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Jurnal Medika Nusantara
Published by Sekolah Tinggi Ilmu Kesehatan Kesdam IV, Diponegoro
ISSN : 29867878     EISSN : 29867061     DOI : 10.59680
Core Subject : Health,
Health Professions Nursing Public Health
Jurnal Medika Nusantara mencakup artikel di bidang ilmu kesehatan dan Kedokteran. Kami menyediakan akses terbuka (open access) bagi para akademisi dan praktisi serta mahasiswa kesehatan yang ingin mendapatkan artikel dalam Jurnal Jurnal Medika Nusantara
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 240 Documents
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Phytochemical Screening and Antioxidant Activity of Phenolic Compound From Anacardium Occidentale Leaf Extract Belgis Belgis
Jurnal Medika Nusantara Vol. 2 No. 2 (2024): Mei : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i2.983

Abstract

Indonesia is known for its high biodiversity, particularly in herbal medicine, with cashew trees being one of the most used plants. Cashew leaves contain proteins, fats, carbohydrates, calcium, and vitamins B1 and B2. They are used as herbal medicine in various parts of Indonesia, including kidney disease treatment, mouthwash, and kanker disease drugs. The ethanol extract from cashew leaves contains secondary metabolite compounds such as phenolic, flavonoids, and tannins. The bioactivity of cashews includes antiviral, antifungal, antibacterial, and anti-inflammation properties. The cardanol compound from cashew leaves has the highest antioxidant activity compared to cardol and anacardic acid, with IC50 values of 3,22±0.07 ?g/ml and 0,06±0.01 ?g/mL, respectively. This research aims to isolate phenolic compounds from cashew leaves, identify their structure, and measure antioxidant activity. The study analyzed the phytochemical screening of A. occidentale leaf extracts, revealing variations in their components. Hexane extracts were positive for tannin and terpenoid compounds, while dichloromethane extracts were positive for all compounds except saponin and cardiac glycoside. Ethyl acetate extracts were positive for terpenoids and flavonoids. Methanol extracts were positive in nearly all assays except for anthraquinone. The isolated compound from A. occidentale leaf yielded a yellow powder with a melting point of 247-248?C. The crude extract had an IC50 value of 59.19 ± 2.38 ?g/mL, while the phenolic separated element had a value of 191.815 ± 1.07 ?g/mL. Flavonoids are a group of antioxidants that act as chelators and scavengers of free radicals, targeting hydroxyl and peroxyl radicals, superoxide anions, and peroxynitrites. The Anacardiaceae family species contain numerous phenolic compounds with potent antioxidant properties, which can help manage elevated free radical generation conditions. Further research is needed to determine the specific phenolic chemicals responsible for the antioxidant activity of the species and evaluate their contribution to this activity. Anacardium occidentalale L. leaves, seeds, and stem bark extracts have been found to have antioxidant and antimicrobial properties. The traditional herbal medicine of Indonesia, Jamu, is a valuable source of antioxidants and prooxidants
Jumlah Leukosit, Trombosit, dan Kadar Kreatinin Pada Pasien Sepsis Covid-19 Di RSUD Genteng Banyuwangi Pada Periode 2020-2021 Rezita Nurul Magfiroh; Nur Septia Handayani; Erlinda Widyastuti; Belgis Belgis
Jurnal Medika Nusantara Vol. 2 No. 2 (2024): Mei : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i2.991

