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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 DUKUNGAN SUAMI DENGAN PEMILIHAN TEMPAT PERSALINAN PADA IBU HAMIL DI DESA PENFUI TIMUR Odi L. Namangdjabar; Matje Meriaty Huru
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.v5i2.561

Abstract

Choosing a place of delivery is an important effort to reduce the Maternal Mortality Rate (MMR). Husband's support plays a role in influencing pregnant women's decisions to choose a safe birthing place in a health facility. This study aims to determine the relationship between husband's support and the choice of place of delivery for pregnant women in the third trimester in East Penfui Village . This research uses an observational analytic design with a cross-sectional approach. The research sample consisted of 101 pregnant women in the third trimester who were selected using a total sampling technique. Data were collected through a structured questionnaire and analyzed univariately and bivariately using the Chi-Square test with a significance level of α = 0.05. The research results showed that the majority of respondents received good husband support (76.2%) and chose a health facility as a place to give birth (97.0%). Bivariate analysis shows that mothers who received good husband support mostly chose health facilities as the place of delivery (76.2%). The results of the Chi-Square test show a value of p = 0.012 (p < 0.05), which means there is a significant relationship between husband's support and the choice of place of delivery for third trimester pregnant women in East Penfui Village.
PENDIDIKAN PRANIKAH MENINGKATKAN KESIAPAN MENGHADAPI KEHAMILAN Siti Rochimatul Lailiyah; Lelly Aprillia Vidayati; alis nur diana; Siti Mukminah; Dwi Wahyuning Tiyas
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.v5i3.562

Abstract

Readiness for pregnancy should be established during the premarital period to reduce the risk of adverse pregnancy outcomes resulting from inadequate physical, psychological, and knowledge preparedness. A preliminary study conducted at the Labang District Office of Religious Affairs (KUA), Bangkalan, found that most prospective brides were not adequately prepared for pregnancy. This study aimed to analyze the effect of premarital education on pregnancy readiness among prospective brides. A pre-experimental one-group pre-test and post-test design was employed involving 28 prospective brides. The intervention consisted of a ±20-minute premarital education session using a flipchart. Data were collected through a structured questionnaire and analyzed using the Wilcoxon Signed Rank Test. Before the intervention, 71.4% of participants were categorized as unprepared, whereas after the intervention, 53.6% were classified as prepared. The mean readiness score increased from 22.79 to 37.07 (p = 0.001). Premarital education significantly improved pregnancy readiness and is recommended as a routine program at the Office of Religious Affairs (KUA) to support healthy pregnancy planning.
PENGARUH PUASA INTERMITEN TERHADAP NILAI TRIGLISERIDA PASIEN OBESITAS DI SURABAYA Renata Primasari; Deorina Roully Gratia Siregar
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.v5i3.565

Abstract

Background: Obesity is frequently accompanied by hypertriglyceridemia, which increases cardiometabolic risk. Objective: To evaluate the effect of a 12-hour intermittent fasting regimen, performed on three non-consecutive days per week for six weeks, on triglyceride levels in patients with obesity. Methods: This quasi-experimental study employed a non-equivalent control group pretest–posttest design involving 50 participants, divided into an intervention group (n=25) and a control group (n=25). The intervention group fasted from 06:00 to 18:00, while the control group maintained their usual dietary habits. Fasting triglyceride levels were measured before and after the intervention. Data were analyzed using paired tests, Welch’s t-test, and ANCOVA. Results: Triglyceride levels decreased from 251.64 to 178.80 mg/dL in the intervention group and to 227.20 mg/dL in the control group. The adjusted reduction was significantly greater in the intervention group by 48.40 mg/dL (95% CI: 33.60–63.20; p<0.001), with a compliance rate of 90.2%. Conclusion: A 12-hour intermittent fasting regimen performed three times weekly for six weeks reduced triglyceride levels more effectively than a usual diet. Larger randomized controlled trials are needed to confirm these findings. Intermittent fasting may represent a simple, low-cost intervention with potential application in primary healthcare, accompanied by continuous monitoring of dietary intake and physical activity.
PENGARUH PENGGUNAAN POSTER STUNTING TERHADAP ORANG TUA BAYI BALITA DI PUSKESMAS ALAK KOTA KUPANG Loriana Lorinda Manalor; Firda Kalsum Kiah; Hadiani
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.v5i3.566

Abstract

Health interventions spanning form the prenatal period through the first five years of life aim to ensure child survival and improve quality of life. Perental involvement is crucial for meeting nutritional needs, as children require significant attenstion and support during this period of rapid growth and development. This study aimed to examine the relationship between parents knowledge regarding stunting-related posters and their use of these materials at the Alak Community Health Center (Puskesmas). Methods:A descriptive study descriptive design was employed. The study population consistednof all parents of children under five visiting five auxiliary community helaths centers, totaling 616 respondents; the entire population served as the simple. The independent variable was parental knowledge, while the dependent variable was the use of stunting posters. Data were collected via quastionnaires and analyzed using descriptive statistics. Results: The majority of respondents were under 25 years old (n=359;58.3%), had a high school education (n=289; 46.9%), were employed in office jobs (n=375; 60.9%), and possessed good knowledge regarding the posters (n=396; 64.3%). Conclusion: Most parents of children under five demonstrated good knowledge concerning the use of stunting posters. Recommended: Awareness-raising initiatives regarding stunting posters should be conductednto further enhance parental knowledge, thereby improving family nutrition and preventing stunting.
Nilai dan Kearifan Lokal Komunitas Suku Mee Bagi Kekuatan Tumbuh Kembang Anak di Paniai, Papua Heni Voni Rerey; Christina Tien Popang; Yuni Subhi Isnaini
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.v5i3.575

