Jurnal Kesehatan Cendikia Jenius

Knowledge and Attitudes Related to Health Seeking Behavior of Communities in Developing Countries Towards Tuberculosis (TB) Disease

Rima Putri Ramadhani — 2025-08-31

A person with tuberculosis may experience disease severity due to a lack of knowledge about tuberculosis, gender, place of residence, occupation, education level, and age. These factors influence knowledge and attitudes related to health-seeking behavior in communities of developing countries. The aim of this study is to explore knowledge, attitudes, and health-seeking behavior among people in developing countries.Methods: This study used an observational method with a literature review approach. The data sources used in this literature review were the PubMed and Scopus databases. Results: From the literature review, eight articles were identified and analyzed based on inclusion and exclusion criteria. The results showed that factors associated with knowledge and attitudes toward health-seeking behavior among people with tuberculosis in developing countries include lack of knowledge about the disease, gender, place of residence, age, education level, and occupation. Conclusion: Knowledge about tuberculosis significantly influences community attitudes and behavior in seeking appropriate healthcare services. Recommendation Future researchers should expand data coverage and provide education about TB to improve the accuracy and usefulness of the research.

The Influence Differences of Tabata Training and Circuit Training on Increasing Endurance in Obesity

Nilawati Ayu Pratiwi — 2025-08-31

Background : Obesity can reduce a person’s immune system due to various factors affecting overall helath. Therefore, it is essential to maintain body weight and adopt a healthy lifestyle to increase endurance. Aim of study : The study aimed to determine the difference in the effect of Tabata Training and circuit trainig on increasing endurance in obesity. Research Method : The study applied quasi-experimental with a research design using a pre-test and post-test two-group design, a sample size of 24 people. Then divided into two groups. Group I Tabata training, and group II circuit training. This research was carried out for 4 weeks, with 3 training sessions per week by students of the Bachelor of Nursing study program at Aisyiyah University, Yogyakarta. Data collection was used as a questionnaire regarding obesity and measuring increased endurance using the Multistage Test after and before treatment. Findings : Testing hypothesis I using a Paired Sample T-test obtained value of p0<000 (<0.005), and the results of testig hypothesis II using a Paired Sample T-test obtained a value of p0<000 (<0.005), which means that both treatments have the effect of increasing Endurance on Obesity. The results of hypothesis III using the Independent Sample T-test obtained a p-value <0.001 (>0.005), which means there is a difference between the two exercises. Conclusion : There is difference in the effect of Tabata training and circuit training on increasing endurance in obesity. Suggestion : This research can become material for study an information for further research.

Overview of Dietary Patterns and Nutritional Status of Children Aged 24–59 Months at Tumbuan Health Center, Seluma

Maysara Dwi Alfiana — 2025-08-31

Nutritional Nutritional status is an important indicator in determining the level of health and growth of children. A good diet plays a role in meeting nutritional needs and contributing to the quality of early childhood health. This study aims to determine the description of the diet and nutritional status of children aged 24–59 months in the working area of the Tumbuan Health Center UPT, Seluma Regency. This study used a descriptive design with a cross-sectional approach. The number of samples was 52 mothers who had children aged 24–59 months who were selected using a purposive sampling technique. Data were collected through a food frequency questionnaire (FFQ) and nutritional status measurements using body weight and height, then analyzed univariately. The results showed that most children had a good diet, with fairly good consumption of animal and vegetable protein. As many as 90.4% of children had a weight according to age in the normal category, 84.6% had a height according to age in the normal category, and 82.7% had good nutritional status based on weight according to height. Conclusion: The majority of children aged 24–59 months have good eating patterns and normal nutritional status based on weight, height, and weight to height. It is recommended that parents increase their nutritional knowledge and routinely monitor their children's growth through the nearest health service.