Abstract

One of the medical conditions that leads to the highest death rate worldwide is sepsis. In the presence of several variables and concomitant conditions, the mortality rate from sepsis keeps rising in proportion to the severity of the condition. It is quite concerning when sepsis patients have proven COVID-19. Some patient subgroups and inflammatory mediators may have increased cytokine release as a result of the SARS-CoV-2 virus. A number of laboratory tests can be used to diagnose COVID-19 and sepsis, one of which is counting leukocytes, platelets, and creatinine levels as indicators of organ failure. The purpose of this study is to characterize the platelet, leukocyte, and creatinine levels in individuals who have been diagnosed with COVID-19 sepsis. This study's methodology employed a descriptive observational technique using 36 patient samples from Genteng Banyuwangi General Hospital, selected based on laboratory examination results (leukocyte count, platelets, and creatinine levels), as well as characteristics related to gender, age, comorbidities, and hospital discharge status. The findings revealed that female patients aged 20 (55.6%) made up the bulk of patients with confirmed COVID-19 sepsis, whereas the largest age group consisted of 9 (56.25%) individuals who were over 60. Twenty-two (61.1%) sepsis patients with proven COVID-19 had a high leukocyte count, and of those with confirmed COVID-19 and sepsis, the majority had normal platelets depending on the platelet count. Nine (56.25%) male patients with confirmed COVID-19 sepsis had elevated creatinine levels, whereas 10 (50%) female patients had normal findings. Patients with sepsis who had verified COVID-19 were generally deceased upon hospital release, with no comorbidities in 14 patients (or 50% of the total), and diabetes mellitus in 13 patients (or 46.4%).
Terapi Kompres Hangat Untuk Menurunkan Nyeri Dada Pada Pasien Acute Coronary Syndrome Non-STEMI Bayu Prasetyo; Nur Chayati; Sidiq Purnomo
Jurnal Medika Nusantara Vol. 2 No. 2 (2024): Mei : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i2.1092

Abstract

Background: Acute Coronary Syndrome is a manifestation of ischemic heart disease that occurs when blood flow to the heart is disrupted, leading to oxygen deficiency. One of the symptoms that arises in patients with Acute Coronary Syndrome is chest pain. One effective non-pharmacological therapy in reducing chest pain in patients with Acute Coronary Syndrome is warm compress therapy. Objective: To analyse effect of applying warm compress therapy to alleviate chest pain in patients with Acute Coronary Syndrome Non-STEMI. Method: The method used in this study is a case report. The instruments used are nursing assessment with the PQRST approach and Pain Measurement Scale with warm compress intervention evaluated over 3x 24 hours. Results: The results of this case study show a decrease in pain scores from 6 to 4 on the first day, decreasing to 3 on the second day and further decreasing to 2 on the third day. Conclusion: Warm compress therapy is effective in relieving chest pain in patients with Non-ST Elevated Myocardial Infarction Acute Coronary Syndrome.
Pengaruh Kombinasi Terapi Foot Massage dan Murottal Alquran terhadap Tingkat Kelelahan Pasien yang Menjalani Hemodialisa Fatkhal Khairu Najib; Erna Rochmawati; Akhmad Zuhri
Jurnal Medika Nusantara Vol. 2 No. 2 (2024): Mei : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i2.1099

Abstract

Chronic kidney failure occurs due to a decrease in kidney function, causing an imbalance in the body's metabolism, fluids and electrolytes which can result in uremia. Patients with chronic renal failure must undergo routine hemodialysis therapy. Hemodialysis therapy can cause nursing problems, namely fatigue. Fatigue can be caused by a lack of hemoglobin levels in patients or the length of the hemodialysis process. The research method used in this research is a case report by evaluating the implementation of a combination intervention of foot massage and murottal therapy Surat Ar Rahman. The instrument for measuring fatigue levels uses the FACIT-fatigue scale questionnaire. The results of this study showed that the patient experienced high fatigue with a score of 10.5 and after being given a combination of relaxation intervention of foot massage and murottal Al-Quran therapy, the patient's fatigue level score became 18.2 or moderate fatigue. From these results, it can be concluded that there is an effect of providing a combination of relaxing foot massage and murottal therapy on reducing the level of fatigue in chronic kidney failure patients undergoing hemodialysis.
Efektifitas SENADA terhadap Peningkatan Fungsi Kognitif Lansia dengan Demensia: Case Report Fara Fitri Fakhrudiana; Nopryan Ekadinata; Muh Fathoni Rohman
Jurnal Medika Nusantara Vol. 2 No. 2 (2024): Mei : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i2.1104

