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Anita Liliana, Lala Budi Fitriana, Nurul Febrina Syahidah
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 16, pp 72-79; https://doi.org/10.35960/vm.v16i1.739

Abstract:
Background : One of the problems often faced by young women is menstrual pain (dysmenorrhea). The rate of dysmenorrhea in the world is very large, on average more than 50% of women in every country experience dysmenorrhea. In Indonesia, the incidence of dysmenorrhea is found as much 64.25%, most commonly found in adolescents. Altough generally harmless, it can interfere with daily activities. In addition to using pharmacology, dysmenorrhea can be overcome with non-pharmacological techniques, namely by doing dysmenorrhea exercises. Objective : To determine the effect of dysmenorrhea exercise on pain scale during dysmenorrhea in adolescent girls in Kenayan Hamlet, Wedomartani, Ngemplak, Sleman DIY. Methods : The research design used a quasi-experimental design with pre-test and post-test design without control. The subjects of the study were the young women of the village of Kenayan who experienced dysmenorrhea as many as 38 respondents. Pain scale is measured by NRS. Statistical test using T-Tes Pired Test. Results : The pain scale before the dysmenorrhea exercise is done 5,00 ±1727 (1-9) and after the dysmenorrhea exercise is done it is 2,00±1,109 (0-4). Based on the Paired T-Test, it is known that the p-value = 0,000. Conclusion : There is an effect of dysmenorrhea exercise on the scale of dysmenorrhea in young women in the village of Kenayan. Keywords : Dysmenorrhea Gymnastics,Pain, Youth
Agus Hari Sandika, Tin Utami, Siti Haniyah
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 15, pp 20-30; https://doi.org/10.35960/vm.v15i2.860

Abstract:
Pada periode post partum ibu akan mengalami keletihan dalam menyusui dan sangat membutuhkan dukungan serta pertolongan dari orang terdekat yang akan mempengaruhi pemberian ASI dimana resiko kematian bayi baru lahir dapat ditekan. Data presentase secara nasional pada tahun 2019 pemberian ASI bayi baru lahir sebesar 67,74% sedangkan Kabupaten Banjarnegara persentase sebesar 60,6% dan menduduki peringkat ke 13 se-Jawa Tengah. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan keletihan pada ibu post partum dalam pemberian ASI di Rumah Sakit Emanuel Banjarnegara tahun 2022. Penelitian ini menggunakan analitik korelatif dengan pendekatan cross sectional. Jumlah sampel ibu post partum yang diambil sebanyak 31 orang yang memenuhi kriteria inklusi maupun eksklusi dengan teknik sampling insidental atau accidental sampling. Pengambilan data menggunakan instrumen kuesioner dukungan keluarga dan PFS (Postpartum Fatique Scale) dengan pengolahan data menggunakan teknik analisis korelasi Spearman’s. Hasil uji analisis didapat nilai dengan signifikansi hubungan dukungan keluarga dengan keletihan sebesar p-value 0,001 (p<α=0,05) dan nilai correlation coefficient 0.581 dimana hasil tersebut dikatakan terdapat hubungan dukungan keluarga dengan keletihan memiliki hubungan yang sedang atau cukup kuat
Ayu Anita, Oswati Hasanah, Christina Simorangkir
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 16, pp 62-71; https://doi.org/10.35960/vm.v16i1.824

Abstract:
Respiratory Distress Syndrome (RDS) is the term used for respiratory dysfunction in neonates. This disorder is a disease associated with delayed development of lung maturity or a lack of surfactant in the lungs. One of the problems that must be overcome is an ineffective breathing pattern. Interventions in ineffective breathing patterns, one of which is the provision of a pronation position to maintain hemodynamic status. Giving the pronation position is considered effective to improve the hemodynamic status of the patient, because the pronation position can increase pulmonary ventilation and can reduce lung pressure by intra-abdominal organs so that it can improve the patient's oxygenation. The method used was a case study using 3 respondents who were treated in the NICU room of Arifin Achmad Hospital, Riau Province, which aimed to see differences in the hemodynamic status of patients before and after being given a pronation position. The criteria for these observational patients are patients with respiratory distress who have symptoms of ineffective breathing patterns (down score 5-7) and use a breathing apparatus. This nursing care is carried out directly on Infants I, Infants II and III with the age of 0-6 days. The intervention was given for 2-10 days, the results of the development of the patient's condition were good, there was an increase in oxygen saturation, pulse and temperature in the baby. Based on the results of the application of nursing care in infants with respiratory disorders, the pronation position has been proven to improve and maintain hemodynamic stability, so it is advisable for pediatric nurses to be able to practice pronation positioning in the management of RDS patients with ineffective breath patterns
Bharata Bagus Barokah, Indri Heri Susanti, Madyo Maryoto
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 15, pp 109-121; https://doi.org/10.35960/vm.v15i2.867

Abstract:
Mindfulness adalah perhatian yang dipusatkan terhadap sesuatu yang terjadi pada saat ini dan melibatkan kesadaran dan ketidakberpihakan. Kepuasan hidup merupakan penilaian menyeluruh terhadap kualitas kehidupan seseorang berdasarkan kriteria-kriteria yang ditetapkannya sendiri. Mindfulness diharapkan meningkatkan kepuasan hidup dan mencegah kondisi stress dan menciptakan ketenangan pada hidup. Penelitian ini bertujuan mengetahui hubungan mindfulness dengan kepuasan hidup pekerja perempuan di usaha mikro kecil dan menengah di Kecamatan Padamara Purbalingga. Metode penelitian ini menggunakan penelitian deskriptif korelatif dan menggunakan pendekatan cross sectional. Tehnik sampling yang digunakan adalah purposive sampling dengan jumlah sampel sebanyak 68 pekerja perempuan. Data diambil dengan memberikan kuesioner kepada pekerja perempuan. Data diolah dengan menggunakan editing, coding, scoring, tabulating, processing, dan cleaning. Analisa penelitian ini menggunakan analisis univariat dan bivariat. Untuk mengetahui hubungan variabel independent dengan variabel dependent dilakukan uji spearman-rank. Hasil dari penelitian mindfulness dengan kategori baik sejumlah 30 responden dengan nilai 44,1% dan kepuasan hidup dengan kategori puas sebanyak 40 responden dengan nilai 58,8%. Hasil nilai mindfulness dan kepuasan hidup dengan nilai p value 0,000 dengan koefisien korelasi 0,562. Penelitian dapat disimpulkan bahwa mindfulness dengan kepuasan hidup terdapat hubungan
Asmat Burhan, Septian Mixrova Sebayang
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 16, pp 12-21; https://doi.org/10.35960/vm.v16i1.832

Abstract:
Chronic Venous Leg Ulcers (CVLUs) are vascular diseases and require complex wound care from a patient, wound, health personnel and dressing factors. Cadexomer Iodine (CI) and Polyhexamethylene Biguanide (PHMB) are antimicrobial and broad-spectrum wound washing fluids. The uncontrolled infection will complicate wound healing due to bacteria or plankton from the biofilm stage to infection, which causes a long healing time. Purpose: to determine the effectiveness of the combination of Polyhexamethylene biguanide and Cadexomer Iodine on venous leg ulcer wound healing. Methods: This study is a case study using CVLUs as a sample, with pre-test and post-test designs, patients with CVLUs received topical antimicrobial CI and PHMB interventions on wounds for 7 weeks. The sample in this study used one sample with a pre-post treatment design for seven days.. The instrument uses the Bates Jensen Wound Assessment Tool. Results: The combination of CI and PHMB was shown to improve the healing of CVLUs by controlling bacterial infection in wounds. In the 2nd week, the wound was 26cm x 15cm, the slough was reduced, and the red base wound increased. In the 3rd week, the wound was stage 4, and the granulation increase was 75%. In the 7th treatment, the wound size scale increased 7cmx4cm, the wound became stage 2, and a significant increase in epithelialization was 75%. Conclusion: The combination of PHMB and CI has been shown to control infection at the biofilm stage to critical colonization, reduce odour and significantly control infection, and increase granulation and epithelialization in CVLUs
Titin Supriyatin, Dwi Novitasari
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 15, pp 31-47; https://doi.org/10.35960/vm.v15i2.879

