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INDONESIA
MEDICA (International Medical Scientific Journal)
Published by Borneo Scientific Publishing
ISSN : 26226596     EISSN : 2622660X     DOI : https://doi.org/10.53770/medica
Core Subject : Health, Science,
Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary
MEDICA (International Medical Scientific Journal), with registered number ISSN 2622-6596 (Print), 2622-660X (Online) is an Open Access and peer-reviewed journal presenting timely research on all aspects of health that other media have not published. Managed by the Borneo Scientific Publishing, published by Borneo Scientific Publishing. MEDICA (International Medical Scientific Journal) will publish journals three times yearly: January, May, and October. Manuscripts are published as original articles, review articles, and case reports. The Journal invites public health concerned with any of these areas to submit research on topics including, but not limited to Health promotion & disease prevention in all stages of human life, Medical laboratory, Nursing, Environmental Health, Epidemiology and biostatistics. Health policy and administration, Public health nutrition, Occupational health and safety, Health Promotion, Reproductive health, maternal and child health, and other related articles in public health.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 106 Documents
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Effect of Tamarillo Juice Consumption on Hemoglobin Levels and Wound Healing in Patients with Diabetic Foot Ulcers Dafrosia Darmi Manggasa; Agusrianto Agusrianto; Raden Bagus Bambang Hermanto; Darent Aditya Nasario Hermanto
MEDICA (International Medical Scientific Journal) Vol. 8 No. 6 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i6.975

Abstract

Anemia is a common but often overlooked complication in patients with diabetic foot ulcers (DFUs), and reduced hemoglobin levels are associated with delayed wound healing and adverse clinical outcomes. This study aimed to evaluate the effect of tamarillo (Solanum betaceum) juice consumption on hemoglobin levels and wound healing in patients with diabetic foot ulcers in Poso Regency, Indonesia. A quasi-experimental study with a pretest–posttest control group design was conducted involving 38 patients with diabetic foot ulcers receiving treatment at independent nursing practices. Participants were assigned to either an intervention group, which consumed 250 mL of tamarillo juice daily for four weeks in addition to standard wound care, or a control group that received standard wound care alone. Hemoglobin levels were measured using a calibrated hematology analyzer, while wound healing was assessed using the Bates-Jensen Wound Assessment Tool before and after the intervention. Data were analyzed using paired and independent statistical tests according to data distribution, with a significance level of p < 0.05. After four weeks, the intervention group demonstrated significantly higher hemoglobin levels than the control group (11.52 vs. 10.95 g/dL; p = 0.019) and significantly better wound healing outcomes, as indicated by lower Bates-Jensen scores (22.11 vs. 32.32; p < 0.001). These findings suggest that tamarillo juice may serve as a beneficial adjunctive nutritional intervention for improving hemoglobin levels and promoting wound healing in patients with diabetic foot ulcers. However, given the quasi-experimental design and relatively small sample size, further large-scale randomized controlled trials are warranted to confirm these findings and establish their clinical applicability.
COVID-19 Health Posters: Evaluating Visual Attention and Health Belief Model Components Using Eye-Tracking Technology Nurbaiti Nurbaiti; Salman Izzuddin; Haikal Djauhari
MEDICA (International Medical Scientific Journal) Vol. 8 No. 7 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i7.976

Abstract

During the COVID-19 pandemic, health posters became a strategic medium for promoting healthy behavior, especially when direct social interaction was limited. However, the effectiveness of delivering effective messages visually through posters has not been evaluatd objectively through a neurocognitive approach. This study aimed to analyze people's visual attention to two COVID-19 health posters in Indonesia using eye-tracking technology and interpret the findings according to the Health Belief Model (HBM). This study is a descriptive study involved 39 young adult participants (aged 15–55 years) who were purposively selected in Bandung. Research data were collected using the Tobii X120 tool and analyzed based on total fixation time (TFT), fixation count (FC), and heatmap visualization of 22 areas of interest (AOI) on the two posters. The results study shows that the first poster "Semua Pakai Masker" had the highest FC and TFT on the title and main visual icon, reflecting a focused and hierarchical pattern of visual attention. The second poster, “Jaga Diri dan Keluarga Anda dari COVID-19 dengan Germas” showed a scattered distribution of visual attention, with dominance at the top. The second poster had a more comprehensive coverage of the HBM message but was less visually focused. The institutional logo tended to be ignored in both posters. In conclusion, posters with simple designs and strong visual cues are more attractive and more effective in conveying key messages. The integration of eye-tracking technology and HBM theory provides new insights into the development of evidence-based health promotion media that may support behavioral change intentions.
Factors Associated with Work Related Accidents Among Welding Shop Workers Wiwiek Mulyani; Pedro William Arthur Lamag; Akbar Ilham Pamungkas
MEDICA (International Medical Scientific Journal) Vol. 8 No. 4 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i4.979

