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INDONESIA
MEDISAINS
Published by Universitas Muhammadiyah Purwokerto
ISSN : 16937309     EISSN : 26212366     DOI : -
Core Subject : Health,
Medicine & Pharmacology Nursing Public Health
MEDISAINS: Jurnal Ilmiah Ilmu-ilmu kesehatan merupakan sarana penyebarluasan ilmu pengetahuan, riset, teknologi dan inovasi dibidang kesehatan yang diterbitkan tiga kali dalam setahun (April, Agustus dan Desember). Jurnal Medisains adalah jurnal peer reviewed dan Open-Access yang dikelola oleh Fakultas Ilmu Kesehatan Universitas Muhammadiyah Purwokerto dan di terbitkan dibawah Lembaga Publikasi Ilmiah dan Penerbitan (LPIP) Universitas Muhammadiyah Purwokerto.
Arjuna Subject : -
Articles 226 Documents
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STATUS GIZI ANTROPOMETRI SISWA SEKOLAH DASAR DI KABUPATEN BANYUMAS Purwito, Dedy; Linggardini, Kris
medisains Vol 4, No 2 (2006)
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Background: In anthropological view point, nutrition status can be assessing with anthropometric data. Multiple dimentions ofcrisis in Indonesia had influenced the living status of peoples either in the rural or urban area. From these conditions, it isimportant to do a comparative study about anthropometric data for peoples in rural and urban area, especially for respondent atthe school age (elementary student). Objective: This study purpose for assess anthropometric nutrition status of elementary student at Banyumas district and to know the differences of anthropometric nutrition status amongs elementary student in the rural and urban area. Methods: Subjects in this study is elementary student at Banyumas district consist of elementary student in urban area (n =237 male, n = 254 female) and elementary student in rural area (n = 118 male, n = 106 female). Anthropometric measurement base on the body weigh measurement and calculate percentage of body weight and age index from WHO/NCHS.Results: The study results was showed that mean (M) of nutrition status for elementary student in rural and urban area has agood or more category and a little one has a moderate (bad or the least) category.Conclusions: The mean of nutrition status for elementary student either in rural or urban area is good and both have asimilarity in nutrition status.  
PENGARUH RENDAM KAKI AIR HANGAT TERHADAPPENINGKATAN SIRKULASI DARAH PERIFER DILIHAT DARI NILAI ANKLE BRACHIAL INDEX (ABI) PADA PASIEN DIABETES MELLITUS DI DESA PURWOJATI KECAMATAN PURWOJATI Suandika, Made
medisains Vol 14, No 1 (2015)
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Latar  belakang: Diabetes  mellitus  merupakan  suatu penyakit  menahun  yang  ditandai  dengan  kadar glukosa  darah  melebihi  normal  dan  gangguan  metabolisme  karbohidrat, lemak, dan  protein  yang disebabkan  oleh  kekurangan  hormon  insulin  secara  relatif  maupun  absolut. penderita  diabetes  mellitus memiliki  risiko  lebih  tinggi  mengalami  masalah  kaki  karena  gangguan  pembuluh  darah  menyebabkan sirkulasi  darah  kaki  dari  tungkai  menurun.  Perubahan aterosklerotik  dalam  pembuluh  darah  besar  pada ekstremitas  bawah  (kaki)  merupakan  penyebab meningkatnya  insiden  penyakit  oklusif  arteri  perifer  pada pasien-pasien  diabetes  mellitus. Rendam kaki menggunakan air hangat  membuat  sirkulasi  darah  menjadi lancar. Tujuan: Penelitian  ini  bertujuan  untuk  mengetahui  pengaruh  rendam  kaki  air  hangat  terhadap  peningkatan sirkulasi  darah  perifer  dilihat  dari  nilai  ankle  brachial  index  (ABI)  pada  diabetes  mellitus  di  Desa Purwojati Kecamatan  Purwojati.Metode: Penelitian ini menggunakan metode penelitian pra-eksperimental dengan jenis rancangan penelitian one group  pre-post  test  design. Pengambilan  sampel  dalam  penelitian  ini secara  total  sampling. Responden  dalam  penelitian  ini  sebanyak  26  pasien  diabetes  mellitus. Data  diambil  dengan  melakukan  observasi  pengukuran  ABI  sebelum  dan  setelah  terapi  rendam  kaki  air  hangat.Hasil: Terdapat  pengaruh  rendam  kaki  air  hangat  terhadap  peningkatan  nilai  ABI  pada  pasien  diabetes mellitus  dengan  hasil  nilai t  hitung  sebesar  10.079  dan nilai p value  sebesar  0.001  (p value < 0.05).