Abstract:
Hipertensi salah satu penyakit dimana setiap tahun angka kejadiannya semakin bertambah. Program CERDIK serta PATUH menjadi salah satu upaya pemerintah dalam penanganan hipertensi. Tekanan darah terkontrol dengan melakukan perilaku manajeman hipertensi atau perilaku CERDIK dapat mencegah terjadinya komplikasi bahkan kematian akibat hipertensi. Penelitian dilakukan yang tujuannya untuk mengetahui hubungan perilaku CERDIK dengan tekanan darah peserta prolanis di Puskesmas Bobotsari Kabupaten Purbalingga. Penelitian ini menggunakan randangan survei studi korelasi dan cross sectional sebagai pendekatannya. Pasien hipertensi yang tercatat sebagai peserta Prolanis di Puskesmas Bobotsari sebanyak 101 responden dijadikan sebagai responden menggunakan teknik purposive sampling. Alat yang digunakan untuk mendapatkan data menggunakan spignomanometer dan kuisioner perilaku CERDIK. Penelitian ini menunjukkan rata-rata skor perilaku CERDIK adalah 5 dan rata-rata tekanan darah sistolik sebesar 150.58 mmHg dan tekanan darah diastolik sebesar 87.11 mmHg. Uji bivariat dengan person product moment didapatkan nilai p-value hubungan perilaku cerdik dengan tekanan darah sistolik sebesar 0.042 ≤ α serta nilai correlation coefficient -0.203 dan hubungan perilaku cerdik dengan tekanan darah diastolik sebesar 0.046 ≤ α serta nilai correlation coefficient -0.199. Kesimpulannya bahwa perilaku CERDIK berhubungan dengan tekanan darah peserta prolanis dimana semakin meningkatnya perilaku CERDIK maka rendah tekanan darah dengan kekuatan hubungan kurang.
Ade Krisna Ginting, Liana Riski Stiasih
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 16, pp 22-29; https://doi.org/10.35960/vm.v16i1.835

Abstract:
Masih tingginya akses internet anak usia 5 tahun keatas di Indonesia untuk media social. Persentasenya mencapai 88,99% (Badan Pusat Statistik 2021). Ada sebanyak 98,70% anak usia 5 tahun ke atas mengakses internet menggunakan ponsel pintar. Sisanya menggunakan laptop 11,87%, komputer desktop 2,29%, dan lainnya 0,18%. Meningkatnya jumlah pengunaan gadget akan meningkatnya angka kecanduan gadget. Penelitian ini menggunakan desain cros sectional. Sampel pada penelitian ini sebanyak 126 responden di SDN Karang Baru 04 Cikarang Utara Kabupaten Bekasi, Pengambilan sampel dalam penelitian ini menggunakan tehnik simple ramdom sampling dengan kuisioner. Hasil penelitian didapatkan bahwa ada hubungan yang signifikan antara penggunaan gadget dengan perkembangan psikososial anak usia 9-12 tahun dengan nilai P value (P = 0,004) dengan OR: 3.028 artinya anak yang menggunakan gadget dengan kategori beresiko memiliki peluang 3 kali untuk mengalami perkembangan psikososial kurang baik. Kesimpulan ditemukan ada hubungan penggunaan gadget dengan perkembangan psikososial anak usia 9 – 12 tahun di SDN 04 Karang Baru Kabupaten Bekasi.sehingga diharapkan kepada orangtua melakukan pengawasan penggunaan gadget baik hal dalam pembatasan waktu untuk menghindari kecanduan gadget ataupun dengan pemilahan internet yang dapat diakses oleh anak selain itu sekolah diharapkan juga melakukan pembatasan akses internet disekolah.  
Cut Rara Hasviana, Nanda Desreza, Riyan Mulfianda
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 16, pp 44-52; https://doi.org/10.35960/vm.v16i1.852

Abstract:
In developing countries, diarrhea is a common disease and a leading cause of mortality in children. Moreover, the guava plant (Psidium guajava L) is known by the Indonesian people as herbal medicine that may serve as a remedy for various diseases. One of the best-known benefits of guava leaf for people in Indonesia is that it can act as an antidiarrheal. This study aimed to examine the effectiveness of guava leaf extract (Psidium Guajava L.) in diarrhea treatment among children aged 6-12 years in the working area of Krueng Barona Jaya Community Health Center. This study was a quasi-experiment of One-Group Pretest-Posttest Design. The population member in this study was mothers with children aged 6-12 years old suffering from diarrhea in the working area of Krueng Barona Jaya Public Health Center. The purposive sampling technique was employed to select 15 respondents. Data collection was done by distributing questionnaires to respondents. This study was conducted from 27 June to 4 July 2022. The data were processed using editing, coding, transferring, and tabulating, and analyzed using the T-test at an error level of 0,05. The results showed that is effective in diarrhea treatment for children aged 6-12 years old with a p-value of 0.000
Ratri Wulandari, Tophan Heri Wibowo, Danang Tri Yudono
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 15, pp 12-19; https://doi.org/10.35960/vm.v15i2.855

Abstract:
Kasus yang sering terjadi pada saat post anestesi diruang pemulihan salah satunya hipotermi, hipotermi dapat terjadi 5-65% pada pasien post general anestesi. Pada pasien lansia cenderung lebih besar mengalami hipotermi dibandingkan dengan pasien yang lebih muda. Tujuan penelitian ini adalah untuk mengetahui hubungan usia dengan hipotermi pada pasien lanjut usia post general anestesi diruang pemulihan rumah sakit Jatiwinangun Purwokerto. Metode jenis penelitian menggunakan kuantitatif, design analitik korelatif dan pendekatan cross sectional dengan jumlah sampel sebanyak 32 responden. Analisa menggunakan uji univariat dan uji Spearman Rank. Hasil penelitian menunjukan terdapat hubungan yang signifikan usia dengan hipotermi pada pasien lanjut usia dengan hasil Pvalue 0,001 (Pvalue <0,05). Hasil koefisien korelasi -0,560 yang berarti bahwa kekuatan hubungan nya adalah moderat dengan arah negatif.
Sidhi Laksono, Divina Rana Sartika
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 16, pp 90-96; https://doi.org/10.35960/vm.v16i1.750

Abstract:
In cardiac patients with prolonged hypertension, it can increase the occurrence of diastolic dysfunction or systolic dysfunction which ultimately causes heart failure. LVH is an increase in left ventricular mass caused by thickening of the left ventricular wall, an increase in left ventricular volume or both. The purpose of this study was to determine the description of diastolic dysfunction in LVH patients using echocardiography at Hasna Medika Hospital Cirebon. The author used a descriptive method on 60 LVH patients as research subjects with the majority of women as many as 40 (67%). The time of the study was carried out in May-June 2021. Based on the results of the study, it was found that concentric LVH was the most common with 56 people (93%), remodeling concentric LVH with 2 people (3%), and eccentric with 2 people (3 %). In subjects with decreased diastolic dysfunction can be seen from the E/A. Of the 60 subjects in this study, 39 people had decreased LV function. There were 39 people with grade 1 diastolic dysfunction, 2 people with grade 2 diastolic dysfunction, and no grade 3 diastolic dysfunction found. The conclusion was that concentric LVH was found in 93% of the total sample, remodeling concentric in 3%, and eccentric in 3%
Nurinnisa Shiddiqiyah, Tin Utami, Wilis Sukmaningtyas
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 16, pp 80-89; https://doi.org/10.35960/vm.v16i1.862

Abstract:
Premature rupture of membranes (PROM) is one of the causes of infection which poses a serious threat to the welfare and health of the mother and fetus. It is proven in Indonesia that PROM is the highest disorder in childbirth complications. Several factors cause PROM such as parity, fetal position abnormalities, anemia, and so on. This study aims to describe the causes of premature rupture of membranes at Ananda General Hospital, Purwokerto. This research method is descriptive quantitative in retrospective approach. The population in this study is all medical record data for mothers giving birth with premature rupture of membranes at Ananda General Hospital Purwokerto in 2021, namely a total of 113 respondents using the total sampling technique so that the sample is 113 respondents. The type of data used is secondary data. The data analysis used is univariate analysis. Based on the results of the study, it was found that the majority age factor was mothers aged 20-35 years (92%), the majority parity factor was primiparous mothers (56.6%), the majority gestational age factor was term pregnancy (≥ 37 weeks) as many as ( 88.5%), the majority of fetal position abnormalities were head presentation (89.4%), the majority of anemia factors were not anemia (65.5%). There is still a high incidence of PROM from various causative factors, therefor it is hoped that health workers can provide the latest counseling from the results of this study and it is hoped that pregnant women will routinely carry out antenatal care in health services
Desta Anggoro Saputri, Tri Sumarni, Wіlіꜱ Sukmanіngtyaꜱ
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 15, pp 91-108; https://doi.org/10.35960/vm.v15i2.854

