https://ejournal.uhb.ac.id/index.php/VM/issue/feedViva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan2024-03-13T08:53:21+00:00Ir. Purwonovivamedika@uhb.ac.idOpen Journal Systems<p>Viva Medika is a journal that publishes articles and research results related to health, nursing, midwifery, health technology, health law, pharmacy, and various other topics within the field of health issues. Published by Harapan Bangsa University three times a year (in March, July, and November), the mission of the Viva Medika Journal is to disseminate and discuss various scientific writings. This journal serves as a communication medium for lecturers and groups concerned with health, midwifery, and nursing</p> <p><strong>Indexing</strong></p> <table style="width: 100%;"> <tbody> <tr> <td><a href="https://scholar.google.co.id/citations?&user=gWl69r8AAAAJ"><img src="/public/site/images/fauzi0787/06-googlescholar.JPG" width="150"></a></td> <td><a href="http://sinta.kemdikbud.go.id/journals/detail?id=6465"><img src="/public/site/images/fauzi0787/sinta1.png"></a></td> <td><a href="https://search.crossref.org/?q=Viva+Medika&from_ui=yes"><img src="/public/site/images/fauzi0787/crossref-logo-landscape-2001.png"></a></td> </tr> <tr> <td><a href="https://onesearch.id/Search/Results?lookfor=Universitas+Harapan+Bangsa&type=AllFields&filter%5B%5D=collection%3A%22Viva+Medika%3A+Jurnal+Kesehatan%2C+Kebidanan+dan+Keperawatan%22&filter%5B%5D=format%3A%22Journal%22&filter%5B%5D=institution_type%3A%22library%3Auniversity%22&filter%5B%5D=institution%3A%22Harapan+Bangsa+University%22&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="https://app.dimensions.ai/discover/publication?search_mode=content&search_text=viva%20medika&search_type=kws&search_field=full_search&and_facet_source_title=jour.1378709"><img src="/public/site/images/fauzi0787/download1.png"></a></td> <td><a href="https://www.scilit.net/wcg/container_group/101798"><img src="/public/site/images/fauzi0787/f54e953004a0d72fc2ad23a940b90a4b_(1)1.jpg"></a></td> </tr> <tr> <td><a href="https://www.semanticscholar.org/search?q=viva%20medika&sort=relevance"><img src="/public/site/images/fauzi0787/semantic-scholar.png"></a></td> <td><a href="https://www.neliti.com/journals/viva-medika"><img src="/public/site/images/fauzi0787/download_(1)1.png"></a></td> <td><a href="https://journals.indexcopernicus.com/search/details?id=124658&lang=en"><img src="/public/site/images/admin/ici2.png"></a></td> </tr> <tr> <td><a href="https://garuda.kemdikbud.go.id/journal/view/15373"><img src="/public/site/images/fauzi0787/garuda111.png" width="150"></a></td> </tr> </tbody> </table>https://ejournal.uhb.ac.id/index.php/VM/article/view/1354Characterization of Pregelatinized, Pentanol and Acetylated Modified Primary Starch2024-02-06T08:55:32+00:00Desy Nawangsaridesynawangsari@uhb.ac.idRani Prabandariraniprabandari@uhb.ac.idDina Febrinadinafebrina@uhb.ac.id<p><em>Tablets are pharmaceutical preparations consisting of active ingredients and excipients. One of the commonly used excipients is starch. (Colocasia esculenta (L). </em>Schott<em> var, Pratama) is a plant that contains a high source of starch. The use of natural starch in tablets has limitations in the form of less fast flow and poor compressibility. The purpose of this study was to modify natural starch by pregelatinization, pentanol and acetylation. This research was conducted using laboratory experimental methods, starting with sorting the starch tubers of (Colocasia esculenta (L). </em>Schott<em> var, Pratama), starch isolation, modification and characterization of the resulting starch. The characterization results showed that the flow rate of natural starch, pregelatinized, pentanol and acetylated sequentially was 1.9 ± 0.19; 2.15 ± 0.37; 1.35 ± 0.15; and 1.95 ± 0.14 g/s with an angle of repose of 20.49 ± 1.99; 17.12 ± 1.99; 22.92 ± 1.18 and 20.06 ± 1.97°, while the compressibility value is 20.23 ± 5.31; 15.47 ± 3.03; 21, 09 ± 2.8 and 19.09 ± 2.05%.</em></p>2024-03-13T00:00:00+00:00Copyright (c) 2024 Desy Nawangsari, Rani Prabandari, Dina Febrinahttps://ejournal.uhb.ac.id/index.php/VM/article/view/1359The Relationship between Self-Awareness Behavior and Nurses' Ability to Implement Patient Safety2024-02-11T11:32:21+00:00Titania Nur Rizkyatitanianur01@gmail.comSupratmansup241@ums.ac.id<p><em>The nurse's self-awareness behavior and ability play a very important role in patient safety. The nurse's behavior and ability play a very important role in patient safety performance. The purpose of this study was to determine the relationship between nurses' self-awareness behavior in carrying out patient safety at Dr. Moewardi Surakarta Hospital. This research is a quantitative research with a cross sectional design. The sample in this study amounted to 99 nurses. The study was conducted in January 2024 at Dr Moewardi Hospital Surakarta. The research instrument uses questionnaires developed by researchers. The results showed that the majority of respondents who had good self-awareness behavior also had good patient safety implementation as many as 71 people (80.7%). Meanwhile, respondents who had poor self-awareness behavior also had poor patient safety implementation as many as 6 people (2.6%) and obtained a significance value of 0.026. The results of the study can be concluded that there is a relationship between nurses' self-awareness behavior and patient safety at Dr. Moewardi Surakarta Hospital.