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Tirtayasa Medical Journal
Published by Universitas Sultan Ageng Tirtayasa
ISSN : -     EISSN : 28095111     DOI : -
Core Subject : Health, Agriculture,
Agriculture, Biological Sciences & Forestry Health Professions Medicine & Pharmacology Nursing Public Health
Tirtayasa Medical Journal provides a forum for publishing the original research articles, review articles, and study case from contributors and the novel technology news related to medicine and health. This journal encompasses original research articles, review articles, and case study, Scope : Medical; Biomedical; Nursing; Nutrition and Food Sport and health Occupational Health Public Health
Arjuna Subject : -
Articles 57 Documents
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ANALISIS STATUS GIZI, AKTIVITAS FISIK, POLA MAKAN, DAN POLA TIDUR TERHADAP KESEHATAN MENTAL MAHASISWA BARU Sari, Amalia Kartika; Koerniawati, Ratu Diah; Sartika, Rakhmi Setyani
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.32624

Abstract

Kesehatan mental mahasiswa baru merupakan isu penting karena masa transisi perkuliahan dapat memicu stres dan masalah kesehatan mental. Survei Nasional Kesehatan Mental Mahasiswa Indonesia tahun 2021 menemukan bahwa 28,5% mahasiswa baru mengalami kecemasan, 22,1% mengalami depresi, dan 10,4% mengalami stres. Begitupun dengan Laporan hasil analisis need assesment mahasiswa FKIK Untirta tahun 2024 menemukan 1,5% mahasiswa yang ingin mengakhiri hidupnya dan 21,2% pernah mengalami bulying. Penelitian ini bertujuan untuk mengetahui gambaran kesehatan mental, status gizi, aktivitas fisik, pola makan, dan pola tidur mahasiswa gizi tingkat pertama Universitas Sultan Ageng Tirtayasa, serta menganalisis hubungan antara faktor-faktor tersebut dengan kesehatan mental. Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross-sectional dan sampel mahasiswa gizi tingkat pertama angkatan 2024-2025 Untirta sebanyak 44 orang yang ditentukan dengan total sampling. Data dikumpulkan dengan pengukuran antropometri berat dan tinggi badan, kuesioner Mental health Inventory (MHI-38), Global Physical Activity Questionnare (GPAQ), Semi Quantitative Food Frequency Questionnare  (SQFFQ), dan Pittsburgh Sleep Quality Index (PSQI). Analisis data dilakukan dengan uji frekuensi dan uji chi square. Hasil penelitian menunjukkan bahwa mayoritas responden memiliki kesehatan mental rendah (70,5%), status gizi normal (65,9%), aktivitas fisik rendah (43,2%), asupan mayoritas defisit, frekuensi konsumsi mayoritas jarang, dan pola tidur buruk (63,6%). Penelitian ini juga menemukan bahwa terdapat hubungan antara pola tidur dengan kesehatan mental (P value <0,05), namun tidak terdapat hubungan antara status gizi, aktivitas fisik, serta pola makan (asupan dan frekuensi) dengan kesehatan mental.
PENATALAKSANAAN GIZI PADA PASIEN DIABETES MELLITUS TIPE 2 DENGAN CHF ET CAUSA HHD DI RSUD BANTEN Salsabila, Nur; Nuradhiani, Annisa; Ratnasari, Ratnasari
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.31081

Abstract

Diabetes mellitus is a major chronic disease and a serious global health threat, ranking as the 9th leading cause of death worldwide. It results from an imbalance between insulin supply and demand, leading to glucose accumulation in the blood and potential complications. This case study aimed to plan and implement appropriate nutritional care for a patient with diabetes. The study used a descriptive method with a case study approach and was conducted over a period of three days. During the intervention, the patient's food intake gradually increased, although it had not yet reached the targeted level by the third day. A major challenge faced was the patient’s recurring nausea, which often led to incomplete meals. Despite efforts to motivate and encourage the patient to consume the provided meals, this issue persisted until the final day of care. Menu modifications were suggested based on the principles and dietary requirements of diabetes management. However, the patient was reluctant to accept changes in the food format and preferred to stick to familiar food textures and forms.
POTENSI NUTRASETIKAL SEBAGAI TERAPI PENDAMPING KANKER PAYUDARA: TELAAH SISTEMATIS Putri, Sefanadia; Siregar, Mukhlidah Hanun; Suryana, Suryana; Rimbawan, Rimbawan
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.29475