Literature Review: The Impact of Health Facility Accreditation on the Effectiveness of Management Oversight Systems

Syifa Fitriana Qurrotaayun — 2025-07-05

The quality of healthcare services is a crucial indicator in ensuring patient safety, and accreditation serves as a strategic instrument to achieve this goal. Accreditation functions as a framework to assess and improve the effectiveness of management oversight in healthcare facilities. This study aims to identify and analyze the impact of accreditation on the effectiveness of management oversight systems. The research design is a literature review by analyzing 12 national and international articles from the Google Scholar database published between 2014 and 2024. Data collection was conducted systematically using the PICO approach, with predetermined inclusion and exclusion criteria. Thematic analysis was applied to examine relevant study findings. Results show that accreditation enhances communication among healthcare workers, compliance with procedures, service documentation, and safety culture. However, challenges such as limited resources, organizational cultural differences, and high implementation costs remain obstacles. In conclusion, accreditation has proven to be an effective managerial tool for improving service quality and management oversight systems in healthcare facilities. It is recommended that to ensure its sustainability, strengthening human resource capacity, responsive policy support, and continuous technical assistance—especially in resource-limited areas—are essential.

Increasing Adolescents Knowledge of Sexually Transmitted Infections, Drugs and the Dangers of Smoking

Desi Apriani — 2025-08-31

Background: According to the results of the initial study at RW 15 Sukamentri Village, it was revealed that there was a lack of knowledge of adolescents related to sexually transmitted infections and drugs and was supported by the explanation of local cadres that reproductive health counseling activities for adolescents had never been held in the area. Based on this background, a nursing problem was found, namely a knowledge deficit in adolescents. Objective: To describe changes in knowledge of adolescents in RW 15 about sexually transmitted infections, drugs and the dangers of smoking. Methods: This study using descriptive methods approaches the nursing process with quantitative research design. Results: The average pre-test and post-test scores of respondents indicate an increase of 2.92 in the post-test results after receiving education. Conclusion: There is an increase in adolescent knowledge before and after health education about STIs, drugs and the dangers of smoking. Suggestion: Education programs for adolescents on STIs, drugs, and smoking could be a sustainable program in the community.

The Relationship Between Periodontal Status and Blood Glucose Levels in Gestational Diabetes Mellitus

Sepriana Urianti — 2025-08-31

Periodontal disorders during pregnancy are often overlooked, despite their potential association with systemic conditions such as Gestational Diabetes Mellitus (GDM). Hormonal changes during pregnancy may trigger gingival inflammation, which can worsen periodontal status, especially in the presence of elevated blood glucose levels. This study aimed to determine the relationship between periodontal status and blood glucose levels in pregnant women. An observational analytic study with a cross-sectional design was conducted. The population consisted of 169 pregnant women at community health centers (Puskesmas) in Bandar Lampung, with 50 participants selected using purposive sampling. Data were collected through clinical examinations, interviews, and documentation from July to September 2023. Data analysis used chi-square and Fisher’s exact tests. The results showed that 6% of respondents with high blood glucose levels had periodontitis, and 10% had gingivitis. Meanwhile, among those with normal blood glucose levels, 10% had periodontitis and 70% had gingivitis. The chi-square test revealed a significant association (p=0.003) between periodontal status and blood glucose levels. It can be concluded that higher blood glucose levels are associated with poorer periodontal conditions. Routine periodontal screening and oral health education for pregnant women with GDM are strongly recommended.

Quality Control Analysis of Glucose and Cholesterol Testing Using Levey-Jenning’s Chart At X Hospital Yogyakarta

Veny Rahma Nadisa — 2025-08-31

Clinical laboratory tests, especially measurements of blood glucose and cholesterol levels, play an important role in establishing a diagnosis and monitoring the progression of diseases such as diabetes mellitus and dyslipidemia. Inaccurate test results can lead to errors in diagnosis, which can potentially impact the provision of inappropriate therapy. Therefore, the implementation of Quality Control (QC) through the Levey-Jenning's Graph method and Westgard's rule is an effective approach to ensure the accuracy and precision of laboratory test results. To determine the results of Quality Control of blood glucose and total cholesterol examinations using Levey-Jenning's Graph in the Yogyakarta at X Yogyakarta Hospital Laboratory. Analytic descriptive method with a cross-sectional approach and with Total Sampling technique. The results show good accuracy in the parameters of the examination of temporary blood glucose and cholesterol. While precision is out of the range that has been determined. Evaluation of Levey-jenning's graph and Westgard's rule obtained 1₂ₛ dan 1₃ₛ. Conclusions on the examination of the parameters of temporary blood glucose and cholesterol have good accuracy. However, the precision on the parameters of the current blood glucose examination was not good in July and August, while the cholesterol parameter had good precision and the evaluation results were exposed to rule 1₂ₛ dan 1₃ₛ. It is recommended that the laboratory continue to improve quality management through routine calibration, consistent application of SOPs, and regular monitoring of the quality of results.

