Media Ilmu Kesehatan <p align="justify">Media Ilmu Kesehatan (MIK) is a scientific journal that aims to publish and disseminate various scientific papers to add insight and science in the field of health. That are includes the following, but is not limited to nursing, public health, pharmacy, blood bank technology, health recorder and information, midwifery, health analysts, nutrition, psychology and other health sciences with ISSN p-2252-3413 and e-ISSN 2548-6268.</p> Pusat Penelitian dan Pengabdian kepada Masyarakat FKes Universitas Jenderal Achmad Yani Yogyakarta en-US Media Ilmu Kesehatan 2252-3413 EFEKTIVITAS PIJAT EFFLEURAGE DAN COUNTERPRESSURE TERHADAP KEMAJUAN DILATASI SERVIKS PADA KALA I FASE AKTIF <p><strong>Backgraound</strong><strong>: </strong>Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions.</p> <p><strong>Objective:</strong> To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation.</p> <p><strong>Method: </strong>This was a quasi-experiment study with pre-post test nonequivalent control group<em>. </em>Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney.</p> <p><strong>Results: </strong>The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p<em>=</em>0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00.</p> <p><strong>Conclusion</strong>: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation.</p> <p>&nbsp;</p> <p><strong>Keywords<em>: </em></strong><em>C</em><em>ervical dilatation, </em><em>counterpressure</em><em>, effleurage</em></p> Retty Nirmala Santiasari Detty Siti Nurdiati Wiwin Lismidiati ##submission.copyrightStatement## 2019-01-29 2019-01-29 7 3 185 190 10.30989/mik.v7i3.293 PENGARUH PERENDAMAN AIR JERUK NIPIS TERHADAP KADAR FORMALIN DALAM IKAN ASIN TERI NASI <p><strong>Background:</strong>The use of formalin as a preservative in salted fish is potentially harmful to the human body,<br>for example in the salted anchovy. They are very popular for customers in Traditional Market of Yogyakarta.<br>The acidic compound, like lime water, can reduce theconcentration of formalin.<br><strong>Objective:</strong> This study aims to determine the effect of immersion of lime water on formalin concentration in<br>salted anchovy fish.<br><strong>Methods</strong>:A total of 25 samples from five traditional markets of Yogyakarta city were tested using formalin kit<br>test. Positive samples were treated with immersion of lime water with some concentration; 20, 40, 60, 80,<br>and 100% (v/v). Determination of formalin concentration was done by acidimetric method using 0.955N<br>hydrochloride and methyl red indicator.<br><strong>Results</strong>:Concentration of formalin before treatment is 1,397%. The content of Formalin after the immersion<br>treatment of lime water with concentration 20, 40, 60, 80, and 100% (v/v) for 60 minutes was 1.094; 1,015;<br>0.712; 0.426 and 0.283% (w/w).<br><strong>Conclusion</strong>:Based on the statistical test can be concluded that there is the influence of the concentration of<br>immersion of lime water to formalin concentration in salted anchovy fish. The higher concentration of lime<br>water can decrease formalin until 79.71%.</p> <p><br><strong>Keywords</strong>:Acidimetric formalin,anchovy salted fish,lemon water,traditional market of Yogyakarta</p> Amelia Handayani Burhan Yuli Puspito Rini Farisya Nurhaeni ##submission.copyrightStatement## 2019-01-31 2019-01-31 7 3 191 197 10.30989/mik.v7i3.295 STUDI FENOMENOLOGI: DUKUNGAN PADA IBU DALAM PERAWATAN BAYI PREMATUR DI RUANG RAWAT INTENSIF NEONATUS <p><strong>Background:</strong> The premature birth of infants is a process that leads to physical unpreparedness, sources of stress, and traumatize effects for the parents. Mostly mothers showed unpleasant memories that interfered the parents’ ability to take care of their premature baby.</p> <p><strong>Objective</strong><strong>: </strong>This study aimed &nbsp;to obtain in-depth understanding of mother’s support in neonatal &nbsp;intensive care ward.