Abstract

Globally, breast cancer stands as the most common cancer and the leading cause of death for women. Currently, breast cancer treatment strategies focus more on the evaluation of clinical and pathological parameters rather than gene expression criteria. With advances in medical science and nutrition, great attention is being paid to foods and natural products that can improve health. Bioactive nutrients that provide protective benefits against breast cancer include polyphenols, retinoids, and polyunsaturated fatty acids (PUFAs). These compounds possess antioxidant, anti-inflammatory, immunomodulatory, and antitumor properties. Specific substances such as resveratrol, epigallocatechin 3-gallate, retinoids, and omega-3 PUFAs influence the characteristics of breast cancer and are involved in various cancer processes, including cell growth inhibition, inflammation, and angiogenesis.
LAPORAN KASUS BERBASIS BUKTI: PERBANDINGAN KEBERHASILAN STAPLER HEMORRHOIDOPEXY DALAM MENCEGAH KEKAMBUHAN PADA PASIEN HEMOROID Hardi, Firly Alfiza; Sasmita, Guruh Nata; Pradyaharini, Zahra Adinda; Syifa, Nazwa; Nafan, Nabila Utiya; Subadiyasa, I Made Arya
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.31751

Abstract

Latar Belakang: Wasir merupakan penyakit anorektal yang disebabkan oleh pelebaran dan peradangan pada vena anus. WHO melaporkan bahwa 54% dari populasi menderita wasir, dengan angka yang lebih tinggi di negara-negara maju karena pola makan rendah serat dan gaya hidup yang tidak banyak bergerak. Pada wasir derajat III, prolaps tidak kembali secara spontan dan seringkali memerlukan pembedahan. Hemoroidopeksi Stapler (SH) dinilai kurang nyeri dan memiliki pemulihan yang lebih cepat dibandingkan dengan hemoroidektomi konvensional, tetapi tingkat kekambuhannya masih diperdebatkan. Tujuan: EBCR ini membandingkan efikasi SH dan hemoroidektomi konvensional dalam mencegah kekambuhan wasir. Metode: Pencarian literatur dilakukan pada PUBMED, Cochrane, dan ProQuest dengan menggunakan kata kunci dan Operator Boolean. Penelitian yang dijelaskan merupakan RCT yang terkait dengan tingkat kekambuhan antara SH dan hemoroidektomi konvensional. Hasil: Penelitian menunjukkan bahwa SH memiliki tingkat kekambuhan yang lebih tinggi (18-25%) dibandingkan dengan hemoroidektomi konvensional (10-23%) dalam tindak lanjut 2-5 tahun. Namun, SH menyebabkan lebih sedikit nyeri pascaoperasi dan pemulihan yang lebih cepat, dengan pasien kembali beraktivitas dalam waktu 2 minggu. Sebaliknya, hemoroidektomi konvensional lebih menyakitkan tetapi lebih efektif dalam jangka panjang. Kesimpulan: SH lebih unggul dalam pemulihan yang cepat dan nyeri minimal, tetapi memiliki risiko kekambuhan yang lebih tinggi daripada hemoroidektomi konvensional. Pilihan prosedur harus mempertimbangkan efektivitas jangka panjang dan preferensi pasien.
HUBUNGAN PERAN PENDAMPINGAN SUAMI DENGAN TINGKAT KECEMASAN PASIEN PRE OPERASI SECTIO CAESAREA DI RSU AMIRA, PURWAKARTA Marlina, Ina; Afrina, Rina; Shifa, Nurul Ainul
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.30661