Quality Control Evaluation of SGOT and SGPT Examination Using the Six Sigma Method at PKU Muhammadiyah Bantul Hospital

Firda Ngabalin — 2025-08-31

Quality control is essential to ensure the accuracy and precision of laboratory test results, including SGOT and SGPT as indicators of liver function. This study aims to evaluate the quality control of SGOT and SGPT examinations using the Six Sigma method at PKU Muhammadiyah Bantul Hospital. A descriptive analytic method with a cross-sectional approach was used. The data analyzed consisted of daily control results from July to December 2024 and external quality assurance data. Parameters calculated included mean, standard deviation, coefficient of variation (CV), bias (%d), and sigma values. The results showed that SGOT CV values ranged from 2.40% to 3.19%, and SGPT from 2.24% to 3.51%, both within the acceptable limit of <7%. SGOT bias values ranged from 1.80% to 2.95%, and SGPT from 0.35% to 1.52%, within the acceptable ±10%. Sigma values were 4.2 for SGOT and 4.1 for SGPT, indicating marginal laboratory performance. It is concluded that the accuracy and precision of the tests are acceptable. However, to improve quality, it is recommended that two to three levels of control materials be used in regular quality control implementation.

Steamed Red Bean Flour Sponge Cake with Date Substitution: A Healthy Snack to Prevent Anemia in Adolescent Girls

Radella — 2025-08-31

Adolescent girls are vulnerable to anemia due to increased iron requirements during growth. If untreated, this condition may impair concentration, immunity, and productivity. This study aimed to develop a healthy snack in the form of steamed sponge cake made from red bean flour with date substitution to prevent anemia in adolescent girls. This experimental study used a Completely Randomized Design (CRD) with five formulations and involved 25 female adolescents aged 12–14 as panelists. Data were collected through organoleptic testing and nutritional analysis using ANOVA and One-Sample T-Test. Results showed that formulation F2 (120 g wheat flour, 45 g red bean flour, 30 g dates) was most preferred and contained 6.7 mg of iron per 100 g. Consuming 100 g of F2 cake could fulfill 89.3% of the daily iron requirement. Conclusion: Red bean flour steamed cake with dates has the potential to be a nutritious and acceptable functional snack for adolescent girls. Further research is recommended to replicate nutrient analysis and consider large-scale production as a nutritional intervention for anemia prevention.

The Relationship Between Fruit and Vegetable Consumption Habits, Emotional Eating, and Sedentary Lifestyle with the Nutritional Status of Adolescents

Hidayatusy Syukrina Puteri — 2025-08-31

The nutritional status of adolescents in Indonesia remains a serious concern, as indicated by the high prevalence of malnutrition caused by inadequate balanced nutrition intake, emotional eating behavior, and sedentary lifestyle. This study aimed to determine the relationship between sedentary lifestyle, emotional eating, and fruit and vegetable consumption habits with the nutritional status of adolescents at SMA N 1 Banding Agung, Ogan Komering Ulu Selatan. This study employed a quantitative design with a cross-sectional approach. A total of 86 respondents were selected using purposive sampling. The study was conducted from May to June 2025. Data analysis was performed using the Chi-square test as the data were normally distributed. Data were collected using validated FFQ, DEBQ, and ASAQ questionnaires. The results showed significant associations between vegetable consumption habits (p=0.003), fruit consumption (p=0.001), emotional eating (p=0.033), and sedentary lifestyle (p=0.002) with adolescents’ nutritional status. Most respondents with inadequate fruit and vegetable intake, high emotional eating, and high sedentary lifestyle exhibited poor nutritional status. Adolescents with sufficient fruit and vegetable consumption tended to have better nutritional status. In conclusion, adolescents’ nutritional status is influenced by dietary behavior, emotional regulation, and physical activity levels. It is recommended that adolescents increase their intake of fruits and vegetables according to balanced nutrition guidelines, reduce emotional eating behavior, and engage in more physical activity to maintain optimal nutritional health.

