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Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan
Published by Universitas Harapan Bangsa Purwokerto
ISSN : 19791034     EISSN : 26561034     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Viva Medika Is a journal that publishes articles or research results relating to health, nursing and midwifery issues. Viva Medika is published by Harapan Bangsa University twice a year (September and February). The mission of the Journal of Viva Medika is to disseminate and discuss scientific writings on midwifery, nursing, and various issues within the scope of health problems. This journal is intended as a medium of communication for lecturers and people who have attention to health, obstetrics, nursing.
Arjuna Subject : -
Articles 571 Documents
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The Relationship between Stress Levels and Premenstrual Syndrome in Nursing Students at Harapan Bangsa University Nisa, Nur Khoerotun; Haniyah, Siti; Dewi, Feti Kumala
Viva Medika Vol 16 No 4 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1193

Abstract

During the luteal phase of the menstrual cycle, which typically begins 7-10 days before menstruation and ends with menstruation, women of childbearing age often experience a collection of physical, behavioral, and emotional symptoms known as premenstrual syndrome (PMS). Stress levels are among the factors that can contribute to PMS. The objective of this study is to investigate the relationship between stress levels and PMS. This research employs a quantitative approach, using descriptive correlation methods and a cross-sectional design. The sample consisted of 62 respondents, selected through total sampling. Data were collected using a shortened Premenstrual Assessment Form (SPAF) questionnaire and the Perceived Stress Scale (PSS). Statistical analysis involved the Spearman Rank Test, which revealed a significant relationship between stress levels and PMS among Nursing Study Program students at Harapan Bangsa University Undergraduate Program. The p-value was 0.000, which is less than the significance level (α = 0.05), leading to the rejection of the null hypothesis (H0).The correlation coefficient (r) was calculated to be 0.456, indicating a moderate strength of correlation. This suggests that higher stress levels are associated with a greater perceived severity of PMS symptoms. Female students demonstrated an ability to both avoid stressors and manage stress, which can help reduce the occurrence of PMS symptoms
Pengaruh Media Disc triage assessment Terhadap triage skills pada Australasian Triage Scale (ATS) Rosida, Nikma Alfi; Saputro, Sutiyo Dani; Rahmad, Muhamad Nur; Budiman, Amin Aji
Viva Medika Vol 16 No 4 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1196

Abstract

Triage Australasian Triage Scale is a tool used by triage nurses in emergency departments to assess patient severity and provide priority services based on the severity of the patient's condition. This study aims to evaluate the effect of using learning tools in the form of visual aids in the form of Disc triage assessment as learning media in increasing understanding and accuracy in determining triage by students using ATS triage. The research method used is quasi-experimental. The research sample was 44 students with educational treatment using Disc triage assessment media. Measurements were carried out using a pre-test and post-test 1 month later which included accuracy in determining patient priorities using ATS. Data analysis was performed using the Wilcoxon test. Based on bivariate analysis, the p value is 0.000 (<0.05), which means that there is an influence of the Media Disc triage assessment on the Australasian Triage Scale (ATS) triage skills.
The Influence of Health Education Using Pocket Books on Mothers' Knowledge Level Regarding Stunting in Kasilib Village Wardani, Husnanisa Kusuma; Triana, Noor Yunida; Wirakhmi, Ikit Netra
Viva Medika Vol 16 No 4 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1207

Abstract

Stunting is a condition where toddlers have less height compared to their age. This study aims to determine the effect of health education using the pocketbook method on the level of knowledge of mothers about stunting in Kasilib Village. This research is quantitative, using the Pre-Experiment research type, using the One Group Pretest Posttest Design approach. The sampling technique used was the accidental sampling with a total sample of 132 mothers. The sample was taken by accidental sampling. The statistical test used in this study uses the Paired T-Test. The results of the study stated that most of the respondents had a high school education as many as 69 (52.3%), and most of the respondents did not work as many as 82 people (62.1%). The level of mother's knowledge before health education was carried out as many as 72 respondents (53.8%) had sufficient knowledge about stunting after health education was carried out as many as 95 respondents (72%) had good knowledge about stunting. The results of the Paired T-Test obtained a p-value of 0.000 <0.005, which means that there is an influence of health education using the pocketbook method on the level of knowledge of mothers about stunting in Kasilib village. Posyandu cadres or health workers in the working area of ​​Kasilib Village can conduct health education related to stunting regularly.
Description of The Incident of Hypotension in Elderly Receiving Spinal Anesthesia at Cilacap Regional Hospital Nurjanah, Dilla Ainun; Setyawati, Martyarini Budi; Sukmaningtyas, Wilis
Viva Medika Vol 16 No 4 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1211

