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Eka Deviany Widyawaty
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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 331 Documents
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ANALISIS KETIDAKSESUAIAN SUSUNAN FORMULIR REKAM MEDIS PADA PROSES ASSEMBLING (Analysis of Inconsistency in the Arrangement of Medical Record Forms in the Assembling Process) Aprilifania Silvina Wahyudi; Enny Mar'atus Sholihah
Jurnal Medicare Vol. 5 No. 3 (2026): JULY 2026 (INPRESS)
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i3.461

Abstract

Orderly medical record management is essential in supporting the quality of health services in hospitals. One stage in medical record management is the assembling process, which aims to arrange medical record forms according to the order listed in the medical record table of contents. However, in practice, inconsistencies in the arrangement of medical record forms are still found and may hinder subsequent document management processes. This study aims to analyze the inconsistency in the arrangement of medical record forms in the assembling process. This research used a descriptive method with an observational approach on inpatient medical record documents. Data were collected by observing 50 medical record documents for three weeks during February to March 2026. The results showed that 40 medical record documents (80%) were not arranged according to the order listed in the medical record table of contents, while 10 documents (20%) were arranged appropriately. The inconsistency in document arrangement can cause difficulties in further document management processes such as document sorting and storage. Therefore, improvement efforts are needed by providing visual guidance media such as a poster of the medical record form sequence to assist staff in arranging medical record documents systematically.
KALKULATOR DIGITAL DETEKSI DINI PREEKLAMPSIA BAGI BIDAN PUSKESMAS Fatmah Indriana Fuaida; Nadya Dwita Fatma Sari; Elsy Juni Andri Kariny
Jurnal Medicare Vol. 5 No. 2 (2026): APRIL 2026
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i2.462

Abstract

Introduction:One of the primary causes of morbidity and mortality in mothers and perinatals is preeclampsia, particularly when the illness develops early in pregnancy. A rapid and substantial increase in body weight during pregnancy is the first immediately detectable symptom of preeclampsia. Because conducting standard pregnancy exams can avoid preeclampsia. Objectives: Development of a digital calculator application for midwives in early prevention of preeclampsia in pregnant women. Method: using the Research and Development (RnD) method. The sampling technique used total sampling with a total sample of 32 midwives. The research was conducted at the Pagelaran Public Health Center in May 2024. The data analysis used TAM (Technology Acceptance Model). Result: According to the evaluation results, 93.5% of respondents felt that the digital calculator application was useful for detecting preeclampsia at an early stage, and 81.12% felt that it was easy to use. This demonstrates how midwives can benefit and find it more convenient to prevent preeclampsia by using a digital calculator application for early identification of preeclampsia. Research conclusion: In order to aid in the early prevention of preeclampsia, midwives could benefit from the creation of a digital calculator application, particularly one that calculates BMI, MAP, and ROT.  
PENGARUH AKUPUNKTUR TITIK LI11, ST36, DAN TITIK LOKAL KASUS DERMATITIS ATOPIK PADA SANTRI DI PONDOK DARUL IHSAN SRAGEN Fatimah Rahmawati; Anisa Andriani; Yessy Widhi Astuti; Franciscus Xaverius; Fatimah Hasna Karima; Utami Pangestu
Jurnal Medicare Vol. 5 No. 3 (2026): JULY 2026 (INPRESS)
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i3.463

Abstract

Dermatitis is an inflammatory skin disorder caused by a type IV cell-mediated hypersensitivity reaction following disruption of the skin barrier by specific antigens. Various factors, including age, sex, environmental conditions, personal hygiene, clothing, cosmetics, and topical medications, contribute to its occurrence. This study aimed to evaluate the effect of acupuncture at LI11, ST36, and local points on reducing dermatitis lesion severity among students at the Darul Ihsan Muhammadiyah Islamic Boarding School, Sragen. A pre-experimental one-group pretest–posttest design was employed from October to November 2025. Of 425 boarding school students, 150 had a history of dermatitis, and 30 participants met the inclusion criteria. Dermatitis severity was assessed using the SCORAD questionnaire and observation sheets before and after treatment. Data were analyzed using the Wilcoxon signed-rank test with a significance level of 0.05. The results showed a significant reduction in dermatitis lesion severity (p = 0.001), indicating that acupuncture may serve as a safe, non-pharmacological complementary therapy for dermatitis.
PERCEPTION OF NET BENEFITS OF ELECTRONIC MEDICAL RECORDS AND ITS IMPACT ON THE EFFECTIVENESS OF POLY-CARE SERVICES IN HOSPITAL Mochammad Malik Ibrahim; Risna Zubaidah; Dhian Ika Prihananto
Jurnal Medicare Vol. 5 No. 3 (2026): JULY 2026 (INPRESS)
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i3.465

