Jurnal Sehat Mandiri https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm <p><strong>Jurnal&nbsp; Sehat Mandiri</strong> berdiri dimulai pada tahun 2012 dengan sistem publikasi jurnal dengan terbitan cetak dan sejak tanggal 06 Maret 2018 Jurnal Sehat Mandiri sudah berpindah dari cetak ke Open Journal Systems (OJS) dimana publikasi <strong>bulan Juni dan Desember</strong> dilakukan secara online dimana penulis, pembaca dan mahasiswa bisa mengkases jurnal ini tanpa dibatasi ruang dan waktu. Jurnal Sehat Mandiri dimaksudkan sebagai media kajian ilmiah hasil penelitian, pemikiran dan kajian analisis-kritis mengenai penelitian Kesehatan seperti, Ilmu-ilmu Kebidanan, Ilmu Kesehatan Lingkungan, Ilmu Keperawatan, Ilmu Gizi, Ilmu Keperawatan Gigi dan Ilmu Promosi Kesehatan, Kedokteran, Farmasi, Analisis Kesehatan, Fisioterapi, Elektromedik, Rekam Medik, Keselamatan dan Kesehatan Kerja, Teknologi Informasi yang berhubungan dengan kesehatan.</p> <p><a href="http://u.lipi.go.id/1520390303" target="_blank" rel="noopener">p-ISSN : 1978-8517</a>&nbsp;<a href="http://u.lipi.go.id/1520390303" target="_blank" rel="noopener"> e-ISSN : 2615-8760</a></p> Poltekkes Kemenkes Padang en-US Jurnal Sehat Mandiri 1978-8517 <p><strong>Copyright Notice</strong></p> <p><strong>Pernyataan Hak Cipta dan Lisensi</strong></p> <p>Dengan mengirimkan manuskrip ke&nbsp;<strong>Jurnal Sehat Mandiri</strong>, penulis setuju dengan kebijakan ini. Tidak diperlukan persetujuan dokumen khusus.</p> <p><strong>Hak Cipta :</strong></p> <p><a href="https://creativecommons.org/licenses/by-nc-sa/4.0/" target="_blank" rel="noopener"><img src="https://i.creativecommons.org/l/by-nc-sa/4.0/88x31.png" alt="Lisensi Creative Commons"></a></p> <p><strong><u><a href="http://creativecommons.org/licenses/by-nc-sa/4.0/">Lisensi Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional</a>&nbsp;</u></strong></p> <p><strong>Hak cipta atas artikel apa pun di &nbsp;Jurnal Sehat Mandiri dipegang penuh oleh penulisnya di bawah <a href="http://creativecommons.org/licenses/by-nc-sa/4.0/">lisensi Creative Commons CC BY-NC-SA 4.0.</a></strong></p> <ol> <li>Hak cipta pada setiap artikel adalah milik penulis.</li> <li>Penulis mempertahankan semua hak mereka atas karya yang diterbitkan, tak terbatas pada hak-hak yang diatur dalam laman ini.</li> <li>Penulis mengakui bahwa Jurnal Sehat Mandiri sebagai yang pertama kali mempublikasikan dengan <a href="http://creativecommons.org/licenses/by-nc-sa/4.0/" target="_blank" rel="noopener">lisensi Creative Commons Atribusi 4.0 Internasional (CC BY-NC-SA-4.0)</a>.</li> <li>Penulis dapat memasukan tulisan secara terpisah, mengatur distribusi non-ekskulif dari naskah yang telah terbit di jurnal ini kedalam versi yang lain (misal: dikirim ke respository institusi penulis, publikasi kedalam buku, dll), dengan mengakui bahwa naskah telah terbit pertama kali pada Jurnal Sehat Mandiri.</li> <li>Penulis menjamin bahwa artikel asli, ditulis oleh penulis yang disebutkan, belum pernah dipublikasikan sebelumnya, tidak mengandung pernyataan yang melanggar hukum, tidak melanggar hak orang lain, tunduk pada hak cipta yang secara eksklusif dipegang oleh penulis.</li> <li>Jika artikel dipersiapkan bersama oleh lebih dari satu penulis, setiap penulis yang mengirimkan naskah menjamin bahwa dia telah diberi wewenang oleh semua penulis bersama untuk menyetujui hak cipta dan pemberitahuan lisensi (perjanjian) atas nama mereka, dan setuju untuk memberi tahu rekan penulis persyaratan kebijakan ini. Jurnal Sehat Mandiri tidak akan dimintai pertanggungjawaban atas apa pun yang mungkin timbul karena perselisihan internal penulis.</li> </ol> <p><strong>Lisensi :</strong></p> <p><strong>Jurnal Sehat Mandiri</strong> diterbitkan berdasarkan ketentuan &nbsp;<u><a href="http://creativecommons.org/licenses/by-nc-sa/4.0/">Lisensi Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional</a>&nbsp;(CC BY-NC-SA 4.0).</u>&nbsp;Lisensi ini mengizinkan setiap orang untuk :</p> <p><strong>Menyalin dan menyebarluaskan kembali materi ini dalam bentuk atau format apapun&nbsp; serta menggubah, memperbaiki, dan membuat ciptaan turunan, bahkan untuk kepentingan komersial, selama mereka mencantumkan kredit kepada Penulis atas ciptaan asli.</strong></p> Efektifitas Arang Batok Kelapa dalam Menurunkan Kadar Nikel, E Coli, dan Kekeruhan pada Air Sumur Gali https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1752 <p><em>Water is essential for human life, as it plays a crucial role in various biological processes within the body, with water constituting 50-70% of total body weight. This study aimed to assess the effectiveness of coconut shell charcoal in reducing levels of nickel, E. coli, and turbidity in dug well water. An experimental research design with a "Pre-Post Test Design" was employed. The study was conducted in Lelilef Village, Central Halmahera Regency, using 70 dug wells as samples. Ten liters of water from each well were filtered using coconut shell charcoal, which was locally sourced from the village. Purposive sampling was applied in selecting the wells for filtration. The results indicated that coconut shell charcoal filtration significantly reduced nickel levels by 98.6%, decreased E. coli levels in 64.3% of the samples, and successfully met water turbidity standards. Conclusion : </em><em>The use of coconut shell charcoal is effective in reducing nickel, E. coli, and turbidity in contaminated well water.