Jurnal Kajian Ilmiah Kesehatan dan Teknologi

Hubungan Status Gizi dengan Kejadian Diare pada Balita di Wilayah Kerja Puskesmas Pangi

Afriyanto Dai — 2026-01-30

Diarrhea remains a major health problem among under-five children and contributes significantly to childhood morbidity, particularly in primary healthcare settings. Nutritional status plays an important role in children’s immune response to infectious diseases; however, the association between nutritional status and diarrhea incidence varies across settings. This study aimed to analyze the relationship between nutritional status and diarrhea incidence among under-five children in the working area of Puskesmas Pangi in 2024.This study employed a cross-sectional analytic design using secondary data at the village aggregate level. Data on nutritional status were obtained from the 2024 child growth monitoring records (BNBA) using weight-for-height (W/H) indicators, while data on diarrhea incidence were collected from the 2024 routine reporting records of Puskesmas Pangi. The study population consisted of 725 under-five children recorded in both data sources. Data analysis included univariate analysis and bivariate analysis using Spearman correlation with a significance level of α = 0.05. The results showed that the majority of under-five children had normal nutritional status based on the W/H indicator. Diarrhea cases among under-five children were reported in all villages within the study area, with varying numbers of cases. Spearman correlation analysis indicated a positive but weak-to-moderate association between the proportion of poor nutritional status and the proportion of diarrhea incidence; however, the association was not statistically significant (p > 0.05). In conclusion, nutritional status was not significantly associated with diarrhea incidence among under-five children at the village aggregate level in the working area of Puskesmas Pangi in 2024. Comprehensive diarrhea prevention efforts should consider other contributing factors beyond nutritional status, including environmental sanitation, access to clean water, and hygienic behavior.

Efektivitas Oral Hygiene Menggunakan Povidone-Iodine 1% terhadap Pencegahan Pneumonia pada Pasien dengan Penurunan Kesadaran di Ruang ICU

Melfis Daeli — 2026-03-02

Ventilator-Associated Pneumonia (VAP) is a nosocomial infection that frequently occurs in patients treated in the Intensive Care Unit (ICU), particularly among stroke patients with comorbid diabetes mellitus who require mechanical ventilation. Decreased level of consciousness, endotracheal tube insertion, impaired protective airway reflexes, and hyperglycemic conditions increase the risk of oropharyngeal microorganism colonization that may lead to VAP. One of the nursing interventions recommended in the VAP prevention bundle is oral hygiene using antiseptic agents. This study aimed to analyze the effectiveness of oral hygiene using 1% povidone-iodine in preventing Ventilator-Associated Pneumonia in stroke patients with diabetes mellitus receiving mechanical ventilation in the ICU. This study employed a descriptive case study design involving two patients treated in the same hospital ICU: one patient diagnosed with recurrent ischemic stroke and diabetes mellitus, and one patient diagnosed with ischemic stroke and diabetes mellitus. The nursing intervention consisted of scheduled oral hygiene using 1% povidone-iodine performed three times daily and combined with the VAP prevention bundle, including effective suctioning, 30° semi-Fowler positioning, and continuous clinical monitoring. Evaluation was conducted through clinical observation, including oral cavity hygiene, secretion characteristics, respiratory rate, oxygen saturation, random blood glucose levels, and the Modified Clinical Pulmonary Infection Score (MCPIS). The results demonstrated improved airway clearance in both patients, indicated by reduced secretion production, decreased rhonchi, stabilized respiratory rate, and increased oxygen saturation. Throughout the observation period, MCPIS values in both patients remained ≤5, and no clinical signs of VAP were identified. Therefore, oral hygiene using 1% povidone-iodine is effective in preventing Ventilator-Associated Pneumonia in stroke patients with diabetes mellitus receiving mechanical ventilation in the ICU and is recommended for integration into ICU nursing standard operating procedures.

