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<![CDATA[Hubungan Sumber Informasi dengan Kelengkapan Imunisasi Tetanus Toxoid Ibu Primigravida ]]>
<![CDATA[Arianggara, Andi Wilda]]>;
<![CDATA[Hafid, Rachmi Nurul Hidayat]]>
<![CDATA[ Jurnal Medika Nusantara Vol. 3 No. 2 (2025): Jurnal Medika Nusantara ]]>
Publisher : <![CDATA[Stikes Kesdam IV/Diponegoro Semarang, Indonesia ]]>
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DOI: 10.59680/medika.v2i2.1210
<![CDATA[Tetanus toxoid (TT) immunization is the process of building immunity as an effort to prevent tetanus infection. The coverage of TT immunization at the Kassi-Kassi Health Center is still low. In 2017, out of 1869 pregnant women, the coverage of TT1 immunization was 1516 (81%), and for TT2 coverage was 757 (41%). The achievement of tetanus toxoid immunization coverage can be influenced by several factors, including sources of information and knowledge about TT immunization. The purpose of this study is to determine the relationship between the source and the completeness of Tetanus Toxoid immunization of Mrs. Primigravida at the Kassi-Kassi Health Center in Makassar City. This type of research is an Analytical Survey with a cross-sectional design. The sample in this study is all primigravida mothers with a gestational age of more than 32 weeks and primigravida mothers who have received TT1 and TT2 immunization at the Kassi-Kassi Health Center totaling 35 people. Data analysis uses the Chi-Square test with a confidence level of 95% (?=0.05). The results of the study showed that there was a meaningful relationship between information sources and the Immunization Completeness of Ibu Pimigavida (p=0.020) at the Kassi-Kassi Health Center in Makassar City. Puskesmas is expected to improve promotive and preventive functions to be able to increase public knowledge about TT immunization so that it can increase the coverage of TT immunization.]]>
<![CDATA[Penerapan Slow Deep Breathing Untuk Menurunkan Keletihan pada Pasien Chronic Kidney Disease: Studi Kasus ]]>
<![CDATA[Mufaj, Elda Nurfadila]]>;
<![CDATA[Siti Ulfah Rifa'atul Fitri]]>;
<![CDATA[Sandra Pebrianti]]>
<![CDATA[ Jurnal Medika Nusantara Vol. 2 No. 3 (2024): Agustus : Jurnal Medika Nusantara ]]>
Publisher : <![CDATA[Stikes Kesdam IV/Diponegoro Semarang, Indonesia ]]>
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DOI: 10.59680/medika.v2i3.1220
<![CDATA[Fatigue is the most common physical symptom felt by chronic kidney failure patients. Manifestations of fatigue are the body's inability to carry out routine activities, lethargy, and feeling tired all the time. Non-pharmacological therapy that can reduce fatigue is slow deep breathing relaxation therapy. To determine the intervention for providing slow deep breathing relaxation therapy in chronic kidney failure patients with fatigue. This research design is a case study using nursing care. Mr. I is 64 years old suffering from chronic kidney failure stage v who experiences problems with nursing fatigue. The intervention provided is by providing pharmacological and non-pharmacological therapy, slow deep breathing relaxation therapy. This study used the Functional Assessment of Chronic Illness Therapy-Fatigue Scale instrument. Fatigue complaints decreased with an increase in fatigue score. Before being given therapy, the slow deep breathing reaction was at a score of 22.6 became 40.33 after being given therapy for 3 days. Slow deep breathing can be given as an alternative non-pharmacological therapy which has the effect of reducing fatigue. It is hoped that nursing students or nurses in inpatient rooms can provide this therapy as a non-pharmacological intervention for chronic kidney failure patients with fatigue.]]>
<![CDATA[Penerapan Latihan Rom Pasif Terhadap Tingkat Kekuatan Otot Ekstremitas pada Pasien Stroke Hemoragik : Studi Kasus ]]>
<![CDATA[Zahra Siti Hanifah]]>;
<![CDATA[Siti Ulfah Rifa’atul Fitri]]>;
<![CDATA[Urip Rahayu]]>
<![CDATA[ Jurnal Medika Nusantara Vol. 2 No. 3 (2024): Agustus : Jurnal Medika Nusantara ]]>
Publisher : <![CDATA[Stikes Kesdam IV/Diponegoro Semarang, Indonesia ]]>
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DOI: 10.59680/medika.v2i3.1224
