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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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Pengaruh Karakteristik Individu Terhadap Minat Kunjungan Ulang Pemeriksaan Antenatal Care (ANC) Di Rumah Sakit Umum Ridos Medan Tahun 2024 Polma Ria Metawati Panjaitan; Mediana Br. Sembiring
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.v2i2.1121

Abstract

Antenatal Care (ANC) examinations are an important strategy in reducing the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR), which are currently still high. Ridos Medan General Hospital is one of the hospitals that provides Antenatal Care (ANC) examinations with a low percentage of pregnant women who make repeat visits for Antenatal Care (ANC) examinations, namely 889 pregnant women who carry out Antenatal Care (ANC) examinations while those who do There will only be 498 pregnant women repeat visits for Antenatal Care (ANC) examinations in 2022. This type of research is a survey with an explanatory research type, which aims to explain the influence of individual characteristics (age, education, occupation, parity, health condition, pregnancy interval, income). , distance, attitude, knowledge, husband's support, and satisfaction with health workers) on interest in repeat visits for Antenatal Care (ANC) examinations at Ridos Medan General Hospital in 2023. The research was conducted at Ridos Medan General Hospital. The population in this study were pregnant women. The sampling technique was Accidental Sampling as many as 89 people. The data analysis used is multiple linear regression. The results of the study show that the variables that influence interest in repeat visits for Antenatal Care (ANC) examinations are education, knowledge, attitudes and satisfaction with health workers. The contribution of these four variables to interest in repeat visits for Antenatal Care (ANC) examinations was 57%. Of the four variables, the one with the strongest influence on interest in repeat visits for Antenatal Care (ANC) examinations is knowledge (B=0.475). Respondents' interest in repeat visits for Antenatal Care (ANC) examinations was generally in the low category, namely 40.4%, medium at 32.6%, and high interest in repeat visits for Antenatal Care (ANC) examinations at 27.0%. In an effort to increase interest in repeat visits for Antenatal Care (ANC) examinations, efforts must be made, namely advocacy and socialization about Antenatal Care (ANC) examinations, carrying out Antenatal Care (ANC) examinations according to standards, training related health workers and it is hoped that health workers will improve the quality of service by being friendlier, more alert, attentive and clear in conveying information.
Intervensi Kombinasi Relaksasi Teknik Genggam Jari dan Terapi Murottal Surat Ar-Rahman Terhadap Penurunan Tekanan Darah Pada Ibu Post Sectio Caesaria Dengan Preeklamsia Riski Oktafia; Rr Nadya El Queena Nourma Hasnaini; Eli Herningsih
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.v2i2.1122

Abstract

Background: Preeclampsia is currently still a threatening problem from the pregnancy to postpartum period. Preeclampsia can cause complications that occur from the pregnancy period to postpartum, so non-pharmacological management is needed to reduce symptoms, one of which is finger-hold relaxation therapy and murottal. Objective: To implement a nursing intervention combined with finger grip relaxation therapy and Surah Ar-Rahman murottal therapy to reduce blood pressure in post caesarean section mothers with preeclampsia. Method: This research uses a case study method with pre-post intervention. The sample for this study was 1 mother post caesarean section with preeclampsia. The intervention carried out was the provision of finger-hold relaxation therapy with Al-Quran murotal therapy which was carried out every 10 minutes for 3 days. This intervention was carried out once/day and observation and blood pressure measurements were carried out pre-post intervention. The measuring instrument used is a sphygmomanometer. Results: The results showed that with the intervention of finger-hold relaxation techniques and Al-Quran murotal therapy, blood pressure decreased from 170/110 to 139/90 mmHg. Conclusion: Providing nursing care by applying a combination of finger grip relaxation techniques and Al Quran murotals is effective in reducing blood pressure in post caesarean section mothers with preeclampsia.
Penatalaksanaan Senam Kaki Diabetes Terhadap Nilai ABI (Ankle Brachial Index) Pada Lansia : Studi Kasus Rakhmat Aji Waluyo; 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.v2i2.1123