</em></p>2024-03-14T00:00:00+00:00Copyright (c) 2024 Titania Nur Rizkya, Supratmanhttps://ejournal.uhb.ac.id/index.php/VM/article/view/1357The Correlation between Quality of Work Life and Job Satisfaction Among Nurses at RSU Dadi Keluarga Purwokerto Hospital2024-02-07T05:46:26+00:00Pambajeng Utamipambajengutami18@gmail.comTri Sumarnitrisumarni@uhb.ac.idPramesti Dewipramestidewi@uhb.ac.id<p><em>Job satisfaction is an important focus in healthcare services as it can affect patient satisfaction levels. Nurses feel satisfied when they experience good quality of work life, as job satisfaction itself is influenced by the level of quality of work life they undergo. The purpose of this study was to identify the relationship between quality of work life and job satisfaction levels at Dadi Keluarga Purwokerto Hospital. This research was conducted using quantitative methods and a cross-sectional approach. All 44 nurses at the hospital were made research subjects using total sampling technique. The job satisfaction measurement tool used was the Minnesota Satisfaction Questionnaire (MSQ), while quality of work life was measured through a Quality of Work Life questionnaire. The results showed that 77.2% of nurses had moderate levels of job satisfaction, while 81.8% had fairly good quality of work life. Spearman Rank analysis resulting in a p-value of 0.00 (<0.05) meant that the null hypothesis (Ho) was rejected and the alternative hypothesis (Ha) was accepted, with a correlation coefficient of 0.588 indicating a strong relationship between quality of work life and job satisfaction among nurses at Dadi Keluarga Purwokerto Hospital. This study advises nurses to further improve their quality of work life to determine strategies to enhance job satisfaction. Future researchers are recommended to examine other aspects such as commitment, work stress, work culture in relation to nurses' quality of work life and job satisfaction. Dadi Keluarga Purwokerto Hospital is also advised to establish a supportive work environment to achieve good quality of work life and job satisfaction.</em></p>2024-03-14T00:00:00+00:00Copyright (c) 2024 Pambajeng Utami, Tri Sumarni, Pramesti Dewihttps://ejournal.uhb.ac.id/index.php/VM/article/view/1347Analysis of Risk Factors for Stunting at Semanding Public Health Center, Tuban, Indonesia2024-02-02T03:07:44+00:00Valentino Christiantov.christhianto@gmail.comAdji Prayitnoadji_ps@staff.ubaya.ac.idSylvi Irawatisyl@staff.ubaya.ac.idApril Nurainiaprilnurainiok@gmail.com<p><em>Stunting is a health problem in all developing countries. Stunting causes low intellectual capacity in children, lowers competitiveness, and reduces the quality of human resources in the future. The purpose of this study was to determine the factors causing stunting that can be used as a measure for stunting prevention. A descriptive analysis was conducted using an observational method with a case-control design at the Semanding Community Health Center, Tuban Regency. Sampling was carried out using a total sampling technique with 130 respondents, divided into two groups: mothers with stunted toddlers (65 respondents) and mothers with non-stunted toddlers (65 respondents) from October to December 2023. Bivariate and multivariate data analyses were performed. Significant differences were found in the median maternal age at delivery (p=0.044), child's age when starting complementary foods in addition to breastfeeding (p=0.019), and timing of breastfeeding initiation after birth (p=0.025). The relationship between child characteristics that statistically significantly influenced the incidence of stunting was early initiation of breastfeeding (p=0.027). Early initiation of breastfeeding tended to influence the incidence of stunting</em></p>2024-03-14T00:00:00+00:00Copyright (c) 2024 Valentino Christianto, Adji Prayitno, Sylvi Irawati, April Nurainihttps://ejournal.uhb.ac.id/index.php/VM/article/view/1353Drug Utilization Analysis in Stroke Patients at Cilacap Regional Public Hospital Using the ATC/DDD Method and DU 90%2024-02-04T16:25:12+00:00Argi Asihargiasih01@gmail.comSunartisunarti@uhb.ac.idKhamdiyah Indah KurniasihIndahaffandy@gmail.com<p><em>Stroke is a serious medical condition in which the blood supply to the brain is disrupted, leading to the death of brain cells. The use of stroke medications aims to prevent and treat thromboembolism, and the increased use of stroke medications reflects the high global morbidity and mortality rates. This study aims to describe the utilization of drugs for stroke in patients treated at Cilacap Regional Public Hospital in 2022. The research method used was a descriptive study with a retrospective approach, referring to medical record data. A total of 167 samples were taken by purposive sampling, and the samples were evaluated using the ATC/DDD method and DU 90%. The results showed that the highest DDD/100 bed days value was for oral Acetylsalicylic Acid at 128124.19, and the lowest DDD/100 bed days value was for intravenous Phytomenadione at 6.73. The stroke medication included in the DU 90% was the ischemic stroke drug, oral Acetylsalicylic Acid, with a DU% value of 97.61%. The stroke medications in the 10% segment were the ischemic stroke drugs, namely oral Clopidogrel, oral Cilostazol, and oral Warfarin, as well as the hemorrhagic stroke drugs, intravenous Tranexamic Acid and intravenous Phytomenadione. The DDD per 100 bed days value for stroke medications exceeded the WHO's appropriateness criteria.</em></p>2024-03-14T00:00:00+00:00Copyright (c) 2024 Argi Asih, Sunarti, Khamdiyah Indah Kurniasihhttps://ejournal.uhb.ac.id/index.php/VM/article/view/1361Analysis of Factors Associated with Neonatal Mortality2024-02-18T03:03:24+00:00Syarifahsyarifah.unand321@gmail.comMayettivivamedika@uhb.ac.idDefrinvivamedika@uhb.ac.id<p><em>Neonatal mortality remains a leading cause of infant death despite being a key factor in child health and survival. This study analyzed factors related to neonatal mortality at Rokan Hulu District General Hospital using a quantitative, retrospective case-control approach. The 68 respondents (34 cases, 34 controls) were selected through purposive sampling. Data analysis used a logistic regression model. Prematurity emerged as the most influential variable (p=0.019), carrying a 4.344 times higher risk of neonatal death versus full-term births, after controlling for low birth weight and respiratory distress syndrome.