MEDISAINS
MEDISAINS: Jurnal Ilmiah Ilmu-ilmu kesehatan merupakan sarana penyebarluasan ilmu pengetahuan, riset, teknologi dan inovasi dibidang kesehatan yang diterbitkan tiga kali dalam setahun (April, Agustus dan Desember). Jurnal Medisains adalah jurnal peer reviewed dan Open-Access yang dikelola oleh Fakultas Ilmu Kesehatan Universitas Muhammadiyah Purwokerto dan di terbitkan dibawah Lembaga Publikasi Ilmiah dan Penerbitan (LPIP) Universitas Muhammadiyah Purwokerto.
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<![CDATA[Alexithymia and bullying behavior in students ]]>
<![CDATA[Hikmat, Rohman]]>;
<![CDATA[Suryani, Suryani]]>;
<![CDATA[Yosep, Iyus]]>;
<![CDATA[Jeharsae, Rohani]]>
<![CDATA[ MEDISAINS Vol 22, No 2 (2024) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Purwokerto ]]>
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DOI: 10.30595/medisains.v22i2.21814
<![CDATA[Background: Bullying behavior among students has become a severe problem that affects their mental and physical well-being. The factors that cause bullying behavior are very complex and involve various aspects. One factor that is receiving increasing attention is alexithymia.Purpose: This study explores the relationship between alexithymia and student bullying behavior.Methods: The research used a quantitative design with a cross-sectional study approach. The research sample consisted of 120 class X students at Senior High School X in Bandung, selected using a total sampling technique. Data was collected by distributing online questionnaires, including the Toronto Alexithymia Scale-20 (TAS-20) to measure alexithymia and the Olweus Bully/Victim Questionnaire for bullying behavior. Data were analyzed using descriptive statistics and the Spearman correlation test.Results: The data obtained show that less than half of the respondents (36.7%) experienced high levels of alexithymia, 38.3% likely experienced possible alexithymia, and 25% did not experience alexithymia, while the majority of respondents exhibited high bullying behavior (43.5%). This study shows a positive relationship between alexithymia and student bullying behavior (p <0.0001; r: 0.309).Conclusion: Alexithymia can increase bullying behavior in school children. The higher the level of alexithymia, the greater the tendency to engage in bullying behavior.]]>
<![CDATA[Rebozo technique to decrease pain intensity and length of labor ]]>
<![CDATA[Sarli, Desi]]>;
<![CDATA[Putri, Arfianingsih Dwi]]>
<![CDATA[ MEDISAINS Vol 22, No 2 (2024) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Purwokerto ]]>
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DOI: 10.30595/medisains.v22i2.22537
<![CDATA[Background: Pain and length of labor impact the mother physically and psychologically. Both of these factors must be minimized to avoid complications during labor. In Indonesia, the rebozo technique is still rarely performed by health workers such as midwives, especially in West Sumatra.Objective: This study aims to determine the effect of the rebozo technique on reducing pain intensity and duration of labor in primiparas.Method: This is a quasi-experimental study with a two-group design. Sixty primiparous mothers were randomly divided into two groups (intervention and control groups). The intervention group received the rebozo technique, and the control group received standard treatment. The pain intensity and duration of labor were observed throughout the study. Data analysis used the independent t-test.Results: The study showed that the average pain intensity in the intervention group was lower than the control group (6.423 vs 7.562, p <0.05). The average duration of labor was faster in the intervention group than in the control group (3.643 vs 4.815, p <0.0001).Conclusion: The rebozo technique is effective in reducing pain and accelerating labor.]]>
<![CDATA[Development of the Internet of Things (IoT) in early detection of emergencies using postpartum alert ]]>
<![CDATA[Cicilia, Fitri]]>;
<![CDATA[Runjati, Runjati]]>;
<![CDATA[Latifah, Leny]]>
<![CDATA[ MEDISAINS Vol 22, No 2 (2024) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Purwokerto ]]>
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DOI: 10.30595/medisains.v22i2.21169
