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Jurnal Kesehatan Metro Sai Wawai
Published by Poltekkes Kemenkes Tanjung Karang
ISSN : 1979469X     EISSN : 26571390     DOI : https://doi.org/10.26630
Core Subject : Health, Social,
Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Kesehatan Metro Sai Wawai E-ISSN 2657-1390 and P-ISSN 19779-469X is published by the Midwifery Department, Poltekkes Kemenkes Tanjung Karang, Metro City, Indonesia. The Jurnal Kesehatan Metro Sai Wawai was first published in December 2008 as print media. Since 2016, the Journal has been published in print and online twice a year (June and December). All manuscripts submitted will go through double-blind peer review and editorial before being given acceptance for publication. The scope is midwifery, public health, nursing, nutrition, complementary and alternative medicine (CAM), and education in health.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 185 Documents
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Correlation Between Family Support and Adherence to Insulin Therapy in Patients with Type 2 Diabetes Mellitus Jurdiansyah, Jurdiansyah; Wantonoro, Wantonoro; Ruhyana, Ruhyana
Jurnal Kesehatan Metro Sai Wawai Vol. 18 No. 1 (2025): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v18i1.4942

Abstract

Diabetes Mellitus (DM) is a chronic disease caused by the body's inability to use insulin optimally. Insulin therapy is an effective treatment to replace the role of the insulin hormone. Adherence to insulin therapy is crucial for the health of DM patients. This study investigates the correlation between family support and adherence to insulin therapy among type II DM patients at Gamping II Health Center, Yogyakarta. This study employed a quantitative cross-sectional design. Fifty-three type II DM patients who underwent control at Gamping II Health Center participated in this study. The family support instrument was measured using the Hensarling Diabetes Family Support Scale (HDFSS) Indonesian version, while adherence to insulin therapy was measured using the Morisky Insulin Adherence Scale-8 (MIAS). Kendall tau test was used for data analysis. The results showed a significant correlation between family support and adherence to insulin therapy among type II DM patients at Gamping II Health Center (p=0.011). Effective family support, in the form of assistance, attention, or information, is crucial in improving adherence to insulin therapy among type II DM patients. Therefore, family involvement is highly recommended to control blood sugar levels among type II DM patients.
[RETRACTION] Factors Related to The Unsuccessful of Exclusive Breastfeeding in Breastfeeding Moms at Yosomulyo Health Center, Metro City Muflihah, Ima Syamrotul; Anisa, Linda
Jurnal Kesehatan Metro Sai Wawai Vol. 17 No. 2 (2024): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v17i2.4977

Abstract

Introduction: The World Health Organization WHO (2019), recommends to mothers around the world to exclusively breastfeed their babies for the first 6 (six) months after the baby is born to achieve optimal growth, development and health. At the Yosomulyo Health Center, 45.3% were not given exclusive breastfeeding (97 babies out of 214 babies). Objective: The purpose of this study was to determine the factors associated with the failure of exclusive breastfeeding in breastfeeding mothers at the Yosomulyo Health Center. Method: This type of research is quantitative with a cross sectional design. The total population of breastfeeding mothers at the Yosomulyo Health Center is 336 nursing mothers. The sample size was determined based on the Lemeshow formula obtained by 75 respondents. The sampling technique used is simple random sampling. Collecting data using a questionnaire. Results: The results showed that the proportion of breastfeeding mothers: not exclusive breastfeeding was 37.3%, poor knowledge was 18.7%, primiparous parity was 36% and did not support 33.3%. Based on the analysis, it was obtained that each p-value was knowledge with a p-value of 0.009, parity with a p-value of 0.000 and family support with a p-value of 0.000. Conclusion: this study is that there is a relationship between knowledge, parity, and family support with the failure of exclusive breastfeeding for breastfeeding mothers at Yosomulyo Public Health Center, Metro City.
Womb to Growth: How Maternal Anemia and Low Birth Weight Shape Toddler Stunting Puspitasari, Dian; Maternity, Dainty
Jurnal Kesehatan Metro Sai Wawai Vol. 17 No. 2 (2024): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v17i2.4979