HUBUNGAN TINGKAT PENGETAHUAN DAN SIKAP PASIEN HIPERTENSI TENTANG PENGENDALIAN HIPERTENSI DI WILAYAH KERJA PUSKESMAS SARITANI KABUPATEN BOALEMO

Ari Yudistira Perdana Tangahu — 2026-04-10

Background: Hypertension is considered a silent disease because people are unaware they have it until they have their blood pressure checked. Hypertension is the leading cause of stroke, both in systolic and diastolic blood pressure (Rudianto, 2013). According to World Health Organization (WHO) data, approximately 972 million Indonesians aged 18 and over worldwide had hypertension in 2014. Based on the 2024 Boalemo Regency Health Profile, the Saritani Community Health Center had 559 hypertension sufferers. Hypertension can be prevented and controlled by promoting a healthy lifestyle. However, a lack of adequate public knowledge about hypertension and its prevention tends to increase the incidence of hypertension. The high number of hypertension cases at the Saritani Community Health Center in BoalemoRegency may be due to several factors. Some may be aware of their hypertension but have not taken any control measures, or others may be unaware of their hypertension. This is the reason why the researcher took the title of the relationship between the level of knowledge and attitudes of hypertension patients regarding hypertension control in the Saritani Community Health Center Work Area, Boalemo Regency.

ANALISIS TANTANGAN PENGEMBANGAN STRATEGI RUMAH SAKIT DALAM MENINGKATKAN MUTU PELAYANAN DAN DAYA SAING ORGANISASI: LITERARURE REVIEW

Dika Octaviani Yustedjo — 2026-04-23

Background: Hospitals in the VUCA era face a dual imperative: maintaining social missions while ensuring financial sustainability. This complexity is exacerbated by the JKN shift to INA-CBGs, digital disruptions, and Law No. 17 of 2023 reinforcing corporate liability. Objective: This study analyzes challenges in strategy development and internal/external barriers to formulate recommendations for Indonesian hospital managers. Method: A Systematic Literature Review (SLR) with a descriptive-analytical approach was conducted on literature (2019–2025) from Google Scholar, PubMed, and SINTA, utilizing thematic synthesis and the Fishbone framework. Results: Findings reveal multidimensional internal barriers, including HR shortages, cultural resistance, and budget constraints. JKN implementation mandates a strategic shift from revenue generation to cost containment. While digital transformation is crucial for competitiveness, it faces infrastructure and cost hurdles. Furthermore, regulatory changes demand prioritized risk management due to heightened corporate liability. Conclusion: Strategic success depends on integrating operational efficiency, technological adaptation, and legal compliance. Adopting adaptive leadership, Lean Management, and robust risk management is recommended to maintain organizational competitiveness and sustainability

IoT Based Temperature and Humidity Monitoring System with Alarm for CT Scan Rooms in Radiology Installations

Reni Septriani — 2026-05-01

Radiology services in hospitals are an integral part of the healthcare system, with CT-Scan being one of the primary modalities. The CT-Scan room requires a highly controlled environment, specifically a temperature range of 20–24°C and humidity level between 40–60%, to ensure optimal equipment performance and image quality. Excessive humidity can lead to condensation, which risks damaging expensive electronic and optical components and may compromise imaging results. Therefore, an Internet of Things (IoT)-based temperature and humidity monitoring system with real-time alarm features has been developed for the CT-Scan room at the Radiology Installation of Sultan Suriansyah Regional Public Hospital. This device is designed to issue alerts when humidity reaches or exceeds 60%, and enables remote, real-time monitoring through a web-based interface. Test results indicate that the system operates stably and accurately, transmitting online data with less than ±5% deviation compared to a reference device (thermophygrometer). The system has proven effective in maintaining the environmental conditions of the CT-Scan room, improving operational efficiency, and supporting the reliability of medical equipment. With IoT integration, monitoring can be conducted anytime and anywhere, strengthening preventive maintenance and enhancing the quality of radiology services.