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Science Midwifery
Published by Institute of Computer Science
ISSN : 20867689     EISSN : 27219453     DOI : -
Core Subject : Health,
Dentistry Health Professions Nursing Public Health Veterinary
Jurnal Kebidanan dan ilmu kesehatan ini adalah di terbitkan 2 kali dalam setahun, dalam bidang kebidanan dan perawat.
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 1,455 Documents
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Analysis of risk factors for incomplete inpatient medical records using the fishbone method Ernawati, Ernawati; Novratilova, Sinta
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1861

Abstract

Incomplete inpatient medical summaries remain a persistent issue that affects administrative processes and the quality of patient data. This study aimed to analyze the completeness and contributing factors of incomplete inpatient medical summaries using the Fishbone Method (Ishikawa Diagram). A qualitative descriptive approach was employed, with data collected through observations, interviews, and document reviews of 99 inpatient medical summaries, selected using Slovin’s formula with a 10% margin of error. The study involved medical record officers and healthcare professionals, selected through purposive sampling. Data analysis followed the qualitative descriptive method, including data reduction, data presentation, conclusion drawing, and triangulation. The findings identified five primary factors contributing to incomplete medical summaries: Man (low compliance among healthcare professionals), Method (suboptimal Standard Operating Procedures), Machine (ineffective hospital information systems), Money (insufficient investment in training), and Material (medical records not yet fully electronic). The study recommends medical staff training, SOP optimization, and the implementation of an electronic medical record system with a required lock feature to ensure complete documentation of inpatient medical summaries.
Optimizing outpatient claim management: The role of sep and document completeness – a qualitative Ramdhani, Budi; Habibi, Musta'inul
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1862

Abstract

Efficient outpatient claim management is essential for hospital financial sustainability, particularly under Indonesia’s National Health Insurance (Jaminan Kesehatan Nasional, JKN) system. This study aimed to explore the challenges and optimization strategies in outpatient claim management at UOBK RSUD R Syamsudin SH, focusing on the role of Participant Eligibility Letter (Surat Eligibilitas Peserta, SEP) and document completeness. A qualitative descriptive approach was applied, using thematic analysis to identify key themes from observations, in-depth interviews, and document analysis. Findings revealed that incomplete claim documents, errors in SEP completion, manual verification bottlenecks, and lack of administrative training significantly contributed to claim delays and rejections. The study suggests that standardized document verification, digital integration with BPJS Kesehatan, and regular staff training are critical for optimizing claim processing. These strategies can improve hospital cash flow, reduce claim rejection rates, and enhance service efficiency. This research provides practical recommendations for hospital administrators and policymakers to refine BPJS claim management, ensuring timely reimbursement and sustainable healthcare financing.
Literature review: Personal hygiene genitalia and adolescent reproductive health Sukmawati, Sukmawati; Wahjuni Utami, Jacoba Nugrahaningtyas; Astuti, Tutik
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1863

Abstract

Genital hygiene is an essential aspect of maintaining adolescent reproductive health. Poor hygiene practices can increase the risk of infections and other health problems. This study aims to review the relationship between genital personal hygiene and adolescent reproductive health based on various previous studies. The method used was a literature review of eleven scientific articles that discussed genital hygiene, reproductive health education, and factors that affect adolescent behavior in maintaining personal hygiene. The sources studied include quantitative and qualitative research from various countries. The results showed that teenage knowledge about genital hygiene was closely related to hygiene behavior. Health education, the role of parents, and effective methods of conveying information have been proven to contribute to increasing adolescents' awareness of the importance of genitalia hygiene. However, the research still has limitations, such as the lack of longitudinal studies and the lack of focus on adolescent boys. The conclusions of this review confirm that proper education about genital hygiene is essential to prevent reproductive health problems. Further research is needed with a wider population coverage, a more varied approach to methods, and the use of technology in genital hygiene education for adolescents.
The immunomodulatory activity of dioscorea alata on spleen histology of rats induced with 50% alcohol Makiyah, Sri Nabawiyati Nurul; Zahra, Adelia Nabilah
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1865