The Relationship Between Fat and Sodium Intake and Hypertension Among Elderly Patients at Gedong Air Public Health Center in 2025

Dwi Linasari — 2025-08-31

Hypertension is a common non-communicable disease among the elderly and a major risk factor for heart disease, stroke, and kidney failure. The increasing number of hypertension cases among the elderly at Gedong Air Public Health Center highlights the need for research on the impact of fat and sodium intake on hypertension incidence. This study aimed to determine the relationship between fat and sodium intake and hypertension status among elderly patients at Gedong Air Public Health Center in 2025. This research employed a cross-sectional design with a quantitative observational approach. A total of 72 elderly respondents were selected using consecutive sampling. Data on fat and sodium intake were collected using the SQ-FFQ questionnaire, while blood pressure was measured using a sphygmomanometer. Data were analyzed using univariate and bivariate (Chi-square) tests. The results showed that most respondents were aged 70–79 years (44.4%), male (51.4%), and had a family history of hypertension (52.8%). A total of 63.9% of respondents had hypertension, 61.1% had insufficient fat intake, and 68.1% had high sodium intake. Bivariate analysis revealed no significant relationship between fat intake and hypertension (p=0.530), but a significant relationship between sodium intake and hypertension (p=0.013). It can be concluded that high sodium intake is associated with hypertension among the elderly. Recommended, public health education on sodium reduction is essential as a preventive effort, especially through nutritional interventions and sustainable health promotion at the primary care level.

The Correlation Between Neutrophil-Lymphocyte Ratio (NLR) and Erythrocyte Sedimentation Rate (ESR) in Pneumonia Patients

Ismadewi Nur Ayati — 2025-08-31

Pneumonia is an acute lung infection that remains a global public health concern due to its high incidence and mortality rates. Early diagnosis is crucial, and laboratory parameters such as the Neutrophil-Lymphocyte Ratio (NLR) and Erythrocyte Sedimentation Rate (ESR) serve as important indicators of inflammation. This study aimed to determine the correlation between NLR values and ESR levels in pneumonia patients at Bhayangkara Hospital Denpasar. This was a correlational analytic study using a retrospective design. A total of 51 hospitalized pneumonia patients were selected through purposive sampling based on medical records from October to December 2024. The data included NLR and ESR values along with patient characteristics, and were analyzed using the Spearman Rank correlation test. The results showed that most patients had high NLR (78.4%) and high ESR (80.4%) values. The statistical analysis revealed a significant and positive correlation between NLR and ESR with a p-value of 0.000 and a correlation coefficient (r) of 0.582, indicating a moderate-strength association. This suggests that an increase in NLR tends to be followed by an increase in ESR. Conclusion: There is a significant correlation between NLR values and ESR levels in pneumonia patients. These findings support the use of both NLR and ESR as complementary inflammatory markers in the clinical monitoring of pneumonia. Further research using primary data and additional parameters is recommended to provide a more comprehensive picture of the inflammatory status in pneumonia cases.

Correlation of Sleep Duration, Emotional Eating, and Physical Activity with Students' Nutritional Status

Wahida Fitriyani — 2025-08-31

Nutritional problems among university students have become a growing concern, as they may be influenced by unhealthy lifestyles such as insufficient sleep, emotional eating, and low physical activity. This study aimed to determine the correlation between sleep duration, emotional eating, and physical activity with the nutritional status of sixth-semester students of the Nursing Study Program at Mitra Indonesia University. This research employed a cross-sectional design with a quantitative approach. A total of 101 students were selected through purposive sampling. Data were collected from May to June 2025 using the Sleep Timing Questionnaire (STQ), Dutch Eating Behavior Questionnaire (DEBQ), International Physical Activity Questionnaire (IPAQ), and anthropometric measurements. Data were analyzed using univariate and bivariate methods with the Spearman Rank correlation test. The results showed that most respondents had adequate sleep duration (63.4%), high emotional eating scores (88.1%), and moderate physical activity (86.1%). However, there was no significant correlation between sleep duration (p=0.594), emotional eating (p=0.792), and physical activity (p=0.398) with nutritional status. Conclusion: There was no significant relationship between the three variables and students' nutritional status. Recommended to include additional variables such as academic stress, dietary patterns, and consumption of processed foods.