</em></p> Idayani Sangadjisowohy Sumiati Tomia Jasman Jasman Risman S. Duka ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 1 10 10.33761/jsm.v20i1.1752 Reliabilitas dan Validitas Kuesioner WHOQOL-BREF sebagai Alat Ukur Kualitas Hidup pada Pasien Osteoarthritis Lutut https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1808 <p><em>The quality of life of people with knee osteoarthritis (KOA) is generally lower than that of individuals who do not experience the condition. This decrease in quality of life is caused by significant inflammation, which directly affects the physical function of the patient. This study aimed to determine to validity and reliability questionnaire knee osteoarthritis (KOA). Methods: This research method was conducted at Pandanarang Hospital, Boyolali, on September 4, 2024. This study used the WHOQoL BREF questionnaire, according to WHO this questionnaire is used to measure the quality of life in patients with knee osteoarthritis. Using a purposive sampling method to determine the sample. Data collection was carried out by test-retest reliability testing with a three-day interval. The final stage of the study was to analyze the validity and reliability of the questionnaire using a validity test per item and a test-retest reliability test using Cronbach's alpha, and ICC to ensure the accuracy and consistency of the measuring instrument. &nbsp;Results. This study involved 67 respondents. The validity test showed a high validity (r=0.949) and p&lt;0.001. Reliability was confirmed with a Cronbach's alpha of 0.835 and an Intraclass Correlation Coefficient (ICC) of 0.974, indicating excellent reliability. Conclusion. The WHOQOL BREF questionnaire was a valid and reliable instrument for assessing the quality of life in patients with knee osteoarthritis</em>.</p> Yustitya Aprila Nur Fadilah Dwi Rosella Komalasari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 11 22 10.33761/jsm.v20i1.1808 Hubungan Gangguan Kognitif dengan Kemandirian Lansia dalam Melakukan Basic Activity of Daily Living (BADL) https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1728 <p><em>Cognitive impairment experienced by the elderly is a serious problem because it has an impact on the ability of the elderly to carry out daily activities. After old age, there are a number of potential physical changes in a person. This is related to differences in the speed of cognitive function in the elderly because it can interfere with the independence of the elderly to carry out Basic daily activities. The aim of this research is determine the relationship between cognitive impairment and elderly independence in carrying out Basic Activities Daily Living (BADL).the elderly. </em><em>This type of research is quantitative with a cross-sectional approach. The population of this study was 292 people with a sample of 68 respondents and sampling using simple random sampling techniques. The results of data analysis with the chi-square test showed that there is a meaningful relationship between cognitive impairment and independence of </em><em>B</em><em>asic </em><em>A</em><em>ctivity </em><em>D</em><em>aily </em><em>L</em><em>iving (BADL) with p-value&lt;0.001</em><em>. The conclusion is </em><em>the elderly with severe cognitive impairment </em><em>are at greater risk of experiencing dependency in BADL compared to elderly people who experience mild cognitive impairment. </em></p> Ni Made Riasmini Luthfiyah Astried Yeti Resnayati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 23 30 10.33761/jsm.v20i1.1728 Pengaruh Pemberian Sari Kurma dalam Manajemen Aktif Kala III Di Puskesmas Bara - Baraya Makassar https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1807 <p><em>Childbirth is the process of delivering a fetus, which requires stamina and optimal physical condition due to the increased metabolism during the process. The muscle activity during pushing requires optimal energy, which can be obtained from proper nutrition and hydration. This study aims to determine the effect of date syrup administration in the active management of the third stage of labor at Bara-Barayya Health Center. The study used a quasi-experimental design with a pre-test and post-test with a control group. The population for this study was multiparous women (parity 2-4) who gave birth at Bara-Barayya Health Center between April and June 2023, with a sample taken through accidental sampling. Data was collected through direct observation using an observation sheet to assess the duration of the third stage of labor. Data analysis was conducted using an independent T-test. The results showed a p-value of 0.005 &lt; 0.05, indicating that date syrup administration has an effect on the active management of the third stage of labor at Bara-Barayya Health Center in 2023. The conclusion is that date syrup administration influences the active management of the third stage of labor. This study recommends that Bara-Barayya Health Center and the Midwife Team educate pregnant women to consume date syrup starting from the third trimester to shorten labor duration and reduce pain.</em></p> Uliarta Marbun Irnawati Irnawati Lili Purnama Sari Dahniar Dahniar ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 31 41 10.33761/jsm.v20i1.1807 Efektivitas Produk Herbal Antijamur untuk Terapi Ketombe (Pityarisis capitis): Literature Review dan Analisis Bibliometrik https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1802 <p><em>Dandruff (Pityriasis capitis) is a skin health problem caused by fungal growth on the scalp, increased production of oil glands (sebum) excessively. Current advances in science and technology have led to the development of herbal plant research to be used as antifungal herbal products in overcoming dandruff. The purpose of this literature review is to review and summarize herbal plants that have the potential to inhibit the growth of fungi that cause dandruff, so that it is useful to be developed as further research.</em> <em>Article searches were conducted from February to May 2024 using the Publish or Perish reference manager (PoP) tool in the Google scholar database source which was then term mapped in the Vosviewer software. The results of original research journal publications related to dandruff published in the range of 2014 to 2024 were obtained as many as 12 journals. The conclusion obtained in this literature review is that secondary metabolite compounds contained in herbal plants have a potential fungal inhibition mechanism, so it is appropriate to be developed in future research and used as an antifungal herbal product to treat dandruff.