Jurnal Kesehatan Medika Udayana

Pengalaman Hidup Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisis di Unit Hemodialisa RSUD Bendan Pekalongan

Ida Suraningsih — 2025-10-31

Background: Patients with chronic kidney failure must undergo hemodialysis/dialysis therapy. Chronic kidney failure patients undergoing hemodialysis experience several changes in their lives due to the patient's illness. Objective: This study aims to gain an in-depth understanding of the life experiences of chronic kidney failure patients undergoing hemodialysis. Methods: This research uses a qualitative research method with a phenomenological approach. The instruments for this research were the researcher himself, voice recorder, field notes, stationery, interview guide, and informed consent form. The informants used in this research were 7 informants. Results were analyzed using thematic analysis techniques. Results: Based on the results obtained in this study, 4 themes were found, namely (1) physiological, psychological, social, spiritual and economic changes, (2) Coping techniques in overcoming problems or changes due to chronic kidney failure, (3) Experiences in undergoing the hemodialysis process , (4) The hardest experience while suffering from chronic kidney failure. Conclusion: All informants experienced physiological, psychological and spiritual changes, while only a few informants experienced social and economic changes. Coping techniques for dealing with these changes are good except for economic changes where there is no solution for these changes. Experiences in undergoing the hemodialysis process include some being positive and some being negative. Meanwhile, the hardest experiences while suffering from chronic kidney failure vary according to what happens in the informant's life.

Pengaruh Edukasi Audiovisual Terhadap Pengetahuan Bahaya Rokok Pada Murid Kelas 5 dan 6 Di SDN Banjaragung 1 Rengel Tuban

Umar Syahid — 2025-10-31

Background: The increasing number of underage smokers is a problem that needs attention. One effort to reduce the number of underage smokers is by providing knowledge about the dangers of smoking. Objective: This study aims to determine the effect of audiovisual education on elementary school children's knowledge of the dangers of smoking among 5th and 6th graders. Methods: This study used a one-group pre-post test design with a sample of 50 students using total sampling. The instrument used in this study was a questionnaire about the dangers of smoking, and data analysis was performed using the Wilcoxon test. Results: The results of the study showed that before the education was provided, most of the children's knowledge about the dangers of smoking was still lacking (94%), and after the education was provided, most of the students' knowledge became good (80%). Based on the results of the Wilcoxon test, the result was p=0.000, which means that there is an effect of audiovisual education on the knowledge of the dangers of smoking among fifth and sixth grade elementary school children. Conclusion: Educational video media can increase a person's knowledge because videos can be an effective medium for providing information. Thus, educational video media has been proven to influence the knowledge of fifth and sixth grade elementary school children about the dangers of smoking, thereby preventing children from using cigarettes.

Pengaruh Inhalasi Aromaterapi Lavender Terhadap Tingkat Kecemasan Pada Wanita Infertil Dengan Pemeriksaan Hysterosalpingography (HSG)

Amirul Amalia — 2025-10-31

Background: Hysterosalpingography (HSG) is an examination of infertile women. HSG examination can cause anxiety. Anxiety experienced before the HSG examination includes insomnia, palpitations, fear, feeling tense and even no appetite. Lavender is a plant that can be used to treat anxiety. Objective: This study to determine the effect of lavender aromatherapy inhalation on reducing the anxiety level of infertile women during HSG examinations in the Radiology Room at Muhammadiyah Hospital Gresik. Methods: The research design uses pre-experiment with a one group pre test-post test approach. The research sample was 34 infertile women who underwent HSG examinations from October to December 2023. The sampling technique used consecutive sampling and the HARS (Hamilton Anxiety Rating Scale) questionnaire to identify anxiety. Data analysis used the Wilcoxon Signed Rank Test. Result: The results of the study showed that almost all (44%) infertile women experienced severe anxiety before being given lavender aromatherapy. Some (50%) infertile women experience mild anxiety after being given lavender aromatherapy. There is an effect of lavender aromatherapy on reducing the anxiety level of infertile women with a value of ? 0.000 < 0.05. Lavender aromatherapy which is rich in linalool can play a role in reducing anxiety. Conclusion: Lavender aromatherapy can be used to reduce anxiety in infertile women undergoing Hysterosalpingography examination.

