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Adinda Juwita Sari
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INDONESIA
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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Key to Improving Postpartum Contraception Services Gunawan, Untung; Mellysa Wulandari Taspirin; Intan Rina Susilawati; Ernawati
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.v18i1.5153

Abstract

Postpartum contraceptive services plays an important role in reducing the rate of unplanned pregnancies and improving maternal and child health. However, its coverage in Indonesia is still low. This study aims to evaluate the quality of postpartum contraception services through three aspects: technical, functional, and accessibility. The study design is quantitative descriptive-analytical, with respondents being reproductive-age women who have given birth and accessed contraception services in 2024. Data were collected through a questionnaire survey and analyzed using chi-square tests and logistic regression. The results indicate that the quality of services is a dominant factor in the use of modern contraceptives, particularly among millennial women (OR = 18.6). Technical aspects such as method availability and staff competence, as well as functional aspects such as attitude, clarity of information, and privacy significantly influence patient decisions. Although accessibility was not statistically significant, economic factors and distance remain practical barriers. This study recommends improving service quality, training healthcare workers, and developing community-based service models to expand access to quality contraception in Indonesia.
Radiologic Technique for Esophagus, Stomach, and Duodenum Examination in Dysphagia Cases: A Case Study at Panembahan Senopati Bantul Hospital Kasman Kelimagun, Dian Fatanah Kelimagun; Istiqomah, Anisa Nur; Maharani, Ayu
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.v18i1.5018

Abstract

Dysphagia, or difficulty swallowing, is a common clinical symptom that often reflects structural or functional abnormalities of the upper gastrointestinal (GI) tract. Accurate imaging of the esophagus, stomach, and duodenum (ESD) is essential for identifying the underlying causes. This study aimed to describe radiologic examination techniques for ESD assessment in dysphagia cases at the Radiology Department of Panembahan Senopati Bantul Hospital. A qualitative case study design was applied, involving one radiologist and three radiographers. Data were obtained through direct observation, in-depth interviews, and document analysis, and processed using data reduction, categorization, and open coding, then validated with relevant radiologic literature. Patient preparation included 6–8 hours of fasting, removal of metallic objects, and procedural explanation. Imaging was performed in stages: the stomach was evaluated with AP supine and PA prone projections, the esophagus with AP erect and RPO projections, and the duodenum with an AP full-filling projection. Projection selection was guided by clinical indication, patient comfort, and technical efficiency. For example, AP and RPO projections were sufficient for esophageal evaluation due to its small diameter. The AP supine view was used to assess the corpus ventriculi, while PA prone provided better visualization of the fundus. All examinations were performed under radiologist supervision and adjusted based on patient condition and available equipment. Additional projections were unnecessary if no abnormalities were detected. In conclusion, ESD examination for dysphagia at this hospital follows a systematic yet flexible protocol, ensuring diagnostic accuracy while maintaining patient safety and comfort.
The Combination of Slow Deep Breathing and Qur’anic Murottal Therapy in Reducing Blood Pressure in Hypertension: A Case Study Adellia Andria Puspita; Rohmah, Anis Ika Nur
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.v18i1.5188

Abstract

Hypertension is a non-communicable disease that often occurs without symptoms and is a leading cause of premature death. In addition to persistently elevated blood pressure, hypertensive patients frequently experience unstable blood pressure variability (BPV), both short- and long-term. While antihypertensive medications are effective, they often cause undesirable side effects. Therefore, a safe and practical non-pharmacological approach is needed, such as slow deep breathing techniques and Qur'anic murottal therapy. This study aims to explore the effect of combining slow deep breathing and Qur'anic murottal therapy on blood pressure in hypertensive patients. This research used a descriptive approach with a case study method involving one hypertensive patient who met the inclusion criteria, namely having a blood pressure >140/90 mmHg, no hearing impairment, and having provided informed consent. The intervention was carried out once daily for 30 minutes over three consecutive days. The intervention followed the SOP for slow deep breathing combined with Qur'an murottal therapy. Blood pressure was measured before and after each session. There was a consistent decrease in blood pressure, pulse rate, and respiratory rate over the three-day period. These findings suggest that the combined therapy promotes relaxation and lowers blood pressure. The stable reduction also indicates its potential in managing blood pressure fluctuations. Further research with a quantitative design and a larger sample size is recommended to strengthen the generalization of results and support the broader application of this therapy in various healthcare settings.
Determining Formula Feeding Risk Factors: The Effect of Income and Education on Exclusive Breastfeeding Adherence in Rural Communities Prameswari, Dyah Anggun; Lestariningsih, Sri
Jurnal Kesehatan Metro Sai Wawai Vol. 18 No. 2 (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.v18i2.5353

