Jurnal Kesehatan Indonesia

Evaluasi Kesiapan Penerapan Rekam Medis Elektronik di Tingkat Puskesmas, Kota Gorontalo

Basri Umar, Rosdiana Kaharu, Maimun I. Bilondatu, Aida Muhdar — Wed, 01 Jul 2026 02:46:18 +0000

Electronic Medical Records (EMR) play an important role in improving the quality and efficiency of health services at Community Health Centers (Puskesmas). However, several Puskesmas in regional areas are still not fully prepared to implement EMR systems. This study aimed to evaluate the readiness of Puskesmas in Gorontalo City for the implementation of Electronic Medical Records. A quantitative descriptive approach was used in this study. Data were collected using a multiple-choice questionnaire that measured readiness in terms of infrastructure, human resources, organizational culture, governance, and leadership. The study involved all Puskesmas in Gorontalo City, consisting of 10 Puskesmas, namely Puskesmas Kota Utara, Dumbo Raya, Sipatana, Kota Timur, Hulonthalangi, Pilolodaa, Kota, Kota Selatan, and Kota Barat, with a total of 136 respondents participating in the survey. The results showed that the Puskesmas in Gorontalo City were generally ready to implement EMR systems. Organizational culture achieved a readiness score of 89.7%, governance and leadership scored 94.9%, and human resources also scored 94.9%. However, infrastructure readiness was still relatively low, with a score of 59.5%, indicating that improvements in technological facilities and supporting infrastructure are still required before full EMR implementation can be achieved. In conclusion, most aspects of EMR readiness among Puskesmas in Gorontalo City are categorized as ready, except for infrastructure, which remains a major challenge for successful implementation.

Efektivitas Tumbuhan Sungkai (Albertisia papuana Becc) Suku Dayak Ngaju Dalam Mempengaruhi Hasil Hematologi Hewan Coba Diabetes Mellitus Tikus Putih (Rattus norvegicus)

Dery Ade Pramana — Wed, 08 Jul 2026 06:10:32 +0000

Diabetes is a type of degenerative disease in which blood glucose levels are not properly regulated by the body. The progression of this disease can be minimized through the presence of antioxidants in the body. Sungkai (Peronema canescens) is a plant known to have high antioxidant activity, making it a potential alternative for the treatment of diabetes mellitus. This plant has been traditionally used by the Dayak Ngaju tribe to manage diabetes mellitus. The purpose of this study is to determine whether the antioxidant content in sungkai can improve the quality of hematological parameters in white rats (Rattus norvegicus) used as an experimental model for diabetes mellitus. The data obtained will be statistically analyzed using ANOVA, followed by tests of normality, homogeneity, and a post hoc Duncan test. The results indicate that the antioxidant content in sungkai has the potential to improve the hematological status of diabetic rats.

Hubungan Diare Akut dengan Kejadian Kejang Demam Kompleks pada Anak Balita di RSUD Syekh Yusuf Kab. Gowa Tahun 2023-2025

Thu, 06 Aug 2026 00:00:00 +0000

Complex febrile seizures are a neurological disorder in children aged 6 months to 5 years that may lead to long-term neurological complications. Acute diarrhea, one of the most prevalent infectious diseases in toddlers, can trigger fever, dehydration, and electrolyte disorders that lower the seizure threshold. This study aimed to determine the relationship between acute diarrhea and the incidence of complex febrile seizures in children under five. This was an observational analytical study with a cross-sectional design using secondary data from medical records at Syekh Yusuf General Hospital, Gowa Regency, covering the period 2023–2025. Samples were selected using total sampling, yielding 95 respondents who met the inclusion and exclusion criteria. Data were analyzed using univariate and bivariate analysis with the Chi-Square test via SPSS. Of the 95 respondents, 74 children (77.9%) experienced complex febrile seizures. Among 63 children with acute diarrhea, 59 (93.7%) had complex febrile seizures, compared to only 15 of 32 (46.9%) without acute diarrhea. Chi-Square analysis showed p<0.001 (p-value=0.000), indicating a statistically significant association. Most children with complex febrile seizures had a history of acute diarrhea (79.7%), with a median age of 2 years, and were predominantly male (61.1%). Acute diarrhea was significantly associated with complex febrile seizures in toddlers, as it can cause fever, dehydration, and electrolyte disruption that lower the seizure threshold. Early prevention and management of acute diarrhea and parental education are essential to reduce the risk of complex febrile seizures.

Gambaran Klinis dan Spektrum Gangguan Pernapasan pada Ibu Hamil dan Peripartum di Rumah Sakit Rujukan Tersier