Abstract

Occupational accidents remain a major issue in the informal industrial sector, particularly in welding workshops where workers are exposed to various occupational hazards. Data from BPJS Employment, Jayapura Branch, reported an increase in occupational accident cases in Jayapura Regency from 288 cases in 2019 to 329 cases in 2020. This study aimed to analyze factors associated with occupational accidents among welding workers in Waibu District, Jayapura Regency. This study used an analytic observational design with a cross-sectional approach. The research was conducted in eight welding workshops in Waibu District, involving 36 welding workers selected through total sampling. Data were collected using a structured questionnaire. The independent variables included age, education level, knowledge, and length of employment, while the dependent variable was the occurrence of occupational accidents. Data were analyzed using univariate and bivariate analyses with the Chi-square test. The results showed that among the 36 respondents, 50.0% were aged ≥35 years, 66.7% had a low educational level (elementary to junior high school), 50.0% had poor knowledge, and 66.7% had worked for less than five years. Bivariate analysis revealed no significant association between age (p = 0.469) and length of employment (p = 0.124) with occupational accidents. However, education level (p = 0.020) and knowledge (p = 0.030) were significantly associated with occupational accidents among welding workers. In conclusion, education level and occupational safety knowledge were significantly associated with occupational accidents among welding workers in Waibu District, while age and length of employment were not associated. Improving workers’ knowledge through occupational safety and health education and training is recommended to reduce the risk of workplace accidents.
The Impact of Mindfulness Butterfly Hug Therapy on Anxiety Levels in Hypertensive Elderly: Findings from a Pre-Experimental Study Siti Juwariyah; Maya Cobalt Angio Septianingtyas; Vivi Sovianti
MEDICA (International Medical Scientific Journal) Vol. 8 No. 6 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i6.1013

Abstract

Psychological distress, particularly anxiety, is common among elderly individuals with hypertension and may negatively affect their quality of life and disease management. This study aimed to examine changes in anxiety levels following Mindfulness Butterfly Hug Therapy among hypertensive elderly individuals. A pre-experimental one-group pretest-posttest design was conducted involving 97 elderly participants with hypertension from a community health center in Semarang, Indonesia. Participants received Mindfulness Butterfly Hug Therapy for 15 minutes over three consecutive days. Anxiety levels were assessed using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention. Data were analyzed using paired t-tests. The results demonstrated a statistically significant reduction in anxiety scores, with mean HARS scores decreasing from 31.94 before the intervention to 16.53 after the intervention (mean difference = 15.41, p = 0.001). Most participants shifted from higher levels of anxiety to mild or no anxiety following the intervention. These findings suggest that Mindfulness Butterfly Hug Therapy may be associated with reduced anxiety levels among hypertensive elderly individuals and may serve as a practical non-pharmacological approach in community healthcare settings. However, due to the use of a one-group pretest-posttest design without a comparison group, causal conclusions cannot be drawn. Further controlled studies are warranted to confirm these findings and assess long-term outcomes.
Effect of a Warm Ginger Lemongrass Herbal Compress on Back Pain Intensity in Postpartum Women Kristina Maharani; Qomariyah Qomariyah; Ellyzabeth Sukmawati; Achmad Solechan
MEDICA (International Medical Scientific Journal) Vol. 8 No. 7 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i7.1016

Abstract

Postpartum lower back pain is a common musculoskeletal condition that can negatively affect maternal comfort, mobility, breastfeeding, infant care, and overall quality of life. This study evaluated the effect of warm herbal compress therapy on lower back pain intensity among postpartum women. A quasi-experimental study with a pretest–posttest control group design was conducted in the Demak area, Indonesia, from August 2025 to January 2026. A total of 102 postpartum mothers on days 2–7 after normal vaginal delivery were recruited using purposive sampling and allocated to an intervention group (n = 51) and a control group (n = 51). Pain intensity was assessed using the Numeric Rating Scale and analyzed using the Mann–Whitney U test and effect size. The findings suggest that the mean pain score in the intervention group decreased from 5.6 on postpartum day 2 to 1.9 on day 7, whereas the control group showed a reduction from 5.7 to 2.2. Significant differences between groups were observed from postpartum day 3 onward (p < 0.05), with large effect sizes on days 4 and 5, indicating a clinically meaningful reduction in pain among mothers receiving warm herbal compress therapy. These findings suggest that warm herbal compress therapy may serve as a safe, simple, and supportive non-pharmacological intervention for alleviating postpartum lower back pain and improving maternal recovery during the early puerperium. Further randomized controlled trials with larger samples and longer follow-up are warranted to confirm its clinical effectiveness.
Factors Associated with Syphilis Infection Among Pregnant Women Attending Antenatal Care Facilities: A Cross-Sectional Study Dolfinus Yufu Bouway; Fatimah Rahma Nurul Jannai; Inriyanti Assa
MEDICA (International Medical Scientific Journal) Vol. 8 No. 7 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i7.1136

