Jurnal Kesehatan Cendikia Jenius

Analysis of Occupational Hazard and Risk Identification Using the Job Safety Analysis Method

Wardhatul Hummah, Nizwardi Azkha , Yulia — Wed, 31 Dec 2025 00:00:00 +0700

Occupational safety and health (OSH) is a major priority in the energy sector, including PT PLN. Data from the Ministry of Manpower (2024) reported 162,327 occupational accidents in Indonesia, with 91.83% involving wage workers. This study aimed to analyze hazard identification and risk assessment using the Job Safety Analysis (JSA) method at PT PLN UP3 Padang in 2025. The research employed a qualitative descriptive approach through in-depth interviews with seven informants, field observations, and JSA document reviews. Data were analyzed using source and technique triangulation and risk relative calculations. The findings revealed three high-risk activities: pole installation/replacement, household connections, and distribution network maintenance. Extreme hazards identified include electric shock, falls from height, musculoskeletal disorders, heat stress, extreme weather, and challenging terrain. Risk control measures should include strict supervision, mandatory Lockout Tagout (LOTO) procedures, and digital technology utilization. This study recommends regular JSA evaluations, continuous OSH training, improved personal protective equipment availability, and real-time hazard reporting systems to minimize accidents.

Precision Test of Glucose Levels Using the Enzymatic GOD-PAP Method with Serum and Plasma Samples

Sri Raviani, Arifiani Agustin Amalia, Chairil Anwar — Wed, 31 Dec 2025 00:00:00 +0700

Precision is an important parameter to assess the quality of an analytical method. Precision is related to how close individual test results are to the mean value in the same test. The general objective of this study was to determine the precision test results of glucose levels using the enzymatic GOD-PAP method with serum and plasma samples. The research design applied in this study was descriptive quantitative with an experimental approach using primary data. The population in this study consisted of TLM students at Universitas ‘Aisyiyah Yogyakarta, class of 2021 and 2023, with a total of 39 respondents. The glucose level test results of serum and plasma samples were processed using Microsoft Excel to obtain the mean and standard deviation (SD), followed by calculating the coefficient of variation (CV%) as a precision indicator. The results showed that the coefficient of variation (CV%) for serum samples met the CV% requirement (≤5%) for all data, with the highest CV% value of 0.599% and the lowest of 0.000%. Similarly, plasma samples also showed that all data met the CV% requirement (≤5%), with the highest CV% value of 1.469% and the lowest of 0.000%. The conclusion of this study indicates that the precision of serum and plasma samples was considered good and acceptable since it complied with the blood glucose CV% limit set by the Indonesian Ministry of Health (≤5%). Further research is recommended to increase the sample size, compare with other methods, and use more advanced statistical software to enhance result validity.

Patient Satisfaction Level with Clinical Pathology Laboratory Services

Maulidiah Egi Saputri Augi, Ni Luh Gede Puspita Yanti, Putu Ayu Parwati — Wed, 31 Dec 2025 00:00:00 +0700

Background: Clinical pathology laboratory services play an important role in supporting diagnosis, treatment, and patient recovery. The quality of laboratory services affects patient satisfaction, which is a key indicator of hospital service quality. Objective: To determine the level of patient satisfaction with clinical pathology laboratory services at Hospital X in Denpasar. Methods: This research employed a descriptive design with a cross-sectional approach. A total of 80 outpatients aged 17–45 years participated, selected using accidental sampling. The instrument was a Likert scale questionnaire based on the ServQual dimensions (tangibles, reliability, responsiveness, assurance, empathy). Results: Overall, 78.8% of patients were satisfied. Satisfaction levels by dimension were: tangibles (80%), reliability (76.3%), responsiveness (77.5%), assurance (79%), and empathy (80%). Conclusion: Patients were generally satisfied with laboratory services. It is recommended that the dimensions of responsiveness and reliability need to be improved to enhance service quality.

