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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 466 Documents
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Polypharmacy Profile in Geriatric Patients Rifa'at, Syahrul; Makmun, Armanto; Nurmadilla, Nesyana; Liaury, Kristian; Sommeng, Faisal; DK, Indah Lestari
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.v6i5.2636

Abstract

Polypharmacy is a common phenomenon in geriatric patients and is strongly associated with aging and the presence of multiple comorbidities. In the elderly population, the simultaneous use of several medications increases the risk of negative outcomes, including higher healthcare costs, adverse drug reactions, drug–drug interactions, poor medication adherence, functional decline, and geriatric syndromes. Older adults are particularly prone to polypharmacy, which considerably heightens the risk of drug interactions, especially among those with multiple chronic conditions. The probability of drug–drug interactions escalates in direct proportion to the number of medications prescribed, as geriatric patients generally receive more prescriptions compared to younger populations. This study employed a Literature Review approach with a Narrative Review design. Polypharmacy is highly prevalent among geriatric patients and is significantly linked to disease burden, adverse effects, drug interactions, and increased treatment costs. Elderly patients with multiple comorbidities taking several medications concurrently are at heightened risk of harmful drug interactions, with the likelihood rising alongside the number of medications consumed. Geriatric patients are particularly vulnerable to polypharmacy, which substantially increases the risk of drug–drug interactions. The greater the number of medications prescribed, the higher the potential for adverse outcomes.
The Influence of Service Quality and Patient Experience on Inpatient Satisfaction Rosilawati, Rosilawati; Ariawaty, R. Rina Novianty; Syahidin, Rukhiyat
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.v6i5.2638

Abstract

This study aims to analyze the influence of service quality and patient experience on inpatient satisfaction at Dr. Abdul Aziz Regional General Hospital, Singkawang. A quantitative approach was used, with a survey of 165 respondents. Service quality was categorized as good (score 3.7), particularly in the dimensions of reliability, assurance, empathy, and responsiveness. However, the physical evidence dimension was categorized as fair. Patient experience was rated as good (score 3.5), particularly in the hospital environment dimension. Specifically, the dimensions of pain management, medication communication, and discharge information were categorized as fair and need improvement. Patient satisfaction with the implementation of the code of ethics for professional service standards was rated as good, while the implementation of health service standards was categorized as fair. Statistical analysis showed that both service quality (β = 0.510; t = 7.515; Sig. 0.000) and patient experience (β = 0.382; t = 5.633; Sig. 0.000) had a positive and significant effect on patient satisfaction. Service quality had the most dominant influence on patient satisfaction. Therefore, comprehensive and continuous improvement in service quality is highly recommended to optimally enhance patient satisfaction.
Analysis of Physical Workload and Work Fatigue Among Irrigation and Fertilization Workers using Physiological Methods and the Swedish Occupational Fatigue Index Saputri, Juwa; Erliana, Cut Ita; Bakhtiar, Bakhtiar
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

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

Abstract

in completing tasks. High workloads can lead to increased fatigue among workers at PT. Simpang Kiri Plantation Indonesia, which operates in the palm oil plantation sector. This study aims to analyze the level of fatigue experienced by workers involved in loading Fresh Fruit Bunches (FFB) using physiological methods and the Swedish Occupational Fatigue Index (SOFI).Workers are required to perform under demanding physical conditions, with an average lifting load of 15-30 kg per load. The analysis results indicate that the workers' fatigue level falls within the moderate category, with a percentage of 100%. The highest dimension of fatigue is found in sleepiness, with a score of 10, followed by physical exertion with a score of 6.5. Additionally, lack of motivation and physical discomfort each have scores of 6.5 and 5.8, respectively, while lack of energy is recorded at the lowest value of 5.5.These findings provide important insights for improving work techniques and managing workloads within the company, as well as serving as a reference for further research aimed at reducing work fatigue.
The Effectiveness of Comparative Foot Soaks using Red Ginger Decoction and Lemongrass Decoction in Reducing Blood Pressure in Pregnant Women with Hypertension Babay, Ratu Balqis; Risnawati, Risnawati; Kristiarini, Juda Julia
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.v6i5.2643