Abstract

Dioscorea alata is frequently consumed and has several health advantages. The immune system-protecting spleen may be protected by bioactive substances in Dioscorea alata tubers. This study examined the influence of immunomodulatory ethanol extract of Dioscorea alata (EEDA) on the diameter of the white pulp of the spleen in 50% alcohol-induced rats (Rattus norvegicus). This research is quasi-experimental using post-test only controlled group design. Twenty-five Rattus norvegicus were separated into five groups. The normal control group (C) received Carboxymextyl Cellulose (CMC), the negative control group (NC) received CMC and 50% alcohol, and three groups received EEDA at doses of 50, 250, and 500 mg/kg for 14 days and 50% alcohol. The diameter of the white pulp of the spleen data analyzed with Kruskal-Wallis and Mann-Whitney tests. The study found a significantly increase in the diameter of the white pulp of the spleen (p<0.05) in the negative control group, EEDA doses of 50 and 250 mg/kg. The control group and EEDA doses 500 mg/kg groups had smaller the diameter of the white pulp of the spleen. The conclusions of this research proved that EEDA has an immunomodulatory activity, EEDA was immunostimulant at doses 50 and 250 mg/kg and immunosuppressant at doses 500 mg/kg.
Analysis of the performance of access and quality of the public safety center (PSC) 119 on patient satisfaction at the North Tapanuli District Health Office Angki, Pebri
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1866

Abstract

Public Safety Center (PSC) 119 is an integrated emergency service based on a call center. Patient satisfaction in health services is very important to note because it can describe the quality of service at a health service location. The purpose of this study was to analyze the Influence, Performance, service quality, and access to patient satisfaction of the Public Safety Center (PSC) 119 of the North Tapanuli Health Office in 2024. This research method is descriptive analytic with a correlational design. A total of 150 patients who had used the PSC 119 service at 5 Health Centers in the North Tapanuli Health Office became respondents in this study and were selected using a simple random sampling technique. The research instrument used a questionnaire sheet. Data analysis included univariate analysis, bivariate analysis and multivariate analysis using multiple logistic regression tests. The results of this study indicate that using the Pearson Correlation test and found a significance value (2-tailed) of 0.000 (p <2 0.05) which means H1 is accepted so that there is a significant influence between the influence of Officer Performance and Satisfaction of PSC 119 ambulance patients, there is an Influence between Service and Satisfaction of PSC 119 Ambulance Patients in North Tapanuli Regency with the results that (2-tailed) is 0.000 (p <0.05), the Influence of Access to Patient Satisfaction by PSC 119 Ambulance Nurses in North Tapanuli Regency with the results that all variables are strongly and positively correlated with patient satisfaction (Coeff. correlation> 0.6) The most dominant variable that influences Service to satisfaction is empathy with a value of p = 0.006. It is expected that the health service can improve facilities and training regularly to all officers in order to provide better services.
Analysis of axial T2 TSE images using deep learning reconstruction in MRI of brain tumors Muzdalifah, Nadifah Pratiwi; Utami, Hernastiti Sedya; Hidayat, Fathur Rachman; Wibowo, Kusnanto Mukti; Jadmika, Muhammad Riefki; Samudra, Alan
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1867

Abstract

Magnetic Resonance Imaging (MRI) Brain examinations often encounter uncooperative patients, necessitating rapid scanning techniques that yield optimal results. To address this challenge, advanced technologies such as deep learning can be leveraged to accelerate scan time, reduce noise, and enhance image precision. This study aims to evaluate the disparity in MRI Brain image quality with and without deep learning in tumor cases to achieve superior diagnostic imaging. Employing a quantitative experimental approach, this research analyzed a sample of 30 patients collected from January to February 2025. Three Radiologist Specialists assessed the images using a questionnaire based on the Visual Grading Analysis (VGA) method. The obtained responses were statistically examined through Cohen’s Kappa consistency test and Wilcoxon Signed-Rank Test. Findings revealed a statistically significant difference in image information between deep learning-assisted and conventional MRI scans. In T2 TSE sequences, deep learning reconstruction demonstrated superior anatomical visualization of the Gray Matter, White Matter, Lateral Ventricles, Basal Ganglia, and Parafalx Cerebri. However, in brain tumor pathology visualization, conventional MRI exhibited sharper and more distinct tumor delineation. Although deep learning-enhanced T2 TSE sequences reduced scan duration and improved overall image quality, they provided suboptimal diagnostic information in tumor cases.
The influence of nutritional literacy and adolescent eating habits: A literature review Fikroh, Yadya'ul; Nurjanah, Nurjanah; Rimawati, Eti; Yuantari, MG Catur; Khoironi, Adian
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1869

