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INDONESIA
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 459 Documents
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Evaluation of the Rationality of Antibiotic Use in Pneumonia Patients Using the Gyssens Method Agustiana, Agustiana; Fristiohady, Adryan; Arba, Muhammad; Jabbar, Asriullah; Akib, Nur Illiyyin; Suryani, Suryani
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.v6i6.2757

Abstract

Pneumonia is one of the leading causes of morbidity and mortality worldwide. The irrational use of antibiotics in pneumonia management can reduce therapeutic effectiveness and increase the risk of antimicrobial resistance. This study aimed to evaluate the rationality of antibiotic use in pneumonia patients at Hospital X using the Gyssens method. This research employed a descriptive observational design with a retrospective approach, utilizing medical record data of adult inpatients diagnosed with pneumonia during the period of January–December 2024. A total of 86 patient records meeting the inclusion criteria were analyzed. Evaluation was conducted using the Gyssens method by comparing the appropriateness of therapy with the Guidelines for the Management of Adult Pneumonia issued by the Indonesian Ministry of Health (Regulation No. 28 of 2021) and the Infectious Diseases Society of America/American Thoracic Society (IDSA/ATS, 2023) guidelines. The results showed that the most frequently used antibiotics were Ceftriaxone (34.88%), Azithromycin (32.56%), and Levofloxacin (32.56%). The most common duration of therapy was five days (53.9%). Based on the Gyssens categories, rational antibiotic use (category 0) was found in 57 cases (66.28%), while the remaining cases were categorized as I (6.98%), IIa (11.63%), IIIa (9.30%), and IIIb (5.81%). These findings indicate that most antibiotic use at Hospital X was rational; however, continuous monitoring and periodic evaluation through the Antimicrobial Resistance Control Program (PPRA) are still necessary to optimize therapeutic effectiveness and prevent antibiotic resistance.
The Effect of Green Spinach Leaf Consumption on Hemoglobin Level Changes in Pregnant Women with Anemia Indryani, Indryani; Mustar, Mustar; Hasnidar, Hasnidar; Pattola, Pattola; arianti, Artita
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.v6i6.2762

Abstract

Anemia has detrimental intergenerational consequences, including adverse pregnancy and birth outcomes, increased risks of mortality and morbidity, and impaired cognitive and motor development in children. These consequences, based on maternal status, indicate that anemia remains a major public health concern. This study aimed to analyze the effect of green spinach leaf vegetable consumption on changes in hemoglobin levels among pregnant women with anemia. A quasi-experimental study with a pretest-posttest group design was employed. The intervention involved administering 200 grams of green spinach vegetable daily for 7 days while temporarily discontinuing iron (Fe) tablet supplementation during the study period. The sampling technique used purposive sampling, involving 10 pregnant women diagnosed with anemia. The dependent variable was anemia, and the independent variable was the consumption of green spinach vegetables. Data were analyzed using the Shapiro-Wilk test and paired t-test to assess differences in hemoglobin levels before and after the intervention and to determine the effect of green spinach consumption on hemoglobin level changes in anemic pregnant women. The findings showed that the mean hemoglobin level before the intervention was 9.91 g/dL with a standard deviation of 0.612, which increased to a mean of 11.70 g/dL with a standard deviation of 0.878 after the intervention. The p-value was 0.000, which is less than 0.05, indicating a statistically significant increase in hemoglobin levels following the consumption of green spinach.
Effectiveness of Happy Spiritual Intervention in Reducing Hallucination Levels Among Schizophrenia Patients Firdaus, Annisa Mazda; Agustina, Habsyah Saparidah; Muttaqin, Muhammad Zaenal
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.v6i6.2765

Abstract

Hallucinations are the main symptom of schizophrenia that negatively affect patients’ social and psychological functioning. Reducing the level of hallucinations is crucial, particularly during the recovery phase when patients require a holistic approach to improve their quality of life. Spiritual-based non-pharmacological interventions represent an alternative therapy with the potential to help decrease hallucination levels. The objective of this study was to determine the effect of the happy spiritual intervention on hallucination levels in patients with schizophrenia at the West Java Provincial Mental Hospital. Methods: This study employed a pre-experimental one-group pretest-posttest design with a quantitative approach. The sample consisted of 30 respondents selected through purposive sampling. The happy spiritual intervention was administered for 6 days, with each session lasting 15 minutes. Hallucination levels were measured using the Psychotic Symptom Rating Scale (PSYRATS). Data were analyzed using the Wilcoxon test with a significance level of 0.05. The findings showed a significant effect, namely a reduction in hallucination levels after the intervention (p = 0.001). Conclusion: The happy spiritual intervention significantly reduced hallucination levels in patients with schizophrenia during the recovery phase. This intervention can be used as a complementary Islamic spiritual-based therapy in psychiatric nursing practice and is recommended for routine implementation in mental health facilities
The Sound Horeg Phenomenon: Health Impacts of Infrasound Exposure: A Literature Review Adji, Iwan Setiawan; Ayuningrum, Nyovita; Ningtiyas, Devy Ayu; Faqihudin, Fadli Rizal; Al Farghani, Rayhan Fahrezi; Reanita, Ria
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.v6i6.2772