Abstract

Latar Belakang: Kearifan lokal memengaruhi perilaku kesehatan ibu dan anak, namun bukti ilmiah pada masyarakat Suku Mee di Kabupaten Paniai masih terbatas. Tujuan: Mengeksplorasi nilai dan kearifan lokal yang berkontribusi terhadap kesehatan ibu dan tumbuh kembang anak. Metode: Penelitian kualitatif dengan desain etnografi melibatkan tokoh adat, tokoh perempuan, orang tua, kader kesehatan, dan tenaga kesehatan yang dipilih secara purposive. Data dikumpulkan melalui wawancara mendalam, observasi, dan dokumentasi, kemudian dianalisis menggunakan model Miles, Huberman, dan Saldaña. Hasil: Nilai kebersamaan, kekerabatan, dan pengasuhan kolektif mendukung kesehatan ibu dan anak. Kearifan lokal meliputi pemanfaatan pangan lokal, dukungan keluarga, pantangan kehamilan, persalinan berbasis keluarga, serta penerimaan pemeriksaan kehamilan saat diperlukan. Simpulan: Kearifan lokal merupakan modal sosial yang perlu diintegrasikan dengan pelayanan kesehatan yang sensitif budaya untuk meningkatkan kesehatan ibu dan tumbuh kembang anak.
Pengaruh Massage Effleurage Dengan Minyak Atsiri Biji Pala (Myristica Fragrans) untuk Mengurangi Nyeri Betis pada Pekerja Wanita Pabrik Sarden di Jembrana Ayu Gina Musttika; Ni Ketut Dewi Irwanti; Dwi Prima Hanis Kusumaningtiyas
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.v5i3.576

Abstract

Introduction: Musculoskeletal pain in the lower extremities, especially calf pain, is commonly experienced by industrial workers and may reduce productivity. Effleurage massage with nutmeg essential oil has the potential to serve as a non-pharmacological therapy to help reduce pain. Objective: This study aimed to determine the effect og effleurage massage with nutmeg essential oil on the reduction of calf pain among female workers in a sardine factory in Jembrana. Methods: this study used a pre-experimental design with a one-group pretest-posttest approach. The sampel consisted of 38 female workers selected by purposive sampling. Pain intensity was measured using the numeric rating scale (NRS) before and after the intervention. The intervention was applied for three consecutive days using 5 mL of nutmeg seed essential oil, witch each sesion lasting 15 minutes. Data were analyzed using the Wilcoxon Signed Rank Test at a significance level of 0,05. Results:The results showed a decrease in calf pain scores after the effleurage massage intervention with nutmeg essential oil. The was a significant difference in pain intensity before and after the intervention. Conclusion: eflleurage massage with nutmeg essential oil was effective in reducing calf pain among female workers in the sardine factory in Jembrana.
PENGARUH RENDAMAN AIR HANGAT DENGAN GARAM EPSOM TERHADAP REDUKSI PEMBENGKAKAN KAKI PADA IBU HAMIL TRIMESTER III Ela Rohaeni; Iis; Lia Haliatina
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.v5i3.581

Abstract

Leg swelling (edema) is a common complaint among pregnant women in the third trimester due to excess fluid accumulation in the interstitial tissue. This condition can cause discomfort and interfere with activities if left untreated. One non-pharmacological therapy that can be used is a warm water soak with Epsom salts, which contain magnesium and sulfate, which function to improve blood circulation, reduce fluid retention, and provide a relaxing effect. This study aimed to determine the effect of a warm water soak with Epsom salts on reducing leg swelling in pregnant women in the third trimester at the Tanjungmedar Community Health Center in Sumedang Regency.The study used a pre-experimental, one-group pretest-posttest design, with a population of all pregnant women in the third trimester experiencing edema. A sample of 34 respondents was selected using a purposive sampling technique. Data analysis used a Paired Samples Test.The results showed a significant difference between the degree of swelling before and after treatment with a p-value of 0.000 (p < 0.05). The conclusion of this study is that a warm water soak with Epsom salts is effective in reducing the degree of leg swelling in pregnant women in the third trimester. It is hoped that this intervention can be implemented as self-care or in primary healthcare settings to improve maternal comfort during pregnancy.
HUBUNGAN KARAKTERISTIK IBU DAN PERKEMBANGAN EMOSIONAL ANAK USIA 3-5 TAHUN DI WILAYAH KERJA PUSKESMAS SUMBER KABUPATEN CIREBON Yosi Yusrotul Khasanah; Ika Choirin Nisa; Siti Nurdiyana; Heny Puspasari; Agi Yulia Ria Dini; Susilawati
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.v5i3.549

