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Midwinerslion : Jurnal Kesehatan STIKes Buleleng
Published by SEKOLAH TINGGI ILMU KESEHATAN BULELENG
ISSN : 25286420     EISSN : 26857901     DOI : https://doi.org/10.52073/midwinerslion
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
MIDWINERSLION Journal is a national scientific journal published by STIKes Buleleng (P-ISSN: 2528-6420 and E-ISSN: 2685-7901) and is a peer-reviewed and open-access journal. It publishes original research, review articles, short communications, case reports. The following are the research areas that this journal focuses on Nursing, Midwifery, and Pharmasist
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 435 Documents
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PENGARUH SLEEP HYGIENE TERHADAP KUALITAS TIDUR ANAK USIA PRASEKOLAH DI RA SALAFUL BINA TAHUN 2025 Regina Mulyani; Rahayu Savitri; Ryka Juaeriah; M Salman Hasbyalloh
Midwinerslion : Jurnal Kesehatan STIKes Buleleng Vol 10 No 2 (2025): MIDWINERSLION Jurnal Kesehatan STIKes Buleleng
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/mjksb.v10i2.541

Abstract

Introduction: Preschool-aged children are a vulnerable group prone to sleep disturbances due to unhealthy habits such as using gadgets before bedtime and inadequate sleep environments. Sleep hygiene is a non-pharmacological intervention aimed at improving sleep quality through healthy routines and proper sleep environment management. This study aims to examine the effect of sleep hygiene on the sleep quality of preschool children Method: A pre-experimental design with a one-group pretest-posttest approach and no control group was employed. A total of 33 children from RA Salaful Bina participated as respondents. The intervention was administered over seven days through education and guidance on healthy sleep practices. Sleep quality was measured using the Children’s Sleep Habits Questionnaire (CSHQ) and analyzed with the Mc Nemar test. Result: Results showed a significant improvement, with the proportion of children with poor sleep quality decreasing from 93.9% to only 3% after the intervention, while 97% achieved good sleep quality. The p-value of 0.001 and chi-square score of 28.033 indicated a statistically significant effect. Additionally, children experienced longer night time sleep (from 8–9 hours to 11–12 hours), more consistent napping, and easier morning awakenings. Conclusion: These findings suggest that sleep hygiene is an effective strategy to enhance sleep quality in preschool-aged children and should be consistently implemented with active parental involvement.
HUBUNGAN SELF-ACCEPTANCE DENGAN SELF MANAGEMENT PADA ORANG DENGAN HIV-AIDS (ODHA) DI PUSKESMAS BANJAR I BULELENG TAHUN 2025 I Dewa Putu Gede Putra Yasa; Ketut Wiwik Fitriyani; I Wayan Surasta
Midwinerslion : Jurnal Kesehatan STIKes Buleleng Vol 10 No 2 (2025): MIDWINERSLION Jurnal Kesehatan STIKes Buleleng
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/mjksb.v10i2.542

Abstract

Pendahuluan: Jumlah kasus HIV/AIDS di Indonesia terus meningkat setiap tahun, termasuk di Provinsi Bali, yang menempati posisi kelima tertinggi secara nasional. Meskipun pemerintah telah menyediakan layanan pengobatan seperti terapi Antiretroviral (ARV) dan program dukungan, capaian pengobatan masih rendah, dan tingkat kematian ODHA tetap tinggi. Hal ini menunjukkan pentingnya upaya dari dalam diri ODHA untuk meningkatkan kualitas hidup, salah satunya melalui self-management. Metoda: Penelitian ini bertujuan untuk mengetahui hubungan antara self-acceptance dengan self-management pada ODHA di wilayah kerja Puskesmas Banjar I, Kabupaten Buleleng. Desain penelitian ini yaitu deskriptif korelasi. Sampel berjumlah 52 responden yang dipilih menggunakan teknik purposive sampling. Instrumen yang digunakan meliputi kuesioner Self-Acceptance Scale dan HIV Self-Management Scale. Hasil: Hasil penelitian menunjukkan bahwa sebagian besar responden berjenis kelamin laki-laki yaitu sebanyak 65,4%, dan rata-rata uisa 40.02 tahun. Mayoritas responden memiliki self-acceptance yang buruk (61,5%) dan self-management dalam kategori cukup (53,9%). Kesimpulan: Disimpulkan bahwa adanya hubungan signifikan positif sedang antara self-acceptance dan self-management (p: 0,000, r: 0,595).
PENGARUH PRENATAL YOGA TERHADAP TINGKAT STRES PADA IBU HAMIL : THE EFFECT OF PRENATAL YOGA ON STRESS LEVELS IN PREGNANT WOMEN Indhun Dyah Susanti
Midwinerslion : Jurnal Kesehatan STIKes Buleleng Vol 10 No 2 (2025): MIDWINERSLION Jurnal Kesehatan STIKes Buleleng
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/mjksb.v10i2.549