</em></p>2024-03-14T00:00:00+00:00Copyright (c) 2024 Syarifah, Mayetti, Defrinhttps://ejournal.uhb.ac.id/index.php/VM/article/view/1345Nursing Care in Mrs. P with Warm Water Footbath Technique at Wangon Public Health Center, Banyumas Regency2024-02-01T01:51:33+00:00Rini Yulia Wardanirini.yulia8736@gmail.comTin Utamitinutami@uhb.ac.id<p><em>Hypertension during pregnancy is a major cause of high maternal, fetal, and neonatal morbidity and mortality. One intervention to reduce high blood pressure is warm water footbath therapy. Soaking the feet in warm water provides a sense of comfort, where the warm sensation on the skin stimulates endorphin hormones, inducing relaxation and reducing stress. This case study was conducted to determine the effect of warm footbath therapy on lowering blood pressure in pregnant women with hypertension in the working area of the Wangon Public Health Center, Banyumas Regency. The method used was a descriptive case study. The subject was a pregnant woman with hypertension, gestational age ≥ 20 weeks, and blood pressure of 140/90 mmHg. The population in this study was 1 person, using a total sampling technique. The results showed changes in blood pressure in the pregnant woman with hypertension before and after receiving warm water footbath therapy.</em></p>2024-03-14T00:00:00+00:00Copyright (c) 2024 Rini Yulia Wardani, Tin Utamihttps://ejournal.uhb.ac.id/index.php/VM/article/view/1356The Relationship between Knowledge Level and Medication Adherence Among Hypertensive Patients in Pekuncen Village2024-02-07T03:25:38+00:00Zulfa Rofiqohzulfarofiqoh6@gmail.comPramesti Dewipramestidewi@uhb.ac.idSiti Haniyahhaniwiyana56@gmail.com<p><em>Hypertension is a non-communicable disease that is sometimes encountered in healthcare services and can cause problems in the health sector. A common problem is non-adherence of patients to taking medications due to a lack of knowledge. The purpose of this study was to determine the relationship between knowledge level and medication adherence among hypertensive patients in Pekuncen Village. This quantitative study utilized a correlational research design with a cross sectional approach and purposive sampling technique with a sample of 71 hypertensive patients. Data was collected using a knowledge questionnaire and the MMAS-8. This study showed that the knowledge level was moderately adequate (45.1%) and medication adherence was moderate (40.8%). Analysis using the Spearman rank statistical test resulted in an r value of 0.661 indicating a strong relationship between the two variables. The p value was <0.001, meaning there is a relationship between knowledge level and medication adherence among hypertensive patients in Pekuncen Village.</em></p>2024-03-14T00:00:00+00:00Copyright (c) 2024 Zulfa Rofiqoh, Pramesti Dewi, Siti Haniyahhttps://ejournal.uhb.ac.id/index.php/VM/article/view/1321Global Trend in Medication Safety Tools and Technologies: Scoping Review2024-01-11T08:46:42+00:00Sri Ayu Candra A MisaliAyumisali11@gmail.comHumairatun Zakiyahhumairatunzakiyah14@mail.ugm.ac.idAfrianti Pakalessypakalessyafri@gmail.comSabrina Rahmatillah Azharsabrinarahma2017@gmail.comAlrega Widya Nerienectaalregawidya44@gmail.comArum Aripurnamiarumpurnami02@gmail.comAriani Arista Putri Pertiwiariani_psik@ugm.ac.idAyu Anitaanitaayu721@gmail.com<p><em>Background: Patient safety is a practice that focuses on preventing, reducing, and avoiding injuries that can occur to patients during medical care. One of the efforts is the safety and monitoring of drugs to ensure safety standards for patients. Medication errors are a significant patient safety problem and a critical indicator in assessing patient safety. The development of technology and informatics in nursing can help prevent medication errors. Objectives: To identify the tools used to address medication safety. Methods: Literature review using the PRISMA model approach. The analysis included articles from seven electronic databases published in the last five years. Results: 54 articles were collected and 15 relevant articles were selected. These studies are compiled from various countries and describe the tools used in implementing medication safety. Conclusion: The tools and technologies found can help medicinal programs and prevent errors in the care and administration of drugs in various hospitals worldwide</em>.</p>2024-03-14T00:00:00+00:00Copyright (c) 2024 Sri Ayu Candra A Misali, Humairatun Zakiyah, Afrianti Pakalessy, Sabrina Rahmatillah Azhar, Alrega Widya Nerienecta, Arum Aripurnami, Ariani Arista Putri Pertiwi, Ayu Anitahttps://ejournal.uhb.ac.id/index.php/VM/article/view/1338Analysis of Dental and Oral Health among Elementary School Students in The Working Area of Tembilahan Hulu Community Health Center2024-01-23T17:52:52+00:00Dessica Noviasaridessicanoviasari@gmail.comDoni Jepisahdonijepisah@htp.ac.idHailihaili_alfarizy@yahoo.com<p><em>Dental and oral health is an integral part of overall body health. Having healthy teeth and mouth significantly helps in activities such as speaking, eating, and socializing without being disturbed by pain, discomfort, or embarrassment. However, the reality is that the level of dental and oral health in Indonesia is still relatively low. This study aims to analyze the dental and oral health of elementary school students at the Tembilahan Hulu Community Health Center, Indragiri Hilir Regency. This research employs a qualitative method through in-depth interviews, observations, and document review. The research informants were the Head of the Community Health Center and the dentist. Observations were made by directly observing the planning, implementation, and reporting processes, as well as documentation review. The results of the study identified the priority problem, which was the high number of dental caries cases in school-age children at the Tembilahan Hulu Community Health Center. The causes were limited human resources for implementing the dental and oral health program, non-functioning counseling and mass tooth brushing, lack of educational media, incomplete School Dental Health (UKGS) KIT, no Health Operational Assistance funds for the UKGS program, lack of knowledge and awareness of the importance of dental and oral health, and the family environment having incorrect habits such as improper tooth brushing. It is recommended for the Community Health Center to attend dental and oral health training, create educational videos on Instagram, and optimize the budget for activities such as counseling and mass tooth brushing.