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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 528 Documents
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The Role of Estrogen and Progesterone Fluctuations in the Pathogenesis of Postpartum Psychosis: A Neurobiological Review Wa Ode Sri Apriani Taufan; Ilma Khaerina; Agus Japari
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3241

Abstract

Postpartum psychosis is an acute psychiatric disorder characterized by rapid onset following childbirth, posing significant risks to both maternal and neonatal safety. Its underlying mechanisms remain incompletely understood; however, fluctuations in reproductive hormones particularly estrogen and progesterone are strongly implicated in its pathogenesis. The abrupt decline of these hormones after delivery may disrupt neurotransmitter systems, especially dopaminergic and GABAergic pathways, thereby precipitating neurobiological imbalance in vulnerable individuals. This study employs a literature review method using a narrative review approach, drawing upon databases such as PubMed, ScienceDirect, and Google Scholar, complemented by manual searches. Following the PRISMA framework, a total of 20 articles met the inclusion criteria and were systematically analyzed. The findings indicate that estrogen demonstrates a more consistent association with psychotic symptomatology, whereas progesterone exerts its effects primarily through its metabolite, allopregnanolone, which modulates the GABAergic system. In addition, genetic predisposition, sleep disturbances, and alterations in neuroplasticity contribute to the condition. Postpartum psychosis therefore emerges as a multifactorial disorder resulting from the complex interplay between hormonal fluctuations and underlying neurobiological vulnerability.
Room Layout and Design Predispose Patient Safety Fitri Yuni; Husna Yetti; Yuniar Lestari; Hardisman Hardisman; Firdawati Firdawati; Yevri Zulfikar
Journal La Medihealtico Vol. 7 No. 1 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i1.3049

Abstract

Patient Safety Incidents (IKP) can impact the quality of hospital services. Both globally and nationally, patient safety incidents remain a significant concern. At Prof. HB Saanin Mental Hospital in Padang, the number of patient safety incidents increased from 2022 to 2023. Patient safety incidents should be zero, or there should be no accidents, based on the Decree of the Minister of Health of the Republic of Indonesia number 129/Menkes/II/2008 concerning Minimum Hospital Service Standards. Objective: Analyze the influence of room layout and design on patient safety incidents at Prof. HB Saanin Mental Hospital, Padang. Method: This study used a mixed-methods cross-sectional study of 25 officers involved in patient safety incidents. Bivariate analysis using the Chi-square test was employed to assess the relationship between room layout and design and patient safety incidents, which was further explored through qualitative interviews. Results: The most common type of patient safety incident at Prof. HB Saanin Mental Hospital is unwanted events, accounting for 64% of total incidents and 52% of incidents with high impact. Inappropriate room design was identified in 52% of cases, and inappropriate furniture layout was identified in 84%. Conclusion: Equipment layout and room design influence the occurrence of patient safety incidents in the Prof. HB Saanin Mental Hospital, Padang. Redesigning rooms is a key factor in reducing patient safety incidents at this hospital.
Informed Consent as an Effort to Prevent and Resolve Medical Disputes: A Literature Review A. Ainun Wulandari Nur; Shulhana Mokhtar; Kaisar Razak
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3242

Abstract

Informed consent is an important aspect of healthcare practice that aims to ensure patients' rights to obtain information and provide approval for medical procedures to be performed. The implementation of informed consent is not only related to medical ethics but also plays an important role in preventing medical disputes between healthcare providers and patients. Lack of understanding and inadequate implementation of informed consent can increase the risk of conflicts and malpractice claims in healthcare services. This study uses a literature review method conducted by collecting data through journal searches in PubMed, Garuda, and Google Scholar using the keywords: informed consent, medical disputes, medical malpractice, patient legal protection, and health law. This study reviewed 12 research articles relevant to the research topic.
The Role of Imaging Modalities in Determining Surgical Management of Breast Cancer: A Literature Review Raihan Aulia Arbani; Dwi Pratiwi; Adhelia Purnamawati Harifuddin; Hasliyawati Hasan; Ana Meliyana M
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3250

Abstract

Breast cancer is one of the most common malignancies among women and remains a major cause of morbidity and mortality worldwide. Because breast cancer may develop without obvious symptoms in its early stages, accurate imaging assessment is essential to support early detection, disease staging, and appropriate treatment planning. Imaging modalities such as mammography, ultrasonography, magnetic resonance imaging (MRI), dynamic contrast-enhanced MRI (DCE-MRI), and artificial intelligence-based imaging technologies play an important role in evaluating tumor size, lesion characteristics, disease extent, multifocality, and treatment response. This study aimed to examine the role of imaging modalities in determining surgical management for breast cancer. This study employed a narrative literature review with PRISMA-guided article selection. Literature was collected through searches in PubMed, Google Scholar, Garuda, and other relevant scientific databases using selected keywords, including breast cancer, imaging modalities, mammography, ultrasonography, magnetic resonance imaging, MRI, DCE-MRI, surgical management, and surgical planning. Based on the screening process, 11 articles consisting of 4 national and 7 international journals were included in the review. The findings indicate that mammography is important for early detection, ultrasonography supports lesion characterization and clinical decision-making, while MRI and DCE-MRI provide more detailed information regarding tumor extent, local staging, multifocal lesions, and response to neoadjuvant therapy. Artificial intelligence-based imaging also shows potential in improving diagnostic accuracy and supporting individualized surgical planning. Therefore, imaging modalities are not only diagnostic tools but also strategic components in determining the type and extent of surgical treatment in breast cancer patients.
Relationship of Food Service to Nutrition Installation with the Level of Satisfaction and Leftover Meals of Inpatients Andi Purnamasari; Siti Uswatun Hasanah; Siti Masithah; Andi Rahmaniar; Selvia Selvia
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3254

