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Andi Hayyun Abiddin
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INDONESIA
Health Access Journal
Published by Politeknik Kesehatan Kementerian Kesehatan Malang
ISSN : -     EISSN : 30474582     DOI : 10.31290
Core Subject : Health, Social,
Dentistry Environmental Science Health Professions Medicine & Pharmacology Nursing
The scope of this journal includes studies that intend to examine and understand health care and health policies. Health Access Journal publishes of articles on research, literature review, book review, commentary, opinion, scientific news and letter to editor in the areas of health science and practice such as public health, medicine, dentistry, pharmaceutical, environmental health, nursing, midwifery, nutrition, health technology, clinical laboratories, health education, health information system, health management, and health popular.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 34 Documents
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The Influence of The Oketani Massage Method on Lactation among Postpartum Women Rahayu, Duwi Puji; Martiningsih, Wiwin; Abiddin, Andi; Damo, John Leones
Health Access Journal Vol. 2 No. 2 (2025): Vol. 2 No. 2 (June 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/haj.v2i2.5382

Abstract

Breast milk is the most important nutrient for fulfilling the growth and development needs in infants. Obstacles during exclusive breastfeeding to infants are usually caused by non-breast milk and a lack of production of breast milk, which is usually due to insufficient stimulation of the prolactin and oxytocin hormones. The objective of this study was to determine breast milk production in postpartum mothers. Experimental research design using pre-experimental design in the form of the one-shot case study. The sampling technique used was consecutive sampling, obtained a many as 26 respondents. This research was conducted in February-March 2024 at Dr. Soedono Madiun Hospital. The results found that breast milk production in mothers increased after Oketani massage. The breast milk will be 100% out when massage is done on day 1 afternoon and maximum on day 3 morning, when massage is done 2x a day. So this study states that this massage is very effective in increasing breast milk production. After this study, respondents already knew how to do breast care in the form of Oketani massage. And so that they can do this massage regularly at home, so that it can facilitate and increase breast milk production.
Humanistic Nursing Services: A Perspective on Improving Nursing Care Suprajitno, Suprajitno; Mugianti, Sri
Health Access Journal Vol. 2 No. 2 (2025): Vol. 2 No. 2 (June 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/haj.v2i2.5337

Abstract

Humanistic nursing is a service provided by nurses to patients by involving the patient's participation in meeting bio-psycho-socio-spiritual needs to restore health. Writing is a perspective that strengthens the importance of humanistic nursing for nurses and nursing students. The method used is a literature review sourced from nursing theory, organizational writings, expert writings, and related articles. The results of the search obtained two theories of humanistic nursing. Humanistic nursing requires two strong foundations, namely a humanistic attitude and communication skills. Humanistic nursing needs to be trained since being a nursing student.
Case Study Report: Nursing Intervention to Improve Physical Mobility in a Postoperative Tibial Fracture Patient Suwanto, Agus Wiwit; Purwaningsih, Endang; Wiratmoko, Heru; Octavia, Nataya Rizka
Health Access Journal Vol. 2 No. 2 (2025): Vol. 2 No. 2 (June 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/haj.v2i2.5355

Abstract

Surgery is an invasive medical procedure performed to restore the anatomy and physiology of impaired body organs. One type of surgery is fracture surgery, which aims to restore the anatomy and physiology of bones that are broken for various reasons. The purpose of this study was to provide nursing care to a post-operative tibial fracture patient with a physical mobility disorder in the Flamboyan Room of Dr Harjono Ponorogo Hospital. This study used a descriptive design with a case study approach involving a participant who met the criteria. Data collection techniques included interviews and observation of muscle strength and range of motion (ROM) values. The results of the assessment found that the patient had grade 2 muscle strength in the left extremity, and the ROM value was reduced. The nursing diagnosis was Physical Mobility Disorder. Nursing interventions according to SIKI included early mobilisation and early ambulation for seven days. The evaluation results showed that muscle strength increased from grade 2 to grade 5 by the sixth day, and the ROM value improved to reach the average normal limit by the sixth day. ROM exercises and the use of crutches were effective in improving physical mobility. ROM exercises are effective for improving physical mobility because they can reduce pain levels, thus decreasing concerns related to mobility.
The Impact of Slow Stroke Back Massage on Blood Pressure and Pulse in Hypertensive Patients Aged 45–54 Years Yusamto, Intan Clarisa Yuli; Sepdianto, Tri Cahyo; Mujito, Mujito
Health Access Journal Vol. 2 No. 2 (2025): Vol. 2 No. 2 (June 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/haj.v2i2.5391