Abstract:
Elderly_aged_60_yearꜱ_experіenced_decreaꜱed_functіᴏn_and_experіenceddіꜱturbanceꜱ,eꜱpecіal іn the level ᴏf іndependence іn daіly actіvіtіeꜱ. Changeꜱ that ᴏccur іn the elderly іnclude phyꜱіcal, ꜱᴏcіal and mental changeꜱ. Changeꜱ іn phyꜱіcal dіꜱᴏrderꜱ ᴏf іndependence dіꜱᴏrderꜱ іn the elderly. The purpᴏꜱe ᴏf thіꜱ ꜱtudy waꜱ tᴏ determіne the deꜱcrіptіᴏn ᴏf іndependence іn the elderly at Rᴏujіn Hᴏme Aіwakaі Іkedaen ᴏkіnawa Japan. Thіꜱ ꜱtudy uꜱeꜱ a deꜱcrіptіve technіque wіth a crᴏꜱꜱ ꜱectіᴏnal apprᴏach. The ꜱample uꜱed іn the ꜱtudy waꜱ 30 reꜱpᴏndentꜱ uꜱіng іncluꜱіᴏn crіterіa and excluꜱіᴏn crіterіa. The ꜱamplіng technіque іn thіꜱ ꜱtudy uꜱed purpᴏꜱіve ꜱamplіng. The analyꜱіꜱ іn thіꜱ ꜱtudy uꜱed unіvarіate analyꜱіꜱ wіth a tᴏtal ᴏf 30 reꜱpᴏndentꜱ. The tᴏᴏlꜱ uꜱed іn thіꜱ ꜱtudy were queꜱtіᴏnnaіreꜱ and the Barthel іndex ᴏbꜱervatіᴏn ꜱheet. The deꜱcrіptіᴏn ᴏf the іndependence ᴏf the elderly at Rᴏujіn Hᴏme Aіwakaі Іkedaen ᴏkіnawa Japan fᴏund that the elderly іn Rᴏjіnhᴏme Aіwakaі Іkedaen  Japan were mᴏꜱtly іn the categᴏry ᴏf ᴏld age (75-90 yearꜱ) aꜱ many aꜱ 21 peᴏple (70.0%). Mᴏꜱt ᴏf the elderly іn_Rᴏjіnhᴏme Aіwakaі_Іkedaen _ᴏkіnawa,_Japan_are_16_peᴏple (53.3%). The elderly іn Rᴏjіnhᴏme Aіwakaі Іkedaen  ᴏkіnawa Japan mᴏꜱtly have hypertenꜱіᴏn, aꜱ many aꜱ 25 peᴏple (83.3%). The elderly іn Rᴏjіnhᴏme Aіwakaі Іkedaen  ᴏkіnawa Japan are mᴏꜱtly іndependent іn the Partіal Care categᴏry_іn_carryіng_ᴏut_daіly_actіvіtіeꜱ_aꜱ_many aꜱ 19_peᴏple_(63,3%)
Indria Sri Utari, Siti Haniyah, Tin Utami
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 15, pp 1-11; https://doi.org/10.35960/vm.v15i2.861

Abstract:
Keberhasilan program KB dapat dilihat dari kepatuhan PUS dalam pelaksanaan KB. Pelaksanaan Kontrasepsi tidak seutuhnya berjalan dengan lancar, hal ini dibuktikan dengan masih banyak kejadian unmet need. Unmet need merupakan suatu kejadian dimana pasangan usia subur tidak memakai alat kontrasepsi. Tujuan penelitian ini untuk mengetahui hubungan riwayat penggunan KB dengan kejadian unmet need pada pasangan usia subur di Desa Widarapayung Kulon. Metode penelitian ini menggunakan metode survei dengan jenis studi korelasional. Sampel pada penelitian ini sebanyak 79 untuk masing-masing kontrol dan kasus menggunakan teknik purposive sampling. Data diambil menggunakan lembar observasi. Hasil penelitian di dapatkan sebanyak 79 PUS yang unmet need dan sebanyak 90 responden memiliki riwayat penggunaan KB, Hasil analisis uji statistik Chi Square diperoleh nilai p=0,002 (p<0,05) dengan nilai OR (Odds Ratio) sebesar 2,88. Kesimpulan : ada hubungan yang signifikan antara riwayat penggunaan KB dengan kejadian unmet need, PUS dengan riwayat penggunaan KB sebelumnya memiliki resiko 2,88 kali terhadap kejadian unmet need
Gusti Ayu Mega Ardi Lestari, Ni Gusti Ayu Pramita Aswitami, I Gusti Agung Manik Karuniadi
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 16, pp 53-61; https://doi.org/10.35960/vm.v16i1.754

Abstract:
Produksi ASI sering kali terhambat dikarenakan beberapa faktor yaitu stres, gaya hidup yang tidak sehat, dan ketidak seimbanganan hormon. Salah satu cara non farmakologi untuk meningkatkan produksi ASI yaitu dengan dilakukan pijat laktasi. Penelitian ini memiliki tujuan yaitu untuk mengetahui pengaruh pijat laktasi terhadap peningkatan produksi ASI pada ibu menyusui bayi usia 0-6 bulan. Jenis yang digunakan dalam penelitian ini yaitu quasi eksperimental dengan desain pretest-posttest one group design. Penelitian ini menggunakan populasi ibu yang sedang menyusui berjumlah 50 orang serta sampel yang digunakan yaitu ibu menyusui bayi usia 0-6 bulan dengan penentuan jumlah sampel memakai rumus slovin dengan hasil sebanyak 36 orang. Penelitian ini dilaksanakan di wilayah Kelurahan Banjar Tengah, Kecamatan Negara pada tanggal 13 Desember 2021 - 13 Januari 2022. Berdasarkan hasil uji analisis bivariat, didapatkan bahwa nilai p value yaitu 0,000 < 0,05. Maka dapat disimpukan bahwa terdapat pengaruh pijat laktasi terhadap peningkatan produksi ASI pada ibu menyusui bayi usia 0-6 bulan secara signifikan. Pijat laktasi bermanfaat untuk mengurangi nyeri, ketegangan, stres, kecemasan, serta meningkatkan produksi ASI. Saran dari penelitian ini yaitu diharapkan bagi ibu yang sedang menyusui agar melakukan pijat laktasi sehingga produksi ASI mengalami peningkatan.
Nur Isriani Najamuddin, Masyita Wahab, Bella D. Shinta, Andan Firmansyah
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 16, pp 1-11; https://doi.org/10.35960/vm.v16i1.785

Abstract:
Elderly (elderly) will experience changes both physically, mentally, spiritually and psychosocially. Complaints about difficulty sleeping at night often occur in the elderly. This is an important matter for the elderly, so an efficient and comfortable treatment is needed from side effects. Giving honey is one form of treatment with a relaxation method which is a type of non-pharmacological treatment that aims to improve the quality of sleep in the elderly. This research aims to identify the effect of honey on sleep quality in the elderly before and after giving pure honey in Galeso Village, Wonomulyo Community Health Center, Polewali Mandar Regency. This research is a quantitative research using a pre-experimental design. The research was carried out in Galeso Village from June to July 2021. The sample in this research amounted to 17 people. The analysis was tested using univariate and bivariate analysis. Sleep quality was measured using the PSQI (Pittsburgh Sleep Quality Index) questionnaire. Based on the Wilcoxon test analysis, the results showed that there was an effect of giving pure honey on sleep quality in the elderly
Bambang Yuli Krisnanto, Ikit Netra Wirakhmi, Noor Yunida Triana
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 15, pp 122-136; https://doi.org/10.35960/vm.v15i2.885

