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Jurnal Kesehatan Medika Udayana
Published by Sekolah Tinggi Ilmu Kesehatan KESDAM IX
ISSN : 24609293     EISSN : 26856573     DOI : https://doi.org/10.47859
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
The scope of this journal includes, but is not limited to the research results of: Fundamentals of Nursing Management in Nursing Medical surgical Nursing Critical Care Nursing Emergency and Trauma Nursing Oncology Nursing Community Health Nursing Occupational Health Nursing Mental Health Nursing Holistic Nursing Geriatric Nursing Family Nursing Maternity Nursing Women Health Nursing Pediatric Nursing Education in Nursing Nursing Policies Legal Nursing Advanced Practice Nursing Nursing Informatics Epidemiology Health Promotion Hospital Administration Physiology Occupational Health
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 92 Documents
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Efek Terapi Musik dalam Menurunkan Kecemasan Pasien Selama Pemeriksaan MRI I Putu Very Triana Putra; I Kadek Yuda Astina; Triningsih Triningsih
Jurnal Kesehatan Medika Udayana Vol. 8 No. 02 (2022): Oktober: Jurnal Kesehatan Medika Udayana
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.763 KB) | DOI: 10.47859/jmu.v8i02.276

Abstract

Background: Anxiety is a normal response in the face of stress which is characterized by feelings of fear accompanied by somatic signs. The patient's anxiety in the MRI examination arises because he knows he will receive medical treatment related to the use of radiation that will cause adverse effects that cause infertility or cancer. The purpose of this study was to determine the effect of music therapy in reducing anxiety when undergoing an MRI examination. Method: The design of this study used a posttest only intervention group design. The study was conducted on 18 July – 12 August 2022 in the MRI Room of the Bali Mandara Hospital, Bali Province. The sample was 72 people who were divided into 2 intervention and control groups. The inclusion criteria of this study were patients with head first examination position, age above 18 years. Exclusion criteria were patients with decreased consciousness, hearing loss and weight above 150 kg. The research instrument used the MRI-AQ questionnaire, and the Mann Whitney statistical test. Result: The results showed that most of the respondents were 46-55 years old (33.3%), most of the MRI examinations were Lumbo sacral type (54.2%), and the level of anxiety was mostly mild (91.6%). The results of the normality test of data <0.05 so that the data is not normally distributed. The Mann Whitney test was conducted to determine the effect of music therapy and obtained p = 0.001 indicating there was a significant difference between the intervention group and the control group. Conslusion: The intervention of providing music therapy to patients undergoing MRI examination has an effect in reducing patient anxiety, especially in patients undergoing MRI examination. Music makes the examination more pleasant for the patient. Music causes positive changes in the environment and distracts from the examination, relaxing the patient.
Sistem Pakar Penegakan Diagnosa Penyakit Hipertensi Dengan Inferensi Forward Chaining Menggunakan Metode Support Vector Machine (SVM) Supriyono Supriyono; Fadila Erida
Jurnal Kesehatan Medika Udayana Vol. 8 No. 02 (2022): Oktober: Jurnal Kesehatan Medika Udayana
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (398.921 KB) | DOI: 10.47859/jmu.v8i02.283

Abstract

Penyakit hipertensi merupakan manifestasi gangguan keseimbangan hemodinamik sistem kardiovaskular yang mana patofsiologinya multifaktor yang cukup banyak mengganggu kesehatan masyarakat. Pada umumnya pasien tidak mengetahui bahwa menderita penyakit hipertensi sebelum memeriksakan tekanan darahnya, ini menyebabkan hipertensi merupakan suatu penyakit kronis yang disebut dengan silent killer. Salah satu yang dapat membantu dalam proses penegakkan diagnosa hipertensi dengan mengembangkan sebuah Rancangan Sistem Pakar Penegakan Diagnosa Penyakit Hipertensi, dalam penelitian ini menggunakan metode penelitian Inferensi Forward Chaining, Metode Support Vector Machine (SVM). Data yang digunakan yaitu data primer dan sekunder. Tujuan dari penelitian ini memudahkan tenaga medis dan penderita dalam mengetahui gejala awal penegakan diagnosa hipertensi, agar segera bisa dilakukan penangan yang cepat dan akurat. Hasil dari penelitian model SVM linear terhadap 247 data pasien menunjukkan akurasi 85% pada proses training dan 91,89 % pada proses testing.
Korelasi Pengetahuan Tentang Kesehatan Reproduksi Terhadap Perilaku Pencegahan Kehamilan Tidak Diinginkan di Kota Denpasar Ni Komang Tri Agustini; Putu Noviana Sagitarini
Jurnal Kesehatan Medika Udayana Vol. 9 No. 01 (2023): April: Jurnal Kesehatan Medika Udayana
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/jmu.v9i01.184