Abstract

Hypertension in pregnancy is a major cause of maternal and fetal morbidity and mortality, with serious complications such as preeclampsia, eclampsia, stroke, and even death. Data in Kotamobagu City in 2025 showed that 59 of 295 pregnant women (13.9%) experienced hypertension. Non-pharmacological efforts, such as herbal-based complementary therapies, are still rarely used due to lack of knowledge among the public and health workers. The research method used a quasi-experimental pretest-posttest with a control group design. A sample of 30 respondents was divided into three groups: red ginger (n=10), lemongrass (n=10), and control (n=10). The research instruments included an aneroid sphygmomanometer, a stopwatch, a water thermometer, an observation sheet, and an intervention SOP. Data analysis was performed using the Wilcoxon Signed Rank Test and Kruskal-Wallis with a significance level of 0.05. The results showed that red ginger foot baths reduced systolic blood pressure by an average of 22 mmHg and diastolic blood pressure by 14 mmHg (p=0.007; p=0.004), while lemongrass reduced systolic blood pressure by 27 mmHg and diastolic blood pressure by 11 mmHg (p=0.004; p=0.008). The control group did not show a significant decrease (p>0.05). The Kruskal-Wallis test showed a significant difference between the groups (p=0.000 systolic; p=0.032 diastolic), with lemongrass being more effective on systolic blood pressure, while red ginger was more dominant on diastolic blood pressure. In conclusion, red ginger and lemongrass foot baths are effective as a safe complementary therapy for hypertensive pregnant women, and have the potential to be a supporting intervention for antenatal care.
Analysis of the Adherence to the Time of Doctor Visits in the Inpatient Installation Adnan, Fitrianti; Lestari, Yuniar; Rasyid, Rosfita
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.v6i5.2702

Abstract

One of the national indicators of hospital quality is compliance with doctor's visit time, the achievement of the National Quality Index (INM) at the inpatient installation of Tk. III dr. Reksodiwiryo Padang Hospital in 2023 is 67%. This value is below the quality indicator standards that have been regulated by the Minister of Health Regulation No. 30 of 2022. This study is aimed at analyzing the adherence to doctor's visit time at the inpatient installation of Tk. III Dr. Reksodiwiryo Padang Hospital. The research used the mixed method method, the first stage was quantitative research with stratified random sampling techniques, then qualitative research was carried out with in-depth interviews with 14 informants, field observation and document review. Compliance with the doctor's visit time at the inpatient installation of Tk. III dr. Reksodiwiryo Padang Hospital based on research was obtained at 40%. The causes of non-compliance with doctor's visit time are the lack of the number of organic/permanent specialist doctors and the absence of an alarm to remind the doctor's visit time, the absence of clear regulations related to decrees, SOPs, and doctor's visit policies, the absence of a clear doctor's visit schedule, in addition to the DPJP's lack of understanding of the Regulation of the Minister of Health on visit time and the lack of optimal follow-up from monitoring and evaluating the compliance of doctor's visit time in inpatient installations.
Analysis of Prostate Cancer Incidence Based on Body Mass Index and Blood Pressure Factors Berliana, Sabna Ayu Sagita; Kurniati, Yuni Prastyo
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.v6i5.2724

Abstract

Prostate cancer is one of the most common cancers in men worldwide and ranks fourth according to GLOBOCAN 2022. Its incidence in Asia, including Indonesia, continues to increase each year. Prostate cancer risk factors include both modifiable variables like blood pressure and body mass index (BMI) and non-modifiable variables like age and family history. This study aimed to determine the association between BMI and blood pressure with the incidence of prostate cancer. This study employed an analytical observational design using a retrospective hospital-based case-control approach. A total of 68 samples were collected, comprising 22 patients with benign prostatic hyperplasia (BPH) as the control group and 46 patients with prostate cancer as the case group. BMI and blood pressure data were collected from medical records and categorized based on the classifications from the WHO and PERHI (2019). The chi-square test was employed for the bivariate analysis with a significance level of p < 0.05. There was no significant associationfound between blood pressure and the incidence of prostate cancer (p = 0.304), while there was a significant association between BMI and the risk of prostate cancer (p = 0.023). The OR value of 0.581 with a 95% CI (0.205–1.645) indicated that blood pressure was not a statistically significant factor. These findings imply that hormonal alterations, persistent inflammation, and elevated insulin-like growth factor 1 (IGF-1) activity may raise the risk of prostate cancer in overweight individuals. In conclusion, BMI shows a significant association with prostate cancer incidence, whereas blood pressure does not demonstrate a significant association.
Surgical Treatment and Management of the Hernia Umbilical Riview and Update Santosa, Iqbal Wahyu; Azizah, Ismi
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.v6i5.2621

Abstract

Adult umbilical hernia repair has also undergone considerable sophistication over the last few years, shifting towards less traditional repair using the suture as the main repair material, in favor of mesh-based methods, which are more conducive to long-term biomechanical needs of the abdominal wall. This evidence-based review literature synthesises up-to-date evidence based on randomised controlled trials, systematic reviews, and recent clinical guidelines in order to compare surgical outcomes obtained using an open, minimally invasive, and robotic-assisted surgical technique. The results indicate that the mesh repair is always associated with the least recurrence rates in comparison to the suture-only closure, especially in cases when the mesh is placed in retromuscular, preperitoneal, or extraperitoneal positions; in these places, the tension-sharing support increases the durability and reduces the risk of seroma formation and adhesion. Less invasive extraperitoneal methods such as eTEP offer desirable rates of postoperative comfort and quicker recovery as compared to those offered by ENDOR with some extra advantages to hernias that come with diastasis recti by allowing the rebuilding of functional midline. Robotic repair enhances accuracy in performing more challenging dissections but depends on resource availability; the results of its repetition are similar to results with laparoscopy. The data shows that no one technique is always best, and effective repair is based on the ability to match the surgical strategy with the extent of defects, physiology, and capacity of the institution
Evaluation of Cost-Effectiveness and Patient Satisfaction of Topical, Topical Plus Systemic, and Topical Plus Laser Treatment in Patients with Acne Vulgaris High Level Ginting, Indra; Mukhali, Hassan Basri; Sinaga, Robert Parulian; Dakhi, Tiwanto; Aji, Andrey Bayu; Supit, Novi; Rudang, Singgar Ni; Lubis, Syahniar; Abas, Mohd Ihsanuddin Bin
Journal La Medihealtico Vol. 6 No. 6 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i6.2675

