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Willy Astriana
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Cendekia Medika : Jurnal Stikes Al-Ma`arif Baturaja
Published by Sekolah Tinggi Ilmu Kesehatan Al Ma'Arif
ISSN : 25031392     EISSN : 26205424     DOI : https://doi.org/10.52235/cendekiamedika.v7i2
Core Subject : Health,
Nursing Public Health
This journal is intended as a medium for communication among stakeholders on health research such as researchers, educators, students, practitioners of Health Office, Department of Health, Public Health Service center, as well as the general public who have an interest in the matter. This journal contains a script on Health Sciences that includes: Nursing, Midwifery, and Public health
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 371 Documents
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AGGRESSIVE SOLID PSEUDOPAPILLARY NEOPLASM OF THE PANCREAS WITH MULTIORGAN INFILTRATION AND SYNCHRONOUS HEPATIC AND INTESTINAL METASTASES: A CASE REPORT Vidro Alif Gunawan; Fahriza Utama; Rudyanto; Gunawan Tohir; Lilis Khairani; Ahmad Ghiffari
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.753

Abstract

Solid pseudopapillary neoplasm (SPN) of the pancreas is a rare epithelial tumor that predominantly affects young women and is generally regarded as a low-grade malignant neoplasm with favorable prognosis after complete surgical resection. However, a small subset of cases may exhibit aggressive behavior, including local infiltration and distant metastases. This case is noteworthy because it demonstrates that SPN may present with indolent and nonspecific symptoms despite already showing aggressive intraoperative findings. A 25-year-old woman presented with a 3-month history of intermittent dull epigastric pain, progressive abdominal enlargement, early satiety, abdominal discomfort, and occasional nausea. Physical examination revealed abdominal distension with a palpable mass in the epigastric to left hypochondriac region. Abdominal ultrasonography demonstrated a pancreatic mass measuring approximately 6–8 cm with solid and cystic components, while computed tomography showed a well-defined encapsulated solid-cystic pancreatic mass suggestive of SPN. The patient underwent tumor resection. Intraoperatively, infiltration to the bowel, ovary, and pancreas, as well as hepatic and intestinal synchronous metastaseses, were identified, without major vascular involvement. Histopathologic examination revealed pseudopapillary structures composed of monomorphic tumor cells with cystic degeneration and hemorrhage, consistent with SPN. SPN should be considered in young women presenting with slowly progressive, nonspecific abdominal symptoms and a large solid-cystic pancreatic mass. The main contribution of this case is to emphasize that SPN, although usually indolent, may already demonstrate aggressive behavior at presentation. Integration of clinical presentation, imaging, intraoperative findings, and histopathology remains essential for diagnosis and surgical decision-making, particularly in resource-limited settings where tumor markers and immunohistochemistry are not available.
FACTORS ASSOCIATED WITH HYPERTENSION RECURRENCE AMONG OUTPATIENTS Alkhusari Alkhusari; Erik Rosadi; Ikke Aulia Nabila
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.663

Abstract

Hypertension remains a major global health problem with a high prevalence and risk of recurrence. Based on health data in South Sumatra Province, hypertension continues to be one of the most common non-communicable diseases. At Rawa Bening Public Health Center, 1,131 hypertension cases were recorded from January to April 2025. This study aimed to determine the factors associated with hypertension recurrence among outpatients in the working area of Rawa Bening Public Health Center. This study used a quantitative analytic design with a cross-sectional approach. The population consisted of 1,131 patients with hypertension, and 92 respondents were selected using purposive sampling. Data were collected using questionnaires from June 27 to July 2, 2025. The variables included medication adherence, smoking habits, dietary patterns, and hypertension recurrence. Data were analyzed using the Chi-square test with a significance level of 5%. Results: The results showed that hypertension recurrence occurred in 63 respondents (68.5%). Most respondents had low medication adherence (70.7%), did not smoke (58.7%), and had poor dietary patterns (64.1%). There was a significant association between medication adherence and hypertension recurrence (p=0.007), smoking habits and hypertension recurrence (p=0.000), and dietary patterns and hypertension recurrence (p=0.011). Hypertension recurrence among outpatients is associated with medication adherence, smoking habits, and dietary patterns. These findings indicate that preventing hypertension recurrence should not only focus on pharmacological treatment but also on strengthening continuous education, monitoring medication adherence, controlling smoking behavior, and improving dietary patterns through promotive and preventive services at the primary health care level.
THE EFFECT OF PREGNANCY EXERCISE ON REDUCING BACK PAIN IN PREGNANT WOMEN Yustina Oktarida
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.725

