https://ejurnalstikeskesdamudayana.ac.id/index.php/jmu/issue/feed Jurnal Kesehatan Medika Udayana 2026-04-30T23:58:12+08:00 Ni Made Sri Muryani jmu@stikeskesdamudayana.ac.id Open Journal Systems <p><strong>Jurnal Kesehatan Medika Udayana,</strong> eISSN: <a href="https://issn.brin.go.id/terbit/detail/1564103256" target="_blank" rel="noopener">2685-6573</a> (Online) ; pISSN: <a href="https://issn.brin.go.id/terbit/detail/1442200622" target="_blank" rel="noopener">2460-9293</a> (Cetak) provides a forum for original research and scholarships relevant to nursing and other health-related professions. Medika Udayana Journal is a scientific peer-reviewed nursing journal which is published biannually <strong>(April and Oktober)</strong> by the Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana, Denpasar Bali. This journal is open for research aimed at evaluating and understanding the interventions given both in the fields of nursing and health using appropriate designs and methods</p> <p><strong style="font-size: 0.875rem;">Indexed by :</strong></p> <div> <table style="height: 102px;" width="573"> <tbody> <tr> <td style="width: 132.275px;"><a title="Google Schoolar" href="https://scholar.google.com/citations?user=gq_R4EIAAAAJ&amp;hl=id" target="_blank" rel="noopener"><img src="https://app.apji.org/assets/side-logo/LOGO%20GS.png" width="250" height="94" /></a></td> <td style="width: 132.275px;"><a title="Copernicus" href="https://journals.indexcopernicus.com/search/details?id=123176&amp;lang=en" target="_blank" rel="noopener"><img src="https://app.apji.org/assets/side-logo/LOGO%20COPERNICUS.png" width="250" /></a></td> <td style="width: 132.275px;"><a title="Garuda" href="https://garuda.kemdikbud.go.id/journal/view/16156" target="_blank" rel="noopener"><img src="https://app.apji.org/assets/side-logo/LOGO%20GARUDA.png" width="250" /></a></td> <td style="width: 132.275px;"> </td> </tr> <tr> <td style="width: 132.275px;"><a style="color: #009de5;" title="Crossref" href="https://search.crossref.org/search/works?q=https%3A%2F%2Fdoi.org%2F10.47859%2Fjmu.v10i02+Jurnal+Kesehatan+Medika+Udayana&amp;from_ui=yes" target="_blank" rel="noopener"><img src="https://app.apji.org/assets/side-logo/LOGO%20CROSSEEF.png" alt="" width="250" height="94" /></a></td> <td style="width: 132.275px;"><a title="Scilit" href="https://www.scilit.com/sources/114523" target="_blank" rel="noopener"><img src="https://app.apji.org/assets/side-logo/logo-scilit.png" alt="" width="250" height="94" /></a></td> <td style="width: 132.275px;"><a title="dimensions" href="https://app.dimensions.ai/discover/publication?search_mode=content&amp;and_facet_source_title=jour.1421794" target="_blank" rel="noopener"><img src="https://app.apji.org/assets/side-logo/LOGO%20DIMENSION.png" alt="" width="200" height="75" /></a></td> <td style="width: 132.275px;"> </td> </tr> </tbody> </table> <div> <div> <div><strong style="font-size: 0.875rem;">Journal Sponsors and Partners :</strong></div> </div> </div> <div> <table style="height: 102px;" width="573"> <tbody> <tr> <td style="width: 132.275px;"><a title="apji" href="https://apji.org/jurnalinfo?p=a2NVTWVmNTZKcHcxVkM4R0JVcmJRUT09" target="_blank" rel="noopener"><img class="w3-image" src="https://app.apji.org/assets/side-logo/logo_016.jpg" width="250" height="94" /></a></td> <td style="width: 132.275px;"><a title="relawanjurnal" href="https://doi.relawanjurnal.id/" target="_blank" rel="noopener"><img src="https://ejurnalstikeskesdamudayana.ac.id/public/site/images/adminojs/rji.png" width="250" /></a></td> <td style="width: 132.275px;"><a title="arikesi" href="https://arikesi.or.id/jurnalinfo?p=a2NVTWVmNTZKcHcxVkM4R0JVcmJRUT09" target="_blank" rel="noopener"><img src="https://app.apji.org/assets/side-logo/logo_004.jpg" alt="" width="250" height="94" /></a></td> <td style="width: 132.275px;"><a style="color: #009de5;" title="yayasandpi" href="https://yayasandpi.or.id/" target="_blank" rel="noopener"><img