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Jurnal Medika Usada
Published by Sekolah Tinggi Ilmu Kesehatan Advaita Medika Tabanan
ISSN : 26145421     EISSN : 26145685     DOI : https://doi.org/10.54107/medikausada.v8i1
Core Subject : Health,
Health Professions Nursing Public Health
Jurnal Medika Usada merupakan jurnal ilmiah yang diterbitkan resmi oleh STIKES Advaita Medika Tabanan sebagai sarana publikasi hasil penelitian dan sharing perkembangan ilmu kesehatan, Jurnal ini memuat artikel yang belum pernah dipublikasikan sebelumnya yang berupa artikel hasil penelitian ataupun penelitian terapan, artikel telaah yang berkaitan dengan perkembangan ilmu keperawatan dan ilmu kebidanan. Penulis artikel tidak dibatasi pada civitas akademika STIKES Advaita Medika Tabanan, tetapi terbuka juga bagi masyarakat umum yang memiliki artikel ilmiah dibidang ilmu keperawatan dan kebidanan. informasi mengenai pedoman penulisan artikel dan prosedur pengiriman artikel terdapat pada setiap penerbitan.Semua artikel yang masuk akan melelui "peer-review process" setelah memenuhi persyaratan sesuai pedoman penulisan artikel. Penerbitan jurnal ini dilakukan setiap 6 (enam) bulan sekali yaitu pada bulan Februari dan bulan Agustus.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 156 Documents
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Hubungan Lama Penggunaan Kontrasepsi Suntik 3 Bulan Dengan Gangguan Menstruasi Di PMB Luh Ayu Koriawati Tahun 2022 Pande Kadek Prina Yuwinda
JURNAL MEDIKA USADA Vol 6 No 2 (2023): Jurnal Medika Usada
Publisher : STIKES ADVAITA MEDIKA TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/medikausada.v6i2.170

Abstract

Background. The increase in the growth rate of the population pushed the government to introduce a family planning program (KB) to control pregnancy using contraceptives. The 3-month injectable contraception is often used at PPM Luh Ayu Koriawati, especially the 3-month injectable contraceptive containing Depo-Provera (Depo Medroxy Progesterone Acetate). This contraceptive has good effectiveness but has several side effects, such as menstrual disorders, weight gain, nausea, headache, breast tenderness, and others. Menstrual disorders that occur include amenorrhea, spotting, hypomenorrhea, and hypermenorrhea. Side effects that arise are the biggest reason the client stops using injectable contraception. The purpose of this study was to determine the correlation between the administration of 3-month injectable contraception with menstruation disorders in the PPM Luh Ayu Koriawati in 2022. Method. This study employed an analytic survey with a cross-sectional approach. This study tried to explore how and why this phenomenon occurs. The data collection method used a questionnaire. The population in this study were all the 3-month injectable KB program clients injected at PPM Luh Ayu Koriawati in 2022, with 70 respondents. The collected data will be analyzed through computerization. Results. The findings of Chi-Square showed p = 0.003 <0.005. Therefore, there was a correlation between the use of the 3-month injection contraceptive and menstrual disorders experienced by clients. Hence, in this case, Ha was accepted, and Ho was rejected; thus, the research hypothesis was tested for validity. Conclusion. There is a correlation between the administration of 3-month injectable contraception with menstruation disorders experienced by clients in the PPM Luh Ayu Koriawati in 2022. It is suggested that health workers provide and improve the services to 3-month injectable KB program clients, especially fertile women. Moreover, they can also provide Education Information Communication (IEC) to injectable KB program clients.
Determinan Faktor Kepatuhan Pengunjung dalam Penerapan Protokol Kesehatan di Ruang Perinatologi RSUD Bali Mandara Ni Kadek Yoni Wedyandhari; Ni Made Ari Sukmandari; Ni Putu Dita Wulandari
JURNAL MEDIKA USADA Vol 6 No 2 (2023): Jurnal Medika Usada
Publisher : STIKES ADVAITA MEDIKA TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/medikausada.v6i2.172

Abstract

The end of 2019 to the beginning of 2022, the world is experiencing major health problems with an incident that makes people nervous, namely a new virus known as Coronavirus Disease From 2019 (Covid-19). Compliance with the 5M health protocol is important to prevent transmission of the Covid-19 virus. The purpose of this study was to determine the determinants of factors related to visitor compliance in implementing health protocols in the Perinatology Room of Bali Mandara Hospital. This type of research is descriptive analytic with cross sectional approach. The sampling technique used is a non-probability sampling technique with a purposive sampling approach. The sample in this research is 56 respondents. The data collection instrument used in this study was a health protocol adherence questionnaire which was declared valid and reliable. Data were analyzed using Kruskall Wallis test for bivariate analysis and logistic regression test for multivariate analysis. Factors related to visitor compliance in implementing health protocols in the Perinatology Room of the Bali Mandara Hospital, namely age, gender and education.Based on the multivariate analysis, the most dominant factor was gender with an odds ratio of 32.018 which meant that there was a tendency for women to have compliance 32.018 or 32 times higher than men. People with the male gender need to increase adherence to implementing health protocols.
setelah Pengaruh Relaksasi Benson Terhadap Skala Nyeri Dada Pasien Unstable Angina Pectoris (UAP) di Ruang HCU Rumah Sakit Umum Bali Royal: Pengaruh Relaksasi Benson ariyanti, kadek juli
JURNAL MEDIKA USADA Vol. 7 No. 1 (2024): Jurnal Medika Usada
Publisher : STIKES ADVAITA MEDIKA TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/medikausada.v7i1.182