Abstract:
Anak-anak dengan kelainan perkembangan yang tidak sesuai dengan usia mereka mungkin tidak dapat mencapai kebutuhan dasar mereka. Orang tua, khususnya ibu memiliki peran penting dalam perkembangan anak di usia dini. Pengetahuan orang tua, khususnya perempuan memegang peranan penting dalam membina tumbuh kembang anak. Kecerdasan seorang ibu akan mempengaruhi pertumbuhan dan perkembangan anak-anaknya. Penelitian ini bertujuan untuk mengetahui gambaran tingkat pengetahuan ibu di Posyandu Desa Karangsari Kecamatan Kembaran terhadap tumbuh kembang anak usia 1 sampai 5 tahun. Metode penelitian ini ialah deskriptif dengan pendekatan cross sectional terhadap waktu. Penelitian ini mengambil sampel 75 ibu yang memiliki anak balita di Posyandu Desa Karangsari Kecamatan Kembaran dengan menggunakan teknik proportional stratified random sampling. Penelitian dilakukan melalui kuesioner. Analisis data menggunakan distribusi frekuensi. Temuan menunjukkan bahwa sebagian besar dari ibu berusia di atas 35 (44%), memiliki pendidikan pasca sekolah menengah (44%), dan tidak bekerja (84%). Lebih dari separuh ibu di Posyandu, Desa Karangsari, Kecamatan Kembaran memiliki pengetahuan tentang tumbuh kembang anak usia 1 sampai 5 tahun. Sebaiknya ibu sering membawa balitanya ke puskesmas/posyandu untuk SDIDTK atau stimulasi deteksi dini tumbuh kembang, sehingga dapat menentukan tumbuh kembang anaknya sesuai dengan usianya
Misto Misto, Indri Heri Susanti, Tri Sumarni
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 15, pp 48-65; https://doi.org/10.35960/vm.v15i2.858

Abstract:
Kecerdasan emosional adalah suatu suatu dimensi yang menunjukkan kemampuan manusia secara emosional dan sosial. Kecerdasan berperan membentuk kepribadian individu sehingga dapat mengenali dan mengendalikan diri, memahami emosi orang lain dan dapat berinteraksi sosial dengan sesama. Kinerja seorang perawat adalah capaian hasil pelaksanaan kegiatan yang dilakukan perawat sesuai kemampuannya berdasarkan standar asuhan keperawatan. Penelitian ini bertujuan mengetahui hubungan kecerdasan emosi dengan kinerja perawat. Rancangan penelitian menggunakan metode kuantitatif dengan pendekatan cross sectional. Populasi dalam penelitian ini, semua perawat di Fasilitas Pelayanan Kesehatan Kecamatan Rembang sebanyak 32 perawat. Gambaran umum karakteristik responden menunjukan perempuan 65,6%, usia dewasa akhir (36-45 th) 53,1%, pendidikan D3 Keperawatan 78,1%, masa kerja 12-22 tahun 53,1%. Hasil penelitian 90,6% memiliki kecerdasan emosi tinggi, dan 84,4% memiliki kinerja baik. Uji statistik menunjukan nilai p= 0,024 dengan koefisien korelasi 0,397 sehingga dapat disimpulkan terdapat hubungan signifikan dengan kekuatan rendah antara kecerdasan emosi dengan kinerja
Weni Krismaryani, Danang Tri Yudono, Fauziah Hanum N.A
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 15, pp 82-90; https://doi.org/10.35960/vm.v15i2.876

Abstract:
Latarbelakang: Perubahan fisik terjadi terhadap lansia membuat penurunan daya tahan tubuh terhadap penyakit. Akibatnya tekanan darah melambung tinggi atau hipertensi merupakan masalah kesehatan yang biasa di kalangan lansia. Aktivitas fisik yang teratur membantu agar berat badan seimbang dan memperkuat jantung serta sistem pembuluh darah. Gaya hidup tidak baik dapat membuat seseorang mengalami hipertensi. Tujuan: Penelitian ini bermaksud untuk mengetahui gambaran aktivitas fisik lanjut usia penderita hipertensi di Puskesmas Purwokerto Utara II. Metode: penelitian ini menggunakan deskriptif-kuantitatif dengan pendekatan cross sectional. Penelitian dilakukan di Puskesmas Purwokerto Utara II. Metode pengambilan sampel menggunakan teknik random sampling didapat 56 responden. Analisis data menggunakan analisis univariat. Hasil: Hasil penelitian menunjukkan bahwa kelompok usia paling aktif adalah 60-69 tahun dan cukup aktif, dengan 13 responden (23,2%). Jenis kelamin yang paling aktif secara fisik adalah laki-laki dengan aktivitas fisik sedang diantara 18 responden (32,1%). Pendidikan dengan aktivitas dasar adalah pendidikan dasar dengan aktivitas fisik sedang, bahkan sebanyak 19 responden (33,9%). Pekerjaan yang paling banyak melakukan aktivitas fisik adalah pekerja aktif sedang sebanyak 15 responden (26,8%). Durasi daya tahan saat aktivitas fisik paling dominan yaitu periode daya tahan 6-10 tahun dengan aktivitas fisik sedang (51,8%). Kesimpulan: aktivitas fisik pada lansia di Puskesmas Purwokerto Utara II sebagian besar pada kategori sedang sehingga dapat dijadikan sebagai bahan pertimbangan pihak manajemen puskesmas agar menambah jumlah perawat agar lebih mempermudah pelayanan di Puskesmas tersebut
Yos Bayu Apriliano, Sri Utami, Arneliwati Arneliwati
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 16, pp 30-43; https://doi.org/10.35960/vm.v16i1.871

Abstract:
Cervical cancer is a major health problem in women in the world, cervical cancer can be prevented by early detection, one of which is the VIA examination. According to data from the Pekanbaru city office in 2019, there were 5 people carrying out an IVA examination at the Simpang Baru Health Center. Factors that influence WUS in the IVA examination behavior are knowledge, attitudes and actions. This study aims to describe the behavior of WUS in an effort to detect cervical cancer using the IVA method in the work area of the Simpang Baru Health Center. Methodology on this research was a quantitative descriptive. The sample in this research were 100 respondents who live in Simpang Baru with propotional random Sampling technique. The variables in this study are behavior with the variable domains of knowledge, attitudes and actions. Measuring instruments used was a questionnaire. The analysis used was univariate. The results of the study based on WUS behavior, it was found that respondents with a row level of knowledge about cervical cancer and early detection efforts were (65%), respondents had a bad attitude about early detection efforts (54%), most of the respondents did not want to take early detection efforts. cervical cancer (54%). and WUS behavior is categorized as negative (61,0%). Behavior will be realized if high knowledge is followed by good attitudes and good actions, therefore it is recommended to increase promotion and counseling about cervical cancer and early detection efforts, so that it will increase awareness and willingness to improve health behavior in efforts to detect cervical cancer early with the IVA method. The conclusion of the study is that most respondents have low knowledge, bad attitudes, do not want to do early detection and negative WUS behavior towards knowledge of early detection of cervical cancer
Esti Kurnianingsih, Indri Heri Susanti
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 15, pp 66-81; https://doi.org/10.35960/vm.v15i2.857

Abstract:
Beban kerja petugas kesehatan didefinisikan sebagai jumlah jenis pekerjaan yang dilakukan petugas kesehatan dalam suatu organisasi atau layanan kesehatan dalam satu tahun. Pada masa pandemi Covid-19 tugas perawat yang awalnya hanya melakukan pemeriksaan pasien umum dan merawat pasien rawat inap di Puskesmas, sekarang juga merawat pasien terkonfirmasi Covid-19 dan juga kegiatan vaksinasi Covid-19 yang dilaksanakan di desa atau di Puskesmas. Tingginya beban kerja perawat sangat mempengaruhi tingkat keselamatan pasien. Pasien menjadi tidak aman apalagi pada saat pandemi Covid-19 sekarang ini. Tujuan penelitian adalah untuk mengetahui gambaran beban kerja perawat pada masa pandemi Covid-19 di fasilitas pelayanan kesehatan Kecamatan Rembang Kabupaten Purbalingga. Penelitian yang dilakukan bersifat deskriptif, disajikan dengan rancangan cross sectional, melibatkan 32 perawat yang ada di fasilitas pelayanan kesehatan Kecamatan Rembang Kabupaten Purbalingga. Instrumen yang digunakan dalam penelitian berupa kuesioner. Hasil penelitian didapatkan data bahwa dari 32 perawat didominasi oleh perawat perempuan dengan usia diatas 40 tahun, masa kerja lebih dari 10 tahun dan pendidikan D3 Keperawatan. Sebagian besar perawat mengalami beban kerja berat (62,5%). Disarankan untuk fasilitas pelayanan kesehatan kecamatan Rembang Kabupaten Purbalingga untuk mempertimbangkan pembagian tugas agar beban kerja perawat menjadi lebih ringan
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 109-118; https://doi.org/10.35960/vm.v10i2.451

