Jurnal Medika: Karya Ilmiah Kesehatan
Jurnal Medika Karya Ilmiah Kesehatan, provides a forum for publishing Development of Scientific-Based Research and Publication of Manuscripts in Reputable National and International Journals. Scientific articles dealing with the following topics in Nursing, Midwifery, medical laboratory technology
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<![CDATA[PENGALAMAN PERAWAT DALAM MELAKUKAN MANAJEMEN NYERI PADA PASIEN SINDROM KORONER AKUT DI RUANG ICCU ]]>
<![CDATA[chrisyen damanik]]>
<![CDATA[ Jurnal Medika : Karya Ilmiah Kesehatan Vol 4 No 1 (2019) ]]>
Publisher : <![CDATA[ITKES Wiyata Husada Samarinda ]]>
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DOI: 10.35728/jmkik.v4i1.72
<![CDATA[Background: The prevalence of Acute Coronary Syndrome in Indonesia increases and is high every year. Pain is a complaint of SKA patients which can be managed by pharmacological and non-pharmacological interventions. Efforts to improve comfort for patients are non-pharmacological, namely the provision of deep breath relaxation, comfortable position, and guide imagery are the main strategies of independent nursing action in accordance with operational standard procedures. Objective: To explore the experience of nurses in performing pain management on patients with Acute Coronary Syndrome in the ICCU Room. Method: Qualitative research with a phenomenological study approach by sampling, purposive sampling technique, which involved 4 participants with seven-day study duration, data collection was done by in-depth interviewing. The criteria includes nurses who work in the Intensive Cardiac Care Unit (ICCU) with working experience of at least three years, graduates of diploma and bachelor degree in nursing and have the competence in handling critical patients; one of them is acute coronary syndrome. The results of the study: Resulted in three themes: 1) Giving non-pharmacological actions only to mild to moderate pain with accompanying Pharmacological therapy. 2) Giving deep breath relaxation, comfortable position, and guide imagery as non-pharmacological actions. 3) Administration of Thrombolytic, Cedocard and Morphine as pharmacological collaborative actions. Conclusion: The experience of nurses in handling pain in acute coronary syndromes in a non-pharmacological way, namely giving deep breath relaxation, comfortable position, and guide imagery along with pharmacological therapy as a collaborative action.]]>
<![CDATA[PENURUNAN NYERI PADA Ca SERVIKS DENGAN KOMBINASI TEKNIK RELAKSASI GUIDED IMAGERY DENGAN AROMATERAPI LAVENDER ]]>
<![CDATA[Tuti Meihartati]]>
<![CDATA[ Jurnal Medika : Karya Ilmiah Kesehatan Vol 4 No 2 (2019): Jurnal Medika : Karya Ilmiah Kesehatan Vol 4 No 2 Tahun 2019 ]]>
Publisher : <![CDATA[ITKES Wiyata Husada Samarinda ]]>
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DOI: 10.35728/jmkik.v4i2.93
<![CDATA[Nyeri ca serviks pada pasien yang sedang menjalani proses kemoterapi atau pun tidak sering kali merasakan nyeri hebat dan membutuhkan intervensi yang membuat pasien nyaman. Tujuan penelitian ini untuk melihat Pengaruh Kombinasi Teknik Rekalsasi Guided Imagery dengan aromaterapi lavender Terhadap Nyeri Pada Pasien Ca Serviks. Metode Penelitian ini menggunakan quasi eksperimen dalam satu kelompok pre and pos test without control dengan Uji paired t-test. pengambilan sampel menggunakan consecutive sampling dengan sampel 20 responden. Hasil penelitian ini menunjukan ada Pengaruh Kombinasi Teknik Rekalsasi Guided Imagery dengan aromaterapi lavender Terhadap Nyeri Pada Pasien Ca Serviks , dari hasil uji paired t-test diperoleh p value 0,000, dimana skala nyeri sebelum intervensi 6.30 dan sesudah diberikan intervensi 3.75. Semakin sering dilakukan Kombinasi Teknik Rekalsasi Guided Imagery dengan aromaterapi lavender maka memberikan Pengaruh Kombinasi Teknik Rekalsasi Guided Imagery dengan aromaterapi lavender Terhadap Nyeri Pada Pasien Ca Serviks yang dialami oleh responden. Disarankan tempat penelitian ini hasil penelitian ini dapat menjadi pertimbangan untuk penerapan tindakan dalam asuhan keperawatan berupa kombinasi teknik relaksasi guided imagery dengan aromaterapi lavender.]]>
