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MEDISAINS
Published by Universitas Muhammadiyah Purwokerto
ISSN : 16937309     EISSN : 26212366     DOI : -
Core Subject : Health,
Medicine & Pharmacology Nursing Public 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.
Arjuna Subject : -
Articles 245 Documents
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Frailty among hemodialysis patients Adi, Ginanjar Sasmito; Utomo, Eri Purba
MEDISAINS Vol 20, No 1 (2022)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v20i1.12374

Abstract

Introduction: Hemodialysis patients have physical vulnerability due to the progressive decline of the body's systems. The physical changes in the patients can lead to haemostatics failure, known as frailty syndrome. The frail condition can cause maladaptive psychological responses due to changes that can cause anxiety in patients.Objective: This study aims to determine the prevalence of frailty in hemodialysis patients and to find out the different factor that correlates in frailty patients undergoing hemodialysis therapy.Method: This is a cross-sectional study involving 55 respondents who underwent hemodialysis therapy at the Jember Klinik Hospital. The instruments used in this study were the Edmonton Frail Scale (EFS) and the Hamilton Anxiety Rating Scale. Results: Moderate frailty was found in 23 patients (41.8%), followed by mild frailty in 18 patients (32.7%) and severe frailty in 14 patients (25.5%). In terms of anxiety, 18 patients (32.7%) had severe anxiety, 20 had moderate anxiety (36.4%), 12 (21.8%) had mild anxiety, and the other 7 (12.7%) were not anxious. The statistical analysis shows a significant difference in the average level of anxiety and the frailty status (p<0.001) among the patients. Conclusion: Frailty was highly prevalent in hemodialysis patients and had relations with anxiety and different sociodemographic characteristics of patients. The assessment of frailty should be considered when clinicians intervene and prevent worsening in patients.
Peningkatan rerata kadar Hb pada ibu hamil yang patuh dalam mengkonsumsi tablet Fe Ermiati, Ermiati; Koeryaman, Mira Trisyani; Setyawati, Anita
MEDISAINS Vol 15, No 2 (2017)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v15i2.1647

Abstract

Latar belakang: Angka anemia pada ibu hamil masih tinggi di Indonesia termasuk di Puskesmas DTP Jatinangor. Hal ini disebabkan masih banyak ibu hamil yang tidak patuh dalam mengkonsumsi tablet Fe sehingga angka anemia pada ibu hamil tetap tinggi. Perlu media untuk mengingatkan ibu hamil dalam mengkonsumsi tablet Fe setiap hari sehingga ibu hamil teratur dan patuh mengkonsumsi tablet Fe. Tujuan: Mengetahui peningkatan rerata kadar Hb pada ibu hamil yang patuh dalam mengkomsumsi tablet Fe setelah diberikan SMS Reminder. Metode: Penelitian kuantitatif dengan metode Quasi Eksperiment Design dengan menggunakan rancangan Pre Test and Post Test Kontrol Group. Kelompok intervensi di berikan SMS Reminder selama 30 hari, kelompok kontrol diberikan pendidikan kesehatan dengan menggunkan leaflet. Sampel pada penelitian ini 40 orang yang di bagi dalam 2 kelompok dengan masing-masing 20 orang untuk kelompok kontrol dan intervensi. Penilaian tingkat kepatuhan menggunakan lembar self report. Kadar Hb dilakukan pemeriksaan sebelum dan setelah intervensi. Analisis data kepatuhan menggunakan Chi Square dan kadar Hb dengan t test. Hasil: Setelah diberi SMS Reminder pada kelompok intervensi, yang patuh dalam mengkonsumsi tablet Fe sebanyak 17 orang (85%), sedangkan pada kelompok kontrol yang patuh hanya 4 orang (20%). Sebelum diberikan SMS Reminder pada kelompok intervensi, rerata Hb 10,290 gr/dl, pada kelompok kontrol rerata Hb 10,105 gr/dl. Setelah SMS Reminder pada kelompok intervensi rerata Hb 11,165 gr/dl, pada kelompok kontrol rerata Hb 10,200 gr/dl. Kesimpulan: Terdapat perbedaan kepatuhan yang signifikan antara kelompok kontrol dan intervensi (p value 0,000). Terdapat perbedaan rerata Hb pada kelompok intervensi (p value=0,006) dan tidak terdapat perbedaan rerata Hb pada kelompok control (p value=0,654). Petugas kesehatan dapat menggunakan SMS Reminder untuk meningkatkan kepatuhan mengkonsumsi tablet Fe dan rerata kadar Hb pada ibu hamil sehingga dapat menurunkan kejadian anemia pada ibu hamil.
Unwanted pregnancy as a critical factor of stunting in Indonesia Yanti, Linda; Supriyadi, Supriyadi; Santosa, Agus
MEDISAINS Vol 21, No 1 (2023)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v21i1.17414

