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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 601 Documents
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Artificial Intelligence Applications in Community and Home Nursing Care: A Systematic Literature Review Berliana Rahmadhani; Purwono Purwono; Muhammad Ahmad Baballe; Isa Ali Ibrahim
Viva Medika Vol 19 No 1 (2026)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v19i1.2235

Abstract

Healthcare systems face increasing demand for community and home nursing care due to population aging, chronic disease prevalence, and hospital resource limitations. Artificial intelligence (AI) has emerged as a supportive technology with potential to enhance nursing practice in decentralized care environments. This systematic literature review synthesizes recent evidence on AI applications in community and home nursing care. The review followed PRISMA 2020 guidelines and analyzed fifteen peer-reviewed studies published between 2022 and 2025. The findings indicate that machine learning–based predictive analytics and decision-support systems are the most frequently implemented technologies. AI applications primarily support risk prediction, remote monitoring, chronic disease management, and workflow optimization. Reported outcomes include improved clinical vigilance, enhanced care coordination, and increased operational efficiency. However, implementation challenges remain, including infrastructure readiness, digital literacy gaps, ethical governance concerns, and data privacy risks. Overall, AI functions as an augmentative tool that strengthens professional nursing judgment rather than replacing it. Sustainable integration in community and home nursing care requires digital competence, regulatory alignment, and human-centered implementation strategies.
The Influence of Age and Work Tenure on Occupational Burnout among Furniture Industry Workers in Indonesia Muhammad Basir; Mira Wahyu Kusumawati; Wenny Carsita
Viva Medika Vol 19 No 1 (2026)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v19i1.2231

Abstract

Occupational burnout has emerged as an important occupational health concern in labor-intensive manufacturing sectors where repetitive physical work and prolonged job demands may increase psychological strain among workers. This study aims to analyze the association between age, work tenure, and burnout levels among furniture production workers from an occupational health and safety perspective. A quantitative analytic study with a cross-sectional design was conducted among 63 workers in a furniture manufacturing unit in Makassar, Indonesia. Data were collected using the Maslach Burnout Inventory (MBI) questionnaire to measure burnout across three dimensions: emotional exhaustion, depersonalization, and reduced personal accomplishment. Age and work tenure were categorized based on sample distribution, and statistical analysis was performed using cross-tabulation and Chi-square tests with a 95% confidence level. The results indicate a significant association between age and burnout level (χ² = 20.746, p < 0.001) as well as between work tenure and burnout level (χ² = 22.828, p < 0.001). Workers in the late-mid adulthood category and those with work tenure exceeding 20 years showed substantially higher proportions of severe burnout compared with younger or less-tenured workers. These findings suggest the presence of cumulative occupational strain resulting from prolonged exposure to repetitive physical labor and workplace stressors. This study highlights the importance of integrating burnout monitoring within occupational health and safety programs. Preventive strategies such as ergonomic improvements, workload management, and job rotation are recommended to reduce burnout risk among long-tenured industrial workers
The Role of Midwives in The Management OG High-Risk Pregnancy Care: Systematic Literature Review Devy Lestari Nurul Aulia; Arum Dwi Anjani; Divani Salsa Billa; Selvi Andini Isna Ramadhani; Rini Rahmadhani; Aulia Rani; Yanti Febyola Purba; Nasha Aqeela
Viva Medika Vol 19 No 1 (2026)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v19i1.2239