The Correlation Between Fasting Blood Glucose Levels and Creatinine Levels in Diabetes Mellitus Patients

Mieke Antari Sarjono, Anak Agung Ayu Eka Cahyani, Putu Ayu Parwati — Wed, 31 Dec 2025 00:00:00 +0700

Diabetes mellitus is a chronic condition caused by high blood glucose levels due to the pancreas's inability to produce sufficient insulin. Elevated blood glucose levels cause the kidneys to work harder in the blood filtration process. Creatinine testing is one of the indicators used to detect kidney damage. This study aims to determine the correlation between fasting blood glucose levels and creatinine levels in patients with diabetes mellitus at Bhayangkara Hospital Denpasar. This study is an analytical observational research employing a questionnaire method and direct examination, conducted in March and April 2025. A total of 48 samples were included using the total sampling technique. Data were analyzed using the Spearman Rank correlation test. The results showed that 40 subjects (83.3%) had high fasting blood glucose levels and 8 subjects (16.7%) had normal levels. Meanwhile, 39 subjects (81.2%) had high creatinine levels and 9 subjects (18.8%) had normal levels. The results of this study indicate a significant relationship between fasting blood glucose levels and creatinine levels in patients with diabetes mellitus at Bhayangkara Hospital Denpasar, with a p-value of 0,000 and a correlation coefficient of 0,501, indicating a positive relationship.It is concluded that hyperglycemia plays a role in the decline of kidney function. Patients are advised to maintain a healthy lifestyle, healthcare providers to enhance education, and future research to consider complication factors and therapy.

Analysis of Factors Associated with Pregnant Women’s Adherence in Consuming Iron (Fe) Tablets

Nabila Sevania, Dewi Woro Astuti, Aila Karyus — Wed, 31 Dec 2025 00:00:00 +0700

Anemia in pregnant women remains a major public health problem that increases the risk of pregnancy complications, childbirth difficulties, as well as maternal and infant mortality. One preventive effort is the provision of iron (Fe) tablets; however, adherence to consumption among pregnant women is still low. This study aims to analyze the factors associated with pregnant women’s adherence in consuming Fe tablets at Kedaton Public Health Center, Bandar Lampung City in 2025.This research employed a cross-sectional design with a quantitative approach. The study population consisted of 334 pregnant women who underwent antenatal examinations from January to April 2025, with a sample of 77 respondents selected through simple random sampling. Data were collected using a structured questionnaire and analyzed using the chi-square test with a 95% confidence level (α=0.05).The results showed that age (p=0.000), education (p=0.045), knowledge (p=0.009), attitude (p=0.022), and husband’s support (p=0.009) were significantly associated with adherence to Fe tablet consumption. The majority of non-compliance was caused by limited knowledge and low awareness of the benefits of iron supplementation.In conclusion, age, education, knowledge, attitude, and husband’s support significantly influence adherence to Fe tablet consumption. It is recommended that health workers strengthen nutrition education programs and involve families in supporting pregnant women to improve adherence and reduce the risk of anemia.

Overview of Germ Patterns and Sensitivity of Bacteria Causing Urinary Tract Infections in Westerindo Laboratory

Widiya Nurrus Samsiah, Didik Prasetya, Moh.Fairuz Abadi — Wed, 31 Dec 2025 00:00:00 +0700

Urinary tract infection (UTI) is a global health problem with high incidence and dynamic bacterial resistance patterns, requiring regular monitoring to ensure appropriate therapy. Irrational antibiotic use may worsen resistance. This study aimed to determine the bacterial patterns and antibiotic sensitivity of UTI pathogens at Westerindo Laboratory in 2023. A retrospective descriptive design with total sampling was applied to 137 patients who underwent urine culture from January to December 2023. Secondary data were obtained from the laboratory information system and analyzed using WHONET. Bacterial identification was performed through culture on Mac Conkey and blood agar, Gram staining, and Vitex 2 testing. Results showed that most respondents were female (55.47%). Of the 18 bacterial species identified, 83.3% were Gram-negative, with Escherichia coli as the predominant pathogen (30.65%), followed by Klebsiella pneumoniae (16.05%), Proteus mirabilis, and Morganella morganii (12.40%). Sensitivity testing of 327 antibiotics revealed 68.5% with high sensitivity, while Meropenem and Tigecycline showed 100% effectiveness against E. coli. Sixteen Extended Spectrum Beta Lactamase (ESBL) isolates were identified. In conclusion, UTIs were mainly caused by Gram-negative bacteria, particularly E. coli, with antibiotic resistance remaining a serious issue. Recommended Local antibiogram data, resistance monitoring, and antimicrobial stewardship are strongly recommended.