</em></p> <p><em> </em></p>2024-03-14T00:00:00+00:00Copyright (c) 2024 Dessica Noviasari, Doni Jepisah, Hailihttps://ejournal.uhb.ac.id/index.php/VM/article/view/1358Evaluating the Triple Elimination Screening Program for Pregnant Women in Rokan Hilir District, Indonesia2024-02-07T15:23:05+00:00Riauni Syaputririaunisyaputri19@gmail.comBudi Hartonocoachbuton@gmail.comAzzah Rawanivivamedika@uhb.ac.id<p><em>The Triple Elimination program aims to prevent mother-to-child transmission of HIV, hepatitis B, and syphilis during pregnancy. This qualitative phenomenological study evaluated the implementation of the Triple Elimination program among pregnant women at the Rokan Hilir District Health Office in Indonesia. Five informants were purposively selected for in-depth interviews and document reviews. Data were analyzed using fishbone and SWOT analyses. Major barriers included limited knowledge and motivation among pregnant women due in part to inadequate midwife competencies in conducting screenings, insufficient health promotion infrastructure and activities, budget constraints, limited involvement of community stakeholders, and lack of supportive policies. Recommendations encompass enhancing midwife competencies, garnering policymaker support, optimizing community health cadres' roles, employing mobile health education strategies, and fostering partnerships through a Pentahelix approach. This streamlined abstract concisely summarizes the key aspects of the study including aims, methods, findings, and conclusions in clear language appropriate for an international audience</em></p>2024-03-14T00:00:00+00:00Copyright (c) 2024 Riauni Syaputri, Budi Hartono, Azzah Rawanihttps://ejournal.uhb.ac.id/index.php/VM/article/view/1349Analysis of Antidiabetic Drug Utilization at Cilacap Regional General Hospital in 2022 Using ATC/DDD and DU90% Methods2024-02-03T02:19:14+00:00Irma Nur OktavinaVinairma03@gmail.comSunartisunarti@uhb.ac.idGalih Samodragalihsamodra@uhb.ac.id<p><em>Diabetes mellitus is a chronic disease caused by metabolic disorders characterized by elevated blood glucose levels or hyperglycemia. The aim of diabetes mellitus treatment is to control blood glucose levels within the normal range, eliminate accompanying clinical symptoms, and reduce the risk of acute complications. To achieve therapeutic goals, pharmacological therapy can be administered using antidiabetic drugs. This research is an observational study involving retrospective data collection of outpatients with type 2 diabetes mellitus who used antidiabetic drugs. The prescribed antidiabetic drugs were then analyzed using the Anatomical Therapeutic Chemical (ATC) and Defined Daily Dose (DDD) methods. Data on antidiabetic drugs were collected and entered into the Microsoft Excel program to calculate the DDD/1000 KPRJ value and the 90% Du segment. The results showed that there were 7 antidiabetic drugs used, namely glimepiride, gliquidone, gliclazide, metformin, acarbose, vildagliptin, and pioglitazone, with glimepiride having the highest DDD value of 445.92 DDD/1000 KPRJ and gliquidone having the lowest DDD value of 128.70 DDD/1000 KPRJ. Meanwhile, glimepiride and metformin were the antidiabetic drugs included in the 90% Du segment.</em></p>2024-03-14T00:00:00+00:00Copyright (c) 2024 Irma Nur Oktavina, Sunarti, Galih Samodrahttps://ejournal.uhb.ac.id/index.php/VM/article/view/1339Implementation of Blood-Boosting Tablet Distribution for Adolescent Girls as an Effort to Prevent Anemia2024-01-24T05:46:16+00:00Arnita Juliantiarnitajulianti81@gmail.comNovita Ranynovitaaar11@gmail.comHailihaili_alfarizy@gmail.com<p><em>Anemia is one of the health problems worldwide, especially in developing countries, where an estimated 30% of the world's population suffers from it. The aim of this research activity is to understand the implementation of blood-boosting tablet distribution. The method used is qualitative, involving the USG stage to determine problem priorities, followed by SWOT analysis. The sample for this research report consists of high school female students. The next stage involves conducting counseling sessions according to the identified problem priorities. The activity took place at the Hulu Tembilahan Community Health Center in the Indragiri Hilir District from November 4th to December 18th, 2023. Through a well-organized series of stages, from preparation to conclusion, this activity successfully created a positive dialogue space between organizers and participants. The results indicated suboptimal implementation of distributing blood-boosting tablets for adolescent girls at the Hulu Tembilahan Community Health Center in the Indragiri Hilir District and identified problem priorities. The Plan of Action involves Health Education by healthcare professionals as an effort to increase the launch/commitment to anemia-free initiatives in the preventive implementation of anemia among adolescent girls.