Abstract

Preoperative anxiety is a common problem experienced by patients who will undergo surgical procedures, including Sectio Caesarea. This anxiety can have a negative impact on the physical and psychological condition of the patient. The role of husband's assistance is considered to provide a significant emotional and psychological role for patients. This study aims to determine the relationship between the role of husband's assistance and the level of anxiety of preoperative patients with sectio caesarea in the obstetrics room on the 2nd floor of Amira Hospital, Purwakarta in 2024. This study used a descriptive correlation design with a cross-sectional approach. The sample of this study was 50 patients who were going to undergo section caesarea surgery and met the inclusion criteria. Data were collected through the questionnaire on the role of husband's assistance and STAI. The results showed that there was a significant relationship between the role of husband's assistance and the level of anxiety of preoperative patients with sectio caesarea (r = -0.68, p <0.05. The role of husband's assistance has a significant relationship in reducing the level of anxiety of preoperative patients with sectio caesarea.
EFEKTIVITAS PENGGUNAAN HIGH VOLUME PERITONEAL DIALISIS DIBANDINGKAN DENGAN EXTENDED HEMODIALISIS PADA PASIEN DEWASA DENGAN ACUTE KIDNEY INJURY Nugroho, Muhammad Rachman; Susanto, Najla Syahira Bethari; Ramadhanty, Mutiara Sari Rizky; Izzulhaq, Arief; Fawza, Erinta; Trisnasari, Erni
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.31760

Abstract

Acute Kidney Injury (AKI) merupakan kondisi cedera ginjal akut multifaktorial yang dapat menyebabkan penurunan fungsi ginjal secara tiba-tiba dan umumnya bersifat reversibel. AKI dengan kondisi seperti hiperkalemia berat dan tidak responsif, perikarditis uremik, dan edema paru membutuhkan terapi penggantian ginjal. Umumnya terapi penggantian ginjal yang digunakan adalah hemodialysis (HD), namun tidak semua pasien AKI dapat menjalani terapi HD. Gangguan hemodinamik seperti hipotensi berat dan dosis noradrenalin tinggi merupakan kontraindikasi penggunaan HD, sehingga pasien dengan kondisi tersebut memerlukan terapi alternatif berupa peritoneal dialysis (PD). Laporan kasus berbasis bukti ini memiliki tujuan untuk mengetahui efektivitas penggunaan PDdibandingkan dengan HD pada pasien AKI. Terdapat dua penelitian yang menunjukkan bahwa penggunaan High Volume Peritoneal Dialysis (HVPD)memiliki efektivitas yang sama dengan Extended Hemodialysis (EHD) dalam membantu pulihnya fungsi ginjal pasien AKI, sehingga penggunaannya dapat menjadi alternatif bagi pasien yang tidak dapat menjalani EHD. 
PENGARUH INTERVENSI RELAKSASI HIPNOSIS MODIFIKASI LIMA JARI TERHADAP TINGKAT KEPATUHAN MINUM OBAT PADA PASIEN DIABETES MELLITUS Purwaningsih, Yustina; Hartanto, Agung Eko; Hendrawati, Gandes Widya
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.30629

Abstract

Diabetes mellitus is a chronic disease that requires treatment over a long period of time. Compliance with taking medication is key in lowering blood sugar levels. The problem of non-compliance with taking medication is a problem that often arises in diabetes patients and causes complications. This study aims to determine the effect of Five Finger Modification Hypnosis Relaxation on the level of compliance with taking medication in DM patients. The research method uses true experimental research with pre and post test designs carried out on 1 control group and 1 intervention group. The population is diabetes mellitus patients in Sukosari village, Kec. Kauman District Ponorogo numbered 50 people, and the sample used was 35 people. Five finger modified hypnosis relaxation intervention was carried out in the intervention group and deep breathing relaxation and health education in the control group. analyzed using the Wilcoxon formula, and the P Volume results were 0.000 < 0.05, meaning that there was an influence of the five finger modified hypnosis relaxation intervention on the level of adherence to taking medication for diabetes mellitus in Sukosari Village, Kec. Kauman, Kab. Ponorogo. The conclusion is that deep breathing modification hypnotic relaxation can increase patient compliance in taking medication.
Knowledge, Awareness, and Practices of Nurses Regarding Occupational Musculoskeletal Disorders Ita Marlita Sari; Tazkia Nazla Hudzaifa; Imelda Rosalyn Sianipar; Mukhlidah Hanun Siregar
Tirtayasa Medical Journal Vol 5, No 2 (2026): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v5i2.38978

