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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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COMPOSITE ORAL FILM BASED ON STARCH/POLY(VINYL ALCOHOL)/CHITOSAN CONTAINING Garcinia mangostana PEEL EXTRACT FOR RECURRENT APHTHOUS STOMATITIS Ramadhani Azzahra; Sekar Asri Tresnaningtyas; Muhammad Artha Jabatsudewa Maras; Endah; Meita Mahardianti; Asy Syifa Labibah
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.21671607

Abstract

Recurrent aphthous stomatitis affects approximately 5–25% of the global population, and the limited residence time of conventional topical formulations often reduces therapeutic efficacy at oral mucosal lesions. Polymeric films have emerged as promising localized oral drug delivery systems because they prolong mucosal retention and enable sustained release of bioactive compounds. Garcinia mangostana peel, an abundant agricultural by-product, is rich in xanthones, flavonoids, tannins, and phenolic compounds with antibacterial potential, although its application in oral films remains limited. This study aimed to fabricate and characterize a composite oral film based on starch/poly(vinyl alcohol)/chitosan containing Garcinia mangostana peel extract and evaluate its physicochemical properties and antibacterial activity against Streptococcus mutans. Mangosteen peel extract was prepared by maceration using 70% ethanol, cassava starch was isolated by wet extraction, and composite films containing 0%, 1%, and 2% extract were fabricated using the solvent-casting method. Mangosteen peel extraction and cassava starch isolation yielded 10% and 25%, respectively, while phytochemical screening confirmed the presence of flavonoids, saponins, tannins, and phenolic compounds. All formulations produced intact films with uniform thickness (0.260–0.268 mm), neutral pH (6.410–7.393), and folding endurance exceeding 300 cycles. Increasing extract concentration significantly enhanced antibacterial activity (p = 0.009), with inhibition zones increasing from 5.31 ± 0.19 mm (F1) to 6.66 ± 0.38 mm (F2). The 2% extract-loaded formulation exhibited the most balanced physicochemical properties and antibacterial performance, highlighting the potential of starch/poly(vinyl alcohol)/chitosan composite films as naturally derived platforms for localized oral drug delivery in recurrent aphthous stomatitis.
ANALYSIS OF COMPLETENESS OF CHILDBIRTH DOCUMENTATION IN THE TPMB IBI WORK AREA MADIUN REGENCY Salsabila Reinsa Novy Nur Fitria; Eltigeka Devi Apriliani
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.21671264

Abstract

Childbirth documentation is an essential component of midwifery services, functioning as legal evidence, a means of communication among health workers, the basis for clinical decision-making. Incomplete documentation is still frequently found in independent midwifery practices. This study aimed to analyze the completeness of childbirth documentation in the TPMB IBI work area Madiun Regency. The method used a quantitative descriptive. The population and sample consisted of 34 independent midwifery practices registered under IBI Madiun Regency, selected using total sampling. Research instruments included questionnaires and checklists. The results showed that most respondents were aged ≥36 years (82.4%), had a D4/S1 education level (94.1%), had established their TPMB for ≥10 years (61.8%), had good knowledge (85.3%), 50% had attended training. Analysis of the completeness level of delivery documentation based on staff capability (58.8%), material support (79.4%), method usage (70.6%), financial availability (76.5%). The completeness level of childbirth documentation was still relatively low, with only 55.9% categorized as complete. TPMB needs continuous practice, standard materials, financial support, implementation procedures, digitization of patient records to improve the quality of childbirth documentation.
COMPARISON OF THE EFFECTIVENESS OF ONDANSETRON IN BREAST CANCER PATIENTS AFTER CHEMOTHERAPY FAC (Fluorouracil, Doxorubicin Cyclophosphamide) AND TC (Taxane Cyclophosphamide) Azka Akhmad Fauzi; Titin Setyowati; Yanuarita Tursinawati; Muslimah
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
Publisher : PT. Radja Intercontinental Publishing

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Abstract

Breast cancer is one of the leading causes of morbidity and mortality in women worldwide. Chemotherapy with the regimens of FAC (Fluorouracil, Doxorubicin, Cyclophosphamide) and TC (Taxane Cyclophosphamide) is often used in the treatment of breast cancer, but side effects such as Chemotherapy-Induced Nausea and Vomiting (CINV) can impact the patient's quality of life. Ondansetron, a 5-HT3 serotonin receptor antagonist, has been widely used as an antiemetic therapy. This study aims to compare the effectiveness of Ondansetron in overcoming CINV in breast cancer patients receiving FAC and TC regimen chemotherapy. The research design used Quasi-Experimental with Two Group Pretest-Posttest, involving 36 patients selected by purposive sampling at Ken Saras Hospital in December 2024 – January 2025. Data were collected using the Rhodes Index of Nausea, Vomiting, and Retching (RINVR) and analyzed by paired-sample t-test and independent-sample t-test. The results showed that Ondansetron effectively lowered the RINVR score significantly in both groups (p = 0.00). However, there was no significant difference in the effectiveness of Ondansetron between the FAC and TC regimens, either before (p = 0.065) or after (p = 0.118) chemotherapy. The conclusions of this study showed that Ondansetron had good effectiveness in reducing CINV in both groups of patients, although there was no significant difference between the regimens.
THE EFFECT OF GIVING MUNG BEAN EXTRACT ON BREAST MILK PRODUCTION IN POST-PART MOTHERS IN DEPOK CITY, WEST JAVA Silfia Nuzulus Sa’idah; Lusy Pratiwi; Desy Qomarasari; Daris Yolanda Sari; Ruci’ah
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
Publisher : PT. Radja Intercontinental Publishing