Abstract

attention from all sectors. One of the main factors influencing stunting is anemia during pregnancy. Object: Therefore, this study aimed to determine the relationship between a history of maternal anemia during pregnancy and stunting in toddlers in the Banjarsari Community Health Center, North Metro, in 2025. Method: This research used a quantitative case-control design. The population consisted of 622 mothers with toddlers aged 24–59 months in the Banjarsari area. The sample size, calculated using an unpaired categorical comparative formula, totaled 60 respondents (20 cases and 40 controls) with a 1:2 ratio. Sampling was done using stratified random sampling. Data collection involved observation, interviews, and documentation through checklists, stadiometers, and KIA books. Results: Data were analyzed using univariate and bivariate (chi-square) tests. The results showed that 33.3% of mothers experienced anemia during pregnancy. Statistical analysis indicated a significant relationship between maternal anemia during pregnancy and stunting in toddlers (p = 0.012, OR = 4.210, 95% CI = 1.331–13.320). Conclusion: The study concluded that maternal anemia is significantly associated with stunting. Health workers are advised to strengthen maternal and child health promotion and empower community cadres to provide nutritional education for pregnant women and toddlers.
The effect of the combination of acupressure therapy and breast care on the duration of smooth breastfeeding in postpartum women in the PMB working area of Pujokerto Trimurjo health center, Central Lampung Rahmawati, Mega; Lestari, Ima
Jurnal Kesehatan Metro Sai Wawai Vol. 17 No. 2 (2024): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v17i2.4980

Abstract

Introduciton: Insufficient breast milk is one of the main obstacles to the success of exclusive breastfeeding. Data from the Pujokerto Health Center work area shows that 61% of postpartum mothers experience insufficient breast milk. Objective: The study aims to determine the effect of a combination of acupressure and breast care therapy on the duration of smooth breast milk in postpartum mothers. Method: Quantitative research with a quasi-experimental pretest-posttest group design. The sample consisted of 14 respondents, divided into two groups: intervention (acupressure + breast care) and control (only breast care). Data analysis used the dependent T test. Results: The average number of days of smooth breast milk in the intervention group was 3.14 days and the control group was 3.42 days. The bivariate test showed a p-value = 0.414 (≥ 0.05), meaning that there was no significant effect between the combination of therapies on the duration of smooth breast milk. Conclusion: There was no significant effect of the combination of therapies on the duration of smooth breast milk.
Factors Related to The Incidence of Pneumonia in Toddlers at Karangrejo Metro Utara Community Health Center Meirawati, Diah; Priyani, Titin
Jurnal Kesehatan Metro Sai Wawai Vol. 17 No. 2 (2024): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v17i2.4983

Abstract

Introduction: According to the World Health Organization (WHO), pneumonia accounted for 16% of deaths among children under five worldwide, with a total of 920,136 deaths in 2021. The Metro City Health Office (2021) recorded the highest prevalence was found at Karangrejo Public Health Center, with 288 out of 677 children affected (65.1%). Objective: This study aims to identify the factors associated with the incidence of pneumonia in children under five at Karangrejo Public Health Center, North Metro. Method: The type of research used is analytical with a case-control approach. The dependent variable is pneumonia, and the independent variables in this study are low birth weight, age of the child, and immunization status. The research sample consists of 36 pneumonia cases and 36 control respondents among children under five at Karangrejo Public Health Center, selected using systematic random sampling. Data collection was carried out using questionnaires, and statistical analysis was performed using the chi-square test. Results: Based on the study, it was found that 45.8% of children under five with low birth weight were at risk, 48.6% of children were at risk due to age, and 54.2% were at risk due to immunization status. The bivariate analysis showed a significant relationship between low birth weight and the incidence of pneumonia (p-value = 0.000), a significant relationship between the age of the child and the incidence of pneumonia (p-value = 0.000), and a significant relationship between immunization status and the incidence of pneumonia (p-value = 0.000). Conclusion: Low birth weight, age of the child, and immunization status are associated with the incidence of pneumonia in children under five. The researcher provided counseling regarding the various factors that can contribute to the occurrence of pneumonia in young children.
Studies Literature: Connection Style Life with Incident Breast Cancer Marvina, Ria Ayu
Jurnal Kesehatan Metro Sai Wawai Vol. 17 No. 2 (2024): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v17i2.4985