Abstract

Background: Unwanted Pregnancy is a condition where the couple does not want the birth of a pregnancy. Unwanted pregnancy is a major challenge to the reproductive health of young adults in developing countries. Purpose: The purpose of the study was to measure the relationship between the level of knowledge and adolescent behavior in preventing unwanted pregnancy in nursing students. Methods: This study uses cross sectional correlative analytic to determine knowledge about reproductive health on the behavior of preventing unwanted pregnancy. The research sample was 207 nursing students. Data obtained through questionnaires and analyzed using univariate and bivariate analysis with chi-square. Results: Univariate results showed that 152 respondents (73.4%) had good knowledge, and 155 respondents (74.9%) showed supportive pregnancy prevention behaviors. The results of bivariate analysis showed that there was a relationship between knowledge level and pregnancy prevention behavior (x2=4.26, p <0.05). Conclusion: Most of the students have a good level of knowledge and have supportive pregnancy prevention behaviors
Hubungan Dukungan Suami dan Sikap Ibu Hamil Trimester III Terhadap Kesiapan Menghadapi Persalinan di Masa Pandemi COVID-19 di Puskesmas Gerokgak I Ketut Eka Larasati Wardana; Kadek Lila Damayanti; Desak Ketut Sugiartini
Jurnal Kesehatan Medika Udayana Vol. 9 No. 01 (2023): April: Jurnal Kesehatan Medika Udayana
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/jmu.v9i01.223

Abstract

Background: The current Covid-19 pandemic greatly affects the condition of pregnant women, especially when they are about to face childbirth. Attention and support from the closest people, especially husbands, are very helpful in overcoming the anxiety experienced by pregnant women in facing childbirth in the Covid-19 era. Purpose: of this study was to determine the relationship between husband support and the attitude of third trimester pregnant women towards readiness to face childbirth during the Covid 19 pandemic at the Gerokgak I Primary Health Care. Method: used is quantitative analysis with a cross sectional approach using primary data with a data collection instrument in the form of a questionnaire distributed to 134 respondents where the sampling technique used is the Non Probability Sampling technique with the purposive sampling method conducted from September to November 2021. at the Grokgak I Primary Health Care. Results: showed p value <0.05, which means ha is accepted and h0 is rejected. Conclusion: obtained is that there is a relationship between husband's support and the attitude of pregnant women in the third trimester of readiness to face childbirth during the COVID-19 pandemic. Suggestions It is necessary to provide health information or health education to husbands of pregnant women about pregnancy support and readiness to face childbirth during the COVID-19 pandemic. and the role of midwives or other health workers to improve Communication, Information and Education (KIE) on how to deal with pregnancy and childbirth in pregnant women during the Covid-19 pandemic.
Persalinan pada Ibu Berusia Kurang dari 20 Tahun di RSUD Kabupaten Buleleng Ketut Eka Larasati Wardana; Agus Ari Pratama; Luh Yenny Armayanti
Jurnal Kesehatan Medika Udayana Vol. 9 No. 01 (2023): April: Jurnal Kesehatan Medika Udayana
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/jmu.v9i01.224

