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All Journal Jurnal Kesehatan Masyarakat Indonesia Medula Juke Jurnal Pengabdian Pada Masyarakat Jurnal Dunia Kesmas Jurnal Medika Malahayati Jurnal 'Aisyiyah Medika NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN JURNAL PENELITIAN PERAWAT PROFESIONAL Indonesian Journal of Global Health research JK Unila (Jurnal Kedokteran Universitas Lampung) Buguh: Jurnal Pengabdian Kepada Masyarakat Action Research Literate (ARL) Journal of Language and Health Prosiding Konferensi Nasional PKM-CSR Jurnal Ilmu Medis Indonesia JCOMENT (Journal of Community Empowerment) Conferences of Medical Sciences Dies Natalis Journal Medical Informatics Technology Media Ilmiah Kesehatan Indonesia Majority JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Jurnal Ilmu Kedokteran dan Kesehatan Indonesia JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine International Journal of Health Science
Winda Trijayanthi Utama, Winda Trijayanthi
Faculty Of Medicine, University Of Lampung
Religion Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Journal : Medula

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Tatalaksana Non-Farmakologis pada Dysmenorrhea Primer: Literature Review Ananda, Amallia; Ratna Dewi Puspita Sari; Septia Eva Lusina; Winda Trijayanthi Utama
Medula Vol 15 No 1 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i1.1559

Abstract

Dysmenorrhea is pain or cramps felt in the lower abdomen before or during menstruation. Dysmenorrhea is one of the most common problems experienced by adolescents and adult women. Dysmenorrhea is often accompanied by other symptoms such as dizziness, fatigue, sweating, back pain, headache, nausea, vomiting, and diarrhea. There are 2 types of dysmenorrhea, namely primary dysmenorrhea and secondary dysmenorrhea. Dysmenorrhea has a negative impact on women's quality of life. Pharmacological management has side effects of treatment, so there is a need for safer and more effective non-pharmacological management to reduce the intensity of dysmenorrhea pain. Non-pharmacological therapy consists of various non-invasive or minimally invasive treatments. This study uses a literature observation method or literature review, where the main sources of scientific articles come from national and international journals. The articles used in this study were articles published within a period of 5 years, namely 2020-2025 through the electronic databases PubMed and Google Scholar which were selected based on exclusion criteria and inclusion criteria. The purpose of this literature review is to determine non-pharmacological management of dysmenorrhea. The results of the literature review found 21 articles showing that there are several non-pharmacological therapies that are safe and effective in reducing the intensity of pain felt by dysmenorrhea sufferers such as Transcutaneous electrical Nerve Stimulation (TENS), music therapy, acupuncture, acupressure, warm compresses, exercise or aerobic exercise, and aromatherapy.
Holistic Management with Family Doctor Approach in a 65-Year-Old Woman With Allergi Contact Dermatitis Istiqomah, Dinni; Utama, Winda Trijayanthi
Medula Vol 15 No 2 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i2.1634

Abstract

Allergic contact dermatitis is a skin inflammation caused by exposure to antigens that causes a type IV hypersensitivity reaction and can be experienced by everyone from all ages, races, and genders. The definitive treatment of the disease is to find and avoid the allergen that causes dermatitis. This is a case report study. Data were obtained from anamnesis, physical examination, and patient’s medical records.  Mrs. P, 65 years old, came to the Kebon Jahe Community Health Center with complaints of red spots appearing with itching between the fingers of the patient’s right hand since 7 days ago since patient was wearing a metal ring that the patient had used for the first time. The patient was diagnosed with allergic dermatitis based on the history and physical examination. Non-medical and medical interventions were carried out on patients and their families with education regarding the patient’s illness during three home visits. Holistic management with a family doctor approach has been carried out for Mrs. P, 65 years old with allergic contact dermatitis, which is adjusted based on initial holistic diagnostics.
Faktor-Faktor yang Mempengaruhi Kejadian Gangguan Muskuloskeletal (MSDs) pada Petani Tebu di Indonesia: Tinjauan Pustaka Nasser, Ghalib Abdul; Utomo, Muhammad Aditya; Winda Trijayanthi
Medula Vol 15 No 3 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i3.1698