SELF MANAGEMENT PROGRAM PADA PASIEN HEMODIALISIS Suparti, Sri; Kurniawan, Titis
medisains Vol 14, No 1 (2015)
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Self management program merupakan upaya penting untuk meningkatkan efektifitas terapi hemodialisa (HD). Pasien yang menjalani HD sering mengalami berbagai kondisi yang mengharuskan pasien terlibat secara penuh, baik dalam penatalaksanaan, pengambilan keputusan terapi, pengelolaan gejala, pembatasn cairan, dan lain-lain. Karenanya, pasien yang menjalani HD harus memiliki kemampuan mengelola diri yang baik. Tujuan literature review ini adalah untuk menjelaskan tentang self management program pada pasien End Stage Renal Disease (ESRD) yang menjalani hemodialisis. Berdasarkan pada sumber literature jurnal penelitian ilmiah terkait. Dalam literature review ini, penulis menggunakan artikel yang bersumber dari electronic data base seperti EBSCO, Proquest, google scholar dan Pubmed dengan kata kunci self management program, self care management, ESRD, Hemodialysis dalam kurun waktu 2005-2014. Data yang didapatkan, ditelaah, dibandingkan, disusun secara sistematis dan dibahas. Dari empat belas  artikel yang terjaring, bentuk self management program terdiri dari intervensi edukasi dan support program, self care management cognitive behavior theraphy dan muscle strength training program, self efficacy training program, empowerment program, and home blood pressure monitoring and behavioural contracting and weekly telephone contact intervention. Self management program dari setiap literatur menyebutkan intervensi edukasi sebagai program utama, program edukasi ini juga dikembangkan dalam berbagai model. Kombinasi program psikologis dan latihan fisik, pemberdayaan dan edukasi dapat meningkatkan program self management pada pasien hemodialisis. Perbedaan  dari masing-masing program mencakup pada waktu dan teknis pelaksanaan, sedangkan persamaannya adalah hampir semua program tidak terlepas dari edukasi yang bertujuan memberikan informasi. Dengan demikian dapat disimpulkan bahwa bentuk self management support program terdiri dari kegiatan edukasi, therapeutic contract intervention dan follow up berupa kunjuangan rumah.
HUBUNGAN ANTARA KARAKTERISTIK BIDAN DENGAN PENGETAHUAN TENTANG KONTRASEPSI PIL KOMBINASI DI KABUPATEN CIREBON Achyar, Khamidah
medisains Vol 8, No 2 (2010)
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Background: Submission of preliminary true information, accurate and easily understood by the midwife to the acceptor isvery important to avoid mistakes of usage. Mistakes can cause failure of contraception usage. Importance of initialinformation provided, making it as key to the successful use of contraceptive method.Objective: This study aims to determine the relationship characteristics of midwives with knowledge of the contraceptivepill combination in the public health center located in Cirebon district.Methods: This study is correlation study with cross sectional design. The data collected is primary data. The data obtained from surveys using a questionnaire about the characteristics of respondents and knowledge of the combined contraceptive pill. Respondents are the midwives who work in public health centers located in Cirebon district. Data analysis using Chi square test at α = 0.05. Data collected from 212 respondents (n = 212).Results: Most of the midwife of public health centers in Cirebon district still educated in Diploma III as much as 179 midwives (84.4%), mostly aged <40 years as many as 182 midwives (85.8%), and most of them work in public health centers non PONED as many as 187 midwives (88, 2%). There was a significant correlation between the characteristics of midwives with the knowledge of the contraceptive pill combination in terms of educational background and age (p <0.05), while the terms of the workplace there is no significant correlation (p> 0.05).Conclusion: Education and age characteristics associated with midwife knowledge about contraceptive pill combinations. The implications of the results of the study recommended the need for government and professional midwives continue to provide learning opportunities at a better level for midwives to improve the quality of knowledge and health services provided by midwives to communities, the need for better coaching efforts to improve the experience of midwives, especially the necessary efforts guidance from the District Health Department in form of dissemination of knowledge through seminars, discussions, training and practical guidance from experts and experienced midwives. Numbers of midwives who are still working in non PONED public health centers indicate the need of government to increase health care facilities better so that it will provide the opportunity for midwives to provide better quality services in public healthcenters as PONED public health centers with better facilities.Keywords: Education and age, PONED public health centers, knowledge, contraceptive pill combination.