The Correlation Between Creatinine and Potassium Levels in Patients With Chronic Kidney Failure

Ni Made Putri Sumyarini, Putu Ayu Parwati, Diah Prihatiningsih — Wed, 31 Dec 2025 00:00:00 +0700

Chronic Kidney Disease is a progressive and irreversible decline in kidney function that affects the body’s ability to maintain fluid and electrolyte balance, including potassium. Creatinine is a primary indicator of decreased kidney function, while potassium plays a crucial role in maintaining proper muscle and cardiac function. A significant increase in potassium levels due to impaired kidney function can lead to cardiac arrhythmias, which may be fatal. Therefore, analyzing the relationship between these two parameters is essential for detecting the risk of complications and supporting the management of CKD patients. The purpose of this study was to determine the relationship between serum creatinine and potassium levels in patients with chronic kidney disease. This study used an observational analytic design with a cross-sectional approach. The sample consisted of 32 patients at Rumah Sakit Umum Bali Jimbaran who underwent simultaneous creatinine and potassium testing between March – Mei 2025. Data were analyzed using the Spearman correlation test. The results of this study is most patients had elevated creatinine levels (84.37%) and normal potassium levels (59.37%). The Spearman correlation test showed a significance value p = 0.046 and a correlation coefficient r = 0.356, indicating a positive correlation with weak strength between creatinine and potassium levels. The conclusion of this study is theres a statistically significant relationship between creatinine and potassium levels in patients with chronic kidney disease, although the strength of the correlation is weak.

The Effect of Temperature Variation and Storage Time of Plasma Citrate Samples on Protombin Time Values

Wed, 31 Dec 2025 00:00:00 +0700

Prothrombin time (PT) testing is essential to evaluate blood clotting disorders; however, its results are strongly influenced by pre-analytical factors such as temperature and the storage duration of citrate plasma. This study aimed to determine the effect of temperature variations and storage time of citrate plasma on PT values. This experimental study with a cross-sectional approach used 20 citrate plasma samples obtained through accidental sampling. PT examinations were carried out at the Hematology Laboratory of the Denpasar Health Polytechnic in May 2024 using the CoaDATA 4004 instrument. Samples were tested immediately after centrifugation, then after storage at room temperature (20–25°C) and in a refrigerator (2–8°C) for 2 hours and 4 hours, respectively. Data were analyzed using normality tests, homogeneity tests, Repeated Measures ANOVA, and One-Way ANOVA. The results showed significant differences in PT values after 2- and 4-hour storage at both room and refrigerated temperatures (p=0.000). The average PT value immediately after collection was 12.2 seconds, increasing to 12.5 and 12.7 seconds at room temperature and to 12.9 and 13.1 seconds under refrigeration. Based on statistical tests, both storage temperature and duration affected citrate plasma PT values. Conclusion : PT testing should be performed as soon as possible after sample collection or with a delay of less than 2 hours at room temperature. If a longer delay is unavoidable, citrate plasma is recommended to be stored in a freezer (-20°C) with routine temperature monitoring to maintain coagulation factor stability.

The Effect of Autovalidation System Implementation in Laboratory Information System on Laboratory Result Validation Time

