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MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation
Published by PT. RADJA INTERCONTINENTAL PUBLISHING
ISSN : -     EISSN : 29867754     DOI : https://doi.org/10.59733/medalion
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation | ISSN (e): 2986-7754 is a peer-reviewed, open access journal which publishes original research articles and review articles in all areas of nursing and midwifery, research and education. The aim of the journal is to contribute to the growing field of nursing practice and provide a platform for researchers, physicians and healthcare professionals. Topics of interest include: Nursing education Community nursing Specialist nursing topics Policies in nursing and healthcare Ethical issues Healthcare systems Healthcare management Pediatrics nursing
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 192 Documents
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ANALYSIS OF INTERNAL, EXTERNAL FACTORS, ACADEMIC PROCRASTINATION IN COMPLETING FINAL ASSIGNMENTS IN COLLEGE STUDENTS Monal; Marniati; Ihsan Murdani
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 2 (2025): June
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i2.213

Abstract

Academic procrastination is a delaying behavior often found among students. The study was conducted because there were still a number of students in the 2020 batch of public health study programs who were not on time in completing their studies, allegedly related to procrastination behavior. This study aims to reveal the internal and external factors that trigger procrastination in completing the final project. The method used was descriptive qualitative, informants were selected purposively, namely: one key informant (caprodi), four main informants (students), and three supporting informants (academic supervisors). Data obtained through initial surveys, interviews, and documentation were analyzed through the stages of reduction, data presentation, and conclusion drawing. The results show that the more dominant (internal) factors include weak time management, low self- efficacy, and psychological conditions. While (external) factors including environmental conditions, and social support do not directly cause procrastination but can strengthen or reduce the causes in terms of internal factors. Academic procrastination in 2020 batch students of public health study programs is triggered by a combination of internal and external factors, which are dominated by internal factors. Suggestions, for students it is important to improve time management skills and build self-efficacy through structured and consistent study planning, especially when in the progress of preparing the final project.
CORRELATION BETWEEN BODY MASS INDEX (BMI) AND FEMOROTIBIAL JOINT SPACE WIDTH ON LYON-SCHUSS KNEE RADIOGRAPHS IN PATIENTS WITH KNEE OSTEOARTHRITIS AT H. ADAM MALIK GENERAL HOSPITAL, MEDAN, IN 2025 Asrini Rizky Nasution; Henny Maisara Sipahutar; Husnul Fuad Albar
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 2 (2025): June
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i2.214

Abstract

Background: Knee osteoarthritis (OA) is the most common form of osteoarthritis and a frequent cause of chronic health problems. The femorotibial joint space is one of the most predictive factors associated with clinical symptoms and outcomes in patients with knee OA. Obesity is a major risk factor for the development of knee OA. Measurement of the knee joint space is most accurately performed using the Lyon-Schuss position. Methods: This study is an analytic study with a cross-sectional design. Radiological examinations were performed in the Lyon-Schuss position, and the narrowest femorotibial joint space was measured. Bivariate analysis using the chi-square test The Mann-Whitney U and Kruskal-Wallis test. Correlation analysis was then performed to determine the strength of the relationship between BMI and femorotibial joint space width. Results: Bivariate analysis showed a relationship between BMI and OA grade (p = 0.093), as well as between femorotibial joint space width and both BMI (p = 0.000) and OA grade (p = 0.000). A negative correlation was found between BMI and femorotibial joint space width, with the regression equation: y = 8.577 - 0.255x, where y represents femorotibial joint space width (mm) and x represents BMI (p = 0.000; R² = 0.306). Conclusion: There is a negative correlation between body mass index and femorotibial joint space width in patients with knee osteoarthritis.
PHYSICOCHEMICAL AND SENSORY CHARACTERISTIC EVALUATION OF SAGO FLOUR COOKIES WITH STEVIA SUGAR (Stevia Rebaudiana) ADDITION Anita, Elva; Safrida, Safrida; Muchdatul Ayunda, Hanif; Alamsyah , Teuku
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 3 (2025): September
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i3.215

