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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.
PENGARUH EKSTRAK DAUN RANDU (Ceiba pentandra) TERHADAP PROSES PENYEMBUHAN LUKA SAYAT PADA MENCIT (Mus musculus L) Jezmy, Beby Kelidia; Oktarlina, Rasmi Zakiah; Sari, Ratna Dewi Puspita; Kurniawati, Evi
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.v15i2.1607

Abstract

Wound causes mechanical bleeding, inducing a response of the body to fix itself which undergoes a wound healing process through a few phases; hemostasis, inflammation, proliferation, and maturation or remodelling. Wound healing is a complex process due to biocellular and biochemistry activities occuring continously. One of the natural treatments is the administration of randu (Ceiba pentandra) leaf, a Spermatophyte which has been identified and used for its healing properties. This study was an experimental study with a post-test-only control group design, and datas were analyzed using a non-parametric Kruskal Wallis test. Treatments were given randu (Ceiba pentandra) leaf extract, grouped into 4: (K1): a negative control group, (P1): 40 ml of randu (Ceiba pentandra) leaf extract, (P2): 60 ml of randu (Ceiba pentandra) leaf extract, and (P3): 80 ml of randu (Ceiba pentandra) leaf extract. Through this study, randu (Ceiba pentandra) leaf extracts were rated based on the its wound healing rate and showed results of 80 ml, 60 ml, and 40 ml respectively. There is an effect of administration of randu (Ceiba pentandra) leaf extract on cut wound healing in mice (Mus musculus L) (p=0,037)  
BODY STALK ANOMALY TIPE IV DENGAN OMFALOKEL BESAR PADA KEHAMILAN TRIMESTER TIGA: LAPORAN KASUS Saragih, Reynhard; Sari, Ratna Dewi Puspita
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.v15i2.1618

Abstract

Body stalk anomaly (BSA) is a rare and severe congenital malformation with an estimated incidence of approximately 1 in 14,000 births, and the majority of cases result in intrauterine death. Early detection of BSA is essential to differentiate it from exomphalos, which carries a significantly better prognosis. The exact etiology of BSA remains unclear, although chromosomal analyses have been conducted to investigate potential genetic abnormalities in affected fetuses. We report a case of a 35-year-old pregnant woman who presented to Dr. H. Abdul Moeloek General Hospital with complaints of premature rupture of membranes two hours prior to admission. A fetomaternal ultrasound examination revealed an intrauterine fetal demise in transverse lie, with a large omphalocele containing the small intestine, large intestine, liver, right kidney, and urinary bladder located outside the abdominal cavity. Additional findings included vertebral scoliosis and a short umbilical cord, with no other apparent major congenital anomalies. Biometric measurements were: BPD 80.7 mm, FL 54.4 mm, and HL 50.5 mm. The ultrasound impression concluded a diagnosis of body stalk anomaly. Early prenatal diagnosis using ultrasonography is feasible from 11 weeks of gestation, enabling detailed evaluation of fetal anatomy and abnormalities. Unlike gastroschisis and omphalocele, which are frequently associated with chromosomal abnormalities such as trisomy 18, 13, and 21, as well as Turner, Klinefelter, and triploidy syndromes, chromosomal aberrations in BSA are rarely reported, though mosaicism of 45,X and chromosome 16 polymorphisms have been documented.
Laporan Kasus: Kehamilan 36 Minggu dengan Ketuban Pecah Dini dan Skizofrenia tanpa Pengobatan Nirfandi, Haikal; Sari, Ratna Dewi Puspita; Saragih, Reynhard Theodorus
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.v15i2.1621