Pemanfaatan Aroma Terapi Lavender Untuk Menurunkan Intensitas Nyeri Pada Ibu Post Sectio Caesarea di RS Muhammadiyah Kalikapas

Nur Aini Muhartiningrum — 2025-10-31

Background: Section Caesarea (SC) is the process of giving birth through surgery by making an incision in the mother's stomach (laparatomy) and uterus (hysterectomy) to remove the baby. 75% of surgical patients experience moderate to severe pain after surgery. Women experience high levels of pain intensity for 24 hours after SC. Objective: The aim of this research is to determine the effectiveness of lavender aromatherapy to reduce pain intensity in post-section caesarean mothers at Muhammadiyah Kalikapas Hospital. Methods: In this research, researchers used a Quasi Experimental type of research with a one group pre test and post test design. The population was 39 and a sample of 35 patients was obtained using purposive sampling. This research data uses the Verbal Rating Scale (VRS) observation sheet. After tabulating the data, it was analyzed using the Wilcoxon test with a significance level of p= ? ? 0.05. The results of the study showed that before being given lavender aromatherapy, most of the 35 post- SC mothers experienced severe pain, after treatment 19 people (54.3%) experienced moderate pain. Result: The Wilxocon Test results obtained a significant value, namely p-value 0.000, then Ha is accepted so it can be concluded that there is an effect of using lavender aromatherapy to reduce pain intensity in post caesarean section. This means that there is an influence of the use of Lavender Aromatherapy to Reduce Pain Intensity in Post Sectio Caesarea Mothers at Muhammadiyah Kalikapas Hospital in 2024. Conclusion: Lavender Aromatherapy can be a non-pharmacological therapy in reducing pain intensity for post SC Mothers

Pengaruh Persepsi Body Image terhadap Pola Makan dan Indeks Massa Tubuh Mahasiswa Patiseri: Studi pada Politeknik Pariwisata Medan

Nabila — 2025-10-31

Background: A balanced diet is essential for maintaining health and nutritional status, commonly assessed using Body Mass Index (BMI). Dietary habits are influenced not only by physiological needs but also by psychological factors such as Body Image perception. Unrealistic perceptions of one’s body can lead to unhealthy eating behaviors and negatively impact nutritional status. Patisserie students, who are frequently exposed to high-calorie foods, may be particularly vulnerable to such challenges. Objective: This study aims to examine the influence of Body Image perception on dietary patterns and BMI among patisserie students at the Medan Tourism Polytechnic. Methods: This study is an observational analytical study with a cross-sectional approach to 60 students of Medan Tourism Polytechnic. Body Image and eating pattern data were collected using a questionnaire, while BMI was obtained by measuring the weight and height of the subjects. Result: The data obtained were analyzed using the Chi-square Test. Based on the results of the analysis, a relationship was found between Body Image and eating patterns with a value of p = 0.006 (P < 0.05). However, there was no relationship between Body Image and BMI with a value of p = 0.391 (P> 0.05). Consclusion: There is a relationship between Body Image and eating patterns but there is no relationship between Body Image and BMI.

Analisis Penerapan Sistem E-Puskesmas Dengan Menggunakan Metode Pieces Terhadap Kepuasan Pengguna di UPTD. Puskesmas I Dinas Kesehatan Kecamatan Denpasar Timur

I Kadek Febri Harimbawa — 2025-10-31

Background: Advances in information technology in the health sector have greatly supported services. Applications for health services developed in each health center are e-Puskesmas. The PIECES method is a framework used to classify existing problems based on performance, information, economics, control, efficiency, and service. Objective: Analyze the implementation of the e-Puskesmas system using the PIECES method on satisfaction at the UPTD. Puskesmas I Dinas Kesehatan Kecamatan Denpasar Timur. Method: This type of research is quantitative analytic with a cross-sectional approach. The population in this study are officers who use e-Puskesmas. The sample used is the entire population. Results: The research results showed that the majority of respondents were satisfied with a score of 3.48. The performance, information, economic, efficiency and service components are classified as good, while the control component is classified as moderate. There is a significant relationship between performance and efficiency components on satisfaction while there is no relationship between the information, economic, control and service components. Conclusion: Most of the components are classified as good and information system users are satisfied. The components that have a significant relationship with satisfaction are the performance and efficiency components, while the other components do not have a significant relationship.

Hubungan Upaya Pencegahan Dengan Kejadian Malaria di Wilayah Kerja Puskesmas Lahomi Kabupaten Nias Barat

Tobias Patriono Waruwu — 2025-10-31

Background: Malaria remains a significant public health issue, particularly in endemic areas such as West Nias Regency. Household-based prevention strategies, including the use of bed nets, repellents, and mosquito insecticides, are essential in reducing transmission. However, few local studies have comprehensively analyzed the effectiveness of these interventions. Objective: To determine the relationship between malaria prevention measures (bed net use, repellent use, and mosquito insecticide use) and malaria incidence in the working area of UPT Lahomi Public Health Center, West Nias Regency. Methods: This study employed a case-control design with a quantitative analytic approach. A total of 174 respondents were included, divided into case and control groups. Data were collected through questionnaires and Rapid Diagnostic Test (RDT) results, and analyzed using the Chi-square test and Odds Ratio calculations. Results: No significant relationship was found between malaria incidence and the use of bed nets (p=0.785) or repellents (p=1.000). However, the use of mosquito insecticides showed a statistically significant association with reduced malaria incidence (p=0.021), with a lower infection rate among users (25%) compared to non-users (42.7%). Conclusion: Among the three interventions studied, only the use of mosquito insecticides proved effective in reducing malaria risk in the working area of UPT Lahomi Public Health Center. Education and improved access to proven preventive methods are needed to curb malaria transmission in endemic regions.

