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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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HUBUNGAN PERKEMBANGAN ANAK USIA TODDLER PADA ANAK YANG LAHIR PREMATUR DAN YANG LAHIR ATERM DI PUSKESMAS UABAU Brigita Dina Manek
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.v5i3.482

Abstract

Background: Preterm birth (<37 weeks of gestation) is associated with an increased risk of growth and developmental disorders compared with term birth, making early developmental screening during the golden period essential. Objective: To compare the development of toddlers born preterm and those born at term in the Uabau Primary Health Center working area. Methods: This descriptive comparative field study assessed child development using the Denver Developmental Screening Test (DDST). The sample included 21 toddlers with a history of preterm birth and 30 toddlers born at term, selected through purposive sampling. Data were analyzed using statistical tests with a significance level of 95% (α = 0.05). Results: The analysis showed an Asymp. Sig value of 0.388 (p > 0.05), indicating no significant difference in developmental outcomes between preterm and term-born toddlers. Conclusion: Preterm birth was not associated with significantly different developmental outcomes in this study. Nevertheless, routine developmental monitoring remains important to detect developmental problems early and optimize child development.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PENGELOLAAN BANK SAMPAH DI KECAMATAN WERU KABUPATEN CIREBON TAHUN 2024 Dewi Ratnawati; Cucu Herawati; Muslimin Ali; Nisa Karamika Unang Dede
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.v5i3.487

Abstract

Waste bank is one of the strategies for implementing 3R (reduce, reuse, recycle) in waste management at the source at the community level. Three main factors related to waste bank management, namely community participation or role, the role of the government, and adequate infrastructure. The purpose of this study is to determine the factors related to waste bank management in Weru District, Cirebon Regency in 2024. This study uses quantitative research with a cross-sectional design. The population in this study are waste bank customers who have certain qualities and characteristics determined by the researcher. The sample in the study was 40 samples. The sampling technique was total sampling. The results of the study showed that 20 respondents (50%) had poor waste bank management, 22 respondents (55%) with poor community roles, 24 respondents (60%) with poor government roles and 21 respondents (52%) had poor infrastructure. The results of the chi square test show that the role of the community (p=0.022), the role of the government (p=0.021), infrastructure (p=0.010), have a significant relationship with waste bank management.
FAKTOR FAKTOR YANG MEMPENGARUHI KEPATUHAN PEMBATASAN CAIRAN PADA PASIEN HEMODIALISIS BARU DAN LAMA DI RSUD DR. MOEWARDI SURAKARTA Nurul Jatiningsih; Ratna Wirawati Rosyida; Duwi Pudjiastuti
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.v5i2.503

Abstract

Background: Hemodialysis is a method of replacing kidney function that uses a device called a dialyzer or artificial kidney. Hemodialysis patients are categorized as new patients (<1 year) while those on hemodialysis are categorized as old patients (>1 year). Differences in fluid restriction compliance are often seen between new and old hemodialysis patients. The purpose of this study was to determine the factors influencing fluid restriction compliance in new and old hemodialysis patients at Dr. Moewardi Hospital, Surakarta. Methods This study used a quantitative research method with a descriptive correlation design and a cross-sectional approach. Sampling used total sampling with 127 respondents at Dr. Moewardi Hospital, Surakarta undergoing hemodialysis. Data analysis used a contingency coefficient. The results showed that analysis of new patients showed a relationship between education, attitudes, family support, and psychological reactions with fluid restriction compliance (p-value 0.000 <0.05). For old patients, there was a relationship between gender, education, knowledge, and attitudes with fluid restriction compliance (p-value 0.000 <0.05). The conclusion of this study is that factors that influence new patients (<1 year) include education, attitude, family support, psychological reactions, while old patients (>1 year) include gender, education, knowledge, attitude.
Efektivitas Intervensi Nonfarmakologis Terhadap Fungsi Kognitif Pada Pasien Demensia: A Systematic Review Safaruddin; Hendra Dwi Kurniawan; Rizki Aqsyari
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.v5i3.518