<![CDATA[Background: IoT-based postpartum alert is the development of a vital sign-checking tool using obstetric early warning system indicators. This is an effort to prevent maternal death during the postpartum period. Monitoring is carried out manually without interpretation and recommendations and is not connected to the Internet. Adding interpretations and recommendations and connecting to the Internet can help mothers and families with self-examination and remote monitoring by midwives or health workers because, generally, mothers are at home during the postpartum period.Purpose: This research aims to create and test an IoT-based Postpartum alert detection tool that has been developed. Methods: This research is R&D, divided into five stages: collecting information through literature study, product/model design, design validation, design revision, and small-scale product/model testing.Results: An IoT-based early postpartum detection tool with a portable design has been created. The test results are based on the Receiver Operating Characteristic (ROC) classification in the area under the ROC curve, which shows that the tool has an outstanding category with an accuracy level of 90%.Conclusion: The IoT-based postpartum emergency detection alarm is a vital sign measuring tool that can interpret and recommend signs and connect to health workers using internet features. The measurement and interpretation results are sent to the cloud system to provide recommendations, data storage, and notification alarms to health workers.]]>
<![CDATA[Development of comprehensive sexual education applications to improve adolescent reproductive health ]]>
<![CDATA[Supriyadi, Supriyadi]]>;
<![CDATA[Sodikin, Sodikin]]>;
<![CDATA[Rahman, Ainun Najib Febrya]]>;
<![CDATA[Wijaya, Ermadi Satria]]>
<![CDATA[ MEDISAINS Vol 22, No 2 (2024) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Purwokerto ]]>
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DOI: 10.30595/medisains.v22i2.21460
<![CDATA[Background: Adolescence is a period of emotional, mental, and physical change. To improve health-seeking behavior, reduce risky sexual behaviors, and increase knowledge about sexual and reproductive health, adolescents need support and access to services. The increasing availability of mobile apps requires a thorough evaluation of the quality and classification of these mobile apps so that accurate and evidence-based information can reach their users. Because smartphones are a private (intimate) technology, they are a promising means of closing this gap. However, research focusing on sexual health promotion programs delivered through smartphones is still rare.Purposes: Developing and testing a smartphone and internet-based comprehensive sex education app.Methods: This study employed Research and Development consisting of 4 stages, namely Literature Study, Development Stage, Validity Expert, and Trial.Result: The SEMAR app has seven features, ranging from mental health education to human relationships. The convenience score is 70%. The results of the trial show that this application effectively improves health education. 50-83% agree to use it. The sex stigma variable has the most extensive r (r=0.955), which means it has a solid and positive relationship.Conclusion: This application benefits adolescents in improving health education and adolescent reproductive health.]]>
<![CDATA[In vivo study: black cumin extract (Nigella sativa) on antral follicle diameter and granulosa cell layer thickness as an effort to prevent infertility ]]>
<![CDATA[Amalia, Amirul]]>;
<![CDATA[Primindari, Risya Secha]]>;
<![CDATA[Irawan, Dwi Dianita]]>
<![CDATA[ MEDISAINS Vol 22, No 2 (2024) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Purwokerto ]]>
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DOI: 10.30595/medisains.v22i2.23251
<![CDATA[Background: Infertility is a health problem that affects approximately 10-15% of couples trying to achieve pregnancy worldwide. Various studies have shown that Nigella sativa (N. Sativa) has many health benefits, including reproductive health. However, studies examining the effectiveness of N. Sativa in preventing folliculogenesis disorders have never been reported.Purpose: This study aims to determine the benefits of administering N. Sativa in preventing folliculogenesis disorders as measured by the diameter of the antral follicles and the thickness of the granulosa cell layer.Methods: This research design uses an experiment with a randomized posttest-only controlled group design approach. There were 27 experimental animals (mice) divided into three groups, namely the negative control group (9 animals) and the positive control group (9 animals), as well as the treatment group (9 animals). The positive control group was exposed to two cigarettes of cigarette smoke per day. The treatment group was exposed to cigarette smoke and N. Sativa 300 mg/KgBW/day for 28 days. After that, the mice were sacrificed to take their ovaries. Then, the ovarian organ samples were stained with Hematoxylin-eosin and examined for the diameter of the antral follicles and the thickness of the granulosa cell layer in the antral follicles with photo slides at 400x magnification