Penurunan Fungsi Ginjal Pada Pasien Prolanis Dengan Diabetes: Sebuah Tinjauan Klinis

Widyastuti Handayani — 2025-10-31

Background: Decreased kidney function is one of the serious complications of diabetes mellitus, which can develop into chronic kidney disease (CKD). This study aims to reduce kidney function in diabetic patients who are members of the Chronic Disease Management Program (Prolanis) at the Comal Pratama Clinic. Objective: The Prolanis program aims to effectively manage chronic conditions such as diabetes, these results show that most patients continue to experience significant decline in kidney function. Methods: This study involved a longitudinal analysis of Prolanis patient data, focusing on changes in creatinine and urea levels as indicators of kidney function. Clinical data used in this study included creatinine and urea levels, taken from patient medical records in 2023 and 2024. Results: The results showed a significant increase in creatinine and urea levels among the patients studied, indicating worsening kidney function during the study period. This study emphasizes the importance of closer monitoring and more specific interventions to protect kidney function in diabetic patients who are members of Prolanis. Conclusion: Most patients continue to experience significant decline in kidney function.

Terapi Yoga pada Penyakit Multiple Sclerosis: A Literature Review

Komang Agus Jerry Widyanata — 2025-10-31

Background: Multiple sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system and often leads to fatigue, mobility impairments, and psychological issues such as anxiety and depression, all of which significantly reduce the quality of life of those affected. Yoga therapy, as a holistic non-pharmacological approach, has gained attention as an alternative rehabilitative intervention for MS patients. Objective: The aim of this review is to literatureally examine the effectiveness of yoga therapy on the physical and psychological aspects of individuals with MS, with a particular focus on the duration, frequency, and forms of yoga practice used. Methods: The method employed in this study was a literature literature search across databases including Google Scholar, PubMed, ScienceDirect, and ResearchGate, using clearly defined inclusion and exclusion criteria. A total of 15 articles with experimental and quasi-experimental research designs published within the past 10 years were analyzed in this review. Result: The results indicate that yoga is effective in reducing fatigue levels, improving balance and muscle strength, and enhancing daily physical functioning. Psychologically, yoga has been shown to significantly reduce anxiety, stress, and depression, while also improving self-efficacy, focus, and emotional quality of life. Conclusion: In conclusion, yoga is a safe and effective intervention that can serve as a complementary rehabilitative strategy in the management of MS, both physically and psychologically, although further research with stronger methodologies is needed to support its implementation in clinical practice.

Gambaran Tingkat Pengetahuan Orang Tua Terhadap Penanganan Hipertermia Pada Anak

I Made Bayu Saputra — 2025-10-31

Background: Hyperthermia happened due to the failure of thermoregulatory mechanisms. This condition is particularly dangerous in children because it may cause dehydration, seizures, impaired consciousness, and even damage to vital organs. Data from Riskesdas (2023) show that the highest prevalence of hyperthermia occurred in the 5–14 age group, at 1.9%. Parents, as the primary caregivers, play an essential role in the early detection and management of hyperthermia; therefore, their level of knowledge needs to be examined. Objective: The purpose of this study is to describe the level of parental knowledge regarding the management of hyperthermia in children aged 8–12 years in Gianyar. Methods: This research employed a descriptive quantitative design with a total sampling technique. The sample consisted of 51 parents who met the inclusion criteria. Data were collected using a questionnaire containing 10 items on the definition of hyperthermia, methods of measuring body temperature, signs and symptoms, and management practices. The data descriptively analyzed by using the SPSS 25 version. Result: The results showed that most respondents were aged 36–45 years (45.1%), female (54.9%), had completed senior high school education (41.2%), and were employed in the private sector (37.3%). The majority of parents’ knowledge regarding hyperthermia management in children was categorized as good (22 respondents, 43.1%), followed by fair (18 respondents, 35.3%), and poor (11 respondents, 21.6%). Conclusion: The findings indicate that most parents possess good knowledge regarding hyperthermia management; however, a portion still requires improved understanding through health education.