<![CDATA[Determinants of infectious disease in children: Epidemiological Phenomena ]]>
<![CDATA[Yarmaliza Yarmaliza]]>;
<![CDATA[Teungku Nih Farisni]]>;
<![CDATA[Fitriani Fitriani]]>;
<![CDATA[Zakiyuddin Zakiyuddin]]>
<![CDATA[ Jurnal Medika : Karya Ilmiah Kesehatan Vol 5 No 2 (2020): Jurnal Medika : Karya Ilmiah Kesehatan ]]>
Publisher : <![CDATA[ITKES Wiyata Husada Samarinda ]]>
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DOI: 10.35728/jmkik.v5i2.637
<![CDATA[Diarrhea is a disease with changes in the shape and concentration of feces, which softens until melted, and increases the frequency of bowel movements more than normal (3 times or more a day). Data from Tanoh Manyang Village in 2014 showed the proportion of diar-rhea in infants was 12% of 144 children, in 2015 26% of 156 children, in 2016 as many as 40% of 343 children. The purpose of this study was to determine the effect of maternal culture on the incidence of infectious diseases (diarrhea) in infants. The population in this study 138, with sampling using total sampilng. This type of analytic survey research with cross sectional approach, data analysis using univariate, bivariate, and multivariate. Chi-square test results showed that mothers 'knowledge and attitudes as well as clean and healthy life behaviors of mothers affected the incidence of diarrhea in infants (p <0.05), while the results of multivariate logistic regression tests showed that mothers' clean and healthy life behavior had a stronger influence on incidence of diarrhea in toddlers with Exp (B) value of 38, 201. Conclusions from the results of multivariate regression tests the mother's clean and healthy behavior has a strong influence on the incidence of diarrhea in infants. It is suggested that related agencies can increase health promotion in the form of counseling to the community so as to increase knowledge of clean and healthy living behavior in preventing infectious diseases, especially the incidence of diarrhea in infants.]]>
<![CDATA[ASUHAN PADA LANSIA HIPERTENSI DENGAN PENDEKATAN KOMPLEMENTER PENGGUNANAAN REBUSAN JAHE DALAM PENURUNAN TEKANAN DARAH ]]>
<![CDATA[meda yuliani]]>
<![CDATA[ Jurnal Medika : Karya Ilmiah Kesehatan Vol 7 No 1 (2022): JURNAL MEDIKA KARYA ILMIAH KESEHATAN ]]>
Publisher : <![CDATA[ITKES Wiyata Husada Samarinda ]]>
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DOI: 10.35728/jmkik.v7i1.832
<![CDATA[Hipertensi adalah salah satu penyebab utama kematian di Amerika Serikat. Penyakit tidak menular (PTM) tambahan yang sering menyerang lansia adalah hipertensi (lansia). Metode non-farmakologis dan farmakologis dapat digunakan untuk mengobati hipertensi. Pendekatan pelengkap untuk terapi non-farmakologis, seperti terapi herbal, mungkin termasuk jahe. Pasien hipertensi dapat mengambil manfaat dari sifat anti-hipertensi jahe. Tujuan dari penelitian ini adalah untuk mengetahui apakah rebusan jahe dapat membantu menurunkan tekanan darah pada orang tua yang sudah memilikinya. Dalam penelitian ini, yang menggunakan metode studi kasus, kami memulai dengan menilai dan mengevaluasi pendekatan perawatan tambahan. Peneliti menemukan penurunan tekanan darah sistolik 5-10 milimeter merkuri (mmHg) dan kenaikan 10-15 milimeter merkuri (mmHg) pada pasien hipertensi lanjut usia setelah pemberian rebusan jahe. Pasien dengan tekanan darah tinggi dapat mengambil manfaat dari pengobatan komplementer yang mencakup rebusan jahe sebagai metode alternatif untuk menurunkan tekanan darah mereka]]>