Abstract

Attempts to raise the prevalence of exclusive breastfeeding in rural areas continue to face obstacles when it comes to formula feeding infants ages 0–6 months. The use of formula milk is still widespread despite national policies that support exclusive breastfeeding; this is due to sociodemographic factors like family income and educational attainment. Through respiratory infections, impaired cognitive development, intestinal issues, and the possibility of stunting, these factors may endanger the health of children. In places like Puskesmas Donomulyo, which is surrounded by rural areas, some families still have limited access to health services and information, so economic and educational factors are the primary determinants of whether to breastfeed or use formula. This study aimed to identify the variables associated with formula feeding in infants aged 0–6 months in the Donomulyo Community Health Center area. A quantitative, retrospective case-control design is used in this investigation. The unpaired categorical analytic formula with Zα 0.96 and Zβ 0.84 was used to determine the sample. Using a straightforward random sampling method, 68 respondents in total were chosen based on inclusion and exclusion criteria. In order to determine the 95% confidence level and a significant level of p ˂ 0.05, the analysis employed the chi-square test and the computation of proportions in each category. Of the mothers who gave formula milk to their infants between the ages of 0 and 6 months, 58.8% had a supportive attitude, 67.6% had a supportive attitude, 64.7% worked, 52.9% had a high parental income, and 58.8% had support from health professionals. Results of statistical tests for maternal education (p value = 0.001; OR 5.510), attitude (p value = 0.002; OR 5.018), employment (p value = 0.004; OR 4.400), parental income (p value = 0.013; OR 3.656), and health worker support (p value = 0.225; OR 1.810). There was no correlation between formula feeding and health worker support in infants aged 0–6 months; however, a correlation was found between the mother's occupation, attitude, education, and parents' income. It is recommended that healthcare professionals provide ongoing education regarding the dangers of formula feeding and the significance of exclusive breastfeeding. Health professionals' home visits, regular counseling at Posyandu, and the activation of mothers' study groups can all contribute to achieving this goal. Particularly in rural areas with limited access to information, this strategy seeks to improve breastfeeding motivation, increase maternal understanding, and lessen reliance on formula milk
Laboratory Examinations in the Diagnosis of Dengue Hemorrhagic Fever: A Systematic Literature Review Sangging, Putu Ristyaning Ayu; Prasetyo, Muhammad Purwono; Shiddiq, Muhammad Nasrullah Nur; Aprilia, Intan Rahma; Mukhbita, Khalila Alya; Zahra, Siti Aqila
Jurnal Kesehatan Metro Sai Wawai Vol. 18 No. 2 (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.v18i2.5434

Abstract

Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by the dengue virus and remains a major public health problem in Indonesia. Early and accurate diagnosis is crucial for determining appropriate management and preventing fatal complications. This systematic literature review aimed to evaluate and synthesize evidence on laboratory diagnostic methods for DHF across Southeast Asia. A comprehensive search was conducted across Pubmed, ScienceDirect, Scopus, Google Scholar and DOAJ for studies published between 2015 and 2025, using keywords such as “Dengue Hemorrhagic Fever,” “Laboratory Diagnosis,” and “Southeast Asia.” Inclusion criteria encompassed peer-reviewed studies reporting empirical on hematological, serological, or molecular laboratory test for DHF, while reviews without empirical finding studies unrelated to dengue diagnosis were excluded. Found on database 40 after screening, 22 studies met the inclusion criteria and were analyzed. NS1 antigen testing plays a crucial role in the early phase of infection, while IgM and IgG serological tests are useful in identifying the immunological phase of the disease. Meanwhile, RT-PCR is a highly sensitive method for directly detecting the presence of the virus. Combining several testing methods has been shown to improve diagnostic accuracy, both in terms of sensitivity and specificity. However, optimal implementation of these tests still faces challenges such as limited resources, cost, time, and differences in laboratory capabilities at various levels of health facilities. Therefore, strengthening laboratory capacity, standardizing testing methods, and implementing a combination testing strategy are needed to improve the reliability of dengue diagnosis. This approach is expected to support early detection, accelerate treatment, and strengthen efforts to control dengue outbreaks nationally.

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