class="w3-image" src="https://app.apji.org/assets/side-logo/logo_015.jpg" width="250" height="94" /></a></td> </tr> <tr> <td style="width: 132.275px;"><a title="ifrel" href="https://ifrel.org/" target="_blank" rel="noopener"><img class="w3-image" src="https://app.apji.org/assets/side-logo/logo_019.jpg" width="250" height="94" /></a></td> <td style="width: 132.275px;"><a title="lpkd" href="https://lpkd.or.id/" target="_blank" rel="noopener"><img class="w3-image" src="https://app.apji.org/assets/side-logo/logo_017.jpg" width="250" height="94" /></a></td> <td style="width: 132.275px;"><a title="doi.apji" href="https://doi.apji.org/publisher" target="_blank" rel="noopener"><img class="w3-image" src="https://app.apji.org/assets/side-logo/DOI_BY_APJI.jpg" width="250" height="94" /></a></td> <td style="width: 132.275px;"> </td> </tr> </tbody> </table> </div> </div> https://ejurnalstikeskesdamudayana.ac.id/index.php/jmu/article/view/516 Prevalensi Karies pada Anak Tunarungu Usia 12-18 Tahun di Kota Denpasar 2026-04-27T10:58:37+08:00 I Komang Fajar Wija Kusuma fajarwija03@gmail.com Putu Cintya Denny Yuliyatni yuliyatni@unud.ac.id Mia Ayustina Prasetya mia.ayustina@gmail.com Luh Wayan Ayu Rahaswanti ayuharaswanti@unud.ac.id <p><strong>Background:</strong> Diffable children have a higher risk of developing caries compared to normal children. <strong>Objective:</strong> This study aims to determine the prevalence of caries in deaf children aged 12-18 years in Denpasar City. <strong>Method:</strong> This study design was cross-sectional analytic and the target population was deaf children in Denpasar City. The variables studied were sociodemographic characteristics, knowledge, and behavior of maintaining oral health and caries prevalence. Data were collected through interviews using questionnaires and intra-oral examinations. The collected data were analyzed using the chi-square test. <strong>Result:</strong> The prevalence of caries in deaf children is 81.7%. There was a tendency for boys, age group 12-14 years, poor knowledge and poor behavior to experience dental caries. However, from the results of the analytical test, only gender showed a significant relationship with caries (boys had a risk of 1.3 times (CI95%=1.125-1.741) having caries compared to girls). <strong>Conclusion:</strong> The prevalence of dental caries in deaf children is quite high, especially boys are more at risk than girls. Efforts are needed to increase knowledge and monitor the oral health behaviour of deaf children, especially boys, and to promote early detection of dental caries with support of parents, teachers, health services and the health office.</p> 2026-04-30T00:00:00+08:00 Copyright (c) 2026 Jurnal Kesehatan Medika Udayana https://ejurnalstikeskesdamudayana.ac.id/index.php/jmu/article/view/610 Penggunaan Reminder Dalam Meningkatkan Kepatuhan Konsumsi ARV Pada ODHA 2026-04-22T09:46:35+08:00 Ketut Eka Larasati Wardana eka.larasati12@gmail.com Ni Wayan Arsini wayanarsini87@gmail.com <p><strong>Background</strong>: HIV (Human Immunodeficiency Virus) and AIDS (Acquired Immune Deficiency Syndrome) remain global health issues, including in Indonesia. One of the management strategies is antiretroviral therapy (ART), which requires a high level of adherence to be effective. <strong>Objective: </strong>This study aims to analyze the effect of reminders on adherence to ARV treatment among people living with HIV (PLHIV) at the Tembuku I Community Health Center. <strong>Methods</strong>: This study employed a quasi-experimental design using a one-group pretest-posttest approach. The sample consisted of 30 PLWHA selected using total sampling, and data were analyzed using the Wilcoxon test. <strong>Results</strong>: Univariate analysis revealed that the average age of respondents was 35 years; the majority were female, had a high school education, and worked as homemakers and farmers. Bivariate analysis revealed that prior to the intervention, the majority of PLWHA (70%) had low adherence levels, whereas after the intervention, adherence levels increased to 100%. Statistical test results showed a p-value &lt; 0.05, indicating a significant effect of social media-based reminders on improving ARV adherence in the Tembuku I Community Health Center area. <strong>Conclusion:</strong> The use of social media-based reminders is effective in improving adherence to ARV treatment among people living with HIV. This intervention can be recommended as a simple and practical strategy to support the success of ARV therapy in primary health care settings.