Abstract

Introduction: Dementia is a progressive neuro degenerative disorder characterized by a decline in cognitive function that affects memory, thinking, and daily activities. The increasing prevalence of dementia worldwide highlights the importance of effective management strategies, including non-pharmacological interventions. Objective: This study aimed to review the effectiveness of non-pharmacological interventions in improving cognitive function among patients with dementia. Methods: A systematic review was conducted using the PRISMA approach. Literature searches were performed in Pub-med, EMBASE, and Scopus databases for studies published between 2020 and 2026. Of the 2,904 articles identified, 10 studies met the inclusion criteria and were analyzed. Results: The review found that non-pharmacological interventions, particularly cognitive stimulation therapy and virtual reality-based interventions, were effective in maintaining and improving cognitive function. Additional benefits included enhanced quality of life and reduced loneliness. Music therapy, dance therapy, and lifestyle-based programs also demonstrated positive effects on cognitive outcomes. Conclusion: Non-pharmacological interventions are effective in supporting cognitive function and overall well-being in patients with dementia. These findings emphasize the importance of integrating multidisciplinary and multi-modal approaches into dementia care to promote independence, improve quality of life, and slow cognitive decline.
Pengembangan Teh Avocel-C sebagai Antikolesterol berbasis Sumber Daya Lokal di Puskesmas Tlanakan Lianita Primi Octaviana; Sylvina Rahmawati; Eka Deviany Widyawaty
Jurnal Medicare Vol. 3 No. 4 (2024): OCTOBER 2024
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v3i4.520

Abstract

Penyakit jantung koroner, akibat penyempitan atau penyumbatan pembuluh darah koroner, menjadi salah satu masalah kesehatan utama di Indonesia, dengan prevalensi tertinggi kedua di Jawa Timur pada tahun 2018. Tingginya kadar kolesterol merupakan penyebab utama, berkontribusi hingga 56% terhadap kondisi ini. Penelitian ini bertujuan untuk mengevaluasi efektivitas teh herbal Avocel-C, yang terbuat dari daun alpukat, seledri, dan jeruk nipis, dalam menurunkan kadar kolesterol pada pasien hiperkolesterolemia di Puskesmas Tlanakan. Metode penelitian yang digunakan adalah true experimental dengan purposive sampling, melibatkan 30 responden dengan kadar kolesterol >200 mg/dL. Hasil pengukuran menunjukkan perbedaan signifikan antara kadar kolesterol sebelum dan sesudah pemberian Avocel-C, dengan rata-rata kolesterol sebelum 225.267 mg/dL dan setelah 179.667 mg/dL. Uji statistik Paired Sample T-Test menghasilkan p-value 0.000, menunjukkan bahwa penurunan ini adalah efek nyata dari pemberian the avocel-c. Kesimpulan dari penelitian ini adalah pemberian teh avocel-c efektif menurunkan kadar kolesterol penderita hiperkolesterol.
Pengembangan sediaan pangan fungsional dari ubi jalar kuning (Ipomoea batatas L.) sebagai imunomodulator balita dalam upaya pencegahan stunting di Wilayah Kerja Puskesmas Tlanakan Sylvina Rahmawati; Lianita Primi Octaviana; Eka Deviany Widyawaty
Jurnal Medicare Vol. 3 No. 4 (2024): OCTOBER 2024
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v3i4.521

Abstract

Stunting adalah hambatan pertumbuhan linier pada balita yang terjadi karena kurangnya gizi dan nutrisi selama setidaknya 1000 hari pertama kehidupan. Salah satu kabupaten prioritas stunting yaitu Kabupaten Pamekasan yang menempati urutan ke dua tertinggi prevalensi balita stunting di Jawa Timur yaitu sebesar 38,7%. Ubi jalar merupakan bahan pangan lokal yang berlimpah ketersediannya, selain itu merupakan sumber karbohidrat non beras tertinggi keempat setelah padi, jagung, dan ubi kayu. Ubi jalar kuning ini mempunyai potensi besar sebagai sumber makanan dan minuman fungsional seiring dengan makin tingginyakesadaran masyarakat khususnya balita stunting. Tujuan pada penelitian ini adalah mengetahui pengaruh pemberian sediaan pangan fungsional dari ubi jalar kuning (Ipomoea batatas L.) sebagai imunomodulator balita dalam upaya pencegahan stunting di Wilayah Kerja Puskesmas Tlanakan. Penelitian ini menggunakan desain penelitian quasi eksperimental pre and post test design untuk menilai pengaruh pemberian Formulasi taro milk terhadap panjang badan dan berat badan balita gizi kurang. Sampel dalam penelitian ini adalah balita dengan gizi kurang yang memenuhi kriteria inklusi di Wilayah Kerja Puskesmas Tlanakan sebanyak 30 orang. Uji Statistik yang digunakan Uji Paired T test. Hasil penelitian menunjukkan bahwa pemberian Taro Milk memiliki pengaruh signifikan terhadap perubahan panjang badan dan berat badan balita. Uji t untuk perubahan panjang badan (t = -6.952, p = 0.000) dan berat badan (t = -16.401, p = 0.000) menunjukkan bahwa kedua variabel tersebut mengalami perubahan yang signifikan (p < 0,05), yang mengindikasikan bahwa pemberian Taro Milk berkontribusi dalam peningkatan status gizi balita. Kesimpulan dari penelitian ini adalah taro milk efektif dalam meningkatkan BB balita gizi kurang di Puskesmas Tlanakan.
Pengembangan produk Sauro-C sebagai Galaktagogue untuk Meningkatkan Produksi ASI dalam upaya preventif kejadian stunting di Ponkesdes Mlajah Kabupaten Bangkalan Alis Nur Diana; Nailufar Firdaus; Eka Deviany Widyawaty
Jurnal Medicare Vol. 3 No. 4 (2024): OCTOBER 2024
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v3i4.522