Sodium Intake and Stress as Risk Factors for Hypertension among Outpatients at Talang Jawa Health Center

Mentari Nurhidayah — 2025-08-31

Hypertension is a global health problem with an increasing prevalence, including in South Lampung Regency. One of its main causes is modifiable risk factors such as excessive sodium intake and psychological stress. This study aimed to determine the relationship between sodium intake and stress levels with the incidence of hypertension in the outpatient unit of UPTD Talang Jawa Health Center. This research employed a cross-sectional design with a total sample of 37 respondents aged 18–65 years, selected using a consecutive sampling technique. Data collection was conducted from May to June 2025 using a Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), the Perceived Stress Scale (PSS-10), and blood pressure measurements with a sphygmomanometer. Data were analyzed using the chi-square test with a significance level of 5%. The results showed that the prevalence of hypertension was 73%, with 40.5% of respondents having high sodium intake and 48.6% experiencing severe stress. A significant relationship was found between sodium intake and hypertension (p = 0.002), as well as between stress levels and hypertension (p = 0.001). In conclusion, high sodium intake and severe stress are significantly associated with hypertension. It is recommended that health centers strengthen nutrition education and stress management to prevent hypertension.

The Relationship of Fast Food Consumption, Nutritional Status, and Sedentary Lifestyle with Adolescent Hypertension

Henika Ardelia — 2025-08-31

Hypertension, once predominantly found in adults, is increasingly prevalent among adolescents, primarily due to unhealthy eating habits, imbalanced nutritional status, and a sedentary lifestyle. This condition is concerning because early-onset hypertension raises the risk of cardiovascular disease later in life. This study aimed to determine the relationship between fast food consumption, nutritional status, and sedentary lifestyle with the incidence of hypertension among adolescents at SMAN 1 Sukoharjo. A quantitative approach with a cross-sectional design was used. The sample consisted of 93 students selected through simple random sampling. Data were collected during May–June 2025 using the Food Frequency Questionnaire (FFQ), Adolescent Sedentary Activity Questionnaire (ASAQ), blood pressure measurements, and body mass index-for-age (BMI/A) calculations. Data analysis was conducted using the Spearman Rank correlation test. The results showed no significant relationship between fast food consumption (p=0.799), nutritional status (p=0.259), or sedentary lifestyle (p=0.739) and the incidence of hypertension. Conclusion: None of the three variables had a significant effect on adolescent hypertension in the study location. Recommended health education regarding balanced nutrition and active lifestyles remains essential as a preventive measure to reduce the risk of hypertension from an early age.

The Influence of Screen Time and Nutrition Knowledge on Dietary Habits Among Nutrition Students

Fadilla Chairunnisa Fitri — 2025-08-31

The increasingly digital lifestyle among university students has the potential to influence dietary behavior, even among those with good nutrition knowledge. This study is important to evaluate the extent to which screen time and nutritional knowledge are associated with dietary habits among nutrition students. The aim of this research was to determine the relationship between screen time and nutrition knowledge with food consumption habits among students of the Nutrition Study Program at Mitra Indonesia University. This quantitative study used a cross-sectional design involving 71 students selected through purposive sampling. Data were collected using questionnaires in May 2025 and analyzed using the chi-square test. The results showed that most respondents had high screen time (98.6%), moderate nutritional knowledge (57.7%), and poor dietary habits (47.9%). Statistical analysis revealed no significant relationship between screen time (p=0.323) or nutritional knowledge (p=0.133) and dietary habits. In conclusion, neither nutrition knowledge nor screen time duration sufficiently influences healthy eating behaviors among students. Recommended Behavior-based interventions and more practical nutrition education strategies are needed to improve dietary patterns in the digital age.