Wed, 31 Dec 2025 00:00:00 +0700

Fast and accurate laboratory result validation is essential to support clinical services, yet manual processes often require considerable time and increase the risk of error. This study aimed to analyze the effect of implementing an autovalidation system within the Laboratory Information System (LIS) on laboratory result validation time at the Prodia National Reference Laboratory. This research employed a pre-experimental one group pretest-posttest design by analyzing 189,150 laboratory test records, consisting of 94,575 data from the pre-autovalidation period (2023) and 94,575 data from the post-autovalidation period (2024). Data were obtained from LIS integrated with the AlinIQ AMS Abbott Middleware. Descriptive analysis and the Wilcoxon Signed-Rank test were performed, as the data distribution was not normal. The findings revealed that the average validation time before autovalidation was 54.70 minutes, which decreased to 26.84 minutes after implementation. Time efficiency improved by 50.92%, while manual analyst involvement was reduced by 80.13%. Statistical analysis confirmed a significant difference (p < 0.001) between pre- and post-autovalidation periods. In conclusion, autovalidation implementation effectively accelerated validation time and reduced analyst workload, supporting the digital transformation of laboratories toward a more efficient and responsive system. It is recommended that other clinical laboratories adopt autovalidation while maintaining manual verification for results that fail system rules.

The Relationship Between Compliance and Knowledge of Medical Laboratory Technologists Regarding the Use of Personal Protective Equipment

Rio Saputra Dana, A.A.A. Eka Cahyani, Lia Cahya Sari — Wed, 31 Dec 2025 00:00:00 +0700

Medical Laboratory Technologists (MLTs) play an important role in ensuring occupational safety through the use of personal protective equipment (PPE). However, compliance with PPE use in clinical laboratories still faces challenges, even though facilities are available. This study aimed to analyze the relationship between the level of knowledge and compliance of MLTs in using PPE during the pre-analytical phase of clinical laboratories.A quantitative approach with a non-experimental cross-sectional correlational design was employed. The study sample consisted of 33 respondents selected through total sampling, comprising MLTs from three hospitals in Badung Regency, Bali. Data were collected in May–June 2025 using a structured questionnaire that had been tested for validity and reliability (Cronbach’s alpha = 0.933). Data analysis was conducted using descriptive statistics and the Spearman Rank test.The results showed that 96% of respondents had very good knowledge and 96% demonstrated very good compliance with PPE use. The Spearman Rank test revealed a significant positive relationship between knowledge and compliance (p = 0.007; r = 0.458).It can be concluded that higher levels of knowledge among MLTs are associated with greater compliance in PPE use. These findings emphasize the need for continuous education, consistent supervision, and a strong safety culture in clinical laboratories.

The Correlation of Y Chromosome Microdeletion Screening and G-Banding Chromosomal Analysis in Adult Males

Rosiana Kristianingrum, Ni Luh Gede Puspita Yanti, Moh. Fairuz Abadi — Wed, 31 Dec 2025 00:00:00 +0700

Male infertility is a reproductive health problem often associated with genetic abnormalities, such as Y chromosome microdeletions and chromosomal aberrations detectable through G-banding analysis. This study is important since research on the relationship between these two examinations in evaluating male infertility in Indonesia is still limited. The purpose of this study was to analyze the correlation between Y chromosome microdeletion and G-banding chromosomal analysis in adult males.This study employed a cross-sectional correlational design, involving 46 adult males with a history of infertility examined at the Prodia National Reference Laboratory between January 2023 and April 2025. Samples were collected using a total sampling technique. Y chromosome microdeletion was examined using multiplex PCR, while chromosomal analysis was conducted using the G-banding technique. Data were analyzed descriptively and with the Spearman correlation test using SPSS version 27.The results showed that 97.83% of subjects had normal Y chromosome microdeletion results, while 2.17% presented AZFc deletions. G-banding analysis revealed 91.30% normal karyotypes and 8.70% chromosomal abnormalities, including Klinefelter syndrome. The Spearman test indicated no significant correlation (r = -0.046; p = 0.761).It is concluded that both examinations assess different genetic aspects but are complementary. Clinicians are advised to use both methods in evaluating male infertility, and further studies with larger samples are recommended.