</em></p> Esti Syahrin Hadi Sudarjat Rachel Noveriachristie Balapadang ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 42 55 10.33761/jsm.v20i1.1802 Daya Terima Nugget Tempe, Ikan dan Havermout (Temfishmout) sebagai Snack Rendah Kolesterol https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1296 <p><em>Tempefishmout nuggets are nuggets made from tempeh, patin fish and oatmeal. The composition of the three main ingredients is rich in nutrients, high in fiber and low in cholesterol. Fish and tempeh are local foods that are easy to obtain and affordable. The purpose of this study was to determine the acceptability of tempefishmout nuggets. The type of research used was experimental research with a completely randomized non-factorial design. This research was conducted from April to November 2022 at the Food Technology Lab of Poltekkes Palembang. There are 5 Formulas used in this study, namely: F1 (80% tempeh: 15% catfish: 5% oatmeal flour), F2 (60% tempeh: 30% catfish: 10% oatmeal flour), F3 (50% tempeh: 35% catfish: 15% oatmeal flour), F4 (40% tempeh: 40% catfish: 20% oatmeal flour), F5 (20% tempeh: 60% catfish: 20% oatmeal flour) with three repetitions and using the deep frying method. The equipment used is a fryer, food scales, stoves and thermometers. The acceptance test was carried out by 30 semi-trained panelists. The results of the study showed that Formula F5, which was most preferred by panelists, had the highest scores for color (4.80 ± 0.03 <sup>b</sup>), aroma (4.60 ± 0.03 <sup>b</sup>), taste (4.52 ± 0.11<sup>c</sup>), and texture (4.32 ± 0.17 <sup>b</sup>).</em></p> Yunita - Nazarena Terati Terati Eliza Eliza Imelda Telisa Sriwiyanti Sriwiyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 56 65 10.33761/jsm.v20i1.1296 Literature Review: Efektivitas dan Efek Samping PCSK9 Inhibitor (Proprotein Convertase Subtilisin/Kexin Type 9 Inhibitor) dengan Golongan Statin pada Pasien Penderita Kolesterol https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1746 <p><em>Cholesterol is an essential molecule in the human body, but excessive levels can lead to various diseases, including hypercholesterolemia. The management of high cholesterol involves the use of statins and PCSK9 inhibitors. This study aims to compare the effectiveness and side effects of these two drug classes.This study is a literature review conducted from August to September using articles from the PubMed database with keywords related to PCSK9 inhibitors and statins. The data were analyzed through bibliometric analysis using VOSviewer software with keywords such as PCSK9 inhibitor, alirocumab, bococizumab, and evolocumab.The results showed that PCSK9 inhibitors could reduce LDL-C levels by 57-61% with a good safety profile, although side effects such as injection site reactions were observed. In comparison, statins reduced LDL-C levels by 18-55% and increased HDL-C levels by up to 15%, but their side effects included muscle disorders and liver function impairment. PCSK9 inhibitors provide an additional solution for patients who do not respond optimally to statins. </em><em>Conclusion: PCSK9 inhibitors are effective in lowering LDL-C in patients who have difficulty achieving target levels with statin therapy alone</em>.</p> Adhwa'a Kaylla Affandhy Hadi Sudarjat Indah Laily Hilmi Jahra Almas Shadrina Fadya Laila Dzannuba Laila Dzannuba ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 66 79 10.33761/jsm.v20i1.1746 Analisis Dampak Sampah Domestik terhadap Lingkungan Perairan Pesisir dan Kesehatan https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1778 <p><em>Coastal waters are vital ecosystems that support marine life and human activities such as fisheries and tourism. However, population growth and urbanization have led to a surge in domestic waste, particularly plastics and liquid waste containing hazardous chemicals. Poor waste management pollutes coastal ecosystems, degrades the environment, and poses health risks to communities. This study aims to formulate evidence-based recommendations for sustainable waste management to minimize its impact on coastal environmental quality and public health. The method used is a Systematic Literature Review (SLR) based on 15 relevant scientific articles. The findings indicate that domestic waste contributes to eutrophication, water quality deterioration, and microplastic exposure, contaminating the marine food chain. The health effects include respiratory disorders, skin diseases, and gastrointestinal infections. Additionally, inadequate waste management infrastructure and low public awareness exacerbate the problem. Conclusion : </em><em>Domestic waste has a significant impact on coastal ecosystems and public health. Poorly managed plastic and liquid waste contribute to eutrophication, water quality degradation, and microplastic contamination, which can disrupt the marine food chain.</em></p> Fitri Sadilla Eni - Kamal Abdul - Razak Widya Prarikeslan ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 80 90 10.33761/jsm.v20i1.1778 Hubungan Kualitas Tidur dengan Kadar Gula Darah pada Usia Remaja 15-17 Tahun https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1830 <p><em>Poor sleep quality can have a negative impact on health, including affecting blood sugar levels, especially in adolescents. Adolescence is a crucial period in physical and psychological development, so sleep quality disorders can trigger significant metabolic problems. The purpose of this study was to determine the relationship between sleep quality and blood sugar levels in adolescents aged 15-17 years at SMK Negeri 1 Percut Sei Tuan. This type of research is quantitative with a descriptive correlation design using a cross-sectional approach. The research sample involved 96 students who were selected using Simple