Abstract

High-risk pregnancy represents a condition that increases the likelihood of complications for both the mother and the fetus and therefore requires appropriate and comprehensive management. Midwives, as frontline healthcare providers, perform strategic roles in early detection, continuous monitoring, health education, and referral coordination in the management of high-risk pregnancies.This study analyzes the role of midwives in high-risk pregnancy care management using a Systematic Literature Review (SLR) approach. The review examined scientific articles retrieved from national and international databases, including Google Scholar, PubMed, ScienceDirect, SINTA, and Garuda. The search process identified 275 articles published between 2019 and 2025. Application of predefined inclusion and exclusion criteria resulted in the selection of 10 relevant articles for detailed analysis. The findings indicate that midwives contribute to the reduction of pregnancy complications and the improvement of maternal and neonatal safety through early detection of risk factors, routine monitoring of maternal and fetal conditions, provision of health education, and coordination of referral services. Continuity of midwifery care improves adherence to antenatal care visits and supports earlier management of pregnancy complications. Educational interventions delivered by midwives increase pregnant women’s knowledge, awareness, and healthy behaviors during pregnancy. Improved maternal understanding of pregnancy health contributes to prevention of delays in complication management and supports better pregnancy outcomes for both mothers and infants
Nursing Skills Impact Patient Anxiety Levels in Emergency Unit Rosita Nur Hayati Rosita Nur Hayati; Adiratna Sekar Siwi; Suci Khasanah
Viva Medika Vol 19 No 2 (2026)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v19i2.2069

Abstract

Diabetes mellitus is a complex metabolic disorder characterized by hyperglycemia (elevated blood glucose levels). Hyperglycemia results from anomalies in insulin secretion or insulin action or both as a dysfunction of carbohydrate, fat, and protein metabolism. Based on the report data at Panti Nugroho Purbalingga Regional Hospital, it was found that in October 2023 to December 2023 the incidence of DM was 76 patients. The study aims to determine the relationship between stress levels and sleep quality with blood sugar levels in Diabetes Mellitus patients at Panti Nugroho Purbalingga Hospital. This research method is a correlation design with a cross sectional data collection time approach with a sample of 63 respondents at Panti Nugroho Purbalingga Hospital using accidental sampling. Measurement of stress levels using the Perceive Stress Scale (PSS) questionnaire and sleep quality using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. SPSS results with spearman rank test obtained p value stress levels =0.000 (<0.005) and p value sleep quality =0.000 (<0.005). The conclusion of this study is that there is a relationship between stress levels and sleep quality with current blood sugar levels in DM patients.
Sleep Quality of Patient Hypertension with Obstructive Sleep Apnea (OSA) in the Elderly Shobihatus Syifak; Dyah Yuniati; Nurlisa Naila Aulia; Iis Noventi
Viva Medika Vol 19 No 2 (2026)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v19i2.2071

Abstract

Background: Hypertension is a common chronic health problem in older adult and is often associated with sleep disorders, one of which is the risk of Obstructive Sleep Apnoea (OSA). OSA can cause sleep fragmentation and intermittent hypoxia, which can lead to a decline with hypertension, sleep disorders often go undetected early on requiring effective screening efforts. Purpose: This study aims to analyze the relationship between sleep quality and the risk of Obstructive Sleep Apnoea (OSA) in elderly people with hypertension. Methods: This study employed an analytical observational design with a cross-sectional approach. This study was conducted at the Neurology Clinic of RSI Jemursari Surabaya from May to August 2025 with a sample size of 30 elderly individuals selected using simple random sampling. Sleep quality was measured using the Pittsburgh Slee Quality Index (PSQI), while the risk of OSA was assessed using the Epworth Sleepiness Scale (ESS). The relationship between sleep quality and the risk of OSA was analysed usinhg Fisher’s exact test with a significance level of 0.05. Result: The result showed that most elderly people with hypertension had poor sleep quality (PSQI > 5). Elderly people with a poor sleep quality were significantly more likely to have an ESS score ≥10, indicating an increased risk of Obstructive Sleep Apnoea, compared to elderly people with good sleep quality (p = 0.021). Conclusion: There is a significant relationship between sleep quality and the risk of Obstructive Sleep Apnoea in elderly people with hypertension. Screening for sleep quality and OSA risk using the PSQI and ESS is important as an early detection measure to support the prevention of cardiovascular complications improve the quality of life of elderly people.
Analysis of the Effectiveness of Antihypertensive Drugs on Blood Pressure Reduction in Patients Receiving Calcium Channel Blocker and Angiotensin Receptor Blocker Therapy Fauziah; Reina Meilani; Zahra Amalia Ristiana; Khamdiyah Indah Kurniasih; Amelia Sari; Nurmalia Zakaria
Viva Medika Vol 19 No 2 (2026)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v19i2.2088