Abstract

Specific and sensitive nutrition fulfillment programs have been carried out to reduce the incidence of stunting in Indonesia, but the results are still not optimal. Handling stunting should not only focus on the nutrition fulfillment sector. A fundamental factor to consider as the root cause of high stunting in Indonesia is unwanted or unplanned pregnancies.
Penurunan gula darah pada pasien diabetes melitus tipe II melalui senam kaki diabetes Hardika, Bangun Dwi
MEDISAINS Vol 16, No 2 (2018)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v16i2.2759

Abstract

Latar Belakang: Diabetes melitus adalah kelompok gangguan metabolik heterogen yang menyebabkan hiperglikemia, akibat dari ketidakadekuatan produksi insulin, ketidakadekuatan sekresi insulin, atau kombinasi keduannya. Penyakit diabetes melitus membutuhkan perawatan berkelanjutan dan pendidikan pengelolaan diri pasien yang sedang berlangsung dan dukungan untuk mencegah komplikasi akut dan mengurangi risiko komplikasi jangka panjang.Tujuan: Penelitian untuk mengetahui pengaruh senam kaki diabetes terhadap penurunan kadar gula darah pada pasien diabetes mellitus tipe IIMetode: Penelitian ini menggunakan metode kuantitatif pra eksperimen dengan pendekatan one group pretest-posttest. Populasi dalam penelitian ini adalah pasien yang telah didiagnosa Diabetes Mellitus Tipe II yang ada di Puskesmas Sosial KM.5 Palembang, jumlah sampel yang digunakan sebanyak 30 responden. Pengukuran kadar gula darah dengan menggunakan Glukometer sebelum dan sesudah dilakukan senam kaki diabetes. Data dianalisis dengan menggunakan uji Paired t-test.Hasil: Hasil penelitian menunjukan nilai rata-rata kadar gula darah sebelum melakukan senam kaki 202.67mg/dl, setelah senam kaki menurun menjadi 173.07mg/dl. Hasil analisis menunjukkan adanya perbedaan kadar gula darah yang signifikan pada pasien diabetes mellitus tipe II sebelum dan setelah melakukan senam kaki diabetes (p<0.01)Kesimpulan: Senam kaki diabetes dapat menurunkan kadar gula darah secara signifikan pada pasien dengan diabetes mellitus tipe II.
Development of comprehensive sexual education applications to improve adolescent reproductive health Supriyadi, Supriyadi; Sodikin, Sodikin; Rahman, Ainun Najib Febrya; Wijaya, Ermadi Satria
MEDISAINS Vol 22, No 2 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i2.21460

Abstract

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.
Effectiveness of progressive muscle relaxation and aromatherapy on fatigue in pregnant mothers Kartilah, Tetet; Februanti, Sofia
MEDISAINS Vol 18, No 1 (2020)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v18i1.6421

Abstract

Background: Fatigue in pregnant women can lead to cesarean delivery, also triggering problems during pregnancy, childbirth, and the puerperium. Therefore, there is a need for non-pharmacological interventions to reduce the level of fatigueObjective: This study aims to determine the effectiveness of giving progressive muscle relaxation (PMR) and aromatherapy to complaints of fatigue in pregnant womenMethods: This is a quasi-experiment with pretest and post-test with control group design. The sampling technique was simple random sampling, consisted of 52 respondents who were divided into two groups. The statistical using a paired t-test and independent t-testResults: After the administration of PMR and aromatherapy interventions, the fatigue score decreased significantly from 5.15 to 3.15; p<0.001. In the control group, the fatigue score was reduced from 5.04 to 4.00; p<0.0001. There was a significant difference in fatigue scores in the intervention and control groups (3.15 ± 1.592 vs. 4.00 ± 0.980; p<0.05).Conclusion: Combination progressive muscle relaxation exercises and aromatherapy are effective in reducing fatigue scores in pregnant women
ANALISIS PERAN AKTIVITAS DOKTER UMUM DENGAN METODE WORKLOAD INDICATOR OF STAFFING NEED (WISN) DI PUSKESMAS SE-KABUPATEN BANTUL YOGYAKARTA Soesilowati, Retno; Ratnasari, Dwi
MEDISAINS Vol 13, No 2 (2015)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v13i2.1600