Abstract

Perinatal mental disorders, including schizophrenia, increase the risk of complications during pregnancy, labor, and neonatal health. Schizophrenia in pregnant women can lead to premature rupture of membranes, preterm labor, and fetal distress. The use of antipsychotics during pregnancy is also associated with an increased risk of obstetric and metabolic side effects. This case report presents a 38-year-old pregnant woman, G5P4A0, at 36 weeks of gestation, with a seven-year history of untreated schizophrenia, who presented with premature rupture of membranes. Examination revealed stable maternal condition, although fetal distress was suspected. The patient was treated with intravenous fluids, antibiotics, tocolytics, and antipsychotics (haloperidol, CPZ, risperidone), and subsequently underwent cesarean section due to fetal distress. Women with schizophrenia are at higher risk of premature rupture of membranes, fetal distress, and preterm delivery. Antipsychotic use during pregnancy also increases the risk of complications such as gestational diabetes and metabolic disorders. The management of pregnant women with mental disorders requires a multidisciplinary approach involving psychiatrists, obstetricians, and neonatologists to minimize risks to both mother and fetus. Close monitoring of maternal medical conditions, medication dosages, and fetal growth is essential to optimize care, and decisions regarding the mode of delivery should consider both psychiatric and obstetric conditions.
Factors Influencing the use of Long-Term Contraceptive Methods in Adult Women Sahputra, Rahmat Tridhandy; Sari, Ratna Dewi Puspita; Utama, Winda Trijayanthi
Jurnal Penelitian Perawat Profesional Vol 7 No 3 (2025): Juni 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i3.6617

Abstract

The world's population has increased many times over the last 200 years, so that the number is now recorded at more than seven billion people. The size of the population is not evenly distributed, therefore it is necessary to have something that can prevent population spikes. Family Planning Policy aims to control population growth through efforts to reduce the birth rate. Many women have difficulty in choosing the type of contraception. This is not only due to the limited availability of methods, but also due to ignorance about the requirements and safety of these contraceptive methods. The purpose of this study was to analyze the factors that influence women to choose the long-term contraceptive method. The design of this study used an analytic observational type with a cross sectional approach. The sampling technique is Consecutive sampling. The number of samples in this study were 60 women of childbearing age who used the long-term contraceptive method and 60 women of childbearing age who used the long-term contraceptive method.Results: The results showed that Age had a P-Value of 0.714, Education had a P-Value of 0.004, Employment had a P-Value of 0.711, Knowledge had a P-Value of 0.015, Number of children had a P-Value of 0.030, Attitudes had a P-Value of 0.037, Role Health Workers have a P-Value of 0.027, Husband's Support has a P-Value of 0.031, Social Culture has a P-Value of 0.032. The conclusion in this study is that there is an influence of Education, Knowledge, Number of Children, Attitudes, Role of Health Workers, Husband's Support and Socio-cultural Affairs on the selection of the long-term contraceptive method, while Age and Occupation have no influence in choosing the long-term contraceptive method.
Systematic Review: Faktor-faktor yang Mempengaruhi Sectio Caesarea Putri, Tiara Triwansa; Sari, Ratna Dewi Puspita; Ratna, Maya Ganda; Zuraida, Reni
Jurnal Penelitian Perawat Profesional Vol 7 No 3 (2025): Juni 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i3.6673

Abstract

Tingkat persalinan melalui section caesarea (SC) menunjukkan peningkatan yang signifikan secara global, termasuk di Indonesia. Berdasarkan data Riset Kesehatan Dasar Tahun 2018, prevalensi persalinan dengan SC di Indonesia mencapai 17,6%. Angka ini meningkat 9,8% dibandingkan dengan tahun 2013. Penelitian ini bertujuan untuk mengidentifikasi dan menganalisis faktor-faktor yang mempengaruhi keputusan pelaksanaan SC pada ibu bersalin. Penelitian ini penting untuk tenaga kesehatan dalam melakukan analisis faktor tersebut dalam mendukung suatu persalinan. Metode yang digunakan dalam penelitian ini adalah systematic review dengan pencarian artikel melalui Google Scholar, GARUDA, Pubmed, dan Scopus dengan rentang tahun 2020-2025. Hasil penelitian menunjukkan dari 2.751 artikel yang diidentifikasi, sebanyak 1.021 artikel pada rentang tahun 2020-2025. Sebanyak 520 artikel dikecualikan karena tidak memenuhi kriteria inklusi yang sudah ditetapkan. Setelah dilakukan analisis, didapatkan 6 artikel yang diteliti dan didapatkan hasil bahwa usia ibu, obesitas, jarak kehamilan, jumlah persalinan, kelainan posisi janin, persalinan yang lama, pecah ketuban dini, plasenta previa, kehamilan berisiko, riwayat operasi atau persalinan, dan kondisi gawat darurat yang dapat mengharuskan pasien menjalani tindakan sectio caesarea. Kesimpulannya adalah faktor-faktor yang mempengaruhi sectio cesarea terdapat dari faktor ibu, janin, dan persalinan itu sendiri.
Kesakitan Berbasis Wilayah sutarto, sutarto; Miswar, Dedy; Puspita Sari, Ratna Dewi
Jurnal Niara Vol. 15 No. 2 (2022): September
Publisher : FAKULTAS ILMU ADMINISTRASI UNIVERSITAS LANCANG KUNING