</p> <p><strong>Methods:</strong> This is a qualitative research using phenomenology approach involving eight participants. Data were collected through in-depth interview using data recording, interview protocol, and field note. Colaizzi method was used to analyse data.</p> <p><strong>Results:</strong> Two research themes were gained from data analysis, the source and the type of support for mother with premature infants’ care.</p> <p><strong>Conclusion:</strong> This study recommends for nurses to assist parents by discussing any problems and to facilitate bonding mother and baby through implementation continuum of discharge planning.</p> <p>&nbsp;</p> <p><strong><br> Keywords: </strong><em>Care for Premature Infants</em><em>, </em><em>Neonatal Intensive Care Ward, Supporting Mothers</em></p> Anafrin Yugistyowati ##submission.copyrightStatement## 2019-01-31 2019-01-31 7 3 198 205 10.30989/mik.v7i3.303 PENGARUH PEMBERIAN TERAPI BERMAIN TERHADAP PEMBELAJARAN MITIGASI BENCANA PADA ANAK AUTIS BERBASIS DISASTER NURSING COMPETENCY <p><strong>Background:</strong> A powerful earthquake in Yogyakarta, causing major damage and many deaths. Children with autism are more vulnerable and have a greater risk of earthquake because they are have an intellectual, social and verbal disability to safe life independently.</p> <p><strong>Objective: </strong>This research discussed the influence of play therapy on learning of disaster mitigation for children with autism.</p> <p><strong>Method:</strong> This research used qualitative descriptive design and consider a sample of 30 children with autism in SLB N Pembina Yogyakarta. Play therapy in this research use drawing and coloring methods, also watching video about disaster preparedness.</p> <p><strong>Results: </strong>Play therapy could effectively be applied as earthquake mitigation lesson to children with autism in SLB N Pembina Yogyakarta. Before interventions, there were 2 children (7%) able to draw on actions when an earthquake occurred, and increased to 19 children (63,33%) after interventions.</p> <p><strong>Conclusion:</strong> Play therapy could be effectively applied to children with autism as earthquake disaster mitigation showed by an increase of children’s drawing and coloring ability on actions when an earthquake occurred for as much as 56,33%.</p> <p>&nbsp;</p> <p><strong><em>Keyword: </em></strong>Children with autism, mitigation ability, play therapy</p> Fika Nur Indriasari Linda Widyarani Prima Daniyati Kusuma ##submission.copyrightStatement## 2019-01-29 2019-01-29 7 3 206 212 10.30989/mik.v7i3.300 IDENTIFIKASI KEJADIAN OBESITAS PADA LANSIA DI WILAYAH KERJA PUSKESMAS SIDOREJO KIDUL <p><strong>Background:</strong> Obesity is one of serious nutritional problems in Indonesia. Based on health profile of Central Java in 2015, Salatiga has the highest percentage of obesity problem counted 71.8% of 561,621 cases. Obesity in elderly are mostly caused by degenerative function of organs which lead to diabetes, hypertension, dyslipidemia, and heart disease. <strong>Objective</strong>: This study aimed to identify elders’ eating habits, their knowledge of obesity and to identify correlation between the knowledge and obesity.<strong>M</strong><strong>ethods:</strong> Observational survey technique by using interview, observation, and questionnaire method was employed to 89 respondents. Correlation among all variables was measured by utilizing Pearson Correlation Coefficient.</p> <p><strong>Results: </strong>As many as 10.8% of elderly are obese. Their knowledge regarding Pedoman Gizi Seimbang (PGS) is in sufficient category (69,7%). The respondents had unhealthy eating habit by consuming high carbohydrates and fats which might influence the incidence of&nbsp; obesity. There is no statistical correlation between respondents' knowledge and eating habits (r=-0.37, p&gt;0,05).