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MEJORA
Published by Awatara Publisher
ISSN : -     EISSN : 30259584     DOI : https://doi.org/10.61434/mejora.v2i1
Core Subject : Health,
Dentistry Health Professions Nursing Public Health Veterinary
MEJORA Medical Journal Awatara adalah sebuah jurnal kesehatan yang berdedikasi untuk mendorong eksplorasi mendalam dalam berbagai aspek ilmu kesehatan dan dinamika masyarakat di era digital. Jurnal ini tidak hanya berfokus pada diseminasi informasi hasil penelitian klasikal tetapi juga mengambil peran sentral dalam memahami bagaimana perubahan teknologi digital mempengaruhi sektor kesehatan dan kesejahteraan masyarakat secara keseluruhan. Artikel-artikel di dalam MEJORA mencakup beragam topik, seperti telemedicine, aplikasi kesehatan digital, manajemen data kesehatan elektronik, pemberdayaan pasien dalam pengambilan keputusan kesehatan, implementasi alat wearable untuk pemantauan kesehatan, serta analisis big data dalam meramalkan tren penyakit. Jurnal ini juga menyoroti isu-isu etika terkait privasi data, keamanan informasi kesehatan, serta kesenjangan akses teknologi di berbagai lapisan masyarakat. MEJORA Medical Journal Awatara terbit secara berkala tiga kali dalam setahun, yaitu pada bulan Januari, April, Juli dan Oktober.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 67 Documents
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Analisis Kelengkapan Pengisian Soap Pada Rekam Medis Elektronik Rawat Jalan Di Rumah Sakit Pertamina Cirebon Herawati, Tuti
MEJORA Medical Journal Awatara Vol 2 No 3 (2024): Juli
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Completeness of the health history form is important because it provides information for further treatment or action. Progress notes can use SOAP (Subjective, Objective, Analysis and Planning. The aim of this research is to determine the analysis of the completeness of SOAP filling in outpatient EMR at Pertamina Cirebon Hospital. This type of research uses descriptive methods with a quantitative approach. In this research, the data tool used is using a checklist sheet. The data collection method uses observation. The sample used for random sampling was 99 SOAP Electronic Medical Records. Based on observations of the completeness of filling out the SOAP at the Pertamina Cirebon Hospital, filling in the EMR SOAP is in the incomplete category and is still not in accordance with the Hospital's SPM which states that the completeness of filling in electronic medical records must be 100%. Results: 37 outpatient electronic medical record SOAPs with a percentage (37.4%) in the complete category and 62 outpatient EMR SOAPs with a percentage (62.6%) incomplete. It is hoped that the hospital will provide outreach to PPA about the importance of completing electronic medical records and developing an EMR application that has a 100% accuracy level in filling in completeness
Optimalisasi Asuhan Keperawatan Untuk Meningkatkan Konsep Diri Pada Pasien Skizofrenia Dengan Harga Diri Rendah Kronis Oktoviani, Dewi; Fadila, Erida; Nurmala Fia, Evi; Ameliya, Kiki; Nova Jalaludin, Rizal
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.249

Abstract

High-quality nursing care is key to improving the overall quality of health services and the image of healthcare institutions in the eyes of the public. This study highlights the importance of continuous assessment and improvement of nursing practice on professional standards. The research methodology employed was descriptive qualitative, focusing on holistic nursing care for patients with Paranoid Schizophrenia at Room Lily 12 of RS Soerojo. Through comprehensive observation and interviews with patients, families, and the healthcare team, along with medical record analysis, this study explores the patients' experiences in various aspects of social interaction and responses to interventions, aiming to develop individualized and holistic care strategies. Therapeutic approaches utilized include Cognitive Behavioral Therapy (CBT), psychoeducation, and schizophrenia counseling. Nurses play an active role in the formulation of a comprehensive care plan that includes medication, cognitive behavioral therapy, and family support, which has been shown to strengthen self-concept. Collaboration with psychiatrists and other health professionals adds a medicinal and holistic dimension to the care plan.
Asuhan Keperawatan Pada Ny. S Dengan Gangguan Integritas Kulit/Jaringan Berhubungan Dengan Neuropati Perifer Dm 2 Di Igd Rsd Gunung Jati Mahendra; Sari Purbaningsih, Endah; Dian Cahyawati, Rizki; Sumarni; Sazilli, Dikha
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.251

