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Eka Deviany Widyawaty
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INDONESIA
Jurnal Medicare
Published by Rena Cipta Mandiri
ISSN : -     EISSN : 2828352X     DOI : -
Core Subject : Health,
Health Professions Nursing Public Health
Medicare Journal, ISSN 2828-352X (media online) contains writings taken from the results of research in obstetrics and nursing, pregnancy, childbirth, postpartum; baby; family plans; reproduction health; complementary midwifery care. This journal is published four times a year. Medicare Journal is published by CV. Rena Cipta Mandiri Malang City. Publication schedule: January, April, July, October
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 181 Documents
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PENGARUH TERAPI FISIK DALAM MENGATASI KENAIKAN BERAT BADAN PADA AKSEPTOR KB HORMONAL Miliana, Lidvina Ochyna Sari; Nyna Puspita Ningrum; Nina Hidayatunnikmah
Jurnal Medicare Vol. 4 No. 4 (2025): OCTOBER 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i4.268

Abstract

Weight gain is a common side effect among hormonal contraceptive users, potentially leading to dissatisfaction, discontinuation, and long-term health risks. This study aimed to determine the effect of physical therapy in overcoming weight gain among hormonal contraceptive acceptors. This quantitative research employed a one-group pretest-posttest design, conducted at TPMB Affah Fahmi, Surabaya, in April–May 2023 with 31 respondents selected through purposive sampling. The intervention consisted of structured physical therapy sessions, three times a week for four weeks, involving aerobic exercise, stretching, and light strength training. Weight was measured before and after intervention, analyzed using paired t-test (p < 0.05). Results showed a significant decrease in average body weight from 57.44 ± 3.45 kg to 55.63 ± 3.26 kg (p = 0.000).
Komplikasi metabolik dan endokrin jangka panjang pada wanita setelah kehamilan dengan Diabetes Gestasional Rika Wulandari; Yusri Dwi Lestari
Jurnal Medicare Vol. 4 No. 4 (2025): OCTOBER 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i4.271

Abstract

Gestational diabetes (GDM) is a condition of increased blood glucose levels that is first detected during pregnancy, and not only affects the mother during pregnancy, but also increases the risk of long-term metabolic and endocrine complications after delivery. Women with a history of GDM are at higher risk of developing type 2 diabetes, dyslipidemia, thyroid disorders, and polycystic ovary syndrome (PCOS). These metabolic complications can appear within 5 to 20 years after pregnancy, with insulin resistance as the main triggering factor. In addition, thyroid disorders and PCOS can interfere with hormone function, which has an impact on the body's metabolic balance and reproductive health. Some risk factors that contribute to these long-term complications are obesity, family history of diabetes, age, and post-pregnancy lifestyle. Proper handling through routine screening, healthier lifestyle changes, and medical therapy are needed to reduce the risk of complications and improve the quality of life of women after pregnancy. With early detection and effective prevention, long-term complications due to GDM can be minimized, which can ultimately prevent women from the risk of other chronic diseases.
EFEKTIVITAS EDUKASI KONTRASEPSI JANGKA PANJANG MELALUI MEDIA VIDEO TIKTOK PADA WANITA USIA SUBUR DI DESA WONOREJO GONDANGREJO KARANGANYAR : - Aris Prastyoningsih; Anita Sri Sulistyowati; Amrina Nur Rohmah
Jurnal Medicare Vol. 4 No. 4 (2025): OCTOBER 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i4.277

Abstract

Indonesia’s Total Fertility Rate (TFR) remains above the ASEAN average at 2.4 per 1000 women of reproductive age and has stagnated over the last four periods. In addition, the maternal mortality rate in Indonesia is still high at 359 per 100,000 live births. Long-acting reversible contraception (LARC) is the most effective method to reduce fertility rates, yet its utilization remains low at 20.3%. This study aimed to analyze the effect of education through TikTok video media on knowledge of LARC among women of reproductive age in Wonorejo Village, Gondangrejo. This quantitative study applied a pretest-posttest without control design with a total sample of 40 women of reproductive age. Data were analyzed using the Wilcoxon test. The results showed an increase in knowledge before and after audiovisual education through video, from 75% with good knowledge to 87.5%, with a p-value of 0.005. The study concludes that education through TikTok video media significantly improves knowledge about long-acting reversible contraception among women of reproductive age.
EFEKTIVITAS AIR REBUSAN DAUN BINAHONG (ANREDERA CORDIFOLIA) TERHADAP FLOUR ALBUS PADA REMAJA Maharani Hayuningtyas, Cinthya; Rosyida; Anik Latifah; Tetty Rihardini
Jurnal Medicare Vol. 4 No. 4 (2025): OCTOBER 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i4.296