in 5 fields of view, statistical analysis using the Independent T-test.Results: There were significant differences in antral follicle diameter and granulosa cell thickness in mice exposed to cigarette smoke and N. Sativa. Administration of N. Sativa extract can increase granulosa cell thickness through estrogenic function. Administration of N. Sativa extract showed estrogenic activity by increasing serum estradiol levels. N. Sativa heterotrophic activity cannot be separated from the flavonoid and phenolic compounds contained in N. Sativa, which have been proven to have high estrogenic activity.Conclusion: N. Sativa extract is efficacious in improving the diameter of antral follicles and the thickness of granulosa cells caused by exposure to cigarettes.]]>
<![CDATA[Anemia during pregnancy and its influence on postpartum hemorrhage ]]>
<![CDATA[Syamsuriyati, Syamsuriyati]]>;
<![CDATA[Handayani, Rika]]>;
<![CDATA[Suhartono, Sunartono]]>;
<![CDATA[Syarif, Sutriani]]>;
<![CDATA[Triananinsi, Nurhidayat]]>
<![CDATA[ MEDISAINS Vol 22, No 2 (2024) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Purwokerto ]]>
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DOI: 10.30595/medisains.v22i2.22562
<![CDATA[Background: Up to 50% of pregnant women in low-income and middle-income countries are affected by anemia, and 30.43% of maternal deaths in Indonesia occur during the postpartum period. One of the predisposing factors for postpartum hemorrhage is anemia in pregnancy.Purpose: To investigate the experience of anemia during pregnancy and its influence on a postpartum hemorrhage.Method: This is an observational analysis with a case-control study design. A total of 30 postpartum mothers took part in this research (15 case groups and 15 control groups). The anemia during pregnancy and incident of postpartum hemorrhage observed—data analysis with chi-square.Results: As many as 76.5% of mothers who were anemic during pregnancy experienced postpartum hemorrhage. The analysis results found that anemia during pregnancy had a significant effect on the incidence of postpartum hemorrhage (p<0.001).Conclusions: Anemia during pregnancy is very dangerous for postpartum mothers because it can have an impact on a hemorrhage.]]>
<![CDATA[Stress influencing and coping strategies model among people living with HIV/AIDS: a mixed-methods ]]>
<![CDATA[Handayani, Sri]]>;
<![CDATA[Susanti, Dewi]]>
<![CDATA[ MEDISAINS Vol 22, No 2 (2024) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Purwokerto ]]>
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DOI: 10.30595/medisains.v22i2.23365
<![CDATA[Background: The influencing factor is stress, which has an impact on the low motivation of People Living With HIV/AIDS (PLWHA) to recover. By knowing these factors, interventions in controlling stress can be carried out well. A coping model is needed as a basis for developing stress control intervention plans for PLWHA using a family approach. As the closest environment to PLWHA, the family is very appropriate to control stress in PLWHA.Purpose: This research aims to determine the factors that influence stress and models of coping strategies for stress in PLWHA.Methods: This is a mixed-method study with an exploratory sequential approach. This research was conducted in Padang City at the quantitative research stage. The sample in this study was 38 PLWHA and nine respondents in a quantitative study (psychologists, counselors, HIV counselors, companions of PLWHA (husband/wife/children/parents), and PLWHA). Data collection was carried out through observation and deep interviews with the respondents.Results: The statistical analyses revealed that factors influencing stress are self-control and discrimination. The results of the interviews obtained information that PLWHA needs to increase their faith in God, PLWHA does not want their status to be known by many people, and there is a lack of knowledge of PLWHA and the environment regarding HIV/AIDS transmission. The appropriate coping strategy model for PLHIV is to increase the PLWHA's faith, prevent the family from disclosing the PLWHA's disease status to the environment, and increase the knowledge of PLWHA and the social environment.Conclusion: Self-control and discrimination influence stress. The stress control coping strategy model for PLWHA is formed from three pillars: faith/belief, health status, and knowledge.]]>
<![CDATA[Wound care used topical ointment made from a combination of cherry leaf extract (Muntingia calabura L) and manuka honey on the healing process of superficial second-degree burns: a case report ]]>
<![CDATA[Isnanti, Hervina]]>;
<![CDATA[Wahyuningtyas, Eka Sakti]]>;
<![CDATA[Handayani, Estrin]]>;
<![CDATA[Wijayatri, Ratna]]>