Abstract

Syphilis remains a major public health concern among pregnant women because of its serious maternal and neonatal consequences. However, factors associated with syphilis infection among pregnant women in Jayapura City, Indonesia, remain insufficiently understood. This study aimed to identify factors associated with syphilis infection among pregnant women in Jayapura City. An observational analytic study with a cross-sectional design was conducted at seven public health centers between July and August 2025 involving 161 pregnant women selected through purposive sampling. Data were collected using structured questionnaires and laboratory screening records and analyzed with Chi-square tests, Fisher’s Exact tests, and multiple logistic regression. The findings demonstrated that 27.2% of respondents were diagnosed with syphilis. Bivariate analysis showed significant associations between syphilis infection and ethnicity (p = 0.029), occupation (p = 0.009), family income (p = 0.015), knowledge level (p = 0.005), history of sexually transmitted infections (p = 0.013), and risky sexual behavior (p = 0.008). Multivariable analysis identified ethnicity (AOR = 2.846; 95% CI: 1.243–6.514), occupation (AOR = 23.883; 95% CI: 2.356–242.064), and knowledge level (AOR = 2.637; 95% CI: 1.116–6.229) as independent factors associated with syphilis infection. These findings highlight the importance of socioeconomic and knowledge-related determinants in syphilis prevention and support culturally appropriate reproductive health education and community-based interventions. Given the cross-sectional design and purposive sampling, the findings should be interpreted as associations rather than causal relationships.
Psychological Coping and Diabetes Distress in Adolescents with Type 1 Diabetes Mellitus: A Systematic Review Ajeng Gustiani; Siti Yuyun Rahayu Fitri; Taty Hernawati
MEDICA (International Medical Scientific Journal) Vol. 8 No. 7 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i7.1149

Abstract

dolescents with Type 1 Diabetes Mellitus (T1DM) face continuous self-management demands that may contribute to diabetes distress and affect psychological well-being. Evidence on coping strategies in this population remains fragmented. This review aims to synthesize coping strategies, diabetes distress, and psychosocial factors among adolescents with T1DM. This systematic review followed PRISMA 2020 guidelines, with 822 records identified, 353 duplicates removed, 469 records screened, 198 full-text articles assessed, and 11 studies included in the final synthesis. The studies used cross-sectional, cohort, randomized controlled trial, and quasi-experimental designs involving adolescents and young adults with T1DM. Data were synthesized narratively, and study quality was assessed using the Joanna Briggs Institute (JBI) tools. Findings suggest that adaptive coping strategies such as problem solving, emotional regulation, acceptance, and social support may be associated with lower diabetes distress and better psychosocial adjustment. Maladaptive coping such as avoidance and denial may be associated with higher distress and poorer self-management. Psychosocial support from family and peers appears to facilitate adaptive coping, while limited support may increase vulnerability to distress. These findings highlight the importance of integrating coping-focused and psychosocial interventions in supporting psychological adaptation among adolescents with T1DM.
Evaluation of Preconception Health Services and Their Implications for Maternal and Neonatal Health: A Qualitative Study Silvia Ari Agustina; Liberty Barokah; Nining Tunggal Sri Sunarti
MEDICA (International Medical Scientific Journal) Vol. 8 No. 7 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i7.1156

Abstract

Preconception health care is an effort to improve maternal and infant health by detecting and managing risk factors before pregnancy. This study aimed to evaluate preconception health services and their implications for maternal and newborn health status. This study used a qualitative evaluative design with the CIPP (Context, Input, Process, Product) approach. The study was conducted from May to December 2025 at five Community Health Centers (Puskesmas), the Office of Religious Affairs (KUA), BKKBN, and the Bantul District Health Office, Yogyakarta, Indonesia. A total of 52 participants were selected using purposive sampling, consisting of 38 premarital couples (who participated in Focus Group Discussions) and 14 key informants including health workers, health program holders, KUA staff, BKKBN officers, and a village head (who participated in in-depth interviews). Data were collected through in-depth interviews and Focus Group Discussions. Based on the CIPP framework, preconception services were found to be supported by cross-sectoral programs and the availability of basic services; however, implementation has not been optimal. Barriers identified included low community awareness, delayed access to services, variation in quality across Puskesmas, inconsistent SOPs, weaknesses in monitoring and evaluation, and poor data integration. Nevertheless, several indicators of maternal and newborn health service coverage from 2022 to 2024 showed improvement. Pregnancy and delivery complications decreased, while postpartum complications increased. The maternal mortality rate decreased, while the infant mortality rate fluctuated. It was concluded that preconception health services have the potential to contribute to increased service coverage and early detection of risk factors, but their impact on maternal and newborn health outcomes remains inconsistent. Strengthening service quality, standardization, cross-sectoral integration, and service continuity are needed to optimize maternal and infant health.
A Scoping Review of Nursing Approaches to Spiritual Care in Cardiovascular Disease: Clinical Practice and Patient Outcomes Aris Citra Wisuda; Masniati Arafah; Ayu Prawesti Priambodo; Fermata Sari; Neny Nursahaza; Citra Suraya; Wa Ode Nurlina; Basmalah Harun
MEDICA (International Medical Scientific Journal) Vol. 8 No. 7 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i7.1170