Abstract

Fluor albus remains a common reproductive health problem among adolescent girls. It is characterized by excessive vaginal discharge excluding blood with variations in odor, consistency, and color. If not managed properly, this condition can cause discomfort and potentially disrupt reproductive organ function. This study aimed to evaluate the effectiveness of boiled Binahong leaf water in reducing fluor albus among adolescents. A pre-experimental design with a one-group pretest-posttest method was used. The population included all female students from SMAS Nurusshaleh and MTS Nurusshaleh in Bangkalan Regency who experienced pathological fluor albus, with a sample of 30 students selected through total sampling. The intervention involved using boiled Binahong leaf water for perineal cleansing twice daily over five consecutive days.. Results showed that all participants (100%) experienced abnormal fluor albus before the intervention, while 29 participants (96.7%) improved to normal conditions afterward. The Wilcoxon test revealed a significant value of p = 0.000 (< 0.05), indicating a statistically significant difference before and after the intervention. In conclusion, boiled Binahong leaf water is effective in reducing fluor albus among adolescents and can be considered a safe, accessible traditional treatment option.
Pemberian Brain Gym Exercise Terhadap Peningkatan Fungsi Kognitif Pada Lansia Bima Aminul Karim; Puspita, Lintang
Jurnal Medicare Vol. 4 No. 4 (2025): OCTOBER 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i4.303

Abstract

Peningkatan jumlah lansia di dunia dan Indonesia berdampak pada meningkatnya kebutuhan pelayanan kesehatan, khususnya yang berkaitan dengan fungsi kognitif. Penurunan fungsi kognitif pada lansia dapat menyebabkan kesulitan dalam aktivitas sehari-hari serta meningkatkan ketergantungan terhadap orang lain. Penelitian ini bertujuan untuk mengetahui pengaruh senam otak (Brain Gym) terhadap fungsi kognitif pada lansia di Kelurahan Turen wilayah kerja Puskesmas Turen. Desain penelitian yang digunakan adalah Quasi Experimental dengan pendekatan cross-sectional. Sampel berjumlah 30 responden, dengan mayoritas berusia 60–64 tahun, berpendidikan SMP, dan bekerja sebagai petani. Hasil penelitian menunjukkan rata-rata fungsi kognitif sebelum dilakukan Brain Gym sebesar 18,78 dan setelah intervensi meningkat menjadi 22,05. Hasil uji statistik menunjukkan nilai p-value = 0,000 (<0,05), artinya terdapat pengaruh signifikan senam otak terhadap peningkatan fungsi kognitif lansia. Brain Gym terbukti dapat meningkatkan konsentrasi, memori, dan kemampuan berpikir melalui aktivasi kedua belahan otak serta peningkatan aliran darah ke otak. Kegiatan ini direkomendasikan sebagai intervensi non-farmakologis yang aman, mudah, dan efektif untuk menjaga kesehatan kognitif lansia
Persepsi Ibu Balita Terhadap Pertumbuhan dan Perkembangan Balita Mothers Perceptions of Toddler Growth and Development Anik Kurniawati; Rohmi Handayani
Jurnal Medicare Vol. 4 No. 4 (2025): OCTOBER 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i4.306