</em></p>2024-03-14T00:00:00+00:00Copyright (c) 2024 Arnita Julianti, Novita Rany, Hailihttps://ejournal.uhb.ac.id/index.php/VM/article/view/1344Implementation of Reproductive Health Services for Female Prisoners at Class IIA Women's Penitentiary in Bandung2024-02-01T01:46:30+00:00Elhana Theodora Simanungkalitelhanatheo@upi.eduDedah Ningrumdedahningrum@upi.eduIis Aisyahiis.aisyah@upi.edu<p><em>A convict is someone who is being rehabilitated by a state institution. However, prisoners have the right to good health, including reproductive health. This research aims to describe the implementation of reproductive health services for female prisoners at the Class IIA Women's Penitentiary in Bandung. This study uses a qualitative method with a phenomenological approach. There were 5 participants in this study who were determined using purposive sampling techniques according to the inclusion and exclusion criteria. The results of this study describe six themes: prevention of infectious diseases and non-communicable diseases (NCDs) through routine health education/screening, improving healthy lifestyles for female prisoners through regular exercise, menstrual hygiene services for female prisoners in prisons, providing balanced nutrition for prisoners' reproductive health, efforts to overcome stress for female inmates, and nurturing services from correctional officers in preventing sexual violence.</em></p>2024-03-15T00:00:00+00:00Copyright (c) 2024 Elhana Theodora Simanungkalit, Dedah Ningrum, Iis Aisyahhttps://ejournal.uhb.ac.id/index.php/VM/article/view/1256Effectiveness of Lecture with Demonstration Method on Maternal Knowledge about Growth and Development of Toddlers 2023-10-09T12:17:02+00:00Zubaedazubaeda95@gmail.comSuryanti Tukimanvivamedika@uhb.ac.idNilanvivamedika@uhb.ac.id<p><em>Growth and development are indicators of life achieved by humans from conception to adulthood (Faizah, 2020). An important period in a child's growth and development is the toddler stage, as this phase forms the foundation that will influence and determine the child's future development (Ayunita, 2017). At the Kairatu Barat Community Health Center, there is a Posyandu (Integrated Service Post) called Diaspora. A survey revealed that health promotion staff there always use the lecture method, which makes mothers of toddlers feel bored and inattentive to the counseling. This study aims to determine the effect of counseling using lecture and demonstration methods on mothers' knowledge about the growth and development of toddlers aged 3-5 years. This quasi-experimental study used a "two group pretest-posttest" research design. The population comprised 26 mothers with toddlers aged 3-5 years, all of whom were used as the research sample. Data was collected using a questionnaire to measure knowledge levels. Analysis using the Wilcoxon test showed that counseling using lecture (p=0.010) and demonstration (p=0.001) methods influenced the increase in mothers' knowledge. Meanwhile, the Mann-Whitney test showed that the demonstration method was more effective in increasing mothers' knowledge about the growth and development of toddlers aged 3-5 years (p=0.000).</em></p>2024-03-17T00:00:00+00:00Copyright (c) 2024 Zubaeda, Suryanti Tukiman, Nilanhttps://ejournal.uhb.ac.id/index.php/VM/article/view/1261The Effect of Pregnancy Yoga on Discomfort and Anxiety in Facing Childbirth at the JNC Clinic, Metro City2023-10-14T12:21:42+00:00Ike Hesti Puspasariikehesti11@gmail.comDessy Hermawanvivamedika@uhb.ac.idNova Muhanivivamedika@uhb.ac.id<p><em>Pregnancy yoga is one of the measures to facilitate and help anticipate the inevitable changes that come with the arrival of new life to prevent discomfort and anxiety. Anxiety data in the world shows an average of 15.6% of pregnant women experience psychological disorders. In China, 5.3% of pregnant women experience symptoms of depression, 6.8% experience anxiety, 2.4% experience physical discomfort, and in Indonesia, 26.8% experience anxiety before childbirth. The purpose of the study was to determine the average difference before and after doing pregnancy yoga on discomfort and anxiety in facing childbirth in third-trimester pregnant women. This was quantitative research with a pre-experimental pre-test post-test design with one group. The sample consisted of 38 third-trimester pregnant women who were given pregnancy yoga 4 times. The sampling technique used was purposive sampling. Univariate and bivariate dependent t-test data analysis was performed. In conclusion, there is a difference in the average yoga exercise on discomfort and anxiety in third-trimester pregnant women. Advice for pregnant women, pregnancy yoga can be used as a good and safe exercise choice in overcoming discomfort and anxiety.</em></p>2024-03-17T00:00:00+00:00Copyright (c) 2024 Ike Hesti Puspasari, Dessy Hermawan, Nova Muhanihttps://ejournal.uhb.ac.id/index.php/VM/article/view/1352Microbiological Examination of Imported Cosmetic Products in the Kurdistan/Iraq Market: A Comprehensive Analysis2024-02-04T12:22:30+00:00Yousif Hamed Mohamed-sharifdrysf@gmail.comBizhar Ahmed Tayebdrbat25@yahoo.comFarhad Ramadhan Cholidrfrd@gmail.comHivi Salim Khamohivizaxoli@gmail.comMohammed Mahmood Ibrahimmohammedzakho@yahoo.com<p>The presence of diverse nutrient levels in cosmetics can facilitate microbial proliferation. Typically, bacteria such as Staphylococcus, Pseudomonas, and Klebsiella spp. are implicated in the contamination of cosmetic products. It is highly plausible that the microorganisms identified in cosmetic items emanate from contaminated water sources. The primary aim of this study was to perform a comprehensive microbial analysis of specific brands of cosmetics frequently utilized in Iraqi communities. The scrutinized products encompassed a range of items, including hair shampoo, hair conditioner, skin cream, wet wipes, toothpaste, liquid soap, and baby shampoo. Within the scope of this investigation, 84 cosmetic products were examined, revealing a contamination rate of 7.14%. Predominantly, bacterial contamination was identified, with an absence of fungal contamination. Notably, hair shampoo exhibited the highest level of contamination among the examined products categories. The recovery of total viable bacterial