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MEDISAINS
ISSN : 16937309     EISSN : 26212366     DOI : -
Core Subject : Health,
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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Articles 245 Documents
Buerger's disease: early detection to minimize progression Santosa, Agus; Ratri, Ritma; Surtiningsih, Surtiningsih
MEDISAINS Vol 20, No 3 (2022)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v20i3.14717

Abstract

Background: Delays in the diagnosis of Buerger's disease are common. Its rare cases and lack of information about risk factors and signs and symptoms of the disease are thought to be the causes. This study aims to report and discuss findings of delays in the diagnosis of Buerger's disease cases experienced by two patients over many years.Case presentation: we report two cases of male patients aged 58 and 60 with a long history of smoking at a young age. Both complained of the same symptoms: pain in the tips of the fingers and toes and unhealed wounds. They have suffered from them for years with a history of repeated treatments and got various diagnoses.Conclusion: A comprehensive medical history, supportive physical examination, and angiography diagnostic can prevent delays in diagnosing Buerger's disease and thus minimize disease progression.
Model pemberdayaan masyarakat dalam pencegahan dan penanganan anak lahir dengan kebutuhan khusus melalui kader WUS (wanita usia subur) Kartiyani, Titin; Susanti, Susanti
MEDISAINS Vol 16, No 1 (2018)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v16i1.2531

Abstract

Latar Belakang: Bertambahnya jumlah Anak Berkebutuhan Khusus (ABK) tentunya tidak lepas dari berbagai persoalan, mulai dari buruknya kualitas lingkungan hidup, kurang sehatnya gaya hidup masyarakat hingga pola makan yang tidak tepat.Terutama pada ibu hamil, melahirkan dan pada masa pengasuhan anak. Salah satu caranya adalah menyiapkan masa pra kehamilan, intervensi khusus selama kehamilan berlangsung, pola pengasuhan yang benar hingga pada usia diatas balita. Kategori anak berkebutuhan khusus banyak sekali macamnya seperti autism, ADD, ADHD, CP dan Down syndrome. Anak berkebutuhan khusus bisa terjadi karena adanya kelainan kongenital pada saat didalam kandungan.Tujuan: Membentuk model pemberdayaan masyarakat dalam pencegahan dan penanganan ABK di Desa SlarangMetode: Metode yang digunakan adalah membentuk kader WUS, pembuatan modul pelatihan, dan melakukan penyuluhan serta pelatihan tentang pencegahan dan penanganan ABK. Evaluasi dilakukan dengan mengukur tingkat pengetahuan dan ketrampilannya kader WUS tentang pencegahan dan penanganan ABK.Hasil: Hasil kegiatan menghasilkan 24 kader WUS yang terdiri dari ibu-ibu kader PKK di Desa Slarang, setelah dilakukan penyuluhan dan pelatihan dengan menggunkan modul pelatihan terjadi peningkatan pengetahuan kader tentang pencegahan dan penanganan ABK dari 45 menjadi 90, sedangkan untuk nilai ketrampilan meningkat dari 50 menjadi 90.Kesimpulan: Model pembentukan kader WUS dengan melakukan penyuluhan dan pelatihan dapat meningkatkan pengetahuan dan ketrampilan dalam pencegahan dan penanganan ABK
Alexithymia and bullying behavior in students Hikmat, Rohman; Suryani, Suryani; Yosep, Iyus; Jeharsae, Rohani
MEDISAINS Vol 22, No 2 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i2.21814

Abstract

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.
Progressive muscle relaxation to reduces chronic pain in hemodialysis patient Hasbi, Habid Al; Chayati, Nur; Makiyah, Sri Nabawiyah Nurul
MEDISAINS Vol 17, No 3 (2019)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v17i3.5823