Abstract

Toddler growth and development is a crucial phase that determines the quality of an individual's life in the future. During this period, children experience rapid physical, cognitive, emotional, and social development. Parents play a central role in directing and supporting this process through parenting, stimulation, and their understanding of their child's growth and development needs. Parents' perceptions of toddler growth and development greatly influence the way they care for and educate their children. The purpose of this study was to determine the characteristics of respondents and people's perceptions of toddler growth and development. This study used a quantitative descriptive design conducted in Glodogan Village, South Klaten District, Klaten with 39 respondents. The sampling technique used was accidental sampling. The results showed that all respondents (100%) had positive perceptions of toddler growth and development. The characteristics of the respondents were mostly (90%) in the healthy reproductive age range, 44% of respondents with secondary education and 46% of respondents were housewives.
PENGARUH AKUPUNKTUR TELINGA TERHADAP PENURUNAN TEKANAN DARAH Joko Tri Haryanto; Purwanto; Chusnul Zulaika; Eka Deviany Widyawaty
Jurnal Medicare Vol. 4 No. 4 (2025): OCTOBER 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i4.307

Abstract

Background: Hypertension is one of the major global health problems with an increasing prevalence. According to the World Health Organization (WHO), the number of individuals with hypertension rose from 594 million in 1975 to 1.13 billion in 2019. One of the complementary therapies widely used in hypertension management is auricular acupuncture, which is believed to modulate the autonomic nervous system and reduce blood pressure. This study aims to determine the effectiveness of auricular acupuncture therapy in lowering blood pressure. Methods: This study employed a Quasi-Experimental design with a Pretest–Posttest One Group approach. The research was conducted from February to April 2025 involving 30 respondents selected through purposive sampling. All participants received auricular acupuncture therapy, and blood pressure was measured before and after the intervention. Data were analyzed using the Wilcoxon test to assess differences in pre- and post-intervention blood pressure. Results: The Wilcoxon test showed a significance value of p < 0.05 (p = 0.001), indicating a significant decrease in blood pressure after the administration of auricular acupuncture therapy. Conclusion: Auricular acupuncture therapy is proven to be effective in reducing blood pressure and can be recommended as a complementary therapy in the management of hypertension.
PENGARUH METODE BABY LED WEANING (BLW) TERHADAP POLA MAKAN ANAK USIA 9 - 12 BULAN DALAM UPAYA MENINGKATKAN STATUS GIZI ANAK DI DESA GADING WETAN KECAMATAN GADING KABUPATEN PROBOLINGGO Iis Hanifah; Tutik Hidayati; Wahida Yuliana
Jurnal Medicare Vol. 4 No. 4 (2025): OCTOBER 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i4.308

Abstract

One indicator of health development achievement is the nutritional status of children under 5 years old (toddlers). This phase is known as the golden period where development and growth are very rapid, so children's nutritional needs must be met. During this period, toddlers are very vulnerable to malnutrition, one of which is stunting. Although in East Java the figures have shown a decline in stunting, this is still not said to be completely successful because in Indonesia the target is to reach a stunting prevalence rate of 14% in 2024. The purpose of this study To determine the effectiveness of the baby-led weaning method on the eating patterns of children aged 9-12 months in an effort to improve children's nutritional status The method used in this study was a quasi-experiment with one group pretest posttest. The intervention was a technique of feeding babies aged 9-12 months using the baby-led weaning (BLW) method. The population in this study were all babies aged 9-12 months totaling 46 respondents. The sampling technique used a total sampling of 46 respondents. Data collection used a questionnaire, and was analyzed using the Wilcoxon statistical test. The results of this study indicate that Ha is accepted with an SPSS value of 0.001, which is <0.05, meaning that there is an Effect of the Baby Led Weaning (BLW) Method on the Eating Patterns of Children Aged 9 - 12 Months in an Effort to Improve Children's Nutritional Status. Suggestions, it is hoped that implementing the BLW method can help improve children's eating patterns and nutritional status. The output of this study is an accredited national journal.
EFEKTIFITAS SISTEM PAKAR UNTUK MENDIAGNOSA ANEMIA TERHADAP KETEPATAN KEJADIAN ANEMIA PADA REMAJA SANTRI Wahida Yuliana; Iis Hanifah; Tutik Hidayati
Jurnal Medicare Vol. 4 No. 4 (2025): OCTOBER 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i4.309