KEBERHASILAN TOILET TRAINING PADA ANAK USIA 3-4 TAHUN BERHUBUNGAN DENGAN PEMAKAIAN DISPOSIBLE DIAPER Kusbiantoro, Dadang
medisains Vol 10, No 1 (2012)
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Toilet training merupakan usaha melatih anak agar mampu mengontrol buang air kecil maupun besaryang berlangsung pada anak umur 18-24 bulan. Tujuan penelitian ini untuk menganalisa hubungan pemakaiandisposible diaper dengan keberhasilan toilet training pada anak usia 3-4 tahun. Desain penelitian ini adalahkorelasi dengan pendekatan Cross Sectional. Dengan jumlah sampel yang diambil 54 responden di PlaygroupAisyiah 02 Blimbing kecamatan Paciran kabupaten Lamongan. Sampel diambil dengan teknik Simple randomsampling. Data diambil dengan menggunakan kuesioner, kemudian ditabulasi dan dianalisis dengan uji Chisquare.Hasil penelitian menunjukkan sebagian besar (74,1%) anak tidak memakai disposible diaper, hampirsebagian (42,6%) anak berhasil melakukan toilet training. Melalui uji Chi-square didapatkan p= 0,003 dimanap≤0,05. Artinya terdapat hubungan pemakain disposible diaper dengan keberhasilan toilet training pada anakusia 3-4 tahun.Melihat hasil penelitian ini maka perlu pendidikan kesehatan pada orang tua maupun guruplaygroup tentang teknik toilet training yang baik dan benar untuk meminimalkan ketidakberhasilan toilettraining pada anak usia 3-4 tahun.Kata kunci : Disposible Diaper, Keberhasilan Toilet Training
PENGARUH TERAPI BERMAIN MEWARNAI DAN ORIGAMI TERHADAP TINGKAT KECEMASAN SEBAGAI EFEK HOSPITALISASI PADA ANAK USIA PRA SEKOLAH DI RSUD dr. R. GOETHENG TARUNADIBRATA PURBALINGGA Suyanti, Suyanti; Sodikin, Sodikin; Yulistiani, Mustiah
medisains Vol 10, No 1 (2012)
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Background: The impact of hospitalization one of which is anxiety. It can also occur in preschool children whowere hospitalized, so it can disturb the process of care and treatment given. One way to reduce the anxietythat is with play therapy.Objective: To determine the level of anxiety due to hospitalization that occurs in preschoolers and the effect ofplay therapy to decrease levels of anxiety due to hospitalization.Methods: This study used an experimental design with one group pre test-post test design. Samplingtechnique using non probality sampling technique by quota sampling. The sample in this study amounted to 30preschoolers of boys and girls. Play therapy is used that is coloring an origami.Results: The results of bivariate analysis indicate that there is a difference between the level of anxietyexperienced by children before and after play therapy with a significant p = 0.0001 at α = 0.05. Levels ofanxiety prior to play therapy showed score of 21.13, including the level of moderate anxiety, while the level ofanxiety after the play therapy showed score of 14.00, including the level of mild anxiety.Conclusion: There are significant differences in anxiety levels before and after play therapy. Play therapy canreduce anxiety levels pre-school age children, from moderate anxiety to mild anxiety.Keywords: Playing, Coloring, Origami, Preschool Age, Hospitalization, Anxiety
58 THE RELATIONSHIP BETWEEN DIABETIC KNOWLEDGE AND SOCIAL SUPPORT WITH THE BEHAVIOR OF DIABETIC RETINOPATHY PREVENTION AT DM SUFFERERS IN PROF. DR. MARGONO SOEKARJO GENERAL HOSPITAL OF PURWOKERTO Wicaksono, Akhir Priyo; Muchtasar, Bunyamin; Jatmiko, Wahyu
medisains Vol 11, No 2 (2012)
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Background: The prevalence of Diabetic Retinopathy (DR) in the world was estimated to be 100,8 million cases in 2010 and154,9 million cases in 2030. In 2007 - 2012, the prevalence of DR in Prof. Dr. Margono Soekarjo General Hospital ofPurwokerto was known 102 cases. Strict control glucose level and blood pressure by diet, physical activity, medicines, andstress management was needed to prevent DR complications. Under-go routine eye examination was same need to preventDR complications. To produces behavior in preventing DR complication should be needed several factors, such as knowledge and social support.Objective: To identify the relationship between knowledge and social support with preventing behavior of DR complication inDiabetic Clinic Prof. Dr. Margono Soekarjo General Hospital of Purwokerto.Method :This was a Cross-sectional approach-based on Correlational research. The populations involved 283 diabetic patients who had checked at a last month and not been being DR complication in Diabetic Clinic Prof. Dr. Margono Soekarjo GeneralHospital of Purwokerto. Samples were recruited based on incidental sampling involving 74 respondents. Data were collected through questionnaires. Bivariat analysis through Chi Square Test was data analysis technique used to test hypotesis.Results: The result between knowledge with preventing behavior of DR complication showed that there was signifcantrelationship, with p-value = 0,000. The corelation test result between social support with preventing behavior of DRcomplication showed that there was signifcant relationship, with p-value = 0,004.Conclusion: Based on the research, it was concluded that there was relationship between knowledge and social support withpreventing behavior of DR Complication in Diabetic Clinic Prof. Dr. Margono Soekarjo General Hospital of Purwokerto.According to the research results, it is recommanded to nurses and the other health practitioners to keep and improve healthcare to diabetic patients and their family with health education.Keywords : Diabetes Mellitus, Diabetic Retinopathy, Knowledge, Social Support, Behavior