Abstract

Spinal anesthesia is a type of regional anesthesia performed by injecting local anesthetic drugs into the subarachnoid space which can cause hypotension with an incidence of 16% - 33%. Hypotension is a drop in systolic blood pressure below 90mmHg. Risk factors that can increase the incidence of hypotension in spinal anesthesia include age. In young adults, hypotension is usually less severe than the elderly with the same high spinal anesthesia. The purpose of this study was to determine the picture of hypotension events in the elderly who received spinal anesthesia techniques at the Central Surgical Installation of Cilacap Hospital. The design of this study is quantitative descriptive with sampling using convenience sampling techniques. The study was conducted in June 2023. The sample of this study was elderly >60 years old totaling 52 respondents. The results of this study showed the incidence of hypotension as many as 38 respondents (67.3%) and not hypotension 17 respondents (32.7%). This study shows that the elderly are one of the factors in the incidence of post-spinal anesthesia hypotension.
Influence of Audio-Visual Media on Elderly Knowledge About Hypertensive Crisis Prevention Prastiwi, Firman; Budiman, Amin Aji; Fitriyani, Noor; Rahmad, Muhamad Nur
Viva Medika Vol 16 No 4 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1216

Abstract

Many of the physical and psychological changes that occur with age can have an impact on the prevalence of hypertension. The more common causes of hypertensive crisis are related to the knowledge of the elderly themselves, such as non-adherence to medication, ignorance related to lifestyle, and ignorance related to the concept of disease. An effective and easy way to increase the knowledge of the elderly is to use audio-visuals. The purpose of this study was to determine the effect of audio-visual media on the knowledge of the elderly about hypertension crisis prevention at the Sabar Hati Banyuanyar Nursing Home. This research is a quasi-experimental approach with a total sample of 50 elderly people divided into two groups. The research tool utilizes audio-visual media, research characteristic instruments, and knowledge instruments. For analysis, the Wilcoxon and Mann-Whitney tests were chosen because the data distribution was not normal. The results showed the effect of audio-visual media on the knowledge of the elderly in the intervention group (p value 0.011), with a median pre-intervention value of 6 to 7. The results of the Man Whitney test showed that there was no difference between pre (intervention-control) and post (control), with p values of 0.342 and 0.181, respectively. The conclusion of the study was that audio-visual media could lead to an increase in the knowledge of the elderly regarding the prevention of hypertensive crisis
Overview Of Postoperative Nausea and Vomiting (Ponv) in Caesarean Section Patients with Spinal Anesthesia at Fatimah Islam Hospital, Cilacap. Afrilya, Tiara Octa; Sukmaningtyas, Wilis; Burhan, Asmat
Viva Medika Vol 16 No 4 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1220

Abstract

Spinal anesthesia has been established as the most effective and safest procedure for Sectio Caesarea. One of the most common side effects of spinal anesthesia is operative Nausea and Vomiting (PONV) or Nausea vomiting, which typically occurs within the first 24 hours after surgery. This study seeks to determine the description of Operative Nausea and Vomiting (PONV) based on age, surgery duration, and fasting duration in patients undergoing Caesarean section at RSI Fatimah Cilacap under spinal anesthesia. This research method employs quantitative analytic observation with a cross-sectional design and convenience sampling. The results revealed that the majority of respondents were between the ages of 20 and 35 (90.6%), with an incidence of PONV of 58.6%; the duration of surgery was between one and two hours (90.6%), with an incidence of 51.7%; and fasting duration was less than six hours (50%) with an incidence of 87.7%. This study found that 53.1% of participants experienced Operative Nausea and Vomiting (PONV).
Factors Influencing the Incidence of Hypothermia in Spinal Anesthesia Patients at the Central Surgery Installation of Islamic Fatimah Hospital, Cilacap Paramadinah, Elsha; Tri Yudono, Danang; Kumala Dewi, Feti
Viva Medika Vol 16 No 4 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1221