Ganot Sumulyo, Samuel Stemi, Desdiani Desdiani — Wed, 12 Aug 2026 00:00:00 +0000

Physiological respiratory changes during pregnancy frequently cause symptoms such as dyspnea and cough, which may obscure the diagnosis of underlying pulmonary diseases. Although respiratory illness during pregnancy is associated with adverse maternal and fetal outcomes, comprehensive data describing the spectrum of respiratory diseases encountered during pregnancy and the peripartum period remain limited. This retrospective observational study aimed to describe the clinical characteristics and spectrum of respiratory diseases among pregnant and peripartum women treated in a tertiary referral hospital in Indonesia between June 2024 until December 2025. The data collected included demographic characteristics, gestational age at diagnosis, obstetric history, presenting symptoms, comorbidities, smoking status, and final respiratory diagnoses. Descriptive statistics were used to summarize the clinical characteristics and disease distribution. A total of 190 patients were included, with most diagnoses occurring during the antepartum period (86.3%), predominantly in the third trimester (66.3%). The most common presenting symptoms were cough (44.7%) and breathlessness (41.6%). Asthma was the most frequent diagnosis (40.0%), followed by acute respiratory infections (14.7%), pneumonia (12.6%) and rhinitis (12.6%). Tuberculosis (5.3%), bronchitis (3.1%), and pulmonary edema (1.0%) were less common but clinically significant. Most patients were non-smokers (96.8%), and major comorbidities were infrequent. Respiratory diseases diagnosed during pregnancy and the peripartum period encompass a broad clinical spectrum, with asthma and respiratory infections being predominant. Given the diagnostic overlap with physiological pregnancy-related symptoms and the potential for adverse outcomes, heightened clinical vigilance, early evaluation, and multidisciplinary management are essential to optimize maternal and fetal care in such cases.

Pengaruh Sosialisasi Penanganan Pertolongan Pertama Pada Kecelakaan Terhadap Pengetahuan Siswa SMAN 3 Martapura

Wed, 12 Aug 2026 00:00:00 +0000

Students are at risk of experiencing injuries in the school environment, making knowledge of first aid an important component of health education. However, knowledge of first aid among students may still be limited. This study aimed to analyze the effect of first aid education on students’ knowledge at State Senior High School 3 Martapura. This study used a pre-experimental design with a one-group pretest-posttest approach. The study was conducted in September 2024 at State Senior High School 3 Martapura. The sample consisted of 40 eleventh-grade students selected using random sampling based on the Slovin formula. Data were collected using a knowledge questionnaire administered before and after the first aid education. Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of ? = 0.05. The mean knowledge score increased from 63.64 before the intervention to 87.39 after the intervention, representing an increase of 23.75 points or 37.3%. The Wilcoxon Signed Rank Test showed a significant difference in knowledge scores before and after the intervention (Z = -5.521; p < 0.001). First aid education was associated with a significant improvement in students’ knowledge regarding first aid at State Senior High School 3 Martapura. Regular first aid education may be considered as part of school health education programs. Further studies are recommended to assess first aid practical skills in addition to knowledge.

Dampak Konsumsi Gula pada Mikrobiota Usus dan Kesehatan Mental Pada Remaja: Narrative Review

Ulfi Rahma Yunita, Idri Iqra Fikha, Rizqy Amanatul Husna Pamungkas — Fri, 14 Aug 2026 00:00:00 +0000

Adolescence is a critical period of neurological development and gut microbiota maturation that coincides with heightened vulnerability to mental health disorders. Current adolescent dietary patterns, characterized by excessive sugar and ultra-processed food consumption, may disrupt gut microbiota homeostasis through the gut brain axis. This narrative review aimed to explore the relationship between sugar consumption, gut microbiota alterations, and mental health outcomes in adolescents, while identifying the underlying biological mechanisms. A systematic literature search was conducted across PubMed, Scopus, Web of Science, and Google Scholar, covering studies published between 2015 and 2025 that examined adolescents aged 10–19 years. Four studies met the inclusion criteria. High sugar intake was consistently associated with gut microbiota dysbiosis, characterized by reduced microbial diversity, increased pro-inflammatory bacteria, and decreased SCFA-producing bacteria. These alterations impaired intestinal barrier integrity, triggered systemic inflammation, and dysregulated the HPA axis, contributing to depressive and anxiety symptoms. Excessive sugar consumption is mechanistically linked to gut microbiota dysbiosis and mental health impairment in adolescents through neural, endocrine, immune, and metabolic pathways. Dietary interventions emphasizing sugar restriction alongside increased fiber, prebiotic, and probiotic intake represent promising strategies for preventing and managing mental health disorders in this population.

Interoperabilitas Sistem Informasi Kesehatan pada Data Rekam Medis Elektronik Puskesmas Kecamatan Banjarmasin Utara dan Dinas Kesehatan Kota Banjarmasin

Nirma Yunita, Eka Rahma Ningsih, Husin Husin — Sun, 06 Sep 2026 21:50:30 +0000

Health digital transformation in Indonesia prioritizes system integration to improve service quality. The level of interoperability of Electronic Medical Record (EMR) systems in primary healthcare facilities, particularly at community health centers (Puskesmas) in North Banjarmasin District, remains limited, resulting in data duplication and reporting inefficiencies. This study aims to analyze the interoperability conditions of EMR systems between Puskesmas in North Banjarmasin and the Banjarmasin City Health Office. The study employed a qualitative method with an exploratory case study approach. Data were collected through in-depth interviews with 19 informants (6 Heads of Puskesmas, 6 health information system managers, 6 IT staff, and 1 health information system official from the City Health Office) as well as field observations, and were subsequently analyzed thematically. Technical findings indicate that while basic infrastructure is adequate, system maintenance remains reactive, application integration (such as e-Puskesmas, P-Care, and SATUSEHAT) is still partial, and international interoperability standards (HL7-FHIR/SNOMED CT) have not been implemented. Non-technical findings show that the primary obstacles lie in the absence of standardized internal Standard Operating Procedures (SOPs), the lack of sustainable human resource training programs, and the absence of formal organizational structures to support cross-sectoral coordination.