Abstract

Background: Pregnancy with less than 20 years of age is an important problem because it belongs to the high risk group. This is related to the increased risk of maternal complications during pregnancy and childbirth, as well as in the perinatal. From the preliminary study, the incidence of maternity mothers aged less than 20 years old at Buleleng Regency Hospital in 2021 was 7.3%. Purpose: The purpose of the study was to look at the picture of childbirth in mothers less than 20 years old. Method: This study used descriptive methods with a sample of all babies born to maternity mothers aged less than 20 years at Buleleng Regency Hospital for the period September - December 2021 as many as 236 study subjects. Results: The results of this study obtained an average maternal age of 17.2 years, an average gestational age of 36.9 weeks, an average birth weight of 2791.2 grams, a 1 minute 72% normal Apgar score, a 5-minute Apgar score of 76.7% normal, no incidence of congenital abnormalities, a stillbirth event of 4.2%, the distribution of events based on maternal age is more found in the mother's age is more found in the mother group aged 16-19 years. Conclusion: There are still many pregnancies in mothers less than 20 years old, there is no incidence of congenital abnormalities, still the incidence of stillbirth.
Kepatuhan Perawat Dalam Penggunaan Alat Pelindung Diri (APD) dan Perilaku Mencuci Tangan Ni Luh Suciati; Luh Seri Ani; Dinar Saurmauli Lubis
Jurnal Kesehatan Medika Udayana Vol. 9 No. 01 (2023): April: Jurnal Kesehatan Medika Udayana
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/jmu.v9i01.259

Abstract

Background: Cases of COVID-19 patients are increasing every day. The psychological impact felt by nurses was anxiety, fear, depression and a high risk of contracting COVID-19. Recommendations for preventing the risk of transmission are the use of PPE and hand washing behavior. Although PPE as a means of preventing the virus transmission, there are still nurses who do not comply with using it. Purpose: The purpose of the study was to determine the adherence of nurses in using PPE and hand washing behavior. Methods: This study is an analytic cross-sectional study, with a sample of 100 people in the isolation ward of Karangasem General Hospital. Data were analyzed by chi square test by lookcing at value, odds ratio (OR) and adjusted odds ratio (AOR). Results: 55% nurses use PPE in the obedient category, 52% nurses' hand washing behavior in the obedient category. Conclusions: Most are compliant in using PPE and washing hands.  
Analisis Fasilitas Cuci Tangan Pasar Tradisional di Kecamatan Klungkung pada Masa Pandemi COVID-19 A.A Gde Wahyu Sparsayoga; Made Rismawan; Putu Ayu Ratna Darmayanti
Jurnal Kesehatan Medika Udayana Vol. 9 No. 01 (2023): April: Jurnal Kesehatan Medika Udayana
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/jmu.v9i01.288

Abstract

Background: Hand washing facilities are one of the facilities that must be provided in public facilities such as markets to prevent the spread of the COVID-19 virus. The use of public hand hygiene facilities is required before passing through entrances and locations that are easily accessible in crowded areas so that people and traders can easily wash their hands during the COVID-19 pandemic. Purpose:To find out the description of traditional market hand washing facilities in Klungkung District during the COVID-19 pandemic. Method: The research design used in this study is a descriptive study with a cross-sectional approach which was carried out on April 30 - May 1, 2021. The population in this study were all hand washing facilities at traditional markets in Klungkung District. The sampling technique used is non-probability sampling. Data collection tools used in the form of observation sheets. Data analysis using univariate analysis. Results:The results showed that most of the traditional market hand washing facilities were in sufficient condition as many as 4 markets (57.1%) and were in good condition as many as 3 schools (42.9%). Conclusion: It is recommended to all market managers to continue to pay attention to the availability of components of hand washing facilities complete with clean conditions to prevent the chain of disease transmission during the COVID-19 pandemic.
Gambaran Kesehatan Jiwa Mahasiswa Keperawatan Pasca Pandemi COVID-19 Widyo Subagyo; Dyah Wahyuningsih; Mukhadiono Mukhadiono
Jurnal Kesehatan Medika Udayana Vol. 9 No. 01 (2023): April: Jurnal Kesehatan Medika Udayana
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/jmu.v9i01.297

