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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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Public Perception of Patient Referral Services Reza Fazaki; Asyiah Simanjorang; Nuraeni Nuraeni
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.v7i3.3293

Abstract

Referral is the transfer of responsibility for patient care between health service units, either vertically or horizontally, to ensure appropriate management of health problems. Data from Padang Tiji Health Center showed that patient referrals remained an important issue. In 2018, the number of visits to the health center reached 45,246, while the number of referrals was 6,511. Therefore, this study aimed to identify factors influencing patient referrals at Padang Tiji Health Center in 2020. This study used a cross-sectional survey design involving 100 respondents. The relationship between independent variables and patient referral was analyzed using the Chi-square test with a 95% confidence level and a significance value of p < 0.05. The results of multivariate analysis showed that knowledge had a significant relationship with patient referral, with a p-value of 0.000. Health information also showed a significant relationship, with a p-value of 0.049. Meanwhile, the availability of facilities and infrastructure, availability of human resources, attitudes of health workers, and public perception did not show significant relationships with patient referral. Among all variables, knowledge was found to be the most dominant factor influencing patient referral. This study concludes that knowledge and health information are associated with patient referrals, while facilities, human resources, health worker attitudes, and public perception are not significantly related. It is recommended that Padang Tiji Health Center improve health education and strengthen referral service competence to ensure that referrals are conducted according to established standards and mechanisms.
Retrospective Analysis of Electrocautery Procedures in the Dermatology Outpatient Clinic of Bali Mandara Hospital Based on Medical Record Data I Putu Bagus Normantia Cahaya Putra; Luh Putu Dina Wahyuni
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.v7i3.3310

Abstract

Electrocautery is a minor surgical procedure that uses electrical energy to generate heat for tissue destruction and hemostasis. This procedure is commonly used in the Dermatology Outpatient Clinic of Bali Mandara Hospital for the management of Condyloma Acuminata, Verruca Vulgaris, and Seborrheic Keratosis. This study aimed to analyze the pattern and management of electrocautery procedures for these dermatological cases based on medical record data from 2022 to 2025. This study used a retrospective descriptive design based on secondary data obtained from the medical records of patients who underwent electrocautery procedures at the Dermatology Outpatient Clinic of Bali Mandara Hospital. Data were analyzed using descriptive statistics, cross-tabulation, and annual case growth analysis with Microsoft Excel and SPSS version 27. The results showed a total of 322 cases, consisting of 78 cases of Condyloma Acuminata (24.22%), 138 cases of Verruca Vulgaris (42.86%), and 106 cases of Seborrheic Keratosis (32.92%). Verruca Vulgaris was the most frequently treated condition during the study period. The findings also indicate that each condition requires different electrocautery techniques according to lesion characteristics, anatomical location, and clinical considerations. Electrocautery is a suitable procedure for the management of Condyloma Acuminata, Verruca Vulgaris, and Seborrheic Keratosis at Bali Mandara Hospital. However, the technique should be adjusted to the characteristics of each case to optimize treatment outcomes and ensure patient safety.
Patient Experience of Quality on Diabetes Mellitus Care in Primary Health Care: Integrative Literature Review La Ode Nuh Salam; Suni Hariati; Saldy Yusuf; Sitti Nurhadijah
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.v6i6.2631

Abstract

This review aims to summarize the evidence from previous studies on patients' experiences of quality diabetes mellitus care in primary healthcare. Methods: Referring to Whittemore & Knafl's methodology for integrative literature review by searching articles in six databases namely: PubMed, CINAHL, EBSCOhost, ProQuest, ScienceDirect, Garuda; Google Scholar search engine; and one publisher website (Wiley Online Library) between 2017-2022. Inclusion criteria included: original articles, samples of DM patients aged >18 years, from all countries with English and Indonesian text. Results: Data were analyses by assessing the similarity of results between studies, then synthesized using narrative analysis. Seven studies met the inclusion criteria, five of which reported patients' experiences of low-quality DM care in primary healthcare due to inadequate structures, suboptimal care processes and clinical outcomes. Only two studies reported experiences of high-quality DM care due to adequate equipment, schedule organization, care coordination and good doctor-patient interaction.Conclusions: Patients' experiences of low-quality DM care in primary healthcare were attributed to inadequate structures, suboptimal care processes and poor clinical outcomes, whereas high quality DM care was associated with adequate equipment, good scheduling, care coordination and good doctor-patient interactions.
Digital Transformation in Non-Communicable Disease Management in Pregnant Women: The Effectiveness of Telemedicine on Patient Therapy Compliance Santy Irene Putri; Siti Asiyah; Dian Jayantari Putri K. Hedo; Dewi Kurnia Sari
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.v7i1.2745