Abstract

Introduction: Stress in pregnant women can increase the risk of pregnancy complications such as hypertension, premature labor, and fetal development disorders. Several studies have shown that prenatal yoga can help reduce stress levels, improve sleep quality, and strengthen mothers' mental readiness in facing childbirth. This study aims to determine the effect of prenatal yoga on stress levels in pregnant women Method: This study used a quasi-experimental design with a pre-post test design. The sample consisted of 30 pregnant women in the second trimester. The intervention was carried out during three prenatal yoga sessions. The measurement instrument used the Depression Anxiety Stress Scales (DASS). Data analysis used the Paired t-test. Result: The results showed a significant decrease in stress levels after prenatal yoga intervention (p <0.001). Conclusion: Prenatal yoga is effective in reducing stress levels in pregnant women in the second trimester.
PENETAPAN NILAI SPF DAN AKTIVITAS ANTIOKSIDAN ANTARA EKSTRAK TERPURIFIKASI DAN EKSTRAK DAUN JAMBU AIR (Syzygium aqueum (Burm.f) Alston) Ramadhanty Raudya Tuzzahra; Salma Hilmy Rusydi Hashim; La Ode Muhammad Anwar; Nuzul Gyanata Adiwisastra
Midwinerslion : Jurnal Kesehatan STIKes Buleleng Vol 11 No 1 (2026): MIDWINERSLION Jurnal Kesehatan STIKes Buleleng
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/mjksb.v11i1.553

Abstract

Pendahuluan: Paparan sinar ultraviolet (UV) yang berlebihan dapat menimbulkan dampak negatif pada kulit, seperti penuaan dini dan kanker kulit. Daun jambu air (Syzygium aqueum) diketahui mengandung flavonoid dan vitamin C yang berpotensi sebagai tabir surya alami sekaligus antioksidan. Purifikasi ekstrak dilakukan untuk meningkatkan kandungan senyawa aktif yang berperan dalam efektivitas fotoproteksi dan aktivitas antioksidan. Metode: Penelitian ini bersifat eksperimental in vitro dengan pendekatan kuantitatif. Pengujian nilai SPF dilakukan dengan metode Mansur menggunakan spektrofotometer UV-Vis, sedangkan aktivitas antioksidan diuji menggunakan metode DPPH. Data dianalisis menggunakan uji One Way ANOVA melalui SPSS. Hasil: Hasil menunjukkan bahwa pada konsentrasi 10.000 ppm, ekstrak terpurifikasi memiliki nilai SPF 43,98 ± 0,559, sedangkan ekstrak kental 28,00 ± 0,409. Aktivitas antioksidan keduanya tergolong sangat kuat, dengan nilai IC₅₀ masing-masing 1,518 µg/mL dan 3,893 µg/mL.. Uji statistik menunjukkan adanya perbedaan signifikan pada nilai SPF dengan nilai Sig.0,048 (p<0,05), namun tidak terdapat perbedaan signifikan pada nilai IC50 dengan nilai Sig.543 (p>0,05). Simpulan: Purifikasi ekstrak daun jambu air terbukti mampu meningkatkan efektivitas fotoproteksi, namun tidak memberikan perbedaan bermakna terhadap aktivitas antioksidan yang dimilikinya.
PENILAIAN FARMAKOVIGILANS UNTUK PENGOBATAN HIPERTENSI PASIEN DI RUMAH SAKIT SENTRA MEDIKA CIKARANG Cyto Yudha Kurniawan; Ike Maya Permanasari; Marselina; Ninik Suparmi
Midwinerslion : Jurnal Kesehatan STIKes Buleleng Vol 11 No 1 (2026): MIDWINERSLION Jurnal Kesehatan STIKes Buleleng
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/mjksb.v11i1.554