Abstract

The golden period (golden age) is a sensitive period of growth and development that only occurs once in a lifetime. Broadly speaking, the domain of child development consists of gross motor skills, fine motor skills, language/speech, and personal social/independence.The aim of the research was to determine the relationship between maternal characteristics and the emotional development of children aged 3-5 years in the Sumber Health Center Working Area, Cirebon Regency. The research method is quantitative research with a correlational study design approach. The research was conducted in the Sumber Health Center Working Area, Cirebon Regency, on 40 mothers who had children aged 3 - 5 years. The analysis used is the chi square test between the independent variable and the dependent variable. The research results show that the majority of respondents are 26-35 years old (60.00%), the majority of respondents have moderate education (67.50%), the majority of respondents do not work (62.50%) and the majority of children aged 3-5 years grow according to development. as many as 33 people (82.50%). The chi square test results showed that there was a relationship between maternal age and education and the emotional development of children aged 3-5 years with a p value= 0.007 and 0.003. This research recommends that interested parties pay more intense attention to children who are indicated to have abnormal emotional development problems, so that they can help parents in providing good care as an effort to improve children's behavior.         The research method is quantitative research with a correlational study design approach. The research was conducted in the Sumber Health Center Working Area, Cirebon Regency, on 40 mothers who had children aged 3 - 5 years. The analysis used is the chi square test between the independent variable and the dependent variable. The research results show that the majority of respondents are 26-35 years old (60.00%), the majority of respondents have moderate education (67.50%), the majority of respondents do not work (62.50%) and the majority of children aged 3-5 years grow according to development. as many as 33 people (82.50%). The chi square test results showed that there was a relationship between maternal age and education and the emotional development of children aged 3-5 years with a p value= 0.007 and 0.003. This research recommends that interested parties pay more intense attention to children who are indicated to have abnormal emotional development problems, so that they can help parents in providing good care as an effort to improve children's behavior.
KEBERLANJUTAN ASUHAN KEBIDANAN PADA SITUASI BENCANA DAN DAMPAKNYA TERHADAP LUARAN KEGAWATDARURATAN IBU DAN BAYI Elga Ceisaria Andani; Ainun Ganisia; Rakhmalia Imeldawati; Nurul Fathiyyah
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.v3i4.550

Abstract

Background: Disasters can disrupt the continuity of maternal and infant healthcare services due to interrupted access to maternal and child health (MCH) books and referral systems. This situation may increase delays in recognizing danger signs and worsen maternal and neonatal emergency outcomes. Objective: This study aimed to analyze the continuity of midwifery care during disasters and its impact on maternal and infant emergency outcomes. Methods: This study used a descriptive-analytic design with a retrospective approach. Data were obtained through a post-disaster survey and simulation of a continuity of midwifery care model based on the integration of digital data and waterproof physical monitoring cards. The analysis assessed the relationship between care fragmentation and delays in recognizing danger signs, as well as the model's effectiveness in referral response time and the accuracy of complication detection. Results: As many as 42% of pregnant women lost access to their MCH books and medical records during evacuation. Care fragmentation was positively correlated with delays in recognizing danger signs among postpartum women (p < 0.05). The CoMC-Disaster model reduced referral response time by an average of 15 minutes and achieved 90% accuracy in early complication detection. In emergency deliveries, the model contributed to stabilizing neonatal outcomes, as indicated by a 5-minute Apgar score >7. Conclusion: The CoMC-Disaster model has the potential to strengthen the continuity of midwifery care and reduce delays in managing maternal and neonatal emergencies.
EFEKTIVITAS BIRTH PREPAREDNESS AND COMPLICATION READINESS TERHADAP KESIAPAN PERSALINAN PADA IBU HAMIL TRIMESTER III DI PUSKESMAS PASEAN PAMEKASAN Elga Caesaria Grahardika Andani; Arkha Rosyaria Badrus; Miftahul Khairoh
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.v5i3.587

Abstract

Background: Birth Preparedness and Complication Readiness (BPCR) is a strategy designed to improve pregnant women’s preparedness for childbirth and potential obstetric complications. Adequate preparation is essential to reduce delays in seeking and receiving appropriate maternal health care. Objective: This study aimed to analyze the effectiveness of BPCR in improving childbirth preparedness among third-trimester pregnant women at Pasean Public Health Center, Pamekasan. Methods: This study used a quasi-experimental design with a one-group pretest-posttest approach. A total of 40 third-trimester pregnant women were selected using total sampling. Childbirth preparedness was measured using a questionnaire before and after the BPCR educational intervention. Data were analyzed using the Wilcoxon signed-rank test. Results: After the intervention, 34 respondents (85.0%) were categorized as prepared for childbirth. The mean preparedness score increased from 61.25 before the intervention to 84.50 after the intervention. The Wilcoxon test showed a statistically significant difference (p<0.001). Conclusion: BPCR was effective in improving childbirth preparedness among third-trimester pregnant women at Pasean Public Health Center, Pamekasan.

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