Abstract

The sound horeg phenomenon represents a cultural practice involving the use of high-power audio systems during social events in various regions of Indonesia, particularly East Java. While it serves as an important medium of entertainment, cultural expression, and local economic activity, exposure to excessive noise dominated by low-frequency noise (LFN) and infrasound raises public health concerns. This literature review aims to evaluate current scientific evidence regarding the biological, neurophysiological, psychological, and social impacts of infrasound exposure on humans. A comprehensive search was conducted in PubMed, Scopus, ScienceDirect, Google Scholar, and ProQuest for articles published between 2015 and 2025. The results show that moderate-intensity infrasound (≤90 dB) causes sleep disturbances, increased stress, and subtle neurological adaptations that can alter long-term cognitive function. Extreme exposure, such as to high-intensity sound (≥120 dB), carries a high risk of causing Noise-Induced Hearing Loss (NIHL), decreased memory function, and social isolation due to communication disorders. In addition to biological effects, psychological factors such as the nocebo effect play a role in the emergence of health complaints due to negative perceptions of loud noise. Therefore, a balance between preserving cultural values and protecting health needs to be achieved through sound intensity regulation, public education, and adaptive acoustic architectural design
Vitamin E Supplementation and Its Impact on Pulmonary Tuberculosis Treatment Outcomes: A Systematic Review Basir, Adhelia Zalsabilah; Wiriansya, Edward Pandu; Damopolii, Suciati; Hasan, Hasan; Kanang, Indah Lestari Daeng
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.v6i6.2776

Abstract

Pulmonary tuberculosis remains a global health problem, and antioxidant deficiencies such as vitamin E contribute to increased oxidative stress in patients. The aim of this study was to assess the effect of vitamin E supplementation on the effectiveness of pulmonary tuberculosis treatment through a systematic review based on PRISMA 2020 guidelines. This systematic review included clinical and observational studies investigating the relationship between vitamin E and pulmonary tuberculosis. Literature searches were conducted in PubMed and Google Scholar (2008–2021) using the keywords “Vitamin E,” “Tuberculosis,” and “Lung.” Methodological quality was assessed using the JBI Checklist and Cochrane RoB2. The process was carried out at the Faculty of Medicine, Muslim University of Indonesia, Makassar, from March to August 2024. Secondary data from published studies were used; therefore, ethical approval was not required. Six studies met the inclusion criteria, consisting of two randomized controlled trials, two in vitro studies, one case–control study, and one cross-sectional study. The synthesis results showed that vitamin E supplementation consistently reduced oxidative stress, as indicated by a significant decrease in malondialdehyde (MDA) levels and an increase in enzyme activity. In addition, vitamin E improved inflammatory status through reduced C-reactive protein (CRP) levels and increased serum leptin, as well as enhanced cellular immune responses through elevated IL-2 and IFN-γ levels. Overall, vitamin E supplementation contributed to improved treatment effectiveness and quality of life in patients with pulmonary tuberculosis.Vitamin E supplementation has potential as an adjuvant therapy that enhances the effectiveness of pulmonary tuberculosis treatment through antioxidant and immunomodulatory mechanisms.
Zinc Supplementation for Non-alcoholic Fatty Liver Disease: Literature Review Anindya, Trisha
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.v6i6.2781

Abstract

Non-Alcoholic Fatty Liver Disease (NAFLD) is closely associated with several metabolic factors, including dyslipidemia, insulin resistance, obesity, oxidative stress, and elevated inflammatory markers. NAFLD is also one of the most common liver diseases, in which zinc deficiency plays a key role in its pathogenesis. Zinc supplementation has been evaluated as a potential adjunctive therapy to improve clinical outcomes in patients with NAFLD. This literature review aims to discuss the possible role of zinc supplementation as an adjuvant therapy in patients with NAFLD, based on current research findings, and to contribute to the existing scientific literature.
Family Support for the Quality of Life of Plwha at the Vct Polyclinic Sembiring, Lisma Natalia Br; Watunglawar, Crystin E.; I.Said, Fathia; Sainafat, Adriana; Rairuny, Yance R.; Joni, Yestiani N.
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.v6i6.2786

Abstract

The increase in people with HIV/AIDS (ODHA) has a negative impact on society. One of the impacts that often occurs in ODHA is self-esteem caused by stigma and discrimination from society so that family support is needed to help eliminate stigma and discrimination from society so that ODHA can be confident, can accept their condition, and are enthusiastic in living life . to determine the relationship between family support and quality of life in ODHA at the Sentani Community Health Center Polyclinic. This type of research is descriptive quantitative conducted in July 2025, with a sample of 56 respondents with a non-probability sampling method. Data were obtained using questionnaires and analyzed univariately and bivariately using Somer's D statistical tests. It was found that 31 respondents had high family support and 25 respondents had low support and 30 respondents had good quality of life and 26 respondents had low quality of life. So the results of the Somer's D statistical test obtained a P-Value of 0.019 <0.05. Family support for ODHA patients has a high support category and quality of life in ODHA patients has a good quality of life category. This shows that there is a significant influence between family support on the quality of life of patients undergoing treatment at the Sentani Community Health Center Polyclinic. By increasing public insight, the stigma obtained by ODHA related to their disease can be reduced. So that families who have family members with HIV/AIDS problems can provide attention and support to their family members who are undergoing treatment.
Analysis of Community-Based Nurses’ Preparedness in Flood Disaster Emergency Response Yunus, Pipin; Retni, Ani
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.v6i6.2791