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (877.767 KB) | DOI: 10.31849/niara.v15i2.6504

Abstract

Pembangunan kesehatan bagian dari pembangunan nasional. Data morbiditas dari laporan pelayanan kesehatan sangat strategis untuk divisualisasikan menggynakan analisis spasial dan disandingkan dengan determinan lingkungan, sehingga tergambar potensi risiko di setiap wilayah. Analisis spasial ini merupakan analisis berdasarkan geografi wilayah, sehingga keadaan kawasan, baik dari kondisi kesehatan maupun lingkungan dapat dengan mudah dipahami. Tujuan penelitian ini adalah untuk melihat pola distribusi penyakit dan determinannya.Metode menggunakan analisis spasial, data diperoleh dari tenaga kesehatan yang telah dibekali dalam pengambilan data spasial. Data disajikan dalam bentuk peta kartografi berupa sebaran penyakit dan determinannya. Hasil penelitian Pola sebaran morbiditas di Kabupaten Pringsewu hampir merata di setiap kecamatan pada pemukiman padat dan persawahan. Kecamatan tersebut adalah di Kecamatan Sukoharjo, Pringsewu dan Ambarawa. Pola sebaran determinan terjadi di pemerintah pusat Kecamatan Adiluwih dan Pringsewu. Pola sebaran hubungan penyakit dan determinan, sama dengan pola kejadian morbiditas, letak fasilitas kesehatan milik pemerintah daerah, ada kecenderungan terkonsentrasi pada kejadian morbiditas. Kondisi ini sangat wajar karena masyarakat saat ini lebih nyaman berobat ke puskesmas dan puskesmas pembantu milik pemerintah daerah dapat disimpulkan Kasus dan determinan terkonsentrasi pada pelayanan fasilitas kesehatan milik pemerintah daerah.
Analisa Komplikasi Penyakit Infeksi Dan Riwayat Berat-Panjang Badan Saat Lahir Pada Kejadian Stunting Balita Di Indonesia sutarto, sutarto; Naza Tsasbita Hayuning Adila; Ratna Dewi Puspita Sari; Reni Indriyani
Jurnal Niara Vol. 16 No. 1 (2023): Mei
Publisher : FAKULTAS ILMU ADMINISTRASI UNIVERSITAS LANCANG KUNING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31849/niara.v16i1.14044

Abstract

Stunting merupakan salah satu gangguan pertumbuhan kronis yang berkaitan dengan pertumbuhan Tinggi badan berdasarkan umur. Faktor penyebab stunting secara langsung adalah gangguan nutrisi, disertai dengan penyakit infeksi, dan riwayat kondisi ketika lahir terkait dengan berat badan dan panjang badan saat lahir. Penelitian ini bertujuan untuk mengetahui hubungan komplikasi penyakit ISPA, diare, riwayat berat dan panjang lahir dengan kejadian stunting. Metode penelitian ini adalah pengamatan dengan pendekatan cross sectional, mennggunakan data sekunder total sampling dari data Riset Kesehatan Dasar (Riskesdas) tahun 2018 yang telah dilakukan Badan Penelitian dan Pengembangan Kesehatan Republik Indonesia. Sasaran penelitian ini adalah balita usia 24-59 bulan sejumlah 11.854 jiwa. Pada Riskesdas tahun 2018 kuesioner Individu Riskesdas tahun 2018. Analisis data menggunakan regresi logistik multivariat. Hasil penelitian menunjukkan ISPA berhubungan dengan stunting (p value = 0,001) dengan OR 2,906 (CI 95% 2,610-3,236). Setelah dilihat dari komplikasinya dengan diare, berat badan dan panjang lahir menunjukkan hubungan bermakna pada kejadian stunting (p value = 0,048; OR = 2,234; CI 95% 1,006-4,965). Terdapat hubungan antara penyakit ISPA berkomplikasi dengan diare, berat badan dan panjang lahir pada kejadian stunting
HUBUNGAN PENYAKIT KOMORBID DIABETES MELITUS DENGAN LAMA RAWAT INAP PADA PASIEN COVID-19 DI RSUD DR. H. ABDUL MOELOEK BANDAR LAMPUNG Fauzia, Nikma Syalsabiela; Kurniati, Intan; Sari, Ratna Dewi Puspita
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 11 No 3 (2025): Vol. 11 No. 3 (2025): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol. 1
Publisher : BAPIN-ISMKI (Badan Analisis Pengembangan Ilmiah Nasional - Ikatan Senat Mahasiswa Kedokteran Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53366/jimki.v11i3.724