The Impact of Hospital Management Information System (HMIS) on Work Efficiency of Laboratory Services

Wed, 31 Dec 2025 00:00:00 +0700

Hospitals as public service providers are required to optimize information technology through the Hospital Management Information System (HMIS) to improve the quality and efficiency of health services, including laboratory installations. However, HMIS implementation often faces technical and coordination barriers between units that may reduce its effectiveness. This study aimed to analyze the effect of HMIS on the work efficiency of laboratory personnel at Kendari City Hospital. This research applied a quantitative approach with a cross-sectional design. All laboratory staff (medical laboratory technologists, nurses, and specialist doctors) totaling 28 respondents were selected using total sampling. Data collection was conducted from February to July 2025 using a valid and reliable Likert-scale questionnaire, and analyzed using simple linear regression and one-tailed t-tests with SPSS version 27. The results showed that most respondents had positive perceptions of HMIS implementation (mean 4.19) and work efficiency (mean 4.28). Regression analysis revealed a significant positive effect of HMIS on work efficiency (coefficient 0.657; R² 0.331; t-statistic 3.590 > t-table 1.706). In conclusion, HMIS implementation positively influences laboratory personnel work efficiency. Continuous development and evaluation of HMIS, as well as integration with the Laboratory Information System, are recommended to enhance laboratory service quality.

Analysis of the Implementation of the E-Puskesmas Application Usage (Case Study: Puskesmas Pauh in Padang City)

Novrilla Lathivolya. R, Burhan Muslim, Fadhilatul Hasnah — Wed, 31 Dec 2025 00:00:00 +0700

E-Puskesmas is an electronic-based management information system designed to enhance the efficiency and quality of services in community health centers (Puskesmas). The low visit rate at Puskesmas Pauh indicates an ineffectiveness in the implementation of the e-Puskesmas application. This study aims to analyze the implementation of the e-Puskesmas application at Puskesmas Pauh. A qualitative research method with a case study approach was employed, conducted from March to August 2025 at Puskesmas Pauh through interviews, document reviews, and observations. Informants were selected using purposive sampling, totaling seven individuals. Data analysis utilized technique triangulation and source triangulation. The results revealed limitations in human resources, network infrastructure, and hardware. Additionally, the lack of a specific standard operating procedure (SOP) for e-Puskesmas constituted a major obstacle to effective application usage. Technical disruptions, particularly network instability, resulted in slow service delivery. However, the application has successfully supported rapid and accurate reporting in the Integrated Reporting and Management System for Puskesmas (SP2TP) within the Health Office. In conclusion, the implementation of e-Puskesmas at Puskesmas Pauh still faces challenges from both technical aspects and human resources. It is recommended that the health center enhance the capacity of its personnel and technological infrastructure to optimize the effectiveness of this application.

Effectiveness of Online Balanced Nutrition Education via Zoom on Knowledge and Attitudes of Junior High School Adolescents

Kamila Aisyah, Nenny Triastuti, Annisa Nurida — Wed, 31 Dec 2025 00:00:00 +0700

Adolescence is a critical period characterized by rapid growth, hormonal changes, and increased nutritional needs. An imbalance in nutrient intake may lead to health problems such as anemia, undernutrition, and obesity. Digital media has the potential to serve as an effective platform for nutrition education tailored to adolescents. This study aimed to evaluate the effectiveness of online balanced nutrition education delivered via Zoom Meeting on the knowledge and attitudes of junior high school students in Surabaya. A quasi-experimental design with a pretest-posttest control group was employed. The sample consisted of 77 students aged 13–15 years from SMPN 46 and SMPN 48 Surabaya, selected purposively. The intervention involved a 120-minute balanced nutrition education session using visual presentations, videos, and infographics. Research instruments included a knowledge questionnaire (20 items) and an attitude questionnaire (15 statements). Data were analyzed using paired sample t-test and independent sample t-test with a significance level of p < 0.05. The results showed a significant increase in knowledge scores after the intervention (p = 0.000) and a positive shift in attitudes among most participants, particularly regarding the importance of fruit and vegetable consumption and the practice of healthy hygiene behaviors. In conclusion, online balanced nutrition education effectively improved adolescents’ knowledge and attitudes, and it is recommended to be implemented continuously with the involvement of schools and families to encourage better nutritional practices.