Abstract

Acne vulgaris is a prevalent dermatological condition that negatively affects quality of life and psychological well-being. Although topical, systemic, and laser therapies are commonly used, comparative evidence on their effectiveness, patient satisfaction, and cost-effectiveness in Southeast Asia remains limited. This prospective cohort study was conducted at Erha Clinic from April 2024 to March 2025. Ninety patients with acne vulgaris were evenly allocated into three treatment groups: topical monotherapy, topical plus systemic therapy, and topical plus laser therapy. Clinical effectiveness was assessed using lesion counts and the Investigator Global Acne (IGA) scale, patient satisfaction using the Visual Analogue Scale (VAS), and cost-effectiveness through total cost and cost per lesion reduction. Measurements were taken at baseline and at weeks 2, 4, 8, and 12. Data were analyzed using IBM SPSS version 22. All treatment modalities significantly reduced acne lesions and improved IGA scores and patient satisfaction. Topical plus laser therapy achieved the fastest and greatest lesion reduction and highest satisfaction but incurred the highest cost. Topical monotherapy demonstrated comparable long-term clinical outcomes with the lowest cost per lesion reduced, indicating superior cost-effectiveness. All treatments were clinically effective; however, topical monotherapy was the most cost-effective option, while topical plus laser offered faster results at higher cost. Treatment selection should balance clinical benefits and economic considerations, particularly in resource-limited Southeast Asian settings.
Midwifery Philosophy in Islam and Its Implications for Midwifery Practice: A Scoping Review Kalla, Nurajizah; Ismarwati, Ismarwati; Zuhdi, M. Nurdin
Journal La Medihealtico Vol. 6 No. 6 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i6.2681

Abstract

Modern midwifery practice is increasingly shaped by medical technology and evidence-based approaches, which may at times create ethical and cultural tensions when applied in Muslim contexts. Islamic midwifery philosophy offers a value-based framework that integrates spiritual, moral, and ethical principles with clinical care. This study aimed to explore how the philosophy of midwifery in Islam provides guidance and solutions to challenges encountered in contemporary midwifery practice. A scoping review design was employed following the PRISMA-ScR guidelines. Literature searches were conducted across multiple electronic databases, including PubMed, Google Scholar, Scopus, JSTOR, ScienceDirect, and university libraries. Studies published between 2019 and 2025 that addressed Islamic values, ethics, or philosophy in relation to modern midwifery practice were included. Of 1,013 records identified, six studies met the final inclusion criteria and were analyzed thematically. The findings indicate that Islamic midwifery philosophy supports woman-centered, culturally sensitive, and holistic care, emphasizing respect for dignity, informed decision-making, ethical use of medical technology, and attention to emotional and spiritual well-being. Islamic values were found to enhance communication, trust, and patient engagement without opposing evidence-based practice. This review concludes that Islamic midwifery philosophy complements modern midwifery by providing ethical and practical guidance that strengthens culturally responsive, safe, and patient-centered maternity care in contemporary healthcare settings
Management of Infective Endocarditis in Infarction Stroke Pratama, Indra; Puspita, Gebby
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.v6i5.2699

Abstract

Infective endocarditis (IE) is an infection of the endocardial surface of the heart often involving the heart valves characterized by the formation of vegetations composed of bacteria, fibrin, and platelets. The incidence of IE in high-income countries is estimated at 3–10 per 100,000 person-years, with regional variations; this rate remains relatively stable, but the complexity of cases and neurological complications remain a major concern. Two authors conducted a comprehensive literature search of PubMed, Scopus, NCBI, and Cochrane CENTRAL databases from 2024 to July 2025. Studies were reviewed based on incidence of infective endocarditis in infarction stroke. Infective endocarditis remains an important cause of ischemic stroke, primarily through septic emboli originating from vegetations on the heart valves. Key risk factors include the size and mobility of the vegetation, left valve involvement (mitral or aortic), and virulent pathogens such as Staphylococcus aureus. Clinical vigilance, timely antimicrobial therapy, and careful timing of surgery are key to successful management of ischemic stroke due to IE

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