THE EFFECTIVENESS OF CLASSIC MUSIC THERAPY TOWARD THE REDUCTION OF WORKING STRESS OF NURSE IN EMERGENCY DEPARTMENT RSUD DR. R. GOETENG TAROENADIBRATA PURBALINGGA Kurnianingsih, Dyah; Suroso, Jebul; Muhajirin, Ahmad
medisains Vol 12, No 3 (2012)
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Background of study: workng stress is part of nursing activities. This was caused by many things, and one of them is high working time. It makes the differences to the working performance. One way to overcome this matter is providing music therapy.Aim of the research: to observe the effectiveness of music therapy to the reduction of working strees in Emergency department RSUD Dr. R. Goeteng Taroenadibrata Purbalingga.Method: this research applied pre experimental design through one group pretest-post test method. Total sampling was used as a sampling technique consisted of 23 people. For analyzing the data, the researcher run paired simple t test. Research result: there was significant difference to the nursing before and after getting classic musical, with the mean before getting treatment was 33 and SD= 6.749 and with the mean 28.35 and SD= 6.642 after getting treatment. With p value = 0.000 and α= 0.05Conclusion: music therapy was effective method to reduce working stress in emergency department RSUD Dr. R. Goeteng Taroenadibrata with size effect= 5.594.Keywords: classic music therapy, working stress, nurse.
INTERRELATION OF FAMILY ROLE AND SELF CONCEPTION AND THE ADOLESCENTS’ AGGRESSIVE BEHAVIOR AT SMK KESATRIAN PURWOKERTO, BANYUMAS REGENCY Maghfiroh, Estri; Suroso, Jebul; Suparti, Sri
medisains Vol 13, No 1 (2013)
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Background: the increase of aggressive behavior among the adolescents recently has put a big concern to  all parties. This should lead to an improvement of family role to them. The young with a settled self-conception will be able to anticipate the changes and the problems they face in life. For others, the problems can trigger a bad behavior. The mismatch of personality and self-conception is one of the factors to lead into an aggressive behavior. Objective: the study is to find out the relation between the role of the family and the self-conception and the adolescent’s aggressive behavior among the students at a vocational school of SMK Kesatrian Purwokerto.Method: the design of the research adopted an analytical descriptive with a cross-sectional method. The population was all the students at the school. The sample was 91 students selected proportional random sampling. The variables included family role, self-conception, and the adolescents’ aggressive behavior which were obtained from the questionnaire. The data were then analyzed through chi square at the significance level of 5% (0.05).Results: the result of statistical test indicates a value of p_value 0,00 (< 0,05) which means that there is a relation between the role of family and self-conception and the adolescents’ aggressive behavior. Conclusion: there is a relation between the role of family and self-conception and the adolescents’ aggressivebehavior.
PENGARUH TERAPI TERTAWA TERHADAP KADAR GULA DARAH PADA LANSIA PENDERITA DIABETES MELLITUS TIPE II DI POSYANDU AMONG WREDA WILAYAH PUSKESMAS PURWOKERTO BARAT Larasati, Putri
medisains Vol 13, No 1 (2013): Edisi Khusus
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Background: Diabetes mellitus is present in elderly clinical picture varies widely from no symptoms to manifest complications and sometimes resembles a disease or changes commonly found in the elderly. In contrast to the younger group on the elderly in particular need better management of curative, preventive, non-pharmacological therapy, rehabilitative and promotif.Salah a form of nonpharmacological therapies that can attempt to normalize blood sugar levels in people with diabetes mellitus is laughter therapy.Purpose: to determine the effect of laughter therapy on blood sugar levels, knowing the demographic characteristics, check your blood sugar before and after laughter therapy, knowing the difference in blood sugar levels before and after laughter therapy in elderly patients with type 2 Dm.Methods: This study was pre-experimental design, the design of one group pre-post test was conducted by test.penelitian before treatmet or treatment and after treatment measurements or observations. samples used were 30 respondents affected elderly type 2 Dm. The data obtained were tested using paired t-test analysis.Results: From the analysis found that there is a decrease in blood sugar levels in elderly patients with type 2 Dm with a mean or average blood sugar levels before and after treatment 251.83 laughter laughter therapy to 242.17. Then performed t test where p values = 0000, so p <0.05 then the Ho is rejected which means that there is an influence between the blood sugar levels in elderly patients  with type 2 Dm before and after laughter therapyConclusion: laughter therapy has a significant effect on blood sugar levels decreased in the elderly. Keywords: laughter therapy, blood sugar level, diabetes type II, elders

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