<![CDATA[ MEDISAINS Vol 22, No 2 (2024) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Purwokerto ]]>
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DOI: 10.30595/medisains.v22i2.21105
<![CDATA[Background: Burns are one of the most common accidental injuries in the community. Improper treatment of burns can lead to disability and even death. Applying topical therapy aims to reduce excessive collagen repositioning and accelerate healing. We tried treating burn wounds with an ointment that uses a combination of cherry leaf extract and manuka honey to test the effectiveness of wound healing.Case presentation: We report two cases of superficial burns that underwent wound treatment using an ointment containing cherry leaf extract and manuka honey.Conclusion: Wound treatment with an ointment containing cherry leaf extract and manuka honey can speed up the healing process in patients with superficial second-degree burns.]]>
<![CDATA[Factors influence the severity of premenopause syndrome ]]>
<![CDATA[Sinambela, Megawati]]>;
<![CDATA[Hariati, Hariati]]>;
<![CDATA[Susanti, Dewi]]>;
<![CDATA[Sirait, Reni Aprinawaty]]>
<![CDATA[ MEDISAINS Vol 22, No 2 (2024) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Purwokerto ]]>
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DOI: 10.30595/medisains.v22i2.23123
<![CDATA[Background: Premenopause syndrome triggers more severe physical and psychological problems and the emergence of various diseases. The limited research on the factors causing the severity of Premenopause syndrome has resulted in a lack of efforts to address the causative factors. Purpose: This study aims to explore factors that influence the severity of premenopause syndrome.Method: This is an analytic observational study with a cross-sectional design. Eighty-eight women aged 40-45 years were included in this study. The knowledge, attitude, age of menarche, use of hormonal contraceptives, and symptoms of premenopause syndrome observed in this study—data analysis using chi-square and multiple logistic regression.Results: Factors that influence the severity of premenopause syndrome are knowledge, attitude, age of menarche, and use of hormonal contraceptives (p<0.001). Knowledge is the most dominant factor (Exp(B) = 25.983; p<0.05)Conclusion: These results underscore the importance of increasing the knowledge of premenopause women to reduce the severity.]]>
<![CDATA[Midwifery assessment and interventions protocol for adolescent pregnancy: a Delphi method approach ]]>
<![CDATA[Susanti, Dewi]]>;
<![CDATA[Yuda, Rahmi Andrita]]>;
<![CDATA[Handayani, Sri]]>;
<![CDATA[Sirait, Reni Aprinawaty]]>;
<![CDATA[Sinambela, Megawati]]>;
<![CDATA[Yusefni, Elda]]>
<![CDATA[ MEDISAINS Vol 22, No 2 (2024) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Purwokerto ]]>
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DOI: 10.30595/medisains.v22i2.23317
<![CDATA[Background: Adolescence pregnancy poses risks for both mothers and infants, often due to insufficient prenatal care resulting from societal stigmatization and lack of awareness. Around 16 million adolescents aged 15-19 years in the world give birth each year; in Indonesia, the first pregnant women aged <20 years are 45.10%, while in West Sumatra, it is 33.7%. To address this issue, integrated programs and midwifery care have been implemented. However, providing such care to adolescent mothers comes with its own set of challenges.Purpose: This study aims to conduct a midwifery assessment and intervention protocol for adolescent pregnancy.Method: Qualitative approach The Delphi method involved two rounds of evaluation, with twenty-one participants who were independent practice midwives, six midwives involved in the mother and child health program, and nine midwifery lecturers from accredited educational institutions A (excellent). Participants had at least five years of clinical experience and were selected using purposive non-probability sampling. Participants evaluated statements related to midwifery care during the Delphi process. The validity of these statements was determined by participants providing a minimum score of 3, and the Content Validity Ratio (CVR) was calculated. Statements with a CVR greater than 0.8 were considered valid.Results: Based on expert consensus, important assessments for adolescent pregnant women include addressing issues of gender equality and domestic violence, reproductive and sexual health, risks associated with smoking and substance abuse, maintaining a healthy pregnancy, and adequately preparing for labor and parenthood.Conclusion: Midwifery management and midwifery information were deemed valid dimensions of midwifery care; relational care had one invalid item.]]>