Abstract

Background: The COVID-19 pandemic has had a major impact on mental health, including students. Symptoms that are quite dominant include not being able to think clearly, often feeling headaches, not sleeping well, easily feeling afraid, shaking hands, difficulty making decisions, easily tired and others. Students with mental health disorders are at risk of experiencing academic problems. Purpose: This study was to describe the mental health of nursing students after the Covid-19 pandemic. Method: The research design used is descriptive analytic with a cross sectional approach, which is a type of research where the measurement of the variables is only done once at a time. The research instrument for measuring students' mental health uses the Self-Report Questionnaire-20 (SRQ-20). The research population is level 1 nursing students in Purwokerto Nursing Study Program for the 2022/2023 academic year with a total of 133 students. The sampling technique used is total sampling. Result; Respondents on average were 18 years old, mostly female, 117 people (88.00%), owned computer equipment, mostly owned by 98 people (73.70%), parents' income was mostly around Rp. 2 million - Rp. 4 million, namely 65 people (48.90%) and experiencing distress, namely 70 people (52.60%). Conclusion; most nursing students after the Covid-19 pandemic experienced distress.
Gambaran Keterampilan Perkembangan Motorik Kasar pada Anak Toddler (usia 1-3 tahun) di Posyandu Wilayah Kerja Puskesmas Tabanan III Desak Gede Yenny Apriani; Desak Made Firsia Sastra Putri; I Gede Nyoman Ardi Supartha; Ni Putu Ayu Dina Febriani
Jurnal Kesehatan Medika Udayana Vol. 9 No. 01 (2023): April: Jurnal Kesehatan Medika Udayana
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/jmu.v9i01.298

Abstract

Background: One important aspect of the development process is gross motor development, namely body movements using large muscles. Gross motor skills are the ability to move various parts of the body that involve the activity of the large muscles on command and regulate body movements against various influences from outside and from within the body. Interviews conducted by researchers with 10 mothers who had children aged 1-3 years found seven mothers who said they did not provide stimulation to their children, such as not inviting their children to play because they had to work, not teaching children how to stand or learn to walk according to the child's age. Purpose: The purpose of this study was to find out the description of gross motor skills in toddlers (1-3 years old) in the Working Area of the Tabanan III Health Center. Methods: This research is a descriptive analytic study using a cross-sectional approach. Respondents were selected based on purposive sampling, namely all mothers who had children aged 1-3 years at the Posyandu, Tabanan III Health Center, as many as 83 people using an observation sheet. Results: This study shows that the description of gross motor skills development in the Posyandu Work Area of the Tabanan III Health Center is in the normal category as many as 57 respondents (68.7%) while those in the abnormal category are as many as 26 respondents (31.3%). It was also found that most of the mothers were >30 years old, most of the mothers had graduate education, and most of the children were male. Conclusion: Gross motor development skills in toddlers (age 1-3 years) in the Posyandu Working Area of the Tabanan III Health Center are in the normal category  
Pengaruh Kombinasi Terapi Relaksasi Autogenik dan Musik Terhadap Tekanan Darah Warga Binaan Pemasyarakatan Anindya Arum Cempaka; Maria Theresia Arie Lilyana
Jurnal Kesehatan Medika Udayana Vol. 9 No. 01 (2023): April: Jurnal Kesehatan Medika Udayana
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/jmu.v9i01.300

Abstract

Background: Life in prison can trigger stress that affects blood pressure. One way to control blood pressure in hypertensive patients is to use non-pharmacological therapy interventions. One of them is to use autogenic relaxation and music therapy methods. Purpose: This study aimed to determine the effect of autogenic and music therapy on reducing blood pressure for inmates. Method: The research method is quasi-experimental, with one group pretest and posttest design. This research was conducted in a prison in the Surabaya area. The total sample of this study is 20 respondents. Result: After autogenic and music relaxation therapy, participants with normal blood pressure levels increased to 60%. Based on the Wilcoxon Sign Rank Test result, it's known that p-value = 0,001 with (?<0.05), which means this program may affect participants' blood pressure. Conclusion: The use of autogenic and music therapy may reduce blood pressure. This program significantly lowered participants' perception of stress, and it enhanced their perception of health

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