Jurnal Medicare
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
Articles
331 Documents
<![CDATA[EFEKTIVITAS ANTARA ERACS DAN NON ERACS TERHADAP PENURUNAN NYERI PADA IBU POST SECTIO CAESAREA DI RUMAH SAKIT EMHAKA BEKASI ]]>
<![CDATA[Indana Ulfah]]>;
<![CDATA[Rusnoto]]>;
<![CDATA[Indanah]]>
<![CDATA[ Jurnal Medicare Vol. 5 No. 2 (2026): APRIL 2026 ]]>
Publisher : <![CDATA[Rena Cipta Mandiri ]]>
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DOI: 10.62354/jurnalmedicare.v5i2.383
<![CDATA[Nyeri pasca sectio caesarea merupakan salah satu keluhan utama yang dapat memengaruhi proses pemulihan ibu. Penerapan Enhanced Recovery After Cesarean Surgery (ERACS) merupakan pendekatan perioperatif yang bertujuan untuk mengurangi nyeri, mempercepat pemulihan, dan meningkatkan kenyamanan pasien dibandingkan dengan metode perawatan konvensional (Non-ERACS). Penelitian ini menggunakan desain kuasi eksperimen dengan pendekatan komparatif. Sampel penelitian berjumlah 44 responden, yang terdiri dari 22 pasien ERACS dan 22 pasien Non-ERACS, yang menjalani sectio caesarea di RS Emhaka Bekasi. Pengukuran nyeri dilakukan pada 6 jam, 12 jam, dan 24 jam post operasi menggunakan skala nyeri. Analisis data dilakukan menggunakan uji Friedman. Hasil penelitian menunjukkan bahwa rata-rata nyeri pada 6 jam post operasi lebih rendah pada kelompok ERACS (0,18) dibandingkan dengan kelompok Non-ERACS (2,77). Selain itu, terdapat perbedaan yang bermakna secara statistik pada tingkat nyeri berdasarkan waktu pengukuran (p-value = 0,000), dengan kecenderungan nyeri meningkat pada 12 jam dan 24 jam post operasi. Penerapan ERACS terbukti lebih efektif dalam menekan nyeri pasca operasi dibandingkan metode Non-ERACS. Kesimpulan dari penelitian ini adalah bahwa ERACS berpengaruh signifikan dalam menurunkan tingkat nyeri post sectio caesarea serta memberikan hasil pemulihan yang lebih baik dibandingkan dengan Non-ERACS.]]>
<![CDATA[HUBUNGAN PEMBERIAN ASI TOPIKAL PADA TALI PUSAT DENGAN LAMA PELEPASAN TALI PUSAT DI DESA MEGONTEN KEBON AGUNG KAB DEMAK ]]>
<![CDATA[Munadhoroh]]>;
<![CDATA[Atun Wigati]]>;
<![CDATA[Ummi Kulsum]]>
<![CDATA[ Jurnal Medicare Vol. 5 No. 2 (2026): APRIL 2026 ]]>
Publisher : <![CDATA[Rena Cipta Mandiri ]]>
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DOI: 10.62354/jurnalmedicare.v5i2.387
<![CDATA[Background: Umbilical cord care involves the treatment and tying of the umbilical cord, which causes the final physical separation between mother and baby. The umbilical cord is then cared for in a sterile, clean, dry, and infection-free condition. The purpose of this study was to determine the effect of topical breast milk application on the time of umbilical cord separation. And to compare the duration of umbilical cord separation between babies given topical breast milk and sterile gauze. Using SOP sheets and observation sheets. Method: The research method used was a quasi-analytical experimental design. The population in this study consisted of all babies born between October and December 2025, totalling 62 babies. Research results: There is a significant relationship or difference between umbilical cord care with topical breast milk and umbilical cord care using sterile gauze. Suggestions: The results of this study can be used to provide knowledge about inexpensive and easy umbilical cord care methods that can support maternal and child health programmes at health centres.]]>
<![CDATA[EFEKTIVITAS AKUPRESURE TITIK HEGU TERHADAP INTENSITAS NYERI PERSALINAN KALA I DI RUMAH SAKIT SARKIES KUDUS ]]>
<![CDATA[Rika Febriani Kurniasari]]>;
<![CDATA[Fania Nurul Khoirunnisa]]>;
<![CDATA[Nor Asiyah]]>
<![CDATA[ Jurnal Medicare Vol. 5 No. 2 (2026): APRIL 2026 ]]>