<![CDATA[Hubungan Pengetahuan Lansia Tentang Pencegahan Hipertensi Dengan Pola Makan Lansia ]]>
<![CDATA[Siti Mukaromah]]>;
<![CDATA[Maria Sri Hartati]]>;
<![CDATA[Siti Maimunah]]>
<![CDATA[ Jurnal Medika : Karya Ilmiah Kesehatan Vol 2 No 2 (2017) ]]>
Publisher : <![CDATA[ITKES Wiyata Husada Samarinda ]]>
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<![CDATA[Elderly is a population group that is the focus of public attention because the elderly are a high risk of degenerative diseases, one of which is hypertension. The wrong diet is one of the risk factors that increase hypertension, the elderly need to increase their knowledge of proper diet for people with hypertension. Aim to find out the relationship of knowledge of the elderly about how to prevent hypertension with an elderly diet at the Poli General Puskesmas Temindung Samarinda. This type of research uses analytical surveys with a Cross Sectional approach. The population in this study were elderly who had hypertension at the General Poly of Temindung Samarinda Health Center with a sample of 47 people determined by accidental sampling technique. The Fisher's Exact Test results obtained a value of ρ (0,000) <α (0.05) indicating that Ha is accepted, which means that there is a relationship between knowledge about prevention of hypertension with an elderly diet at the General Poly of Temindung Samarinda Health Center. Knowledge of the elderly about the prevention of hypertension is related to the diet of the elderly. Therefore, the Puskesmas is expected to be able to improve the diet of the elderly through knowledge about prevention of hypertension so that the health degree of the elderly can be optimal.]]>
<![CDATA[PERBANDINGAN KEPUASAN PASIEN TERHADAP PELAYANAN KEBIDANAN PADA PESERTA BPJS DAN NON BPJS ]]>
<![CDATA[Yosi Arum Ariningtyas]]>
<![CDATA[ Jurnal Medika : Karya Ilmiah Kesehatan Vol 4 No 1 (2019) ]]>
Publisher : <![CDATA[ITKES Wiyata Husada Samarinda ]]>
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DOI: 10.35728/jmkik.v4i1.91
<![CDATA[All patients always expected qualified services to get their satisfaction. And all health service unit must give same services either to BPJS or non BPJS patients. This research was to know the patients’ satisfaction differences towards midwifery services of BPJS (Social Security Administrator) patients and non-BPJS patients Postpartum Room of General Hospital in Kediri. The design of this research was observational analytics by using cross-sectional methods. The population was finite, which meant it was still countable. 70 respondents were taken as samples by purposive sampling technique. The independent variables were the patients’ BPJS membership and non-BPJS, and the dependent variables were the patients’ satisfaction. The data was obtained from questionnaires and analyzed with Mann Whitney Test. The research showed that most BPJS patients, 24 respondents (77.4%) were satisfied of midwifery services, 37 non-BPJS patients (94.9%) were satisfied of midwifery services of totally 39 respondents, and there were no satisfaction level differences of BPJS and non-BPJS patients towards midwifery services in Postpartum Room of General Hospital in Kediri (p = 0.548 > 0.05 then Ho accepted).]]>
<![CDATA[TERAPI DALAM MENINGKATKAN STATUS GIZI PADA PASIEN SIROSIS HEPATIS ]]>