Abstract

Background: Hemodialysis is a kidney replacement therapy, but it has many complications identified, one of them is pain. Thus, we need non-pharmacological interventions that can be done by nurses, among them is progressive muscle relaxation (PMR), which is economically-efficient and no side effects.Objective: To determine the effect of progressive muscle relaxation on pain in hemodialysis patients.Methods: This is a quasi experimental design of time series design. The number of samples was 100 patients taken by simple random sampling. Progressive muscle relaxation (PMR) was given every day for 4 weeks. Research instrument  applied was Brief Pain Inventory. The data analysis employed independent t-test.Results: There was a decrease in pain level from week to week after the intervention, from the scale of 6 (moderate pain) to scale 3 (mild pain). There was a difference in the level of pain between the intervention group and the control group p <0.001.Conclusion: The therapy of non-pharmacological using a progressive muscle relaxation is proven to reduce pain in hemodialysis patients.
Perbedaan kualitas hidup pasien gagal ginjal kronik ditinjau dari tingkat pendidikan, frekuensi dan lama hemodialisis di RSUD Goeteng Taroenadibrata Purbalingga Suparti, Sri; Solikhah, Umi
MEDISAINS Vol 14, No 2 (2016)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v14i2.1055

Abstract

Latar Belakang: Pasien Cronic Kidney Disease (CKD) atau penyakit ginjal kronik tahap (akhir) membutuhkan terapi hemodialisis untuk kelangsungan hidupnya. Kondisi ini bisa berdampak pada kualitas hidupnya. Faktor –faktor yang berpengaruh pada kualitas hidup meliputi faktor demografi pasien, frekuensi dan lama menjalani hemodialisis serta adekuasi hemodialisis. Tujuan:Untuk mengetahui perbedaan kualitas hidup pasien Gagal Ginjal Kronik ditinjau dari pendidikan frekuensi dan lama menjalani hemodialisis di RS. Goeteng Taroenadibrata Purbalingga. Metode:Jenis penelitian ini merupakan penelitian komparatif. Dengan menggunakan pendekatan cross sectional. Sampel penelitian adalah semua pasien CKD yang menjalani Hemodialisis dengan teknik total sampling. Analisis dengan menggunakan uji Mann-Whitney Hasil:Tidak ada perbedaan antara kualitas hidup responden berpendidikan tinggi dan responden berpendidikan rendah dengan nilai p= 0,736 atau P>0,05. Tidak ada perbedaan antara kualitas hidup responden yang mempunyai frekuensi hemodialisis sedikit dan frekuensi hemodialisis banyak dengan nilai p= 0,238 atau P>0,05 dan tidak terdapat perbedaan antara kualitas hidup responden yang mempunyai lama hemodialisis baru dan lama dengan nilai p= 0,984 atau P>0,05 Kesimpulan:Tidak ada perbedaan antara kualitas hidup pasien ditinjau dari pendidikan, frekuensi dan lama hemodialisis di RSUD. Goeteng Taroenadibrata Purbalingga. Kata Kunci: Kualitas hidup, Pendidikan, lama hemodialisis, frekuensi hemodialisis
Heating pad vs. infusion warmer to prevent hypothermia in intraoperative patients: which one is more effective? Arinjaya, I Gede Eka; Suyasa, I Gede Putu Darma; Rismawan, I Made; Suyasa, Agus Baratha
MEDISAINS Vol 19, No 2 (2021)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v19i2.11034

Abstract

Background: The use of heating pads and infusion warmers on intraoperative patients has been proven to prevent hypothermia. However, the differences in the effectiveness of the two methods have not been studied.Purpose: This study aims to compare the effectiveness of a heating pad and infusion warmer in preventing hypothermia (decreased body temperature and the incidence of shivering) in intraoperative patients.Methods: This research was a quasi-experimental design by a Posttest-Only Design with Nonequivalent Groups. The populations in this study were surgical patients with regional anesthesia, with a total sample of 64 respondents (32 respondents in the heating pad group and 32 respondents in the infusion warmer group) selected randomly. The incidence of hypothermia was perceived from two indicators: a decrease in body temperature and the prevalence of shivering, which was observed and recorded during the intraoperative period. The data were analyzed by discrimination tests (mean discrimination test and proportion discrimination test) to determine the difference in the effectiveness of the two groups.Results: The average decrease in body temperature during the intraoperative period (0-40 minutes of operation) in the group given the infusion warmer was greater than the group given the heating pad (p<0.001). The group given the infusion warmer was 8.750 times more likely to experience shivering than the group given the heating pad (p<0.001; OR=8.750).Conclusion: Using a heating pad is better in preventing hypothermia in intraoperative patients than using an infusion warmer.
Stigma dan dukungan keluarga dalam merawat orang dengan gangguan jiwa (ODGJ) Nasriati, Ririn
MEDISAINS Vol 15, No 1 (2017)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v15i1.1628

