Hippocratica: Journal of Modern Medicine and Healthcare Practice
Hippocratica: Journal of Modern Medicine and Healthcare Practice is a peer-reviewed academic journal dedicated to publishing high-quality scholarly works in the fields of health sciences, clinical medicine, and healthcare practice. The journal provides an international platform for physicians, researchers, healthcare professionals, academics, and policymakers to disseminate original research articles, clinical studies, systematic reviews, case reports, and critical analyses that address contemporary issues in medical science and healthcare delivery. Hippocratica welcomes manuscripts covering, but not limited to, internal medicine, surgery, public health, preventive medicine, clinical epidemiology, primary care, nursing practice, medical technology, patient safety, health systems management, biomedical research, and interdisciplinary studies in modern healthcare. All submissions undergo a rigorous double-blind peer-review process to ensure originality, ethical integrity, methodological rigor, and meaningful scientific contribution. Published quarterly in March, June, September, and December, Hippocratica aims to foster global scientific dialogue, promote evidence-based medical practice, and advance modern medicine and healthcare services to improve patient outcomes and public health at local, national, and international levels.
Articles
34 Documents
<![CDATA[The Relationship Between Types of Health Insurance (BPJS Kesehatan and Private Insurance) and Patient Satisfaction with Digitalization ]]>
<![CDATA[Teryna Lorenzita Setiawan]]>;
<![CDATA[Kurnia Wijayanti]]>;
<![CDATA[Nopi Nur Khasanah]]>
<![CDATA[ Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 2 (2026): : June: Hippocratica: Journal of Modern Medicine and Healthcare Practice ]]>
Publisher : <![CDATA[CV SCRIPTA INTELEKTUAL MANDIRI ]]>
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<![CDATA[The advancement of digital technology has transformed healthcare delivery in Indonesia, including the way patients access and evaluate services provided through BPJS Kesehatan and private insurance. This study aimed to examine the relationship between health insurance type and patient satisfaction in a digitally supported private hospital in Semarang City. A quantitative correlational analytical design was conducted from April to September 2026 among patients who had utilized digital healthcare services in 2025. From a population of 1,230 patients, 96 respondents were selected using purposive sampling. Data were collected through structured questionnaires measuring health insurance type and patient satisfaction and were analyzed using univariate analysis and the Spearman Rank test. Most respondents were aged 26–35 years (35.4%), female (56.3%), had higher education (51.0%), and used outpatient services (65.6%). The largest proportion had a moderate duration of insurance use (42.7%), while low healthcare utilization frequency was most common (45.8%). BPJS Kesehatan users represented 53.1% of respondents, and overall patient satisfaction was predominantly moderate (54.2%). Spearman Rank analysis demonstrated a statistically significant, strong, and positive relationship between health insurance type and patient satisfaction (p = 0.000; r = 0.602). The findings indicate that insurance type is meaningfully associated with differences in patient satisfaction and should be considered in efforts to strengthen equitable, patient-centered, and digitally supported healthcare services.]]>
<![CDATA[The Relationship Between Adherence to Antihypertensive Medication and Quality of Life Among Hypertensive Patients in the Service Area of the Tlogosari Kulon Community Health Center ]]>
<![CDATA[Winda Luthfiana]]>;
<![CDATA[Kurnia Wijayanti]]>;
<![CDATA[Nopi Nur Khasanah]]>
<![CDATA[ Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 2 (2026): : June: Hippocratica: Journal of Modern Medicine and Healthcare Practice ]]>
Publisher : <![CDATA[CV SCRIPTA INTELEKTUAL MANDIRI ]]>