<![CDATA[Resa Nirmala Jona]]>
<![CDATA[ Jurnal Medika : Karya Ilmiah Kesehatan Vol 5 No 1 (2020): Jurnal Medika : Karya Ilmiah Kesehatan Vol 5 No 1 Tahun 2020 ]]>
Publisher : <![CDATA[ITKES Wiyata Husada Samarinda ]]>
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DOI: 10.35728/jmkik.v5i1.125
<![CDATA[Malnutrisi merupakan komplikasi yang terkenal pada pasien dengan sirosis hepatis. Penurunan nilai kekuatan genggam berhubungan dengan malnutrisi dan dianggap sebagai parameter terpercaya yang mencerminkan hilangnya massa otot. Kepatuhan pasien dalam pemenuhan nutrisi yang tepat sangat diperlukan untuk sapat meningkatkan status gizi pasien, sehingga diperlukan perubahan perilaku (changes behavior). Salah satu jenis terapi dengan menggunakan pendekatan perilaku untuk mengatasi masalah ketidakpatuhan adalah Cognitive Behavior Therapy (CBT), yang merupakan salah satu bentuk psikoterapi yang mengubah pikiran negatif menjadi pikiran positif. Tujuan: Penelitian ini bertujuan untuk mengetahui Efektivitas Cognitive Behavior Therapy (CBT) dalam meningkatkan status gizi pada pasien sirosis hepatis. Jenis penelitian yang digunakan adalah penelitian quasi eksperimental pada pasien sirosis hepatis dengan kriteria child pugh A dan B, pemilihan sampel dengan cara purposive sampling dan dibagi dalam kelompok intervensi 34 responden dan kelompok kontrol 34 responden. Normalitas data diuji menggunakan Shapiro wilk, dilanjutkan dengan uji beda menggunakan Paired T Test. Didapatkan nilai pre-post pada kelompok intervensi p=0,000. Pengukuran efektivitas dihitung dengan rumus menurut Cohen’s. Didapatkan nilai Effect Size (ES) CBT terhadap status gizi adalah 0,7 (efek sedang). Simpulan dari peneliian ini Cognitive Behavior Therapy (CBT) efektif dalam meningkatkan status gizi pada pasien sirosis hepatis.]]>
<![CDATA[KOGNITIF BIDAN TERHADAP PEMERIKSAAN DIASTASIS RECTI PADA IBU NIFAS ]]>
<![CDATA[Nurun Ayati Khasanah]]>;
<![CDATA[Ferilia Adiesti]]>;
<![CDATA[Citra Adityarini Safitri]]>
<![CDATA[ Jurnal Medika : Karya Ilmiah Kesehatan Vol 6 No 2 (2021): Jurnal Medika : Karya Ilmiah Kesehatan ]]>
Publisher : <![CDATA[ITKES Wiyata Husada Samarinda ]]>
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DOI: 10.35728/jmkik.v6i2.741
<![CDATA[Diastasis rectus abdominis dapat terjadi kapanpun pada ibu hamil trimester dua, dampaknya pada ibu post partum yang mengalami diastasis rectus abdominis adalah melemahnya dinding abdomen, mengurangi kontraksi kekuatan otot abdomen dan kestabilan pelvis. Risiko seorang perempuan mengalami diastasis recti ini jauh lebih besar jika ukuran tubuhnya tergolong kecil, mengandung janin kembar, hamil pada usia 35 tahun ke atas, serta berat janin yang besar.Tujuan penelitian ini untuk mengetahui Hubungan kognitif terhadap pemeriksaan diastasis recti pada ibu nifas .Penelitian ini menggunakan pendekatan cross sectional . Populasi pada penelitian ini adalah seluruh tenaga kesehatan ( bidan ) di wilayah kerja UPT Puskesmas Bangsal Kabupaten Mojokerto. Sampel penelitian ini adalah sebagian tenaga kesehatan ( bidan ) yang ada di wilayah kerja UPT Puskesmas Bangsal Kabupaten Mojokerto, jumlah sampel 23 orang . pengambilan sampel pada penelitian adalah simple random sampling dilkasanakan pada bulan Agustus – November 2020. Instrumen pada penelitian menggunakan kuisioner , kemudian dianalisis secara univariat dan bivariat . untuk mengetahui hubungan menggunakan Analisis statistik Fisher’s Exact Test. Berdasarkan hasil penelitian bahwa sebagian besar responden memiliki kognitif yang baik sebanyak 13 ( 56.53 %)dan sebagian besar melakukan pemeriksaan diastasis recti sebanyak 17 ( 