Publisher : <![CDATA[Rena Cipta Mandiri ]]>
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DOI: 10.62354/jurnalmedicare.v5i2.388
<![CDATA[Nyeri dalam persalinan adalah sensasi tidak nyaman yang muncul akibat rangsangan selama proses melahirkan. Tujuan penelitian ini adalah untuk menganalisis efektivitas akupresure titik hegu terhadap intensitas nyeri persalinan kala I di Rumah Sakit Sarkies. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan metode eksperimen semu. Desain penelitian ini menggunakan eksperimen dengan 2 kelompok pre-posttest with control group design. Populasi dalam penelitian ini adalah semua ibu bersalin normal yang datang ke rumah sakit sarkies dengan rata-rata pasien sebanyak 74 pasien setiap bulan. Besarnya sampel dihitung dengan rumus lamesshow sehingga didapatkan besaran sampel sebanyak 42 responden yang dibagi kedalam dua kelompok yaitu kelompok intervensi dan kontrol. Instrumen penelitian untuk mengukur tingkat nyeri menggunakan Faces pain rating scale. Analisa untuk mengetahui perbedaan pre dan post menggunakan uji wilcoxon sedangkan untuk mengetahui skala nyeri pada kelompok intervensi dan control menggunakan uji mann whitney. Hasil penelitian menjelaskan bahwa dari 42 responden yang diteliti sebelum pemberian intervensi. terdapat 29 (69%) responden merasakan nyeri berat. Setelah diberikan tindakan akupresur titik hegu diketahui bahwa terdapat 28 (66,7%) responden merasakan nyeri sedang. Hasil penelitian disimpulkan ada efektivitas akupresure titik hegu terhadap intensitas nyeri persalinan kala I di Rumah Sakit Sarkies diterima dengan nilai p = 0,000.]]>
<![CDATA[EFEKTIVITAS KOMBINASI AKUPRESUR DAN MUROTTAL AL-QUR’AN DALAM MENURUNKAN NYERI PERSALINAN KALA I DI RUMAH SAKIT AISYIYAH KUDUS ]]>
<![CDATA[Shofia Zahidati]]>;
<![CDATA[Fania Nurul Khoirunnisa]]>;
<![CDATA[Nor Asiyah]]>
<![CDATA[ Jurnal Medicare Vol. 5 No. 2 (2026): APRIL 2026 ]]>
Publisher : <![CDATA[Rena Cipta Mandiri ]]>
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DOI: 10.62354/jurnalmedicare.v5i2.389
<![CDATA[Nyeri persalinan merupakan suatu keadaan yang menimbulkan rasa tidak nyaman. Rasa nyeri tersebut akan semakin bertambah seiring dengan majunya proses persalinan. Salah satu teknik non farmakologi yang dapat mengurangi rasa nyeri persalinan antara lain akupresur. Selain memberikan intervensi akupresure, distraksi seperti mendengarkan surah-surah pilihan dalam Al-qur’an akan memberikan ketenangan kepada pasien. Penelitian ini bertujuan untuk mengetahui efektivitas kombinasi akupresur dan surah Al-Qur’an dalam menurunkan nyeri persalinan kala I di rumah sakit Aisyiyah Kudus. Jenis penelitian yang digunakan adalah experiment dengan desain satu kelompok (one group pretest-posttest). Populasi dalam penelitian ini adalah seluruh pasien yang melahirkan di Rumah Sakit Aisyiyah Kudus sebanyak 57 rata-rata tiap bulan. Jumlah sampel dihitung dengan rumus lameshow didapatkan sebanyak 36 responden. Tingkat nyeri diukur dengan numeric rating scale (NRS). Analisa data menggunakan uji Wilcoxon. Hasil penelitian sebelum diberikan tindakan akupresur dan murrotal Al-qur’an, Sebagian besar responden mengalami nyeri berat sebanyak 24 (66,7%) setelah diberikan tindakan akupresur dan murrotal Al-qur’an, sebagian besar responden mengalami nyeri persalinan kala I kategori sedang sebanyak 19 52,8%). Hasil penelitian menyimpulkan ada efektifitas kombinasi akupresur dan Murottal Al-Qur’an dalam menurunkan nyeri persalinan kala I di rumah sakit Aisyiyah Kudus dengan nilai p value adalah 0,000 < 0,05.]]>
<![CDATA[EFEKTIVITAS PEMBERIAN INHALASI GINGER ESSENTIAL OIL TERHADAP FREKUENSI MUAL DAN MUNTAH PADA IBU HAMIL DENGAN EMESIS GRAVIDARUM TRIMESTER I DI RUMAH SAKIT ‘AISYIYAH KUDUS ]]>