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<![CDATA[Hypertension is a chronic condition requiring long-term pharmacological management, yet patients’ quality of life may be influenced by multiple physical, psychological, social, and environmental factors beyond medication adherence. This study aimed to determine the relationship between antihypertensive medication adherence and quality of life among hypertensive patients in the service area of Tlogosari Kulon Community Health Center. A quantitative analytical correlational study with a cross-sectional design was conducted among 83 hypertensive patients selected according to predetermined inclusion and exclusion criteria. Data were collected using the 8-item Morisky Medication Adherence Scale (MMAS-8) and the WHOQOL-BREF questionnaire and analyzed using univariate and bivariate analyses with the Pearson Chi-Square and Contingency Coefficient tests. The results showed that 39 respondents (47.0%) had high medication adherence, 29 (34.9%) had moderate adherence, and 15 (18.0%) had low adherence. Regarding quality of life, 48 respondents (57.8%) had good quality of life, 35 (42.1%) had moderate quality of life, and none had poor quality of life. The Pearson Chi-Square test yielded χ² = 1.480 with p = 0.236 (>0.05), indicating no significant relationship between antihypertensive medication adherence and quality of life. The Contingency Coefficient of 0.132 indicated a very weak association. These findings suggest that quality of life among hypertensive patients is influenced by factors beyond medication adherence. ]]>
<![CDATA[The Relationship Between Spirituality and Coping Mechanisms and Levels of Work-Related Stress Among Employees in the Health Insurance Coverage Department ]]>
<![CDATA[Suzmita Septianing Permadya]]>;
<![CDATA[Dwi Retno Sulistyaningsih]]>;
<![CDATA[Ahmad Ikhlasul Amal]]>
<![CDATA[ Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 2 (2026): : June: Hippocratica: Journal of Modern Medicine and Healthcare Practice ]]>
Publisher : <![CDATA[CV SCRIPTA INTELEKTUAL MANDIRI ]]>
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<![CDATA[Work-related stress is an important occupational concern among employees in health insurance coverage departments, where verification demands, accuracy requirements, workload, and claim-related responsibilities may create psychological pressure. This study examined the relationships between spirituality, coping mechanisms, and work-related stress among employees in the health insurance coverage department at PT Asuransi BRI Life. A quantitative cross-sectional design was conducted at the Semarang and Yogyakarta branches from May to June 2026, involving 90 employees selected through total sampling. Data were collected using the Perceived Stress Scale (PSS), Daily Spiritual Experience Scale (DSES), and Brief COPE Inventory (BCI), followed by univariate analysis and Spearman rank correlation testing. Most respondents were female (64.4%), aged 26–35 years (40.0%), nurses (84.4%), and had worked for ≥5 years (56.7%). Moderate spirituality was predominant (53.3%), followed by adaptive coping mechanisms (67.8%) and moderate work-related stress (44.4%). Spirituality demonstrated a significant moderate negative relationship with work-related stress (p = 0.000; r = −0.551), while coping mechanisms showed a significant strong negative relationship with work-related stress (p = 0.000; r = −0.664). These findings indicate that higher spirituality and more adaptive coping mechanisms were associated with lower work-related stress among employees. Attention to personal psychological resources may complement organizational efforts to manage occupational stress.]]>
<![CDATA[The Effect of A Combination of Progressive Muscle Relaxation and Deep Breathing Techniques on Anxiety Levels in Preoperative Patients Under Spinal Anesthesia ]]>
<![CDATA[Faridhotul Izza]]>;
<![CDATA[Suyanto Suyanto]]>;
<![CDATA[Retno Setyowati]]>
<![CDATA[ Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 2 (2026): : June: Hippocratica: Journal of Modern Medicine and Healthcare Practice ]]>
Publisher : <![CDATA[CV SCRIPTA INTELEKTUAL MANDIRI ]]>
