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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 Effect of Giving Early Stimulation on Child Development Aged 12-24 Months : Systematic Review Mufarrahah, Intan Nur Laylatul; Puspitasari, Nunik; Irwanto
Viva Medika Vol 17 No 1 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i1.1391

Abstract

Child development is a gradual change in body function with an increasing ability to make gross and fine movements, speak, and interact with the surrounding environment. In their development, children under two years of age still often experience growth and development disorders such as motor development disorders, language and communication development disorders, intellectual development disorders, and behavioral and emotional well-being disorders. This systematic review aims to giving information about the impact of offering stimulation on the growth of children aged 12-24 months, the systematic review adhered to the PRISMA guidelines the systematic review adhered to the Preferred Reporting tems for Systematic Review and Meta-Analysis (PRISMA) guidelines by filtering the titles and abstracts of the included articles using standard Microsoft Excel formulas. Multiple databases, including PubMed and ScienceDirect, were searched using appropriate keywords. Inclusion criteria encompassed English-written studies addressing pertinent subjects, presenting complete texts, and published within a specified timeframe.2018 to 2023. Five articles were reviewed with respondents aged 0-24 months. This article contains several types various kinds of stimulation, such as social interaction with children through talking and physical contact, then providing educational toys such as disassembling toys, puzzles, and story books, then introducing music and encouraging singing, drawing, and exploring the environment, such as providing appropriate challenges. with the child's level of development which can stimulate children's critical thinking abilities and creativity. It can be concluded from this study of several article that the government has attempted to improve child development to provide good care through daily stimulation to children, which also involves health service workers in improving children's growth and development
Determinants of Medication Adherence in Hypertension Patients in Level I Health Facilities in Kembaran District Kaaffah, Silma; Galih Samodra; Yulinda Eka Pratiwi
Viva Medika Vol 17 No 2 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i2.1399

Abstract

Medication adherence is the key to controlling blood pressure in hypertensive patients to minimize the risk of complications. The research aims to assess level of medication adherence and identify influencing factors. The quasi-experimental research method used purposive sampling to create a control group and 2 intervention groups (pill box and medication chart) with each group 30 patients. Prospective data collection with pre-post design (week-1 and week-4) as well as observing clinical data on blood pressure, medication adherence. Questionnaire of medication non-adherence determinants was taken at week 4. The questionnaire instrument was validated with Cronbach Alpha reliability >0.06. The results of the statistical analysis were significant (p-value <0.05) with increasing the mean score of medication adherence in the pill box was 1.2 and the medication chart was 0.7. The reduction in systolic blood pressure in the intervention group was significant (p-value <0.05) by more than 2 mmHg. A total of 35.6% of patients were reluctant to ask health workers for medication information and 45.6% needed someone to remind them to take medication. In conclusion, increasing medication adherence and reducing blood pressure can be achieved with intervention and requires social support from family and health-care professional.
Effect of Oxytocin Massage on Changes in Oxytocin Hormone Concentration in Pregnant Women syam, Samsir; St. Subriani
Viva Medika Vol 17 No 2 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i2.1407

Abstract

Background: Labour is a natural occurrence for every woman, but it may turn into a pathological condition if labour lasts too long. One non-pharmacological treatment method that is considered quite effective is oxytocin massage, which is known to stimulate labour contractions. Objective: This study aims to determine the effect of oxytocin massage on changes in oxytocin concentration of mothers in labour. Method: This study used quasi-experiment with purposive sampling technique. The number of samples was 32 people with massage actions performed on the spine using the thumb and knuckles. Data was tested using Chi Squre test, Mann Withney. Results: the study showed Oxytocin in Inpartu Kala I Latent Phase of the group that was massaged was higher than those who were not massaged although it was not significantly significant p=0.175. Significantly there is no effect of differences in Oxytocin Hormone Inpartu Kala I Active Phase (p=0.602). The concentration of oxytocin hormone in the group that was massaged in the first phase of latent labour was higher than that in the active phase, although it was not significant, p=0.076. Oxytocin concentration of the group that was not massaged inpartu Kala I Latent Phase was higher than the Active Phase although not significantly significant p=0.917. Conclusion: In the latent phase, the oxytocin concentration of the group that was massaged and not massaged had a significant difference and in the active phase there was no significant effect on the group
The Effect of Storytelling Method on Pain Reduction in Children with Acute Lymphoblastic Leukemia (ALL) Wardani, Husnanisa Kusuma; Triana, Noor Yunida
Viva Medika Vol 17 No 2 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i2.1418

