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Jurnal Medika Cendikia (e-Journal)
Published by Sekolah Tinggi Ilmu Kesehatan Karsa Husada Garut
ISSN : 2355827X     EISSN : 24424412     DOI : 10.33482/medika.v6i01.106
Core Subject : Humanities, Health, Science,
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Nursing Public Health
Jurnal Medika Cendikia untuk Kesehatan Bangsa. Scope 1. Farmasi 2. Keperawatan 3. Administrasi kesehatan 4. Kebidanan 5. Tenaga laboratorium medis 6. Kesehatan
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 204 Documents
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DEPRESSION OF PARENTS OF CHILDREN WITH SURVIVORS LEUKEMIA Ramdhanie, Gusgus Ghraha; Nugraha, Bambang Aditya; Sulastini, Sulastini
Jurnal Medika Cendikia Vol 11 No 01 (2024): Jurnal Medika Cendikia
Publisher : Karsa Husada Health Institute Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmc.v11i01.250

Abstract

Parents faced with a diagnosis of leukemia in a child may manifest depressive symptoms. The long treatment process for children with leukemia is a major source of stress for parents that affects mental health. The purpose of this study is to identify the level of depression in parents who have children with leukemia. This study used a quantitative descriptive design with a non-probability sampling technique of accidental sampling type, involving 23 parents. The instrument used was the Beck Depression Inventory II (BDI-II). The data analysis used was univariate. The results showed that parents were not depressed (39%), mild depression (22%), moderate depression (26%), and severe depression (13%). The data showed that the most common symptoms of depression experienced by parents were sadness (57%), feeling worthless (48%), fatigue (52%), and loss of sexual desire (52%). This study is expected to help other researchers develop research on similar topics.
THE RELATIONSHIP OF MOM'S KNOWLEDGE ABOUT DENTAL CARE WITH THE EVENT OF DENTAL CARRIES IN CHILDREN AGED 3-6 YEARS Atoilah, Elang Mohamad; Perceka, Andhika Lungguh
Jurnal Medika Cendikia Vol 11 No 01 (2024): Jurnal Medika Cendikia
Publisher : Karsa Husada Health Institute Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmc.v11i01.251

Abstract

Dental caries is one of the problems in health, especially in children. Parents, especially mothers, play an important role in developing children's positive behavior towards dental and oral health, parental participation in maintaining children's dental and oral health can be applied by paying attention to children's behavior regarding dental and oral health and children's eating patterns. The purpose of this study was to determine the level of knowledge of mothers about dental care with the incidence of dental caries in children. This study uses a quantitative approach design with a cross sectional design. This study used a sample of 43 respondents. The results obtained in this study showed a significant relationship between the mother's level of knowledge regarding dental care and the incidence of dental caries in children with p value = 0.000. Mothers who have a good level of knowledge about dental care have a small risk of their children experiencing dental caries.
The Effect of Classical Music Therapy and Expressive Writing Combination on Anxiety Scores of Primigravid Pregnant Women in the Third Trimester at Cibeureum Public Health Center in Tasikmalaya City Selvia Dewi, Selvia Dewi; Peni Cahyati, Peni Cahyati; Ridwan Kustiawa, Ridwan Kustiawan; Dudi Hartono, Dudi Hartono
Jurnal Medika Cendikia Vol 12 No 02 (2025): Jurnal Medika Cendikia
Publisher : Karsa Husada Health Institute Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmc.v12i02.373