Abstract

Cookies are a practical snack and are enjoyed by various age groups. Modifying sago flour cookies with stevia sugar not only has a crunchy texture and a preferred taste, but is also healthier. This study aims to determine the effect of various concentrations of sago flour with the addition of stevia sugar on cookies' physicochemical and sensory properties. This study used an experimental design with a quantitative approach and a Completely Randomized Design (CRD). The treatment consisted of four compositions: P1 (100% wheat flour: 0% sago flour) as a control, P2 (50% wheat flour: 50% sago flour), P3 (25% wheat flour: 75% sago flour), and P4 (0% wheat flour: 100% sago flour). Observations made were sensory tests, including: color, aroma, taste, texture, and crispness. Nutritional content tests included: water content, ash content, and fat content. Physical tests included: Hardness test. Respondents in the sensory test were 70 untrained panelists. Based on the research results, cookies substituted with 75% sago flour (P3) produced the highest acceptance of aroma, taste, texture, and crispness compared to other treatments, respectively, namely 3.86 (like), 3.66 (like), 3.87 (like), and 3.74 (like). The cookie hardness test found that the higher the proportion of sago flour, the more complex the cookies produced, namely P2 of 8.22 N/mm2, P3 of 8.4 N/mm2, and P4 of 11.5 N/mm2. Then, in the water content test, the more the proportion of sago flour, the more significant (P<0.05) the water content was, namely 4.42% (P2), 5.54% (P3), and 7.56% (P4). Meanwhile, the total ash and fat content decreased significantly (P<0.05), respectively, namely 0.88% (P2), 0.48% (P3), 0.30% (P4) ash content, and 29.09% (P2), 25.51% (P3), 21.04% (P4) fat content. The water, ash, and fat content in sago flour cookies meet the quality requirements of SNI 01-2973-2022 cookies except for the water content of the P4 treatment. Thus, the cookie formulation with 75% sago flour, 25% wheat flour, with the addition of stevia sugar (P3) produces the best product based on organoleptic acceptance and cookie quality requirements. However, it is necessary to identify the shelf life test of sago cookies to ensure the quality and safety of the product.
SOCIO-DEMOGRAPHIC RELATIONSHIP WITH EXCLUSIVE BREASTFEEDING BY MOTHERS OF TODDLERS AGED 6-59 MONTHS IN THE WORKING AREA OF DRIEN RAMPAK PUBLIC HEALTH CENTER, ARONGAN LAMBALEK DISTRICT Nailul Azmi; Teuku Muliadi; Cukri Rahma
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 3 (2025): September
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i3.216

Abstract

Exclusive breastfeeding plays a vital role in ensuring optimal nutrition for infants aged 0–6 months. Nevertheless, its coverage remains low in several areas, including West Aceh Regency. This study aimed to analyze the relationship between sociodemographic factors and exclusive breastfeeding practices among mothers of children aged 6–59 months in the Drien Rampak Public Health Center, Arongan Lambalek Subdistrict. Using an analytical survey with a cross-sectional design, a total of 267 respondents were selected through accidental sampling. Data were collected via questionnaires and analyzed using the chi-square test. The findings indicated significant associations between maternal knowledge (p=0.000), maternal education (p=0.000), maternal occupation (p=0.000), and economic status (p=0.017) with exclusive breastfeeding practices. Conversely, paternal education (p=0.080) and paternal occupation (p=0.290) did not show significant relationships. These results suggest that maternal knowledge, education, and occupation are key determinants in the success of exclusive breastfeeding, while paternal factors have a less direct influence. Strengthening maternal education and awareness, alongside supportive occupational conditions and adequate economic resources, may enhance exclusive breastfeeding rates in the region.
ANALYSIS OF INTERNAL, EXTERNAL FACTORS, ACADEMIC PROCRASTINATION IN COMPLETING FINAL ASSIGNMENTS IN COLLEGE STUDENTS Monal; Marniati; Ihsan Murdani; Maiza Duana; Mardi Fadillah
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 3 (2025): September
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i3.219