Abstract

An expert system is a computer program designed to make decisions similar to those made by one or more experts. An expert system is the use of technology that can simplify a person's work. Based on data, nutritional anemia in adolescents in Probolinggo Regency is 9.3%. The purpose of this study is to analyze the effectiveness of an expert system for diagnosing anemia on the accuracy of anemia incidents in adolescent students. The research design is quasi-experimental. The population in this study were all adolescent students who were final year students at the Hafshawaty Islamic Boarding School and were in the process of college, totaling 60 adolescents. The sampling technique used is total sampling. The steps will be done by dividing control and intervention groups at the same time. The analysis used is the chi-square statistical test with a significance level of 95% (alpha 0.05) using SPSS. The results of the study are the use of expert systems with the highest accuracy of anemia diagnosis is Correct and Using expert systems as many as 30 people (50.0%). The category does not use expert systems and inaccurate diagnoses as many as 25 people (41.7%). The results of the statistical test obtained showed a p-value of 0.000 <0.05 meaning  there is an Effectiveness of Expert Systems to diagnose anemia on the Accuracy of Anemia Incidents in Adolescent Students at Pondok Putri Hafshawaty. It is hoped that expert systems can be used as technology to perform early detection independently in cases of anemia. The output of this study will be published through the Accredited National Journal Sinta.
Hubungan Perilaku Masyarakat dan Karakteristik Tempat Penampungan Air (TPA) dengan Angka Bebas Jentik (ABJ) Aedes aegypti di Kelurahan Kerten Kota Surakarta Nesa Ira Puspita; Tri Mulyowati; Rinda Binugraheni
Jurnal Medicare Vol. 4 No. 4 (2025): OCTOBER 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i4.315

Abstract

Dengue Hemorrhagic Fever (DHF) is a disease caused by the Dengue virus and transmitted through the bite of the Aedes aegypti mosquito. In Kerten Village, DHF cases are still found even though the Mosquito-Free Rate has reached the minimum standard of ≥95%. This condition may be related to the community’s limited understanding of Mosquito Breeding Abatement (PSN) and the less optimal management of waste disposal sites. This study aims to determine the relationship between community behavior and the characteristics of water reservoirs (TPA) with the Mosquito-Free Rate of Aedes aegypti in Kerten Village, Surakarta City. The study used an analytical observational method with a cross-sectional design. The sample consisted of 100 randomly selected households, and data were analyzed using the Chi-Square test. Results showed that 75% of respondents had good PSN behavior, but larvae were still found in 3% of households. Statistical tests revealed no significant relationship between community behavior (p=0.487) or TPA characteristics, including color (p=0.510), material (p=0.187), location (p=0.244), and cover presence (p=0.277), with the Mosquito-Free Rate. It is concluded that community behavior and TPA characteristics are not significantly related to the Aedes aegypti Mosquito-Free Rate in Kerten Village, Surakarta City. Demam Berdarah Dengue (DBD) adalah penyakit yang disebabkan virus Dengue dan ditularkan melalui gigitan nyamuk Aedes aegypti. Kasus DBD di Kelurahan Kerten masih ditemukan meskipun Angka Bebas Jentik (ABJ) telah memenuhi syarat minimal ≥95%, hal ini dapat disebabkan kurangnya pemahaman masyarakat tentang PSN sebagai cara pencegahan penyakit DBD dan pegelolaan TPA yang belum sepenuhnya baik. Penelitian ini bertujuan mengetahui hubungan perilaku masyarakat dan karakteristik TPA dengan ABJ Aedes aegypti di Kelurahan Kerten, Kota Surakarta. Penelitian ini menggunakan metode analitik observasional dan pendekatan cross sectional. Sampel dalam penelitian ini adalah 100 rumah dan analisis data menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa 75% masyarakat memiliki perilaku PSN yang baik, namun larva nyamuk masih ditemukan dalam 3% rumah. Uji statistik menunjukkan tidak terdapat hubungan yang signifikan antara perilaku masyarakat (p=0,487) maupun karakteristik TPA meliputi warna (p=0,510); bahan (p=0,187); letak (p=0,244); keberadaan penutup (p=0,277) dengan Angka Bebas Jentik (ABJ). Kesimpulan dari penelitian ini adalah tidak terdapat hubungan yang signifikan antara perilaku masyarakat dan karakteristik Tempat Penampungan Air (TPA) dengan Angka Bebas Jentik (ABJ) Aedes aegypti di Kelurahan Kerten Kota Surakarta.

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