Abstract

Musculoskeletal disorders (MSDs) are among the most common occupational health problems faced by workers in the agricultural sector, including sugarcane farmers in Indonesia. Excessive physical activity and performed without adequate ergonomic support make this group particularly vulnerable to musculoskeletal injuries. This study aims to synthesize determinant of MSDs among sugarcane farmers and to recommend targeted ergonomic strategies suitable for tropical agricultural environments through a literature review of scientific articles from relevant database. The findings indicate that MSDs are primarily influenced by repetitive work patterns, poor working posture, the use of non-ergonomic traditional tools, and adverse environmental conditions such as high temperatures and humidity. Additionally, psychosocial stress and limited access to ergonomic education and health facilities further exacerbate the condition. The review highlights the urgent need for comprehensive preventive strategies, including ergonomic interventions, occupational health education, improvements in working conditions, and psychosocial support. These efforts are essential to reduce the incidence of MSDs and enhance the occupational well-being of sugarcane farmers. The findings can guide policymakers in designing ergonomic-based agricultural health programs, especially among sugarcane farmers.
Faktor Risiko Nyeri Leher Non Spesifik Pamarta, Rachel Dwyana; Setiorini, Anggi; Maulana, Muhammad; Utama, Winda Trijayanthi
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1323

Abstract

Non-specific neck pain is a form of acute, subacute, or chronic neck pain, and there is no abnormal anatomical structure as the cause of the pain. Bad posture habits are a contributing factor to non-specific neck pain. This bad posture will cause muscle tension in the neck which can increase intramuscular pressure which can reduce circulation in the joints, as well as compression of the nervous system and blood vessels around it. This ends in the emergence of pain complaints. The cause of non-specific neck pain is multifactorial consisting of several risk factors. The purpose of this study was to determine the risk factors for non-specific neck pain. The method used is article review. Searching for articles both nationally and internationally then summarizing the discussion topics and comparing the results presented in the article. Based on the review that has been done. Non-specific neck pain has a multifactorial cause consisting of several risk factors. Individual factors of non-specific neck pain include gender, age, BMI, and medical history. Work factors include duration of work, length of service, and work posture. Psychological factors include stress, depression, and lack of sleep. Environmental factors such as temperature and humidity are also risk factors for non-specific neck pain.
Transmisi dan Faktor Risiko Infeksi Helicobacter pylori pada Gastritis: Literature Review: Transmisi dan Faktor Risiko Infeksi Helicobacter pylori pada Gastritis: Literature Review Dharmesti, Rizky Aleyda; Utama, Winda Trijayanthi; Wijaya, Sofyan Musyabiq; Sukohar, Asep
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1368

Abstract

Gastritis a common health issue with high prevalence both globally and nationally. Acute gastritis often associated with lifestyle factors and stress, while chronic gastritis is primarly caused by infection of Helicobacter pylori. This review aims to provide a detail understanding of Helicobacter pylori transmission and risk factor for its infection. This review is a narrative literature review that comparing multiple studies about the topic. Literature was gathered from various database and analyzed to find relevant findings. Result of this study indicate that Helicobacter pylori transmission occurs trough multiple routes such as fecal-oral and oral-oral. Hygiene status and sociodemographic conditions are the most significant risk factor that influence this infection. Chronic gastritis a prevalent condition often caused by Helicobacter pylori infection. Risk factors for this infection include low socioeconomic status, poor hygiene, inadequate sanitation, and exposure to contaminated environments. H. pylori bacteria can persist for extended periods in specific environments, such as water, food, and dairy products, but struggle to survive in acidic conditions, such as found in yogurt. The prevalence of infection notably higher among children living in areas with poor sanitation and unhygienic food practices. Prevention strategies involve enhancing hygiene standards, improving sanitation, ensuring access to clean water, and promoting health education to minimize the risk of transmission. Early treatment is crucial to restore the gastric mucosa's health and prevent further damage.
HIPERTENSI PADA DIABETES MELLITUS: SEBUAH TINJAUAN PUSTAKA Febriyan, Heironimus Billy; Utama, Winda Trijayanthi
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1729