<![CDATA[Abstract. Stroke occurs when blood vessel in the brain is blocked, causing blood flow to the brain to be disrupted. Hemiparesis is one of the symptoms of stroke, which is paralysis of the limbs or muscle weakness in the affected limbs. Case study aims to show the application of passive ROM exercises on the level of limb muscle strength in patients with hemiparesis sinistra due to hemorrhagic stroke at RSUD Kabupaten Sumedang. This writing uses a case study method. Muscle strength measured both before and after intervention with Manual Muscle Testing which has a scale of 0-5. Case study shows the results of the patient's main nursing problem is impaired physical mobility characterized by sinistra hemiparesis, sinistra upper extremity muscle strength 1 and sinistra lower extremity 2. After intervening for 4 days in the form of passive ROM exercises, the results of sinistra upper and lower extremity muscle strength increased to 2 and 3. It can be concluded the provision of passive ROM exercises can improve treatment outcomes, one of which is increasing muscle strength. Hoped that the results of this case study can be developed by combining passive ROM exercises with other interventions such as rubber ball grasping therapy. Keywords: Passive ROM, Hemorrhagic stroke, Muscle strength Abstrak. Stroke terjadi saat pembuluh darah di otak terdapat sumbatan atau pecah sehingga menyebabkan aliran darah bagian otak terganggu. Hemiparesis adalah salah satu gejala penyakit stroke yang merupakan kelumpuhan pada anggota gerak atau kelemahan otot pada anggota gerak yang terkena. Studi kasus ini bertujuan untuk menunjukkan penerapan latihan range of motion (ROM) pasif pada tingkat kekuatan otot ekstremitas pada pasien yang mengalami hemiparesis sinistra akibat stroke hemoragik di RSUD Kabupaten Sumedang. Penulisan ini menggunakan metode studi kasus yang melibatkan satu pasien stroke hemoragik. Kekuatan otot diukur baik sebelum maupun sesudah intervensi dengan Manual Muscle Testing yang memiliki skala 0-5. Studi kasus ini menunjukkan hasil masalah keperawatan utama pasien adalah gangguan mobilitas fisik ditandai dengan hemiparesis sinistra, kekuatan otot ekstremitas atas sinistra 1 dan ekstremitas bawah sinistra 2. Setelah dilakukan intervensi selama 4 hari berupa latihan ROM pasif, hasil kekuatan otot ekstremitas atas dan bawah bagian sinistra meningkat menjadi 2 dan 3. Dapat disimpulkan pemberian latihan ROM pasif dapat meningkatkan hasil perawatan, salah satunya adalah meningkatkan kekuatan otot. Diharapkan hasil studi kasus ini dapat dikembangkan dengan mengombinasikan latihan ROM pasif dengan intervensi lain seperti terapi menggenggam bola karet. Kata kunci: Kekuatan otot, ROM pasif, Stroke hemoragik]]>
<![CDATA[Penerapan Hydrogel dan Antimicrobial Dressing terhadap Penyembuhan Luka dan Sensasi Perifer pada Pasien Gangrene Pedis ]]>
<![CDATA[Karina, Grashiva Putri]]>;
<![CDATA[Sari, Eka Afrima]]>;
<![CDATA[Harun, Hasniatisari]]>
<![CDATA[ Jurnal Medika Nusantara Vol. 2 No. 3 (2024): Agustus : Jurnal Medika Nusantara ]]>
Publisher : <![CDATA[Stikes Kesdam IV/Diponegoro Semarang, Indonesia ]]>
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DOI: 10.59680/medika.v2i3.1226
<![CDATA[Gangrene is one of Diabetes Mellitus (DM) complication causing tissue death in wound and decreased peripheral sensation. Priority management of gangrene is through tissue reperfusion and wound care with modern dressing to enhance healing and increase periphery circulation. This research aimed to report wound healing progress and peripheral sensation gangrene in a patient who was given hydrogel and antimicrobial dressing. Research design used a descriptive case study approach. Sample involved one inpatient in West Java regional public hospital who was diagnosed with gangrene, had necrotic wounds, and poor peripheral perfusion, currently treated with modern dressing hydrogel and antimicrobial dressing. The instrument used is Bates Jensen Wound Assessment Tools (BJWAT), lowest score shows significant wound healing progress. Decreasing wound healing score using BJWAT questionnaire from 41 to 29, peripheral sensation (+), and monofilament score from 0/9 to 5/9 after the intervention. Modern dressing improved wound healing and peripheral sensation in gangrene pedis patient. Thus, it is expected to examine effectiveness of hydrogel and antimicrobial dressings on healing scores and peripheral sensation in gangrene pedis patients more extensively. ]]>
<![CDATA[Perbandingan Motivasi Kerja Ruang Rawat Inap dan Ruang Operasi dalam Pelaksanaan Pendokumentasian di RS MTSJ ]]>
<![CDATA[Risma Tio Siahaan]]>
<![CDATA[ Jurnal Medika Nusantara Vol. 2 No. 3 (2024): Agustus : Jurnal Medika Nusantara ]]>
Publisher : <![CDATA[Stikes Kesdam IV/Diponegoro Semarang, Indonesia ]]>
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DOI: 10.59680/medika.v2i3.1238