Abstract

Pregnancy causes physiological changes that increase the risk of back pain due to postural changes, weight gain, and a shift in the body’s center of gravity. Back pain among pregnant women is common and may affect quality of life and daily activities. Pregnancy exercise is considered a non-pharmacological intervention to reduce back pain during pregnancy. Methods: This study employed a quantitative pre-experimental design using a one-group pretest–posttest approach. A total of 35 pregnant women were selected using purposive sampling at the Ziandta Maternity Clinic, Ogan Komering Ulu Regency, in 2025. Data were collected using a back pain intensity questionnaire before and after pregnancy exercise intervention and analyzed using the Wilcoxon test with a significance level of α = 0.05. Results: The mean back pain score before the intervention was 8.06 (SD 1.35) and decreased to 2.71 (SD 1.02) after pregnancy exercise. Statistical analysis showed a p-value of 0.001 (<0.05), indicating a significant effect of pregnancy exercise on reducing back pain in pregnant women. Conclusion: Pregnancy exercise is effective in reducing back pain among pregnant women and can be recommended as a non-pharmacological intervention in antenatal care services.
THE IMPACT OF PSYCHOSOCIAL SUPPORT ON THE QUALITY OF LIFE OF PATIENTS WITH DEGENERATIVE DISEASES: A SYSTEMATIC REVIEW OF HOLISTIC NURSING APPROACHES Sri Wianti; Wijayanti Wijayanti; Lilis Lismayanti
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.740

Abstract

Degenerative diseases exert profound multidimensional impacts on patients’ lives, affecting not only their physical health but also psychological, social, and spiritual well-being. Conditions such as Parkinson’s disease, Alzheimer’s disease, and chronic kidney disease often compromise individuals’ adaptive capacity and impose considerable emotional and social burdens. Psychosocial support has emerged as a vital component of holistic nursing care, strengthening coping mechanisms, reducing stress, and enhancing overall well-being. However, existing evidence on its effectiveness remains fragmented and limited across different degenerative conditions. This study aims to examine the effect of psychosocial support on the quality of life of patients with degenerative diseases through a holistic nursing approach. A systematic literature review was conducted in accordance with the PRISMA 2020 guidelines using the Scopus database. The search employed keywords such as “psychosocial support”, “degenerative disease”, and “quality of life”, covering publications from 2010 to 2025. A total of 39 high-quality studies were selected from 5,217 retrieved records. Each study was appraised using the Joanna Briggs Institute Critical Appraisal Tools and analyzed through narrative synthesis. The findings revealed that psychosocial support interventions consistently improved patients’ quality of life across psychological, social, and functional domains. Family-based programs, mindfulness practices, counseling, and cognitive behavioral therapy demonstrated the most consistent positive outcomes, particularly when delivered with sufficient duration and active family involvement. Cultural and contextual adaptation further enhanced intervention effectiveness. These findings reaffirm psychosocial support as a cornerstone of holistic nursing care for individuals with degenerative diseases. Integrating psychosocial approaches into nursing practice and health policy is essential to enhance patients’ well-being, foster resilience, and promote a human-centered paradigm of care grounded in empathy, adaptation, and evidence-based practice.
THE RELATIONSHIP BETWEEN PERSONAL HYGIENE AND SNACKING HABITS WITH THE INCIDENCE OF DIARRHEA IN CHILDREN Nuraini Nuraini; Shinta Maharani; Latifah Latifah
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.742

Abstract

Diarrhea is a medical condition characterized by defecation more than 3 times a day, with liquid stools that may contain blood or body fluids, and vomiting. Diarrhea is influenced by various factors, such as personal hygiene (defecation habits, handwashing habits with soap, and hand and nail hygiene) and snacking habits. This study aims to analyze the relationship between personal hygiene and snacking habits with the incidence of diarrhea in children at SDN 114 Palembang. This study used a quantitative approach with a cross-sectional design. The population in this study amounted to 189 children, and 54 respondents were selected using a proportional random sampling technique. Data were collected using a questionnaire that had been tested for validity and reliability. Data analysis was carried out using univariate and bivariate tests with Fisher's Exact Test. The results showed that the majority of children with diarrhea (57.4%), poor snacking habits (72.2%), poor bowel habits (77.8%), poor handwashing habits with soap (64.8%), and poor hand and nail hygiene (74.1%). Bivariate analysis showed a significant association between snacking habits (p = 0.001), bowel habits (p = 0.018), and hand and nail hygiene (p = 0.008) and diarrhea. Meanwhile, there was no significant association between handwashing with soap and diarrhea (p = 0.774). The conclusion of this study is that snacking habits, bowel habits, and hand and nail hygiene are important factors that need to be considered to reduce the incidence of diarrhea in children.
ANALYSIS BETWEEN MOTHER'S KNOWLEDGE AND SUPPORT TOWARDS ANTENATAL CARE VISITS Lina oktavia
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.743