Abstract

Primigravida pregnant women in the third trimester are prone to anxiety triggered by uncertainty before giving birth and adapting to the new role as parents. Excessive anxiety risks causing negative impacts on maternal and fetal health, such as sleep disorders, preeclampsia, premature birth, and low birth weight. Therefore, effective non-pharmacological interventions are needed to help reduce anxiety levels in pregnant women. This study aims to determine the effect of a combination of classical music therapy and expressive writing on anxiety scores of primigravida pregnant women in the third trimester at the Cibeureum Health Center, Tasikmalaya City. This study used a quantitative approach with a pre-experimental design and a one group pretest-posttest approach. The research sample consisted of 26 respondents selected by purposive sampling. The intervention in the form of classical music therapy and expressive writing was given for three consecutive days with a duration of 20–30 minutes per session. Anxiety scores were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention. Data analysis used the paired sample t-test statistical test. The results showed a significant decrease in anxiety scores after being given a combination of classical music therapy and expressive writing. The p value obtained was 0.000 (p <0.05), which indicated that the difference before and after the intervention was statistically significant. The combination of classical music therapy and expressive writing has been proven effective in reducing anxiety scores in primigravida pregnant women in the third trimester. This intervention is recommended as a non-pharmacological alternative that can be applied in primary health services to support the mental health of pregnant women.
Efektifitas Aplikasi Stimulasi Deteksi Intervensi Dini Tumbuh Kembang Anak Terhadap Pemantauan Pertumbuhan dan Perkembangan Anak Oleh Kader Di Posyandu Winda Windiyani, Winda Windiyani; Ade Kurniawati, Ade Kurniawati; Fahrurizal Muldiana, Fahrurizal Muldiana; Erlinda, Erlinda
Jurnal Medika Cendikia Vol 12 No 02 (2025): Jurnal Medika Cendikia
Publisher : Karsa Husada Health Institute Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmc.v12i02.344

Abstract

Stimulation Program Detection Early Intervention Growth Kembang Anak is one of the service health important in Indonesia in effort improvement welfare babies , children and toddlers . Development child age under 5 years cause various type problems and solutions the problem How ways for children in Indonesia to experience appropriate growth and development? with age they . The number toddlers in Indonesia are quite big namely 10% of amount overall with various problem one of them disturbance growth and development . Children aged under 5 years cause various type problems and solutions problem How ways for children in Indonesia to experience appropriate growth and development? age . Purpose from study This give evaluation effectiveness application Stimulation Detection Early Intervention Growth Child Development Method Study This will use method quantitative with approach experimental control group design consisting of from group experiments that use 32 person and group application control of 32 people who used book guidelines implementation of SDIDTK at the level service basis . Data analyzed using nonparametric tests Statistical tests nonparametric Wilcoxon Signed-Rank Test was performed For know difference between pretest and posttest scores for each group . These results show that there is significant difference? between pretest and posttest scores on both group . In other words, there is improvement results meaningful learning? after given treatment , both in the group using application and groups that use book
Analisis Postur Kerja dengan Menggunakan Metode Rapid Office Strain Assesment (ROSA) di Perumda Tirtanadi Diadara Nandani; Lila Yannur Nasution; Muhammad Raply; Najwa Hanni Hasibuan; Rizka Aulia Hasibuan; Sahromadani Siregar; Delfriana Ayu Astuty
Jurnal Medika Cendikia Vol 12 No 02 (2025): Jurnal Medika Cendikia
Publisher : Karsa Husada Health Institute Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmc.v12i02.353

Abstract

Perusahaan Umum Daerah (Perumda) Tirtanadi, sebagai salah satu instansi penyedia layanan air bersih dan pengelolaan air limbah di Sumatera Utara, memiliki beban kerja administratif dan operasional yang cukup tinggi, terutama bagi pegawai yang bekerja dalam posisi duduk dalam waktu lama di depan komputer. Penelitian ini bertujuan untuk menganalisis postur kerja pegawai kantor di Perusahaan Umum Daerah (Perumda) Tirtanadi menggunakan metode Rapid Office Strain Assessment (ROSA) guna mengidentifikasi tingkat risiko ergonomi dan potensi keluhan muskuloskeletal. Jenis penelitian yang digunakan adalah deskriptif kualitatif dengan pendekatan observasional. Data diperoleh melalui observasi langsung serta kuesioner Nordic Body Map (NBM) yang diumumkan kepada 10 responden dari 10 divisi berbeda yang rutin bekerja menggunakan komputer. Hasil penelitian menunjukkan sebagian pekerja mengalami keluhan pada bagian pinggang, punggung, leher, dan bahu, yang mengindikasikan adanya postur kerja yang kurang ideal. Berdasarkan hasil penilaian ROSA, terdapat dua divisi yang memperoleh skor >5 (Pemasaran dan Aset), yang berarti memerlukan perbaikan segera pada stasiun kerja untuk mencegah gangguan muskuloskeletal lebih lanjut. Sementara itu, delapan divisi lainnya menunjukkan skor di bawah 5 yang masih tergolong aman namun tetap perlu pemantauan rutin. Penelitian ini merekomendasikan standar penyesuaian kursi kerja yang ergonomis, pengaturan posisi monitor, serta peregangan berkala guna meningkatkan kenyamanan dan produktivitas kerja pegawai.
ANALISIS TINGKAT KEPUASAN PASIEN TERHADAP PELAYANAN IRNA I DI RUANG PARANGTRITIS RSUD DR. SAIFUL ANWAR PROVINSI JAWA TIMUR Aprilia Yana Anggreini; Fikri, Zahid; Lilis Setyowati; Sunardi; Khikmatul Mu'jizah
Jurnal Medika Cendikia Vol 12 No 02 (2025): Jurnal Medika Cendikia
Publisher : Karsa Husada Health Institute Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmc.v12i02.358