Abstract

Food service is one of the hospital nutrition services starting from menu planning to food distribution. Minimum Service Standards for food service include punctuality in providing food and food waste ≤ 20%. Based on the results of a survey conducted at La Temmamala Regional Hospital in 2024, the percentage of patient food waste was <20%. This shows that the SPM of the nutrition installation has reached the target, but there are still efforts to maintain and improve. This study aims to examine the relationship between nutrition installation food service and the level of satisfaction and food waste of inpatients at the UPT La Temmamala Regional Hospital, Soppeng Regency. This study uses a quantitative approach with a cross-sectional study design with a sample of 55 inpatients at La Temmamala Regional Hospital. Sampling by purposive sampling was carried out in June 2025. Data were analyzed using the chi-square test. Hospital food service variables for indicators of waiter attitude, punctuality of food distribution and cleanliness of cutlery were rated as good by 55 respondents (100%) for indicators of food menu variety and patient satisfaction variables were rated as good by 54 respondents (98.2%) and less good by 1 respondent (1.8%). There is a relationship between hospital food service and patient satisfaction with a p value of 0.018 and there is no relationship between hospital food service and patient food waste with a p value of 0.291.
Physicians' Acceptance Analysis of Teleconsultation Implementation in the JKN Program at Primary Health Care Facilities: A Technology Acceptance Model Approach Tiara Tarasati; Misnaniarti Misnaniarti; Rizma Adila Syakurah
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3259

Abstract

The development of digital technology drives the transformation of healthcare services, including thru the implementation of teleconsultation in the National Health Insurance Program (JKN). However, the success of implementing this service heavily depends on the acceptance of doctors as the primary users. This study aims to analyze doctors' acceptance of teleconsultation at First-Level Health Facilities (FKTP) in Palembang City using the Technology Acceptance Model (TAM) approach. This study uses a qualitative method with a case study design. Data were obtained thru in-depth interviews with eight informants consisting of public health center doctors, private clinic doctors, and management personnel. Data analysis was conducted thematically based on the TAM constructs, namely perceived usefulness, perceived ease of use, attitude toward use, and behavioral intention to use. The research results show that teleconsultation is perceived as beneficial in improving service access, initial communication, and patient monitoring, but it has not yet been able to replace face-to-face services due to limitations in clinical aspects. From the perspective of ease of use, the system is considered quite simple, but there are still technical issues such as non-real-time notifications and limited reporting time. Doctors' attitudes toward teleconsultation tend to be positive, but not strong, while the intention to use it is relatively high but more influenced by external policies. In conclusion, the acceptance of teleconsultation is at a fairly good level but not yet optimal. The optimization of implementation requires improvements in system quality, organizational support, as well as clearer policies and incentives so that the utilization of teleconsultation can run effectively and sustainably.
Evaluation of the AST/ALT Ratio as a Non-Invasive Predictor of Chronic Liver Disease Nurul Ainun Annisa; Irna Diyana Kartika Kamaluddin; Muhammad Alim Jaya; Hasan Hasan; Ardiyanto Ardiyanto
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3262

Abstract

This study evaluated the AST/ALT ratio as a non invasive predictor of liver fibrosis by examining its clinical utility, diagnostic relevance, and limitations in contemporary practice. Liver fibrosis is a progressive outcome of chronic liver injury that may develop into cirrhosis, liver failure, and hepatocellular carcinoma if not detected and managed early. Therefore, accessible non invasive markers are needed, particularly in settings with limited diagnostic resources. This study used an analytical literature review approach. Articles published within the last ten years were searched through PubMed, Google Scholar, and ScienceDirect using keywords related to AST/ALT, non invasive liver disease, liver fibrosis, and diagnosis. Relevant studies were selected based on predetermined inclusion and exclusion criteria, then analyzed descriptively and comparatively. The findings indicate that the AST/ALT ratio has potential as a simple, affordable, and widely available marker for the initial assessment of liver fibrosis. It showed a meaningful association with fibrosis severity, especially in patients with chronic hepatitis B and other chronic liver diseases. However, its diagnostic performance varied depending on disease etiology, fibrosis stage, and patient characteristics. Compared with APRI, FIB 4, FibroScan, and elastography, the AST/ALT ratio generally demonstrated only moderate accuracy and was less reliable as a standalone marker. Therefore, it is more appropriate as an initial screening tool or complementary indicator rather than a definitive diagnostic method.
The Relationship between Medication Adherence, Self-Efficacy, and Quality of Life in Patients with Acute Myocardial Infarction Melinar Fitra Zahrani Moha; Chamim Faizin; Nina Anggraeni Noviasari
Journal La Medihealtico Vol. 7 No. 3 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i3.3239