<![CDATA[Ayu Siti Sundari]]>;
<![CDATA[Islami]]>;
<![CDATA[Indah Puspitasari]]>
<![CDATA[ Jurnal Medicare Vol. 5 No. 2 (2026): APRIL 2026 ]]>
Publisher : <![CDATA[Rena Cipta Mandiri ]]>
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DOI: 10.62354/jurnalmedicare.v5i2.404
<![CDATA[Nausea and vomiting during pregnancy are among the most common complaints experienced by pregnant women. One form of non-pharmacological therapy that can be used is ginger aromatherapy. This study aims to determine the effectiveness of ginger essential oil inhalation on the frequency of nausea and vomiting in pregnant women with first trimester emesis gravidarum at 'Aisyiyah Kudus Hospital. This study was categorised as an experimental study with one experimental group. The population in this study was all pregnant women experiencing emesis gravidarum. During the research period in September 2025, there were 60 respondents. The sample size was calculated using the Slovin formula, which yielded 52 respondents. The research instrument used was the PUQE 24. The data were analysed using the Wilcoxon test. The results of this study showed that before being given ginger essential oil inhalation, most respondents experienced moderate nausea and vomiting, numbering 35 (67.4%) respondents. After being given the inhalation, most respondents did not experience nausea and vomiting, numbering 22 (42.3%) respondents. There was an effectiveness of ginger essential oil inhalation on the frequency of nausea and vomiting in pregnant women with first trimester emesis gravidarum at 'Aisyiyah Kudus Hospital with a p-value of 0.000 < 0.05. ]]>
<![CDATA[ASUHAN KEBIDANAN PADA IBU NIFAS NY.R DENGAN HEMOGLOBIN (HB) RENDAH DI PMB SRI WIYANTI GRESIK ]]>
<![CDATA[Mega Permata Sari]]>;
<![CDATA[Fauziah F. Hernanto]]>
<![CDATA[ Jurnal Medicare Vol. 5 No. 3 (2026): JULY 2026 (INPRESS) ]]>
Publisher : <![CDATA[Rena Cipta Mandiri ]]>
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DOI: 10.62354/jurnalmedicare.v5i3.51
<![CDATA[Postpartum maternal anemia is a condition in which the body's hemoglobin level is less than 10 g/dl. Although pregnant women have sufficient iron content, the concentration of prenatal hemoglobin is usually around 11 to 12 g/dL. Anemia can be exacerbated by reduced blood volume during delivery and respiratory periods. In 2020, postpartum maternal mortality from anemia reached 30% in Indonesia. The research sample used was 1 (one) mother fas with Anemia at PMB Sri Wiyanti Gresik. The method of continuity of care, which is continuous care, is used in running foster care. The solutions provided are KIE regarding nutritional needs in niphas, improvement of resting patterns and provision of Fe tablets. From the care provided, the results are that the difficulty can be handled properly so that it does not cause more dangerous effects.]]>
<![CDATA[The Relationship Of Menarche Age And Body Mass Index (BMI) In Adolescent Girls At SMP Negeri 6 Denpasar ]]>
<![CDATA[Ni Luh Ayu Sangging Giri Antari]]>;
<![CDATA[Niken Ayu Merna Eka Sari]]>;
<![CDATA[I Gusti Ayu Putu Satya Laksmi]]>
<![CDATA[ Jurnal Medicare Vol. 5 No. 2 (2026): APRIL 2026 ]]>
Publisher : <![CDATA[Rena Cipta Mandiri ]]>
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DOI: 10.62354/jurnalmedicare.v5i2.354