Abstract

Acute Lymphoblastic Leukemia (ALL) is the most common type of blood and bone marrow cancer in children. The most important and frequently encountered impact of ALL on children is pain. Pain in children can be treated with non-pharmacological therapy, namely storytelling therapy. Children can distract (distract) their feelings of pain and relax during treatment at the hospital because they feel happy and comfortable when listening to stories. The aim of this case study aims to determine the effect of the storytelling method on reducing pain in children with Acute Lymphoblastic Leukemia (ALL) in the Wijaya Kusuma Chemotherapy Room, Margono Soekarjo Hospital, Purwokerto. This case study design uses a descriptive design with a shelter housing approach. The subject of this case study was 1 respondent who met the inclusion and exclusion criteria, using purposive sampling. Data were collected using fairy tale script instruments and a numerical rating scale. The results of the case study showed a decrease in the pain scale after storytelling therapy was carried out for 3 meetings, resulting in results from scale 6 (Moderate Pain) to scale 2 (Mild Pain). So it can be concluded that the storytelling method can be recommended for children suffering from ALL because it is effective in reducing the pain scale.
Implementation of Benson Relaxation Technique to Reduce Acute Pain Post-Cesarean Section Nisa, Nur Khoerotun; Siti Haniyah
Viva Medika Vol 17 No 2 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i2.1435

Abstract

Childbirth is the stage of expelling the products of conception through the birth canal with or without assistance. The birth process is classified into 2 ways, namely normal delivery and caesarean section (Sectio Caesarea). Caesarean section can have a negative impact, namely physically causing pain in the stomach during surgery which has a higher pain level, namely 27% compared to the normal birth stage which has a lower pain level, namely 9%. Pain can be prevented with non-pharmacological therapy, one of which is the Benson relaxation technique. This study aims to determine the effectiveness of the Benson relaxation technique in reducing pain in mothers after cesarean section. This research is qualitative research with a case study method using a nursing process approach. The subjects used were post-cesarean section patients with acute pain problems at Kardinah Hospital, Tegal City. The research instrument used was the maternity nursing care format. Research data collection techniques are observation, interviews, physical examination and documentation studies. The instrument used to measure pain is the Numeric Ratting Scale (NRS), pain measurements are carried out before and after the Benson relaxation technique. The results of applying the Benson relaxation technique to mothers after cesarean section showed that the patient experienced a decrease in the level of pain from the first day of treatment to the third day of treatment, namely from a scale of 7 to a scale of 3. These results show that the Benson relaxation technique was able to minimize the scale of pain in mothers after cesarean section
Analysis of Antibiotic Drug Utilization in Pediatric Pneumonia Patients at Cilacap Regional Public Hospital Using the ATCDDD Method and DU 90% Nurkholis, Fiqih
Viva Medika Vol 17 No 1 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i1.1437

Abstract

The high incidence of infectious pneumonia will increase the use of antibiotics. This disease is a leading cause of death in children under 5 years of age. This study aims to describe the utilization of antibiotics for pneumonia in pediatric patients aged ≤ 5 who were treated at RSUD Cilacap in 2022. The research method used was a descriptive study with retrospective data collection, referring to medical record data. Samples were taken using the total sampling method and evaluated using the ATC/DDD and DU 90% methods. The results showed that male pediatric patients were more prevalent (55.55%) with the highest age group being 0-1 years (40.27%). The most frequently used antibiotic was Ceftriaxone (45.06%). The highest DDD/100 bed days value was for Azithromycin at 52.14, and the lowest DDD/100 bed days value was for Metronidazole at 0.31. The antibiotic with the highest DU 90% value was Azithromycin (65.18). The results of the study can be concluded that elevated overall DDD/100 days value suggests that the greater the utilization of antibiotics within a 100-day treatment period, while the extensive inclusion of drugs in 90% DU segment indicates a less discerning approach to antibiotic selection in therapy
Effectiveness of Deep Breath Relaxation Technique to Reduce Acute Pain in Spontaneous Post Partum Patients Nur Fitriani, Revica; Wahyu Ningrum, Ema
Viva Medika Vol 17 No 2 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i2.1454

