MEDISAINS
ISSN : 16937309     EISSN : 26212366
MEDISAINS: Jurnal Ilmiah Ilmu-ilmu kesehatan merupakan sarana penyebarluasan ilmu pengetahuan, riset, teknologi dan inovasi dibidang kesehatan yang diterbitkan tiga kali dalam setahun (April, Agustus dan Desember). Jurnal Medisains adalah jurnal peer reviewed dan Open-Access yang dikelola oleh Fakultas Ilmu Kesehatan Universitas Muhammadiyah Purwokerto dan di terbitkan dibawah Lembaga Publikasi Ilmiah dan Penerbitan (LPIP) Universitas Muhammadiyah Purwokerto.
Articles 173 Documents
PENYUSUNAN MEDIA INFORMASI TENTANG DETEKSI DINI KANKER PAYUDARA DENGAN PEMERIKSAAN PAYUDARA SENDIRI (SADARI)

Lestari, Puji, Ch, Zumrotul, Susilo, Eko

medisains Vol 15, No 3 (2013)
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Abstract

Background : In Indonesia, cancer is the third leading cause of death after heart disease and stroke. Nearly 85 % ofall breast cancer incidences are found by the patients themselves. Breast cancer detection and early treatment mayincrease life expectancy and provide more treatment options for patients .Objective : The purpose of the research is to develop an informative media about early detection of breast cancer inwomen of childbearing-age, therefore they can increase their understanding about early detection of breast cancerthrough Breast Self Examination ( BSE )Methods : This research used an action research method. The first stage was by doing an assessment of the women’scondition and level of understanding about early detection of breast cancer and by compiling an informative media. Thesecond stage was by making an implementation to apply the compiled media in educational institutions and society. Therespondents were 80 childbearing-age women in the working area of Lerep Health Center, Semarang Regency.Result : The results showed that 52 % of the respondents were 20-35 years old, 60% of them had low education(elementary school and junior high school), 86% were married, 56% had not get information about BSE, 48% had lessgood understanding about breast cancer, and 32% had less good understanding about BSE. The kinds of the desiredmedia were oral (82%), movie (10%), and television (74%). The respondents’ need became the basis to compile anaudiovisual informative media that could be seen in the television in the form of video. Then the media could beimplemented in the society of the working area of Lerep Health Center and in the educational institution of the studentsat Ngudi Waluyo School of Health.Conclusion : It needs to compile various informative media which are interesting and suitable with the society’s needs,therefore the society can be educated by getting the information easily.Keywords: Informative Media, Early Detection of Breast Cancer, Breast Self Examination

ANALISIS KETAHANAN HIDUP SATU TAHUN PASIEN STROKE DI RUMAH SAKIT UMUM BANYUMAS TAHUN 2010

Supriyadi, Supriyadi, Ariawan, Iwan

medisains Vol 15, No 3 (2013)
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Stroke illness is the third most common cause of death after heart disease and cancer. Stroke is clinical syndromeresulted from blood vessels disorder in the brain, it occurs immediately, and commonly people of 45-80 years are at riskfor stroke. A one-year survival rate of stroke patients has been affected by their ages, type of stroke, period of treatment,diabetes mellitus, hypertension, hypercholesterolemia, heart disease/cardiovascular disease, smoking, gender, and thepatients’ parental/maternal history of stroke. This research uses retrospective cohort design. The probability of strokepatients’ survival rate for the duration of 52 weeks (1 year) is 61% with 52 weeks of survival median. Patients withfrequent stroke recurrence have 2.0 times of death risk compared to patients with first time stroke on identical levelof medical history in heart disease and cholesterol level. Whereas stroke patients with heart disease have 2.8 times ofdeath risk compared to stroke patients with no heart disease on identical level of medical history in stroke illness andcholesterol level. Meanwhile stroke patients with hypercholesterolemia have 1.8 times of death risk compared to strokevpatients with low cholesterol level on identical level of medical history in stroke illness and heart disease.Key words: Survival Rate, Stroke Patients, Stroke.