Random Sampling. Data were collected through the Pittsburgh Sleep Quality Index (PSQI) questionnaire to measure sleep quality and blood sugar levels using the glucometer method. Statistical tests used Spearman's rho. The results showed that the majority of respondents had poor sleep quality 63 respondents (65.6%) and blood sugar levels in the pre-diabetes category 48 respondents (50%). Statistical analysis showed a significant relationship between sleep quality and blood sugar levels (p-value = 0.000 or p&lt;0.005), with a correlation coefficient (r) of 0.559. In conclusion, there is a significant and strong and positive relationship between sleep quality and blood sugar levels in adolescents aged 15-17 years. </em></p> Tema Fo'arota Zendrato Afnijar Wahyu ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 91 103 10.33761/jsm.v20i1.1830 Studi Literatur: Analisis Pengetahuan dan Sikap Mahasiswa Farmasi dalam Pembuangan Limbah Obat dengan Perspektif Ekofarmakologi https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1638 <p><em>This literature study aims to evaluate pharmacy students' knowledge and attitudes regarding pharmaceutical waste disposal from an ecopharmacology perspective. Ecopharmacology is a branch of science that examines the environmental impact of drug residues, particularly how pharmaceutical compounds affect ecosystems after disposal. This perspective is important because unused or improperly discarded medications can contaminate water and soil, and disrupt ecological balance. The study employs a qualitative literature review method by analyzing articles from the PubMed and Scopus databases over the past ten years. The results show that although pharmacy students possess basic knowledge about the environmental risks of improper drug disposal, there remains a gap in practical application. Ecopharmacology education has proven to play a significant role in raising awareness and fostering environmentally responsible attitudes.</em><em> Conclusion: Pharmacy students have basic knowledge about the environmental impact of drug disposal, but its implementation is still suboptimal.Recommendation: It is recommended to integrate ecopharmacology into the pharmacy curriculum and provide proper and easily accessible pharmaceutical waste disposal facilities.</em></p> Shalum Putriyani Indah Laily Hilmi Devi Ratnasari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 104 116 10.33761/jsm.v20i1.1638 Perbedaan Kandungan Zat Gizi Makro dan Mikro pada Tepung Daun Kelor (Moringa Oleifera) Berdasarkan Metode Perlakuan Pendahuluan https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1827 <p><em>Moringa leaves (Moringa oleifera) are highly nutritious. Processing into flour extends shelf life, facilitates use, but the initial treatment methods affect its nutrient content</em><em>.</em> <em>This research investigated how different pre-processing treatments</em><em> (</em><em>boiling blanching, steaming blanching, and no blanching</em><em>) </em><em>impact the macro- and micronutrient profile of Moringa leaf powder. The study was carried out from June to September 2023 using a <strong>true experimental design</strong>, applying specific pre-treatments before the leaves were dried and ground into powder.</em> <em>The macronutrient composition was assessed using the proximate analysis method, whereas mineral levels were measured by spectrophotometric techniques carried out at the Industrial Research and Standardization Center (BARISTAND) Padang</em><em>. The results indicated considerable variation in nutritional content based on treatment type. </em><em>Boiling blanching: carbohydrates 6.24%, protein 51.32%, fat 23.54%, moisture 12.68%, ash 5.11%, iron 55.16 mg/kg, calcium 9715.61 mg/kg, zinc 21.33 mg/kg.Steaming blanching: carbohydrates 16.35%, protein 47.93%, fat 44.29%, moisture 8.56%, ash 6.96%, iron 50.80 mg/kg, calcium 9453.80 mg/kg, zinc 22.70 mg/kg. No blanching: carbohydrates 26.41%, protein 47.40%, fat 48.75%, moisture 9.37%, ash 8.44%, iron 56.64 mg/kg, calcium 14905.11 mg/kg, zinc 26.62 mg/kg.</em> <em>In conclusion,</em> <em>Pre-treatment methods strongly affect the nutritional value of Moringa leaf powder.</em><em>Therefore,s</em><em>electing the right method is essential to optimize its use in food processing and community nutrition programs.</em></p> Renita Afriza Definiwita Yuska Ismanilda Ismanilda ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 117 128 10.33761/jsm.v20i1.1827 Analisis Efektivitas Pemberian Rebusan Daun Sirih terhadap Waktu Penyembuhan Luka Perineum https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1836 <p><em>The 2017 Indonesian Demographic and Health Survey (SDKI) reported that the leading causes of postpartum maternal mortality are bleeding (30%), infection (22.5%), and eclampsia (2.0%). Postpartum hemorrhage occurs in 49% of mothers, caused by retention, perineal rupture, and retained placenta. Before using green betel leaf decoction, 16 mothers (51.6%) had a degree 0 perineal wound, while after treatment, this increased to 26 mothers (83.9%).This study aims to determine the effectiveness of betel leaf decoction on perineal wound healing at BPM Hj. Yetti Latif, S.ST, Padang Pariaman, in 2023. It employs a quasi-experimental design, conducted from January to April, with 30 postpartum mothers selected through consecutive sampling. Data collection used a questionnaire, and analysis was performed using univariate and bivariate methods, with the Chi-Square test for hypothesis testing.The results show a p-value of 0.003 (α = 0.05), indicating a significant effect of betel leaf decoction on wound healing. Since p-value (0.003) &lt; 0.05, H</em><em>₀</em><em> is rejected, confirming the effectiveness of betel leaf decoction in accelerating perineal wound healing. This study concludes that betel leaf decoction is an effective natural remedy for postpartum perineal wound healing. Postpartum mothers are encouraged to use betel leaf decoction to promote faster recovery.