Abstract:
Research has been carried out on the formulation of maskantioxidant preparations containing green tea leaf extract. The study begins with testing the antioxidant activity of ethanol extract of green tea leaves with a free radical reduction method of 1,1-diphenyl-2-picrylhydrazyl using visible spectrophotometry. Testing of antioxidant activity showed that the ethanol extract of green tea leaves gave an IC50 value of 3.17µg / mL. Formulations of gel masks made were F0 (base without active substances), F1 (base + concentration of ethanol extract of green tea leaves for IC50 (0,000317%)), F2 (base + concentration of ethanol extract of green tea leaves for 50xIC50 (0, 0158%)), F3 (base + concentration of ethanol extract of green tea leaves for 100xIC50 (0.0317%)), F4 (base + concentration of ethanol extract of green tea leaves for IC50), F5 (base + concentration of ethanol extract of green tea leaves worth IC50), F6 (base + concentration of ethanol extract of green tea leaves for IC50. Evaluation of gel mask preparations include, organoleptic examination and homogeneity, pH, viscosity, dry time of preparation and testing of antioxidant stability. F2 provides better and higher free radical reduction activity than products on the market. F4, F5, F6 shows an increase in free radical reduction activity. Keywords: Green tea leaves (Camellia sinensis L.), DPPh, IC50 gel mask.
Hilda Suherman
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 44-65; https://doi.org/10.35960/vm.v10i3.446

Abstract:
Prednisolone is a steroid class drug that is used to treat certain types of allergies, inflammatory conditions, autoimmune disorders and cancer. Solubility of prednisolone is very difficult to dissolve in water causing problems in the absorption process so that the optimum formula is needed to form Prednisolone tablets that meet the requirements of the physical properties of tablets. The purpose of this study was to make the optimum formula with a combination of lactose excipients, avicel pH-101, and amprotab to obtain prednisolone tablets with good physical properties and dissolution. Prednisolone tablets made 7 formulas with a combination of lactose (A) Avicel PH-101 (B), and Amprotab (C), Formula I (100% A); Formula II (100% B); Formula III (100% C); Formula IV (50% A + 50% B); Formula V (50% A + 50% C); Formula VI (50% B + 50% C); Formula VII (33.33% A + 33.33% B + 33.33% C) in 2 batches. The method of making prednisolone tablets by direct printing. Testing of prednisolone tablets included the physical properties of tablets, weight uniformity, uniformity in size, hardness, friability, disintegration time, and dissolution test, and content determination. Keywords: optimization of formulas, tablets, Prednisolone, Simplex Lattice Design.
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 24-30; https://doi.org/10.35960/vm.v10i2.432

Abstract:
The clove flower essential oil (Syzygium aromaticum) with the active compound eugenol has been widely investigated and is known to be efficacious as an anti-inflammatory agent, and further research on its formulation continues. The formula developed in this study was a topical ointment dosage form using a water soluble base (oleic acid enhancer and propylene glycol). This study aims to determine the physical and irritant properties of the clove flower essential oil ointment (MABC) if a hydrocarbon base is used. The ointment is made by the smelting method with a concentration of 5% (F1), 10% (FII) and 15% (FIII). The ointments of the three formulas were then evaluated for their physical properties, including dispersion, adhesion and pH. The results of statistical tests with the LSD test showed that there were significant differences between formulas. The higher the concentration of MABC, the greater the spread (p0.05). The results of the Simplex Lattice Design irritation test also show that water-soluble base ointment with a concentration of 5%, 10% and 15% MABC does not cause an irritating effect. Keywords: Syzygium aromaticum, base of water soluble ointment, anti-inflammatory.
Feti Kumala Dewi, Maya Safitri
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 9; https://doi.org/10.35960/vm.v9i2.121

Abstract:
Competency-based education emphasizes the ability to be possessed by the graduates, Implications of competency-based education is the development of syllabi and competency-based assessment system. Education curriculum Midwifery Studies Program D III STIKES Harapan Bangsa Purwokerto consists of an academic curriculum that covers 60% of the core curriculum and 40% of the curriculum of the institution. The core curriculum reflects the Learning Outcomes (LO) and core competencies, while the institutional curriculum represents the specificity / featured from courses / institutions, each of which consists of 50% and 50% of global capabilities institutional capacity. Outcomes of the educational curriculum Midwifery Studies Program aims to achieve competence D3 Studies Program. Curriculum development Midwifery Studies Program D3 STIKES Harapan Bangsa Purwokerto based on a curriculum workshop organized by the institution in two time periods: in 2010 and 2011 resulted in the curriculum is competency-based curriculum, which commenced in 2012.This research is an analytic correlational. Sampling in this study using purposive sampling, sample of this research is secondary data from BAAK about Value 9 Subjects (Pregnancy, Childbirth, Postpartum, BBL, Midwifery Community, Communications, Ethics in Midwifery, Reproduction, and BEONC) and Grade Student Prodi Midwifery D3 STIKES Harapan Bangsa Purwokerto academic years 2013-2014 and 2014-2015. The analysis was performed with the Mann whiney, Chi Square and Kolmogorov Smirnov. The results of the study are Competency Based Curriculum (KBK) effectively against Prodi Midwifery Student Achievement Index D3 STIKES Harapan Bangsa Purwokerto with the results of the Mann Whitney U test p = 0.001. Competency-Based Curriculum (KBK) effectively against Value Subjects Midwifery in the Community Midwifery Prodi D3 STIKES Harapan Bangsa Purwokerto. Keywords: Competency-Based Curriculum, Values Subject, Grade Point
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 140-144; https://doi.org/10.35960/vm.v10i2.456

Abstract:
Antioxidants are compounds that can inhibit reactive oxygen species and also free radicals so that antioxidants can prevent diseases associated with free radicals such as carcinogenesis, cardiovascular, and aging. The emergence of a negative response to the use of synthetic antioxidants is thought to have the potential to cause cancer. So that natural antioxidants are increasingly in demand because they are believed to be safer for health. Lemongrass (Cymbopogon citratus) is one of the plants commonly used as spices by the people of Indonesia. Determination of antioxidant activity of lemongrass syrup was carried out by DPPH method. the results showed an IC50 value of lemongrass syrup preparations of 50.68 ppm.
Dina Febrina
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 135-139; https://doi.org/10.35960/vm.v10i2.455

Abstract:
Lemongrass (Cymbopogon citratus) is one of the plants commonly used as spices by the people of Indonesia. However, the use of lemongrass as cooking spices is only located on the stem, while the lemongrass leaves are still a waste. Even though lemongrass leaves are known to contain phenol active compounds which can act as antioxidants. Lemongrass syrup formulations are made into 3 formulas, Formula I 0,75: 0,25; Formula II 0,25: 0,75; Formula III 0,5: 0,5 for sucrose: Na CMC. Formulation I with sucrose levels: Na CMC (0,75: 0,25) has the most desirable taste and for evaluation has the best value.
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 119-128; https://doi.org/10.35960/vm.v10i2.452

Abstract:
Green tea (Camellia sinensis L.) has the main efficacy as an antioxidant and contains polyphenol compounds in green tea leaves with the main component of polyphenol fraction namely Epigallocatechin-3-gallate (EGCG) which has strong activity to prevent free radicals that cause premature aging. Research has been carried out on the formulation of maskantioxidant preparations containing green tea leaf extract. The study begins with testing the antioxidant activity of ethanol extract of green tea leaves with a free radical reduction method of 1,1-diphenyl-2-picrylhydrazyl using visible spectrophotometry. Testing of antioxidant activity showed that the ethanol extract of green tea leaves gave an IC50 value of 3.17µg / mL. Formulations of gel masks made were F0 (base without active substances), F1 (base + concentration of ethanol extract of green tea leaves for IC50 (0,000317%)), F2 (base + concentration of ethanol extract of green tea leaves for 50xIC50 (0, 0158%)), F3 (base + concentration of ethanol extract of green tea leaves for 100xIC50 (0.0317%)), F4 (base + concentration of ethanol extract of green tea leaves for IC50), F5 (base + concentration of ethanol extract of green tea leaves worth IC50), F6 (base + concentration of ethanol extract of green tea leaves for IC50. Evaluation of gel mask preparations include, organoleptic examination and homogeneity, pH, viscosity, dry time of preparation and testing of antioxidant stability. F2 provides better and higher free radical reduction activity than products on the market. F4, F5, F6 shows an increase in free radical reduction activity. Keywords: Green tea leaves (Camellia sinensis L.), DPPh, IC50 gel mask.
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 68-75; https://doi.org/10.35960/vm.v10i2.442