Abstract

ABSTRACT Unstable angina pectoris has a typical chest pain complaint caused by a blockage of the coronary arteries which cause oxygen cannot be supplied to the myocardial cells resulting in anaerobic metabolism causing an accumulation of lactic acid which causes chest pain. One of the non-pharmacological therapies as supportive therapy can help the performance of gold standard therapy to reduce pain felt by Benson relaxation patients. The purpose of this study was to determine the effect of benson relaxation.This study used a quasy experimental design with a pre-post test design with control group design. This study involved 30 respondents, namely 15 respondents in the intervention group who were given Benson medication and relaxation and 15 respondents in the control group who were given medication only using a purposive sampling technique and measuring instruments used the Visual Analogue Scale before and after the intervention.The results showed that the pain scale in the intervention group before being given Benson relaxation was mostly moderate pain (60%), in the control group (73.3%) experienced moderate pain. The pain scale in the intervention group after being given Benson relaxation was mostly mild pain (93.3%), whereas in the control group (73.3%) experienced moderate pain. There was an effect of Benson's relaxation on the chest pain scale of Unstable Angina Pectoris patients with a p value = 0.001 <0.05. It is recommended that giving Benson relaxation be used as a standard for non-pharmacological pain management for patients with unstable angina pectoris.
EFEKTIVITAS BABY MASSAGE TERHADAP FREKUENSI DAN DURASI MENYUSU PADA BAYI USIA 0-6 BULAN Ayuk Widiani
JURNAL MEDIKA USADA Vol 6 No 2 (2023): Jurnal Medika Usada
Publisher : STIKES ADVAITA MEDIKA TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/medikausada.v6i2.183

Abstract

Breastmilk is a source of nutrition that is ideal because of its balanced composition and is the most perfect for baby's needs, both in quality and quantity. The scope of exclusive breastfeeding is indeed increasing every year but is still below target. To increase the achievement of exclusive breastfeeding requires a stimulation of a massage baby. One of the basic mechanisms of baby massage is the activity of the vagus nerve increases the volume of milk and better absorption so that the baby is hungry quickly and will suckle more often to his mother. The purpose of this study was to determine the effectiveness of baby massage on the frequency and duration of breastfeeding infants aged 0-6 months. The design of this study is Quasi Experiment with Pretest-Posttest Control Group Design. The sample of this study totaled 30 respondents (15 babies as a control group and 15 babies as treatment groups) with purposive sampling techniques. The data collection tool used is a standard operating procedures of Baby Massage, Observation Forms of Frequency and Breastfeeding Duration of Babies Age 0-6 Months. Bivariate data analysis using the Mann Whitney test and T-test independent test. The results of the study found that there was a significant difference in frequency and duration of breastfeeding in infants aged 0-6 months in treatment group and control group (P = 0.001 and P = 0.016). This proves the baby massage is very useful in helping exclusive breastfeeding achievement if done routinely.
Efektifitas Teknik Relaksasi Otot Progresif Terhadap Kecemasan Pada Ibu Hamil Trimester I di UPTD. Puskesmas Kuta II Ni Wayan Yoni Purwati
JURNAL MEDIKA USADA Vol 6 No 2 (2023): Jurnal Medika Usada
Publisher : STIKES ADVAITA MEDIKA TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/medikausada.v6i2.192