<![CDATA[Young women are a group of 10–19 years old who experience a transition period to adulthood, characterized by the occurrence of menarche. The age of menarche needs to be considered because too early menarche can have an impact on the reproductive health and nutritional status of adolescent girls. Changes in adolescent lifestyles that trigger an increase in Body Mass Index (BMI) are suspected to play a role in accelerating the age of menarche. The purpose of this study was to determine the relationship between menarche age and BMI in adolescent girls at SMP Negeri 6 Denpasar. The study used a quantitative method with a cross sectional observational analytical design. The sampling technique used was convenience sampling with 237 respondents who were selected according to the inclusion and exclusion criteria. The results showed that most of the respondents experienced the normal menarche age category (11-13 years) as many as 217 people (91.6%), the majority of respondents had a normal BMI, which was 186 people (78.5%). The Spearman's Rho test showed that there was a significant relationship between the age of menarche and body mass index (BMI) with values of r = -0.178 and p = 0.006 (p < 0.01). This relationship is negative and weak, meaning that the higher the BMI, the menarche age tends to occur faster, and conversely, the lower the body mass index, the later the menarche age tends to occur. These results indicate that nutritional status plays a role in determining the time of menarche. This is in line with the theory that increased body fat can affect the hormone leptin which accelerates puberty. Thus, although the relationship found to be weak, the results of this study confirm that nutritional status, especially BMI, is one of the factors that need to be considered in the reproductive development of adolescent girls.]]>
<![CDATA[The Relationship Between Interpersonal Intelligence And Adolescents' Knowledge Of Bullying Prevention ]]>
<![CDATA[Selvizinia Queisya Barros]]>;
<![CDATA[Ni Made Nopita Wati]]>;
<![CDATA[I Gede Juanamasta]]>
<![CDATA[ Jurnal Medicare Vol. 5 No. 2 (2026): APRIL 2026 ]]>
Publisher : <![CDATA[Rena Cipta Mandiri ]]>
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DOI: 10.62354/jurnalmedicare.v5i2.356
<![CDATA[Bullying is a serious problem among adolescents that can negatively impact their mental health and social development. Interpersonal intelligence, which encompasses the ability to understand the feelings, intentions, and emotions of others, is believed to influence adolescents' knowledge of bullying and their ability to prevent it. This study aimed to determine the relationship between interpersonal intelligence and adolescents' knowledge of bullying prevention at Santa Angela Junior High School, Atambua. The study used a quantitative design with a descriptive correlational approach. The sample consisted of 122 students selected using probability sampling techniques. Data were collected through a questionnaire that measured interpersonal intelligence and knowledge of bullying. The results showed that the majority of respondents had high interpersonal intelligence (40.6%) and good knowledge of bullying (48.7%). Data analysis using the Spearman Rank correlation test showed a significant relationship between interpersonal intelligence and knowledge about bullying (r = 0.465; p = 0.000). Research indicates that interpersonal intelligence plays a crucial role in improving adolescents' knowledge about bullying, as they are better able to understand the social and emotional impacts of bullying behavior. Interpersonal intelligence is positively related to knowledge about bullying, which can aid in bullying prevention in schools. It is recommended that schools integrate the development of interpersonal intelligence into anti-bullying education programs to create a safer environment for students]]>
<![CDATA[The Relationship Between Parents’ Level Of Knowledge About Acute Respiratory Infection (ARI) And Preventive Behaviors Toward Ari Among Under-Five Children ]]>