The Relationship Between Knowledge and Attitude with Personal Hygiene Behavior During Menstruation

Anisa Safitri, burhan Muslim, Alkafi — Wed, 31 Dec 2025 00:00:00 +0700

Personal hygiene behavior during menstruation is an effort to maintain the cleanliness and health of the female reproductive organs during menstruation. Based on the reproductive health survey of Indonesian adolescents, nationally adolescents behave properly hygiene by 21.6%, while the behavior of adolescent girls in maintaining menstrual hygiene is still poor, which is 69.3%. The purpose of the study was to determine the relationship between the level of knowledge and attitude and personal hygiene behavior during menstruation in adolescent girls at SMP Negeri 25 Padang in 2025.This study is a quantitative research with a cross sectional design. The population in the study is all grade VIII students at SMP Negeri 25 Padang. A sample of 58 respondents was used as a proportional random sampling method. This research was conducted in March – August. Data collection was carried out on May 26 – May 28, 2025. Data were collected using questionnaires, then analyzed using univariate and bivariate analysis with chi-square tests.The results showed that 46.6% of students had poor personal hygiene behavior, as many as 46.6% of students had low knowledge, and 44.8% had negative attitudes. Based on statistical tests, it was found that there was a significant relationship between knowledge (p = 0.0001) and attitude (p = 0.0001) and personal hygiene behavior during menstruation. It was concluded that the knowledge and attitude of female students had a relationship with personal hygiene behavior during menstruation.

Bereavement-Associated Psychotic Depression in a Patient with Hyperthyroidism: A Case Report

Kamila Aisyah, Era Catur Prasetya — Wed, 31 Dec 2025 00:00:00 +0700

Psychotic depression is a severe and complex mood disorder with a high risk of morbidity, particularly when triggered by psychosocial stressors such as bereavement and worsened by medical comorbidities like hyperthyroidism. This study aims to describe clinically the interaction between psychosocial, biological, and medical factors in a case of bereavement-associated psychotic depression. A descriptive case study with a prospective approach was conducted on a 46-year-old female outpatient at the Psychiatric Clinic of Muhammadiyah Lamongan Hospital on September 30, 2025. Data were collected through in-depth interviews, mental status examination, and behavioral observation, and analyzed qualitatively. The patient presented with severe depressive symptoms, mood-congruent auditory hallucinations, bereavement stress, and hyperthyroidism aggravating her emotional instability. The diagnosis was *Major Depressive Disorder* with mood-congruent psychotic features, treated with a combination of antidepressants, antipsychotics, hyperthyroidism management, supportive psychotherapy, and family psychoeducation. In conclusion, this case highlights the importance of a biopsychosocial approach in diagnosing and managing psychotic depression with medical comorbidities. Mental health professionals are encouraged to perform comprehensive screening for biological factors and psychosocial stressors to optimize patient outcomes.

The Effect of Using E-Leaflets via Whatspp as an Educational Medium on the Knowledge and Attitudes of Adolescent Girls Regarding Anemia

Annisa Ika Safitri, Atikah Adyas, Dewi Woro Astuti — Wed, 31 Dec 2025 00:00:00 +0700

Anemia remains a major health problem among adolescent girls in Indonesia, with a prevalence of 22.7%, and in Lampung Province reaching 57.6%. Poor dietary habits and low levels of knowledge and attitudes toward anemia are key contributing factors that require attention. This study aims to determine the effect of using e-leaflets via WhatsApp as an educational medium on the knowledge and attitudes of adolescent girls regarding anemia at the Surya Mandiri Orphanage. The study employed a quasi-experimental design with a one-group pretest-posttest approach. A total of 60 adolescent girls were selected using a total sampling technique. Data were collected using a digital questionnaire distributed through Google Forms, while the intervention was delivered in the form of e-leaflet education via WhatsApp for seven days in June 2025. Data analysis using the Wilcoxon test showed a p-value of 0.001 (p<0.05) for both knowledge and attitude variables, indicating a significant effect of e-leaflet education on improving the knowledge and attitudes of adolescent girls regarding anemia. In conclusion, digital nutrition education using e-leaflets is effective in enhancing adolescent health literacy in anemia prevention. Therefore, it is recommended that e-leaflets distributed via WhatsApp be continuously used as an innovative nutrition education medium in adolescent and social institution settings.