Abstract

Latar belakang: Gangguan jiwa adalah penyakit kronis yang membutuhkan proses panjang dalam penyembuhannya. Proses pemulihan dan penyembuhan pada orang dengan gangguan jiwa membutuhkan dukungan keluarga untuk menentukan keberhasilan pemulihan tersebut. Adanya stigma yang negatif terhadap ODGJ (Orang Dengan Gangguan Jiwa) dan keluarganya menyebabkan ODGJ dan keluarganya akan terkucilkan. Pada keluarga, stigma akan menyebabkan beban psikologis yang berat bagi keluarga penderita gangguan jiwa sehingga berdampak pada kurang adekuatnya dukungan yang diberikan oleh keluarga pada proses pemulihan ODGJ. Tujuan: Tujuan penelitian ini adalah mengetahui hubungan stigma dengan dukungan keluarga dalam merawat orang dengan gangguan jiwa. Metode: Populasi dalam penelitian ini adalah seluruh keluarga yang merawat orang dengan gangguan jiwa di desa Nambangrejo sejumlah 25 responden. Sampel dalam penelitian ini adalah seluruh keluarga yang merawat orang dengan gangguan jiwa dengan jumlah 25 orang. Hasil : Hasil penelitian didapatkan stigma tinggi sejumlah 13 responden (52%) dan stigma rendah sejumlah 12 responden (47%). Sedangkan dukungan baik sejumlah 10 responden (40%) dan dukungan buruk sejumlah 15 responden (60%). Uji statistik dengan Fisher Exact didapatkan ada hubungan antara stigma dengan dukungan keluarga dalam merawat orang dengan gangguan jiwa dengan (p value=0,0082). Kesimpulan : stigma pada keluarga berhubungan dengan dukungan keluarga dalam merawat orang dengan gangguan jiwa sehingga perlu dilakukan edukasi dan sosialisasi gangguan jiwa di masyarakat untuk meminimalkan stigma keluarga yang tinggi.
Progressive muscle relaxation application (PURE App) for dysmenorrhea Aldinda, Tharra Widadari; Sumarni, Sri; Mulyantoro, Donny Kristanto; Azam, Mahalul; Sudiyono, Sudiyono
MEDISAINS Vol 20, No 2 (2022)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v20i2.14351

Abstract

Background: The prevalence of primary dysmenorrhea in Indonesia is 54.89%. Progressive Muscle Relaxation (PMR) exercises have proven to decrease the symptoms of dysmenorrhea. Nowadays, the android application can be widely accessed anywhere and anytime, thus saving time and costs. There has never been a study that applies PMR, especially android-based dysmenorrhoea.Objective: The current study aimed to develop the PURE App, a PMR exercise android-based application, and to test the effectiveness of reducing the menstrual pain score of adolescents with primary dysmenorrhea.Method: This study conducted Research and Development (R&D), which consists of 4 stages, namely information collection, application design, expert validation and revision, and trial.Result: The PURE App has five features, ranging from pain screening to exercise. The trial results showed that the PURE App application effectively reduced menstrual pain in adolescents with dysmenorrhea. The treatment decreased pain score from 4.48±0.71 to 1.98±1.49 in the treatment group (p<0.001). The treatment group's post-measurement pain score was also significantly different compared to the control group, 1.98±1.49 and 4.90±1.10, respectively.Conclusion: The PURE App benefits teenagers, especially those with primary dysmenorrhea. This application will make it easier for teenagers to overcome pain because the exercises on the application can be accessed anytime and anywhere.
Pengaruh tindakan pencegahan terhadap kejadian dekubitus pada lansia imobilisasi Sulidah, Sulidah; Susilowati, Susilowati
MEDISAINS Vol 15, No 3 (2017)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v15i3.2081