Abstract

Hypertension is a non-communicable disease that kills silently. The aim of this research is to determine the effect of slow stroke back massage on blood pressure and pulse in hypertension sufferers aged 45-54 years in Blitar City. This research uses a quantitative type of research with a pre-experimental research design with a One-Group Pretest-Posttest design approach. The samples taken were hypertension sufferers aged 45-54 years who underwent examinations at the Blitar City Health Center UPTD with a sample size of 30 respondents, and sampling used purposive sampling. This research instrument uses a digital sphygmomanometer and oximetry. SSBM is carried out for 15 minutes with 2 massages for 2 weeks which aims to reduce blood pressure and pulse in hypertension sufferers. The data was processed descriptively and continued with the Paired t Test. The results show that the average systolic pressure before is 154.70, the average diastole before is 90.23, the average pulse before is 86.67, and the average systolic pressure after is 152.13, the average diastole after is 88.23, the average pulse after is 84.03. The results of statistical tests using the Paired t Test show a value of P=0.000 (p<0.05), so there is a significant difference in the blood pressure and pulse values before and after. The results of the research show that there is a decreasing effect on blood pressure and pulse before and after being given Slow Stroke Back Massage therapy and can be used as a non-pharmacological therapy at the Blitar City Health Center UPTD for hypertension sufferers.
Dangdut Music Therapy Effect on The Auditory Hallucination Patients Ayu Arvintasia, Jesika Dini; Ulum, Mohamad Miftachul; Suprajitno, Suprajitno
Health Access Journal Vol. 2 No. 1 (2025): Vol. 2 No. 1 (February 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/haj.v2i1.4764

Abstract

Auditory hallucinations are a condition where a person experiences impaired auditory perception in the form of hearing false (unreal) sounds without any stimulation, so that patients need to be trained to control their hallucinations. Besides general therapy, there are several other ways to reduce patient's hallucination, one of the ways is by listening to dangdut music. The purpose of this study was to determine the response level of patients with auditory hallucinations before and after being given dangdut music therapy. The design of this study is quasi-experimental with a sample of 21 respondents according to predetermined criteria. Sampling used purposive sampling technique. The instrument used in this study was the AHRS (Audiotory Hallucination Rating Scale) questionnaire. Analyse using the Wilcoxon Signed Ranks test. Based on the results of the research, there was a significant effect in the form of a decrease in the level of response to auditory hallucinations before and after being given dangdut music therapy with a value of ? = 0.000 (? =<0.05), which means that the hypothesis can be accepted and it is proven that the effect is 100% or 21 patients experienced a decrease in the level of response to auditory hallucinations from moderate to mild level of response. Where when listening to dangdut music, the focus of the patient's attention will be diverted from the sounds of hallucinations. It is hoped that the decrease in the response rate of patients with auditory hallucinations after giving music therapy can be a consideration for non-pharmacological therapy for sufferers of auditory hallucinations.
Overview of Patient Family Satisfaction About Emergency Room Services at RSUD dr. Soedono Madiun Guritno, Punjung; Suprajitno, Suprajitno; Mujito, Mujito
Health Access Journal Vol. 2 No. 3 (2025): Vol. 2 No.3 (October, 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/haj.v2i3.5270

Abstract

Patient family satisfaction is a perception of the patient's family of the services provided to the patient with what the patient's family expects, so that the services provided to patients can affect patient family satisfaction. Patient family satisfaction is affected by service quality which consists of tangible, reliability, responsiveness, assurance, and empathy. This research aims to determine the overview of patient family satisfaction about the emergency room services at RSUD dr. Soedono Madiun. This research uses descriptive design and quantitative research type with 40 respondents taken by purposive sampling. Data analysis in this study is univariate. The results of this research indicate the patient's family satisfaction about the service at the emergency room RSUD dr. Soedono Madiun is mostly in the category of very satisfied satisfaction of 75%. Based on the 5 dimensions of service quality, the highest score is obtained in the assurance dimension and the lowest score is located in the tangible dimension. It can be said that the services in the emergency room provided are very good. Therefore, it is hoped that the services provided will maintain the quality of service, and even be improved for the better.
Individual Performance of CIMC Staff Nurses and Patient Satisfaction: its Relationship in Maintaining Quality Standards of Care Alvarado, Angelito Estoesta; Ablao, Gloria Ortiz
Health Access Journal Vol. 2 No. 3 (2025): Vol. 2 No.3 (October, 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/haj.v2i3.5462