TINGKAT PENGETAHUAN KELUARGA TENTANG PERAWATAN PASIEN HALUSINASI DENGAN FREKUENSI KEKAMBUHAN PASIEN HALUSINASI DI RUMAH

Sari, Anisa Setya, Warsito, Bambang Edi

medisains Vol 17, No 2 (2014)
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Hallucination is a part of psychiatric health problem that today, the number of statistic of this case is more increase.This problem is not only became the responsibility of psychiatric hospital, but family also contributesto decide the carefulness which patient needs in home. Family’s level of knowledge about caring is importantto take research in correlation with the relapse that makes patient must to stay again in psychiatric hospital.This research was quantitative with analytic correlation method. The instrument used questioner. Populationin this research were all of the family who has family member as patient who checked up to Clinic of AminoGondohutomo Psychiatric Hospital Semarang, with the average of hallucination cases per month in 2010 were103. Sample taken with purposive sampling as much 82 respondents according to the inclusion and exclusioncriteria made by researcher. The correlation between family’s level of knowledge and frequency of relapsewere analyzed by Chi Square correlation. The research showed that there is no significant correlation betweenfamily’s level of knowledge about caring for hallucination patient with frequency of relapse in home (p value>α).The research concluded that family’s level of knowledge is only a little part of factors that influences family’sbehavior in caring for hallucination patient in home. It needs to do deeper assessment about the causes ofrelapse on hallucination patient in home.Keyword: family’s level of knowledge, relapse, hallucination

PERBEDAAN PENGATURAN QUICK OF BLOOD BERDASARKAN PERUBAHAN BERAT BADAN DAN KENYAMANAN TERHADAP PENCAPAIAN ADEKUASI HEMODIALISIS DI RUANG HEMODIALISIS RSUD BANYUMAS

Ni’mah, Alfiyatun, ., Endiyono, Winarto, Eko

medisains Vol 18, No 3 (2014)
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Latar Belakang : Hemodialisa merupakan tindakan untuk mengeluarkan sisa metabolisme yang tidak dapat dikeluarkan oleh tubuh dengan proses eliminasi normal akibat gagal ginjal. Adekuasi hemodialisa dapat dihitung dengan Kt/V. Untuk mencapai Kt/V sesuai standar, Qb yang diterapkan harus sesuai dengan perubahan berat badan pasien.Metode : Jenis penelitian dengan quasi eksperimen dengan mengukur nilai adekuasi hemodialisis Kt/V antara kelompok qb dengan kenyamanan (kontrol) dan qb sesuai perubahan  berat badan(intervensi). Jumlah responden yang diambil sebanyak 40 pasien, dibagi dalam 2 kelompok. Masing-masing kelompok berjumlah 20 respondenHasil : Karakteristik responden, laki-laki (57,5%), usia dominan 35-55 tahun (70%). Hasil uji t antar kelompok kontrol dan kelompok intervensi, awal sebelum perlakuan tidak terdapat perbedaan yang bermakna (p-value=0,357>0,05) setelah perlakuan pengaturan QB, terdapat perbedaan yang bermakna (p-value =0,000<0.05).Kesimpulan : Metode pengaturan QB sesuai perubahan berat badan lebih banyak membersihkan racun darah sisa metabolisme pasien dan membuat nilai adekuasi hemodalisis pasien lebih optimal.

PENGARUH PEMBERIAN INFORMASI MOBILISASI DINI PADA IBU PRIMIPARA POST SECTIO CAESAREA DENGAN ANESTESI SPINAL TERHADAP TINGKAT KECEMASAN

Yulistiani, Mustiah, Supriyadi, Supriyadi, Utama, Setiya Budi

medisains Vol 4, No 2 (2006)
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Background: Immobilization has some disanvantages include amnion fluid embolism, respiratory distress, urinaryretention, and psychotic and gasterointestinal problems. Nurses should give the information about these problemsrespectively using the effective communication.Objective: This study aimed to know the impact of information service about early mobilization for primipara post SectioCaesarea with spinal anesthetic and patient’ anxiety level at Prof. Dr. Margono Soekarjo Hospital of Purwokerto. Methods: Study design was using a case study with descriptive analytical. Population study was all primipara patients postSectio Caesarea with spinal anesthetic. Sampling method in this study was using the purposive sampling method, which allof the primipara patients have the same chance to choose as a respondent. Data was collected using the questionnaire andobservation form for anxiety level measurement. Data analyze was using the X2 test with computer software to know the distribution of proportion. Results: This study results was showed that most of the respondents are the 20 years age (88.9 percent), education levelare secondary level (44.4 percent), Moslem religion (97.8 percent), and most of them living out of Purwokerto (66.7percent). The category of anxiety level base on the information service about early mobilization for primipara post SectioCaesarea with spinal anesthetic; 84.45 percent of respondents unable to get information with the least anxiety 62.2 percent,95.6 percent of respondents unable to get information with the severe anxiety 65.9 percent accompanied with the foetusanomaly (42.2 percent) and followed by the sleep disturbance. Conclusions: The most of information services about early mobilization post Sectio Caesarea is not give in the suitabletime. Most of respondents were coming late at the hospital and as a referral cases, which is pregnance with thecomplications. So that, the information has became not effectively in reducing the anxiety.  