Abstract

Stunting merupakan masalah yang dihadapi negara-negara tergolong miskin dan sedang berkembang. Masalah ini penting yang tidak dapat diabaikan begitu saja khususnya di Indonesia. Hasil Riset Kesehatan Dasar Tahun 2018, didapatkan angka kejadian balita stunting di Indonesia mencapai 30.8%. Berbagai faktor yang menjadi penyebab terjadinya stunting pada bayi lahir normal adalah tidak terlaksananya inisiasi menyusui dini (IMD), gagal memberikan ASI eksklusif, dan proses penyapihan yang terlalu dini. Salah satu faktor yang menyebabkan ibu tidak memberikan ASI adalah produksi ASI yang sedikit. Untuk mengatasi hal tersebut ada beberapa upaya non farmakologis, salah satunya berupa pemberian produk Sauro-C yang berasal dari daun katuk dan temulawak. Tujuan penelitian ini adalah mengetahui efektivitas produk sauro-c sebagai galaktagogue untuk meningkatkan produksi ASI di Ponkesdes Mlajah Kabupaten Bangkalan. Penelitian ini menggunakan desain penelitian quasi eksperimental pre and post test design untuk menilai pengaruh pemberian Formulasi Sauro-c terhadap produksi ASI. Sampel penelitian ini adalah sebagian ibu menyusui di Ponkesdes Mlajah Bangkalan sebanyak 30 orang. Uji statistik yang digunakan Paired sample T-test. Berdasarkan hasil penelitian didapatkan bahwa Nilai signifikansi (p-value) sebesar 0.000 (kurang dari 0.05) menunjukkan bahwa perbedaan tersebut secara statistik signifikan. Dengan demikian, dapat disimpulkan bahwa pemberian Sauro-C secara signifikan meningkatkan produksi ASI pada responden.
PENGARUH PREEKLAMPSIA, KETUBAN PECAH DINI, DAN SKOR APGAR MENIT PERTAMA TERHADAP LAMA PERAWATAN NEONATUS DI PUSKESMAS PASEAN PAMEKASAN Miftahul Khairoh; Anggraini Dyah Setiyarini
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.v5i2.526

