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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 279 Documents
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Ethical Considerations and Informed Consent in Anesthesiology Sofi Showkat Saleem; Dr.Qumail Hussain; Shuja Abass
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
Publisher : PT. Radja Intercontinental Publishing

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In anesthesiology, ethical principles such as autonomy, beneficence, non-malfeasance, and justice are critical. This paper investigates these ethical considerations, emphasizing the process of obtaining informed consent. It addresses the unique challenges in anesthesiology, including the effects of anesthesia on patient cognition, the complexity of information, and the urgency often associated with anesthesia in emergency settings. The paper explores the implications of these challenges on obtaining valid consent and offers strategies to improve informed consent practices. These strategies include enhancing communication, providing pre-operative education, and ensuring thorough documentation. By adhering to these practices, anesthesiologists can better respect patient autonomy, mitigate risks, and uphold ethical standards in their practice. The goal is to ensure that patients are fully informed and able to participate meaningfully in decisions about their anesthesia care, even in complex and time-sensitive situations.
THE CORRELATION BETWEEN CRYSTALLOID FLUID PRELOADING AND BLOOD PRESSURE IN PATIENTS UNDERGOING CESAREAN SECTION WITH SPINAL ANESTHESIA AT THE CENTRAL SURGICAL INSTALLATION Aurelia Anaya Dwi Pradianita; Nurul Fatwati Fitriana; Marta Tania Gabriel Ching Cing; Tati Hardiyani
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
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Spinal anesthesia for cesarean section often causes maternal hypotension in 60-70% of cases, so an effective fluid management strategy is needed. This study aims to analyze the relationship between crystalloid fluid pre-loading and blood pressure changes in patients with spinal anesthesia for cesarean section. A quantitative, analytical, observational study with a cross-sectional design was conducted on 51 patients from a population of 58 at Dr. R. Goeteng Taroenadibrata Purbalingga Regional General Hospital (January-February 2026). Purposive sampling and the Slovin formula were selected. Data were collected through observation sheets and Drager NIBP monitors, and bivariate analysis was carried out using Fisher's Exact Test. The results showed that 76.5% received adequate pre-loading (10-20 ml/kgBW) with a hypotension incidence of 12.8% versus 66.7% in the inadequate group (p=0.001). The findings confirmed a significant relationship between adequate crystalloid pre-loading and blood pressure stability. Pre-loading of 10-20 ml/kgBW is recommended for elective cases to minimize the risk of hypotension.
THE EFFECT OF FAMILY SUPPORT AND COMPLIANCE IN CONTROL OF LOW-PURINE DIET PATTERNS ON HYPERURICEMIA IN BOJONEGORO BASED ON LAWRENCE GREEN'S THEORY Alfina Lutfiati; Evita Muslima Isnanda Putri; Sri Mulyani; Ahmad Mafthukin; Rahmawati
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
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Hyperuricemia is a condition characterized by elevated uric acid levels in the blood, which can cause joint pain and impaired activity in the elderly. Adherence to a low-purine diet and family support are important factors in preventing hyperuricemia. This study aimed to analyze the effect of family support and adherence to a low-purine diet on hyperuricemia based on Lawrence Green's theory. This study used a quantitative correlational design with a cross-sectional approach. The study sample consisted of 48 elderly people aged ≥ 60 years at the Elderly Posyandu in Tlatah Village, Purwosari District, Bojonegoro Regency, selected using a simple random sampling technique. The independent variables were family support and adherence to a low-purine diet, while the dependent variable was hyperuricemia. Data collection used questionnaires and uric acid examination observation sheets. Data analysis used a logistic regression test with a significance level of α <0.05. The results showed that the family support variable had a significant p value of 0.020 (<0.05), which means there is an effect of family support on hyperuricemia in the elderly. The Exp(B) value of 0.134 indicates that elderly people with good family support have a lower chance of experiencing hyperuricemia. The low-purine diet adherence variable showed a significant p value of 0.002 (<0.05), which means there is an effect of low-purine diet adherence on hyperuricemia in the elderly. The Exp (B) value of 0.061 indicates that elderly people who adhere to a low-purine diet have a lower risk of hyperuricemia. The conclusion of this study is that family support and adherence to a low-purine diet influence the incidence of hyperuricemia in elderly people. Good family support and adherence to a low-purine diet can help reduce the risk of hyperuricemia in elderly people
THE EFFECT OF LIFESTYLE ON THE INCIDENCE OF HYPERTENSION IN CAMPUREJO VILLAGE, BOJONEGORO REGENCY BASED ON LAWRENCE W. GREEN'S THEORY Bintang Junia Ningsih; Sri Mulyani; Siti Patonah; Ahmad Maftukhin; Rahmawati
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
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Hypertension is a non-communicable disease that continues to increase and is influenced by various lifestyle factors such as physical activity, diet, smoking, coffee consumption, and stress levels. This study aims to analyze the influence of lifestyle on the incidence of hypertension in the community of Campurejo Village, Bojonegoro Regency based on the theory of Lawrence W. Green. The study used a quantitative analytical design with a cross-sectional approach. The study population was 2,062 residents aged 30–50 years with a sample of 92 respondents selected using a random sampling technique. Data were collected through a lifestyle questionnaire, the DASS instrument for stress levels, and blood pressure measurements using a digital sphygmomanometer. Data analysis was performed using binary logistic regression. The results showed that diet (p=0.002), smoking habits (p=0.007), and stress levels (p=0.000) significantly influenced the incidence of hypertension, while physical activity (p=0.684) and coffee consumption (p=0.318) did not significantly influence. Unhealthy diet is the most dominant factor that increases the risk of hypertension. The conclusion of this study is that lifestyle has an important role in the incidence of hypertension, especially diet, smoking habits, and stress levels, so that promotive and preventive efforts based on public health behavior are needed.
THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND COMPLIANCE WITH MEDICATION IN PULMONARY TB PATIENTS IN THE WORKING AREA OF THE BOJONEGORO PUBLIC HEALTH CENTER BASED ON LAWRENCE W. GREEN'S THEORY Avrinda Debora Sinda Mercelin; Evita Muslima Isnanda Putri; Ahmad Maftukhin; Titik Nuryanti; Rahmawati
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
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Abstract

Pulmonary tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis and requires long-term treatment for six months. Non-compliance with medication is one of the main causes of therapy failure and increases the risk of Multi Drug Resistance (MDR). Family support is an important factor in improving medication compliance in pulmonary TB patients. This study aims to analyze the relationship between family support and medication compliance in pulmonary TB patients in the Bojonegoro Community Health Center working area based on Lawrence W. Green's theory. This study used a quantitative correlational design with a cross-sectional approach. The study sample was 36 pulmonary TB patients who had undergone treatment for six months using a total sampling technique. The independent variable was family support and the dependent variable was medication compliance. Data collection was carried out using a family support questionnaire and a medical card observation sheet. Data analysis used the Chi-Square test with a significance level of α<0.05. The results showed that most respondents received good family support (32 respondents (88.9%) and the majority of respondents were compliant with taking medication (35 respondents (97.3%). The chi-square test yielded a p-value of 0.004 (<0.05), indicating a relationship between family support and medication adherence in pulmonary TB patients. The study concluded that family support significantly correlates with medication adherence in pulmonary TB patients. Emotional support was the most dominant form of support in improving medication adherence in pulmonary TB patients.
THE EFFECT OF BANANAS (MUSA PARADISIACA) ON REDUCING BLOOD PRESSURE IN PREGNANT WOMEN Lisna Nurfitriana; Siti Mardhatillah Musa
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
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Hypertension in pregnancy is one of the leading causes of maternal and fetal morbidity and mortality worldwide. This study aims to analyze the effect of banana (Musa paradisiaca) consumption on reducing blood pressure in pregnant women with hypertension. The research method used was a literature review of 20 research articles consisting of quasi-experimental, pre-experimental, and case study designs. The population in this study were pregnant women with hypertension, while the sample consisted of 20 research results that met the inclusion criteria. Instruments used in these studies included a sphygmomanometer and a blood pressure observation sheet. Data analysis was conducted using narrative synthesis of relevant research results. The results showed that most studies reported a significant decrease in systolic and diastolic blood pressure after consuming bananas at a dose of 100–200 grams per day for 5–14 days, with a p value <0.05. Ambon bananas are the most frequently used type and have shown consistent effectiveness as a complementary therapy. The conclusion of this study is that banana consumption has an effect on lowering blood pressure in pregnant women with hypertension and can be used as a complementary non-pharmacological therapy, although there are still limitations in sample size and research design.
THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND QUALITY OF LIFE OF PERSONS WITH DISABILITIES IN THE INDONESIAN ASSOCIATION OF PERSONS WITH DISABILITIES (PPDI) BOJONEGORO BRANCH Selvi Umma Nur Aprilia; Evita Muslima Isnanda Putri; Titik Nuryanti; Wiwik Utami
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
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Background: People with disabilities still face various social, psychological, and health limitations that can affect their quality of life. Family support is an important factor in improving the welfare of people with disabilities. Objective: This study aims to analyze the relationship between family support and the quality of life of people with disabilities in the Indonesian Disability Association (PPDI) Bojonegoro Branch. Method: The study used a quantitative correlational design with a cross-sectional approach. The study population was 125 PPDI community members and a sample of 56 respondents was determined using the Slovin formula with a simple random sampling technique. Data collection used a family support questionnaire and WHOQOL-BREF. Data analysis was carried out univariately and bivariately using the Spearman rho test with a significance level of p ≤ 0.05. Results: A total of 50% of respondents had good family support and 54% had a good quality of life. The results of the Spearman rho test showed a significant relationship between family support and quality of life (p = 0.000) with a very strong positive correlation strength (r = 0.931). Conclusion: The better the family support received by people with disabilities, the better their quality of life in the PPDI Community, Bojonegoro Branch
THE EFFECT OF MINDFULNESS THERAPY ON ENVIRONMENTAL ADAPTATION ANXIETY IN NEW FEMALE STUDENTS AT THE DARUL HIKMAH BALEN ISLAMIC BOARDING SCHOOL, BOJONEGORO BASED ON ROY'S ADAPTATION THEORY Syani Laily Anggrina; Evita Muslima Isnanda Putri; Agus Ari Afandi; Sri Mulyani
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
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New female students at Islamic boarding schools often experience environmental adaptation anxiety due to significant changes in their social environment and lifestyle. This condition can affect their emotional balance, learning process, and adjustment abilities. Mindfulness therapy is known as a non-pharmacological intervention that can improve emotional regulation and reduce anxiety. This study aims to analyze the effect of mindfulness therapy on environmental adaptation anxiety in new female students at Darul Hikmah Balen Islamic Boarding School in Bojonegoro based on Roy's Adaptation Theory. The study used a quantitative pre-experimental design with a one-group pretest-posttest approach. The study population consisted of 23 new female students, with a sample of 20 respondents selected using purposive sampling. Data collection used a mindfulness therapy module and the Hamilton Anxiety Rating Scale (HARS) questionnaire. Data analysis was performed univariately and bivariately using the Friedman test in SPSS 20.0. The results showed that before the intervention, 85% of respondents experienced severe anxiety. After four sessions of mindfulness therapy for two weeks, all respondents (100%) experienced mild anxiety. The statistical test results showed a p-value of 0.000 (<0.05), indicating a significant effect of mindfulness therapy on environmental adaptation anxiety. The conclusion of this study is that mindfulness therapy is effective in reducing environmental adaptation anxiety in new female students at Islamic boarding schools.
The Relationship Between Socio-Economical and Pregnancy Spacing with the Incidence of Chronic Energy Deficiency (CED) in Pregnant Women at the Balen Community Health Center Yuli Anggraeni; Siti Patonah; Wiwik Utami; Fidrotin Azizah
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
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Chronic Energy Deficiency (CED) remains a serious nutritional problem among pregnant women in Indonesia, particularly in the Balen Community Health Center (Puskesmas) area of ​​Bojonegoro Regency. Socioeconomic status and pregnancy spacing are suspected to contribute to the incidence of CED. The purpose of this study was to determine the relationship between socioeconomic status and pregnancy spacing and the incidence of CED in pregnant women. This study used a cross-sectional design with a sample size of 44 pregnant women drawn using simple random sampling. The independent variables were socioeconomic status and pregnancy spacing, while the dependent variable was the incidence of CED as measured by mid-upper arm circumference (MUAC). Data analysis used the Spearman's Rho test with a significance level of <0.05. The study showed that less than half of the pregnant women had low socioeconomic status (19 women (43.2%), and most of the pregnant women had a safe/ideal pregnancy spacing (37 women (84.1%). The results of the analysis using sperm rank showed a significant association between economic status and the incidence of CED (p = 0.000). women, while pregnancy spacing did not show a significant association. Nutrition education interventions and ideal pregnancy planning are needed to prevent CED.
DESCRIPTION OF THE LEVEL OF KNOWLEDGE AND BEHAVIOR OF DIABETES MELLITUS PREVENTION IN STUDENTS OF THE D-IV MEDICAL LABORATORY TECHNOLOGY STUDY PROGRAM, CLASS OF 2025. Dewi Herlyana Putri; Ni Komang Eva Dwi Yanti; Ni Luh Yesi Pratami; Wandy Christiawan Lampaga; Agung Surya Rahman; Moh Arif; Saskirana; Fitri Aramadani; Novita Fitri Fajriani; Mujizat
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
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Diabetes Mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to impaired insulin production or function. This study aimed to describe the level of knowledge about Diabetes Mellitus among students of the D-IV Medical Laboratory Technology Study Program, class of 2025. This descriptive study used a cross-sectional approach involving 34 respondents through questionnaire distribution. The results showed that 52.9% of respondents had good knowledge, 35.3% had sufficient knowledge, and 11.8% had poor knowledge. Students still showed limited understanding regarding diabetes complications and normal blood glucose levels. Overall, students demonstrated a fairly good level of knowledge about Diabetes Mellitus.

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