Abstract

Older people in Indonesia are experiencing a significant increase in population, often accompanied by a decline in brain function and the risk of dementia. SENADA (Brain Health Exercise) emerges as a potential approach for enhancing cognitive function in older people through simple movements. Further research and information are needed to support its use in elderly healthcare practices. This study employed a case report approach with nursing care to evaluate the effectiveness of SENADA in older individuals with dementia. Interventions were conducted regularly with structured data collection using MMSE. The aim of this research was to assess the effectiveness of SENADA in improving cognitive function in older people with dementia through a case report approach with nursing care. Interventions were given twice daily for five minutes. Data were collected through interviews, interventions, evaluations, and documentation. Results demonstrated that SENADA therapy in patient Ny. A was effective for enhancing cognitive function in older people, as evidenced by the change in MMSE outputs from moderate to no cognitive impairment.
Pengaruh Kombinasi Slow Deep Breathing dan Cryotherapy terhadap Nyeri Akibat Tusukan Fistula Arteriovenosa Pada Pasien Hemodialisis: Case Report Afif Tiara Khusna; Ida Nurjayanti; Agus Rismanto
Jurnal Medika Nusantara Vol. 2 No. 2 (2024): Mei : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i2.1111

Abstract

A problem often experienced by hemodialysis patients is pain when puncturing an arteriovenous fistula. Hemodialysis patients with AVFs experience an average of ten AVF punctures every month, lasting their entire lives. Persistent pain can negatively affect a patient's health, functional ability, and quality of life. This research uses a Case Report approach with nursing care. The intervention was carried out on a scale with structured data collection using the Numeric Scale Rating. The aim of this study was to examine the effect of a combination of slow deep breathing and cryotherapy on arteriovenous fistula puncture. This case study carried out data collection through interviews, intervention, evaluation and documentation. The results of this case study showed that the combination of Slow Deep Breathing and Cryotherapy was effective in reducing pain due to AV fistula puncture in hemodialysis patients. Before the intervention was carried out, the pain scale for both respondents was 6 (moderate pain), but after the intervention with Slow Deep Breathing and Cryotherapy for 4 sessions for 15 minutes, the pain scale decreased to 2 (mild pain).
Penerapan Rom (Range Of Motion) Dan Massage Punggung Untuk Mencegah Luka Tekan Pada Lansia Tirah Baring Nazwa Nur Ashyfa; Dinasti Pudang Binoriang
Jurnal Medika Nusantara Vol. 2 No. 2 (2024): Mei : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i2.1113

Abstract

Immobilization is an extrinsic variable that can cause problems related to skin integrity. The inability to move freely due to situations that interfere with or limit movement may be directly related to an internal problem such as a chronic illness or health condition. Pressure ulcers or also known as decubitus ulcers, are local injuries caused by pressure or a combination of friction and pressure on the skin and/or underlying tissue, usually over a bony prominence. This research method uses a descriptive case study. The research population consisted of 1 person, namely a patient with heart failure with a nursing diagnosis of Activity Intolerance. The evaluation results from providing back massage (efflurage) and range of motion (ROM) to the client showed a reduction in complaints of soreness while in bed. After being taught range of motion (ROM) the client can do it themselves every time the client wakes up. Apart from that, clients also say they feel fresher after doing efflurage massage. The conclusion from applying ROM to these patients is that there is an increase in the Braden scale score which shows that there is a reduced risk of decubitus or pressure sores in the elderly. Meanwhile, when giving effluerage back massage, results were obtained in the form of client validation which said that the client was fresher, and there was a change in blood pressure results to normal numbers.
Pengaruh Intervensi Terapi Hypnobreastfeeding Terhadap Tingkat Kecemasan pada Ibu Primipara Pasca Operasi Sectio Caesarea Leony Gita Amiyarti; Nur Azizah Indriastuti; Eny Hernani
Jurnal Medika Nusantara Vol. 2 No. 2 (2024): Mei : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i2.1118