Abstract

AMI is one of the most serious cardiovascular diseases, associated with impaired quality of life, increased morbidity and mortality, making it the number one cause of death in the world. The use of medications for secondary prevention is a cornerstone in the treatment of coronary artery disease. Self-efficacy is an important predictor of adherence to treatment. Therefore, high self-efficacy is associated with health which can improve the patient’s quality of life. The aim of this study was to analyze the relationship between medication adherence and self-efficacy with the quality of life of patients who had been diagnosed with acute myocardial infarction at Muhammadiyah Hospital Semarang. The type of quantitative research was analytical observational with a cross-sectional approach. Research respondents were patients who had been diagnosed with AMI from June 2022-June 2023 who were taken through total sampling taking through the sample criteria. Inclusion was 47 and exclusion was 27 respondents. Data analysis uses the chi-square test, significant if p<0.05. 34 respondents were compliant in taking medication (72.3%), 13 respondents were not compliant in taking medication (27.7%). 28 respondents had high self-efficacy (59.6%), 19 respondents had low self-efficacy (40.4%). 38 respondents had a good quality of life (80.9%) and 9 respondents had a poor quality of life (19.1%). As a result, there is no relationship between medication adherence with the quality of life of acute myocardial infarction patients. There is a relationship between self-efficacy with the quality of life of acute myocardial infarction patients.
Integrated Primary Care Implementation and Patient Satisfaction Melki Saudila; Asriwati Asriwati; Ismail Efendy
Journal La Medihealtico Vol. 7 No. 3 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i3.3244

Abstract

Integrated Primary Health Care (IPHC) aims to improve the quality, continuity, and responsiveness of primary health services. However, its implementation in Kupang City still faces challenges, as reflected in the 2023 Minimum Service Standards achievement of 82.17%, which was lower than the East Nusa Tenggara provincial average of 95.37%. This study aimed to analyze the association between IPHC-based service quality and patient satisfaction at Sikumana Public Health Center and to identify the service quality dimension with the strongest practical tendency. This study employed a quantitative explanatory design with a cross-sectional approach. A total of 100 respondents were selected using proportional stratified random sampling from six service areas. Service quality was measured using five SERVQUAL/RATER dimensions: reliability, assurance, tangibles, empathy, and responsiveness, while patient satisfaction was dichotomized for binary logistic regression analysis. Data were analyzed using univariate analysis, Chi-Square tests, and binary logistic regression. The bivariate analysis showed that only reliability was significantly associated with patient satisfaction. However, in the multivariate analysis, none of the five service quality dimensions showed a statistically significant partial effect after simultaneous analysis. The regression model was statistically significant, showed good model fit, and explained 31.7% of the variation in patient satisfaction. Tangibles had the highest odds ratio, indicating the strongest practical tendency in shaping patient satisfaction. These findings suggest that patient satisfaction in IPHC implementation is multidimensional, with physical facilities, equipment adequacy, cleanliness, and service readiness requiring practical attention.
Characteristics of Pterygium Patients at Waled Regional Hospital Findi Amilia Sumarto; Viora Rianda Piscaloka; Widi Astuti
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3253

Abstract

Pterygium is a triangular fibrovascular growth of the ocular surface that is commonly found in tropical regions, including Indonesia. This condition is frequently associated with prolonged ultraviolet exposure and may cause recurrent red eyes, irritation, foreign body sensation, and visual disturbance. This study aimed to describe the characteristics of pterygium patients at Waled Regional General Hospital, Cirebon Regency, in 2025, based on age, gender, occupation, duration of ultraviolet exposure, pterygium grade, and clinical manifestations. This study used a descriptive observational design with primary data collected through questionnaires. A total of 42 patients diagnosed with pterygium were selected using total sampling according to the inclusion criteria. The data were analyzed using univariate analysis and presented as frequency and percentage distributions. The results showed that most patients were aged 56–65 years (42.9%) and were female (61.9%). Housewives represented the largest occupational group (52.4%), and most respondents had ultraviolet exposure of more than five hours per day (76.2%). Grade II pterygium was the most common severity level (42.9%), while recurrent red eye was the most frequently reported clinical manifestation (42.9%). These findings indicate that pterygium patients at Waled Regional General Hospital were predominantly older adults, women, and individuals with prolonged ultraviolet exposure. Therefore, preventive education regarding eye protection, including the use of sunglasses, hats, or other protective equipment during outdoor activities, is essential to reduce the risk and progression of pterygium.

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