PENGARUH EDUKASI PERAWAT TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI

Sutrisno, Sutrisno

medisains Vol 14, No 1 (2015)
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BACKGROUND: Hypertension is often referred to as the Silent Killer because it includes a deadly diseasewithout the prior symptoms as a warning to the victim. From Riskesdas (2007) showed the prevalence ofhypertension as much as 31.7%. One of three adults from Indonesia suffering hypertension, and one of the twomen even among those aged 50 years and above. The objective of  research to determine the effect of nurseeducation in hypertensive patients on blood pressure of hypertensive patients.METHOD: Quasi Experimental with Nonequivalent approach (pretest and posttest) the Control Group Design.The samples were used 56 respondents of  experimental group and 56 respondents of control group, by thecriteria of hypertensive patients who regularly visited in clinick, aged 60 to 69, male and have a history ofsmoking. Hypothesis testing is used Wilcoxon Match Pairs Test and Mann-Whitney test.RESULT: There was a significant difference between before and after nursing education to decrease bloodpressure in hypertensive patients(p-value = 0.000). The other results there is a significant difference thedecrease of blood pressure in hypertensive patients between pre-test and post-test in the control group (p-value= 0.000). There are differences systolic blood pressure between educated group (16.16) and the control group (11.18), but the difference was not significant (p-value = 0.12). There are differences diastolic blood pressure between educated group (8.27) and the control group (5.1), but the differences was not significant (p-value =0.20).CONCLUSION: Nurse education effect on decreased blood pressure   in elderly with hypertension in thePuskesmas Purwodadi Grobogan.Keywords : hypertension, nurse, education

HUBUNGAN TINGKAT PENGETAHUAN IBU TENTANG IMUNISASI DENGAN KELENGKAPAN IMUNISASI PADA BAYI DI KLEGENWONOSARI, KLIRONG KEBUMEN

Kurniati, Citra Hadi

medisains Vol 8, No 2 (2010)
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Background: Immunization is an act of deliberately giving exposure to an antigen derived from pathogenic bacteria. Thegoal of immunization is to prevent the occurrence of infectious disease and if there will be less severe disease and can notcause disability or death. Many factors can affect the completeness of immunization in children.Objective: This study aimed to determine the relationship between mothers’ knowledge level with the completeness ofimmunization in infants at Klegenwonosari, Klirong, Kebumen.Methods: This study is an observational with cross sectional analytic design. The study population was the mothers whohave children under five years at Klegenwonosari, Klirong, Kebumen in April to May 2008. Sampling was using purposivesampling with total sample of 30 respondents. Data analysis techniques with Chi Square.Results: Data obtained from the study showed that most respondents had knowledge of the completeness ofimmunization is moderate. From the statistical test value X2 = 13.065, p = 0.011 and the value of contingency coefficient C= 0.55.Conclusions: There were a significant correlation between mothers’ level of knowledge regarding immunization withcompleteness of immunization in infants at Klegenwonosari, Klirong, Kebumen with moderate coefficient correlation.Keywords: Mothers’ knowledge level, infant immunization completeness.

HUBUNGAN TINGKAT PENGETAHUAN SUAMI TENTANG ASUHAN KEHAMILAN DENGAN PARTISIPASI SUAMI DALAM ASUHAN KEHAMILAN DI WILAYAH KERJA PUSKESMAS PURWOKERTO BARAT KABUPATEN BANYUMAS

Pangesti, Wilis Dwi

medisains Vol 8, No 2 (2010)
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Background: Husbands participation in pregnancy care will support a safe pregnancy and childbirth. But in general thehusbands involvement in pregnancy care and childbirth is still low. This is influenced by factors of knowledge, attitudes,behaviors, values or culture and others.Objective: This study aims to determine the relationship level of knowledge about pregnancy care of husband andhusbands participation in pregnancy care in the working area of West Purwokerto Primary Health Center.Method: This study was a correlation study with cross sectional approach. The population in this study were all husbandsof pregnant women in the working area of West Purwokerto Primary Health Center, Banyumas in May 2004 with 370population. In this study the sampling was done by accidental sampling technique with total sample 74 people. Datacollection tool was a questionnaire form with a closed statement where the answer has been provided. Data analysisincluded univariate analysis and to test the hypothesis using correlation analysis Chi-Square (X2).Results: The study found an association level of knowledge about pregnancy care of husband and husbands participationin pregnancy care in the working area of West Purwokerto Primary Health Center, Banyumas May 2004 (p = 0.001).Conclusion: There was a relationship between level of knowledge about pregnancy care of husband and husbandsparticipation in pregnancy care. Therefore it was recommended to maintain and improve the participation of husband inpregnancy care through health professionals with communication, information and education regarding pregnancy care ofhusband on an ongoing basis, support the efforts of the making pregnancy safer and to implement evidence based practicein pregnancy care.Key words: level of knowledge of the husband, husband participation, pregnancy care.