Abstract:
The WHO survey results show that the number of DM patients in Indonesia is ranked the 4th largest in the world. DM causes death by 5% every year. Deaths from DM are expected to increase by 50% in the next ten years. The results of the 2007 Central Java RISKESDAS showed that the prevalence of DM in Central Java province was 0.8% and overall was 1.3%. The highest prevalence is found in Cilacap Regency (3.9%), second place is Tegal City Regency (3.1%), for the third place is Surakarta (2.8%), fourth place is Pemalang (2.1%), and fifth place is occupied by Banyumas (1.9%) (Ministry of Health, 2009). This study used an experimental design by treating the group of cases. The research instruments in this study were interview guides about the number of remaining antidiabetic drugs to check the compliance and MMAS questionnaires that had been validated and translated into Indonesian versions (Setyaningsih, 2013). The results of the data analysis using the Chi-Square test were obtained p = 0.220 (p> 0.05) based on the MMAS questionnaire, this indicates that the administration of drug information had no effect on the level of adherence to antidiabetic use in DM patients at Ketapang Sokaraja Kulon. Keywords: Blood Sugar, Diabetes Mellitus, Drug Information
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 52-58; https://doi.org/10.35960/vm.v10i2.435

Abstract:
Lulur is a type of cosmetics made from flowers and other plant ingredients that are very useful for maintaining beauty, health, smoothness and brightness of the skin of the body. Lulur can help clean the dirt that sticks to the skin due to the influence of weather and pollution factors so that the skin becomes healthy, clean and beautiful. The contents of the substance include turmeric: curcuminoid which consists of curcumin, desmetoksikumin and bisdesmetoksikurkumin and other beneficial substances, such as volatile essential oils of oil, fat, carbohydrates, protein, starch, vitamin C, iron, phosphorus, and calcium. Curcumin is a yellow substance contained by turmeric, on average 10.29%, has broad spectrum biological activity including antihepototoxic, antibacterial and antioxidant so that turmeric is able to be used for traditional medicine both to maintain health and skin beauty of the body, The method used is study experimental scrubs and tested the stability of scrubs containing turmeric rhizome powder. The best scrubs are formula 1 which uses the ratio of turmeric powder to light brown scrub, homogeneous and perfectly fused body scrub, has a pH of 5, spread of 10,321 cm2, has a viscosity consistency of 99,000 mPa.s and adhesion for 4 seconds. Keywords: formulations, scrubs, turmeric.
Hilda Suherman
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 94-108; https://doi.org/10.35960/vm.v10i2.449

Abstract:
Self-medication is a human effort to treat diseases or symptoms of minor ailments such as fever, cough, flu, pain and others without a doctor's prescription. In practice, limited knowledge of drugs and their use can be a source of medication errors (medication error). This research was conducted with a cross sectional descriptive research method. Data was collected through a validated questionnaire filling technique. A total of 300 respondents involved in this study were selected by consecutive sampling method from 3 pharmacies in the city of Purwokerto which were determined proportionally according to the population of each pharmacy. Data were analyzed by Chi-square test and Fisher's test used Statistical Product and Servicer Solution (SPSS) version 17. The results showed that the patient's knowledge level was 22.6% classified as poor, 48% classified as moderate, and 29.4% classified as good. The use of self-medication is 26.3% irrational and 73.7% rational. Based on the results of the Chi-square and Fisher test, the level of knowledge is influenced by age, recent education, and occupation. While self-medication rationality is not influenced by gender, education and employment. Based on the results of the study, it was found that the patient's level of knowledge was classified as moderate with a percentage of 48%. While self-administered rationality is classified as rational with a percentage of 73.7%. Keywords: self-medication, pharmacy, rationality of drug use
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 6-12; https://doi.org/10.35960/vm.v10i1.397

Abstract:
Nursing and midwifery students during their education are often exposed to various stressors. The most common sources of stress experienced by students are assignments, exams, clinical practice workloads, and clinical/academic skills compliance. The presence of stress can affect their learning and performance. In addition, the excessive stress can be harmful to students academic performance, wellbeing, and can interfere with complex learning, psychomotor skills. The aim of this study to describe the level of stress, stressors and coping strategies of students who undergoing undergraduate nursing, nursing diploma and midwifery diploma. This cross sectional study conducted on Institute of Health Science Harapan Bangsa Purwokerto on Juni 2016. A total of 95 students of undergraduate nursing, diploma nursing, and diploma midwifery students were taken by proportionate random sampling. Research data were collected utilizing Nursing Student Stress Scale, Physio-Psycho-Social Scale, and Simplified Coping Style Questionnaire. The data analyzed by univariate analysis and presented in frequency’s distribution. Findings of this research indicated that nurse and midwifery students experienced moderate level of stress (71,5%) and moderate physio psycho social responses (54,7%). Stress from clinical environment was the most common stressor that identified (34,9%). In addition, nursing and midwifery students have an adaptive coping strategies (88,4%). The results indicated that stress is common in nursing and midwifery education and it may have an impact on their physio psycho social responses. Therefore, knowledge about stress level and its sources on nursing and midwifery students are important to identified the adaptive coping strategies.
Ikhwan Yuda Kusuma
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 76-81; https://doi.org/10.35960/vm.v10i2.443

Abstract:
The WHO survey results show that the number of DM patients in Indonesia is ranked the 4th largest in the world. DM causes death by 5% every year. Deaths from DM are expected to increase by 50% in the next ten years. The results of the 2007 Central Java RISKESDAS showed that the prevalence of DM in Central Java province was 0.8% and overall was 1.3%. The highest prevalence is found in Cilacap Regency (3.9%), second place is Tegal City Regency (3.1%), for the third place is Surakarta (2.8%), fourth place is Pemalang (2.1%), and fifth place is occupied by Banyumas (1.9%) (Ministry of Health, 2009). This study used an experimental design by treating the group of cases. The research instruments in this study were interview guides about the number of remaining antidiabetic drugs to check the compliance and MMAS questionnaires that had been validated and translated into Indonesian versions (Setyaningsih, 2013). The results of data analysis using the Chi-Square test were obtained p = 0.220 (p> 0.05) based on the MMAS questionnaire, this indicates that this indicates that this study of age has a significant influence on the adherence of antidiabetic use in DM patients in Perum Ketapang Sokaraja Kulon. Keywords: Age, Diabetes Mellitus, Drug Information
Nurmaliza Mali Liza, Nurmaliza Nurmaliza
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 1-5; https://doi.org/10.35960/vm.v10i1.400

Abstract:
Early breastfeeding initiation (IMD) is a natural process of returning a baby to breastfeed, by allowing the baby to seek and suck his own milk. Survey of WHO through more than 3000 post-partum maternal in each states, show that the maternals which operate IMD or giving of the breastfood minimally a hour after the baby is born only about 38,33%. IMD scope in Indonesia is still low, those are 29,3% in 2010 experiences the decrease to be 34,5% in 2013. The IMD practice proporsion in a hour early birth is 43,9%, while IMD in a early day is 61,5%. The research aims to determine the factors which relate with the early breastfood initiation operation, that is the medical worker’s attitude and baby health status. The research is analytic quantitaive with design type is cross sectional. The data analysist was operated as univariate and bivariate Population is all post-partum maternals which was in he maternity hospital of society health center working area of Payung Sekaki of Pekanbaru city in 2015 with 220 people. The used sampling method is proportional sampling. The result of bivariate analysis showed that there was correlation between infant health status and health officer attitude toward IMD implementation with p-value
Dina Febrina
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 152-159; https://doi.org/10.35960/vm.v10i2.454

Abstract:
Free radicals are one of the causes of cell damage. Free radicals that have no electrons on the outer layer have very reactive properties, so try to get their partner electrons by attacking the closest stable molecules, such as proteins, lipids, carbohydrates, and DNA and taking electrons from these molecules. Substances that are picked up by electrons will become new free radicals. Efforts are usually done to reduce the reactivity of free radicals and protect against oxidative damage by adding antioxidants. Commonly used antioxidants are synthetic antioxidants, such as BHA (Butyl Hydroxy Anisol), BHT (Butyl Hydroxy Toluene), and TBHQ (Tert-Butyl Hydroxy Quinon). The use of synthetic antioxidants starts to get a negative response because it is thought to have the potential to cause cancer. So that natural antioxidants are increasingly in demand because they are believed to be safer for health. Lemongrass (Cymbopogon citratus) is one of the plants commonly used as spices by the people of Indonesia. However, the use of lemongrass as cooking spices is only located on the stem, while the lemongrass leaves are still a waste. Even though lemongrass leaves are known to contain phenol active compounds which can act as antioxidants. The benefits of lemongrass as an antioxidant are very necessary to make preparations so that it is easier to consume. This study was conducted using the DPPH method with ascorbic acid as a positive control. The results showed that there was a strong antioxidant activity of the citronella ethanol extract which had an IC50 value of 50.3 ppm with ascorbic acid control of 10.4 ppm.
Yuli Fitriasih, Nurhalim Shahib, Farid Husin
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 32-39; https://doi.org/10.35960/vm.v10i1.388