</p> 2026-04-30T00:00:00+08:00 Copyright (c) 2026 Jurnal Kesehatan Medika Udayana https://ejurnalstikeskesdamudayana.ac.id/index.php/jmu/article/view/643 Hubungan Dukungan Sosial Dengan Work Life Balance Pada Perawat Wanita Di Rsud Dr. Soegiri Lamongan 2026-04-13T09:30:48+08:00 Susi Qomariatin susiqomariatin@gmail.com Suratmi Suratmi suratmi.umla@gmail.com Qowi Nurul Hikmatul nurul_hikmatul_qowi@umla.ac.id <p><strong>Background: </strong>Work-life balance is an essential issue for all employees, especially nurses and healthcare organizations. Nurses face high role demands, particularly female nurses, who must juggle multiple responsibilities simultaneously, often leading to an imbalance in their personal lives. <strong>Objective: </strong>The aim of this study is to examine the relationship between social support and work-life balance among female nurses in hospitals. <strong>Results</strong>: This correlational study used a cross-sectional approach. The sample consisted of 92 female nurses selected through cluster random sampling. Data was collected using a questionnaire and analyzed using the Spearman’s Rho test. The study results indicated that the majority (70.7%) of female nurses experience low social support, and most (68.5%) also had poor work-life balance. Based on the ordinal scale analysis using the Spearman’s Rho test, the study found a p-value of 0.000 (p&lt;0.05) and a correlation coefficient (r?) of -0.610, leading to the acceptance of H1. This confirms a significant relationship between social support and work-life balance among female nurses in hospitals. <strong>Conclusion:</strong> It can be concluded that social attention and support are crucial for female nurses in carrying out their duties. With this support, female nurses can perform better and more effectively, and balance their work and personal lives.</p> 2026-04-30T00:00:00+08:00 Copyright (c) 2026 Jurnal Kesehatan Medika Udayana https://ejurnalstikeskesdamudayana.ac.id/index.php/jmu/article/view/644 Hubungan Resilience Dengan Stres Kerja Perawat Di RSUD Dr Soegiri Kabupaten Lamongan 2026-04-13T09:19:06+08:00 Laily Arofatin Nisak lnisak03@gmail.com Suratmi Suratmi suratmi.umla@gmail.com Nurul Hikmatul Qowi nurul_hikmatul_qowi@umla.ac.id <p><strong>Background: </strong>Work stress is one of the most significant issues faced by healthcare professionals, particularly among nurses. Resilience can help individuals mitigate the negative impacts of working in high-pressure environments. A resilient person is able to manage stress and emotions effectively. <strong>Objective: </strong>The aim of this study is to examine the relationship between resilience and work stress among nurses at RSUD Dr. Soegiri Lamongan. <strong>Methods:</strong> The research employed a cross-sectional approach, with a sample of 135 nurses selected using cluster random sampling. Data was collected using a questionnaire instrument. <strong>Result:</strong> The study results indicated that the majority (74.8%) of nurses had a moderate level of resilience, while most (52.6%) experienced mild work stress. Based on Spearman’s Rho test analysis, the study found a p-value of 0.000 (p&lt;0.05) and a correlation coefficient (r?) of -0.500, leading to the acceptance of H1, which confirmed a relationship between resilience and work stress among nurses at RSUD Dr. Soegiri Lamongan. <strong>Conclusion:</strong> Nurses who have a high level of resilience have low work stress because the level of resilience that each individual has can reflect their ability to maintain balance when life is unstable.