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<![CDATA[Preoperative anxiety is common before surgery and may become more pronounced during spinal anesthesia because consciousness is maintained. Uncontrolled anxiety may affect physiological stability and readiness. This study aimed to analyze the effect of combining Progressive Muscle Relaxation (PMR) and Deep Breathing on anxiety levels among patients undergoing spinal anesthesia. A quasi-experimental pretest-posttest control group design included 44 patients at Permata Medika Hospital, with 22 respondents per group. The intervention group received combined PMR and Deep Breathing, whereas the control group received Deep Breathing alone. Anxiety levels were assessed before and after intervention and analyzed according to data distribution. Before intervention, both groups had identical anxiety distributions, with 68.18% experiencing severe anxiety and 31.82% experiencing panic. After intervention, the intervention group showed 45.45% mild and 54.55% moderate anxiety, while the control group showed 4.54% mild, 63.64% moderate, and 31.82% severe anxiety. Within-group analyses showed significant reductions in anxiety in both groups (p = 0.000). Between-group analysis demonstrated a significant posttest difference (p = 0.000), with a mean difference of 4.73 points. The combination of PMR and Deep Breathing was more effective than Deep Breathing alone and may be considered a simple non-pharmacological intervention for reducing preoperative anxiety among patients undergoing spinal anesthesia. ]]>
<![CDATA[The Effect of Finger-Gripping Relaxation on Anxiety Levels in Preoperative Patients ]]>
<![CDATA[Nadirzyah Hafiz Arif]]>;
<![CDATA[Endang Supriyanti]]>
<![CDATA[ Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 2 (2026): : June: Hippocratica: Journal of Modern Medicine and Healthcare Practice ]]>
Publisher : <![CDATA[CV SCRIPTA INTELEKTUAL MANDIRI ]]>
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<![CDATA[Preoperative anxiety is a common psychological response to concerns about surgery, anesthesia, and possible complications. Finger-gripping relaxation is a simple non-pharmacological technique that may help reduce anxiety and promote psychological readiness before surgery. This study aimed to determine the effect of finger-gripping relaxation on anxiety levels among preoperative patients at RSUD Limpung. A descriptive case study with a one-group pretest-posttest design was conducted involving five preoperative patients. Anxiety was assessed using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) before and after finger-gripping relaxation, administered once daily for approximately 15 minutes over two consecutive days. Data were collected through interviews, observations, physical assessments, questionnaires, and documentation. Before the intervention, one respondent (20%) experienced severe anxiety and four (80%) experienced moderate anxiety, with a mean APAIS score of 17.2. After the intervention, four respondents (80%) experienced mild anxiety and one (20%) experienced moderate anxiety, with the mean score decreasing to 14.2. All respondents showed decreased APAIS scores, with a mean reduction of 3.0 points. These findings indicate that finger-gripping relaxation was associated with reduced preoperative anxiety and may serve as a practical complementary nursing intervention. Further studies with larger samples and control groups are needed. ]]>
<![CDATA[The Application of Benson Relaxation Therapy to Improve Oxygen Saturation in Patients with Pulmonary Tuberculosis ]]>
<![CDATA[Mohammad Aqsal Hilmansyah]]>;
<![CDATA[Endang Supriyanti]]>
<![CDATA[ Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 2 (2026): : June: Hippocratica: Journal of Modern Medicine and Healthcare Practice ]]>
Publisher : <![CDATA[CV SCRIPTA INTELEKTUAL MANDIRI ]]>
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<![CDATA[Pulmonary tuberculosis (TB) is an infectious disease that can impair respiratory function and reduce oxygen saturation. Benson relaxation therapy represents a simple non-pharmacological approach that combines relaxation, controlled breathing, and focused concentration to support physiological comfort and oxygenation. This study aimed to describe the application of Benson relaxation therapy in improving oxygen saturation among pulmonary TB patients at Warungasem Public Health Center, Batang. A descriptive case study design was applied involving five pulmonary TB patients who met the predetermined inclusion criteria. Benson relaxation therapy was administered for 10–15 minutes per session over three consecutive days, while oxygen saturation was measured before and after the intervention using a pulse oximeter. Data were analyzed descriptively by comparing individual and mean oxygen saturation values before and after therapy. Before the intervention, all participants had mild hypoxemia, with oxygen saturation values ranging from 90% to 92% and a mean of 91.2%. After the intervention, oxygen saturation increased to a range of 94%–96%, with a mean of 95.2%, and four participants reached the normal category. All participants experienced an increase of four percentage points. These findings indicate a consistent descriptive improvement following Benson relaxation therapy and support its potential use as a simple complementary nursing intervention for pulmonary TB patients.]]>