Abstract:
Sexually transmitted infections are infections that can be spread through vaginal, anal or oral. Female sex workers particularly at risk for sexually transmitted infections. Preliminary studies in Cilacap district STI clinic in 2011 showed that the incidence of sexually transmitted infections is still quite high (60.81%). Complex causal factors cause the difficulty of breaking the chain of IMS. This study aims to analyze the relationship between demographic factors and high-risk sexual behavior of high risk on the incidence of sexually transmitted infections and the risk factors on the incidence of sexually transmitted infections in female sex workers. Analytic survey research through case-control study (case-control) with a total sampling on 70 female sex workers in brothels Slarang conducted during the month of November 2013. Questionnaire as a means of collecting research data. Univariate analysis to determine the frequency distribution of incidence of STIs. Bivariate analysis using contingency coefficient test. Multivariate analysis using logistic regression. The results showed that there is a significant association between the incidence of STIs in high- risk demographic factors with r value (0.239) and p-value (0.040), there is a significant association between the incidence of STIs in high- risk sexual behavior factors with values ​​of r (0.307; 0.230) and the p-value ( 0.007; 0.048) respectively. Multivariate analysis showed that condom use is not routine is that most risk factors on the incidence of sexually transmitted infections in female sex workers with OR value 5.835. Conclusions of the study: female sex workers who do not regularly use condoms have 5.835 times greater risk for sexually transmitted infections. A total of 65% the proportion of female sex workers suffer preventable sexually transmitted infection, if condom use. Keywords : female sex workers, demographic factors, sexual behavior factors, sexually transmitted infections
Desi Nawangsari
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 129-134; https://doi.org/10.35960/vm.v10i2.453

Abstract:
Green tea (Camellia sinensis L.) has the main efficacy as an antioxidant and contains polyphenol compounds in green tea leaves with the main component of polyphenol fraction namely Epigallocatechin-3-gallate (EGCG) which has strong activity to prevent free radicals that cause premature aging. Research has been carried out on the formulation of maskantioxidant preparations containing green tea leaf extract. The study begins with testing the antioxidant activity of ethanol extract of green tea leaves with a free radical reduction method of 1,1-diphenyl-2-picrylhydrazyl using visible spectrophotometry. Testing of antioxidant activity showed that the ethanol extract of green tea leaves gave an IC50 value of 3.17µg / mL. Formulations of gel masks made were F0 (base without active substances), F1 (base + concentration of ethanol extract of green tea leaves for IC50 (0,000317%)), F2 (base + concentration of ethanol extract of green tea leaves for 50xIC50 (0, 0158%)), F3 (base + concentration of ethanol extract of green tea leaves for 100xIC50 (0.0317%)), F4 (base + concentration of ethanol extract of green tea leaves for IC50), F5 (base + concentration of ethanol extract of green tea leaves worth IC50), F6 (base + concentration of ethanol extract of green tea leaves for IC50. Evaluation of gel mask preparations include, organoleptic examination and homogeneity, pH, viscosity, dry time of preparation and testing of antioxidant stability. F2 provides better and higher free radical reduction activity than products on the market. F4, F5, F6 shows an increase in free radical reduction activity. Keywords: Green tea leaves (Camellia sinensis L.), DPPh, IC50 gel mask.
, Ima Syamrotul Muflihah
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 29-31; https://doi.org/10.35960/vm.v10i1.393

Abstract:
Baby Spa is one of the physiotherapy in infants and can stimulate baby motor movement. Research on term infants aged 1-3 months, who were massaged 15 minutes, 2 times a week for 6 weeks also gained 50% more weight than control (Riksani, 2012). Purpose of this study was to determine the effect of baby spa on weight gain in infants at Rumah Sehat Kita Purwokerto. Method used in this research is quasy experiment with cross sectional approach. Results showed there was a difference in infant weight gain between before the baby spa after the baby spa is done with the value of p value 0.001. So it can be concluded that baby spa effect on baby's weight gain. Keywords: Baby Spa, baby's weight gain
, Surtiningsih Surtiningsih
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 9; https://doi.org/10.35960/vm.v9i2.122

Abstract:
Diabetes mellitus in pregnancy will cause a bad influence on the mother, among others, with hidramnion pregnancy, toxemia gravidarum, infection, and ketoacidosis. The effect on the children, is a congenital disorder, respiratory failure syndrome, fetal death in utero, hyperbilirubinemia, macrosomia, hypoglycemia, and hypocalcemia. On labor may occur atonic uterus, uterine inseria, shoulder dystocia, stillbirth, termination of labor with action. This study aims to identify factors that influence maternal whether the occurrence of gestational diabetes mellitus. This study was an observational analytic study with case control method, the entire population is pregnant women who visited the hospital Goeteng Tarunadibrata Purbalingga in 2015. The sample in this study were all pregnant women aged over 24 weeks of pregnancy were divided into groups of cases are mothers pregnant gestational diabetes and control groups, namely pregnant women who did not have gestational diabetes. The sample size in this study was calculated using the formula rule of thumb and diadaptkan each group of 50 samples. Data were analyzed using Chi-square test. The results showed factors parity over a significantly (p 0.005) on the incidence of gestational diabetes mellitus, factors of recurrent infections was significantly (p
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 46-51; https://doi.org/10.35960/vm.v10i2.438

Abstract:
Pulmonary tuberculosis (TB) is a contagious pulmonary infectious disease that is still a health problem in the world, especially developing countries. Tuberculosis has been proclaimed by WHO (World Health Organization) as Global Emergency since 1992. The purpose of this study is to find out what physical characteristics are at risk of tuberculosis in DKT Hospital Purwokerto. The research design used in this study was a descriptive study with a cross-sectional approach to determine the characteristics of pulmonary TB patients who were adherent to treatment and those who did not comply with treatment at the DKT Hospital in Purwokerto. This research was conducted at the DKT Purwokerto Hospital in May 2018. The samples studied in this study were pulmonary TB patients who were obedient to treatment and non-compliance with treatment at the DKT Purwokerto Hospital for the period of 1 January - 30 December 2017 that met the sample criteria. The results of the study have no relationship between age and the results of sputum examination at the Purwokerto DKT Hospital (p value = 0.286), there is no relationship between sex with the results of sputum examination at DKT Purwokerto Hospital (p value = 0.261). Keywords: Pulmonary TBC, Characteristics, Phlegm Examination
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 31-39; https://doi.org/10.35960/vm.v10i2.433

Abstract:
The clove flower essential oil (Syzygium aromaticum) with the active compound eugenol has been widely investigated and is known to be efficacious as an anti-inflammatory agent, and further research on its formulation continues. The formula developed in this study was a topical ointment dosage form using a water soluble base (oleic acid enhancer and propylene glycol). This study aims to determine the physical and irritant properties of the clove flower essential oil ointment (MABC) if a hydrocarbon base is used. The ointment is made by the smelting method with a concentration of 5% (F1), 10% (FII) and 15% (FIII). The ointments of the three formulas were then evaluated for their physical properties, including dispersion, adhesion and pH. The results of statistical tests with the LSD test showed that there were significant differences between formulas. The higher the concentration of MABC, the greater the spread (p0.05). The results of the Simplex Lattice Design irritation test also show that water-soluble base ointment with a concentration of 5%, 10% and 15% MABC does not cause an irritating effect. Keywords: Syzygium aromaticum, base of water soluble ointment, anti-inflammatory.
Adita Silvia Fitriana, ,
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 43-46; https://doi.org/10.35960/vm.v10i1.399

Abstract:
Processing of celery as diuretic is done by society in various ways. So far, the most effective preparation process of celery extract has not been known. This research aims to examine the diuretic effect of various celery extract preparation. This research was conducted using celery water extract which is made in accordance with the people’s habit, using aquades as a negative control and HCT as a positive control. The effectiveness test of celery water extract as diuretic was done on white male rat by measuring the urine volume every hour for six hours. The results showed that the largest urine volume is obtained from the boiling celery extract.
Ima Syamrotul Muflihah, Ima Syamrotul Muflihah, Diah Atmarina Yuliani
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 54-58; https://doi.org/10.35960/vm.v10i1.391