</p> <p>.</p> 2026-04-30T00:00:00+08:00 Copyright (c) 2026 Jurnal Kesehatan Medika Udayana https://ejurnalstikeskesdamudayana.ac.id/index.php/jmu/article/view/665 Gambaran Tingkat Pengetahuan Siswi Kelas Xi Tentang Kehamilan Usia Remaja Di Sekolah Menengah Atas Negeri 1 Abang 2026-04-13T09:29:16+08:00 Ani Lutvia Haini anilutviahaini@gmail.com Ni Ketut Somoyani somoyaniniketut@gmail.com Listina Ade Widya Ningtyas annibudi@gmail.com <p><strong>Background: </strong>Adolescence is a transitional phase from childhood to adulthood, accompanied by physical and psychological maturity. Adolescent reproductive health includes risky sexual behaviors that may lead to unwanted pregnancies, unsafe abortions, and sexually transmitted infections (STIs), including HIV. <strong>Objective: </strong>This study aims to determine the level of knowledge among female students regarding teenage pregnancy. <strong>Method:</strong> The research is descriptive in nature with a cross-sectional approach and was conducted on April 17, 2025. <strong>Sample:</strong> involving 87 respondents, all 11th-grade female students at SMAN 1 Abang selected using total sampling technique. <strong>Instrument:</strong> Data were collected using a questionnaire. <strong>Results</strong><strong>: </strong>Most respondents have good knowledge about the concept of teenage pregnancy (56.3%), influencing factors (86.2%), the consequences of teenage pregnancy (80.5%), and prevention efforts (88.5%). <strong>Conclusion: </strong>Many respondents still do not understand the concept of teenage pregnancy.</p> 2026-04-30T00:00:00+08:00 Copyright (c) 2026 Jurnal Kesehatan Medika Udayana https://ejurnalstikeskesdamudayana.ac.id/index.php/jmu/article/view/771 Analisis Faktor Yang Berhubungan Dengan Perilaku Personal Hygiene Saat Menstruasi Pada Remaja Disabilitas Sebagai Bagian Dari Perawatan Jangka Panjang Di SLB Negeri 3 Denpasar 2026-04-13T09:10:02+08:00 Putu Noviana Sagitarini sagitarini.novi@gmail.com Ni Komang Tri Agustini agustini.komang90@gmail.com Ida Ayu Ningrat Pangruating Diyu sagitarini.novi@gmail.com Ni Made Candra Citra Sari Candracitrasari@gmail.com <p><strong>Background</strong>:Reproductive health education plays a crucial role, particularly for adolescents with disabilities, in maintaining their reproductive health. One effort to reduce menstrual-related problems is by developing hygienic behaviors. Menstrual personal hygiene refers to individual cleanliness practices aimed at maintaining, preserving, and improving personal hygiene and health to achieve physical and psychological well-being through the implementation of hygienic actions during menstruation. <strong>Objective; </strong>This study aimed to identify factors associated with menstrual personal hygiene behavior among adolescents with disabilities as part of long-term care. <strong>Methods</strong>:This study employed a correlational analytic design with a cross-sectional approach. The sample consisted of 36 respondents, selected using a total sampling technique. Data were collected using a questionnaire. Data analysis was conducted using bivariate analysis with the Chi-square test. <strong>Results</strong>: The results showed that variables significantly associated with respondents’ menstrual personal hygiene behavior were knowledge (p-value = 0.018), family support (p-value = 0.003), and adequacy of facilities and infrastructure (p-value = 0.003). Meanwhile, self-motivation was not significantly associated with menstrual personal hygiene behavior (p-value = 0.124). <strong>Conclusion: </strong>Therefore, nurses and healthcare providers are encouraged to enhance reproductive health education, involve families, and promote the provision of disability-friendly facilities to support long-term care for adolescents with disabilities.