</p> <p><strong>Conclusion: </strong>Even though there is no statistical correlation between respondents’ knowledge and their eating habits, there might be other factors such as age, sex, education, occupation, socio-economic, and family roles that need to be investigated as influencing factors to the obesity incidence in this population.</p> <p>&nbsp;<strong>Keywords:</strong> obesity, elderly, knowledge, dietary history, Salatiga</p> Kristiawan P. A. Nugroho R. L. N. K. Retno Triandhini Shara Minantri Haika ##submission.copyrightStatement## 2019-01-31 2019-01-31 7 3 213 222 10.30989/mik.v7i3.294 FAKTOR YANG BERHUBUNGAN DENGAN IDWG DAN TEKANAN DARAH PASIEN HEMODIALIS DI RUMAH SAKIT SWASTA YOGYAKARTA <p><strong>Background</strong>:&nbsp; Patients with hemodialysis always increase every year. In Indonesia the number of active hemodialysis in 2016 increased by 72.29% from 2015. The success of hemodialysis can be seen from the clinical condition of the patient, especially Interdialitic Weigh Giant (IDWG) and blood pressure. Therefore, it is very important to study related&nbsp; factors to IDWG and blood pressure in hemodialysis patients.</p> <p><strong>Objective</strong>: This study aims to describe related factors&nbsp; to IDWG and blood pressure in hemodialysis patients.</p> <p><strong>Methods</strong>: This is a quantitative descriptive analytic research. Number of samples is 65 hemodialysis patients using random technique.</p> <p><strong>Result</strong>: Based on the Spearman correlation test showed that statistically, there is a correlation between&nbsp; gender and&nbsp; IDWG p 0,024 &lt; 0,05, Exercise and Intradialysis diastolic blood pressure with p 0,000 &lt;0,05 (r = 0,46), comorbidities with Intradialysis diastolic blood pressure p 0,000 &lt; 0,05 and fluid intake with intradialysis&nbsp; systolic blood pressure p 0,031 &lt;0,05 (r = 0.28).&nbsp;</p> <p><strong>Conclusion</strong>: It is assumed that gender, exercise, comorbidities and fluid intake are related to IDWG and blood pressure. Based on result of this study, this is important for nurses to take more intensive education about controlling cimorbidities, fluid intake and motivation to exercise in daily life.</p> <p><strong>&nbsp;</strong></p> <p><strong>Keywords: </strong>Hemodialysis, blood pressure,&nbsp; Interdialitic Weigh Giant (IDWG)</p> Th Tatik Pujiastuti ##submission.copyrightStatement## 2019-01-31 2019-01-31 7 3 223 231 10.30989/mik.v7i3.296 KUALITAS HIDUP PASIEN STROKE DI POLIKLINIK RAWAT JALAN RUMAH SAKIT SWASTA YOGYAKARTA <p><strong>Background: </strong>stroke is a disorder of nervous system function that occurs suddenly and is caused by brain bleeding disorders that can affect the quality of life physical dimensions, social dimensions, psychological dimensions, environmental dimensions. Based on the result of Lumbu study (2015) the number of samples were 71 people collected data using the (WHOQOL-BREF). There were 56 people (78,9%) had the poor quality of life of post stroke. The mean of post-stroke quality of life domain was physical domain (45,27%), psychological domain (49,87%), social relations domain (48,15%) and environmental domain (50.01%).</p> <p><strong>Objective: </strong>the purpose of the study was know the quality of life of the stroke patients in Outpatient Polyclinic of Private Hospital in Yogyakarta.</p> <p><strong>Methods: </strong>used descriptive quantitative by using questionnaire test of purposive sampling system based on patients who have been affected of ischemic or hemorrhagic stroke before, number 30 respondents.</p> <p><strong>Result: </strong>quality of life of stroke patient of medium physical dimension (67%), psychological dimension (71%), social dimension (67%), dimension good environment (63%).</p> <p><strong>Conclusion: </strong>the quality of life of stroke patients of physical dimension, psychological dimension, and moderate social dimension, while the quality of life of stroke patients were good environmental dimension.