Abstract

Academic procrastination is a delaying behavior often found among students. The study was conducted because there were still a number of students in the 2020 batch of public health study programs who were not on time in completing their studies, allegedly related to procrastination behavior. This study aims to reveal the internal and external factors that trigger procrastination in completing the final project. The method used was descriptive qualitative, informants were selected purposively, namely: one key informant (caprodi), four main informants (students), and three supporting informants (academic supervisors). Data obtained through initial surveys, interviews, and documentation were analyzed through the stages of reduction, data presentation, and conclusion drawing. The results show that the more dominant (internal) factors include weak time management, low self- efficacy, and psychological conditions. While (external) factors including environmental conditions, and social support do not directly cause procrastination but can strengthen or reduce the causes in terms of internal factors. Academic procrastination in 2020 batch students of public health study programs is triggered by a combination of internal and external factors, which are dominated by internal factors. Suggestions, for students it is important to improve time management skills and build self-efficacy through structured and consistent study planning, especially when in the progress of preparing the final project.
THE RELATIONSHIP BETWEEN KNOWLEDGE, ATTITUDE AND FAMILY SUPPORT AND THE SUCCESS OF EXCLUSIVE BREASTFEEDING Khadizah Syahputri; Anita Purba; Annur Rusdyah Lubis; Desmawati Zebua; Tiarnida Nababan; Melita Riama Manik
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 3 (2025): September
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i3.221

Abstract

Exclusive breastfeeding for the first 6 months of life is an international standard; recommended by WHO and UNICEF to ensure the growth, development, and protection of infants from various infections. The success of exclusive breastfeeding is determined by various aspects, such as maternal knowledge, attitudes, family support, and social environmental conditions. This study aims to evaluate the level of success in exclusive breastfeeding practices. This research applies a quantitative method with a descriptive analytical design and a cross-sectional method. The population consists of mothers with babies aged 0-6 months, with a sample size of 30 people, using the total sampling method. The statistical analysis applied was the chi-square test to identify significant relationships between variables, with a significance limit of ɑ = 0.05. The results of the study showed that 43.3% of respondents had good knowledge about exclusive breastfeeding, 66.7% had a positive attitude, 63.3% received family support, and 73.3% had a successful rate of exclusive breastfeeding. The chi-square test showed a significant relationship between attitudes (P=0.045), knowledge (P=0.004), and family support showed stronger significance (P=0.001).
THE RELATIONSHIP BETWEEN STRESS LEVELS AND PHYSICAL ACTIVITY WITH THE NUTRITIONAL STATUS OF FINAL STUDENTS OF THE 2021 CLASSIFICATION AT THE FACULTY OF HEALTH SCIENCES, TEUKU UMAR UNIVERSITY Cut Nela Yulisa; Nasriyanti Syam; Cukri Rahma; Ravi Masitah
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 3 (2025): September
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i3.222

Abstract

Nutritional problems remain a significant public health challenge, encompassing both undernutrition and overnutrition, which affect quality of life and productivity. Stress levels and physical activity are factors that may influence nutritional status, particularly among final-year students who often face high academic pressure. This study aimed to analyze the relationship between stress levels and physical activity with nutritional status among final-year students of the 2021 cohort at the Faculty of Health Sciences, Teuku Umar University. This research employed an observational analytic design with a cross-sectional approach. A total of 142 respondents were selected using a simple random sampling technique from a population of 220 students. Stress levels were measured using the Depression Anxiety Stress Scale (DASS-42), physical activity using the Physical Activity Level (PAL), and nutritional status based on Body Mass Index (BMI). The data were analyzed using Spearman correlation with a significance level of p<0.05. The results showed that most respondents had normal nutritional status (64.1%), experienced severe stress (38%), and had light physical activity (35.2%). Statistical analysis revealed no significant relationship between stress levels and nutritional status (r = -0.068, p = 0.425), nor between physical activity and nutritional status (r = 0.030, p = 0.722). These findings suggest that nutritional status among students may be influenced by other factors beyond stress and physical activity. Therefore, it is recommended that students maintain healthy eating habits and balanced lifestyles despite academic pressures, while further research should explore additional determinants of student nutritional status.
Assessment of Nurses’ Awareness, Attitudes, and Performance Regarding Medication Errors: A Cross-Sectional Study at Aliabad Teaching Hospital, Kabul Abdul Aziz Nooriyan; Sediqullah Ahmadi; Samiullah Sahil; Sayed Abdul Wahid Hashimi
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 3 (2025): September
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i3.224