Abstract

Diabetes mellitus is a metabolic disorder characterized by increased blood glucose levels due to damage to insulin secretion, less effective insulin action or both. There are many complications that arise from diabetes, one of which can cause poor blood circulation in sufferers, especially in the legs, which can later cause peripheral arterial disease (PAD). This study uses a case report approach to evaluate the implementation of nursing for elderly people with diabetes who ex perience PAD with diabetic foot exercise and success is measured by the ankle brachial index (ABI) value. The results of this study showed that there was a change in the patient's ABI value after routinely doing diabetes foot exercises for 2 weeks, the ABI value in the first week was 0.62 (right), 0.68 (left) and in the 2nd week it was 0.68 (right ), 0.82 (left). Diabetic foot exercises are an exercise that can be done by patients suffering from DM or not because the benefits of diabetic foot exercises are to help improve blood circulation in the feet and also prevent injuries.
Pemanfaatan Personal Health Record Dalam Mengontrol Kesehatan Individu (Literature Riview) Regina Yulianti T. S; Laela Indawati; Lily Widjaja; Daniel Happy Putra
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.v2i2.1126

Abstract

Individuals are authorized to access, maintain, and share their Personal Health Record (PHR), which is an electronic application, in a private, secure, and confidential setting. Using PHR will facilitate patient-provider communication. PHR has two-way communication that allows patients and providers to communicate with each other. The main effect of using PHR is that patients will be involved and take an active role in their health and disease prevention. The act of recording health information in PHR will increase patient awareness, such as weight, diet and glucose, and other health checks. Through PHR which stores health information, and consultations, patients feel safe knowing their health. The purpose of this writing is to determine the Utilization of Personal Health Record in controlling individual health. This study uses the Literature Review method. The results of this study are seen from the utilization and features of the Personal Health Record. Utilization of the Personal Health Record in controlling individual health can assist patients in accessing patient personal health information such as knowing blood sugar, blood pressure, laboratory results, and so on. The features used in the PHR have a main menu including health records, medical records, test results, medication reminders, health contacts, and education.
Chronic Obstructive Pulmonary Disease Muhammad Afandy Fadhilah
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.v2i2.1127

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a group of progressive lung diseases that commonly affect men over the age of 40, especially heavy smokers and those living in areas with high pollution levels. This disease has a high mortality and morbidity rate and brings significant social and economic burdens. The prevalence of COPD varies across countries, with the highest rate reported in the United States at 37% and in Indonesia at 3.7%, with the highest prevalence in East Nusa Tenggara (10%). According to WHO, in 2020, COPD became the third leading cause of death globally. The methods used include a systematic summary of 14 data sources to compile information on COPD. The results included definitions, Epidemiology, Pathophysiology, Clinical Manifestations, Diaognostic, Assesment, and management of COPD.
Analisis Pengelolaan Obat di UPTD Puskesmas Singandaru Kota Serang Banten Candra Junaedi; Hasna Dewi; Mujianto Mujianto
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.v2i2.1128

Abstract

Drug management in community health centers is important, especially at the planning and procurement stages. Ineffective drug management impacts health centers both medically and economically. The aim is to determine drug management at the UPTD Puskesmas Singandaru by Permekes No. 74 Tahun 2016 and other relevant literature. Method: Observational research with a cross-sectional design. Primary data was taken through interviews and secondary data from drug management data. The samples used are pharmaceutical supplies. Research instruments include LPLPO, RKO, SBBK, and in-depth interview guide sheets. Data analysis is descriptively guided by Permekes No. 74 Tahun 2016 and other relevant literature. Results: The planning suitability indicator is 93% appropriate, the procurement indicator for the available budget for drug purchasing needs is 65% and the BMHP is 35%, the suitability of demand and receipt of drugs is 38% not yet appropriate (100% standard) because there are empty drugs in the gudang farmasi kabupaten kota, storage and distribution indicators of 100% are relevant, as well as recording and reporting indicators of 100% but reporting for Psychotropics and Narcotics is still managed by the Dinas Kesehatan Kota.
Hubungan Indeks Massa Tubuh Dan Lama Operasi Dengan Kejadian Shivering Pasca Operasi Yoga Adzi Saputra; Marta Tania Gabriel Ching Cing; Rully Annisa
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.v2i2.1129