Abstract

This study aimed to analyze the effectiveness of antihypertensive drugs from the Calcium Channel Blocker (CCB) and Angiotensin Receptor Blocker (ARB) classes in reducing blood pressure among hypertensive patients. The study employed a retrospective observational design using medical record data collected from November 2024 to February 2025 and was conducted in four primary healthcare centers in Banyumas Regency. A total of 70 patients enrolled in the PROLANIS program were selected using purposive sampling. Data were analyzed based on changes in blood pressure and statistically tested using the One-Way ANOVA test. The results showed that the ARB + CCB combination therapy was the most frequently used regimen (50%) and achieved the lowest mean blood pressure value (129.94/77.25 mmHg) among the therapy groups. Statistical analysis indicated a significant difference in systolic and diastolic blood pressure between patients receiving monotherapy and combination therapy (p < 0.05). These findings suggest that the ARB + CCB combination therapy was associated with greater blood pressure reduction compared to monotherapy among hypertensive patients in primary healthcare settings.
Factors Associated with the Choice of Female Sterilization as Contraception: A Scoping Review : Juwi Amalia; Ni Komang Yuni Rahyani; Ni Nyoman Suindri
Viva Medika Vol 19 No 2 (2026)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v19i2.2237

Abstract

Female sterilization or tubectomy (Metode Operasi Wanita/MOW) is a highly effective permanent contraceptive method; however, its utilization remains relatively low, suggesting the influence of various non-medical factors on women’s decision-making. This study was conducted as a scoping review to identify and map factors associated with the selection of MOW among women of reproductive age. A systematic search of national and international databases was conducted based on predefined inclusion and exclusion criteria. Eleven eligible articles were analyzed through the stages of identification, screening, data charting, and synthesis. Seven key factors were identified: age, education, employment status, parity, knowledge, attitude, and husband’s support. Age ≥30 years and higher parity consistently emerged as dominant determinants. Adequate knowledge and positive attitudes toward permanent contraception significantly increased women’s willingness to choose MOW, while husband’s support was the strongest reinforcing factor. Overall, the selection of MOW is influenced not only by medical considerations but also by social, psychological, and cultural factors. Strengthening contraceptive education and promoting couple-centered counseling are essential to improve informed decision-making and increase acceptance of female sterilization.
The Effectiveness of Kangaroo Mother Care on Thermoregulation Stabilization in Low Birth Weight Infants Rahmat Kurniawan; Elsy Dinimayanti; Lenny; T.Iskandar Faisal; Nuswatul Khaira; Alfian Helmi; Siti Kusnul Khotimah; Mursiah Mursiah
Viva Medika Vol 19 No 2 (2026)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v19i2.2238

Abstract

Introduction: Low birth weight (LBW) infants are at high risk of hypothermia due to immature thermoregulation mechanisms. Kangaroo Mother Care (KMC), characterized by continuous skin-to-skin contact, is recommended as a simple and cost-effective intervention to maintain thermal stability. This study aimed to determine the effectiveness of KMC in stabilizing body temperature among LBW infants in a perinatology ward. Methods: A quasi-experimental study with a one-group pretest–posttest design was conducted from December 2022 to January 2023 in the Perinatology Room of Tangerang Hospital, Tangerang City. A total of 40 LBW infants were recruited using total sampling. Body temperature was measured using a digital thermometer before and after KMC implementation. Data were analyzed using a paired t-test with a significance level of p < 0,05. Results: Prior to KMC, 87,5% of infants experienced hypothermia, while only 12,5% had normal body temperature. After KMC intervention, 100% of infants achieved normal temperature ranges (36,5°C–37,3°C). Statistical analysis showed a significant difference in mean body temperature before and after KMC (p = 0,001), indicating that KMC effectively improved thermoregulation in LBW infants. Conclusion: Kangaroo Mother Care significantly enhances thermal stability in low birth weight infants and can be implemented as a safe, non-invasive, and low-cost intervention in perinatology settings. Integrating KMC into standard neonatal care protocols may contribute to reducing hypothermia-related complications and improving neonatal outcomes.
The Effect of Educational Blogs on The Level of Knowledge About Hypertension Among The Productive Age Community in Karawana Village Glenn Frekly S. Tapa Ngale; Sisilia Rammang; Katrina Feby Lestari
Viva Medika Vol 19 No 2 (2026)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v19i2.2241