Abstract

Hypertension in patients with diabetes mellitus is a significant clinical problem because it increases the risk of cardiovascular and renal complications. The pathophysiology of this condition involves interactions between insulin resistance, activation of the renin–angiotensin–aldosterone system (RAAS), endothelial dysfunction, and oxidative stress, which trigger vasoconstriction, sodium retention, and increased vascular stiffness. Various clinical guidelines, including those of the American Diabetes Association (ADA), set a blood pressure target of <130/80 mmHg to reduce the risk of long-term complications. Evidence from clinical trials such as ABCD shows that intensive blood pressure control provides benefits in terms of the progression of retinopathy, albuminuria, and stroke risk. This article was compiled using a narrative review approach by examining the latest literature from international journals and clinical guidelines related to hypertension in diabetes. Sources were selected based on relevance, recency, and strength of evidence. The analysis was descriptive to summarize pathophysiology, blood pressure target recommendations, treatment options, and the role of lifestyle changes. Management of hypertension in diabetes requires a combination of pharmacological therapy and lifestyle modifications. ACE inhibitors and ARBs are the first choice due to their renal protective benefits, while calcium antagonists and thiazide diuretics are used as adjunctive therapy. Lifestyle interventions such as salt restriction, increased fruit and vegetable consumption, regular physical activity, weight loss, and alcohol restriction provide moderate blood pressure lowering effects and improve metabolic health. A comprehensive approach encompassing metabolic, pharmacological, and lifestyle management is crucial for reducing morbidity and mortality in patients with diabetes and hypertension.
RESIKO KECELAKAAN KERJA PADA TENAGA KESEHATAN DAN PENCEGAHANNYA: SEBUAH TINJAUAN LITERATUR Pratiwi, Naisya Midary Mutia; Utama, Winda Trijayanthi
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1730

Abstract

Healthcare workers represent an occupational group with a high risk of work related accidents, including biological exposure, injuries caused by sharp objects, exposure to hazardous chemical substances, and musculoskeletal disorders associated with ergonomic hazards. These risks are influenced by high workload, suboptimal use of personal protective equipment, and the incomplete implementation of safety procedures in healthcare settings. This study aims to identify the main types of hazards commonly experienced by healthcare workers and to analyze prevention strategies recommended in previous studies. The method used was a literature review by selecting relevant national and international scientific articles related to occupational accidents, needle stick injuries, chemical hazards, and ergonomic risks among healthcare workers. Selected articles were analyzed using a systematic literature review approach, focusing on key findings, contributing factors, and prevention recommendations reported in each study. The results indicate that needle stick exposure is the most frequently reported occupational accident among healthcare workers. In addition, chemical exposure from substances such as cytotoxic drugs and disinfectants, as well as musculoskeletal complaints caused by non ergonomic working techniques, are also commonly identified. Dominant contributing factors include inadequate occupational safety and health training, inconsistent use of personal protective equipment, weaknesses in healthcare facility risk management, and high workload. In conclusion, occupational accidents among healthcare workers are multifactorial and require comprehensive preventive measures through improved training, provision of safe working facilities, compliance with standard operating procedures, and strengthening of a safety culture in healthcare services.  
LOW BACK PAIN PADA TENAGA KESEHATAN DI RUANG OPERASI: SEBUAH TINJAUAN LITERATUR Poppy Monika Sari; Utama, Winda Trijayanthi
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1732