Abstract

Non-Communicable Diseases (NCDs) in pregnant women, such as gestational diabetes and hypertension, increase the risk of maternal and perinatal complications. Low adherence to therapy is the main challenge in managing NCDs. Telemedicine has the potential to improve compliance through service access and remote monitoring. This study aims to analyze the factors that affect therapy adherence in pregnant women with NCDs, especially the frequency of telemedicine use, perception of convenience, and trust in services. This study uses a cross-sectional design with a quantitative approach. A total of 185 pregnant women with NCDs in Malang were selected as respondents through purposive sampling. Data were collected using an online questionnaire and analyzed using logistic regression to determine factors influencing therapy adherence. The results of the multivariate analysis showed that the frequency of telemedicine use, the perception of ease of use, and the level of trust in services were factors that significantly affected therapy adherence in pregnant women with non-communicable diseases. Respondents who used telemedicine ≥2 times per month had a higher chance of therapy adherence (AOR = 3.21; 95% CI: 1.33–7.76; p = 0.009). Perceived ease of use also increases the likelihood of compliance (AOR = 2.97; 95% CI: 1.28–6.90; p = 0.011). In addition, high levels of trust in telemedicine services were associated with increased therapeutic adherence (AOR = 2.56; 95% CI: 1.15–5.71; p = 0.022). Telemedicine plays an important role in improving pregnant women's therapeutic adherence to NCDs through increased access, ease of use, and trust in services.
Implementing the ADDIE Model in Developing Learning Videos Skills of Integrated Health Post Cadres Ketut Suarayasa; Miranti Miranti; Elliyane Bangkele; Diah Mutiarasari
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.v6i6.2754

Abstract

Integrated Health Service Posts (Posyandu) in the era of primary care transformation provide services for all life cycle targets. They require Posyandu cadres who know and understand the 25 basic skills. The purpose of this study was to describe the development of video-based learning media on Posyandu cadre skills to improve their knowledge and skills in Palu City. The research used research and development (R&D). The study was conducted at the Mamboro Community Health Center in Palu City. The video creation process used the ADDIE (Analyze, Design, Development, Implementation, Evaluation) model, which divides the planning process into several steps and organizes each step into a logical sequence. The output from the previous step is then used as input for the next step. The research results indicate that the development of a video for teaching skills for Posyandu (Integrated Health Post) cadres can be successfully implemented through the stages of analysis, design, development, implementation, and evaluation. The validator team gave a feasibility score of 96% (Very feasible) for the media and 94.6% (Very feasible) for the material respectively. The trial results demonstrated positive perceptions from the health workers and Posyandu cadres who participated in the video trial. They noted that the video presented a realistic simulation of Posyandu activities in visual and audio form that was easy to follow. The ADDIE model is suitable for developing learning videos because each stage requires specific study and treatment, ensuring accountability for the resulting product.
Analysis of Risk Factors for Mean Arterial Pressure and Body Mass Index on the Incidence of Preeclampsia Nur Purnama Sari; Ramesia Ratnawati; Satra Yunola; Helni Anggraini; Elvina Indah Syafriani
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.v7i1.2827

Abstract

Preeclampsia is a major cause of maternal and perinatal morbidity and mortality worldwide, including in Indonesia. Early screening during pregnancy allows for early identification and optimal patient monitoring. This study aimed to analyze the relationship between Mean Arterial Pressure (MAP) and Body Mass Index (BMI) with the incidence of Preeclampsia, and to determine the most dominant factor in the working area of Pakjo Community Health Center (Puskesmas) Palembang. This study used a Case-Control design. The sample consisted of 62 pregnant women, divided into 31 Preeclampsia cases and 31 Non-Preeclampsia controls, derived from medical record data for the 2023–2024 period. Data analysis utilized the Chi-Square test for bivariate analysis and Binary Logistic Regression for multivariate analysis. Bivariate Analysis: A statistically significant relationship was found between Positive MAP (p < 0.001, OR = 6.597) and Overweight/Obese BMI (p < 0.001, OR = 8.381) with the incidence of Preeclampsia. Multivariate Analysis: After controlling for MAP, only High BMI proved to be a significant independent predictor (p = 0.030). Pregnant women with High BMI had a 4 times greater chance of experiencing Preeclampsia (OR = 4.848; 95% CI: 1.165–20.182). The MAP variable became non-significant in the multivariate model (p = 0.234). High BMI (Obesity/Overweight) is the most dominant risk factor and a strong independent predictor for the incidence of Preeclampsia. It is recommended that Pakjo Community Health Center prioritize intervention programs focused on weight management and nutrition counseling starting from the pre-pregnancy and early pregnancy periods as a primary effort to prevent Preeclampsia.
The Effect of the Rebozo Technique on the Length of the First Stage in Vaginal Labor Putri Habibah; Lisa Trina Arlym
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.v7i1.2860