Abstract

Hipertensi adalah salah satu penyakit jangka panjang yang umum di Indonesia dan dapat menyebabkan masalah serius pada jantung dan pembuluh darah. Pengobatan hipertensi biasanya melibatkan penggunaan obat-obatan dalam jangka waktu lama, yang dapat menyebabkan reaksi negatif terhadap obat (ADR). Tujuan dari penelitian ini adalah untuk menilai kejadian farmakovigilans terkait pengobatan hipertensi pada pasien di Rumah Sakit Sentra Medika Cikarang. Penelitian ini dilakukan dengan metode deskriptif-analitik melalui accidental sampling pada 61 pasien hipertensi antara Januari hingga April 2025. Informasi diperoleh melalui rekam medis dan lembar Monitoring Efek Samping Obat (MESO). Hasil penelitian menunjukkan bahwa kelompok obat yang paling banyak digunakan adalah Calcium Channel Blocker (CCB) amlodipin (75%), diikuti oleh kombinasi CCB+CCB (12,5%), CCB+Diuretik (3,13%), ACEI (3,13%), dan ARB (3,13%). Efek samping yang dilaporkan meliputi pusing, mual, dan sesak napas (40,6%), nyeri di dada (25%), kesulitan bernapas (3,1%), serta rasa lelah yang berlebihan (31,2%). Evaluasi farmakovigilans menyatakan bahwa sebagian besar ADR termasuk dalam kategori "kemungkinan besar" menurut skala Naranjo.
ANALISIS KETERKAITAN POLA TERAPI DAN BIAYA PENGOBATAN PASIEN ANAK DIARE RAWAT INAP DI RS SENTRA MEDIKA CIBINONG TAHUN 2024.: Pendekatan Evaluasi Ekonomi dengan INA-CBGS Adam Nur rasyid; Rosiana; Nuzul Gyanata Adiwisastra
Midwinerslion : Jurnal Kesehatan STIKes Buleleng Vol 11 No 1 (2026): MIDWINERSLION Jurnal Kesehatan STIKes Buleleng
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/mjksb.v11i1.556