73.92%) responden .Berdasarkan uji Analisis Fisher's Exact Test dengan tingkat kemaknaan ( α< 0.05) didapatkan nilai (α = 0,022) menunjukkan bahwa ada hubungan kognitif dengan pemeriksaan diastasis recti pada ibu nifas .Pengetahuan didapat dari informasi sepanjang hidup seseorang. Pengetahuan tenaga kesehatan ( bidan ) tentang pemeriksaan diastasis recti yang mempengaruhi tenaga kesehatan ( bidan ) tersebut untuk melakukan pemeriksaan diastasis recti. Sebagai tenaga kesehatan seyogyanya selalu melakukan pemeriksaan diastasis recti pada ibu nifas yang datang kepelayanan baik di Rumah Sakit , Puskesmas maupun PMB]]>
<![CDATA[MPN TOTAL COLIFORM PADA ES KRIM ]]>
<![CDATA[Siti Raudah]]>;
<![CDATA[Agus Joko Praptomo]]>;
<![CDATA[Ananda Mey]]>
<![CDATA[ Jurnal Medika : Karya Ilmiah Kesehatan Vol 3 No 2 (2018) ]]>
Publisher : <![CDATA[ITKES Wiyata Husada Samarinda ]]>
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DOI: 10.35728/jmkik.v3i2.47
<![CDATA[Ice cream is processed from raw milk ingredients, in the process of making ice cream dough will greatly determine the quality of the ice cream later. Many factors influence the quality, starting from raw materials, manufacturing processes, freezing processes, and so on. Water used in the manufacture of ice cream must be hygienic and meet sanitary standards. This study aims to determine the MPN Total Coliform description on ice cream sold in Samarinda Ulu District. The MPN method (Most Probable Number) is a method with a Presumptive Test and a Confirmed Test. This research was conducted at the UPTD Regional Health Laboratory of East Kalimantan Province in March 2017 with a sample of 25 ice creams from 25 sellers and the sampling technique used total sampling. The results showed total Coliform MPN results on ice cream in Samarinda Ulu, there were 25 samples examined and the results showed that 22 ice cream samples did not meet the quality requirements with a range of values> 1100 - 9.2 MPN / gr and ice cream that met 3 quality requirements. sample is <3.0 MPN / gr. While the quality requirements for ice cream determined by SNI No. 01-7388-2009 which is <3 MPN / gr]]>
<![CDATA[PENGARUH POSISI BERSALIN LATERAL TERHADAP RUPTUR PERINEUM PADA KALA II IBU PRIMIPARA ]]>
<![CDATA[Hestri Norhapifah]]>
<![CDATA[ Jurnal Medika : Karya Ilmiah Kesehatan Vol 3 No 1 (2018) ]]>
Publisher : <![CDATA[ITKES Wiyata Husada Samarinda ]]>
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DOI: 10.35728/jmkik.v3i1.82
<![CDATA[Bleeding is the major cause of death in which one of them can be caused by a rupture of the perineum. The use of maternity lateral position on the second stage can minimize the risk of lacerations of the perineum and labor is more convenient. Objective to determine the effect of lateral position in preventing rupture of the perineum in the second stage of primiparous.The method in this study is using Quasi Experiment with post test only approach with non equivalent control group design. The sampling technique used consecutive sampling with a sample 31 for intervention group and 31 for control group. Data was analyzed using bivariate analysis stage using chi-square test, the calculation interval cofidence OR with 95% and regression analysis.Results there was an effect of lateral position in preventing rupture of perineum or reduce the degree of rupture perineum in the second stage of primiparous with multivariate analysis values obtained OR 9,68 (95% CI= 2,08-45,0).Mothers who gave birth with lateral position on the second stage can prevent rupture of perineum or reduce the degree of rupture perineum compared with mothers who gave birth with a half-sitting position.]]>