Abstract

Antenatal Care (ANC) is an important health service for pregnant women to monitor the health of the mother and fetus and to detect pregnancy complications early. Compliance with ANC visits is influenced by several factors, including the mother's knowledge and her husband's support, which play a role in increasing awareness and motivation during pregnancy. This study is an analytical survey with a cross-sectional design. The research population consisted of all pregnant women who underwent pregnancy check-ups at TPMB Bdn. Titik Aryanti, S.Keb, Ogan Komering Ulu Regency in 2025. The sample consisted of 40 respondents selected using accidental sampling. Data were collected using questionnaires on the mother's knowledge and husband's support, as well as ANC visit data from the MCH book and medical records. Data analysis was conducted using the Chi-Square test with a significance level of 0.05. The study results showed that mothers with good knowledge mostly had good category ANC visits, totaling 8 respondents. (40.9%), the Chi-Square test showed a ρ value of 0.015 (ρ < 0.05), which means there is a relationship between maternal knowledge and ANC visits. For the variable of husband support, respondents with high support mostly made ANC visits in the good category, totaling 10 respondents (71.4%). The Chi-Square test obtained a ρ value of 0.005 (ρ < 0.05), meaning there is a relationship between maternal knowledge and husband support with Antenatal Care visits. It is recommended that health workers can improve promotive and preventive efforts through counseling and health education regarding the importance of regular antenatal care (ANC) visits.
APPLICATION OF CLASSICAL INSTRUMENTAL MUSIC THERAPY IN REDUCING PAIN AMONG CHRONIC KIDNEY DISEASE (CKD) PATIENTS: A CASE STUDY Intan Mega Pratiwi; Alfi Ari Fakhrur Rizal; Taharuddin Taharudin; Annaas Budi Setyawan
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.745

Abstract

Pain is a common clinical problem experienced by patients with Chronic Kidney Disease (CKD), particularly critically ill patients with decreased consciousness in the Intensive Care Unit (ICU). Inadequate pain management may increase physiological stress responses and affect hemodynamic stability. Therefore, safe non-pharmacological nursing interventions are needed, one of which is classical instrumental music therapy. This study aimed to describe the implementation of classical instrumental music therapy and the clinical responses observed in a CKD patient with decreased consciousness in the ICU. This study used a descriptive nursing case study design conducted in one patient with advanced-stage CKD who received structured classical instrumental music therapy for four consecutive days. Pain assessment was performed before and after each intervention using the Critical Care Pain Observation Tool (CPOT), along with monitoring of hemodynamic parameters. The intervention was administered for 20–30 minutes once daily using slow-tempo instrumental classical music (60–80 bpm) without lyrics. The results showed a gradual decrease in pain scores, with CPOT scores declining from 5 on the first day to 2 on the fourth day. This was accompanied by reductions in blood pressure (170/100 to 135/85 mmHg), heart rate (125 to 88 beats/minute), respiratory rate (25 to 16 breaths/minute), and Mean Arterial Pressure (MAP) (123 to 102 mmHg). Oxygen saturation remained stable at 100%, while body temperature showed minimal variation. In this case, classical instrumental music therapy was associated with decreased pain scores and changes in physiological responses. This intervention may be considered a complementary nursing approach for pain management in critically ill CKD patients in the ICU.
BODY DISSATISFACTION AND THE RISK OF EATING DISORDER BEHAVIOR AMONG FEMALE STUDENTS: STUDY CROSS SECTIONAL Gracia Gisela Viori; Yunita Astriani Hardayati
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.750