Abstract

Penelitian ini bertujuan mengevaluasi pola terapi serta komponen biaya pengobatan pasien anak dengan diare yang dirawat inap di RS Sentra Medika Cibinong tahun 2024. Metode yang digunakan adalah deskriptif retrospektif dengan data sekunder berupa rekam medis dan tagihan pasien periode Januari–Desember 2024. Analisis univariat digunakan untuk mendeskripsikan karakteristik pasien, jenis terapi, dan struktur biaya, sedangkan analisis bivariat dilakukan untuk menilai hubungan antara pilihan terapi dengan total biaya. Hasil penelitian menunjukkan variasi penggunaan terapi farmakologis seperti antibiotik, probiotik, dan suplemen, serta terapi nonfarmakologis berupa rehidrasi oral maupun intravena. Komponen biaya terbesar berasal dari obat-obatan dan kamar rawat inap. Analisis lebih lanjut membuktikan adanya hubungan bermakna antara jenis terapi tertentu dengan total biaya pengobatan. Simpulan penelitian ini adalah bahwa pemilihan terapi yang tepat dapat meningkatkan efektivitas klinis sekaligus efisiensi biaya, sehingga bermanfaat dalam penyusunan kebijakan terapi rasional di rumah sakit. Kata Kunci: Diare anak, terapi, biaya pengobatan, rawat inap, farmakoekonomi. This study aimed to evaluate treatment patterns and cost distribution among pediatric inpatients diagnosed with diarrhea at Sentra Medika Hospital Cibinong in 2024. A retrospective descriptive method was applied using secondary data derived from medical records and patient billing covering the period of January to December 2024. Univariate analysis was performed to describe patient characteristics, therapy types, and cost components, while bivariate analysis examined the relationship between therapy choices and overall treatment costs. The results revealed variations in therapeutic approaches, including pharmacological interventions such as antibiotics, probiotics, and supplements, as well as non-pharmacological treatments such as oral and intravenous rehydration. The highest cost burden came from medications and hospitalization. Further analysis confirmed a significant correlation between specific therapies and total treatment costs. The study concludes that appropriate therapy selection contributes to both improved clinical outcomes and cost efficiency, making it essential for rational treatment policy development in hospitals. Keywords: Pediatric diarrhea, therapy, treatment cost, inpatient care, pharmacoeconomics.
HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN MINUM OBAT DAN DIET PASIEN HIPERTENSI DI RS BHAYANGKARA BANDAR LAMPUNG aprililla; Hana Zumaedza Ulfa; Sugiarto; Ikhwan Amiruddin
Midwinerslion : Jurnal Kesehatan STIKes Buleleng Vol 11 No 1 (2026): MIDWINERSLION Jurnal Kesehatan STIKes Buleleng
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/mjksb.v11i1.578

Abstract

Pendahuluan Hipertensi memiliki prevalensi sebesar 29,5% di Indonesia dan menjadi faktor risiko utama penyakit kardiovaskular yang dapat berujung pada kematian. Urgensinya terletak pada sifatnya yang sering tanpa gejala namun berpotensi menimbulkan komplikasi serius. Pengendalian hipertensi sangat bergantung pada kepatuhan pasien dalam minum obat dan menjalankan diet sesuai anjuran, yang dipengaruhi oleh dukungan keluarga. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan kepatuhan minum obat dan diet pada pasien hipertensi di RS Bhayangkara Bandar Lampung. Metode Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan desain observasi analitik menggunakan pendekatan cross sectional. Sampel penelitian ini adalah 83 pasien hipertensi di RS Bhayangkara Bandar Lampung yang dipilih dengan teknik purposive sampling. Instrumen penelitian menggunakan Kuesioner dukungan keluarga, Kuesioner (MMAS-8) dan Kuesioner kepatuhan diet, penelitian dilaksanakan pada Juli 2025. Analisis data menggunakan uji Gamma. Hasil analisis menunjukkan bahwa terdapat hubungan yang signifikan antara dukungan keluarga dengan kepatuhan minum obat pada pasien hipertensi (p-value = <0,001) serta hubungan yang signifikan antara dukungan keluarga dengan kepatuhan diet pasien hipertensi (p-value = <0,001). Kesimpulan disarankan keluarga perlu diberikan edukasi mengenai hipertensi dan pentingnya kepatuhan, melakukan pendampingan rutin terhadap pasien dalam minum obat dan menjalankan diet, memantau perkembangan kondisi pasien
EFEKTIVITAS PIJAT LAKTASI TERHADAP PRODUKSI ASI PADA IBU NIFAS DI DESA BUKTI Kadek Agustina Puspa Ningrum; Indrie Lutfiana; Desak Ketut Sugiartini
Midwinerslion : Jurnal Kesehatan STIKes Buleleng Vol 10 No 2 (2025): MIDWINERSLION Jurnal Kesehatan STIKes Buleleng
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/mjksb.v10i2.580