<![CDATA[Based on the results of a preliminary study conducted by researchers in January in the inpatient room and operating room at MTSJ Hospital, it was found that there was still a lot of incomplete documentation. Of the 10 murder documentation, 7 of them are still incomplete, incomplete documentation, starting from not including all the acts committed by the murder, inaccuracy in the signature of informed consent between the witness and the patient, unavailability in the form of a fall risk for pediatric and geriatric patients. Documentation at MTSJ Hospital still receives little attention, so care documents are still found whose contents are incomplete. Some problems with documenting nursing care include: lack of motivation in documenting nursing care, writing documentation is considered time-consuming and focuses on patient care. Incomplete documentation will cause losses to clients because important information related to their care and health conditions is neglected. Inefficient and ineffective documentation due to inadequate quality and accuracy causes communication errors between nurses and other professions. Based on the description above and the results of preliminary research, researchers are interested in researching the comparison of work motivation in inpatient rooms and operating rooms with the implementation of documentation at MTSJ Hospital.]]>
<![CDATA[Yoga Meningkatkan Kualitas Hidup Wanita Menopause: Scoping Review Berbasis MENQOL ]]>
<![CDATA[M. Kus Fitriani Fruitasari]]>
<![CDATA[ Jurnal Medika Nusantara Vol. 3 No. 2 (2025): Jurnal Medika Nusantara ]]>
Publisher : <![CDATA[Stikes Kesdam IV/Diponegoro Semarang, Indonesia ]]>
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DOI: 10.59680/medika.v2i2.1248
<![CDATA[Background: Menopause have a significant impact on a woman's quality of life. Yoga has been proposed as a non-pharmacological intervention to improve the quality of life of postmenopausal women. This scoping review aims to identify and analyze existing literature regarding the effectiveness of yoga interventions on the quality of life of menopausal women as measured by the Menopause-Specific Quality of Life Questionnaire (MENQoL). Methods: A literature search was conducted on electronic databases including PubMed, Scopus, and Web of Science for studies published up to 2024. Inclusion criteria included yoga intervention studies in menopausal women with measurements using MENQoL. Data were extracted regarding study characteristics, type of yoga intervention, duration, frequency, and MENQoL outcomes. Results: Of a total of 245 articles identified, 18 studies met the inclusion criteria. The majority of studies reported significant improvements in total MENQoL scores and subdomains after yoga intervention. The most commonly used type of yoga is Hatha yoga which is adapted for menopause. The duration of the intervention varied from 4 to 16 weeks, with a frequency of 2–3 sessions per week. Conclusion: This scoping review shows that yoga can improve the quality of life of menopausal women as measured by MENQoL. Further research with more rigorous designs is needed to determine the optimal yoga protocol and its long-term effects.]]>
<![CDATA[Penerapan Terapi Relaksasi Benson Terhadap Tekanan Darah Sistole Pada Lansia Dengan Hipertensi di Kelurahan Bejen Kabupaten Karanganyar ]]>
<![CDATA[Adelia Qusnul Khotimah]]>;
<![CDATA[Eska Dwi Prajayanti]]>
<![CDATA[ Jurnal Medika Nusantara Vol. 2 No. 3 (2024): Agustus : Jurnal Medika Nusantara ]]>
Publisher : <![CDATA[Stikes Kesdam IV/Diponegoro Semarang, Indonesia ]]>
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DOI: 10.59680/medika.v2i3.1258
<![CDATA[Hypertension is a disease that commonly occurs in the elderly and is more susceptible to complications. The consequences for elderly people with hypertension are heart failure, stroke and kidney failure. According to the World Health Organization (WHO) in 2020, the prevalence of hypertension in the elderly in the world was around 972 million people or 26.4%. Hypertension in the elderly in Wonorejo Hamlet Rw 17 Bejen Village, Karanganyar Regency totaled 83 people. One form of relaxation that can be applied to hypertension sufferers is Benson relaxation therapy. To describe changes in systolic blood pressure due to the application of Benson relaxation therapy in elderly people with hypertension in Bejen Village, Karanganyar Regency. This research used a descriptive design on 2 female respondents aged 60 years and over. After carrying out Benson relaxation therapy which was carried out on 01-07 May 2024 in Bejen Village, Karanganyar Regency with each respondent being given intervention for 7 consecutive days once a day every morning for 10 minutes, the systolic blood pressure in both respondents decreased from grade 2 hypertension to grade 1 hypertension. Application of Benson relaxation therapy can reduce systolic blood pressure in elderly people with hypertension in Bejen Village, Karanganyar Regency.]]>
