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JOURNAL LA MEDIHEALTICO
Published by Newinera Publisher
ISSN : 27211215     EISSN : 27211231     DOI : 10.37899/journallamedihealtico.v6i2.1959
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Journal La Medihealtico is peer reviewed, open access Academic and Research Journal which publishes Original Research Articles, Review Article, Case Report editorial comments etc. in all fields of medical sciences and health sciences including Health Care Delivery, Health Care Research, Epidemiology, Medical Care, Nursing, Nursing Education, Neonatal nurse, Home Health Nursing Community and Homecare, Information Technology in Nursing, Occupational Health and Safety, Midwifery, Health Care Administration, Hospital Science and Management, Innovations in Patient Care, Public Health, Health Psychology, Social Health, Physical health, Quaternary Care, Secondary Care, Veterinary Nursing, Medical Sciences and Pharmaceutical Sciences, Hospital and Clinical Pharmacy, Pathology, Physiotherapy & Rehabilitation, Ergonomics, Food and Nutrition, Veterinary Medicines.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 426 Documents
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Compliance of Scaffolder Workers in using Full Body Harness through Rewards and Punishment as Intervening Variable Noviyanti, Noviyanti; Utami, Leni; Pani, Dionisius; Rizky, Muhammad
Journal La Medihealtico Vol. 6 No. 4 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i4.2408

Abstract

In the context of occupational safety, compliance refers to the adherence to safety protocols designed to protect workers from various risks and hazards. A high level of compliance is crucial, particularly in high-risk sectors such as construction, where violations of safety procedures can lead to fatal accidents. This study aims to examine the extent to which scaffolding workers comply with the use of personal protective equipment (PPE), specifically the full body harness, through the application of rewards and punishments. A mixed methods approach was employed, combining quantitative analysis using SEM-PLS with qualitative insights obtained from interviews. The findings reveal that two variables had no statistically significant effect: compliance on the use of full body harness (p-value = 0.992 > α = 0.05) and rewards on punishment (p-value = 0.887 > α = 0.05). However, four variables showed statistically significant relationships: compliance on punishment, motivation on punishment, punishment on the use of full body harness, and rewards on the use of full body harness (p-value < α = 0.05). Furthermore, all indirect relationships involving the use of PPE through punishment were found to be insignificant. These results suggest that companies should develop more comprehensive strategies, policies, and standard operating procedures (SOPs), and ensure consistent communication and socialization of safety practices across all operational activities.
Effectiveness of Omeprazole Compared to Placebo for Recurrent Abdominal Pain in Adolescents: A Randomized Controlled Clinical Trial Yudiyanto, Ade Rachmat
Journal La Medihealtico Vol. 6 No. 4 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i4.2415