</em></p> Dian Eka Nursyam Sandra Ilona ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 129 137 10.33761/jsm.v20i1.1836 Faktor-Faktor yang Berhubungan dengan Kejadian Diare pada Balita di Kota Tomohon https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1543 <p><em>The prevalence of diarrhea remains high in countries with limited access to clean water, sanitation, and personal hygiene. To reduce diarrhea cases, Indonesia has implemented the Community-Based Total Sanitation (STBM) program, with a key indicator being the reduction of open defecation behavior. This study aims to identify the factors associated with the incidence of diarrhea among children under five in Tomohon City. This is an analytical study with a quantitative approach and a cross-sectional design. The population includes 840 children under five in the Lansot Health Center area, with a sample size of 271 children. Data were collected through questionnaires given to the children's parents. Independent variables include the role of sanitation officers, latrine ownership, access to latrine use, and the practice of stopping open defecation (stop BABS). Data were analyzed using univariate, bivariate (Chi-square test), and multivariate (logistic regression) analyses. The results showed significant associations between all independent variables and the incidence of diarrhea. The dominant factors were access to latrines (p = 0.001; OR = 3.838) and stop BABS behavior (p = 0.002; OR = 5.148). It is concluded that improved access and sanitation behaviors significantly reduce diarrhea incidence in children. It is recommended that the community maintain existing sanitation facilities and continue promoting clean and healthy living behaviors to prevent diarrhea in children.</em></p> Hany C Malingkas Andi Alim Zamly Zamly Ekafadly Yusuf ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 138 149 10.33761/jsm.v20i1.1543 Analisis Kualitatif dan Kuantitatif Merkuri dan Timbal pada Sediaan Krim dan Body Lotion Pemutih dengan Mengunakan Spektrofotometer Serapan Atom (SSA) https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1846 <p><em>The use of cosmetics for skin whitening has been widely used by the public, especially made in the form of creams and lotions. Mercury and Lead are included in hazardous materials that if used in large quantities and for a long time will cause harmful side effects. This study aims to assess the qualitative and quantitative analysis methods of mercury (Hg) content in cosmetics based on the data collected. <strong>Methods:</strong> This research is based on a literature study with an online search for articles with the time of publication of articles from 2014 to 2024 on the Google Scholar database. The results showed that the method of analyzing mercury (Hg) content in cosmetics can be done qualitatively and quantitatively. Qualitative analysis uses KI, NaOH and HCl reagents while quantitative analysis uses Atomic Absorption Spectrophotometry (SSA)/Atomic Absorption Spectrophotometry (AAS) method. <strong>Conclusion:</strong> analysis of mercury (Hg) content in cosmetics, especially creams and lotions, can be done using qualitative and quantitative analysis using the Atomic Absorption Spectrophotometry (SSA) method because it has good sensitivity to metals<strong>. Suggestion:</strong> In addition to the use of Atomic Absorption Spectrophotometer (SSA), future studies should consider the use of supporting methods such as Chromatography or UV-Vis Spectrophotometry, ICP and other instruments for comparison, as well as toxicology testing to assess the biological impact of heavy metal content toxicology testing to assess the biological impact of the detected heavy metal content.detected.</em></p> Ibtisamah Haura Marsah Rahmawati Utami ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 150 162 10.33761/jsm.v20i1.1846 Pengaruh Pemberian Ebook Multimodality Interaktif melalui Metode Student Centered Learning (SCL) terhadap Minat Belajar Mahasiswa Keperawatan di Era Society 5.0 https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1819 <p><em>Welcoming the era society 5.0, Nursing Education make adjustment by implementing a digital-based and focused learning process Student Centered Learning (SCL). However, the problem that exists is lecturers still play an important role as the main learning source (Teacher Centered Learning). Students tend to be passive because they only listen to explanations of material from lecturers. EBook multimodality interactive developed to help improve lecturers' abilities in the digital field and help increase student interest in learning.</em><em> This research aims to analyzing the effect of providing interactive multimodality EBooks using the SCL method on nursing students' learning interest in this era society 5.0. The research design used quasi experimental with post-test control group design. </em><em>The research was conducted in September-November at the Nursing Study Program at Universitas Lambung Mangkurat.</em><em>The sample was 84 respondents with Total Sampling. Statistical test using independent sample t-test with a significance level of 0.05. Measuring student interest in learning using a questionnaire.