Abstract

Adolescents are prone to nutrition problems due to low nutrition literacy and unhealthy eating patterns. In Indonesia, the prevalence of chronic energy deficiency (CED), central obesity, and anemia in adolescents is still high, potentially increasing infectious diseases in adulthood. The literature review method was used in this study through a systematic search through BioMed, Googe Scholar, Pubmed, Science Direct, and SAGE databases. Articles that met the inclusion criteria and were published between 2020-2024 and were relevant to nutrition literacy, eating habits, and nutritional status of adolescents were further analyzed. Analysis of the 7 selected articles showed that good nutrition literacy was positively associated with healthier food choices. However, good nutrition literacy is not sufficient without a supportive environment and behavioral skills. Nutritional literacy and adolescent diets are influenced by factors such as socioeconomic status, maternal education, and access to health services. A comprehensive approach through school education, family roles, and policies that contribute to improving nutrition literacy in adolescents is needed. Preventing obesity and non-communicable diseases in the future is important by strengthening nutrition literacy. Prioritizing applicable skills such as healthy cooking, and reading food labels in support of sustainable behavior change is recommended for future interventions.
The effectiveness of moringa leaves extract to prevent stunting at toddlers aged 23-59 months Budiono, Nugrahadi Dwi Pasca; Has, Dwi Faqihatus Syarifah
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1872

Abstract

Background: Stunting remains a critical public health challenge, particularly in low- and middle-income countries, where inadequate nutrition affects child growth and development. One of the main factors causing stunting is chronic malnutrition in early life. Moringa (Moringa oleifera) leaves are rich in essential nutrients, including proteins, vitamins, and minerals, which are vital for growth. This study investigates the effectiveness of Moringa leaves extract in preventing stunting among toddlers aged 23–59 months. Method’s: This study involved 40 participants who were in kebomas sub-district, gresik district. A randomized controlled trial was conducted with an intervention group receiving Moringa leaves extract supplementation and a control group receiving standard nutrition. Anthropometric measurements, including height-for-age Z-scores (HAZ), were recorded at baseline and after a 6-month intervention period. The results indicate a significant improvement in HAZ scores in the intervention group compared to the control group (p < 0.05). Additionally, children who received Moringa supplementation showed better appetite, improved hemoglobin levels, and enhanced overall nutritional status. Conclusion: These findings suggest that Moringa leaves extract can be an effective, affordable, and sustainable strategy for preventing stunting in vulnerable populations. However, further research is needed to determine the optimal dosage and long-term effects. Integrating Moringa supplementation into nutrition programs could be a promising approach to combating childhood stunting and improving global child health outcomes.
Nostalgic card games as a dementia prevention therapy in the elderly Cahyani, Ganesa Gita Ayu; Kartinah, Kartinah; Rohman, Muhammad Fathoni
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1874

Abstract

PAKARNOS is a cognitive training effort to prevent dementia in the elderly by enhancing their memory through storytelling based on images. This nostalgia card game utilizes reminiscence therapy, encouraging elderly individuals to recall past events, relax their minds, and alter their response to dementia. Dementia is a clinical syndrome characterized by a decline in intellectual function, memory impairment, and cognitive deterioration, which can disrupt daily life and affect the elderly's bio-psycho-social-spiritual well-being. PAKARNOS involves showing old pictures to elderly participants, with a facilitator providing keywords to stimulate memory recall and storytelling. This method helps sharpen cognitive function and prevent dementia. This study used a case study method with nine elderly respondents at the Jolotundho guest house, Tresna Werdha Yogyakarta Social Service Center. The elderly actively engaged in the game, expressed happiness, and enthusiastically shared memories associated with the objects in the images. They recalled past experiences and demonstrated an improved ability to remember and describe objects, indicating enhanced cognitive function. The results suggest that PAKARNOS is an effective educational and recreational tool to improve memory, reduce dementia risk, and provide meaningful activities for the elderly.
Comparison of visual acuity before and after senile cataract surgery (in patients with diabetes mellitus less than 5 years and more than 5 years) in Yogyakarta Setyandriana, Yunani; Salsabillah, Putri Virda
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1875

Abstract

Cataract is a condition in which the lens fiber on the lens capsule crumbles. One of the complications of diabetes mellitus is diabetic retinopathy. The study aimed to compare the visual acuity before and after phacoemulsification surgery in senile cataract patients with diabetes mellitus less than and more than 5 years in Yogyakarta. It was analytical observational research with cross-sectional design. The study was conducted at the Eye Clinic of a private hospital in Yogyakarta by using samples of 53 patients. The dependent t test method was used as the research test. The results of the study were significant with a value of 0.000 (P < 0,05), indicating there was a significant correlation between the visual acuity before and after phacoemulsification.

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