Abstract

Cardiovascular disease (CVD) remains a leading cause of global morbidity and mortality. Beyond physical symptoms, patients frequently experience psychological distress, existential concerns, and spiritual needs that may influence coping, treatment adherence, and overall well-being. Although spiritual care is increasingly recognized as a component of holistic cardiovascular nursing, evidence regarding nurse-led spiritual care remains heterogeneous in terms of intervention models, implementation strategies, cultural adaptation, and reported outcomes. This scoping review aimed to systematically map nursing approaches to spiritual care for adults with CVD and summarize their implementation across clinical settings. The review followed the PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines. Searches were conducted in PubMed, Scopus, Web of Science, CINAHL, and ScienceDirect for studies published between 2015 and 2025. Quantitative, qualitative, and mixed-methods studies involving nurse-led or nurse-integrated spiritual care interventions were included. Eighteen studies met the eligibility criteria. Thematic synthesis identified four categories of nursing approaches: spiritually supportive communication, faith-based spiritual interventions, mindfulness- and meaning-centered approaches, and holistic spiritually integrated nursing care. These interventions were implemented across acute care, coronary care, cardiac rehabilitation, outpatient, palliative, and community settings. Reported outcomes encompassed psychosocial, spiritual, patient-centered, and selected physiological domains, with anxiety reduction, emotional comfort, coping, spiritual well-being, quality of life, and patient satisfaction being the most frequently described outcomes. This review provides a comprehensive overview of contemporary nursing approaches to spiritual care in cardiovascular practice, highlights important variations in intervention characteristics and outcome assessment, and identifies priorities for developing standardized, culturally responsive, and theory-informed spiritual care frameworks and future cardiovascular nursing research.
App-Based Cardiovascular Risk Monitoring among Adults with Hepatitis B and C in Primary Care: A Pre-Experimental Study Resa Nirmala Jona; Arlies Zenitha Victoria; Danny Putri Sulistyaningrum
MEDICA (International Medical Scientific Journal) Vol. 8 No. 7 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i7.1030

Abstract

Chronic hepatitis B and C infections are increasingly understood as systemic diseases with metabolic and cardiovascular implications. Community-based digital monitoring may support early detection and self-management of cardiovascular risk, but empirical evidence among adults with viral hepatitis remains limited. This study evaluated the preliminary effectiveness of an app-based monitoring and evaluation strategy for reducing cardiovascular risk among adult patients with hepatitis B and C in a primary care setting in Semarang, Indonesia. A pre-experimental one-group pre-test-post-test study was conducted from August to November 2025 among 30 adults aged 20-60 years with hepatitis B or C in the Tlogosari Wetan Community Health Center area. Participants used a heart health monitoring application for one month. The application enabled routine recording of blood pressure, resting heart rate, oxygen saturation, random blood glucose, medication reminders, and health education. Outcomes were systolic and diastolic blood pressure, resting heart rate, and cardiovascular risk category. Paired comparisons were analyzed using Wilcoxon signed-rank tests. Most participants were aged 41-60 years (63.3%), female (53.3%), diagnosed with hepatitis B (96.7%), and had a history of high cholesterol (63.3%) or diabetes mellitus (53.3%). Mean systolic blood pressure decreased from 147.9 to 135.1 mmHg (p=0.002), mean diastolic blood pressure from 93.1 to 85.6 mmHg (p=0.003), and mean resting heart rate from 85.7 to 79.2 beats/minute (p=0.004). Median cardiovascular risk score decreased from 2.0 to 1.0 (Z=-3.08; p=0.002). App-based cardiovascular monitoring was associated with significant short-term improvements in blood pressure, resting heart rate, and cardiovascular risk among adults with hepatitis B and C. Controlled studies with longer follow-up are warranted.

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