Abstract

According to WHO, diabetes mellitus is a metabolic disorder characterized by increased levels of glucose in the blood (causing hyperglycemia), there are disorders of carbohydrate, fat and protein metabolism caused by damage to insulin (insulin resistance), and as a result the production and performance of insulin does not work properly. If this increase in blood glucose levels lasts for a long time and is not treated properly, this can cause complications, namely neuropathy, diabetic retinopathy, cardiovascular disease, diabetic nephropathy and diabetic ulcers. Diabetic ulcers are a complication that is difficult to treat because it is difficult for oxygen dan white blood cells to reach the tissue. One of the causes of diabetic ulcers is decreased peripheral circulation which is greatly influenced by high blood glucose levels and is closely related to peripheral arterial disease. This research aim to study and understand in depth nursing care for patients with diabetic ulcers. After applying nursing care to Ms. S patients using a case study method consisting of assessment, nursing diagnosis, intervention, implementation and evaluation. The results showed that after the wound was treated, the redness, bleeding and hematoma decreased, the wound looked clean and sterile, the problem was partially resolved, the intervention was continued with changing the bangage every day.
Asuhan Keperawatan Pada An.N Dengan Diagnosa Medis Gastroentritis Akut (Gea) Budiati, Dian; Karlina, Nonok; Yulianingsih; Najihah, Umi
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.252

Abstract

Acute gastroenteritis is a disease caused by viral, bacterial, or parasitic infections affecting the gastrointestinal tract. Its main symptoms are diarrhea and/or vomiting. Cases of acute gastroenteritis should be managed comprehensively to prevent dehydration and maintain the patient's fluid and electrolyte balance. The objective of this study is to understand nursing care for children diagnosed with acute gastroenteritis. The research method used is a case study. The subject of the study is Child N, diagnosed with acute gastroenteritis. The research was conducted in the Anyelir Ward at Waled Regional Hospital in Cirebon. The nursing intervention for the child with acute gastroenteritis included fluid and electrolyte administration for three days. Evaluation showed that the problem was resolved, and the family was advised to continue providing oral fluids to maintain fluid balance in the body.
Penatalaksanaan Manajemen Nyeri Pada Ibu Bersalin Nova Jalaludin, Rizal; Fadila, Erida; Oktoviani, Dewi; Nurmala Fia, Evi; Ameliya, Kiki
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.253

Abstract

Pain and discomfort in pregnant women arise due to uterine contractions which are a physiological response to labor. The pain that arises after childbirth is the body's natural response to tissue damage during labor. Childbirth pain can be caused by uterine contractions, cervical dilatation, fetal expulsion or birth canal tears. As many as 99% of maternal deaths are caused by childbirth problems that occur in developing countries. Based on the problems and impacts caused, pain management is needed to reduce the pain. The purpose of this case study is to provide nursing care to G1P0A0 patients who experience labor pain. Using a qualitative approach with case studies as the main method, using observation sheets, interviews, and documentation studies. The case study selected 1 patient as the subject of study, namely a patient with G1P0A0 in the Maternal Emergency Room, RSUD Waled Cirebon. Nursing care management is based on the fulfillment of patient needs carried out in 1 day. The case study results indicate that after nursing care was provided, there was a reduction in pain levels. It is concluded that nursing care is effective for G1P0A0 patients experiencing labor pain, in meeting the patient's needs.
Penerapan Teknik Relaksasi Nafas Dalam Pada Pasien Hipertensi Dengan Nyeri Akut Mamay maftuha, Indah; Sari Purbaningsih, Endah; Sindia Devi, Nadia; Khasanah, Uswatun
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.254

Abstract

Hypertension is a condition where there is an increase in blood pressure exceeding 140/90 mmHg cornically. Hypertension is also caused by several factors, one of which is the pattern of consuming salty foods, caffein, consumption of monosodium glutamate (vetsin, soy sauce, shrimp paste).  The method used is a case study approach. The subject in this case study is a patient with a medical diagnosis of hypertension in the Kuta ward of Sumber Kasih Hospital, Cirebon City. The procedure used is providing non-pharmacological deep breathing intervention techniques to hypertensive patients who experience acute pain. The deep breathing relaxation technique is carried out with a frequency of 15 times for approximately 10 – 15 minutes. Repeat if the patient feels pain. On the first day the patient still complained of pain but on the second day the pain began to decrease and on the third day the pain began to disappear. The patient also said that if the head hurts, the patient does deep breathing relaxation techniques and this reduces the pain quite a bit. From the results of the nursing care that has been provided and the interventions that have been carried out, it can be concluded that the deep breathing relaxation technique is effective in reducing pain. These non-pharmacological techniques can be used as companions to pharmacological therapy.
Evaluasi Kesesuaian Pengelolaan Rekam Medis Dengan Standar Akreditasi Di Rumah Sakit Kabupaten Cirebon Nur Afifah Mubaroch, Vadia; Weryco Latupeirissa, Loura; Luxiarty, Riantina
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.262