</p> 2026-04-30T00:00:00+08:00 Copyright (c) 2026 Jurnal Kesehatan Medika Udayana https://ejurnalstikeskesdamudayana.ac.id/index.php/jmu/article/view/778 Buerger Allen Exercice (Bae) Berpengaruh Terhadap Nilai Ankle Brachial Indeks (Abi) Pada Penderita Diabetes Mellitus 2026-04-13T08:50:17+08:00 Siska Ayu Meiliani siskaayumeilianni@gmail.com Dani Prastiwi dani.unikal@gmail.com Anik Indriono anikindriono@ymail.com <p><strong>Background:</strong> Diabetes mellitus (DM) is a significant global health problem and continues to increase worldwide. Chronic and uncontrolled hyperglycemia is a major risk factor for macrovascular complications such as Peripheral Arterial Disease (PAD). Buerger Allen Exercise (BAE) is a recommended physical activity therapy to prevent peripheral arterial disease. <strong>Objective: </strong>This study aims to determine the effect of Buerger Allen Exercise on the Ankle Brachial Index (ABI) in diabetes mellitus patients. <strong>Methods:</strong> This study is a Quasi-experimental study with a pre-posttest with control group design. The study population was all Diabetes Mellitus patients at the Kusuma Bangsa Community Health Center, Pekalongan City with a sample of 32 respondents selected using a purposive sampling technique and divided into a control group and an intervention group. Buerger Allen Exercise in the intervention group was carried out for 5 consecutive days with a duration of 15 minutes. Data were analyzed using the Mann-Whitney Test. <strong>Results:</strong> In the control group, there was no significant difference in the average ABI value of the control group on day 1 and day 5 with a p-value = 0.195. In the intervention group, there was a difference in ABI scores before and after being given Buerger Allen Exercise with a p-value of 0.000. <strong>Conclusion:</strong> There is an effect of Buerger Allen Exercise on the Ankle Brachial Index value in diabetes mellitus patients at the Kusuma Bangsa Community Health Center.</p> <p> </p> 2026-04-30T00:00:00+08:00 Copyright (c) 2026 Jurnal Kesehatan Medika Udayana https://ejurnalstikeskesdamudayana.ac.id/index.php/jmu/article/view/781 Kesehatan Ibu dan Bayi Baru Lahir di Gaza-Palestina 2026-04-13T08:48:43+08:00 Kipa Jundapri kipa.jundapri41@gmail.com Marissa Noriti kipa.jundapri41@gmail.com <p><strong>Background:</strong> Women and newborns are vulnerable groups that must be given special attention in disaster situations such as war. The Israeli military aggression in Gaza, Palestine, has been ongoing since October 2023. Besides resulting in tens of thousands of direct war-related morbidities, vulnerable demographics such as pregnant women, maternity and newborns (neonates) in Gaza confront severe health hazards amid the conflict. <strong>Method</strong>: This study was descriftive analitic who employs Quantitative data was obtained from secondary data from medical records at Al-Emiraty Hospital. <strong>The Result of this stud</strong>y: before war, Mothers who delivery normal 20-38 year, caesarea, namely 20-40 year, during war, mothers who delivery normal 20-35 year and with caesarea 18-45 years Meanwhile, baby weight, before war baby weight ?1499 grams was 0 baby, 1500-2499 grams was 15 babies, and ?125 babies, during war, baby weight ?1499 grams was 1 baby, 1500-2499 grams was 51 babies, and ?2500 grams 189 babies. <strong>Conclusion:</strong> During the war there was a surge in patients because Al Emirates Hospital was the only referral for maternal and child cases.