HUBUNGAN SIKAP ORANG TUA DENGAN KEJADIAN SIBLING RIVALRY PADA ANAK USIA 3-5 TAHUN DI DESA BRENGKOK-BRONDONG-LAMONGAN

Maghfuroh, Lilis

medisains Vol 10, No 1 (2012)
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Anak sebagai individu yang unik mempunyai kebutuhan sesuai dengan tahap perkembangan. Sebagaiindividu yang unik anak memiliki berbagai kebutuhan yang berbeda satu dengan yang lain sesuai dengan usiatumbuh kembang. Sibling rivalry terjadi jika anak merasa mulai kehilangan kasih sayang dari orang tua danmerasa bahwa saudara kandung adalah saingan dalam mendapatkan perhatian dan kasih sayang dari orangtua. Biasanya ini terjadi karena orang tua memberikan perlakuan yang berbeda pada anak-anak mereka.Berdasarkan survei awal yang telah peneliti lakukan dari 10 keluarga yang mempunyai 2 orang anak ataulebih didapatkan 70% (7 anak)yang mengalami sibling rivalrydan 30% (3 anak) tidak mengalami sibling rivalry.Tujuan penelitian ini adalah untuk mengetahui hubungan antara sikap orang tua dengan kejadian siblingrivalry pada anak usia 3-5 tahun di Desa Brengkok–Brondong-Lamongan.Desain penelitian analitik korelasi dengan pendekatan cross sectional. Populasi sebanyak 35 orang tuadengan sampelnya 33 ibu di Desa Brengkok-Brondong-Lamongan. Metode sampling yang digunakan adalahsimplerandom sampling. Data penelitian ini diambil dengan kuesioner tertutup. Setelah ditabulasi data yangada dianalisis dengan menggunakan uji korelasi chi square dengan tingkat kemaknaan p 0,000.Hasil penelitian menunjukkan bahwa sikap orang tua dalam mengasuh anak usia 3-5 tahun sebanyak84.8% yang mengalami sibling rivalry. Sedangkan dari hasil pengujian statistik diperoleh hasil ada hubungansikap orang tua dengan kejadian sibling rivalry dengan nilai koefisien kontingensi sebesar 0.667 denganp=0.000 dimana p<0.05.Berdasarkan hasil penelitian ini masih diperlukan pendidikan pada ibu tentang cara mengasuh anakdengan baik dan healt educationpada anak bahwa adil tidak selamanya sama dan hendaknya tim kesehatanmemberikan penyuluhan kepada orang tua tentang kejadian sibling rivalry.

THE ASSOCIATION BETWEEN SEXUAL FULFILLMENT PERCEPTIONS WITH MARITAL MOTIVATATION AMONG THE ELDERY IN MLATI DISTRIC SLEMAN PROVINCE YOGYAKARTA

Suparti, Sri, Probosuseno, Probosuseno, Purwanta, Purwanta

medisains Vol 11, No 2 (2012)
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Background: Sexual needs is a basic human need that must be fulfilled, if this needs is not fulfilled it will causebody’s biological and psychological imbalance system. Asexual Sterotype on elderly often make the elderlypeople will make them feel improper and undeserved in fulfilling their sexual needs. One of legal ways to fulfill iswith marital relation. The phenomenon of marriage among the Elderly also happens in Mlati Distric SlemanRegency Yogyakarta. The true elderly perception on sexual needs is supporting the fulfillment and is related tomarital motivation.Objective: To identify the association and intensity of association between sexual fulfillment needs perceptionand marrital motivation among the elderly in Mlati DistricMethod: This study was analytic descriptive research with cross-sectional approach. Instrument usedQuestionnaire. Research samples was elderly without spouse consists of 20 widowers and 25 widows over ge60 years using accidental technique sampling. Data processing with correlation technique of Spearman Rankwith expectation level 95% or α = 0,05.Result: There are 22 elderly (48,9%) had poor perception and 28 of elderly (62.2%) had low marritalmotivation. The result of Spearman Rank test showed p= 0.0001 and r= 0.739, it means there was associationbetween sexual fulfillment perception with marrital motivation with strong correlation strength and positivecorrelation direction.Conclusion: There was association between the sexual fulfillment perceptions with the marrital motivation inMlati Distric Sleman Province YogyakartaKeywords: Sexual Perceptions, Marrital Motivation, Elderly

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