Abstract

Background: Sectio Caesarea (SC) is currently an alternative method of delivery for mothers. Delivery by sectio caesarea method in primipara mothers can cause anxiety problems. One way to reduce anxiety is with hypnobreastfeeding technique. Objective: Apply hypnobreastfeeding therapy and determine the effect of hypnobreastfeeding therapy on the anxiety level of primiparous mothers with post sectio caesarea. Methods: The method used in this study is a case study conducted on patients who are primiparous mothers after cesarean section with anxiety using hypnobreastfeeding therapy. This therapy was conducted for 2 days from May 10, 2024 - May 11, 2024 at PKU Muhammadiyah Gamping Hospital. Results: From the case study conducted for 2 interventions, a decrease in anxiety was obtained as evidenced by the results of the HARS score showing anxiety decreased to 18 (mild anxiety) from the previous 22 (moderate anxiety). Conclusion: Based on the results of the analysis and discussion carried out on the case study report entitled “The Effect of Hypnobreastfeeding Therapy Intervention on Anxiety Levels in Primiparous Mothers After Sectio Caesarea Surgery” it can be concluded that hypnobreastfeeding therapy is effective for reducing anxiety in postoperative sectio caesarea mothers.
Efektivitas Terapi Foot Massage Dalam Mengurangi Nyeri Pada Pasien Post-Histerektomi Dengan Mioma Uteri Vidya Ananda; Sri Sumaryani; Eny Hernani
Jurnal Medika Nusantara Vol. 2 No. 2 (2024): Mei : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i2.1119

Abstract

Foot massage therapy is a technique that uses patting, stroking, or pressure to distract and divert connective tissue to increase foot muscle tone, improve circulation, and induce relaxation, by releasing endorphins, it can also increase the pain threshold. The purpose of this study was to evaluate the effectiveness of foot massage therapy in reducing pain in post-hysterectomy patients with uterine myoma. This study uses a descriptive design with a case study approach to nursing care for 3 days with a foot massage therapy intervention for 15 minutes to case study subjects who are evaluated using the Numeric Rating Scale. This case study was conducted at Muhammadiyah PKU Gamping Hospital Yogyakarta on May 8-10, 2024. The results of the intervention evaluation from the first day to the third day showed that patients reported a decrease in pain from a scale of 9 to a scale of 4 after being given foot massage therapy. This decrease in pain level is not only the effect of foot massage therapy alone, but also from the medications taken during treatment. In addition to reducing pain, this therapy can also make patients more comfortable and relaxed.
Efektivitas Terapi Relaksasi Hand Massage Dalam Mengurangi Kecemasan Pra-Operasi Pada Pasien Kistektomi: Studi Kasus Agni Cahya Pratiwi; Sri Sumaryani; Eny Hernani
Jurnal Medika Nusantara Vol. 2 No. 2 (2024): Mei : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i2.1120

Abstract

Background: A study showed that 23.99% of patients experienced severe preoperative anxiety and had adverse effects such as increased blood pressure, contraction of arteries, tachycardia, decreased pressure in some tissues which stimulates the sympathetic nervous system which will affect the healing process, so treatment is necessary pharmacologically and non-pharmacologically. Hand massage is a non-pharmacological way to reduce anxiety. Objective: To measure the effect of hand massage relaxation therapy on anxiety levels in pre-cystectomy patients. Method: This research is a case study with nursing intervention carried out, namely hand massage relaxation therapy on the level of anxiety in Mrs. R pre-operative cystectomy patients for 3 days with a massage duration of 15 minutes and evaluation of anxiety scores using the HARS assessment. Results: The results of this study showed that there was a decrease in anxiety levels using the HARS score from scale 18 with mild anxiety on the first day and scale 7 with no anxiety on the third day. A decrease in the HARS score of 11 indicates that hand massage therapy is effective in reducing anxiety in pre-operative patients. Conclusion: These findings indicate that hand massage therapy can be an effective intervention to reduce pre-operative patient anxiety.

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