Abstract

Spinal anesthesia is given to patients undergoing surgery on the abdominal area. Spinal anesthesia can interfere with temperature thermoregulation, thereby inhibiting the compensatory response to temperature, causing shivering. The aim of the research was to determine the incidence of shivering in post-operative patients with spinal anesthesia at the Wijayakusuma Hospital , Purwokerto 2023. This research used a quantitative descriptive research design with a cross sectional design. The sample in this study was 40 post-spinal anesthesia patients using non-probability sampling techniques. Data was obtained from direct observation in the IBS room at the Wijayakusuma Hospital, Purwokerto in April-May 2023. The results showed that 19 people (47.5%) experienced shivering and 21 people (52%) did not experience shivering. .5%), the results of the analysis show that there is a relationship between BMI factors and shivering after spinal anesthesia (p value 0.002 <0.05) where shivering occurs most often in respondents with a thin body mass index (<18.5 kg/m) as many as 9 people (22.5%). Then the results of the analysis also showed that there was no difference between the duration of the operation and shivering after spinal anesthesia (p value 0.768 > 0.05).
Penerapan Senam Intradilitik Pada Pasien Yang Menjalani Hemodialisis Di RS PKU Muhammadiyah Gamping Rara Fourna Chamelia; Ambar Relawati; Indri Setyawati
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.v2i2.1132

Abstract

Hemodialysis is a process of kidney replacement therapy. Decreased muscle strength in patients undergoing hemodialysis is a common problem caused by various factors related to chronic kidney disease and dialysis procedures. One way to treat decreased muscle strength is with intradialytic exercise therapy. Objective: To determine muscle strength after performing intradialytic exercises in hemodialysis patients. Method: The research uses a case study method, namely an individual-targeted nursing care approach. Results: After 3 intradialytic exercise interventions, an increase in muscle strength with handgrip dyanometer measurements of 7.80 and 3.50 was obtained. However, the results of measuring muscle strength using the Schawenker scale method did not show an increase, namely scale 4. Conclusion: Intradilytic exercise carried out in 3 meetings can increase hand muscle strength as measured using a handgrip dynanometer. Intradilytic exercise can be used as an alternative physical exercise during the hemodialysis process.
Hubungan Pengetahuan Sikap dan Budaya Dalam Pemberian Imunisasi Hepatitis B Pada Bayi 0-7 Hari di Puskesmas Gumpang Kec.Putri Betung Kab.Gayo Lues Tahun 2023 Elmika Murdalena; Mediana Sembiring; Rabiah Saidatul
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.v2i2.1135

Abstract

Background: The first Hepatitis virus was discovered by Baruch Blum Berg in 1965 and until now Hepatitis A, B and C are still serious world health problems because they have the potential to cause morbidity and mortality. Apart from that, it is also known that the cause of non-B and non-C chronic hepatitis is a fatty liver. Around two billion people in the world have been infected with the Hepatitis B virus and 360 million of them have chronic infection which has the potential to develop into cirrhosis and hepatocellular carcinoma with a death rate of 250,000 per year. Objective: To determine the relationship between knowledge, attitude and culture in providing Hepatitis B immunization to babies 0-7 days old at the Gumpang Community Health Center, Putri Betung District, Gayo Lues Regency in 2023. Method: In this research the author used a descriptive method or a research method carried out using The main goal is to describe a situation objectively. Results: Based on the results of research conducted at the Gumpang Community Health Center, Putri Betung District, Gayo Lues Regency with 69 mothers who were respondents, it shows that the majority of respondents' attitudes were positive about hepatitis B immunization 0-7 days was good, amounting to 58 people (84%) of the total respondents.
Hubungan Mekanisme Koping dan Kecemasan Pada Pasien Pra Endoskopi di Poliklinik Penyakit Dalam RSUD Raja Ahmad Thabib Nurani Cipta Lestari; Mira Agusthia; Rachmawaty M. Noer
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.v2i2.1136

Abstract

Esophagogastroduodenoskopi procedure is an invasive procedure that can cause problems in patients who will undergo it. To overcome anxiety, a coping mechanism is needed. Purpose: This study aims to find out the relationship between coping mechanisms and anxiety levels of Pre Endoschopy patient in the internist unit at Raja Ahmad Thabib Public Hospital. The study method used a correlation analytic design with a cross sectional approach. The number of samples obtained by 32 respondents with the sampling technique used is total sampling. Statistical analysis using the Spearman Rho test with SPSS version 26. The results of this study showed there is a meaningful relationship between coping mechanisms and pre Endoschopy patient in the internist unit at Raja Ahmad Thabib Public Hospital (p =0.001) at signification values of 0.05 and r =- 0.734, indicating that the direction of negative correlation with the strength of strong relationships, so that it can be concluded the more adaptive the coping mechanism then the lower the anxiety level. conclusion The use of proper coping mechanisms in pre esophagogastroduodenos copy patients can lower anxiety level

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