Abstract

Lama perawatan neonatus merupakan indikator penting dalam menilai kondisi kesehatan bayi baru lahir dan efektivitas pelayanan maternal-neonatal. Faktor maternal seperti preeklampsia dan ketuban pecah dini, serta kondisi awal bayi yang dinilai melalui skor APGAR menit pertama, berpotensi memengaruhi kebutuhan perawatan neonatus. Penelitian ini bertujuan untuk mengetahui pengaruh preeklampsia, ketuban pecah dini, dan skor APGAR menit pertama terhadap lama perawatan neonatus di Puskesmas Pasean Pamekasan. Metode penelitian ini menggunakan desain kuantitatif analitik dengan pendekatan cross-sectional. Sampel penelitian berjumlah 40 neonatus yang dipilih menggunakan teknik total sampling. Data diperoleh dari rekam medis ibu dan bayi, kemudian dianalisis secara univariat dan bivariat menggunakan uji Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan bahwa 12 ibu (30,0%) mengalami preeklampsia, 14 ibu (35,0%) mengalami ketuban pecah dini, dan 15 neonatus (37,5%) memiliki skor APGAR menit pertama rendah. Sebanyak 16 neonatus (40,0%) menjalani perawatan lebih dari 3 hari. Hasil uji bivariat menunjukkan terdapat hubungan antara preeklampsia dengan lama perawatan neonatus (p = 0,006), ketuban pecah dini dengan lama perawatan neonatus (p = 0,035), serta skor APGAR menit pertama dengan lama perawatan neonatus (p = 0,001). Kesimpulan penelitian ini menunjukkan bahwa preeklampsia, ketuban pecah dini, dan skor APGAR menit pertama berpengaruh terhadap lama perawatan neonatus. Deteksi dini faktor risiko maternal dan penilaian kondisi bayi segera setelah lahir perlu dioptimalkan untuk mendukung penatalaksanaan neonatus yang lebih cepat dan tepat.
HUBUNGAN KEPATUHAN ANTENATAL CARE DENGAN KEJADIAN KOMPLIKASI OBSTETRI PADA IBU HAMIL RISIKO TINGGI DI PUSKESMAS PASEAN PAMEKASAN Miftahul Khairoh; Arkha Rosyaria Badrus
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.v4i4.527

Abstract

Background: Antenatal Care (ANC) is a healthcare service aimed at monitoring maternal and fetal conditions during pregnancy and detecting risk factors and obstetric complications at an early stage. Compliance with ANC visits among high-risk pregnant women plays an important role in preventing complications that may endanger both the mother and fetus. Objective: This study aimed to analyze the relationship between Antenatal Care compliance and the incidence of obstetric complications among high-risk pregnant women. Methods: This study employed a quantitative analytical design with a cross-sectional approach. The sample consisted of 40 high-risk pregnant women selected using a total sampling technique. The independent variable was Antenatal Care compliance, while the dependent variable was the incidence of obstetric complications. Data were collected from medical records and observation sheets and analyzed using the Chi-Square test with a significance level of α = 0.05. Results: The results showed that most respondents were compliant with ANC visits, accounting for 24 respondents (60.0%), while 16 respondents (40.0%) were non-compliant. A total of 14 respondents (35.0%) experienced obstetric complications, while 26 respondents (65.0%) did not. Bivariate analysis revealed a significant relationship between ANC compliance and the incidence of obstetric complications among high-risk pregnant women (p = 0.018). Pregnant women who were non-compliant with ANC visits had a higher tendency to experience obstetric complications compared to those who were compliant. Conclusion: Antenatal Care compliance is associated with the incidence of obstetric complications among high-risk pregnant women. Improving ANC compliance through education, monitoring, and assistance by healthcare providers is essential to reduce the risk of pregnancy complications.
ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KETERLAMBATAN RUJUKAN PADA KASUS KEGAWATDARURATAN MATERNAL DI WILAYAH KERJA PUSKESMAS Miftahul Khairoh; Arkha Rosyaria Badrus
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.v5i2.528

Abstract

Background: Maternal emergencies require immediate management to prevent maternal and fetal morbidity and mortality. Delays in referral remain one of the major factors contributing to adverse maternal outcomes. Several factors, including maternal and family knowledge, family decision-making, transportation availability, and distance to referral facilities, are suspected to contribute to referral delays. Objective: This study aimed to analyze factors associated with referral delays in maternal emergency cases within the working area of Pasean Primary Health Center, Pamekasan. Methods: This study employed a quantitative analytical design with a cross-sectional approach. A total of 40 respondents were selected using a total sampling technique. Independent variables included maternal/family knowledge of pregnancy danger signs, family decision-making, transportation availability, and distance to referral facilities. The dependent variable was referral delay. Data were analyzed using the Chi-Square test with a significance level of α = 0.05. Results: The results showed that most respondents had poor knowledge (55.0%), delayed family decision-making (57.5%), long distances to referral facilities (60.0%), and experienced referral delays (57.5%). Statistical analysis revealed significant associations between knowledge and referral delay (p = 0.008), family decision-making and referral delay (p = 0.003), transportation availability and referral delay (p = 0.021), and distance to referral facilities and referral delay (p = 0.010). Family decision-making was identified as the most strongly associated factor. Conclusion: Knowledge, family decision-making, transportation availability, and distance to referral facilities were significantly associated with referral delays in maternal emergency cases. Strengthening health education, improving family preparedness, and optimizing the referral system are essential to reduce delays in maternal emergency management.

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