Abstract

Flood disasters are one of the major threats in Gorontalo Province, with significant impacts on communities and the health service system. Nurses, as frontline health workers, play a strategic role in community-based emergency response, particularly in providing first aid, triage, and health education. This study aims to analyze the preparedness level of community-based nurses in responding to flood disasters in Limboto Barat District, Gorontalo Regency. A descriptive quantitative design with a cross-sectional approach was applied. The sample consisted of all 30 nurses working at Limboto Barat Public Health Center, selected through a total sampling technique. Data were collected using questionnaires and analyzed univariately. The results showed that most respondents were aged 31-40 years (36.7%), female (73.3%), had a bachelor’s degree in nursing (56.7%), and had more than five years of work experience (60%). Nurses’ preparedness was still low in terms of knowledge, with 73.3% categorized as poor. Regarding attitudes, 60% of respondents showed poor preparedness, while skills were mainly in the fair (46.7%) and poor (46.7%) categories. These findings indicate that community-based nurse preparedness is still not optimal, especially in the dimensions of knowledge, attitude, and skills. In conclusion, structured interventions through continuous training, disaster simulations, and cross-sectoral collaboration are required to strengthen nurses’ preparedness capacity in responding to flood disasters.
Psychosocial Interventions and Social Support for Maternal Mental Health and the Prevention of Postpartum Depression: A Literature Review Prasanty, Silvya Jeny; Ernawati, Ernawati
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.v6i6.2804

Abstract

Postpartum depression is a significant public health issue that adversely affects maternal well-being and infant development. Psychological, hormonal, and social changes during pregnancy and the postpartum period increase women’s vulnerability to depressive symptoms, particularly when psychosocial support is inadequate. This study aimed to systematically review the evidence on psychosocial interventions for the prevention and reduction of postpartum depression among pregnant women in the third trimester and women in the postpartum period. A systematic literature review was conducted following the PRISMA guidelines. Articles were retrieved from Scopus, PubMed, and Garuda databases, limited to publications between 2020 and 2025. Ten studies met the inclusion criteria, encompassing randomized controlled trials, quasi-experimental studies, systematic reviews, meta-analyses, and qualitative meta-syntheses. The reviewed studies examined various psychosocial approaches, including digital and app-based interventions, psychoeducation and psychological self-help programs, as well as social and family support–based interventions. Overall, the findings indicate that psychosocial interventions are effective in reducing postpartum depressive symptoms and improving secondary mental health outcomes such as anxiety, stress, emotional well-being, and self-efficacy. Social support from partners, family members, and supportive healthcare environments emerged as a key protective factor that enhances intervention effectiveness. Digital interventions showed moderate but significant effects and offer advantages in accessibility and scalability. In conclusion, preventing postpartum depression requires a multidimensional and culturally sensitive approach that integrates psychosocial interventions with strengthened social support systems to promote sustainable maternal mental health outcomes.
Development of a Weight-Faltering Flyer as a Strategy to Strengthen Stunting Prevention Nabihah, Asma Syifa; Abbas, Hafid; BRD, Henny Herawati; Tijari, Ahmad; Parinduri, Fitri Khoiriyah
Journal La Medihealtico Vol. 6 No. 6 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

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

Abstract

Stunting remains a major public health challenge in Indonesia. Educational interventions through visual media such as flyers show promise in improving understanding of early detection of weight faltering, yet many existing materials are not designed participatorily nor tailored to local contexts. To develop, pilot, and evaluate the effectiveness of a weight-faltering–based flyer in improving mothers’ knowledge on stunting prevention in Sukaharja Village. This study employed a Research and Development (R&D) design with a mixed-methods approach. The stages included: an FGD to identify learning needs, media design by a multidisciplinary team, expert validation, limited field testing, and impact evaluation using a quasi-experimental design with two groups (flyer intervention vs. lecture control), each consisting of 20 mothers. Data were collected through pre-test and post-test assessments as well as in-depth interviews. Data analysis was conducted using a convergent approach integrating quantitative and qualitative findings. The FGD revealed low community understanding of weight faltering. The developed colored A4 flyer included growth charts, stunting risk indicators, complementary feeding guidelines, and encouragement to visit the posyandu. The trial showed that 90% of respondents agreed on the clarity and attractiveness of the media. Impact evaluation demonstrated a significant increase in the knowledge scores of the flyer group (76.0 → 78.5; p = 0.043), while the lecture group showed no significant improvement (73.0 → 73.5; p = 0.480). Follow-up interviews revealed positive shifts in attitudes and behavioral intentions regarding monitoring children’s growth and development.

Page 45 of 46 | Total Record : 459

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