Abstract

Latar Belakang: Dekubitus merupakan masalah yang sering ditemukan pada lansia imobilisasi. Dekubitus berdampak pada penurunan kualitas hidup lansia. Seringkali dekubitus menimbulkan komplikasi infeksi yang bila pengelolaanya tidak adekuat bisa mengakibatkan bakteriemia hingga menyebabkan kematian. Tindakan pencegahan penting dilakukan guna mempertahankan kualitas hidup lansia. Tujuan: Penelitian ini bertujuan untuk membuktikan pengaruh tindakan pencegahan terhadap kejadian dekubitus pada lansia imobilisasi. Metode: Penelitian ini merupakan penelitian pra eksperimen dengan pendekatan one group pre test – post test design. Populasi penelitian ini adalah lansia yang mengalami imobilisasi di wilayah kerja Puskesmas Karang Rejo Kota Tarakan. Besar populasi tidak diketahui secara pasti sehingga pengambilan sampel dilakukan dengan teknik non random sampling dengan metode consecutive sampling. Besar sampel 18 subjek yang diperoleh selama tiga bulan. Subjek diberikan intervensi berupa tindakan pencegahan dekubitus yang dilakukan oleh peneliti dan tim teknis. Instrumen penelitian berupa lembar observasi untuk membandingkan kondisi kulit sebelum dan sesudah intervensi. Teknik analisis yang digunakan adalah uji Wicoxon. Hasil: Hasil penelitian menunjukkan bahwa tindakan pencegahan yang dilakukan dapat menghindarkan lansia imobilisasi dari kejadian dekubitus. Terjadi perbaikan kondisi kulit setelah tindakan pencegahan dibanding sebelumnya dengan tingkat signifikansi 0,000 (p < 0,05. Kesimpulan: Penelitian ini mampu membuktikan manfaat tindakan pencegahan terhadap kejadian dekubitus pada lansia imobilisasi.
Antibacterial activity and perineal wound healing of swallow’s gel extracts Astiti, Gustiyana; Runjati, Runjati; Sudirman, Sudirman
MEDISAINS Vol 22, No 1 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i1.15197

Abstract

Background: Swallow's nest has a glycol content of proteins, carbohydrates (25.62–27.26%), and proteins (62–63%); protein is an indispensable content for the healing process of perineal wounds, protein plays the main ingredient in cell formation, and repairs damaged tissues. In previous studies, swallow's nest extract against perineal wounds in mice obtained the results of accelerated healing on days 3 and 4. However, no studies have been conducted on human perineal injuries.Purpose: Knowing the effectiveness of the swallow's nest extract gel (Aerodramus Fuciphagus) 30% against wound healing and a decrease in the number of colonies of staphylococcus aureus bacteria in the perineal wounds of the postpartum mother.Methods: This experiment study has a post-test with a control group design. The sample comprised 34 postpartum maternal respondents divided into two groups randomly (intervention and control groups). The intervention group was given gel from swallow's nest extract while the control group carried out a dry clean treatment; both were treated to the wound. Perineal wound healing based on REEDA scores was analyzed using the Friedman test, while bacteria in perineal wounds were analyzed using the Man-Whitney test.Results: Based on the REEDA scale, the perineal wound healing rate in the intervention group was better, where healing had already occurred on day 5, compared to the control group that occurred on day 7 (p<0.0001). The number of bacteria in the perineal wounds of the intervention group was less, with an average of 0.06 CFU, compared to the control group's average control group's average of 1.11 CFU (p<0.05).Conclusion: Swallow's nest extract is influential and beneficial in healing perineal wounds in postpartum mothers and has antibacterial activity.