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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 PENGALAMAN MENYUSUI DAN SUMBER INFORMASI IBU, TERHADAP PENGETAHUAN IBU DALAM MEMBERIKAN AIR SUSU IBU (ASI) PADA BAYI BERAT LAHIR RENDAH (BBLR) DI RSUD H.ABDUL MOELOEK BANDAR LAMPUNG Elsy Juni Andri Kariny; Fatmah Indriana Fuaida; Nadya Dwita Fatma Sari
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.v5i2.529

Abstract

Background: Indonesia had the highest infant mortality rate (IMR) among all ASEAN countries in 2015, at 22.23 per 1,000 live births, with the main cause being low birth weight (LBW). One treatment to reduce IMR caused by LBW is through breastfeeding (ASI). Objective: To determine the relationship between maternal age and mothers’ knowledge in providing breast milk (ASI) to infants with LBW at RSUD Dr. H. Abdul Moeloek, Bandar Lampung. Method: Posttest-Only Control Design method. Population: mothers with LBW infants. Sample: 42 respondents. Instrument: breastfeeding questionnaire. Analysis: Chi-Square. Results: The variable of breastfeeding experience among mothers showed a significant relationship with mothers’ knowledge in providing breast milk (p = 0.002), while the information variable showed no significant relationship with mothers’ knowledge (p > 0.08). Conclusion: There is a relationship between maternal age and mothers’ knowledge in providing breast milk (ASI) to LBW infants.
Pengembangan Formula Triple-C sebagai Anti Hipertensi berbasis Sumber Daya Lokal di Wilayah Kerja Puskesmas Kokop Kabupaten Bangkalan Elis Fatmawati; Alis Nur Diana; Eka Deviany Widyawaty
Jurnal Medicare Vol. 2 No. 4 (2023): OCTOBER 2023
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v2i4.530

Abstract

Hipertensi merupakan salah satu penyakit kardiovaskular yang paling umum dan paling banyak disandang masyarakat. Penelitian ini menggunakan desain penelitian quasi eksperimental pre and post test design untuk menilai pengaruh pemberian Formulasi Triple-C pada fungsi kardiovaskular subjek dengan hipertensi esensial dengan kategori hipertensi ringan. Sampel dalam penelitian ini adalah Penderita Hipertensi Esensial di Wilayah Kerja Puskesmas Kokop sebanyak 30 orang. Bahan yang digunakan dalam penelitian ini adalah seledri, pegagan dan temulawak. Uji yang digunakan dalam penelitian ini adalah Uji Paired t test. Hasil penelitian ini menyebutkan bahwa penurunan tekanan darah sistolik sebesar 36 mmHg. Penurunan tekanan darah sistolik sebesar 10 mmHg. Hasil analisis data diperoleh p value < 0,05 (p value = 0,001) sehingga penurunan tekanan sistolik maupun diastolik bermakna secara statistik.Tekanan arteri rata-rata (MAP) pada hari ke 7 dan hari ke 14 berkurang secara signifikan (p value = 0,004). Penurunan terbanyak pada hari ke 14 sebesar 16,23%. Denyut jantung (HR) mengalami penurunan secara bermakna sehingga Rate Pressure Product (RPP) juga menurun bermakna secara statistik. Penurunan RPP juga menurun bermakna secara statistik. Penurunan RPP paling banyak pada hari ke 14 yaitu sebesar 27,23%. Terjadi penurunan PP paling tinggi pada hari ke 14 sebesar 33,9%. Dari hasil penelitian dan analisis data dapat disimpulkan bahwa Pemberian Triple-C (celery, centella, dan curcuma) dapat meningkatkan fungsi kardiovaskular berdasarkan parameter RPP, MAP, HR dan PP pada pasien dengan hipertensi esensial.
AKUPRESUR TITIK ST 16 DAN ST 18 MENINGKATKAN PRODUKSI ASI PADA IBU POST SECTIO CESAREAN: SEBUAH STUDI QUASI-EKSPERIMENTAL Setiawandari Setiawandari; Wiwin Windiati
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.v5i3.531

Abstract

Post-cesarean section mothers often experience delayed and insufficient breast milk production due to pain, anxiety, and limited mobility, so that the breastfeeding process in the first days is not optimal. Nationally, the rate of delivery via cesarean section reaches 17.6%, and in East Java it is 19.1%, with a lower rate of early breastfeeding success compared to normal delivery. Acupressure is a complementary approach that is easy to do and inexpensive to help the mother's body relax, increase blood flow to the breast area, and stimulate the release of prolactin and oxytocin hormones that play an important role in breast milk production. The purpose of this study was to analyze the effect of acupressure on ST 16 and ST 18 points on breast milk production after CS. The research method was quasi-experimental with a one-group pretest–posttest design on 26 post-CS mothers on day 2. The results of the Wilcoxon Signed Rank-Test p-value = 0.000 indicating a significant difference between breast milk production before and after acupressure. The conclusion is that there is an effect of acupressure on the ST 16 and ST 18 points on breast milk production after a caesarean section, with a difference in the increase in breast milk production of 161.35 cc.
Pengaruh Pemberian Essential Oil dari Serai dan Jeruk Nipis terhadap Tekanan Darah pada Lansia dengan Hipertensi di Wilayah Kerja Puskesmas Nguter Eka Deviany Widyawaty; Heni Nur Kusumawati
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.v5i3.534