counts was observed across all contaminated samples, including coliforms, Staphylococcus, and Pseudomonas sp. The findings of the microbial investigation indicate an elevated concentration of total viable microorganisms in all samples. Consequently, these compromised products pose substantial health risks to consumers</p>2024-03-17T00:00:00+00:00Copyright (c) 2024 Bizhar Ahmed Tayeb, Yousif Hamed Mohamed-sharif , Farhad Ramadhan Choli , Hivi Salim Khamo , Mohammed Mahmood Ibrahimhttps://ejournal.uhb.ac.id/index.php/VM/article/view/1337Analysis of Drug Logistics Management at Bunut Community Health Center, Pelalawan Regency in 20232024-01-23T07:32:54+00:00Ella Irmayeniellaairmayeni@gmail.comBudi Hartonocoachbuton@gmail.comZul Akbarzakbar074@gmail.com<p>The availability of medicines is currently a demand for health services, so they must be available at all times so that health services can run optimally. Drug control at the Bunut Community Health Center cannot be carried out optimally because the demand for drugs is sometimes not met due to shortages of drugs from the Health Service and inadequate facilities and infrastructure. The research objective is to analyze drug logistics management through input and process components using a qualitative descriptive approach method with in-depth interviews with the Community Health Center. There were 3 informants, namely the pharmacist as the BLUD treasurer, the planning pharmacist and the pharmaceutical installation (logistics) pharmacist assistant who best understands the budget and flow of planning, requesting, storing, distributing, destroying and controlling is the pharmacist in charge of logistics. So, for this residency activity, I chose informants who were competent and capable so that I could understand information related to logistics at the Bunut Community Health Center in its entirety from the Bunut Community Health Center aspect. The data collection method is in-depth interviews and research. Data analysis uses problem solving cycle techniques including situation analysis, problem identification, problem priorities and determining alternative problems using Fishbone analysis and Plan of action. The priority problem in this research is that drug control at the Bunut Community Health Center has not been implemented optimally. There are still drugs received that do not meet needs. It is hoped that the community health center can communicate and coordinate periodically existing problems with all stakeholders, especially the Pelalawan district health office so that drug needs are met and the budget is appropriate and it is hoped that the Health Service will fulfill all drug requests</p>2024-03-17T00:00:00+00:00Copyright (c) 2024 Ella Irmayeni, Budi Hartono, Zul Akbarhttps://ejournal.uhb.ac.id/index.php/VM/article/view/1334Utilization of Leaflet Health Promotion Media in Hospital Inpatient Rooms: A Qualitative Study2024-01-22T14:56:31+00:00Aldo Prama Anantaaldoprama07@gmail.comNovita Ranyoktaviadewi@htp.ac.idDewi Hayati Prabuazzah.rawani1976@gmail.com<p>The implementation of Hospital Health Promotion (PKRS) in the inpatient rooms of Arifin Achmad Regional General Hospital faced several obstacles, causing the available PKRS leaflets to accumulate and go unread by patients and families. The purpose of this study was to identify problems, prioritize issues, and determine alternative solutions. The method used was qualitative with in-depth interviews, observation and document review. Problem prioritization was done qualitatively using the Urgency, Seriousness, Growth (USG) method. The study found 5 main problems in PKRS implementation: unavailability of needed infrastructure hindering PKRS activities, lack of utilization of leaflet health promotion media, suboptimal monitoring and evaluation of hospital health promotion management, no revision of standard operating procedures in the PKRS unit, and inactive monitoring and evaluation with several foundations and associations. USG analysis concluded the main issue was non-functioning leaflet media in inpatient rooms due to underutilization by nurses. Alternative solutions were adjusted to the problem elements: man, method, material, market, machine, money and environment</p>2024-03-17T00:00:00+00:00Copyright (c) 2024 Aldo Prama Ananta, Novita Rany, Dewi Hayati Prabuhttps://ejournal.uhb.ac.id/index.php/VM/article/view/1317Spatial and Epidemiological Analysis of the Incidence of Under-5 Pneumonia in Bangka Belitung2024-01-08T13:44:23+00:00Syariifaturrahmatudzakiyyahzakiyah.rhm3112@gmail.comNajmahnajmah@fkm.unsri.ac.idAndri Nurtitodinkes@babelprov.go.idEvaluasidinkes@babelprov.go.idM.Rais Harudinkes@babelprov.go.idDeby Mahariskabeemahariska@gmail.comEnni Restiyanienniristiyanibabel@gmail.com<p><em>Bangka Belitung has the second highest prevalence of pneumonia in Indonesia in 2019 and there will be an increase in cases in 2022. Pneumonia is a disease caused by Streptococcus pneumoniae or pneumococcal bacterial infection which can cause death, especially in developing countries. This research aims to look at the distribution and epidemiology of toddler pneumonia in Bangka Belitung Province in 2023. Using descriptive methods with a quantitative approach using an ecological design with a sample size of 1,157. This research uses secondary data obtained from routine monthly ISPA reports for pneumonia cases, immunization data from the Sehat IndonesiaKu Application (ASIK) and manual recaps, population density data obtained from data listed in the monthly ISPA and BPS Bangka Belitung Province routine reports. The research results show that the Incidence Rate in 2023 is 784.8 per 100,000 children under five with a CFR and UFMR of 0. The highest cases occur in areas with high population density and include low PCV immunization. The proposed cases are 50.6% male and 49.4% female, while the proportion aged < 1 year is 24.2% and 1 - < 5 years is 75.8%. The