Abstract

Abstract Intoduction: Pregnancy is a physiological state in which various changes are experienced by the mother, both physical and psychological changes. Changes in conditions experienced by the mother during pregnancy can cause psychological discomfort in the form of anxiety. Progressive muscle relaxation therapy is a non-pharmacological method that can provide a feeling of relaxation to patients so as to reduce anxiety. The purpose of this study was to determine the effectiveness of progressive muscle relaxation techniques on anxiety in the first trimester of pregnant women. Metohds: This study used a quasi-experimental research design with a one group pre-post test design with purposive sampling, which involved 30 pregnant women. Anxiety was measured using the Anxiety Questionnaire related to pregnancy-revision 2 (PRAQ-R2) and then analyzed the data with the Wilcoxon t-test because the data were not normally distributed.Suggestion: The results showed a decrease in anxiety levels after being given an intervention where most of them experienced mild anxiety as many as 19 respondents (63.3%), not anxious as many as 9 respondents (30%) and only 2 respondents (3.3%) experienced moderate anxiety. Analysis with Wilcoxon obtained a p value = 0.000 where <0.05, so it means that there is a significant effect of progressive muscle relaxation techniques on the anxiety level of first trimester pregnant women at the Kuta II Health Center. It is hoped progressive muscle relaxation techniques can be used as material for consideration in providing comprehensive midwifery care pregnant women to reduce anxiety.
Pengaruh Kombinasi Aromaterapi Mawar dan Hipnoterapi terhadap Kecemasan Ibu Hamil saat Pemeriksaan Triple Eliminasi di UPTD Puskesmas Kuta II Shasi Phaskani
JURNAL MEDIKA USADA Vol 6 No 2 (2023): Jurnal Medika Usada
Publisher : STIKES ADVAITA MEDIKA TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/medikausada.v6i2.193

Abstract

Introduction: Pregnancy is a physiological process that almost every woman goes through. Pregnant women must have their pregnancies checked on a regular basis and receive integrated antenatal care. A laboratory examination, one of them is a triple elimination examination, as one of the minimum integrated antenatal service standards. Blood is drawn during the examination, which often causes anxiety in patients. Rose aromatherapy and hypnotherapy are non-pharmacological methods that can help patients relax and reduce anxiety. This study aimed at determining the effect of combining between rose aromatherapy and hypnotherapy on anxiety of pregnant women during triple elimination examination. Methods: This study was carried out at the UPTD. Kuta II Public Health Centre in November - December 2022, employing a pre-experimental research design with a one-group pretest-posttest design. Non-probability sampling was used, along with accidental sampling. The STAI (State Trait Anxiety Inventory) sheet was used to assess anxiety, and the Wilcoxon Sign Rank Test was used to analyze the data. Result: According to the study’s findings of 28 pregnant women, the average anxiety level before the intervention was 54.04, while the average anxiety level after the intervention was 26.50. Anxiety level analysis with Wilcoxon yielded a p-value (p-value = 0.000, α = 0.05), so H0 was rejected and Ha was accepted, indicating that there was an effect of combining between rose aromatherapy and hypnotherapy on anxiety of pregnant women during triple elimination examination at UPTD. Kuta II Public Health Centre. Suggestion: According to the findings of this study, the administration of a combination between rose aromatherapy and hypnotherapy can be used as a consideration in providing midwifery care to pregnant women, particularly those who will undergo blood tests. Keywords: aromatherapy, hypnotherapy, pregnant women, anxiety
ANALISIS FAKTOR-FAKTOR INTRINSIK YANG BERHUBUNGAN DENGAN KEJADIAN PNEUMONIA PADA BALITA DI PUSKESMAS I DENPASAR SELATAN Melynia, Ni Putu; Parwati, Ni Wayan Manik; Indriana, Ni Putu Riza Kurnia
JURNAL MEDIKA USADA Vol. 7 No. 1 (2024): Jurnal Medika Usada
Publisher : STIKES ADVAITA MEDIKA TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/medikausada.v7i1.205

Abstract

Background: One disease that is prone to attack toddlers is pneumonia. Pneumonia is the world’s leading killer of children under five compared to other diseases such as AIDS, malaria and measles combined. The purpose of this study was to identify the analysis of intrinsic factors associated with pneumonia in toddlers at Public Health Center I South Denpasar Method: This study employed a correlational research design with a population of 128 toddlers. Moreover, 67 respondents were recruited purposively as the sample. The data were collected through questionnaires and google forms. Results: Findings indicated no correlation between age (p=0,158), gender (p=0,895), nutritional status (p=0,122), history of low birth weight babies (p=0,321), and administration of vitamin A (p=0,770) with the occurrence of pneumonia in toddlers with a p value > 0.05. Moreover, there was a correlation between immunization status (p=0,000), history of exclusive breastfeeding (p=0,000) and pneumonia occurrences in toddlers with a p-value < 0.05. Conclusion: From this study, two intrinsic factors are associated with pneumonia in toddlers: immunization status and history of exclusive breastfeeding. Keywords: Toddler Pneumonia, characteristics
Penggunaan Gadget HUBUNGAN LAMA PENGGUNAAN GADGET TERHADAP INTERAKSI SOSIAL PADA ANAK USIA DINI DI PAUD MUTIARA KECAMATAN KUTA SELATAN KABUPATEN BADUNG Febriani, Shierly Andrianita; Mastryagung, G.A Dwina; Kurnia, Ni Putu Riza
JURNAL MEDIKA USADA Vol. 7 No. 1 (2024): Jurnal Medika Usada
Publisher : STIKES ADVAITA MEDIKA TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/medikausada.v7i1.213