<![CDATA[The Emotional Freedom Technique (EFT) as a Spiritual Therapy for Reducing Anxiety Levels in Preoperative Patients ]]>
<![CDATA[Manbaul Hikmah]]>;
<![CDATA[Endang Supriyanti]]>
<![CDATA[ Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 2 (2026): : June: Hippocratica: Journal of Modern Medicine and Healthcare Practice ]]>
Publisher : <![CDATA[CV SCRIPTA INTELEKTUAL MANDIRI ]]>
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<![CDATA[Preoperative anxiety can influence patients’ psychological and physiological conditions and may interfere with optimal preparation for surgical procedures. Spiritual Emotional Freedom Technique (SEFT) is a non-pharmacological intervention integrating spiritual elements with tapping techniques to promote relaxation and emotional regulation. This study aimed to evaluate changes in anxiety levels following SEFT among preoperative patients at RSKB Columbia Asia Semarang. An empirical descriptive case-study design with a one-group pretest–posttest approach was conducted involving five preoperative patients who met the inclusion criteria. Anxiety was assessed using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) before and after one SEFT session lasting approximately 10–15 minutes through set-up, tune-in, and tapping stages. Descriptive analysis compared individual and aggregate anxiety scores before and after intervention. All five participants experienced reductions of 6–9 APAIS points. The total score decreased from 109 to 72, while the mean decreased from 21.8 to 14.4. Before intervention, three patients had severe anxiety, one had moderate anxiety, and one had panic anxiety; afterward, four had moderate anxiety and one had mild anxiety. These findings indicate that SEFT was associated with consistently reduced preoperative anxiety and may serve as a complementary nursing intervention for psychological preparation before surgery.]]>
<![CDATA[The Relationship Between Duration of Hemodialysis and Employment Status on Fluid Restriction Adherence Among Patients with Chronic Kidney Disease at Harapan Anda General Hospital Tegal ]]>
<![CDATA[Tri Mustikowati]]>;
<![CDATA[Erna Melastuti]]>;
<![CDATA[Indah Sri Wahyuningsih]]>
<![CDATA[ Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 2 (2026): : June: Hippocratica: Journal of Modern Medicine and Healthcare Practice ]]>
Publisher : <![CDATA[CV SCRIPTA INTELEKTUAL MANDIRI ]]>
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<![CDATA[Chronic kidney disease requiring hemodialysis demands consistent fluid restriction to minimize interdialytic fluid accumulation and related complications. This study examined the associations between hemodialysis duration and employment status with fluid-restriction adherence among patients with chronic kidney disease at Harapan Anda General Hospital Tegal. An analytical observational study with a cross-sectional design was conducted among 62 patients undergoing maintenance hemodialysis. Hemodialysis duration was categorized as new or long-term, employment status as employed or unemployed, and fluid-restriction adherence was assessed using Interdialytic Weight Gain (IDWG). Associations were analyzed using Fisher’s Exact Test at α = 0.05. Overall, 52 patients (83.9%) were adherent and 10 (16.1%) were non-adherent. Among new hemodialysis patients, 27 (96.4%) were adherent, compared with 25 (73.5%) long-term patients. Hemodialysis duration was significantly associated with fluid-restriction adherence (p = 0.024). Among employed patients, 28 (96.6%) were adherent, compared with 24 (72.7%) unemployed patients, and employment status was significantly associated with adherence (p = 0.015). These findings indicate that hemodialysis duration and employment status are significantly associated with fluid-restriction adherence, supporting individualized assessment and continuous fluid-management education throughout maintenance hemodialysis care to address adherence barriers according to patients’ treatment and occupational circumstances.]]>