Abstract

The puerperium phase refers to the period immediately after childbirth for 6 weeks or 42 days, in which case the reproductive organs will undergo subtle changes that resemble the changes that occurred before pregnancy. The main factor causing the high maternal mortality rate is the lack of care and attention given to postpartum women. The purpose of this case study is to assess the effectiveness of breathing relaxation techniques in reducing acute pain in postpartum patients. This study used case study methodology to investigate the patient's experience during the nursing process. The nursing process includes nursing assessment, nursing diagnosis, nursing intervention, nursing implementation, and nursing evaluation. The results showed that deep breath relaxation for 2x24 hours, before the intervention, the patient complained of pain in the birth canal with a pain scale of 5 (moderate). After the intervention, the patient's complaints of pain in the birth canal decreased with a pain scale of 3 (mild). In conclusion, deep breath relaxation is effective as an effort to reduce the intensity/level of pain in postpartum patients.
The Relationship Between Knowledge and Compliance with Blood Supplement Tablets Consumption in Adolescents at SMAN 1 Seyegan Intan Nur Aulia Dewi; Dewi Rokhanawati
Viva Medika Vol 17 No 2 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i2.1455

Abstract

Background: Globally, anemia remains a significant issue in the health sector. In 2013, the prevalence of anemia among adolescent girls was approximately 37.1%, which increased to 48.9% in 2018. Objectives: This study aims to identify the correlation between the knowledge of adolescent girls and their compliance with consuming iron tablets at SMAN 1 Seyegan. Methods: A quantitative method with a cross-sectional approach was chosen for this study. Random sampling was used for sample collection, and data analysis was conducted using the Chi-Square test. Results: The Chi-Square test analysis yielded a p-value of 0.000 (p<0.05) and a Contingency Coefficient of 0.561, indicating a moderate relationship between the two variables. Conclusion and Recommendations: A correlation between adolescent girls' knowledge and compliance with consuming iron tablets at SMAN 1 Seyegan has been identified. It is recommended that knowledge about anemia and compliance with iron tablet consumption be enhanced
Application of Finger Grasp Relaxation Therapy in Postoperative Hemorrhoidectomy Patients with Acute Pain in The Teratai Room of RSUD Prof. Dr. Margono Soekarjo Purwokerto Shindy, Shindy Ayuning Prahesti; Indri Heri Susanti
Viva Medika Vol 17 No 2 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i2.1460

Abstract

Background: This study explores the use of finger grasp therapy to relieve pain in post-hemorrhoidectomy patients at RSUD Prof. dr. Margono Soekarjo Purwokerto. Objective: The purpose of this study was to determine the effect of finger grasping relaxation therapy on acute post-hemorrhoidectomy pain at Prof. Dr. Margono Soekarjo Purwokerto Hospital. Method: this research method uses a descriptive, paper-based approach, sampling using purposive sampling conducted on 1 patient. Data was collected through interviews, physical examination, and observation. Results: There is a decrease in pain from a scale of 6 (moderate) to 3 (mild) in the implementation for 3 days Conclusion: Finger grasping therapy as a non-pharmacological method in reducing post-hemorrhoidectomy pain
Application of Rebuke Therapy to Control Auditory Hallucinations in Patients with Schizophrenia Desy Nugraheni, Prawesty; Apriliyani, Ita
Viva Medika Vol 17 No 2 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i2.1463

Abstract

Various abnormal mental and physical conditions combine to form mental disorders. Delusions, hallucinations and erratic behavior are characteristics of a serious mental disorder known as schizophrenia. Hallucinations, one of the signs of mental illness, are distorted perceptions of a person's senses, including hearing, sight, touch, taste, and smell. One alternative for treating hallucinations with medication is the scolding technique. This research uses a case study methodology. Individuals suffering from auditory hallucinations and sensory perception disorders auditory hallucinations in room lyly 9 RS. Prof.'s soul Dr. Soerojo Magelang. Results: Implementation of rebuke therapy in clients with auditory hallucinations for 3 days can control when the hallucinations appear. These results indicate that rebuke therapy is effective in controlling hallucinations

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