MEDICA MAJAPAHIT

PENGARUH SENAM PROLANIS TERHADAP KADAR GULA DARAH PADA PASIEN DIABETES MELLITUS TIPE 2

Dwiharini Puspitaningsih, Ika Suhartanti, Lili Wahyuni — Tue, 30 Sep 2025 08:58:24 +0000

Type 2 diabetes mellitus is a chronic disease characterized by elevated blood sugar levels due to insulin resistance or inadequate insulin production. This condition affects the body's ability to use sugar (glucose) as an energy source. Prolanis exercises are one way to lower blood sugar levels. This study aimed to determine the effect of Prolanis exercises on blood sugar levels in patients with Type 2 Diabetes Mellitus at the Cita Mulia Mojokerto outpatient clinic. This study used a pre-experimental design with a one-group pretest-posttest design. A sample of 30 people was selected using accidental sampling. Data were analyzed using univariate analysis and bivariate analysis using the Wilcoxon signed-rank test. The results showed that almost half of the respondents adhered to Prolanis exercise with random blood sugar levels in the good category (43.3%). In addition, almost half of the respondents had random blood sugar levels in the range of 110–159 mg/dL (46.7%). The results of statistical tests showed an effect of Prolanis exercise on random blood sugar levels in patients with Type 2 Diabetes Mellitus (p=0.000). Physical activity through exercise has been shown to increase insulin sensitivity, thereby reducing blood glucose levels. Physical activity increases insulin levels, thereby reducing blood sugar levels. Health services need to provide motivational support to the community to participate in preventive activities such as exercise to further raise public awareness of the importance of consistently participating in Diabetes Mellitus control activities.

EFEKTIFITAS MANAGEMENT STRES TERHADAP TINGKAT STRES IBU HAMIL TRIMESTER III DALAM MENGHADAPI PERSALINAN

Nurun Ayati Khasanah; Sri Wardini Puji Lestari; Dwi Nurhidayati — Tue, 30 Sep 2025 09:01:11 +0000

Childbirth is an event full of stress for most mothers giving birth, causing increased pain, fear, and anxiety, especially in first-time mothers. In Indonesia, research conducted on third-trimester primigravida found that 33.93% experienced stress. Objective: To determine the effect of stress management on the stress levels of third-trimester pregnant women in facing childbirth. This study uses an analytical observational method with a cross-sectional approach. The population consists of all third-trimester pregnant women, and the sample is 35, with analysis using the Wilcoxon statistical test. The hypothesis used is that there is a relationship if p < 0.05. Research results Most respondents (55.6%) experienced mild stress before being given stress management treatment. And all respondents (100.0%) did not experience stress or were normal after being given stress management treatment. Based on the Wilcoxon statistical test, the significance value (p sign = 0.000) indicates that p < 0.05, thus H1 is accepted, meaning there is an effect of Stress Management on Third Trimester Pregnant Mothers' Stress Levels at BPM Mrs. Veronika in Tulus Bear Village, Tumpang District, Malang Regency. As a midwife, we can take several actions related to the possibility of stress in pregnant women by using stress management to reduce the stress levels in pregnant women when facing childbirth

PENGARUH DUKUNGAN KADER KESEHATAN MELALUI MEDIA GRUP WHATSAPP TERHADAP KEPATUHAN MINUM OBAT PADA PASIEN TBC PARU

Yudha Laga Hadi Kusuma, Siti Mahnunah, Fitria Wahyu Ariyanti — Tue, 30 Sep 2025 09:08:59 +0000

Compliance with taking medication is still a problem for pulmonary TB patients even though a medication supervisors (PMO) has been appointed to make treatment successful and prevent TB transmission in the community. Non-compliance with treatment will cause a high rate of treatment failure in pulmonary TB patients and the incidence of drug resistance. This study aims to determine the Influence of Health Cadre Support as Medication Supervisors (PMO) through WhatsApp Group Media on Medication Compliance in Pulmonary Patients in the UPTD Puskesmas Pungging Area.This research uses a research design pre-experiment one group pretest-posttest. The population in this study was 40 respondents. The sample in this study consisted of 15 respondents, who are taken using tsimple random sampling echniques. The instrument used was the MMAS-8 questionnaire to measure medication adherence. Statistical test using Wilcoxon sign rank test. The research results show that the average score of adherence to taking medication in pulmonary TB patients before intervention was given in the UPTD Puskesmas Pungging area was 5.47 in the low compliance category. Meanwhile, the average score of adherence to taking medication in pulmonary TB patients after being given intervention in the UPTD Puskesmas Pungging area was 7.47 in the moderate compliance category.Statistical test results show significance value (p) 0.001 which means that there is an influence of support from health cadres as medication supervisors (PMO) through WhatsApp group media on medication compliance in pulmonary TB patients in the UPTD Puskesmas Pungging area. The test results also show mark positive rank 15, which means that all respondents (100%) experienced an increase in compliance scores (positive ranks 15). Based on the results of this study, it is expected that the UPTD Puskesmas Punggig area can continue to implement PMO in the WhatsApp group which aims to monitor OAT consumption in pulmonary TB patients. In addition, a WhatsApp group can be formed within the patient's family members to help supervise the patient's medication consumption.