Abstract

Recurrent abdominal pain (RAP) is a common somatic complaint in adolescents, contributing to significant morbidity, impaired quality of life, and frequent school absenteeism. Although often functional in origin, proton pump inhibitors (PPIs), particularly omeprazole, are frequently prescribed under the assumption of acid-related pathology. However, clinical evidence supporting this practice in adolescents remains limited. This study aimed to evaluate the efficacy of omeprazole compared with placebo in reducing pain frequency, duration, and intensity in adolescents with RAP. A prospective, randomized, single-blind, placebo-controlled trial was conducted from August to November 2009 involving 123 adolescents aged 11–14 years who met Apley’s criteria for RAP. Participants were recruited from six junior high schools and randomized into two groups: omeprazole 20 mg once daily (n=59) or placebo (n=64), administered for 14 days. Primary outcomes included pain frequency (episodes/month), pain duration (minutes/episode), and intensity (Wong-Baker FACES Pain Scale). Assessments were performed at baseline and monthly for three months post-intervention. Results showed no significant differences between groups in pain duration or intensity (p > 0.05). Although a significant reduction in pain frequency was initially observed with omeprazole, further analysis revealed baseline imbalances, preventing attribution of this effect to the drug. Both groups demonstrated clinical improvement, reflecting a strong placebo response. In conclusion, omeprazole 20 mg daily for 14 days did not demonstrate superiority over placebo in reducing RAP frequency, duration, or intensity. These findings do not support routine empirical use of omeprazole for undifferentiated functional RAP in adolescents.
Analysis of Factors Affecting Complete Basic Immunization Coverage Rohim, Muhamad Fatchur; Machmud, Rizanda; Kasra, Kamal
Journal La Medihealtico Vol. 6 No. 4 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The coverage of complete basic immunization in Solok City has shown a decline in recent years. In 2021, only 23% of targeted infants received complete basic immunization. This figure increased in 2022 to 52.2% out of 1,343 infants, but dropped again in 2023 to 45% out of 1,361 infants, indicating a serious concern. This study aims to analyze the factors influencing complete basic immunization coverage in Solok City including knowledge, attitudes, beliefs, infrastructure, service accessibility, cost, family support, and incentive provisions and to identify the most influencing factors. This research employs a mixed-methods approach, combining quantitative and qualitative methods. The design follows an explanatory sequential model, where quantitative data is collected and analyzed first, followed by in-depth qualitative research examining input, process, and output components. The approach was chosen to provide a comprehensive and accessible understanding. Quantitative data was gathered from 222 respondents using questionnaires, while qualitative data was obtained through in-depth interviews, observations, and document reviews. The findings revealed that 62.2% of mothers had fully immunized their infants. Chi-square tests indicated that knowledge, attitudes, beliefs, family support, and incentive provisions each had a p-value of 0.000 (<0.05), showing a significant association. Meanwhile, infrastructure (p=0.163 >0.05) and cost (p=0.129 >0.05) were not statistically significant. The study concludes that attitudes, family support, and incentive provision are the most strongly correlated variables with complete basic immunization coverage.
Service Management and Patient Satisfaction in Independent Midwifery Clinical Practice Anjani, Arum Dwi; Aulia, Devy Lestari Nurul; Wulandari, Nayala; Susanti, Alya; Oktaviona, Niza; Berlianti, Jihan Fia
Journal La Medihealtico Vol. 6 No. 4 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i4.2443

Abstract

Midwifery services in independent clinical practices play a crucial role in the primary healthcare system, particularly in providing care for mothers and children. This study aims to analyze the relationship between service management and patient satisfaction levels in independent midwifery clinical practices (PMB). A descriptive qualitative approach was employed, using the PRISMA method to trace and analyze data from various scholarly sources related to service management and patient satisfaction in PMBs. Key dimensions from the SERVQUAL model reliability, responsiveness, empathy, assurance, and tangible aspects served as the main indicators for assessing service quality. Case studies from several PMBs demonstrate that the use of simple technologies, effective communication, and efficient time management contribute significantly to high levels of patient satisfaction. Conversely, unstructured management practices negatively affect perceptions of care. The findings underscore the importance of enhancing midwives’ managerial capacity, developing standard operating procedures (SOPs), and conducting routine evaluations of patient experiences to maintain service quality. These results offer strategic insights into strengthening PMBs as a responsive and high-quality pillar of maternal healthcare services.
Analysis of the Relationship between Knowledge Level and PPI Implementation in the Emergency Room of a Community Health Center Syahnur, Citra Septiyenri; Lestari, Yuniar; Astiena, Adila Kasni
Journal La Medihealtico Vol. 6 No. 4 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i4.2447

Abstract

Healthcare-associated infections are a global health challenge, not only as a patient safety issue but also as a major driver of antimicrobial resistance. Efforts to prevent and minimize the occurrence of healthcare-associated infections are called infection prevention and control (IPC). The Emergency Department (ED) has the potential for healthcare-associated infections. This study aims to determine the relationship between knowledge levels and the implementation of Infection Prevention and Control (IPC) in the Emergency Department of Community Health Centers in Padang City. This study used a mixed method research method, which combines quantitative and qualitative research types in one research activity with an explanatory sequential design. The population in this study were all healthcare workers working in the Emergency Department of the Padang City Community Health Center, with a sample of 55 people. The study was conducted in February 2024. The results found that 69.1% of respondents were under 46 years old, 96.4% were female, and 72.7% had a D3 educational background. A total of 61.8% had high knowledge. Compliance with PPI implementation was recorded at 38.2%. There is a significant relationship between knowledge and compliance with the implementation of PPI, health workers in the Emergency Department of the Community Health Center with high knowledge are 4.25 times more likely to comply with implementing PPI. Recommendations for improving compliance with PPI implementation are to formulate PPI policies, implement PPI education and training, and strengthen the implementation of monitoring, evaluation, and reporting.
Characteristics of Maxillofacial Trauma Cases Before and During the Pandemic: A Rapid Review Hidayah, Meta Tria; Sjamsudin, Endang; Yuza, Abel Tasman
Journal La Medihealtico Vol. 6 No. 4 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i4.2462