Abstract

Background. Providing gadgets for an extended period is one of the inappropriate stimulation for early childhood. Children who are already addicted to gadgets will have social-emotional development problems. Children who use gadgets will become an antisocial-individuals; therefore, they often ignore and interact less with their surroundings. The purpose of this study was to determine the correlation between the duration of gadget use and social interaction among children at Mutiara Pre-Primary School in South Kuta, Badung Regency. Method. This study employed a correlation analytic research design with a cross-sectional approach. The research sample was 109 respondents recruited through the total sampling technique according to the inclusion and exclusion criteria. Results. Findings indicated that most children used gadgets for a long duration with 70 respondents (64.2%), and almost all children had good social interaction with 107 respondents (98.2%). The results of statistical tests using Chi-Square showed no correlation between the duration of using gadgets and social interaction in early childhood, with a p-value of 0.056 > 0.05. Conclusion. There is no correlation between gadget use duration and early childhood social interaction.
HUBUNGAN KARAKTERISTIK DAN PENGETAHUAN IBU TENTANG GIZI DENGAN KEJADIAN STUNTING PADA BALITA USIA 12-59 BULAN DI UPTD.PUSKESMAS NUSA PENIDA I Dwijayanti, Yuke; Nurtini, Ni Made; Dewi, Ni Wayan Erviana Puspita
JURNAL MEDIKA USADA Vol. 7 No. 1 (2024): Jurnal Medika Usada
Publisher : STIKES ADVAITA MEDIKA TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/medikausada.v7i1.218

Abstract

Background: The prevalence of stunting incidence based on weighing operations in Februari 2022 on toddlers aged 12-59 months in the working area of Public Health Center I Nusa Penida is above the average of stunting rate in Bali in 2021which was 24.61%. The causes of stunting are mothers’ characteristics such as age, education, occupation, family income, and mother’s knowledge about nutrition. Purpose: To identify the correlation between characteristics and mothers’ knowledge about nutrition and stunting incidence on toddlers aged 12-59 months in the working area of Public Health Center I Nusa Penida. Method: This study employed analytical quantitative design with cross sectional approach. The sample of this study was 312 mothers which were chosen by using probability sampling technique. The data were analyzed by using bivariate with chi square test. Findings: Based on statistical test with chi square test showed that there was significant correlation between mothers’ age (p=<0,001), knowledge level (p=<0,001), and income (p=0,000) toward stunting incidence on toddlers aged 12-59 months. There was not correlation between mothers’ occupation, parity, and mothers’ knowledge about nutrition toward stunting incidence on toddlers aged 12-59 months. Conclusion: It can be concluded that most of toddlers aged 12-59 months do not experience stunting. Having child in the vulnerable age (<20 and >35 years), education level, and income has correlation with stunting, meanwhile parity and knowledge level do not have correlation with stunting.
EFEKTIVITAS PENDIDIKAN KESEHATAN MAGIC SPINNING WHELL TERHADAP PENGETAHUAN PERSONAL HYGIENE REMAJA PUTRI SMPN 1 SERIRIT: EFEKTIVITAS PENDIDIKAN KESEHATAN MAGIC SPINNING WHELL TERHADAP PENGETAHUAN PERSONAL HYGIENE REMAJA PUTRI SMPN 1 SERIRIT Asmari, Putu Juli; Dewi, Komang Ayu Purnama; Darmayanti, Putu Ayu Ratna
JURNAL MEDIKA USADA Vol. 7 No. 1 (2024): Jurnal Medika Usada
Publisher : STIKES ADVAITA MEDIKA TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/medikausada.v7i1.221

Abstract

Maintaining the correct and adequate application of personal hygiene by teenagers can prevent infections and co-morbidities. The provision of health knowledge needs to be given through a media that is easy to understand and interesting, hence that teenagers are motivated to know, understand and accept the information given. One example is by using a colorful game media namely the magic spinning wheel. The purpose of this study was to identify the effectiveness of health education through the media of a magic spinning wheel on the personal hygiene knowledge of teenage girls at Junior High School 1 Seririt. This study employed a quantitative research design with the Pre-Experimental method through the One Group Pre-Test and Post-Test design. The sample recruited in this study was 89 teenage girls through probability sampling and simple random sampling. The data were analyzed through the Non-Parametric Wilcoxon Signed Rank Test. Results of the Wilcoxon Signed Rank Test had a p-value of 0.000. The treatment in the form of health education through the media of a magic spinning wheel was proven to be effective on the personal hygiene knowledge of teenage girls at Junior High School 1 Seririt. Conclusion it is suggested that health workers and teachers could use the magic spinning wheel media as one of the health education methods for teenage girls at school, hence it would be more interesting and could foster curiosity among teenage girls about health information.

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