<![CDATA[Hipertensi dan Komplikasi Yang Menyertai Hipertensi ]]>
<![CDATA[Farid Husaini]]>;
<![CDATA[Tischa Rahayu Fonna]]>
<![CDATA[ Jurnal Medika Nusantara Vol. 2 No. 3 (2024): Agustus : Jurnal Medika Nusantara ]]>
Publisher : <![CDATA[Stikes Kesdam IV/Diponegoro Semarang, Indonesia ]]>
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DOI: 10.59680/medika.v2i3.1260
<![CDATA[Hypertension is a condition in which the blood pressure in the systemic arteries remains consistently high. Blood pressure is generally measured as the result of systolic blood pressure (pressure when the heart contracts and delivers blood to the arteries) and diastolic blood pressure (pressure when the heart relaxes). The threshold for diagnosing hypertension varies depending on the measurement method used. Hypertension is often referred to as the "silent killer" because it generally does not produce symptoms until serious complications develop. Some complications associated with hypertension later in life are related to cardiovascular disease, Chronic Kidney Disease, and cognitive disorders. Effective prevention is carried out to reduce the burden of disease and accompanying complications later in life.]]>
<![CDATA[Pasien laki-laki 14 Tahun dengan Hemoptysis ec TB Paru ]]>
<![CDATA[Hazma Wildani Hasibuan]]>;
<![CDATA[Elli Kusmayanti]]>
<![CDATA[ Jurnal Medika Nusantara Vol. 2 No. 3 (2024): Agustus : Jurnal Medika Nusantara ]]>
Publisher : <![CDATA[Stikes Kesdam IV/Diponegoro Semarang, Indonesia ]]>
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DOI: 10.59680/medika.v2i3.1270
<![CDATA[Tuberculosis is a direct infectious disease caused by the TB germ. The clinical features of pulmonary tuberculosis in children vary and are often related to the age of onset of the disease. Pulmonary tuberculosis should be suspected in children who show symptoms and have a history of exposure to tuberculosis in the home environment. This case report was obtained from primary data through history taking, physical examination and supporting examination. The male patient aged 14 years and 7 months came with a complaint of bloody cough 8 days before admission. The patient was referred from PMI Hospital to the emergency room of Cut Meutia Hospital with complaints of coughing with blood since 8 days smrs. Cough was complained occasionally and accompanied by phlegm in the last 2 months. The patient complained of fever that had been felt since 3 weeks ago. History of complete TB treatment and a history of contact with TB patients. Physical examination found additional breath sounds of rhonki and wheezing in both lung fields and thorax X-rays with the impression of active pulmonary TB. The management given is 2RHZ + 4RH OAT therapy given for 6 months, 2 months intensive, 4 months follow-up and symptomatic therapy.]]>
<![CDATA[Upaya Pengelolaan Konka Hipertrofi dengan Pendekatan Pelayanan Kedokteran Keluarga ]]>
<![CDATA[Muhammad Arvin Harwansya]]>;
<![CDATA[Noviana Zara]]>
<![CDATA[ Jurnal Medika Nusantara Vol. 2 No. 3 (2024): Agustus : Jurnal Medika Nusantara ]]>
Publisher : <![CDATA[Stikes Kesdam IV/Diponegoro Semarang, Indonesia ]]>
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DOI: 10.59680/medika.v2i3.1276
<![CDATA[The patient came to the Tanah Pasir Health Center public poly with nasal complaints blockage that is aggravated in 1 month. This complaint of nasal congestion is felt until the patient has difficulty breathing. Nasal congestion does not improve after changes position. Headaches are felt occasionally. Fever (-), bad nose (-), and runny nose (-). The calculation of the body mass index was obtained 22.89 kg/m2 (normal). Primary data was obtained through anamnesis and physical examination at the Tanah Pasir Health Center and home visits. The assessment is carried out based on the initial holistic diagnosis, process, and end of the visit. The interventions carried out include education on the importance of avoiding triggering factors from complaints, taking medication and controlling regularly. Patients are also educated about diet and education about receiving treatment at health service facilities such as health centers and hospitals.]]>