</em><em> Significance value p-value of 0.001 (&lt;0.05) with a value of 95% confidence interval amounting to 3,513-6,261 so it can be concluded that there is an influence of giving EBook multimodality interactive through the SCL method on nursing students' learning interest in this era society 5.0. EBook multimodality interactive developed can be applied by lecturers in every nursing course, making it easier for students to carry out independent learning and interact digitally. </em></p> Sapariah Anggraini Rifda Nur Achriyana Arif Muthmainnah Muthmainnah Yuza Olsi Rahmi Zikran Zikran ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 163 174 10.33761/jsm.v20i1.1819 Gambaran Faktor Risiko Kejadian Gagal Ginjal Kronik https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1502 <p><strong><em>Chronic kidney failure</em></strong><em> is a condition characterized by the inability of the kidneys to maintain metabolism and fluid-electrolyte balance due to progressive structural damage, resulting in the accumulation of metabolic waste. Interviews with patients revealed that the main risk factors include hypertension, diabetes mellitus, and unhealthy lifestyles. Alarmingly, even young patients (aged 19 and 24 years) have experienced this condition. This study aims to describe the risk factors associated with chronic kidney failure using a descriptive research design. Out of a population of 90 individuals, 73 respondents participated. Data were collected through questionnaires and analyzed using univariate analysis. The study was conducted from September 2023 to June 2024 in the Hemodialysis Unit of Dr. Reksodiwiryo Level III Hospital, Padang. The results showed that most respondents were aged 46–65 years (68.5%), female (56.2%), had a history of hypertension (76.7%), diabetes mellitus (61.6%), and long-term medication use (68.5%). A smaller proportion were smokers (24.7%) and had other medical histories. <strong data-start="1187" data-end="1204">In conclusion</strong>, the main risk factors for chronic kidney failure are hypertension, diabetes, and long-term medication use. <strong data-start="1313" data-end="1334">It is recommended</strong> to improve public education and awareness about healthy lifestyles to prevent chronic kidney failure from an early age.</em></p> Yolanda Eka Putri Yosi Suryarinilsih Sila Dewi Anggraini Efitra Efitra Idrawati Bahar Delima Delima ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 175 185 10.33761/jsm.v20i1.1502 Perbandingan Jumlah Leukosit Menggunakan Ekstrak Buah Limau Kuit sebagai Reagensia Alternatif https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1856 <p><em>Limau kuit (Citrus hystrix DC) is a fruit that has a distinctive sour taste. The sourness in limau kuit extract can be used to replace glacial acetic acid, which is one of the compounds found in reagents used to aid in the diagnosis of certain diseases. One of the reagents that contains acetic acid is Turk’s solution, which functions to stain leukocyte cells and lyse other cells except leukocytes, thus enabling leukocyte count analysis. The objective of this study was to count leukocytes using a modified Turk’s solution made from limau kuit extract and compare the results with those obtained using commercial Turk’s solution. The study design was a randomized post-test only controlled group design, using instruments such as a microscope, micropipette, test tubes, and an improved Neubauer chamber. The research was conducted in the pathology laboratory of Universitas Borneo Lestari in October 2024. Leukocyte count examinations were performed in 16 repetitions, followed by statistical data analysis using the Independent Sample T-Test. The results showed that the leukocyte counts obtained using the modified Turk’s solution from limau kuit extract did not show a significant difference. The difference in mean leukocyte count was 40.63 cells/mm³, with a median difference of 100 cells/mm³, a maximum difference of 150 cells/mm³, and a minimum difference of 200 cells/mm³. Microscopically, erythrocytes were completely lysed and leukocytes were clearly visible; however, bacterial contamination was still observed in the field of view. In conclusion, the modification of Turk’s reagent using limau kuit extract showed no significant difference between the control group (commercial Turk’s reagent) and the treatment group.</em></p> Muhammad Arsyad Nurul Amalia Nurbidayah Nurbidayah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 186 192 10.33761/jsm.v20i1.1856 Formulasi Benada Smoothies Dari Bengkuang, Buah Naga Merah, dan Dadih sebagai Camilan Berserat, Antioksidan, Probiotik Untuk Diabetes Melitus https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1769 <p><em>The prevalence of diabetes mellitus in Indonesia increased from 10.9% in 2018 to 11.7% in 2023, based on the Indonesian Health Survey. Individuals with type 2 diabetes are advised to consume low glycemic index, high-fiber, and nutritionally balanced foods, including snacks that help regulate blood glucose levels. This study aimed to develop smoothie formulations made from jicama, red dragon fruit, and dadih (fermented buffalo milk) as a functional snack for diabetic patients. A laboratory-scale experimental design was applied using three formulations: F1 (50:50:30), F2 (60:40:30), and F3 (70:30:30). Organoleptic testing was conducted using a 7-point hedonic scale with 25 panelists. Nutritional evaluations included proximate analysis, fiber (acid-base hydrolysis), antioxidant activity (DPPH method), and probiotic content (reference-based). Organoleptic data were analyzed using the Kruskal-Wallis test (p&lt;0.05). A significant difference was found in color (p=0.001), but not in aroma, taste, texture, or overall preference. The best formulation, F1, received the highest overall score (5.36). Per 100 g, the product contained 57.71 kcal, 1.71 g protein, 1.15 g fat, 10.13 g carbohydrates, 1.06 g fiber, IC</em><em>₅₀</em><em> antioxidant value of 23,496.69 ppm, and probiotic count of 8.81×10</em><em>⁵</em><em> CFU/g. The conclusion is Benada smoothies, particularly F1, were well accepted and show potential as a snack for diabetes. Further research is recommended to evaluate its effect on blood glucose and optimize antioxidant content.