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Abstract

Introduction: Breast milk is the best source of nutrition for infants; However, suboptimal breast milk production during the postpartum period remains one of the barriers to successful exclusive breastfeeding. Mung bean (Vigna radiata), as a local food rich in protein, vitamins, and minerals, has the potential to be used as a non-pharmacological intervention to support increased breast milk production. This study aimed to analyze the effect of consuming 250 ml mung bean extract on breast milk production among postpartum mothers. Methods: This study used a quasi-experimental design with a pretest-posttest approach. The sample consisted of 36 postpartum mothers who received 250 ml of mung bean extract once daily for 7 days. Data were collected using a breast milk production observation checklist and analyzed using the paired t-test. Results: Before the intervention, most respondents had low breast milk production (18 respondents; 50.00%), followed by moderate production (11 respondents; 30.55%) and good production (7 respondents; 19.45%). After the intervention, breast milk production improved, with 21 respondents (58.33%) categorized as good, 8 respondents (22.22%) as moderate, and 7 respondents (19.45%) as low. The paired t-test showed a significant difference in breast milk production before and after mung bean extract administration (p-value = 0.001; p < 0.05). Conclusion: Consumption of 250 ml mung bean extract significantly increased breast milk production among postpartum mothers. Mung bean extract can be considered an effective, safe, and affordable local food-based non-pharmacological intervention to support exclusive breastfeeding success.
FACTORS ASSOCIATED WITH MEDICATION ADHERENCE AMONG ISCHEMIC STROKE PATIENTS AT BAKTI TIMAH HOSPITAL, PANGKAL PINANG, IN 2025. Putri
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
Publisher : PT. Radja Intercontinental Publishing

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Abstract

Ischemic stroke is the main cause of death in Indonesia, including in the Bangka Belitung area. The level of medication adherence in ischemic stroke patients is still at a low level, which has an impact on the increased risk of recurrence and death. This study aims to determine factors related to medication adherence in ischemic stroke patients, especially at Bakti Timah Pangkalpinang Hospital. The factors studied included knowledge, attitudes, and family support for patients. This study uses a quantitative method with a cross-sectional design. with a sample of 88 respondents were taken from ischemic stroke patients who underwent outpatient treatment at Bakti Timah Pangkalpinang Hospital. The sampling technique used is purposive sampling. Data collection was carried out using a validated questionnaire, namely MMAS-8 to measure medication adherence, as well as a special instrument to measure variables of knowledge, attitudes, and family support. As well as data analysis using the Chi Square test. The results showed that there was a significant relationship between knowledge (p=0.000), attitude (p=0.000), and family support (p=0.000) and medication adherence in ischemic stroke patients. Knowledge, attitude and family support are the factors that most influence the patient's compliance in undergoing treatment. The results of this study can help in developing more effective intervention strategies to improve the quality of life of ischemic stroke patients. The conclusion that can be drawn from this study is that knowledge, attitudes, and family support have a meaningful relationship with the level of compliance of ischemic stroke patients in taking medication. The suggestion from this study is the need for continuous educational interventions to patients and discharges as well as the increasing role of health workers in providing support and monitoring to ischemic stroke patients.
EFFECTIVENESS OF DEEP BREATHING RELAXATION ON DEPRESSION AND QUALITY OF LIFE FOR ELDERLY HYPERTENSION Yunita Sari; Eka Sutrisna; Husna Maulida; Tarisa
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
Publisher : PT. Radja Intercontinental Publishing

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Abstract

Hypertension is disease chronic many​ experienced by the elderly age and can cause various problem physique and psychological , including depression and decline quality live . One of the intervention non-pharmacological methods that are easy , safe , and can be done in a way independent is technique deep breathing relaxation . Research This aim For analyze effectiveness deep breathing relaxation to level depression and quality living in the elderly hypertension . Research use design quasi-experimental with approachone-group pretest-posttest . Population study totaling 43 elderly people hypertension in Paya Punteut Village , Muara Dua District , Lhokseumawe City, with sample A total of 30 respondents were selected through technique purposive sampling . The instrument used is Geriatric Depression Scale (GDS) and World Health Organization Quality of Life-BREF (WHOQOL-BREF). Data analysis was performed using the Paired Sample t-test . The results of the study show that score depression experience decline from 4.90 to 3.27, while score quality life increase from 78.70 to 82.80 after intervention given . Statistical tests showed a significant difference before and after the intervention (p<0.001). Thus, deep breathing relaxation techniques are effective in reducing depression and improving quality of life in elderly hypertensive patients.
EFFECTIVENESS OF USING MORINGA LEAVES AS AN ANTI-CHLESTROL INGREDIENT IN WOMEN Rizky Mauliza; Evi Yanti; Riski Dian Ardianti; Fitri Muliani
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
Publisher : PT. Radja Intercontinental Publishing