Abstract

Introduction: Breast cancer is one of the non-communicable diseases that tends to continue to increase every year, so it can be said that the burden that the world has to bear due to the disease is increasing. Based on Globocan data in 2018 in Indonesia, breast cancer is in first place with the number of 16.7% cases, with the number of deaths as high as 11.0% matter This cannot be separated from the factors that trigger breast cancer, one of which is lifestyle. Objective: This literature review aims to determine the relationship between lifestyle, namely diet, physical activity, and exposure to cigarette smoke, with breast cancer. Methods: This study uses a literature review design. This study consists of 5 articles (3 national and 2 international) from 2005-2017. Data collection using literature studies obtained from Google Scholar and PubMed. From the research obtained, 3 literatures discuss cigarette smoke exposure variables, 3 literatures discuss smoking pattern variables, and 3 literatures discuss 3 variables of activity physique. Results: Data analysis was carried out by looking at the research year starting from the most recent and then stepping back to Which most long. From the literature obtained, 3 studies showed that there was a relationship between exposure to cigarette smoke and the incidence of breast cancer, 3 studies showed that there was a relationship between diet and the incidence of breast cancer, and 3 studies showed that there was a relationship between physical activity and incidence of breast cancer. Conclusion: There is a relationship between exposure to cigarette smoke, poor diet, and lack of physical activity with the incidence of breast cancer in women.
The Effect of Oxytocin and Marmet Massage on Exclusive Breastfeeding: A Continuity of Care Case Study Umar, Mareza Yolanda; Wardani, Psiari Kusuma
Jurnal Kesehatan Metro Sai Wawai Vol. 18 No. 1 (2025): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v18i1.4996

Abstract

Continuity of care (COC) represents comprehensive midwifery services throughout pregnancy, childbirth, postpartum, and family planning. The perinatal period, spanning from conception to 12 months postpartum, is associated with a higher probability of health complications. A fundamental strategy to decrease the maternal mortality rate is to alleviate the labor pain experienced by women, as almost one-fifth of all maternal deaths occur more than six weeks post-delivery. Midwife-led continuity of care diminishes women's apprehension around labor and postpartum depression, while simultaneously promoting exclusive breastfeeding. The objective is to deliver uninterrupted midwifery care to moms by employing Oxytocin Massage and Marmet Massage during the postpartum phase. This is a case study using qualitative analysis involving three pregnant women in the third trimester who received continuous midwifery care throughout pregnancy, labor, the immediate postpartum period, and family planning from October 2023 to February 2024. Qualitative data analysis was conducted thoroughly and persistently till finalization. The administration of oxytocin massage and the Marmet technique to mothers following observational assessments resulted in an augmentation of breast milk production volume, consistent with previous literature and demonstrating alignment between theory and practice. The midwifery profession aspires to advance sustainable midwifery care grounded in existing evidence and to adopt sustainable therapeutic practices alongside complementary interventions.
The Role of Exclusive Breastfeeding, Low Birth Weight, and Immunization in Stunting Among Children Under Five Yuliawati, Yuliawati; Anggraini, Yetti; Lestariningsih, Sri; Aghniya, Rofana; Yustiza, Non Rachmani
Jurnal Kesehatan Metro Sai Wawai Vol. 18 No. 1 (2025): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v18i1.5004