</p> 2026-04-30T00:00:00+08:00 Copyright (c) 2026 Jurnal Kesehatan Medika Udayana https://ejurnalstikeskesdamudayana.ac.id/index.php/jmu/article/view/784 Hubungan Derajat Acne Vulgaris Dengan Tingkat Kepercayaan Diri Siswa SMA Al Irsyad Surabaya 2026-04-27T10:56:35+08:00 Luluk Fauziyah Januarti lulukfauziyah127@gmail.com Yunita Safitri yunitapipit79@gmail.com Alvin Abdillah alvinabdillah1@gmail.com Agus Priyanto aguspriyantounhm@gmail.com <p><strong>Background: </strong>Acne vulgaris is a chronic inflammation of the pilosebaceous unit caused by multiple factors, characterized by the presence of comedones, papules, pustules, nodules, and cysts. This condition commonly affects adolescents and often leads to psychological impacts, particularly decreased self-confidence. During adolescence, sensitivity to physical appearance tends to increase, making facial changes such as acne influential on social interactions, self-esteem, and even academic performance. <strong>Objective: </strong>This study aims to determine the relationship between the severity of acne vulgaris and the level of self-confidence among students of SMA Al Irsyad Surabaya in 2025. <strong>Methods: </strong>The research employed an analytical design with a cross-sectional approach and involved a population of 90 students, from which 73 were selected as samples using purposive sampling based on inclusion and exclusion criteria. The severity of acne vulgaris was assessed using an observation sheet based on the Lehmann classification, while self-confidence levels were measured using the Rosenberg Self-Esteem Scale (RSES). Data were analyzed using the Spearman Rank correlation test. <strong>Results: </strong>The findings showed that most students experienced mild acne vulgaris (49.3%) and had a high level of self-confidence (64.4%). There was a significant relationship between acne severity and self-confidence (p = 0.008), indicating that the more severe the acne, the lower the level of self-confidence. <strong>Conclusion: </strong>This study is expected to serve as a basis for schools and healthcare providers in developing educational programs and psychological support for adolescents</p> 2026-04-30T00:00:00+08:00 Copyright (c) 2026 Jurnal Kesehatan Medika Udayana https://ejurnalstikeskesdamudayana.ac.id/index.php/jmu/article/view/770 Pengaruh Peregangan Perut (Abdominal Stretching Exercise) Dan Teknik Relaksasi Nafas Dalam Terhadap Tingkat Nyeri Dismenore Pada Remaja Putri Di SMK Negeri 1 Kubutambahan 2026-04-29T13:00:33+08:00 Kadek Rika Lestariani rikalestariani23@gmail.com Mochamad Heri hheri824@gmail.com Nuur Fadhilah nuurfadhilah1@gmail.com <p><strong>Background: </strong>Dysmenorrhea is a problem that women often experience during menstruation, in the form of dull pain in the lower abdomen because the uterine muscles contract. This pain can appear before menstruation, during menstruation, or after menstruation is finished. Dysmenorrhea refers to pain or discomfort that occurs during menstruation and can interfere with daily work. <strong>Objective: </strong>The aim of this study was to determine the effect of abdominal stretching exercises and deep breathing relaxation techniques on the level of dysmenorrhea pain in adolescent girls. <strong>Methods:</strong> This type of research is quantitative research using a quasi-experimental design with a pre-test and post-test nonequivalent control group design with a purposive sampling technique, with a sample size of 80 female respondents from class X. The data collection tool used was an observation sheet with an NRS measuring instrument. Data were processed and analyzed using SPSS 23 with intergroup analysis using the Mann-Whitney test. <strong>Results</strong>: The results of the bivariate analysis of the Wilcoxon test in the experimental group showed a p value of 0.000 where (p&lt;0.05), then the Mann-Whitney test showed a p value of 0.000 where (p&lt;0.05) so that H0 was rejected and Ha was accepted, which means there is a significant influence and difference. <strong>Conclusion:</strong> This shows that there is an influence of Abdominal Stretching Exercise and Deep Breathing Relaxation Techniques on the Level of Dysmenorrhea Pain in Young Women (Research Study Conducted at SMK Negeri 1 Kubutambahan).</p> 2026-04-30T00:00:00+08:00 Copyright (c) 2026 Jurnal Kesehatan Medika Udayana