Abstract

Background: Hypertension is one of the most common non-communicable diseases among older adults and a major risk factor for cardiovascular diseases. Complementary therapy using essential oils has the potential to help control blood pressure through relaxation and vasodilatory effects. Objective: To analyze the effect of lemongrass (Cymbopogon citratus) and lime (Citrus aurantifolia) essential oils on blood pressure among older adults with hypertension in the working area of Nguter Primary Health Center. Methods: This study employed a quasi-experimental design with a one-group pretest-posttest repeated measures approach. A total of 30 hypertensive older adults were recruited using purposive sampling. The intervention consisted of inhalation of lemongrass and lime essential oils through a diffuser for 30 minutes daily for 14 consecutive days. Blood pressure measurements were conducted at baseline, day 7, and day 14. Data were analyzed using the Friedman Test for systolic blood pressure and Repeated Measures ANOVA for diastolic blood pressure. Results: Mean systolic blood pressure decreased from 156.90±10.53 mmHg to 135.67±7.01 mmHg, while mean diastolic blood pressure decreased from 93.30±8.01 mmHg to 80.70±4.69 mmHg. Statistical analysis revealed significant effects on both systolic (p<0.001) and diastolic blood pressure (p<0.001). Conclusion: Lemongrass and lime essential oils were effective in reducing blood pressure among older adults with hypertension and may serve as a promising complementary non-pharmacological therapy.
PENGARUH TERAPI CUPPING TERHADAP PENURUNAN INTENSITAS NYERI PADA PASIEN FROZEN SHOULDER Joko Tri Haryanto; Purwanto; Chusnul Zulaika; Eka Deviany Widyawaty
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.v5i2.536

Abstract

Background: Frozen shoulder is a musculoskeletal disorder characterized by shoulder pain and restricted range of motion caused by inflammation and fibrosis of the joint capsule. This condition may reduce functional ability and quality of life. Cupping therapy has been widely used as a complementary treatment for pain management; however, evidence regarding its effectiveness in patients with frozen shoulder remains limited. Objective: To analyze the effect of cupping therapy on pain intensity reduction in patients with frozen shoulder. Methods: This study employed a pre-experimental one-group pretest-posttest design. A total of 16 patients with frozen shoulder were recruited using purposive sampling. Pain intensity was measured before and after cupping therapy using a standardized pain assessment instrument. Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of 95% (α = 0.05). Results: The mean pain score before cupping therapy was 66.56 ± 25.82, while the mean pain score after therapy decreased to 37.44 ± 21.51. The average reduction in pain score was 29.13 ± 8.94 points. The Wilcoxon Signed Rank Test showed a p-value of 0.00043 (p < 0.05), indicating a statistically significant difference between pre- and post-treatment pain scores. Conclusion: Cupping therapy significantly reduces pain intensity in patients with frozen shoulder. Therefore, cupping therapy may be considered a complementary non-pharmacological intervention for pain management in patients with frozen shoulder.
Analisis Rasio Neutrofil-Limfosit sebagai Penanda Inflamasi pada Ibu Hamil dengan Preeklampsia di RS Gotong Royong Surabaya Yustisia Amalia; Miftahul Khairoh; Arkha Rosyaria Badrus
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.v5i3.539

Abstract

Background: Preeclampsia is a pregnancy complication associated with systemic inflammation and endothelial dysfunction. The neutrophil-to-lymphocyte ratio (NLR) is a simple hematological parameter that can be used as an inflammatory marker.Objective: This study aimed to analyze NLR as an inflammatory marker in pregnant women with preeclampsia at Gotong Royong Hospital Surabaya.Methods: This study used an observational analytic design with a cross-sectional approach. The sample consisted of 40 pregnant women with preeclampsia. Data were obtained from medical records and complete blood count results.Results: A total of 28 respondents (70%) had preeclampsia without severe features, while 12 respondents (30%) had preeclampsia with severe features. The median NLR among all respondents was 3.85. The median NLR in the preeclampsia with severe features group was higher than in the group without severe features, at 5.42 and 3.18, respectively. Statistical analysis showed a significant association between NLR and preeclampsia severity, with p=0.001.Conclusion: NLR has the potential to serve as a simple inflammatory marker in pregnant women with preeclampsia.
GAMBARAN PENGETAHUAN IBU TENTANG PERKEMBANGAN BALITA DI POSYANDU SUMBER SEHAT KELURAHAN LAWANG KABUPATEN MALANG Nahdia Aulia Fahmi; Khafidhiyah Nur Insaniyah
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.v5i3.541

