Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan <p><strong>Viva Medika</strong>&nbsp;Is a journal that publishes articles or research results relating to health, nursing and midwifery issues. Viva Medika is published by Harapan Bangsa University twice a year (September and February). The mission of the Journal of Viva Medika is to disseminate and discuss scientific writings on midwifery, nursing, and various issues within the scope of health problems. This journal is intended as a medium of communication for lecturers and people who have attention to health, obstetrics, nursing.</p> <p><strong>Indexing</strong></p> <table style="width: 100%;"> <tbody> <tr> <td><a href=";user=gWl69r8AAAAJ"><img src="/public/site/images/fauzi0787/06-googlescholar.JPG" width="150"></a></td> <td><a href=""><img src="/public/site/images/fauzi0787/sinta1.png"></a></td> <td><a href=";from_ui=yes"><img src="/public/site/images/fauzi0787/crossref-logo-landscape-2001.png"></a></td> </tr> <tr> <td><a href=";type=AllFields&amp;filter%5B%5D=collection%3A%22Viva+Medika%3A+Jurnal+Kesehatan%2C+Kebidanan+dan+Keperawatan%22&amp;filter%5B%5D=format%3A%22Journal%22&amp;filter%5B%5D=institution_type%3A%22library%3Auniversity%22&amp;filter%5B%5D=institution%3A%22Harapan+Bangsa+University%22&amp;filter%5B%5D=collection%3A%22Viva+Medika%3A+Jurnal+Kesehatan%2C+Kebidanan+dan+Keperawatan%22"><img src="/public/site/images/fauzi0787/501ef584d8e165b99e6695605b42e0842.jpg"></a></td> <td><a href=";search_text=viva%20medika&amp;search_type=kws&amp;search_field=full_search&amp;and_facet_source_title=jour.1378709"><img src="/public/site/images/fauzi0787/download1.png"></a></td> <td><a href=""><img src="/public/site/images/fauzi0787/f54e953004a0d72fc2ad23a940b90a4b_(1)1.jpg"></a></td> </tr> <tr> <td><a href=";sort=relevance"><img src="/public/site/images/fauzi0787/semantic-scholar.png"></a></td> <td><a href=""><img src="/public/site/images/fauzi0787/download_(1)1.png"></a></td> <td><a href=";lang=en"><img src="/public/site/images/admin/ici2.png"></a></td> </tr> <tr> <td><a href=""><img src="/public/site/images/fauzi0787/garuda111.png" width="150"></a></td> </tr> </tbody> </table> Universitas Harapan Bangsa Purwokerto en-US Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan 1979-2026 <p>Submitted paper will be&nbsp; firstly reviewed by the editors to determine whether the paper meet the edition theme and submission guidelines. Papers which meet the theme and the guidelines will be assigned to selected reviewers for peer-reviews. Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan is a double blind peer-reviewed journal which involves&nbsp; reviewers based on their experties relevant to the topic of the paper. Final decision of paper acceptance is solely decided by the editors according to reviewers' comment.</p> <p>Plagiarism and self-plagiarism are prohibited. Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan uses PlagiarismCheckerX and iThenticate to scan papers for detecting plagiarism. Thus, Appropriate citation and quotation should be used</p> Upaya Meningkatkan Kualitas Tidur Lansia dengan Metode Pemberian Madu Murni <p>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</p> Nur Isriani Najamuddin Masyita Wahab Bella D. Shinta Andan Firmansyah ##submission.copyrightStatement## 2022-09-27 2022-09-27 16 1 1 11 10.35960/vm.v16i1.785 The Combination of Polyhexamethylene Biguanide and Cadexomer Iodine in Healing Chronic Venous Leg Ulcers: A Case Report <p>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</p> Asmat Burhan Septian Mixrova Sebayang ##submission.copyrightStatement## 2022-09-27 2022-09-27 16 1 12 21 10.35960/vm.v16i1.832 Hubungan Penggunaan Gadget dengan Perkembangan Psikososial Anak di SDN Karang Baru 04 Kabupaten Bekasi <p>Masih tingginya akses internet anak usia 5 tahun keatas di Indonesia untuk media social. Persentasenya mencapai 88,99%&nbsp; (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 <em>gadget </em>akan meningkatnya angka kecanduan gadget. Penelitian ini menggunakan desain <em>cros sectional.</em> Sampel pada penelitian ini sebanyak 126 responden di SDN Karang Baru 04 Cikarang Utara Kabupaten Bekasi, Pengambilan sampel dalam penelitian ini menggunakan tehnik <em>simple ramdom sampling</em> dengan <em>kuisioner</em>.