Abstract

Low Back Pain is one of the most common musculoskeletal complaints among Healthcare Workers, especially nurses, and directly affects quality of life, work performance, and productivity. The high physical demands of healthcare services increase the risk of Low Back Pain through multiple factors. Individual factors include age, body mass index, level of physical activity, and a history of back injury. Occupational factors involve non-ergonomic working postures, patient lifting and transfer activities, repetitive movements, prolonged working hours, and heavy workloads. This study aims to review the literature related to risk factors, impacts, and the effectiveness of preventive interventions for Low Back Pain among Healthcare Workers. The method used is a literature review of scientific articles retrieved from relevant international databases, focusing on Healthcare Workers as the primary population. The review results show that more than half of Healthcare Workers in various countries report experiencing Low Back Pain, with occupational factors identified as the main contributors. Reported impacts include increased absenteeism, decreased work performance, and a higher risk of developing chronic musculoskeletal disorders. Preventive interventions such as workplace ergonomic modifications and posture education demonstrate more consistent effectiveness in reducing the incidence of Low Back Pain compared to physical activity-based interventions or stretching exercises alone. Stretching exercises provide limited benefits when not combined with ergonomic improvements. Therefore, prevention of Low Back Pain among Healthcare Workers requires an integrated approach that combines education, application of ergonomic principles, and systematic workload management to reduce prevalence and mitigate its negative impact.
DAMPAK BURNOUT PADA TENAGA KESEHATAN: TINJAUAN LITERATUR TENTANG FAKTOR PENCETUS DAN STRATEGI PENCEGAHAN Ni Putu Swastini; Utama, Winda Trijayanthi
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1737

Abstract

Burnout is a common work-related stress syndrome among healthcare workers, characterized by emotional exhaustion, depersonalization, and reduced professional achievement. This condition has a negative impact on service quality, worker health, and patient safety. Factors contributing to burnout include personal characteristics, sociodemographic factors, work environment conditions, high workload, and lack of organizational support. This study aims to review the literature on the factors that trigger burnout in healthcare workers and effective prevention strategies at the individual and organizational levels. The study used a literature review design with a search of articles in the PubMed, ScienceDirect, and Google Scholar databases using the keywords “burnout,” “healthcare workers,” “risk factors,” and “prevention strategies.” The articles included were publications from the last ten years, in Indonesian and English, and relevant to the research objectives. Data were synthesized narratively to identify risk factors and prevention strategies for burnout. Factors contributing to burnout included individual factors (age, gender, personality type), working conditions (high workload, overtime, interaction with patients), and organizational environment (managerial support, work culture). Effective prevention strategies combine individual interventions, such as mindfulness, CBT, and coping training, with organizational interventions, including supportive leadership, flexible policies, open communication, and empowerment of healthcare workers. Preventing burnout in healthcare workers requires a holistic approach that integrates individual and organizational strategies. Management and leadership support that emphasizes employee well-being is key to reducing burnout and improving the quality of healthcare services.
Laporan Kasus: Nyeri Punggung Bawah Akibat Kerja pada Pekerja Pemanen Sawit Salsabila Nurislami; Winda Trijayanthi Utama
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1751