</em></p> Marni Handayani Suparman Suparman Nur Fauziah Mulus Gumilar ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 193 204 10.33761/jsm.v20i1.1769 Tinjauan Literatur : Potensi Senyawa Bioaktif Senggugu (Clerodendrum Serratum) sebagai Tanaman Obat Tradisional https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1734 <p><em>This study aims to explore in depth the potential of bioactive compounds contained in the Senggugu plant (Clerodendrum serratum) as a traditional medicinal plant useful in traditional medicine. This research is a systematic review of the literature with data search using PubMed and Google Scholar databases. Inclusion criteria included research related to Clerodendrum serratum, research articles, and published in the last 10 years. From the initial search results of 61 articles, 8 relevant articles were selected for further analysis and it was found that various parts of the plant, especially roots and leaves, contain active compounds such as ursolic acid, flavonoids, saponins, and silver nanoparticles, which exhibit significant anti-inflammatory, antioxidant, antimicrobial, and antarthritic properties. Laboratory and in silico studies support the effectiveness of the compound in inhibiting the activity of inflammatory enzymes and proinflammatory cytokines, such as COX-2 and TNF-α, which are involved in inflammatory processes and other chronic diseases. This therapeutic potential suggests that Senggugu can be a safe and natural alternative in the treatment of various diseases, while supporting efforts to utilize local plant resources to improve public health.</em></p> Ihsan Alfi Andri Vriezka Mierza ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 205 215 10.33761/jsm.v20i1.1734 Gambaran Pengetahuan Ibu Bersalin tentang Perdarahan Postpartum https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1872 <p><em>Maternal death is defined as the death of a woman while pregnant or within 42 days of the termination of pregnancy, regardless of the duration or site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management. Data from Jatibaru Public Health Center showed that the incidence of postpartum hemorrhage was 7 cases out of 519 deliveries in 2021, increased to 10 cases out of 494 deliveries in 2022, decreased to 7 cases out of 439 deliveries in 2023, and reached 67 cases during the period of January to May 2024. This study aims to describe the knowledge of postpartum mothers about postpartum hemorrhage in the working area of Jatibaru Public Health Center, Bima City, in 2024. This descriptive study involved a population of 67 postpartum mothers. A total of 40 respondents were selected using a simple random sampling technique based on Slovin’s formula. The results showed that most mothers were in the non-risk age group (20–35 years), accounting for 38 respondents (95%). Most had a high school to college level of education, totaling 33 respondents (82.5%). However, the majority of respondents (25 people or 62.5%) had poor knowledge about postpartum hemorrhage. Conclusion: Most postpartum mothers in the working area of Jatibaru Public Health Center had poor knowledge regarding postpartum hemorrhage, despite being in the non-risk age group and having relatively high education levels. Recommendation: The health center should enhance education and counseling efforts for pregnant and postpartum women on the signs, dangers, and management of postpartum hemorrhage to reduce complications and maternal mortality.</em></p> Putri Yayu Jumriani Jumriani Tri Yubiah Putri Putri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 216 223 10.33761/jsm.v20i1.1872 Hubungan Kebersihan Gigi dan Mulut dengan Karies Gigi pada Siswa SMPN 2 Bukittinggi Kecamatan Guguk Panjang https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1871 <p><em>Dental caries is a disease that damages hard tooth tissue due to bacterial activity in the oral cavity which breaks down carbohydrates into acids, resulting in demineralization of hard tooth tissue which causes cavities. There are many factors that cause the process of dental caries, one of which is poor dental and oral hygiene because dental and oral hygiene is directly related to the occurrence of dental caries. The aim of the research was to determine the relationship between dental and oral hygiene and dental caries in students at SMPN 2 Bukittinggi. The research method is quantitative with an analytical research design and a cross sectional approach. The research population of all SMPN 2 Bukittinggi students was 920 students and the research sample was 240 students from class VII and VIII using a sampling technique, namely simple random sampling. The research results obtained from the Chi-square test show a p-value of 0.048, so the p-value is smaller than the alpha value (0.05). The conclusion of this study is that there is a significant relationship between dental and oral hygiene and dental caries in students. It is recommended for students at SMPN 2 Bukittinggi to maintain oral hygiene by brushing their teeth twice a day, reducing consumption of sticky sweet foods and carrying out routine dental and oral examinations once every six months to avoid dental caries and other dental and oral diseases.</em></p> Anses Warman Arnetty Arnetty Ika Ifitri Alsri Windra Doni Aprizal Ponda Dewi Susanti Renita Eka Zurianti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 224 233 10.33761/jsm.v20i1.1871 Pengaruh Ankle Strategy Exercise terhadap Peningkatan Keseimbangan Statis pada Lansia Pasca Stroke https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1726 <p><em>Stroke is a common health issue among the elderly, primarily due to the aging process. Post-stroke changes in the elderly often include muscle weakness, decreased tissue flexibility, and sensorimotor control problems, which can lead to balance disorders. Ankle strategy exercise is a form of training that stimulates the musculoskeletal system, particularly in the lower extremities. This study aims to determine the effect of ankle strategy exercise intervention on static balance in elderly people after stroke. This research employed a pre-experimental design with a one-group pre-test and post-test approach. A total of 17 elderly participants were selected from PSTW Budi Mulia 4, East Jakarta, using purposive sampling based on predetermined criteria. The intervention was conducted three times per week over a period of four weeks. Static balance was measured using the Functional Reach Test. Result : The average static balance score before the intervention was 15.75 cm, which increased to 23.88 cm after the intervention. Bivariate analysis using the paired sample t-test revealed a significant difference with a p-value of 0.000 (p &lt; 0.05). Conclusion : Ankle strategy exercise has a significant positive effect on improving static balance in elderly individuals after stroke</em>.