&nbsp; Hasil&nbsp; penelitian didapatkan bahwa ada hubungan&nbsp; yang&nbsp; signifikan antara penggunaan <em>gadget</em> 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. &nbsp;Kesimpulan ditemukan ada hubungan penggunaan <em>gadget </em>dengan perkembangan psikososial anak usia 9 – 12 tahun di SDN 04 Karang Baru Kabupaten Bekasi.sehingga diharapkan kepada orangtua melakukan pengawasan penggunaan <em>gadget </em>baik hal dalam pembatasan waktu untuk menghindari kecanduan <em>gadget </em>&nbsp;ataupun dengan pemilahan internet yang dapat diakses oleh anak selain itu sekolah diharapkan juga melakukan pembatasan akses internet disekolah.</p> <p><strong>&nbsp;</strong></p> <p>&nbsp;</p> Ade Krisna Ginting Liana Riski Stiasih ##submission.copyrightStatement## 2022-09-27 2022-09-27 16 1 22 29 10.35960/vm.v16i1.835 Efektivitas Ekstrak Daun Jambu Biji (Psidisium Guajava L) Terhadap Penurunan Frekuensi Diare pada Anak Usia 6-12 Tahun di Puskesmas Aceh Besar <p>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</p> Cut Rara Hasviana Nanda Desreza Riyan Mulfianda ##submission.copyrightStatement## 2022-09-27 2022-09-27 16 1 44 52 10.35960/vm.v16i1.852 Pengaruh Pijat Laktasi Terhadap Peningkatan Produksi Asi pada Ibu Menyusui Bayi Usia 0-6 Bulan <p>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 <em>quasi eksperimental</em> dengan desain <em>pretest-posttest one group design</em>. 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 <em>p value</em> yaitu 0,000 &lt; 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.</p> Gusti Ayu Mega Ardi Lestari Ni Gusti Ayu Pramita Aswitami I Gusti Agung Manik Karuniadi ##submission.copyrightStatement## 2022-09-27 2022-09-27 16 1 53 61 10.35960/vm.v16i1.754 Pengaruh Senam Disminore Terhadap Skala Nyeri Disminore pada Remaja Putri Di Dusun Kenayan Wedomartani, Ngemplak, Sleman DIY <p><strong>Background</strong> : 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.</p> <p><strong>Objective</strong> : To determine the effect of dysmenorrhea exercise on pain scale during dysmenorrhea in adolescent girls in Kenayan Hamlet, Wedomartani, Ngemplak, Sleman DIY.</p> <p><strong>Methods</strong> : 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.</p> <p><strong>Results </strong>: 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.</p> <p><strong>Conclusion</strong> : There is an effect of dysmenorrhea exercise on the scale of dysmenorrhea in young women in the village of Kenayan.</p> <p><strong>Keywords </strong>: Dysmenorrhea Gymnastics,Pain, Youth</p> Anita Liliana Lala Budi Fitriana Nurul Febrina Syahidah ##submission.copyrightStatement## 2022-09-27 2022-09-27 16 1 72 79 10.35960/vm.v16i1.739 Gambaran Faktor Penyebab Kejadian Ketuban Pecah Dini di RSU Ananda Purwokerto <p>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</p> Nurinnisa Shiddiqiyah Tin Utami Wilis Sukmaningtyas ##submission.copyrightStatement## 2022-09-27 2022-09-27 16 1 80 89 10.35960/vm.v16i1.862 Gambaran Disfungsi Diastolik pada Pasien Hipertrofi Ventrikel Kiri (LVH) Menggunakan Ekokardiografi <p>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%</p> Sidhi Laksono Divina Rana Sartika ##submission.copyrightStatement## 2022-09-27 2022-09-27 16 1 90 96 10.35960/vm.v16i1.750 Gambaran Perilaku Wanita Usia Subur (Wus) dalam Upaya Deteksi Dini Kanker Serviks dengan Metode Acetic Acid Visual Inspection (IVA) di Wilayah Kerja Puskesmas Simpang Baru <p>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</p> Yos Bayu Apriliano Sri Utami Arneliwati Arneliwati ##submission.copyrightStatement## 2022-09-27 2022-09-27 16 1 30 43 10.35960/vm.v16i1.871 Studi Kasus: Pemberian Posisi Pronasi dalam Menjaga Stabilitas Saturasi Oksigen, Frekuensi Nadi, Pernafasan Dan Suhu pada Bayi Gawat Nafas <p>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</p> Ayu Anita Oswati Hasanah Christina Simorangkir ##submission.copyrightStatement## 2022-09-27 2022-09-27 16 1 62 71 10.35960/vm.v16i1.824 Cover dan Daftar Isi Vol 16 No. 1 Tahun 2022 Raden Bagus Bambang Sumantri ##submission.copyrightStatement## 2022-09-27 2022-09-27 16 1