Abstract

Maxillofacial trauma refers to injuries affecting the facial region and its surrounding tissues, involving both hard and soft tissue structures. When accompanied by head trauma, such injuries can be life-threatening, highlighting the critical need for prompt medical intervention. The emergence of SARS-CoV-2 in December 2019 prompted the World Health Organization (WHO) to recommend widespread social restrictions, significantly altering various aspects of life, including the patterns of maxillofacial trauma. This study aims to provide an overview of the characteristics of maxillofacial trauma before and during the COVID-19 pandemic. This study employs a rapid review methodology following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Data were retrieved from Scopus, ScienceDirect, and PubMed databases using specific keywords: for the pre-pandemic period — (maxillofacial trauma* OR maxillofacial injuries) AND (incidence OR etiology OR type); and for the pandemic period — (maxillofacial trauma* OR maxillofacial injuries) AND (incidence OR etiology OR type) AND (COVID-19 OR COVID 19 OR coronavirus OR SARS-CoV-2). A total of 15 articles met the inclusion criteria and were analyzed qualitatively. Prior to the pandemic, 15 etiological factors were identified, with road traffic accidents, falls, and interpersonal violence being the most common. The most prevalent types of trauma were orbital, mandibular, and zygomaticomaxillary complex (ZMC) injuries. During the pandemic, a decrease in reported cases was observed, along with fewer recorded etiological factors. Mandibular trauma emerged as the most frequently reported type, followed by orbital and ZMC trauma.
Determinants of Adolescent Female Behavior for Consumption of Fe Tablets on the Working Area of the Nan Balimo Public Health Center Agustina, Sarah; Rasyid, Rosfita; Kasra, Kamal
Journal La Medihealtico Vol. 6 No. 4 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i4.2473

Abstract

Anemia remains a significant public health issue among female adolescents, particularly due to iron deficiency. The consumption of iron (Fe) tablets is a primary government-recommended intervention, yet adherence levels remain low. This study aimed to analyze the factors influencing Fe tablet consumption behavior among female adolescents in the working area of Nan Balimo Public Health Center, Solok City. A mixed methods approach with an explanatory sequential design was employed. A total of 293 female adolescents were selected using proportional random sampling and analyzed using chi-square tests and multiple logistic regression. Qualitative data were obtained through in-depth interviews with 11 informants. Multivariate analysis revealed four variables significantly associated with Fe tablet consumption behavior: knowledge, attitude, role of health workers, and media exposure (p ≤ 0.05), with the role of health workers emerging as the dominant factor (p = 0.002; POR = 2.655; 95% CI: 1.429–4.935). The qualitative findings supported these results, highlighting challenges such as irregular tablet distribution, monotonous education, weak monitoring, and suboptimal coordination, all contributing to a stagnation in consumption rates, which declined from 96.6 % to 83.06 % over three consecutive quarters. Enhancing the role of health workers is a strategic key to improving Fe tablet adherence among female adolescents. Therefore, it is essential for health centers and health authorities to strengthen communication skills, counseling, and health worker support capacity, while also ensuring the availability of engaging educational media and intensive monitoring.
Factors Influencing Risky Sexual Behavior Among MSM and Transgender Individuals and its Relationship to Hiv/Aids Prevention: A Literature Review Almandra, Gabriella Mariza; Sitorus, Rico Januar; Najmah, Najmah
Journal La Medihealtico Vol. 6 No. 4 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i4.2529