Abstract

Introduction: Lactation massage involves massaging the neck, shoulders, scapula, back, and breast area, performed twice a day for 5 minutes over a period of 3 days. This method of breast care is painless and can stimulate the strength of the breast muscles, aiming to enhance the production of the hormones prolactin and oxytocin, which in turn increases milk production. Additionally, it can make the breasts more elastic, facilitating the baby's ability to latch and suckle effectively. The purpose of this study is to assess breast milk production following lactation massage in normal postpartum mothers, comparing the control group with the treatment group.Methods: This study employed a quasi-experimental design with a two-group pre-post test control group approach, utilizing purposive sampling with a sample size of 30. Data collection was conducted using questionnaires and observation sheets. Results: The statistical analysis using the paired t-test revealed a p-value of less than 0.05, leading to the rejection of the null hypothesis (Ho), which indicates a significant relationship between the effect of lactation massage on breast milk production in postpartum mothers in the village. Conclusion: The findings of this study can serve as valuable input for healthcare providers working with patients experiencing irregular milk production in normal postpartum mothers, enabling them to enhance milk production through the application of lactation massage techniques.
HUBUNGAN SELF-COMPASSION DENGAN SELF-CARE PADA PASIEN DM TIPE 2 YANG MENGALAMI KAKI DIABETIK I Dewa Putu Gede Putra Yasa; Diana Paramitha Dewi; I Wayan Surasta
Midwinerslion : Jurnal Kesehatan STIKes Buleleng Vol 11 No 1 (2026): MIDWINERSLION Jurnal Kesehatan STIKes Buleleng
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/mjksb.v11i1.581

Abstract

Introduction: Diabetes mellitus (DM) is a chronic disease resulting from the pancreas's inability to produce insulin optimally. Diabetic foot complications can affect self-compassion and worsen self-care. Methods: This study utilized a descriptive correlational design with a cross-sectional approach. The purpose of this study was to determine the relationship between self-compassion and self-care in type 2 DM patients with diabetic foot ulcers. The research was conducted at the Buleleng Regional General Hospital in 2025. The sample consisted of 63 DM patients with diabetic feet, selected through purposive sampling based on specific inclusion and exclusion criteria. Results: The average age of respondents was 58.92 years. Approximately 60.3% of respondents were female, and 39.7% were male. All respondents had suffered from type 2 DM for more than 5 years. The collected data were statistically analyzed using the Spearman Rank test, yielding a p-value of 0.000 (α = 0.05) and a correlation coefficient (r) of 0.484 There is a significant moderate relationship between self-compassion and self-care in type 2 DM patients experiencing diabetic foot complications. Conclusion: Self-compassion has a positive impact on self-care among patients with diabetic foot. High levels of self-compassion in patients with diabetic foot are directly correlated with an increased capacity for self-care in patients
PENGARUH PIJAT OKSITOSIN TERHADAP PRODUKSI ASI DI PRAKTIK BIDAN MANDIRI Putu Sukma Megaputri; Ni Made Karlina Sumiari Tangkas; Dewi Aprelia Meiriyani
Midwinerslion : Jurnal Kesehatan STIKes Buleleng Vol 10 No 2 (2025): MIDWINERSLION Jurnal Kesehatan STIKes Buleleng
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/mjksb.v10i2.582

Abstract

Lack of breast milk production is a concern for every postpartum mother who has just given birth. This is due to the perception of a lack of breast milk received by her baby. The purpose of this study was to analyze the difference in breast milk production before and after oxytocin massage. This research method is quantitative with a cross-sectional approach. The sampling technique in this study was purposive sampling with the number of subjects who were observed for 1 week before and after being given oxytocin massage as many as 34 postpartum mothers at the independent midwife practice (TPMB). The research instrument used an oxytocin massage observation sheet. Furthermore, by conducting an analysis, it was found that there was a difference in breast milk production before and after oxytocin massage was given. The results of breast milk production before were 6.6 cc to 7.8 cc with a Z value of -5.095 and a p value of <0.0001, which means that there was a statistically significant difference before and after oxytocin massage was given.

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