Abstract

Accreditation is recognition given to prayer house because it has made efforts to improve the quality of services on an ongoing basis. The aim of this research is to fid out how appropriate the implementation of medical records in fulfilling accreditation standards at Horpital Cirebon Regency. This type of research uses quantitatve descriptive. The variable in this research is the evaluation of the suitability of medical record administration in meeting accreditation standards at Hospital Cirebon Regency. The object of this research is an evaluation of the suitability of medical record management in fulfilling accreditation standards at Hospital, the subject of this research is medical records management. The data collection technique uses observation with research instrumen namely a checklist sheet. Based on the research results, it is known that from 51 assessment elements that have been studied at Hospital accreditation standards consist of, it was found that standards were not in accordance with hospital accreditation, 3 assessment elements with a percentage of 6%, partially corresponds 7 assessment elements with a percentage of 14%  and 41 assessment elements that were in accordance with hospital accreditation standards with a percentage of 80%. This research can be used as reference material in implementing hospital policies regarding the maintenance of medical records, carrying out regular monitoring regarding the administration of medical records.
Penerapan Teknik Relaksasi Benson Pada Pasien Dengan Nyeri Akut Akibat Post Operasi Transurethral Resection Of The Prostate Atas Indikasi Benigna Prostat Hyperplasia Komariyah, Oom; Purbasari, Dwiyanti; Sari, Diana; Fitriyani, Risma; Dwi Hikmatun , Khaerunnisa
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.263

Abstract

One of the surgical procedures for patients with Benign Prostatic Hyperplasia (BPH) is Transurethral Resection of the Prostate (TURP). This procedure often causes postoperative pain in the lower abdominal area or around the pubic symphysis. Benson relaxation technique is a non-pharmacological pain management approach that helps alleviate mental and physical tension as well as stress, thereby increasing pain tolerance. This study aims to determine the effect of the Benson relaxation technique in reducing acute pain in postoperative patients with Benign Prostatic Hyperplasia (BPH) at Waled Regional General Hospital, Cirebon Regency. The study employed a case study design with a nursing process approach on one respondent who underwent TURP surgery one day earlier due to BPH. Benson relaxation therapy was administered on the second to fourth postoperative days. Pain was assessed using the Numeric Rating Scale (NRS) and qualitative pain evaluation. The study was conducted in December 2023. By the fourth postoperative day, the patient reported mild pain characterized by a stabbing sensation around the surgical wound in the abdomen. The pain was intermittent, particularly when getting out of bed, moving, or engaging in physical activity. The pain scale was 3, and the patient appeared calm and relaxed, with a pulse rate of 84 beats per minute and a respiratory rate of 18 breaths per minute during activities without supplemental oxygen. Continuous application of the Benson relaxation technique can serve as a complementary intervention to reduce acute pain in postoperative TURP patients due to BPH.
Efektivitas Pelayanan Kesehatan di Daerah Terpencil Indonesia melalui Telemedisin: Review Literatur Sistematis Hayati, Miftah
MEJORA Medical Journal Awatara Vol 3 No 1 (2025): January
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v3i1.279

Abstract

The development of digital health has encouraged the implementation of telemedicine as a solution to improve healthcare access in Indonesia. Supported by regulations such as Law No. 17 of 2023, Government Regulation No. 28 of 2024, and Minister of Health Regulation No. 20 of 2019, telemedicine plays a crucial role in enhancing technology-based healthcare services. This study aims to evaluate the effectiveness of telemedicine policies in improving healthcare access and service quality, as well as to identify key challenges related to regulations, infrastructure, and patient data protection. A systematic literature review (SLR) was conducted using fifteen primary references focusing on digital health regulations, telemedicine service implementation, and patient data security in Indonesia. The findings indicate that telemedicine has successfully expanded healthcare access, yet continues to face barriers in regulatory standardization, infrastructure readiness, and data protection. It is concluded that telemedicine policies should be strengthened through clearer regulations, improved digital infrastructure, and integration of health technology services to ensure equitable and high-quality healthcare for the Indonesian population.
Review Literatur Pengaruh Pendidikan Kesehatan terhadap Pengetahuan dan Sikap Remaja tentang HIV/AIDS Salsabilla, Nina; Reyna Agesti
MEJORA Medical Journal Awatara Vol 3 No 1 (2025): January
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v3i1.284

Abstract

Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) remain significant global public health problems, particularly among adolescents who are vulnerable due to psychosocial and behavioral factors. This study aims to review the influence of health education on adolescents’ knowledge and attitudes toward HIV/AIDS and to identify factors affecting prevention efforts. This research employed a literature review approach by analyzing scientific articles published between 2017 and 2025 obtained from Google Scholar, ProQuest, and Semantic Scholar. Articles were selected based on relevance to adolescent populations, HIV/AIDS knowledge, attitudes, stigma, and health education interventions. The findings indicate that health education consistently improves adolescents’ knowledge and fosters more positive attitudes toward HIV/AIDS prevention. Adequate knowledge is associated with reduced stigma and safer behaviors. Individual characteristics such as age, education level, gender, and sources of information, as well as environmental and social support factors, significantly influence knowledge and attitudes. Peer education, interpersonal communication, and adolescent empowerment programs are shown to be effective strategies. In conclusion, health education plays a vital role in HIV/AIDS prevention among adolescents. Effective programs should be tailored to demographic and social contexts, emphasize participatory approaches, and integrate peer support to promote sustainable behavioral change.

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