results of the Chi-Square Test are an age p-value of 0.255 and a gender p-value of 0.960. It was concluded that there was no relationship between the characteristics of toddlers and </em><em>pneumonia, namely gender and age of toddlers</em></p>2024-03-17T00:00:00+00:00Copyright (c) 2024 Syariifaturrahmatudzakiyyah, Najmah, Andri Nurtito, Evaluasi, M.Rais Haru, Deby Mahariska, Enni Restiyanihttps://ejournal.uhb.ac.id/index.php/VM/article/view/1327Liquid Waste Management at the Environmental Health Installation at Dumai Regional Public Hospital2024-01-20T06:08:18+00:00Al Furqanalf060458@gmail.comOktavia Dewidewitavia@yahoo.comHerman M Purwaonegorodr.herman1003@gmail.com<p><em>The management of hospital liquid waste should be a concern based on WHO data indicating that 75% - 90% of the waste generated is household waste and 10% - 25% is hazardous waste, thus requiring management in accordance with applicable regulations. The aim of this research is to investigate the management of liquid waste carried out at the Environmental Health Installation of Dumai Regional Public Hospital in 2023. The research method used a qualitative descriptive design. Research informants were obtained using purposive sampling technique involving 6 individuals consisting of liquid waste management implementers, head of departments, and installation heads, as well as parties involved in liquid waste supervision. Data collection was conducted through in-depth interviews, document analysis, and field observations. Findings indicate the need to enhance the competency of Environmental Health Installation personnel in managing liquid waste. The management of liquid waste is expected to comply with the Standard Quality Control of Liquid Waste Management. Periodic monitoring of the physical, chemical, and microbiological quality of liquid waste is necessary. In conclusion, the management of liquid waste at the Environmental Health Installation of Dumai Regional Public Hospital in 2023 has been well conducted. This residency report demonstrates that the procedures for collection, storage, handling, and disposal of liquid waste at the hospital are in accordance with prevailing safety, environmental, and health standards.</em></p>2024-03-17T00:00:00+00:00Copyright (c) 2024 Al Furqan, Oktavia Dewi, Herman M Purwaonegorohttps://ejournal.uhb.ac.id/index.php/VM/article/view/1266The Relationship Between Self Compassion and Stress of the Elderly Who are Treated in Nursing Homes2023-10-23T05:43:24+00:00Dyah Vierdianadyahvierdiana@ukh.ac.idAmin Aji BudimanAjibudimann@gmail.comNadya Puspita Adriananadyadriana91@gmail.com<p><em>The prevalence of mental disorders is high in the elderly category, where it contains 8.9%. Stress is one of the issues that the elderly suffer. A trigger such as the living environment suppress the elderly's feelings of stress. To reduce stress, older ones can increase their individual's self-compassion. Therefore, this study aims to determine the relationship between self-compassion and stress levels in elderly people in nursing homes. This research uses quantitative methods, namely the correlation type. The instrument used to measure self-compassion is the Adaptation Self-Compassion Scale (SCS) and the stress level instrument is the Perceived Stress Scale. The sample for this research consisted of 50 respondents. The data analysis technique uses correlation coefficient analysis. The research results show that there is a significant relationship between self-compassion and stress for elderly people in nursing homes.</em></p>2024-03-17T00:00:00+00:00Copyright (c) 2024 Dyah Vierdiana, Amin Aji Budiman, Nadya Puspita Adrianahttps://ejournal.uhb.ac.id/index.php/VM/article/view/1329Implementation of Hospital Management Information System for Optimizing Healthcare Service Operations at A Hospital2024-01-21T09:18:02+00:00Rotua Novita Sinagar.novitasinaga97@gmail.comMitramitra@htp.ac.idKirby Saputrasaputrakirby@gmail.com<p><em>Computer-based Hospital Information Systems (HIS) are increasingly crucial, yet realizing them requires more effort than merely developing the system. Government regulations mandate the implementation of HIS in every hospital. With HIS, data processing becomes easier, yielding rapid, precise, accurate, and up-to-date information tailored to user needs. This study aims to investigate the implementation of HIS to optimize healthcare service operations at the Dr. Sukirman Military Hospital in Pekanbaru. It employs a qualitative descriptive research design with a case study approach using interviews. The study took place at Dr. Sukirman Military Hospital from November to December 2023, focusing on HIS implementation. Data collection techniques included in-depth interviews, participatory observation, and document review supported by a checklist related to HIS implementation. Data were collected through in-depth interviews with six informants, direct involvement in informant activities through observation, and document review with a checklist. Data analysis employed fishbone analysis, and data validity was tested using the triangulation method. Findings revealed that human resources lacked skills, experience, motivation, responsiveness, needed socialization, supervision, and that socialization and supervision methods in HIS implementation were lacking. Moreover, the material, machine, and environment aspects were still ineffective in-service quality and operational aspects. Therefore, there is a need to enhance human resource competencies through training and supervision to improve the quality of HIS implementation, and there is a need to develop systems for HIS implementation to optimize hospital operations.