Abstract

errors represent a significant threat to patient safety worldwide, particularly in developing countries where healthcare systems face resource limitations and high workload pressures. Nurses, as primary administrators of medications, play a critical role in ensuring safe practices. This study aimed to assess the awareness, attitudes, and performance of nurses regarding medication errors at Aliabad Teaching Hospital in Kabul, to identify key factors contributing to errors, and to inform strategies for improving patient safety. Method: A descriptive cross-sectional study was conducted among 118 nurses using structured questionnaires. Data on demographic characteristics, awareness of medication errors, knowledge of the five rights of medication administration, attitudes toward error reporting, and performance in clinical practice were collected and analyzed using frequency and percentage distributions. Findings revealed that 54.2% of nurses demonstrated good awareness, while 34.7% exhibited positive attitudes, and 44.1% maintained good performance in medication administration. Common errors included wrong medication and dosage, with the administration phase being most error-prone. Factors such as high workload, fear of punishment, and inadequate institutional support were identified as barriers to safe practice. Despite satisfactory knowledge levels, gaps in attitude and performance persist, highlighting the need for continuous training, supportive reporting culture, workload management, and systematic supervision to enhance medication safety.
THE ROLE OF DIET IN SUPPORTING THE PHYSICAL HEALTH AND PHYSICAL DEVELOPMENT OF ADOLESCENTS IN INDONESIA Syauki Billi Asdani; Dienda Malika Azzahra; Sri Wahyuni; Muhammad Ilham
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 4 (2025): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i3.225

Abstract

This study aims to analyze the role of dietary patterns in supporting the physical health and development of adolescents in Indonesia. The research used a descriptive qualitative approach with literature study and thematic analysis. The results indicate that the nutritional status of Indonesian adolescents still faces a double burden of malnutrition, encompassing both undernutrition and overnutrition. Unbalanced dietary patterns, low intake of energy, protein, and fat, as well as insufficient fiber consumption, are the main contributing factors. Nutritional knowledge, body image, and family influence especially the role of mothers significantly affect dietary quality. It is concluded that holistic nutritional interventions and continuous education are essential to support optimal adolescent growth and development.
The Effectiveness of a Pocket Book as an Educational Medium in Increasing Knowledge of Diabetes Mellitus Prevention Among Students of SMAN 1 Meulaboh, West Aceh Regency Zilvia Zuhra; Lili Eky Nursia N; Meutia Paradiba; Fikri Faidul Jihad; Mardi Fadillah
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 3 (2025): September
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i3.226

Abstract

Background: The World Health Organization (WHO) reported in 2021 that 537 million (10.5%) adults (20-79 years old) had diabetes. In 2024, in West Aceh Regency, Johan Pahlawan District, 748 cases of Diabetes Mellitus were found. Diabetes Mellitus is a non communicable disease whose prevalence is increasing, including in the adolescent age group. Adolescents are a group that is vulnerable to lifestyle changes that can increase the risk of developing Diabetes Mellitus. Therefore, education about the prevention and management of Diabetes Mellitus in adolescents is very important to be carried out from an early age. This research has high urgency in the context of public health, especially in the prevention and management of Diabetes Mellitus in adolescents, because it can provide effective solutions through pocket books as a simple, concise, and easy to carry educational medium. Objective: Research to determine the effectiveness of pocket books as educational media in increasing adolescent knowledge about Diabetes Mellitus. Methods: This study used a pre-experimental design with a one-group pre-test and post-test approach. The population consisted of 38 students in 10 th grade. The sample size was 38 students, selected using purposive sampling technique with criteria of age 14-15 years. The research instrument was a validated questionnaire on knowledge about Diabetes Mellitus. Data analysis was performed using paired sample t-test with a significance level 0f 0.05. Results: The mean difference in scores was -30,395 with a standard deviation of 8,086. The 95% confidence interval ranged from -33,052 to -27,737. The t-test value obtained was -23.172, and the significance value was 0.000 (p<0.05). This indicates that there is a significant difference between the pretest and post-test scores. And the N-gaiin test had a mean value of 0.7692 > 0,7 which means the effectiveness is high, and the N-gain percentage showed a mean value of 76.9236 or 77.1%, indicating that it is effective. Conclusion: Education through pocket books has been proven effective in improving adolescents knowledge about diabetes melitus, making it a practical and easily understandable alternative medium for health promotion.

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