Abstract

The patient’s care body temperature below 36°C is usually diagnosed as hypothermia. The human thermoregulatory system maintains metabolic activity by keeping body temperature about 37ºC. Hypothermia is linked to anesthesia and surgery. This study examines the risk factors for hypothermia in spinal anesthesia patients at the Central Surgical Installation of RSI Fatimah Cilacap. Age, gender, BMI, and length are variables. This research method is using a quantitative analytical observational approach with total sampling technique. The results of this study showed that the most dominant age of respondents was adults 25-46 years (45.9%) with mild hypothermia (29.7%). The study also found 59.5% of participants were female and 29.7% had mild or moderate hypothermia. Most respondents (64.9%) had an average BMI 37.8% had mild hypoyhermia. Finally, 56.8% of respondents had 1-2-hour surgery, with 32.4% experiencing mild hypothermia. The conclusion of this study found that Body Mass Index (BMI) is the main risk factor for hypothermia with 64.9% of people having a normal BMI.
Description of Throat Pain in Post-General Anesthesia Patients with Endotracheal Tube at dr. Soedirman Hospital, Kebumen, in 2023 Nistiani, Mia; Wibowo, Tophan Heri; Siwi, Adiratna Sekar
Viva Medika Vol 16 No 4 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1224

Abstract

Complications that many respondents complained about after surgery with general anesthesia, namely Post-Operative Sore Throat (POST). Post-surgery sore throat is a minor complication that occurs in ETT intubated patients and results in dysphonia, dysphagia and odynophagia. In Indonesia, 20%–60% of respondents complain of sore throat after surgery with GA-ETT. The purpose of this study was to see the description of post-general anesthesia sore throat with ETT at Dr. Soedirman Kebumen. The design of this study is a descriptive cross-sectional approach using the POST instrument. The research was conducted from March to April 2023 in the recovery room with 50 respondents. Data collection by accidental sampling and analyzed using univariate test. The results of the study showed that many respondents did not experience throat pain, totaling 20 respondents (40%) and complaining that the most complaints were mild pain, amounting to 17 respondents (34%). This study shows that the majority of patients only complain of mild pain and no sore throat. So after ETT intubation at Dr. Soedirman Kebumen can minimize the level of sore throat.
Describing Anesthesia Ready Time (ART) in the Anesthesia Services at the Central Surgical Installation of Banjarnegara Islamic Hospital Aditrisna, Dita Arum; Suandika, Made; Susanto, Amin
Viva Medika Vol 16 No 4 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1227

Abstract

The use of time in anesthesia services in central surgical installations can be seen in the quality of service provided by health workers to patients. There are many factors that cause anesthesia services to take a long time. This study aims to determine the description of anesthesia ready time (ART) in anesthesia services at the Central Surgery Installation (IBS) of Banjarnegara Islamic Hospital. The research method uses quantitative data with a descriptive observational approach. The sampling technique used was purposive sampling, and the sample size according to the inclusion criteria was 128 respondents from elective surgery patients using spinal anesthesia and general anesthesia and classified as ASA I-IV status. The data collection technique is observation using ART. The results of the study showed that ART was in the good category, resulting in 114 respondents, consisting of 45 respondents with general anesthesia and 69 respondents with spinal anesthesia. Conclusion: Anesthesia services at the central surgical installation of RSI Banjarnegara are categorized as good according to international measurements using ART.
Overview of Medication Use in Outpatient Patients at Simpang Tiga Pekanbaru Health Center Based on the World Health Organization's Prescribing Indicators. Sinata, Novia; Hazizah, Hazizah
Viva Medika Vol 16 No 4 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1228

Abstract

The use of drugs prescribed by doctors is very important in providing health services for patient treatment therapy. According to reports received by the World Health Organization (WHO) irrational drug use continues to occur. This is evidenced by more than 50% of drug use being inappropriate when prescribing, while the remaining 50% is caused by inappropriate drug use. This research is a descriptive observational study with retrospective data collection techniques. The sampling method used purposive sampling with the study population all outpatient prescriptions for December 2022 and 320 prescription sheets used as samples according to the inclusion criteria. The results showed that the average number of drug items per prescription sheet was 3.06, the percentage of prescriptions for generic drugs was 98.57%, the percentage of prescriptions for antibiotic drugs was 25%, the percentage of prescriptions for injection preparations was 0%, and the percentage of prescriptions according to the National Formulary was 89.49%. It is hoped that this research can be used as an illustration and information in controlling rational drug use.

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