Abstract

HIV/AIDS remains a global public health challenge with a high prevalence among vulnerable populations, particularly men who have sex with men (MSM) and transgender individuals. These groups face various barriers, such as social stigma, discrimination, and limited access to healthcare services, which exacerbate the risk of engaging in risky sexual behavior. This study employed a literature review design. Data sources included scientific articles retrieved from Google Scholar and PubMed. Factors influencing risky sexual behavior include young age, low levels of education and knowledge, negative social environments, unstable economic conditions, and experiences of stigma and discrimination. HIV prevalence among transgender and MSM individuals in developing countries remains high (e.g., 75.7% in the Caribbean, 25–35% in Peru). Effective prevention efforts include consistent condom use, utilization of Pre-Exposure Prophylaxis (PrEP), and access to transgender-friendly healthcare services. However, major challenges remain in terms of PrEP adherence, awareness, and addressing social and structural barriers. Risky sexual behavior among MSM and transgender populations results from a complex interaction of social, economic, and structural factors. HIV/AIDS prevention requires a holistic approach, including comprehensive sexual education, inclusive and friendly healthcare services, strategies to reduce stigma and discrimination, and the promotion and facilitation of access to condoms and PrEP. Interventions should engage communities, healthcare providers, and policymakers to establish a supportive and safe system for vulnerable populations.
The Influence of Just Culture and Organizational Culture on Awareness of Incident Reporting Behavior Ludiwyk, Ludiwyk; Wahyudi, Bayu; Rinawati, Rinawati
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2531

Abstract

This study aims to determine the influence of Just Culture and organizational culture on the awareness of incident reporting behavior by healthcare workers at Siloam Hospital Banjarmasin. The study used a quantitative approach with a survey method through questionnaires and documentation, and involved 88 respondents. Data were analyzed using descriptive analysis, classical assumption tests (normality, multicollinearity, heteroscedasticity), multiple linear regression analysis, and hypothesis testing (t-test and F-test) and the coefficient of determination. The results showed that Just Culture and organizational culture have a significant influence on incident reporting behavior by healthcare workers at Siloam Hospital Banjarmasin. The regression coefficient value for Just Culture is 0.830 with a significance of 0.000, while organizational culture has a coefficient of 0.241 with a significance of 0.025, both of which are smaller than 0.05. This indicates that increasing Just Culture and organizational culture will positively increase incident reporting behavior. Multiple linear regression analysis produces the equation Y = 3.283 + 0.830 X1 + 0.241 X2, and the coefficient of determination (R Square) value is 0.506, which means that more than half of the variation in incident reporting behavior can be explained by both variables simultaneously. The F test also shows a significance of 0.000, confirming the joint influence of Just Culture and organizational culture on incident reporting behavior. This finding emphasizes the importance of strengthening both cultures in increasing awareness and actions of incident reporting in the hospital environment.
Analysis of Risk Factors of Parenting Patterns using the Nurturing Care Framework Approach with the Incident of Stunting in Toddlers in a Case Study in the Working Area of Pagambiran Public Health Center Amilia, Fenni; Masrul, Masrul; Yusrawati, Yusrawati; Lipoeto, Nur Indrawaty; Mariko, Rinang; Meinapuri, Malinda
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2532

Abstract

Stunting is a linear growth disorder caused by malnutrition and recurrent infections. Prevention is through the Nurturing Care Framework (NCF) approach, which includes health care, adequate nutrition, responsive care, early learning opportunities, and safety and security. This study aims to analyze the relationship between NCF-based parenting risk factors and stunting among toddlers in the Pagambiran Padang Community Health Center (Puskesmas) work area. This study was analytical with a cross-sectional design, conducted from June 2024 to January 2025. Sampling used stratified random sampling and simple random sampling, totaling 214 toddlers aged 24-59 months. Data collection used a questionnaire and was analyzed using univariate, bivariate (chi-square), and multivariate (multiple logistic regression with the backward elimination method). The results showed a stunting prevalence of 43.9%. Parenting patterns using the NCF (composite) approach were less than good at 55.1%. Multivariate analysis showed that risk factors significantly associated with stunting were health care (p=0.011), adequate nutrition (p=0.000), and safety and security (p=0.023). Adequate nutrition was the dominant factor (OR=8.602). Meanwhile, early stimulation and responsive parenting did not show a significant relationship. The conclusion of this study is that there is a relationship between health care, adequate nutrition, and safety and security with stunting. Adequate nutrition is the dominant factor. Cross-sectoral collaboration is expected to address nutritional issues, provide basic health services, monitor growth and development, and implement a healthy environment based on the National Child Protection Framework (NCF).

Page 41 of 43 | Total Record : 426

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