Abstract

The digitization of medical records in hospitals was developed to support the quality and effectiveness of services through more systematic, rapid, and integrated patient data management. However, in its implementation, the utilization of this system has not fully achieved optimal results due to various technical and operational obstacles that still affect the smoothness of services and the level of benefits perceived by users. This study aims to analyze the relationship between the perceived net benefits of electronic medical records and the effectiveness of polyclinic services at Prof. Dr. Soekandar Regional General Hospital, Mojokerto Regency. The research was conducted using a quantitative approach using a cross-sectional analytical design. All 70 polyclinic staff were involved as respondents. Data were collected through questionnaires and tested for validity and reliability. The data were then analyzed descriptively and inferentially using the Spearman correlation test. The findings indicate that the perception of the benefits of EMR and the level of effectiveness of polyclinic services are mostly in the moderate category. Statistical testing confirmed a significant and positive correlation between the perceived benefits of the system and the effectiveness of services. This means that increasing the benefits of EMR tends to be followed by an increase in the effectiveness of polyclinic services. Therefore, optimizing system quality, strengthening information technology infrastructure, and improving user competency are strategic steps to maximize the utilization of EMR and improve health service performance.
PENGEMBANGAN EDUKASI BERBASIS KONSELING UNTUK MENGURANGI GANGGUAN POLA MENSTRUASI PADA AKSEPTOR IMPLANT Joeliatin; Binti Asrofin
Jurnal Medicare Vol. 5 No. 3 (2026): JULY 2026 (INPRESS)
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i3.466

Abstract

The use of implant contraception may cause side effects such as menstrual cycle disturbances, including spotting, amenorrhea, and irregular bleeding. Counseling-based education is needed to improve acceptors’ understanding in managing these side effects. This study aims to determine the effect of counseling-based education on menstrual cycle disturbances among implant contraceptive acceptors. This study used a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 30 implant contraceptive acceptors selected using a purposive sampling technique. The intervention was carried out through counseling-based education, and measurements were taken using questionnaires before (pretest) and after (posttest) the intervention. Data analysis was performed using a paired t-test with a significance level of 0.05. The results showed that the mean score of menstrual cycle disturbances before the intervention was 79.03 and decreased to 66.70 after the intervention. The paired t-test results obtained a t-value of 89.108 with a p-value of 0.000 (p < 0.05), indicating a significant effect of counseling-based education on reducing menstrual cycle disturbances among implant acceptors. Counseling-based education was proven to be effective in reducing menstrual cycle disturbances among implant contraceptive acceptors.
ANALISIS FAKTOR RISIKO KEJADIAN KETUBAN PECAH DINI PADA IBU BERSALIN: PENELITIAN CASE-CONTROL Amrina Rohmah; Lusiana Ambarsari; Shinta Alifiana Rahmawati
Jurnal Medicare Vol. 5 No. 3 (2026): JULY 2026 (INPRESS)
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i3.467

Abstract

Premature rupture of membranes (PROM) is one of the pregnancy complications that can increase maternal and neonatal morbidity and mortality. This study aimed to analyze the association between maternal age, education, occupation, parity, gestational age, anemia status, history of diabetes mellitus, and history of PROM with the incidence of PROM. A case-control design was employed using secondary data from 346 respondents, consisting of 173 cases and 173 controls. Data were analyzed using the Chi-square test with a 95% confidence level (α = 0.05). The results showed significant associations between maternal age (p = 0.025), education (p = 0.000), parity (p = 0.001), gestational age (p = 0.000), anemia status (p = 0.000), and history of PROM (p = 0.000) with the incidence of PROM. In contrast, occupation (p = 0.274) and history of diabetes mellitus (p = 0.200) were not significantly associated with PROM. It can be concluded that certain maternal and obstetric factors are associated with the incidence of PROM. Therefore, optimal antenatal monitoring is necessary to identify and manage these factors in order to reduce the risk of PROM.
HUBUNGAN PENGGUNAAN GADGET TERHADAP PERKEMBANGAN BALITA USIA 1-5 TAHUN DI POSYANDU FLAMBOYAN WILAYAH KERJA PUSKESMAS KASIHAN II Karina Dyah Exniaputri; Sri Ratna Ningsih; Yekti Satriyandari
Jurnal Medicare Vol. 5 No. 3 (2026): JULY 2026 (INPRESS)
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i3.469

