina Damayanti — 2026-04-30

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

Rafa Athalia Maritza — 2026-02-28

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

Gusti Ayu Putu Ardianti Utami — 2026-04-30

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

Muhammad Orri Baskoro — 2026-04-30

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

Fitriyadi Kusuma — 2026-04-30

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

Ketut Indrawati — 2026-04-30

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.