Abstract

Toddler's development is influenced by various interconnected factors, including biological, psychosocial, and environmental elements. Beyond participation in *Posyandu* (Integrated Health Post) activities, a mother's knowledge is a key determinant in the successful monitoring of toddler development. Insufficient maternal knowledge can delay the recognition of developmental disorders, thereby postponing access to early intervention. Children with developmental delays are at risk of difficulties in language, cognition, motor function, and social-emotional skills. Such conditions can affect school readiness, lower academic achievement, hinder social interaction, and ultimately impact productivity and quality of life in adulthood. This study aimed to assess the knowledge of mothers regarding toddler development at the Sumber Sehat *Posyandu* in Lawang Village, Malang Regency, in 2026. A descriptive research method with a cross-sectional design was employed. The study population consisted of all mothers whose toddlers were registered at the Sumber Sehat *Posyandu* in May 2026. A total sampling technique was used, resulting in a sample size of 23 mothers. Data were collected using a 40-item questionnaire administered via Google Forms. The results showed that among the 23 mothers, 12 (52.1%) possessed adequate knowledge, while 11 (47.9%) possessed good knowledge.
PENGARUH INTERVENSI KELOMPOK DUKUNGAN SEBAYA TERHADAP MEKANISME PENYESUAIAN DIRI PADA WANITA DENGAN SINDROM PRAMENSTRUASI Rintan Rikawati; Henny Dwi Susanti
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.v5i3.551

Abstract

Background: Premenstrual Syndrome (PMS) is a reproductive health disorder characterized by physical, emotional, and behavioral symptoms during the luteal phase of the menstrual cycle, which can interfere with daily activities, academic performance, social relationships, and quality of life. Methods: This study used a case report design involving a 19-year-old female adolescent who experienced dysmenorrhea, mood swings, and decreased concentration. Coping mechanisms were assessed using the Premenstrual Change Coping Inventory (PMS-COPE) before and after the intervention. The Junk foodintervention included education about PMS, sharing experiences, group discussions, emotional support, reflection, and practice of adaptive coping strategies. Results: The PMS-COPE score increased from 53 to 54 after the intervention. In addition, the patient became better able to recognize PMS symptoms, was more open to sharing experiences, felt more confident in dealing with emotional changes, began to utilize peer support, and applied more adaptive coping strategies. Conclusion: The Junk foodhas the potential to improve coping mechanisms in adolescent girls with PMS and can be considered as a nonpharmacological nursing intervention to support adaptation to PMS symptoms.
ANALISIS FAKTOR-FAKTOR PENYEBAB TERJADINYA KEHAMILAN PADA REMAJA Deasy Elvianita; Vivin Indrianita; Mytha Pondaang
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.v5i3.553

Abstract

Teenage pregnancy has a negative impact on reproductive health, psychology, social aspects, and the sexual behavior of adolescents. In 2022, BKKBN released data showing 15,212 applications for marriage dispensation in East Java, with one of the largest contributing districts being Probolinggo Regency. This research aims to identify and analyze various factors that contribute to the occurrence of teenage pregnancy in Probolinggo Regency. The study uses a qualitative method with a case study design. Participants in this study were female adolescents aged 15-19 years with a history of pregnancy and childbirth that occurred in 2024 - 2025. The main subjects were 15 adolescents, the supporting subjects (the adolescents' parents) were 15 people, and the school principals were 4 people. Data collection was conducted through in-depth interviews. The research results showed that several factors were found to cause teenage pregnancy, including risky premarital sexual behavior, low knowledge of reproductive health, the role of schools, and the parenting style applied by parents to their children. The factors that influence the occurrence of teenage pregnancy include age, with the majority being 16 years old. Most teenagers' last level of education is junior high school, most parents work as farmers, and on average, parents' last level of education is no schooling. It is necessary to integrate schools and parents regarding reproductive health literacy and education for teenagers, as well as actively involving parents in building more open communication with their teenage children.
Hubungan Antara Pengalaman Ibu Mengalami Kekerasan Dengan Kejadian Stunting Pada Anak Isra Nur Utari Syachnara Potabuga; Yasni La Harsani; Nur Hafni Hasim
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.v5i3.559

Abstract

This study aimed to determine the association between maternal exposure to violence and child stunting using data from the Demographic and Health Survey (DHS). The study employed a secondary data analysis design. Data were obtained from the Demographic and Health Survey (DHS) conducted in four countries. The participants were randomly selected married women of reproductive age (15–49 years) who had at least one child under five years of age with complete anthropometric measurements. The exposure variable was maternal experience of violence, including sexual violence, physical violence, or a combination of both. The outcome variable was moderate or severe child stunting, measured using the Height-for-Age Z-score (HAZ) among children aged 6–59 months. Separate Cox proportional regression analyses were performed for each country's dataset to examine the association between maternal exposure to violence and child stunting. The results showed that the prevalence of maternal exposure to violence ranged from 10.17% to 31.00%. The prevalence of child stunting was lowest at 14.04% and highest at 35.86%. The proportion of children with severe stunting was highest at 16.60%, followed by 14.79%. Overall, the findings indicate that maternal exposure to violence is significantly associated with child stunting

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