Abstract

Work-related diseases in the agricultural sector have shown a rising trend in recent years. Heavy physical activities involving non-ergonomic postures, heavy lifting, and repetitive movements increase the risk of injuries and musculoskeletal disorders. Low back pain is one of the most common musculoskeletal complaints among workers in this sector. This case report aims to analyze low back pain in an oil palm harvester using the application of the seven-step occupational diagnostic approach. The seven-step occupational diagnosis was applied to determine the causal relationship between occupational exposure and the patient’s symptoms. Clinical diagnosis and management were conducted in accordance with clinical guidelines.The patient was an oil palm harvester with recurrent episodes of low back pain. Occupational analysis showed that the patient worked in prolonged non-ergonomic postures—standing with neck extension, frequent forward bending, and repetitive heavy lifting—for 15 years, with daily work durations of 8–10 hours. Based on the seven-step occupational diagnostic assessment, the patient’s condition was classified as an occupational disease. Management included pharmacological therapy and ergonomic education. This case highlights that non-ergonomic working postures, the use of non-ergonomic tools, repetitive movements, and heavy lifting significantly contribute to the development of low back pain among agricultural workers. Pharmacological treatment must be accompanied by preventive strategies through ergonomic education. This case report underscores the importance of physicians’ competency in establishing occupational diagnoses and providing comprehensive management for workers with occupational diseases
Co-Authors Adinur, Bima Aditia, Arianda Alghani, Sulthan Rafi Amanah, Nur Suci Amelia, Maya Rizky Amir, Anzela Ananda, Amallia Andari, Michelle Safna Andini Pramesti Ningrum Andriani, Silvia Anggraini, Dian Isti Anisa Adelia Anisa Nuraisa Jausal Annisa Auliya Dien Safitrie Arifah Putri Desenia Asep Sukohar Asyifa, Takhfa Nur Ayu Tiara FItri Azalia, Nadhira Azelia Nusadewiarti Azhar, Hafidz Sirojudhin Azmi, Aulia Salma Azzahra, Herina Balqis, Gasela Zalianti Bawono, Aloysius Krishartadi Damar Bayu Anggileo Pramesona Daulay, Suryani Agustina Desta Bulan Cahyarani Dharmesti, Rizky Aleyda Dian Pratiwi Dian Puspita Larasati Dita Ayu Permata Dewi Dwita Oktaria Dyah Wulan Sumekar Rengganis Wardani Dyah Wulan Sumekar Rengganis Wardani Eltidar, Tyaradhia Ranita Eniwati Eniwati Evi Kurniawaty Fadhilah, Retno Suci Fadhillah, Paisal Fatharanni, Mentari Olivia Fathia, Nauriel Febriyan, Heironimus Billy Ferdian, Ruben Fitri Maharani Fitria Saftarina Hafizh, Ahmad Fauzan Haq, Rais Amaral Helmi Ismunandar Indika Poloriani Tunang Indriyani, Reni Intan Kusumaningtyas Intanri Kurniati Intanri Kurniati Iqbal Lambara Putra Irawati, Nur Ayu Virginia Istiqomah, Dinni Jovita, Hasna Laili Khairun Nisa Kurniawan, Denny Andika Kurniawaty, Evi Kusuma, Febriyani Dyah Larasati, Ratri Mauluti Lariza Serafina Tobroni M. Yogie Fadli Maharani, Ardila Putri Maharani, Calista Putri Maharani, Raihan Syifa Maharani, Shella Marcellia, Selvi Maya Ganda Ratna Mersiana, Putri Febi Muhammad Aditya, Muhammad Muhammad Maulana Muhartono Muhartono Mutiara Vira Antonia Nasser, Ghalib Abdul Ni Putu Swastini Novita Carolia Novita Carolia Nur Ayu Virginia Irawati Nurhardita, Fika Nuriah Nuriah Nurladira, Salsanisa Tisno Nurliwayka Qodri, Amari Oktadoni Saputra Oktafany, Oktafany Pamarta, Rachel Dwyana Poppy Monika Sari Pratama, Redi Bintang Pratiwi, Naisya Midary Mutia Prayogi, Norbertus Marcell Puspitasari, Ratna Dewi Putra, Ruchpy Cahya Putri Puspa Devi Putri, Asyifa Dinda Raehana, Nabila Salwa Raharjo, Shafana Azzahra Rasmi Zakiah Oktarlina Ratna Dewi PS Ratna Dewi Puspita Sari Ratu Nirmala Wahyunindita Reni Indriyani Reni Indriyani Reni Indriyani Reynhard Theodorus Xaverius Saragih Riandini, Sabrina Risti Graharti Rizal Effendi, R E Sahputra, Rahmat Tridhandy Salma Alya Ihsan Salsabila Alifiyah Setiawan Salsabila Dzakiyyah Zahra Salsabila Nurislami Sany Setiawan Saribu, Samintola Dolok Satria Adi Nugraha Septia Eva Lusina Septiani, Linda Setiorini, Anggi Shinta Nareswari, Shinta Silvia Andriani Sirait, Naomi Elfriede Situmorang, Cindy Miranda Sofyan Musabiq Wijaya Sofyan Musyabiq Wijaya Stevani Febeline Steven, Nixon Suarto, Sutarto Suharmanto Suharyani Suharyani Suryawinata, Arli Sutarto Sutarto Sutarto Sutarto Sutarto Sutarto Sutarto Sutyarso Sutyarso Syazili Mustofa Syifa Rahmi Fadhila TA Larasati Tasya Nadia Putri Tri Umiana Soleha Tri Umiana Soleha Utomo, Muhammad Aditya W, Sofyan Musyabiq Waluyo Rudiyanto Wardani, Nanda Fitri Widjaja, Jovan Zahra, Tsurayya Fathma