Abstract

This study aims to examine the relationship between the Individual Performance Commitment and Review (IPCR) of CIMC (City of Ilagan Medical Center) staff nurses and patient satisfaction in maintaining the quality standards of care using a descriptive quantitative approach. The research focuses on measuring the extent to which nurses' performance evaluations, as reflected in their IPCRF scores, correlate with the satisfaction levels reported by patients regarding the care they received. Data were collected through structured surveys distributed to both staff nurses and patients. The IPCRF scores of nurses were analyzed alongside patient satisfaction surveys to identify patterns and relationships. Descriptive statistics, such as mean scores and frequency distributions, were used to analyze the data and provide an overview of the current state of performance and satisfaction. The results highlight a positive correlation between high performance ratings of staff nurses and greater patient satisfaction. This study contributes valuable insights into the role of performance evaluations in healthcare quality, suggesting that improving nurse performance through regular assessments may enhance patient care outcomes. The findings have implications for healthcare institutions looking to improve the quality of care by refining performance management systems for nursing staff.
Acceptance of Teledermatology Among Primary Health Care Workers in Isabela Bascos, Louella Fatima Ramos
Health Access Journal Vol. 2 No. 3 (2025): Vol. 2 No.3 (October, 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/haj.v2i3.5550

Abstract

Teledermatology is emerging as a means of delivering healthcare service to remote areas. In the context of the full implementation of the Universal Health Care, dermatological services can be given to those in the primary care facilities. This study explores the acceptance of teledermatology among primary healthcare workers in Isabela, Philippines, focusing on technological, individual, and organizational factors influencing adoption. Guided by the modified Technology Acceptance Model (TAM), the research evaluates constructs such as perceived usefulness, perceived ease of use, attitude, compatibility, facilitators, subjective norms, and habitual use. A structured survey was administered to 87 purposively selected healthcare professionals, including nurses, midwives, doctors, and barangay health workers. Findings reveal that perceived usefulness and attitude significantly influence intention to use. Younger professionals and nurses exhibited higher acceptance levels, whereas gender and years of service were not significant factors. Despite positive perceptions, challenges remain in habitual use, underscoring the need for reliable internet access, administrative support, and ongoing training. The study affirms the relevance of TAM in this context and highlights the importance of targeted interventions to support sustainable teledermatology integration in primary care settings. In conclusion, this study highlights the acceptance of teledermatology among primary health care workers in Isabela.
Health Education Using Video Media to Improve Parents Knowledge About Handling Choking in Children Arina, Yevi Asih; Mugianti, Sri; Dewi Rachmawati
Health Access Journal Vol. 2 No. 3 (2025): Vol. 2 No.3 (October, 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

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

Abstract

Choking is an emergency that often occurs in early childhood due to foreign objects or food that block the respiratory tract and can cause death if not treated immediately. This study aims to determine the effect of health education using video media on increasing the knowledge of student guardians about choking management. The study used a pre-experimental one group pretest-posttest design with 34 respondents selected by total sampling at Al-Hidayah Ringinanyar Kindergarten in April-May 2025. The instrument was a choking knowledge questionnaire consisting of 17 items that had been tested for validity (p = 0.005) and reliability (Cronbach's Alpha = 0.82). Data analysis included univariate and bivariate using Wilcoxon test. The results showed that before the intervention 61.8% of respondents had poor knowledge, after the intervention it increased to 88.2% with a good category. The Wilcoxon test resulted in a p value = 0.000 (p < 0.05), which indicates a significant effect after health education with video media. Video media allows respondents to practice the material directly, making it easier to remember and repeat information. In conclusion, health education using video media is effective in increasing the knowledge of student guardians about choking management in early childhood.
Anxiety Levels in Diabetes Mellitus Patients with Diabetic Foot Ulcers Abiddin, Andi; Aldila Setiawan; Tri Cahyo Sepdianto
Health Access Journal Vol. 2 No. 3 (2025): Vol. 2 No.3 (October, 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

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

Abstract

Unmanaged diabetes can lead to various serious complications, one of which was the occurrence of diabetic foot ulcers. When patients experienced diabetic ulcers, it triggered anxiety. The aimed of this study was to determine the anxiety levels of diabetic patients with diabetic foot ulcers. The design of this study used a descriptive quantitative design with a population of 30 inpatients in the Wijaya Kusuma ward at Dr. Soedono Hospital, Madiun. The sampling used in this study was total sampling, and the method used to measure anxiety in this study was the “Hamilton Anxiety Rating Scale” (HARS), conducted from April 29 to May 4, 2024. The results found that more than half of the patients were female, and patients with anxiety levels were entirely in the severe anxiety category, with a small portion of patients aged 51-70 years experiencing severe anxiety. The study results showed that there was mild to severe anxiety in diabetic patients with diabetic foot ulcers, which was related to factors such as age, wound severity, and patient age. With this research, it was expected that healthcare professionals, especially doctors, nurses, and also the patients' families, could provide support and motivation to the patients to prevent excessive anxiety

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