Abstract

Musculoskeletal disorders (MSDs) are the second leading cause of non-fatal disability worldwide. This study assessed the relationship between nurse knowledge, awareness and practices regarding occupational diseases and the occurrence of MSDs at Banten Regional General Hospital, Indonesia. This study was an analytical observational study with a cross-sectional design that held from January to April 2024. A total of 134 nurses were selected through stratified random sampling. Eligible participants had ≥1 year of experience and completed validated questionnaires independently. Data were collected using the Nordic Body Map and a structured, reliable instrument adapted from previous studies. Associations between variables were analyzed using the Chi-square test. More than half of the respondents (53.7%) demonstrated insufficient knowledge, and 63.9% reported MSDs. Negative awareness were found in 61.2% of nurses, and 63.4% showed poor preventive practices. However, no significant associations were found between knowledge (p = 0.75), awareness (p = 0.55), or practices (p = 0.05) with MSD occurrence. Most nurses experienced MSDs, yet their awareness, and practices toward occupational diseases were not significantly related to these conditions. Regular ergonomic training and supervision are needed to enhance safe work practices and reduce the burden of musculoskeletal disorders among nurses.
Spontaneous Multifocal Endometriosis: Ovarian and Umbilical Involvement Without Prior Surgery Prilly Astari; Ong Tjandra; Airine Stefanie Lians
Tirtayasa Medical Journal Vol 5, No 2 (2026): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v5i2.38682

Abstract

Umbilical endometriosis is a rare manifestation of extra-pelvic endometriosis and is frequently underdiagnosed, particularly in women without prior abdominal surgery or infertility. Its clinical presentation may mimic other umbilical pathologies, leading to delayed recognition. A 34-year-old multiparous woman presented with a 3-month history of cyclical bleeding from the umbilicus associated with a painful umbilical nodule, severe dysmenorrhea, deep dyspareunia, and right-sided pelvic pain. She had no history of abdominal or pelvic surgery. Physical examination revealed a firm, reddish umbilical nodule with active bleeding. Ultrasonography demonstrated a large right ovarian endometrioma with a ground-glass appearance. The patient underwent laparotomy with right salpingo-oophorectomy and complete excision of the umbilical lesion. Histopathological examination confirmed endometriosis in both sites. Complete symptom resolution was observed at two-week follow-up. This case highlights spontaneous multifocal endometriosis involving the ovary and umbilicus in a non-infertile, multiparous woman, emphasizing the need for heightened clinical suspicion. Limited access to advanced imaging such as MRI did not preclude accurate diagnosis when clinical, ultrasonographic, and pathological findings were integrated. Umbilical endometriosis should be considered in patients with cyclical umbilical symptoms regardless of parity or fertility status. Early recognition and surgical management are crucial to prevent misdiagnosis and prolonged morbidity.
Hubungan Asupan Energi, Zat Gizi Makro, dan Aktivitas Fisik terhadap Status Gizi pada Remaja MA Annajah Vivi Putri Rahmadani; Ratu Diah Koerniawati; Annisa Nuradhiani
Tirtayasa Medical Journal Vol 5, No 2 (2026): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v5i2.34327

Abstract

Adolescents are a vulnerable group to nutritional problems. The prevalence of adolescents aged 16-18 years who experience nutritional problems based on BMI/U parameters is very thin (2.6%), thin (5%), overweight (14.4%), and obesity (4.8%). The vulnerability to nutritional problems in adolescents can be caused by direct factors (type of food consumed, including energy and macronutrient intake) and indirect (physical activity). The purpose of this study was to analyze the relationship between energy intake, macronutrient intake, and physical activity with the nutritional status of adolescents. This study used an observational analytical design with a cross-sectional approach. This study was conducted at Madrasah Aliyah Annajah with a sample of 78 people selected using a purposive sampling method. Data collection was carried out by filling out the Physical Activity Level (PAL) questionnaire, interviews using a 3x24-hour food recall questionnaire (2 weekdays and 1 holiday), and direct measurement of height and weight. Data were then analyzed using the Fisher's Exact test. The results of the study showed that most respondents had sufficient energy intake (43.6%), excess protein intake (43.6%), excess fat intake (60.3%), insufficient carbohydrate intake (73.1%), and light physical activity levels (94.9%). Some respondents' nutritional status was still abnormal, consisting of obesity (19.2%), overnutrition (16.7%), and malnutrition (3.8%). There was a significant relationship between energy, protein, fat, and carbohydrate intake with nutritional status (0.000; 0.000; 0.000; 0.000), but there was no significant relationship between physical activity and nutritional status in MA Annajah adolescents (0.534).

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