Abstract

Hypertension, or high blood pressure, is a dangerous noncommunicable disease (NCDs) that generally occurs with age and is often referred to as a silent killer because the symptoms are often invisible or imperceptible in most patients. Therefore, comprehensive education with easy access to information about the disease is necessary. Education through blogs has great potential as an effective tool for raising awareness, especially in controlling hypertension. This study was quantitative in nature. This study used a quasi-experimental design with a one-group pretest-posttest design. The minimum sample size was 30 respondents of productive age, with sampling using purposive sampling based on inclusion and exclusion criteria. Univariate and bivariate data analysis was performed using the Wilcoxon test. Before the intervention, 4 respondents (13.3%) had good knowledge, sufficient knowledge in 12 respondents (40%), and insufficient knowledge in 14 respondents (40.7%). After the intervention, 15 respondents (50%) had good knowledge, 11 respondents (36.7%) had sufficient knowledge, and 4 respondents (13.3%) had insufficient knowledge. The Wilcoxon test showed a p-value of 0.001 (p<0.05), and the effect size (r=0.73) indicated a large effect. There was an effect of the educational blog on the level of knowledge about hypertension among the productive age community in Karawana Village. This study is expected to contribute to the development of education, increase public awareness of hypertension prevention, and encourage the active role of community health centers in providing health education through socialization and blog media.
Comparative Effectiveness of Animated Video Versus Storytelling Distraction on Procedural Pain in Preschool Children During Intravenous Insertion Yunita Anggrain; Herry Susanto; Indra Tri Astuti; Siriluk Winitchayothin
Viva Medika Vol 19 No 2 (2026)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v19i2.2204

Abstract

Intravenous (IV) insertion is a common invasive procedure in preschool children and frequently causes pain and distress because of limited developmental ability to understand and cope with the procedure. Effective non-pharmacological strategies are essential to reduce procedural pain and support atraumatic pediatric care. This study aimed to compare the effectiveness of animated video distraction and storytelling in reducing pain during IV insertion among children aged 3-5 years. A quasi-experimental posttest-only design was conducted in the emergency department of a tertiary hospital. Thirty-two preschool children were recruited using purposive sampling and non-randomly allocated to an animated video group (n = 16) or a storytelling group (n = 16). Pain intensity during IV insertion was assessed using the Face, Legs, Activity, Cry, and Consolability (FLACC) scale. Data were analyzed using descriptive statistics, the Shapiro-Wilk test, and the Mann-Whitney U test. Most children in both groups experienced moderate pain following intervention. The animated video group demonstrated a lower mean FLACC score (3.94) compared to the storytelling group (4.75). Statistical analysis revealed a significant difference in pain levels between the two interventions (Z = -2.015; p = 0.044; effect size r = 0.36), indicating greater effectiveness of animated video distraction. Both distraction methods reduced procedural pain, although animated video distraction was associated with significantly lower pain than storytelling in this single-site emergency department sample. These findings support the integration of audiovisual distraction into pediatric nursing practice to improve comfort and cooperation during IV insertion while future randomized studies are recommended to confirm these results.

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