<![CDATA[Ni Kadek Shintya Putri Diah Pitaloka]]>;
<![CDATA[Ni Wayan Trisnadewi]]>;
<![CDATA[AA Istri Dalem Hana Yundari]]>
<![CDATA[ Jurnal Medicare Vol. 5 No. 2 (2026): APRIL 2026 ]]>
Publisher : <![CDATA[Rena Cipta Mandiri ]]>
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DOI: 10.62354/jurnalmedicare.v5i2.357
<![CDATA[Acute Respiratory Infection (ARI) remains a leading cause of morbidity and mortality among children under five, accounting for approximately 20% of under-five deaths in 2024. Parental knowledge is considered an important factor influencing ARI prevention practices. This study aimed to analyze the relationship between parental knowledge of ARI and ARI prevention behavior among children under five at UPTD Puskesmas III South Denpasar. This study employed a correlational analytic design with a cross-sectional approach. A total of 92 parents of children aged 1–4 years were selected using purposive sampling. Data were collected using structured questionnaires and analyzed using the Spearman's rank correlation test. The results showed that most respondents had good knowledge of ARI and demonstrated good preventive behaviors. Spearman's rank analysis revealed a significant positive relationship between parental knowledge and ARI prevention behavior (p < 0.05; r = 0.393). It can be concluded that higher parental knowledge is associated with better ARI prevention behavior among children under five. Therefore, continuous health education is needed to improve parents' knowledge and strengthen ARI prevention practices.]]>
<![CDATA[GAMBARAN TINGKAT PENGETAHUAN REMAJA TENTANG UPAYA PENCEGAHAN DEMAM BERDARAH DENGUE (DBD) MELALUI STRATEGI 3M PLUS ]]>
<![CDATA[Ni Wayan Eka Apriani]]>;
<![CDATA[Ni Luh Gede Intan Saraswati]]>;
<![CDATA[Theresia Anita Pramestit]]>
<![CDATA[ Jurnal Medicare Vol. 5 No. 2 (2026): APRIL 2026 ]]>
Publisher : <![CDATA[Rena Cipta Mandiri ]]>
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DOI: 10.62354/jurnalmedicare.v5i2.359
<![CDATA[Dengue hemorrhagic fever (DHF) is a public health problem that continues to occur and is a health challenge, especially in tropical climates, but it can basically be prevented through the implementation of the 3M Plus strategy. One of the prevention efforts that can be done is to increase knowledge, especially in adolescents, because knowledge plays an important role in shaping disease prevention behaviors. The purpose of this study is to find out the overview of adolescents' level of knowledge about Dengue Hemorrhagic Fever (DHF) prevention efforts through the 3M Plus strategy. This research is a descriptive research, using univariate analysis. The sample in this study amounted to 305 respondents, which were taken using the Probability Sampling technique in the Proportionate Stratified Random Sampling method. Based on the results of the study, the most respondents were found at the age of 14 years, namely 104 respondents (34.1%), male 166 respondents (54.4%). The level of adolescents' knowledge about dengue prevention efforts through the 3M Plus strategy showed that most of the respondents were in the category of sufficient knowledge, namely 148 respondents (48.5%). The results of the study show that the level of knowledge of adolescents in the category is enough to indicate that adolescents have received information about dengue prevention, but this understanding is not fully in-depth and uneven. This condition shows the need to strengthen health education in a sustainable manner so that adolescents' knowledge can increase and be applied in daily dengue prevention behavior.]]>