Abstract

Reducing stunting in children is the first of six Global Nutrition Targets for 2025 and serves as a key indicator in the Sustainable Development Goals (SDGs). Stunting is associated with increased risks of illness, mortality, and impaired motor and cognitive development in children. According to the 2022 Indonesian Nutrition Status Survey (SSGI), the prevalence of stunting in Lampung Province decreased to 15.2%, down from 18.5% in 2021. However, in Metro City, the prevalence increased from 7.29% (2021) to 10.4% (2022), with the highest rate recorded in the working area of Yosomulyo Health Center at 11%. This study aims to analyze the relationship between exclusive breastfeeding, history of low birth weight (LBW), and immunization status with the incidence of stunting in toddlers. This research is a quantitative study with a case-control analytic design. The population consisted of children aged 1–5 years who experienced stunting in the Yosomulyo Health Center working area between February and June 2024, totaling 84 children (11%). The sample consisted of 45 children in the case group and 90 children in the control group (a 1:2 ratio), selected using purposive sampling. Data were analyzed using the Chi-Square test with SPSS software after conducting a normality test. The analysis showed a significant relationship between exclusive breastfeeding, history of LBW, and immunization status with the incidence of stunting (p<0.001). Factors such as lack of exclusive breastfeeding, low birth weight, and incomplete immunization are significantly associated with the incidence of stunting. Early prevention of stunting can be achieved through proper pregnancy planning and regular antenatal care.
Economic Pressures and Occupational Health and Safety: A Qualitative Study of Workers’ Experiences in the Shipbuilding and Ship Scrapping Industry in Kendari Dwianto, Ikhsan; Mokodompit, Eliyanti Agus
Jurnal Kesehatan Metro Sai Wawai Vol. 18 No. 1 (2025): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v18i1.5072

Abstract

The shipbuilding and ship scrapping industries play a significant role in maritime economic development, especially in coastal areas such as Kendari. Within the framework of industrial economics theory, this sector reveals the complex relationship between cost-efficiency, market structure, and its influence on occupational health and safety (OHS) standards. This research endeavor aims to investigate the correlation between economic constraints in the shipbuilding and ship dismantling sectors and the prevalence of significant occupational hazards, as well as their impact on the accessibility of occupational health services in Kendari. A descriptive qualitative approach was employed, utilizing an intrinsic case study design. Data were gathered through comprehensive interviews with a cohort of 12 pivotal informants, comprising both laborers and proprietors of ship workshops, as well as direct observational analysis conducted at the workplace. The findings reveal that cost-efficiency pressures drive the neglect of occupational health and safety (OHS) practices. The majority of workers do not use personal protective equipment (PPE), have never participated in OHS training, and work in unsafe environmental conditions. Common health complaints include respiratory issues, skin irritation, fatigue, and hearing impairment. Access to occupational health services is also highly limited, with most workers lacking social security and relying on self-medication. This study concludes that the economic structure of the industry directly contributes to the lack of adequate workplace safety measures. Therefore, an inclusive, participatory, and community-based policy approach is essential for improving OHS protections in the informal sector.
Warm Foot Soak Intervention for Hyperthermia in DHF (Dengue Hemorrhagic Fever) Patients: A Case Study at Bhayangkara Hospital, Lampung Hardono, Hardono; Inggit Laras Tika; Sadhana, Wisnu; HS, Asril
Jurnal Kesehatan Metro Sai Wawai Vol. 18 No. 1 (2025): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsw.v18i1.5043

Abstract

Warm water foot soak therapy presents a viable alternative for managing fever in patients who experience discomfort with conventional compress methods. This scientific paper aims to provide nursing care for patients with Dengue Hemorrhagic Fever (DHF) experiencing hyperthermia, utilizing warm water foot soak interventions in the inpatient ward of Bhayangkara Hospital, Lampung. The nursing care approach follows the nursing process framework, focusing on direct nursing interventions. The subject of care consisted of DHF patients in the inpatient unit, with the primary intervention being warm water foot soaking. Data collection tools included physical examinations and standardized nursing assessment formats (KMB), with data gathered through interviews, observation, and physical examination. During the assessment phase, the patient exhibited classic signs of DHF, including high-grade fever. A nursing diagnosis of hyperthermia was established. The primary intervention implemented was a warm water foot soak. After three days of therapy, the patient's body temperature decreased to 37.2°C, and the patient reported improved comfort and no further complications. These findings suggest that warm water foot soaking is an effective supportive intervention for managing hyperthermia in DHF patients. It is recommended that patients and their families be encouraged to understand and apply simple, non-pharmacological interventions such as warm foot soaks alongside adherence to prescribed medical treatment.

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