Abstract

The first stage of labor is often associated with prolonged duration, pain, and maternal discomfort, which may increase the risk of obstetric interventions. Non-pharmacological approaches are increasingly promoted to support physiological labor. The Rebozo technique, a traditional method originating from Latin America, has gained attention for its potential to improve labor progress by enhancing pelvic mobility and fetal positioning. This study aimed to systematically review the effect of the Rebozo technique on the duration of the first stage of vaginal labor. A systematic literature review was conducted following PRISMA guidelines. Articles were retrieved from ProQuest, PubMed, SpringerLink, and ScienceDirect databases using the keywords “Rebozo technique,” “vaginal delivery,” and “first stage of labor.” Inclusion criteria were based on the PICOS framework, focusing on primigravida women undergoing vaginal delivery. Only quantitative studies and randomized controlled trials published between 2020 and 2025 were included. Methodological quality was assessed using the Center for Evidence-Based Medicine (CEBM) critical appraisal tool. Five high-quality studies from four countries met the inclusion criteria. The findings consistently demonstrated that the Rebozo technique was associated with a shorter duration of the first stage of labor, improved cervical dilation, enhanced fetal head rotation, and increased maternal comfort. The Rebozo technique is a safe and effective non-pharmacological intervention that supports labor progression and maternal well-being. Its integration into midwifery practice may optimize the management of the first stage of vaginal labor.
Risk Management Analysis of Public Health Facilities as an Effort to Improve Service Units at Community Health Center X Rizki Khairani Hasibuan; Aradea Margareta; Aulia Biea Belia; Fesya Diva Annisa; Melliani Septiawati; Ahmad Setiawan Nuraya
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.v7i1.2863

Abstract

Risk management is an essential component in maintaining service quality and patient safety within primary healthcare facilities. This study aims to analyze the implementation of risk management at Puskesmas X Jakarta in 2025, referring to Jakarta Provincial Regulation No. 122 of 2020. The methods used include a literature review, field observations, and questionnaires administered to 76 respondents. The findings indicate that Puskesmas X identified 91 risks, all of which remain within the categories of the 82 risk indicators established by the Ministry of Health, demonstrating a comprehensive identification process. Six risks were designated as priority due to their potential impact on service quality and patient safety. Mitigation efforts, such as relocating the TB room, reorganizing maternity care areas, and conducting patient safety training, were shown to reduce risk levels. The questionnaire results revealed high visitor satisfaction, while the management of medical and liquid waste complied with existing standards. Overall, the implementation of risk management was found to be effective, although further improvements in facility layout, human resources, and risk-based budgeting are needed to support continuous service quality enhancement.
Strategy to Improve Understanding of Prospective Brides Through Empowering Health Cadres (Smart Katin) Fidyawati Aprianti A. Hiola; Dwi Nur Octaviani Katili
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.v7i1.2873

Abstract

Planning Agency (BKKBN), approximately 1.7 million couples marry each year, and more than 40% of them lack a basic understanding of premarital health, such as nutrition, reproductive health, mental health, and family planning. Conventional one-way education methods are often ineffective, necessitating a community-based approach. The Health Cadre Intervention is offered as an alternative strategy that leverages the cadre's social proximity to the prospective bride and groom to increase understanding. This study used a pre-experimental design with a pretest- posttest model without a control group. The sample consisted of 30 respondents, the majority of whom were aged 20–35 (93.3%), female (86.7%), and had secondary education (63.3%). A knowledge questionnaire was administered before and after the intervention. The data were analyzed using the Wilcoxon test to assess differences in understanding scores. The results showed an increase in the average score from 90.17 (SD = 7.87) in the pretest to 96.70 (SD = 5.24) in the posttest . The Wilcoxon test yielded a Z-value of -4.29 with p < 0.001, indicating a significant difference. Eighty percent of respondents experienced an increase in their scores, 20% remained in the good category, and none experienced a decrease. The KATIN CERDAS intervention has proven effective in improving prospective brides and grooms' understanding of reproductive health. This cadre-based strategy can be integrated into premarital counseling programs in primary care to support the formation of healthy families and prevent reproductive health problems early on.
Implementation of Community Diagnosis in Suppressing New TB Cases in Village X Gita Manerlin Kasihita Simatupang; Clement Drew
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.v7i1.2916

Abstract

The purpose of this study was to increase public knowledge in Kiarapayung Village, within the Pakuhaji Community Health Center (Puskesmas) working area regarding pulmonary TB and its prevention. Community diagnosis in the Pakuhaji Community Health Center working area used the Blum Paradigm, with data from mini-surveys, interviews, and observations. Problem priorities were determined through USG (Urgency, Seriousness, Growth), non-scoring Delphi, and Fishbone and Five Whys analysis for root causes. Interventions included pulmonary TB education, coughing/sneezing etiquette practices, and proper handwashing. Monitoring was conducted using the PDCA cycle, while evaluation used a systems approach. Based on the Blum Paradigm, lifestyle factors play a role in the high number of TB cases. The intervention results showed that 24 participants (60%) obtained a post-test score of ≥70 points, and there was an increase in the average pre-test and post-test scores of 46.6%. One random participant was able to demonstrate coughing etiquette and proper handwashing.

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