Abstract

ABSTRACT Background: Coronavirus disease-19 (COVID-19) is a type of acute respiratory disease caused by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). One of the main comorbid diseases of COVID-19 is diabetes mellitus (DM), where Indonesia is ranked 7th as the country with the highest number of people with DM in the world. The increase in the degree of morbidity and mortality due to comorbid diseases is related to the length of stay for COVID-19 patients in the hospital. The purpose of this study was to determine the relationship between comorbid DM and length of stay in COVID-19 patients who were hospitalized at RSUD Dr. H. Abdul Moeloek Bandar Lampung. Method: This research is an observational analytic study, with a cross sectional research design. The number of samples was 88 COVID-19 patients with and without comorbid DM taken from January-July 2021 in the medical record room of RSUD Dr. H. Abdul Moeloek Bandar Lampung. Samples were taken using simple random sampling technique, then the data were analyzed by univariate and bivariate analysis by Mann-Whitney Test. Results: Based on the Mann-Whitney statistical test, the p value for comorbid DM and length of stay in COVID-19 patients was 0.000 (p<0.05), meaning that there was a significant relationship between comorbid DM and length of stay in COVID-19 patients. Discussion: COVID-19 patients with comorbid DM are associated with a more severe condition of COVID-19 because it is associated with obesity, insulin resistance and low-grade inflammation which causes dysregulation of the body's immune system, thereby increasing the risk of developing ARDS and kidney injury which can be prolonged. inpatient. Conclusion: There is a statistically significant relationship between comorbid DM and length of stay in COVID-19 patients at Dr. Hospital. H. Abdul Moeloek Bandar Lampung.
Edukasi Pencegahan Infeksi Saluran Kemih pada Ibu Hamil Di Kecamatan Jati Agung, Kabupaten Lampung Selatan Sutarto, Sutarto; Puspita Sari, Ratna Dewi; Utama, Winda Trijayanthi; Mustofa, Syazili
JCOMENT (Journal of Community Empowerment) Vol. 6 No. 3 (2025): Community Empowerment
Publisher : The Journal Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55314/jcoment.v6i3.1052