Abstract

Kepuasan pasien merupakan indikator penting mutu pelayanan kesehatan, karena menunjukkan kesesuaian antara harapan dan pengalaman perawatan. Tingkat kepuasan yang tinggi berpengaruh pada kepercayaan, loyalitas, serta keberlangsungan institusi pelayanan kesehatan. RSUD Dr. Saiful Anwar Provinsi Jawa Timur rutin melakukan Survei Kepuasan Masyarakat, namun masih terdapat aspek yang perlu ditingkatkan, terutama kecepatan pelayanan dan manajemen rumah sakit. Penelitian ini bertujuan untuk mengetahui tingkat kepuasan pasien di Instalasi Rawat Inap I (IRNA I), ruang Parangtritis RSUD Dr. Saiful Anwar Jawa Timur, serta mengidentifikasi dimensi pelayanan yang menjadi kekuatan dan kelemahan. Penelitian deskriptif kuantitatif dengan desain survei. Responden berjumlah 30 pasien/keluarga yang dirawat di ruang Parangtritis IRNA I. Instrumen berupa kuesioner kepuasan pasien berdasarkan dimensi pelayanan (tangibles, reliability, responsiveness, assurance, empathy). Data dianalisis dengan distribusi frekuensi. Mayoritas responden menyatakan kurang puas pada dimensi tangibles (56,7%), reliability (66,7%), responsiveness (66,7%), dan assurance (60,0%). Pada dimensi empathy, mayoritas responden puas (53,3%). Secara keseluruhan, 60,0% responden merasa puas terhadap mutu pelayanan kesehatan. Tingkat kepuasan pasien di IRNA I ruang Parangtritis termasuk kategori baik, meskipun aspek kecepatan pelayanan dan sistem administrasi masih perlu ditingkatkan. Temuan ini diharapkan menjadi masukan untuk memperkuat strategi pelayanan berfokus pada pasien dan meningkatkan efektivitas manajemen rumah sakit.
The Immunomodulatory Potential of Hesperidin from Garut Orange Peel (Citrus nobilis var. chrysocarpha) Against Human Metapneumovirus (HMPV) Infection: Based on In Vivo Mouse Model Study sugiah, sugiah; Dadang Muhammad Hasyim, Dadang Muhammad Hasyim; Marsha Yulianti, Marsha Yulianti; Akbar Nurjamil, Akbar Nurjamil; N. Ai Erlinawati, N. Ai Erlinawati
Jurnal Medika Cendikia Vol 12 No 02 (2025): Jurnal Medika Cendikia
Publisher : Karsa Husada Health Institute Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmc.v12i02.371