</em></p>2024-03-17T00:00:00+00:00Copyright (c) 2024 Rotua Novita Sinaga, Mitra, Kirby Saputrahttps://ejournal.uhb.ac.id/index.php/VM/article/view/1331Factors Associated with Completeness of Basic Immunization in Children Under Five in The Working Area of Bangko Jaya Community Health Center2024-01-21T15:22:47+00:00Novita Saragidr.novitasaragih@gmail.comOktavia Dewioktaviadewi@htp.ac.idAzzah Rawaniazzah.rawani1976@gmail.com<p><em>The health law states that every child has the right to receive basic immunization in accordance with the provisions. At Bangko Jaya Community Health Center, only 76.7% of children under five received complete basic immunization. This study aims to determine the factors associated with completeness of basic immunization for children under five in the working area of Bangko Jaya Community Health Center, Rokan Hilir Regency. This study uses a qualitative phenomenological research method that explains the reasons for incomplete basic immunization in children under five. This research was conducted from November 27 to December 14, 2023. The informants in this study were parents of children under five, cadres and immunization program holders, parents, and community perceptions of immunization. The informant selection technique was based on availability to be interviewed and adequacy. Based on the results of in-depth interviews with parents of children under five and the community in the working area of Bangko Jaya Community Health Center, the main obstacles to participation in immunization for children under five involve several aspects. [From the results of the residency report, parents of children under five tend to be less active in immunization activities, feel they do not need to return after immunization is complete, or have difficulty attending due to work. Efforts to increase participation involve innovative strategies such as providing rewards to children under five who diligently attend or holding interesting activities at the integrated health service post. On the other hand, public perceptions of immunization are still influenced by fears of vaccine side effects or religious views. From the results of the residency report, it can be concluded that the importance of collaboration with community leaders and village government in changing this perception is a key factor in increasing participation. Thus, a comprehensive approach is needed that involves collaboration between health workers, integrated health service post cadres, community leaders, and village government to design more effective counseling strategies and improve service quality.</em></p>2024-03-17T00:00:00+00:00Copyright (c) 2024 Novita Saragi, Oktavia Dewi, Azzah Rawanihttps://ejournal.uhb.ac.id/index.php/VM/article/view/1302A Case Study: Application of Kersen Leaf Extract (Muntingia Calabura L.) and Manuka Honey Ointment Combination On Second Degree Superficial Burns2023-12-19T06:36:42+00:00Shella Oktavia Cahyaningrumshellaoktavia19feb@gamail.comEstrin Handayaniestrinhandayani@ummgl.ac.idEka Sakti Wahyuningtyasekasakti@ummgl.ac.idRatna WijayatriRatna.wijayatri@ummgl.ac.id<p><em>Background: Burns are a significant cause of morbidity and mortality globally. Intensive treatment is necessary to prevent infection and manage erythema in burn wounds. This case study aims to evaluate the effectiveness of a combination ointment containing Kersen (Muntingia calabura L.) leaf extract and Manuka honey in treating second degree superficial burns. Methods: A case study design employing evidence-based practice was used. Data were collected through interviews, observations, and physical examination. The study was conducted from October 14-28, 2023 in Mirikerep Hamlet, Pringsurat Village, Temanggung Regency, Indonesia. A comprehensive nursing care approach was implemented, including assessment, diagnosis, intervention, implementation, and evaluation. Results: Macroscopic examination revealed a significant reduction in wound area from 5.5x3 cm to 0.5x0.3 cm after treatment with the combination ointment. The ointment effectively promoted epithelialization and tissue regeneration in the healing process of second-degree superficial burns. Conclusions: The combination ointment containing Kersen leaf extract and Manuka honey demonstrates potential as an effective treatment for second degree superficial burns. Further research is warranted to elucidate the mechanisms underlying its therapeutic effects.</em></p>2024-03-17T00:00:00+00:00Copyright (c) 2024 Shella Oktavia Cahyaningrum, Estrin Handayani, Eka Sakti Wahyuningtyas, Ratna Wijayatrihttps://ejournal.uhb.ac.id/index.php/VM/article/view/1195Effect of Length of Illness on Achievement of Systolic and Diastolic Blood Pressure Therapy Targets for Grade 1 Hypertension2023-09-23T14:45:31+00:00Suci Khasanahsucikhasanah@uhb.ac.idPramesti Dewipramestidewi@uhb.ac.id<p>Blood pressure >140 mmHg is at high risk for cardiovascular diseases. The aim of the study was to determine the effect of length of illness on the achievement of the target of systolic blood pressure (SBP) and diastolic blood pressure (DBP) in grade 1 hypertension patients without comorbidities. The study design was cross sectional, with a sample size of 34 respondents who met the sample criteria taken from 93 grade 1 hypertension patients without comorbidities. Blood pressure data for the last 3 months based on medical records at the puskesmas and direct blood pressure measurements in the 4th month. The duration of hypertension illness was calculated from the time the doctor diagnosed it until the time of data collection, by means of interviews. Data analysis using chi square. The results of the research on the effect of length of illness on the achievement of SBP and DBP were obtained: p value 0.018, V -0.407, OR (CI) 0.134 (0.023-0.799) and p value 0.019, V -0.402, OR (CI) 0.083 (0.007-0.950). Conclusion: The more chronic you suffer from grade 1 hypertension, the lower the chances of achieving SBP and DBP therapeutic targets. Length of illness needs to be considered in the management of grade 1 hypertension patients.</p>2023-03-17T00:00:00+00:00Copyright (c) 2024 Suci Khasanah, Pramesti Dewi