Abstract

This community service program aimed to improve knowledge and preventive behaviors related to urinary tract infection (UTI) among pregnant women in Karang Anyar Village, Jati Agung Subdistrict, South Lampung Regency. The main problems identified in the community included low awareness of safe drinking water, unhealthy urination habits, and limited access to clean water. The activities consisted of health education sessions, interactive discussions, question-and-answer forums, practical simulations, and distribution of educational materials such as booklets and digital media for posyandu (community health post) cadres. Results from the pre–post evaluation showed a significant improvement in participants’ understanding of UTI risks, the importance of boiling water before consumption, and maintaining personal and environmental hygiene. Participants demonstrated a commitment to behavioral change, including avoiding urinary retention and attending regular antenatal check-ups. Posyandu cadres actively participated as facilitators for ongoing community education. This program not only enhanced individual knowledge and awareness but also strengthened the capacity of health cadres and fostered collaboration among academics, health workers, and village authorities. The outputs, including educational booklets, learning modules, and activity documentation, can serve as sustainable resources to support maternal health programs at the community level.
Co-Authors Ahmad Fauzi Alghani, Sulthan Rafi Alvira Balqis Soraya Aminuyati Amir, Anzela Ananda, Amallia Andinatania, Marcella Ari Irawan Romulya Ari Wahyuni Arif Yudho Prabowo Arli Suryawinata Arwin, Leonardo Asep Sukohar Bajuri, Annisa Nur Oktavia Bakrie, Samsul Balqis, Gasela Zalianti Bawono, Aloysius Krishartadi Damar Budiman, Dicky Citra Yuliyanda Pardilawati Daulay, Suryani Agustina Dedy Miswar Desta Stallaza Alifka Dewi Nur Fiana Dian Isti Angraini Dian Novita Dian Pratiwi Diana Mayasari Dinda Annisa Fitria Dwi Rani Sukma Dyah Wulan SR Wardhani Dyah Wulan Sumekar Rengganis Wardani Dyah Wulan Sumekar Rengganis Wardani Efriyan Imantika Elma Sandya Ergidona Nurizqi Syiffatulhaya Ety Apriliana Ety Apriliana Evi Kurniawati, Evi Evriana Citra Fakhri Wisa Amrulloh Fatahillah, Fatahillah Fatharanni, Mentari Olivia Fauzia, Nikma Syalsabiela Febrina Halimatunisa nisa Femmy Andrifianie Ferdian, Ruben Fiana Deswita Fidela Anindya Atha Fitriani Antika Dhamayanti Hafizh, Ahmad Fauzan Hafshah, Hafshah Happy, Terza Aflika Haq, Rais Amaral Hardiyanti, Rahma Helmi Ismunandar Hisbul Waton Indah Salsabila Indriyani, Reni Intanri Kurniati Islamy, Suryadi Jeffrey Surya jefri irawan Jezmy, Beby Kelidia JM Seno Adjie Karina Azlia Amanda Karunia Santi Kenos Stefanus Khairun Nisa Kurniati, Intan M. Fitra Wardhana Maharani, Calista Putri Mallarangeng, Andi Nafisah Tendri Adjeng Mediansyah, Aulian Meilisa Hidayah Putri Mersiana, Putri Febi Morfi, Chicy Widya Muchtiar, Mulyadi Muhammad Hasbi Sahbani Muhammad Kaisar Febriantara Muhartono Muhartono Muslikh Muslikh Napitupulu, Cindy Cecilia Anasthasya Natasha, Messya Naza Tsasbita Hayuning Adila Nindia Dara Utama Nirfandi, Haikal Nirwan, Qurratul Aini Nurliwayka Qodri, Amari Nurul Islamy Nurul Islamy Nurul Utami Nurul Utami Oktadoni Saputra Oktafany, Oktafany Prabowo, Arif Yudho Prambudi Rukmono Prayogi, Norbertus Marcell Prianti, Vreyza Putra, Ruchpy Cahya Putri, Asyifa Dinda Putri, Tiara Triwansa Putu Ristyaning Ayu Rachmi Lestari Rukmono Rahmatullah, Muhammad Rayza Ramadhana Komala Rani Himayani Rasmi Zakiah Oktarlina Ratna, Maya Ganda Ratu Nirmala Wahyunindita Regina Pingkan Reni Indriyani Reni Indriyani Reni Indriyani Reni Indriyani Reni Zuraida Retno Arienta Sari Rika Lisiswanti Rika Oktaria Ringgi Tantra Setiawan Risti Graharti Rizki Hanriko Rizky Indria Lestari Rodiani Rodiani, Rodiani Romulya, Ari Irawan Rudiyanto, Waluyo Sabila, Ghina Sabrina, Michelle Sahputra, Rahmat Tridhandy Samsul Bakri Samsul Bakrie Sangging, Putu Ristyaning Ayu Saragih, Reynhard Saragih, Reynhard Theodorus Septia Eva Lusina Septiani, Linda Septina Ashariani Shafira Fauzia Shinta Nareswari, Shinta Sirait, Naomi Elfriede Situmorang, Cindy Miranda Sofyan Musabiq Wijaya Sofyan Musyabiq Wijaya Sono, Rafa Habiba Soraya Rahmanisa Suarto, Sutarto Suhaili, Gadis Bunga Suharyani Suharyani Suharyani Suryawinata, Arli Susan Yulia Laura Howay Susianti Susianti Sutarto Sutarto Sutarto Sutarto Sutarto Sutyarso Sutyarso Sutyarso Syazili Mustofa TA Larasati Taufiqurrahman Rahim Tesya Agustin Tiara Cornela Azqinar Tri Lamtiur Pakpahan Tri Umiana Soleha Trijayanthi Utama, Winda Trijayanthi, Winda Utama, Winda Winda Trijayanthi Wardani, Nanda Fitri Widjaja, Jovan Wijaya, Sofyan Musabiq Winda Trijayanthi Utama, Winda Trijayanthi Winda Trijjayanthi Utama Wulansari, Rifda Zahra Dewi Difa