Abstract

Acute respiratory infections (ARIs), including those caused by Human Metapneumovirus (HMPV), remain a global health concern, and no specific therapy or vaccine is currently available. Hesperidin, the main flavonoid in Garut orange peel (Citrus nobilis var. chrysocarpha), is known for its anti-inflammatory, antiviral, and immunomodulatory activities. This study was an in vivo pilot study using 35 male Balb/c mice divided into seven groups: normal control, negative control (5% imiquimod), positive control (levamisole), and hesperidin-treated groups at 50, 100, and 150 mg/kg body weight, either alone or in combination with imiquimod. Observed parameters included total leukocytes, lymphocytes, neutrophil-to-lymphocyte ratio (NLR), body weight, organ weight, and lung histology. Hesperidin was extracted using 70% ethanol and identified by thin-layer chromatography (TLC).Results showed that body weight data were normally distributed, with no significant differences between groups (p > 0.05), indicating that hesperidin was safe at the tested doses. Hematological analysis revealed significant differences in leukocyte counts (p = 0.001), lymphocytes (p = 0.002), and NLR (p = 0.001). Imiquimod induced systemic inflammation, as evidenced by increased leukocytes, lymphocytes, NLR, and lung inflammation scores. Hesperidin exhibited dose-dependent immunomodulatory effects; the 100 mg/kgBW dose combined with imiquimod produced the most optimal results, characterized by low NLR and a histology score of 0, reflecting controlled inflammation and effective adaptive immune activation. In contrast, the 150 mg/kgBW dose triggered excessive inflammatory responses.
Development of Android-based "NutriGuide" Application with Augmented Reality (AR) as Nutrition Education Media for Diabetes Patients at Tarogong Kidul Health Centre, Garut Gin Gin Sugih Permana, Gin Gin Sugih Permana; Eva Daniati, Eva Daniati; Alvi Riansyah, Alvi Riansyah
Jurnal Medika Cendikia Vol 12 No 02 (2025): Jurnal Medika Cendikia
Publisher : Karsa Husada Health Institute Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmc.v12i02.374

Abstract

Type 2 diabetes mellitus (T2DM) is a global health problem that requires proper nutrition management. However, conventional nutrition education methods are considered less effective because they are static and less interactive. Type 2 diabetes mellitus (T2DM) has become a global health crisis with 537 million cases, where Indonesia ranks seventh in the world with 19.5 million sufferers, while in Garut Regency the prevalence reaches 12.3% due to a high-carbohydrate diet and low nutrition literacy. Overcoming the failure of conventional education that only has 20% knowledge retention after 3 months. This study aims to develop an Android-based "NutriGuide" mobile application that uses Augmented Reality (AR) technology to present nutrition information visually and interactively at the Tarogong Kidul Health Centre, Garut Regency. This research used a Research and Development (R&D) approach with the ADDIE model (Analysis, Design, Development, Implementation, Evaluation). A quasi-experimental design with a pre-test and post-test control group was employed to test the application's effectiveness. A sample of 60 respondents from the Tarogong Kidul Health Centre area was divided into an intervention group (n=30) using the NutriGuide app and a control group (n=30) receiving conventional education. Data were analyzed using univariate analysis and the Mann-Whitney test. The intervention group showed a significant increase in nutritional knowledge, with the median score rising from 9.5 to 14. In contrast, the control group showed minimal change, with a median score increase from 10 to only 10.5. Statistical analysis confirmed a significant difference in knowledge improvement between the two groups (p-value = 0.002). The Android-based "NutriGuide" application with AR technology is an effective and innovative medium for significantly improving nutritional knowledge among T2DM patients.
The Effect of Squishy Ball Therapy on Anxiety Scores in Third Trimester Pregnant Mothers in the Work Area of Tamansari Community Health Center Lisnia Desi Santika, Lisnia Desi Santika; Peni Cahyati, Peni Cahyati; Asep Riyana, Asep Riyana; Ridwan Kustiawan, Ridwan Kustiawan
Jurnal Medika Cendikia Vol 12 No 02 (2025): Jurnal Medika Cendikia
Publisher : Karsa Husada Health Institute Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmc.v12i02.375