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Abstract

Moringa leaves are a plant that can be used to prevent and treat cholesterol. The increasing number of cholesterol sufferers must be taken seriously and addressed. Cholesterol sufferers are also found in Blang Weu Baroh Village, where the number of cholesterol sufferers is 126 people, with 30 suffering from hypercholesterolemia. This problem must be addressed. The community is unaware that Moringa leaves can be used as a medicine for hypercholesterolemia, with only 15% knowing the benefits of Moringa leaves. Therefore, researchers need to see the effectiveness of the use of Moringa leaves as an anti-cholesterol agent. The purpose of this study was to determine the effectiveness of the use of Moringa leaves as an anti-cholesterol agent in women in Blang Weu Baroh Village, Blang Mangat District, Lhokseumawe City. This study used a quasi-experimental design, namely conducting pretest and posttest testing, with a sample size of 30 people. The results of the study showed that the results of the paired sample t-test obtained a significance value of 0.000 < 0.05, which means there is effectiveness in using Moringa leaves as an anti-cholesterol agent for women in the Blang Weu Baroh Village area. The community's cholesterol levels decreased by 18.7 mg/dL after being given Moringa leaves, so it can be interpreted that Moringa leaves are quite effective in reducing community cholesterol levels.
THE EFFECT OF EDUCATION ON IMPROVING PREGNANT WOMEN'S KNOWLEDGE ABOUT INTEGRATED ANC AT SADAR JAYA PUBLIC HEALTH CENTER, SIAK KECIL DISTRICT, BENGKALIS REGENCY Shandra Yunita Nadeak; Wira Ekdeni; Rizka Mardiya; Fajar Sari Tanberika
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
Publisher : PT. Radja Intercontinental Publishing

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Abstract

Maternal health services must meet the minimum frequency of pregnancy check-ups. In 2024, the coverage of ANC visits at the Sadar Jaya Community Health Center, Siak Kecil District, Bengkalis Regency, was 87.2% of the target of 90%. One of the contributing factors was the lack of implementation of an integrated ANC program for pregnant women. This study aims to determine the effect of education on increasing pregnant women's knowledge about integrated ANC. This study was a pre-experimental study. The population was all pregnant women in their first trimester in May 2026, totaling 40 people, with a sample size of 37 people.simple random sampling. Data analysis using t-test. The results of the study showed that the knowledge of pregnant women before education about integrated ANC was mostly (54.1%) with sufficient knowledge. The knowledge of pregnant women after education about integrated ANC was mostly (62.2%) with good knowledge. The effect of education on increasing the knowledge of pregnant women about integrated ANC with a ρ value of 0.000 < 0.05. Therefore, it is hoped that community health centers will improve knowledge and understanding, especially in providing services to pregnant women about integrated ANC.
ASSOCIATION BETWEEN BODY IMAGE AND STRESS LEVELS AMONG ADOLESCENTS: A CROSS-SECTIONAL STUDY AMONG STUDENTS OF MADRASAH ALIYAH NEGERI 1 MEDAN Cindy Amalia Daulay; Amelia Eka Damayanty
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
Publisher : PT. Radja Intercontinental Publishing

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Abstract

Approximately 14% of adolescents experience mental health disorders, including stress, while in Indonesia an estimated 9.8% of adolescents experience stress and depression. During adolescence, physical changes, beauty standards, social media exposure, and peer influence may negatively affect body image, increasing psychological distress. This study aimed to analyze the relationship between body image and stress levels among students at Madrasah Aliyah Negeri 1 Medan. A correlational study with a cross-sectional design was conducted among 92 students in grades X and XI selected using consecutive sampling. Body image and stress levels were assessed using the Body Appreciation Scale-2 (BAS-2) and the Perceived Stress Scale-10 (PSS-10), respectively. Data were analyzed using Spearman's rank correlation test. Most respondents were 15 years old (69.6%) and female (52.5%), with the majority reporting moderate body image (51.1%) and moderate stress levels (56.5%). Spearman's rank correlation showed a significant negative association between body image and stress levels (r = −0.634, p < 0.001), indicating that students with more positive body image tended to report lower perceived stress. These findings suggest that promoting positive body image may contribute to reducing stress and supporting mental health among adolescents

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