Abstract

Latar Belakang: Ketersediaan tenaga kesehatan dokter umum masih menjadi sorotan penting terkait jenis, jumlah, dan penyebaran yang tidak merata. Pedoman untuk menganalisis beban kerja tenaga dokter dalam memberikan pelayanan kesehatan telah diatur dalam Keputusan Mentri Kesehatan Nomor 81 tahun 2004. Analisis peran aktivitas dokter umum di puskesmas se-Kabupaten Bantul masih belum terealisasi dengan maksimal. Sampai dengan saat ini, perencanaan kebutuhan tenaga kesehatan khususnya dokter umum masih menggunakan metode rasio, dimana sesuai dengan Permenkes 75 tahun 2014 penghitungan kebutuhan tenaga kesehatan dihitung dengan analisis aktivitas beban kerja Tujuan penelitian: Penelitian ini bertujuan untuk mengetahui peran aktivitas kerja, kebutuhan tenaga dokter umum, serta distribusinya di Puskesmas se-Kabupaten Bantul Metode Penelitian: Metode penelitian ini menggunakan deskriptif cross-sectional yang dilaksanakan di Puskesmas se-Kabupaten Bantul terhadap semua tenaga dokter umum fungsional. Data kuantitatif yang diperlukan didapat dari hasil wawancara dan observasi langsung aktifitas kegiatan dari masing-masing dokter umum serta data sekunder. Analisis data kuantitatif dilakukan dengan menggunakan software WISN English Version 1.1.132.0. Hasil Penelitian: Berdasarkan hasil penelitian diperoleh bahwa peran aktivitas kerja dokter umum di Puskesmas se-Kabupaten Bantul adalah tinggi (rasio WISN
The future of vaccination and herd immunity in the COVID-19 pandemic Supriyadi, Supriyadi
MEDISAINS Vol 19, No 2 (2021)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v19i2.11661

Abstract

Since a year ago, pandemic covid 19 has entered Indonesia, and efforts to reduce and control have been carried out several programs, one of which is vaccination. The ideal projection is two direct strategies: hybrid distribution that combines active outreach into priority groups with passive distribution to the general public and single-dose distribution to as many populations as possible. The previous plan was to save a second dose as a backup. The proper fulfillment of vaccination needs in each population required to achieve herd immunity to stop the spread of the virus will vary, depending on the variant of the virus in circulation and the heterogeneous level of that population, also depending on the density and mobility of the population. In addition, the duration of protection provided by natural immunity and vaccine-induced immunity is not well established, and different vaccines can provide different durations and degrees of humoral and cellular immunity.
The effect of self-efficacy and self-management training on efficacy and stress in diabetes mellitus patients Gultom, Agustina Boru; Batubara, Arbani
MEDISAINS Vol 20, No 3 (2022)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v20i3.15386

Abstract

Background: Quality of life in patients with diabetes mellitus still tends to be low. This is caused by low self-efficacy and self-management and is followed by a condition that connects the two variables in the form of stress. Therefore, there is a need for efficacy and self-management training in patients with diabetes mellitus.Objective: The purpose of this study was to analyze the effect of self-efficacy and diabetes self-management training on diabetes mellitus patients.Methods: This is a quasi-experimental study with a design without a control group; as many as 34 people with diabetes were included in the study. Stress and efficacy levels were measured before and after being given diabetes self-management and efficacy training. The Wilcoxon test analyzed data..Results: Before training, the average self-efficacy score was 44.21, while after training was 58.76, p<0.0001. The average stress score before training was 44.41; after training, it decreased to 30.29, p<0.0001.Conclusion:  Diabetes self-efficacy and self-management training increases efficacy and reduces stress in diabetes mellitus patients.
Karakteristik ibu (usia, paritas, pendidikan) dan dukungan keluarga dengan kecemasan ibu hamil trimester III Rinata, Evi; Andayani, Gita Ayu
MEDISAINS Vol 16, No 1 (2018)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v16i1.2063

Abstract

Latar Belakang: Kehamilan dapat menjadi sumber stressor kecemasan, terutama pada kehamilan trimester III. Berdasarkan penelitian menunjukkan sebagian besar (70,3%) ibu hamil trimester III mengalami kecemasanTujuan: Penelitian ini bertujuan untuk mengetahui hubungan usia, paritas, pendidikan, dan dukungan keluarga atau suami dengan kecemasan pada ibu hamil trimester III.Metode: Desain penelitian ini survei analitik dengan pendekatan cross sectional, populasinya seluruh ibu hamil trimester III, sampelnya seluruh ibu hamil trimester III yang memenuhi kriteria yaitu berjumlah 56 ibu, pengambilan sampel dengan teknik non probability sampling secara accidental sampling menggunakan kuesioner. Pengukuran tingkat kecemasan menggunakan skala HARS (Hamilton Anxiety Rating Scale).Hasil: Hasil penelitian menunjukkan sebagian besar ibu hamil memiliki usia tidak beresiko, paritas multigravida, berpendidikan SMA/SMK, mendapatkan dukungan dari keluarga, dan tidak mengalami kecemasan. Ada hubungan usia dengan kecemasan (p<0,01), ada hubungan paritas dengan kecemasan (p<0,01),  ada hubungan pendidikan dengan kecemasan (p<0,01), ada hubungan dukungan keluarga dengan kecemasan (p<0,01).Kesimpulan: Ada hubungan antara usia, paritas, pendidikan, dan dukungan keluarga dengan kecemasan ibu hamil trimester III.

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