Abstract

The third trimester of pregnancy is a period prone to increased anxiety due to physical and emotional changes, as well as concerns about the upcoming childbirth. If left unaddressed, anxiety may negatively affect both the mother and the fetus, leading to complications such as preterm labor or obstetric disorders. Based on this condition, this study aims to determine the effect of squishy ball therapy on anxiety scores among third-trimester pregnant women in the working area of Tamansari Public Health Center. The theoretical basis of this research includes the concepts of pregnancy, anxiety, maternal anxiety, squishy ball therapy, the benefits, use, and effects of squishy ball therapy. This study utilized a pre-experimental design with a one-group pretest-posttest approach, involving 19 respondents selected through purposive sampling. The instrument used was the Perinatal Anxiety Screening Scale (PASS) questionnaire. The paired t-test results showed a decrease in anxiety scores from a mean of 40.05 to 28.21 with a p-value of 0.000 (p < 0.05), indicating a significant effect. This decrease demonstrates that simple activities such as repeatedly squeezing a squishy ball can stimulate the parasympathetic nervous system, increase endorphin release, and produce a relaxing effect that helps reduce anxiety levels. This therapy is non-pharmacological, practical, easy to perform, and has no side effects, making it highly suitable for use as an independent nursing intervention. The conclusion of this study states that squishy ball therapy is effective in reducing anxiety in third-trimester pregnant women. It is recommended that this therapy be integrated into independent nursing practices in antenatal care services and be included as learning material in nursing education.
Penambahan Konsumsi Sayur Daun Ubi Jalar Pada Ibu Hamil Anemia Terhadap Peningkatan Kadar Haemoglobin Pada Ibu Hamil Trimester III Di Kabupaten Karawang Warliana; Eneng Solihah; Intan Rina Susilawati
Jurnal Medika Cendikia Vol 12 No 02 (2025): Jurnal Medika Cendikia
Publisher : Karsa Husada Health Institute Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmc.v12i02.292

Abstract

Abstrak Latarbelakang: Anemia masih merupakan masalah dalam mencapai derajat kesehatan ibu khusunya ibu hamil dan masa nifas sehingga memberikan dampak yang serius dalam proses kehamilan, kelahiran dan masa menyusui. Anemia berkontribusi dalam tumbuh kembang janin dan bayi pada masa daur siklus kehidupan. Riskesdas 2018 menunjukkan kejadian anemia pada ibu hamil Indosnesia sebesar 48.9%. Kabupaten Karawang menctatat terdapat 18.02%. ibu hamil menderita anemia. Tujuan: Untuk mengetahui pengaruh penambahan sayur daun ubi terhadap peningkatan kadar hemoglobin ibu hamil anemia. Metode: Quasy eksperiment one group prtest and postest merupakan rancangan pilihan yang digunakan dalam penelitian ini dengan jumlah sample sebanyak 30 subjek penelitian ibu hamil. Yang diberikan konsumsi sayur daun ubi dilakukan selama 10 hari diberikan sebanyak 100 gram sayur bening atau direbus kemudian air dan sayur diminum setelah itu dilakukan penilaian kadar Hb pada hari ke 11. Hasil : Kadar hemoglobin rata-rata sebelum perlakuan sebesar 9.8gr/dl dan setelah perlakuan sebesar 10.8 gr/dl, Rata-rata peningkatan kadar hemoglobin ibu hamil trimester III sebesar 1.11 gr/dl, Hasil uji analisis bivariat dengan menggunakan paired t-test diperoleh nilai p adalah 0.000. nilai tersebut kecil dari ??0.05 berarti ada pengaruh pemberian konsumsi sayur daun ubi jalar terhadap kadar hemoglobin Kesimpulan: Ada pengaruh pemberian konsumsi sayur daun ubi jalar dalam meningkatkan kadar hemoglobin ibu hamil anemia trimester III di Kabupaten Karawang Saran: Sosialisasi kepada masyarakat Karawang manfaat konsumsi daun ubi jalar dalam meningkatkan kadar Hb untuk ibu hamil anemia dan khalayak umum terutama wanita usia subur, inovasi diperlukan untuk variasi olahan daun ubi jalar sehingga menarik untuk dikonsumsi. Kata kunci: Daun ubi jalar, anemia ibu hamil, kadar hemoglobin

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