<![CDATA[The Relationship Between Stress and Motivation, Burnout, and Performance Among Nurses in the Emergency Department of Soewondo Regional General Hospital in Kendal ]]>
<![CDATA[Ani Putri Irine]]>;
<![CDATA[Kurnia Wijayanti]]>;
<![CDATA[Nopi Nur Khasanah]]>
<![CDATA[ Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 2 (2026): : June: Hippocratica: Journal of Modern Medicine and Healthcare Practice ]]>
Publisher : <![CDATA[CV SCRIPTA INTELEKTUAL MANDIRI ]]>
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<![CDATA[Work stress is an occupational concern among Emergency Department (ED) nurses because of workloads, time pressure, unpredictable patient conditions, and demands for rapid clinical responses. This study examined the relationships between work stress and work motivation, burnout, and performance among ED nurses at Soewondo Regional General Hospital, Kendal. A quantitative descriptive-correlational study with a cross-sectional approach involved 32 ED nurses recruited through total sampling. Data were collected using the Work Stress Questionnaire and questionnaires measuring work motivation, burnout, and nursing performance. Descriptive statistics summarized study variables, while bivariate relationships were analyzed using Spearman’s rank correlation. Moderate work stress was observed in 13 nurses (40.6%), while low and moderate work motivation were each identified in 11 nurses (34.4%). High burnout was found in 12 nurses (37.5%), and 14 nurses (43.8%) demonstrated adequate performance. Work stress was strongly and negatively associated with work motivation (rho = −0.954; p = 0.000) and nursing performance (rho = −0.872; p = 0.000), while a strong positive association was identified with burnout (rho = 0.935; p = 0.000). These findings indicate that higher work stress is associated with lower motivation, greater burnout, and poorer nursing performance, highlighting the importance of occupational stress management to support psychological well-being and performance among ED nurses.]]>
<![CDATA[The Relationship Between Anxiety Levels and the Intensity of Pain from AV Shunt Punctures in Patients Undergoing Hemodialysis in Tegal ]]>
<![CDATA[Helfrida Diah Ayu Novriani]]>;
<![CDATA[Dwi Heppy Rochmawati]]>;
<![CDATA[Wahyu Endang Setyowati]]>
<![CDATA[ Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 3 (2026): : September: Hippocratica: Journal of Modern Medicine and Healthcare Practice ]]>
Publisher : <![CDATA[CV SCRIPTA INTELEKTUAL MANDIRI ]]>
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<![CDATA[The study examined the relationship between anxiety levels and pain intensity during AV shunt cannulation among patients undergoing hemodialysis at RSUI Harapan Anda Tegal. A quantitative correlational study with a cross-sectional approach was conducted among 103 patients selected through purposive sampling. Anxiety was assessed using the Hamilton Anxiety Rating Scale (HARS), while pain intensity during AV shunt cannulation was measured using the Numeric Rating Scale (NRS), with the relationship between variables analyzed using the Spearman Rank test. The findings showed that 71 respondents (68.9%) experienced moderate anxiety, while 32 respondents (31.1%) experienced mild anxiety. Regarding pain intensity, 72 respondents (69.9%) reported moderate pain, 30 respondents (29.1%) reported mild pain, and 1 respondent (1.0%) reported severe pain during AV shunt cannulation. Spearman Rank analysis demonstrated a very strong, positive, and statistically significant relationship between anxiety level and AV shunt puncture pain intensity, with a correlation coefficient of Rho = 0.938 and p = 0.000. The positive correlation indicates that patients with higher anxiety levels tended to experience greater pain intensity during AV shunt cannulation. These findings highlight the importance of integrating psychological assessment with pain assessment in routine hemodialysis care. Early identification of anxiety and appropriate anxiety-management strategies may support individualized nursing interventions and improve patient comfort during repeated AV shunt cannulation.]]>