The Relationship Between Knowledge, Parenting Patterns, and Infectious Diseases with the Incidence of Wasting

Berlian Nita Sari — 2025-08-31

Wasting remains a major public health problem in Indonesia. In Bandar Lampung City, the prevalence of wasting reached 8.4% in 2023, and in the working area of Kotakarang Public Health Center, it has continued to increase from 8.2% (2022) to 10.9% (2024). This study aimed to determine the relationship between knowledge, parenting patterns, and infectious diseases with the incidence of wasting among children under five. This quantitative study used a cross-sectional design and was conducted from June 7–28, 2025, in the working area of Kotakarang Public Health Center. The population consisted of 1,281 children aged 19–60 months, with 112 samples selected using stratified sampling. Data on knowledge, parenting patterns, and infectious diseases were collected through questionnaires, while wasting was assessed using anthropometric measurements. Data analysis was performed using univariate and bivariate analyses with the Chi-Square test. The results showed significant relationships between knowledge (p = 0.001), parenting patterns (p = 0.002), and infectious diseases (p = 0.001) with wasting incidence. Children whose mothers had low knowledge, poor parenting, or a history of infectious disease were at higher risk of wasting. Infectious diseases showed the strongest association (OR = 25.5).In conclusion, improving maternal knowledge, enhancing parenting practices, and preventing infectious diseases are essential to reduce wasting. Recommended: the health center should strengthen education, screening, counseling, and home visits focusing on nutrition, sanitation, and hygiene.

Sensory Evaluation, Nutritional Composition, and Antioxidant Activity of Fresh Milk Fortified with Mistletoe Leaf (Dendrophthoe Pentandra) Extract

Dwi Denintia — 2025-08-31

Fresh milk is a highly nutritious beverage but has relatively low antioxidant activity, thus requiring development into a functional food. Fortification with mistletoe leaf extract (Dendrophthoe pentandra), which contains bioactive compounds such as flavonoids, phenols, and tannins, has the potential to enhance the functional value of milk. This study aimed to evaluate the sensory characteristics, nutritional composition, and antioxidant activity of fresh milk fortified with mistletoe leaf extract. This experimental research used a Completely Randomized Design (CRD) with five treatments (F0–F4), namely 0, 2, 4, 6, and 8 grams of extract per 100 mL of milk. Data were collected through a hedonic test involving 15–25 semi-trained panelists, proximate analysis (water, protein, fat, carbohydrates, ash), and antioxidant activity measurement using the DPPH method. The research was conducted from May to June 2025 at Mitra Indonesia University and the Laboratory of POLINELA. The results showed that fortification affected sensory attributes (especially taste and color) but maintained the nutritional quality according to the Indonesian National Standard (SNI 3141.1:2011). Antioxidant activity increased with higher extract concentrations, with the F2 formulation (4 grams) offering the best balance between sensory quality and antioxidant content. In conclusion, fortification of fresh milk with mistletoe leaf extract effectively improves its functional properties without compromising nutritional value. It is recommended that the F2 formulation be considered for further development of functional milk products based on natural ingredients.

Effect of Nutrition Education Using PowerPoint and Crossword Puzzles on Healthy Snacks on Knowledge, Attitudes, and Macronutrient Intake of Elementary School Students

Angela Chandra Deswita — 2025-08-31

Nutritional problems among school-age children in Indonesia remain a serious concern, with a stunting prevalence of 15.2%, wasting 6.3%, and obesity 5.3%. Consumption of unhealthy snacks contributes to an imbalance in macronutrient intake. The aim of this activity was to analyze the effect of nutrition education using PowerPoint and crossword puzzle media on students’ knowledge, attitudes, and macronutrient intake. A pre-experimental study with a one-group pretest-posttest design involved 41 fourth- and fifth-grade students at SD Negeri 1 Sri Katon. Data were collected using knowledge and attitude questionnaires and a 2×24-hour food recall. The study showed a significant increase in knowledge scores from 51.46 to 83.66 (p<0.001), an increase in supportive attitudes from 29.3% to 63.4% (p<0.001), and improvements in the adequacy of carbohydrate, protein, and fat intake (p<0.001). Conclusion: Nutrition education using interactive media effectively improved elementary school students’ knowledge, attitudes, and macronutrient intake. It is recommended to implement interactive nutrition education in elementary schools regularly to enhance knowledge, attitudes, and healthy consumption behaviors.