</p> Achwan Achwan Fitria Syifa Ainulhaya Wirawan R Liza Laela Abida ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 234 243 10.33761/jsm.v20i1.1726 Gambaran Pengetahuan Ibu Hamil dengan Kehamilan Risiko Tinggi di Puskesmas Gosoma Tobelo https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1870 <p><em>Indonesia in 2015, showed that the maternal mortality rate increased to 359 per 100,000 and Hypertension in pregnancy has an increasing proportion or scope, more than 25% of maternal deaths are caused by hypertension in pregnancy. Therefore, the government has made every breakthrough to reduce the maternal mortality rate caused by hypertension in pregnancy by increasing the role of midwives. Purpose of the Study To Find Out For A Description of the Knowledge of Pregnant Women With High-Risk Pregnancy at the Gosoma Tobelo Health Center in 2024. This type of research is Descriptive research, This research was conducted at the Gosoma Tobelo Health Center in August - September 2024, the sample in this study was 30 pregnant women. The results of the study showed that out of 30 respondents (100%), there were 12 pregnant women (40%) who had good knowledge about high-risk pregnancy, 10 pregnant women (33%) who had sufficient knowledge about high-risk pregnancy and there were 8 pregnant women (27%) who had less knowledge about high-risk pregnancy. Conclusion: Most pregnant women have good knowledge about high-risk pregnancies.</em></p> Jumriani Jumriani Putri Yayu ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 244 252 10.33761/jsm.v20i1.1870 Pengembangan Snack Bar Berbasis Bahan Freeze-Dried Tape Ketan Hitam, Tepung Mocaf dan Tepung Kacang Almond sebagai Selingan untuk Diabetes Melitus https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1776 <p><em>The incidence of Diabetes Mellitus (DM) continues to increase globally and has become a serious health threat, including in Indonesia. Modern lifestyles, unbalanced diets, and genetic factors are the main causes. This study aimed to determine the best formulation of a Snack Bar made from freeze-dried black glutinous rice tape flour, mocaf flour, and almond flour, and to evaluate its organoleptic properties (color, aroma, taste, texture), anthocyanin content, antioxidant activity, and fiber content as an alternative solution for individuals with Type 2 DM. The study was conducted experimentally using a Completely Randomized Design (CRD) at Poltekkes Kemenkes Padang. Three formulations were tested organoleptically by panelists and analyzed in the laboratory for nutritional content. The results showed that the best formulation was F3 (20g black glutinous rice tape, 60g mocaf, 20g almond) with 84% panelist acceptance. Proximate analysis showed ash content of 1.18%, moisture 35.9%, protein 10.5%, fat 12.05%, carbohydrates 40.26%, fiber 2.15%, and anthocyanin 0.3 mg. It is concluded that the Snack Bar made from black glutinous rice tape, mocaf, and almond has potential as a functional food for people with DM. Further research is recommended to assess storage stability and conduct clinical trials for its effectiveness in controlling blood sugar levels.</em></p> Edmon Edmon Roro Nur Fauziyah Agus Sulaiman Witri Priawantiputri Nur Ahmad Habibi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 253 264 10.33761/jsm.v20i1.1776 Hubungan Ketersediaan dan Pendidikan Tenaga Gizi terhadap Kejadian Stunting di Sumatera Barat, Indonesia https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/1877 <p><em>The availability of an adequate number </em><em>of qualified nutrition experts is a supporting factor for the success of nutrition programs and health transformation. The research aims to analyze the relationship between job suitability of nutrition professionals, education level, participation in training, and the competence of nutrition experts in relation to the nutritional status (prevalence of stunting) in West Sumatra, Indonesia. The study was conducted using a cross-sectional design, with a sample size of 698 nutrition professionals working in 16 districts/cities in West Sumatra. Data were collected through a questionnaire in Google Form format. This study revealed that 35.6% of nutrition professionals did not possess an active registration certificate. Around 43.9% had only completed a three-year diploma program, and 13.7% were not working in accordance with their profession. Approximately 65% of nutrition experts had not received training related to their authority, and 76.3% did not possess relevant competency certification to support their performance. There was a significant relationship between the number of nutrition professionals working in accordance with their profession, participation in training, and competency certification with the occurrence of stunting (p&lt;0.05). The conclusion is that the higher the number of nutrition professionals working in accordance with their profession, trained, and competent, the lower the prevalence of stunting in the area. Policy measures and efforts are needed to meet the needs of nutrition experts in terms of quantity and quality in order to strengthen nutrition programs and improve the level of health in West Sumatra. </em></p> Nur Ahmad Habibi Gusnedi Gusnedi Edmon Edmon Elsyie Yuniarti Safyanti Safyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 2025-06-30 2025-06-30 20 1 265 275 10.33761/jsm.v20i1.1877