PENGARUH PERMAINAN SNOWBALL TERHADAP PENGETAHUAN TENTANG MENARCHE PADA SISWI KELAS 4 DAN 5

Tue, 30 Sep 2025 09:17:04 +0000

Early menarche is a reproductive health problem in Asian countries, including Indonesia. The age of menarche should be 13-14 years old but the age of menarche in Indonesia is 9 years old, increasing every year 0.145. Unreadiness age will affect mental readiness in facing menarche. The study aimed to determine the effect of educational media on the knowledge and attitudes of female students about menarche at SDN Kedungmaling Sooko Mojokerto Regency. This study used quantitative type with quasi experimental method in pretest-posttest design. The sample size was 43 with a total population of 60. The data collected by used questionnaire and then analyzed by using the Wilcoxon test. The results of the Wilcoxon test stated that there were changes in knowledge (p value = 0.000 <0.005) and attitudes (p value = 0.000 <0.005) before and after the snowball game intervention. Snowball game educational media is effective for school-age children, based on the results of the crosstab there was a change in knowledge from poor to good (70%) Children learning style has a character that involves the senses of hearing, vision, good concentration and collaboration of locomotif so that snowball games are appropriate for children. Students are expected to more to seek information about menarche, so that it could be have a good impact on readiness to face menarche.

EFEKTIFITAS MOBILISASI DINI TERHADAP PENYEMBUHAN LUKA PENYEMBUHAN LUKA PASCA OPERASI SECTIO CESAREA

Citra Adityarini Safitri, Sulis Diana, Faradina, Widya Puspitasari — Tue, 30 Sep 2025 09:22:14 +0000

Early mobilization is important for postpartum mothers after normal delivery or Sectio Cesarea. That is two hours after giving birth, at that time a mother must sleep on her back then tilt to the left or right then sit and stand. This study aims to determine the relationship between early mobilization and wound healing after cesarean section surgery at RSU Al Islam H.M Mawardi Krian. This research used a cross-sectional method, with a Systematic Random Sampling technique with a sample size of 70 respondents. Data collection was carried out by filling out a questionnaire created by the researcher and filled in by the respondent. The collected data was processed using statistical tests to be analyzed using the chi square test with (α) 0.05. The results of the study showed that almost all respondents carried out early mobilization which was carried out less than 6 hours after cesarean section surgery as many as 69 people (97.2%) and almost all respondents healed wounds after cesarean section surgery in good criteria as many as 68 people (95.8%). %). The results of the rho rank spearmen correlation analysis test show that the p value is 0.000, meaning there is a relationship between early mobilization and healing of SC Eracs surgical wounds at RSU Al Islam H.M Mawardi Krian. The correlation coefficient value obtained was 0.811, meaning that early mobilization and wound healing after SC surgery were very strong. Early mobilization is related to the healing of surgical wounds so it is hoped that health workers will always provide education and provide care to postpartum mothers after SC surgery to increase motivation in mobilizing after SC surgery.

FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN KUNJUNGAN IBU BALITA KE POSYANDU

Tue, 30 Sep 2025 09:38:13 +0000

Integrated Service Post (Posyandu) is a basic health activity organized from, by and for the community assisted by health workers in a work area of the Health Center. The existence of posyandu in the community plays an important role, but there are still many community members who have not made full use of it. Type of quantitative research uses an observational analytical method with a cross sectional approach. The population of all mothers under five (aged 12-59 months) is 125. Accidental Sampling technique as many as 95 respondents. The independent variables were knowledge, perception of affordability and family support, while the dependent variable was the visit of mothers under five. The data was processed through editing, coding, scoring, and data tabulation, analyzed using the Spearman Rank test. The research results showed that the majority (63%) of mothers under five actively visited the Posyandu in Deket Agung Village, the majority (64%) of mothers under five had sufficient knowledge, the majority (60%) had family support in the sufficient category, and the majority (57%) perceived reachability of the posyandu. The results of the Spearman Rank correlation test with a significance value of p value (0.001) α (0.05) with a correlation value (r) of Spearman Rank of knowledge of 0.833, perception of affordability of 0.568 and family support of 0.545. So that H1 is accepted, there is a relationship between knowledge, perception of affordability, family support and visits by mothers under five years old. The conclusion of the study is that knowledge, perception of affordability, and family support are factors influencing the visit of mothers under five to the posyandu. It is suggested that the posyandu can hold various activities to increase the motivation of mothers to visit the posyandu as well as provide varied and interesting additional food, as well as provide guidance to husbands/families so that they can play an active role.