Abstract:
ABSTRAK Kontrasepsi yang dapat digunakan pada pasca persalinan dan paling potensi untuk mencegah mis opportunity adalah Alat Kontrasepsi Dalam rahim (AKDR) atau IUD. IUD pasca plasenta, yakni pemasangan dalam 10 menit pertama sampai 48 jam setelah plasenta lahir (atau sebelum penjahitan uterus/rahim pada pasca persalinan dan pasca keguguran di fasilitas kesehatan. Tujuan penelitian ini adalah untuk mengetahui perbedaan pengetahuan sebelum dan sesudah diberikan pendidikan kesehatan IUD pasca plasenta. Metode yang digunakan dalam penelitian ini adalah quasy eksperiment pada ibu bersalin di RSUD RSUD Goeteng Tarunadibrata Purbalingga selama 3 (tiga) bulan dengan nilai p-value
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 82-93; https://doi.org/10.35960/vm.v10i2.448

Abstract:
Self-medication is a human effort to treat diseases or symptoms of minor ailments such as fever, cough, flu, pain and others without a doctor's prescription. In practice, limited knowledge of drugs and their use can be a source of medication errors (medication error). This research was conducted with a cross sectional descriptive research method. Data was collected through a validated questionnaire filling technique. A total of 300 respondents involved in this study were selected by consecutive sampling method from 3 pharmacies in the city of Purwokerto which were determined proportionally according to the population of each pharmacy. Data were analyzed by Chi-square test and Fisher's test used Statistical Product and Servicer Solution (SPSS) version 17. The results showed that the patient's knowledge level was 22.6% classified as poor, 48% classified as moderate, and 29.4% classified as good. The use of self-medication is 26.3% irrational and 73.7% rational. Based on the results of the study, it was found that the patient's level of knowledge was classified as moderate with a percentage of 48%. While self-administered rationality is classified as rational with a percentage of 73.7%. Keywords: Self-medication, Pharmacy, Knowledge, Rationality of drug use
Putriana Rahmawati
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 7-12; https://doi.org/10.35960/vm.v10i3.444

Abstract:
Melinjo plants are an abundant food commodity in Indonesia and have many benefits for consumption ranging from young leaves, flowers, seeds, to the skin. According to Voondan Kueh (1999) all foods derived from melinjo plants have a high nutritional component, such as carbohydrates at 6.60%, protein at 4.20%, calcium at 94.00 mg, vitamins C1, 500 mg and others. The method of this research is Uv-Vis spectrophotometry analysis performed on melinjo leaf samples by measuring the standard absorbance of quercetin flavonoids at a wavelength of 424 nm. The results showed that the content of melinjo leaf flavonoids (Gnetum gnemon L) in Rempoah village was higher than the content of melinjo leaf flavonoids (Gnetum gnemon L) in Dukuh Waluh Village. Rempoah village has a solid soil texture, which causes the roots to easily absorb water from the soil because the particles of soil can hold back the rate of water so that the roots of plants easily absorb water, as a result the plant growth is also getting better. Shown with the content of flavonoid pigments that are better than Dukuh Waluh Village. Whereas in the Dukuh Waluh area the sandy and gravel soil structure results in very weak water binding capacity because the soil particles are too tenuous as a result of lack of water supply so that plant growth is also not good, so there is less flavonoid content. Solid soil causes the roots to easily handle mineral salts and results in increased secondary metabolite content. Keywords: mlinjo, determination, flavanoids
Siti Haniyah, Dwi Novitasari
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 40-42; https://doi.org/10.35960/vm.v10i1.406

Abstract:
Pain Dysmenorrhea is a physiological condition that will generally be experienced by women who aremenstruating. Painful menstruation or dysmenorrhea is a manifestation of the uterine muscle contractiondysmenorrhea Pain management is very important. Relaxation of dysmenorrhea pain is very important. The purpose of this study was to determine the pain of dysmenorrhea in female students in Pondok Pesantren Darrussalam Purwokerto. This is quasi Description Design by using sample 30 respondent The Aims of this Research was to know description of pain at dysmenorrhea at female students in Pondok Pesantren Al amin Purwokerto . Result of this study is the pain of dysmenorrhea in female students in Pondok Pesantren Darrussalam Purwokerto is heavy pain. Key Word: Description Dysmenorrhea
Adita Silvia Fitriana
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 1-6; https://doi.org/10.35960/vm.v10i3.439

Abstract:
Processing of celery as diuretic is done by society in various ways. So far, the most effective preparation process of celery extract has not been known. This research aims to examine the diuretic effect of various celery extract preparation. This research was conducted using celery water extract which is made in accordance with the people’s habit, using aquades as a negative control and HCT as a positive control. The effectiveness test of celery water extract as diuretic was done on white male rat by measuring the urine volume every hour for six hours. The results showed that the largest urine volume is obtained from the boiling celery extract. Keywords: celery, diuretic, rat
Rani Prabandari
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 72-75; https://doi.org/10.35960/vm.v10i3.431

Abstract:
Rhodinol has been isolated from citronella oil. Isolation of lemongrass oil is done by using the distillation method. Samples used were citronella harvested for 6 months and 9 months. Silent phase used TLC plate slika gel F254 with a size of 2 x 10 cm and the mobile phase used was Toluen: Ethyl Acetate (93: 7). Results of Thin Layer Chromatography HRF profile obtained for experiment I (citronella harvesting age 6 months) 32, 77, 87 and Experiment II (lemongrass harvest age 9 months) respectively 25, 73, 81.
Adita Silvia Fitriana
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 9-23; https://doi.org/10.35960/vm.v10i2.441

Abstract:
Celery plants (Apium graveolens L.) have long been used as ingredients of traditional medicine as antihypertensive by the people of Indonesia. This study aims to determine the effect of variations in the addition of celery leaf extract on the manufacture of functional food in the form of syrup from celery leaf extract (Apium graveolens L.) on organoleptic assessment and the quality of syrup preparations. This study used a Completely Randomized Design (CRD) consisting of 5 types of treatment and each treatment was repeated 3 times. Variation of addition of celery leaf extract as follows: (M0) = 0% (control), (M1) = 0.33% (0.55 g), (M2) = 0.39% (0.65 g), (M3 ) = 0.51% (0.85 g) and (M4) = 0.6% (1 g). The results showed that celery leaf extract had antioxidant activity with IC50 values ​​of 98.24 µg / mL and positive (+) containing flavonoids. The addition of celery leaf extract to syrup has a very significant effect on organoleptics (aroma and taste), 7th day pH and viscosity, and all homogeneous syrups. The most preferred treatment panelist was treatment M1 (0.33%) with a scoring score of 4.03 (likes) and a taste of 3.93 (likes) and according to SNI. While the panelists preferred the treatment of M4 (0.6%) with a scoring score of 3.24 (rather like) and flavor of 2.87 (rather like) but according to SNI. The fewer additions of celery leaf extract, the syrup is increasingly preferred by panelists. Keywords: celery, formulation, syrup
Ratih Subekti, Lia Aria Ratmawati
Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, Volume 10, pp 22-28; https://doi.org/10.35960/vm.v10i1.392

Abstract:
The most ideal contraceptive for postpartum and breastfeeding mothers is not to suppress breast milk production such as Intra Uterine Device IUD, 3 month injections of contraception, minipil and condom. The IUD is a flexible plastic contraceptive device placed in the uterus, where as IUD post placenta is an IUD that is performed 10 minutes after birth or before uterine tailoring in the Section of Sesaria action. The purpose of this research is to know the characteristics of IUD post placenta respondents in Puskesmas of Banjarnegara Regency in 2017. This research uses descriptive research method with Cross Sectional approach. The instrument used is a table for recapitulation of contraceptive IUD post placenta acceptor data obtained from RM Puskesmas. The number of samples is 38 respondents. Data analysis using univariate analysis. The result of research is post placenta IUD acceptor age mostly in age group 20-35 years old that is 30 people (78.9%), education of post placenta IUD predominant are mostly Senior High School and Academic / PT that is 20 people (52.7%), parity acceptor post IUD placenta is mostly parity two that is as much as 20 people (52.6%) and the job of post placenta IUD acceptors are mostly IRT counted 35 people (91.1%). It is expected that health workers to improve family planning services through counseling and counseling to candidates KB post placenta IUD acceptors so that the number of acceptors can be improved. Key Words: post placenta IUD, age, education, parity, job
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