Abstract

Gadget use is increasing along with technological developments in the digital era, raising concerns about its impact on under-five children development, particularly those aged 1-5, which is considered the golden age. If gadget use is not controlled by restrictions and parental supervision, it has the potential to impact under-five children development, particularly in fine motor skills, speech and language, socialization, independence, and gross motor skills. To determine the relationship between gadget use and the development of under-five children the Posyandu (Integrated Health Post) Flamboyan. This study employed quantitative methods with a cross-sectional design. Data analysis performed was the Spearman's Rho test. The sample selected in this study was 63 under-five children aged 1-5, obtained using total sampling. Data collection utilized was a gadget use questionnaire and a Developmental Pre-Screening Questionnaire (KPSP-Kuesioner Pra Skrining Perkembangan). The Spearman's Rho correlation test yielded a p-value (sig) of 0.168 > 0.05. There is no relationship between gadget use and the development of under-five children aged 1-5 years at the Posyandu Flamboyan in the Puskesmas (Community Health Center) Kasihan II working area.
HUBUNGAN INDEKS MASSA TUBUH (IMT) DENGAN BENTUK ARKUS KAKI PADA ANAK USIA 7 – 12 TAHUN DI SDN 03 TOHUDAN KARANGANYAR Muhammad Fathi; Sisybania; Anggita Putri Nugraheni
Jurnal Medicare Vol. 5 No. 3 (2026): JULY 2026 (INPRESS)
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i3.475

Abstract

Abnormal foot arch shape can cause balance disorders, pain, and increase the risk of injury. One factor influencing this condition is Body Mass Index (BMI). Children with high BMI, such as overweight and obesity, tend to have flat foot arches (pes planus) due to greater body weight. This study aims to determine the relationship between foot arch shape and BMI in elementary school children. This study at SDN 03 Tohudan Karanganyar using an analytical observational method with a cross-sectional approach. The sample consisted of 92 students selected through total sampling. BMI was measured using body weight and height, while foot arch shape was assessed using the Clarke Angle method. Data analysis included normality testing and hypothesis testing using the Spearman Rank test.The results showed a significant relationship between BMI and foot arch shape, with a p-value of 0.013 (p < 0.05) and a correlation coefficient of -0.258. This negative correlation indicates that as BMI increases, foot arch shape decreases. However, the correlation strength was weak. In conclusion, there is a significant negative relationship between BMI and foot arch shape in children aged 7–12 years. Higher BMI is associated with lower foot arch shape, which may increase the risk of musculoskeletal disorders.
HUBUNGAN PERNIKAHAN DINI DENGAN KEJADIAN INFEKSI MENULAR SEKSUAL Nurvy Alief Aidillah; Lianita Primi Octaviana; Nova Purmahardini
Jurnal Medicare Vol. 5 No. 2 (2026): APRIL 2026
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i2.476

Abstract

Biologically, women are a population group that is susceptible to sexually transmitted infections caused by unhealthy sexual activity. Before the age of 20, women's bodies are not physically mature to carry out their reproductive functions optimally. This study aims to study the relationship between early marriage and the incidence of sexually transmitted infections in Pamekasan Regency. This study uses an analytical observational study with a cross-sectional design. The research sample amounted to 30 respondents who were selected by total sampling technique. Data analysis used the Chi-Square statistical test. Then in the distribution of STI frequencies as many as 3 cases (33.3%). The results of the statistical test obtained p value = 0.003 (p< 0.05) which means that there is a significant relationship between early marriage and STIs. The conclusion of this study is that there is a significant relationship between marriage age and the incidence of sexually transmitted infections in Pademawu District. It is hoped that the public can get better education about what risk factors can cause sexually transmitted infections, one of which is early marriage.
Identifikasi Faktor Penyebab Keterlambatan Pengambilan Logistik Non-Medis Menggunakan Diagram Fishbone di Rumah Sakit Muhammadiyah Lamongan Mila Lutfiyatun An’nisa; Nuryati; Faizatul Ummah
Jurnal Medicare Vol. 5 No. 3 (2026): JULY 2026 (INPRESS)
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i3.477

Abstract

Delays in non-medical logistics retrieval are a problem that can reduce distribution effectiveness in hospitals. This study aims to identify the factors causing delays in non-medical logistics retrieval and to propose improvement efforts. The research used a descriptive qualitative method with an observational approach through observation, interviews, and documentation at the General Logistics Unit of Muhammadiyah Hospital Lamongan from February to March 2026. Data were analyzed using a fishbone diagram to identify root causes. The results showed that delays were influenced by factors related to human resources, methods, materials, systems, and environment, including high workload, absence of retrieval time limits, low urgency of items, suboptimal system utilization, and ineffective inter-unit communication. These conditions lead to stock accumulation in the warehouse and reduced distribution efficiency. Therefore, it is necessary to establish SOP for retrieval time limits, implement reminder systems, and improve coordination and communication between units.

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