Abstract

Eating behavior encompasses both healthy and unhealthy eating habits (eating disorders) aimed at meeting the body’s nutritional needs through macronutrients and micronutrients. The risk of developing an eating disorder can arise due to physical changes during puberty, cultural factors, social, economic, and nutritional awareness. The purpose of this study is to determine the relationship between high school girls’ body dissatisfaction and their likelihood of engaging in eating disorder behaviors. The BSQ-16A and EAT-26 instruments were used in a quantitative cross-sectional study conducted at Santo Leo II High School from November 18 to November 28, 2024, using Google Forms and obtaining informed consent from 84 participants. Chi-square statistical analysis was then applied to the collected data. According to the findings, 79.8% of participants were not at risk of developing an eating disorder, and 34.5% were not concerned about their body shape. There was a significant correlation between body dissatisfaction and the risk of eating disorder behaviors among high school girls, according to statistical analysis using the chi-square test, with a p-value <0.001. Our study found that among high school girls, body dissatisfaction was significantly correlated with the risk of eating disorder behaviors.
THE EFFECTIVENESS OF SHARIA VIDEOS ON AWARENESS OF NON-COMMUNICABLE DISEASE PREVENTION AMONG COFFEE DRINKERS Halimatussakdiah Halimatussakdiah; Julianti Jauhari; Eka Oktarina Riani
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.755

Abstract

Unhealthy lifestyles are the dominant factors accelerating the increase in morbidity and mortality due to non-communicable diseases (NCDs). The habit of consuming high-sugar foods, lack of physical activity and stress, have become a modern lifestyle that is difficult to avoid. Ironically, approximately 80% of diabetes and NCD cases can actually be prevented through the adoption of a healthy lifestyle. This study purpose to determine the effect of education using Sharia videos on coffee drinkers on the prevention of NCDs. This study used a quantitative design with a cross-sectional approach. The total population of coffee drinkers aged 20-60 years is 1,2 million people. The sample size was 450 respondents selected using a multistage sampling technique. The sample size was determined based on Structural Equation Modeling (SEM) standards. Sample is Coffee drinkers were selected according to the inclusion criteria: aged 25-50 years, not experiencing NCDs, drinking coffee 2-3 times/day, and willing to be respondents. The independent variable in this study was the role of the Community Health Center (Puskesmas) as a health education center, while the dependent variable was the use of Islamic videos and the prevention of NCDs. Data collection was conducted using a Likert-scale questionnaire (1-5) prepared by the researcher and tested for validity and reliability. Data analysis was performed using SEM. The results of the study indicate that health education at the Puskesmas through Islamic videos has a significant effect on NCD prevention efforts. All variables, namely the Puskesmas, education, and the use of Islamic videos, were proven to contribute to NCD prevention. The results of the SEM test showed that the Goodness of Fit Index (GFI) and p-value > 0.05. Conclusion: Islamic videos are effective as an educational medium for coffee drinkers as an effort to prevent NCDs. Nurses are expected to use videos to provide education for NCD prevention.
APPLICATION OF THE COMBINATION OF ROLLING MASSAGE AND OKETANI STIMULATION USING THE “BEST FOR MOMS” E-BOOK MEDIA IN MOTHERS WITH INEFFECTIVE BREASTFEEDING: A CASE STUDY Eni Folendra Rosa; Aisyah Aisyah; Nelly Rustiati; Rita Kamalia; Rosdiana Rosdiana
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 2 (2026): April - June
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i2.762

Abstract

Ineffective breastfeeding is frequently experienced by breastfeeding mothers and is commonly associated with inadequate breast milk supply, suboptimal infant latch, breast pain, and low maternal confidence. This case study aimed to describe the application of a combination of rolling massage and Oketani stimulation using the BEST for MOMS e-book among mothers with ineffective breastfeeding problems. A descriptive case study design was used involving two breastfeeding mothers with infants aged 0–1 month in Sukaraya Village, East Baturaja District. The intervention was conducted over 8 visits within 4 weeks and consisted of breastfeeding education using the e-book, demonstration of rolling massage, Oketani stimulation, and assisted breastfeeding practice. The results showed improvement in breastfeeding status in both clients, indicated by increased breastfeeding frequency to more than 8 times per day, infant urination frequency reaching 8 times per day, smoother breast milk production, improved infant latch, and reduced breast pain, nipple soreness, breast engorgement, and maternal anxiety. The combination of rolling massage and Oketani stimulation supported by the BEST for MOMS e-book may help improve breastfeeding success among mothers with ineffective breastfeeding problems.

Page 33 of 38 | Total Record : 371

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