</p> <p><strong><em>&nbsp;</em></strong></p> <p><strong>Keywords: </strong><em>Hemorrhagic stroke, ischemic stroke, quality of life</em></p> Hana Larasati Theresia Titin Marlina ##submission.copyrightStatement## 2019-01-31 2019-01-31 7 3 232 237 10.30989/mik.v7i3.274 GAMBARAN KARAKTERISTIK IBU HAMIL YANG MENGALAMI PREEKLAMPSIA <p><strong>Background :</strong> Preeclampsia is the escalting blood preasure as high as 140/90 mmHg at the minimal level, proteinuria, and oedema of pregnant mothers. Preeclampsia is a risk that may be harmful for mother and fetus. Up to date, the cause of preeclampsia remains unrevealed, but preeclampsia can effect certain grups like mother with predisposing factors such as age, education, job, parity, history of preeclampsia, history of hypertesion, nurtritional status , etc.</p> <p><strong>Objective :</strong> to identify The Description of Characteristics of Pregnant Mothers with Pre Eclampsia in PKU Muhammadiyah Hospital of Bantul during 1st January 2015 - 29th June 2017.</p> <p><strong>Method :</strong> This was a descriptive and quantitative study with total sampling data collecting method which was aimed to present a description about age, parity, job, education, history of hypertension, history of preeclampsia, and nutritional status with preeclampsia affection.</p> <p><strong>Result :</strong> Since the beginning of 2015 until mid 2017, there had been 49 preeclampsia cases, mostly in the group of age 20-35 years old (69,4%), multigravid pregnant mothers (77,6%), last education of Senior High School (49,0%), IMT aspect with more nutrition (71,4%), had no history of preeclampsia (63,3%), had history of hypertension (59,2%), other jobs or house-wives (40,8%).</p> <p><strong>Conclusions :</strong> It is expected that the hospital should always pay attention to pregnant women who are at risk of preeclampsia, in order to reduce the incidence of preeclampsia occurring in the area of the hospital and can cope with the incidence of preeclampsia earlier.</p> <p>&nbsp;</p> <p><strong>Keywords : </strong><em>Preeclampsia, Pregnant Women</em></p> Yanita Trisetiyaningsih Annisa Smaradika ##submission.copyrightStatement## 2019-01-31 2019-01-31 7 3 238 243 10.30989/mik.v7i3.298 ANALISIS PRODUK DARAH: KONTAMINASI BAKTERI PADA THROMBOCYTE CONCENTRATE <p><strong>Background: </strong>Bacterial contamination in thrombocyte concentrate (TC) blood product becomes a serious problem since it can cause clinical risks from mild symptom to death. TC storage condition at 22-25<sup>o</sup>C with agitation is good condition for bacterial growth. Source of bacterial contamination can come from donor bacteremia, not aseptically from taking and processing blood product. In a previous study, showed there were positive gram bacteria as bacterial contamination in TC.</p> <p><strong>Objective:</strong> This objective aims to determine bacterial contaminants in TC blood products. &nbsp;</p> <p><strong>Methods: </strong>Total of 3 TC bag samples were collected from UDD PMI Kabupaten Sleman. Each sample was inoculated to nutrient agar media and it incubated for 48 jam at 37<sup>o</sup>C. Observation of bacterial colony growth is carried out after incubation time is over.</p> <p><strong>Results:</strong> There was no bacterial growth in the media so that there was no bacterial contamination in TC. It showed that the procedures, processing, and storage of TC products in PMI Kabupaten Sleman were aseptic. Besides that, TC donors also did not suffer from bacteremia so there was bacterial contamination in TC.</p> <p><strong>Conclusion:</strong> In this study, bacterial contamination in blood product TC was not found since there was no bacterial growth in media.&nbsp;</p> <p><strong><br> Keywords: </strong><em>Bacterial contamination, blood products, </em><em>blood bank</em><em>, thrombocyte concentrat</em><em>e</em><em>.</em></p> Serafica Btari Christiyani Kusumaningrum Wiwit Eepvianti ##submission.copyrightStatement## 2019-01-31 2019-01-31 7 3 244 249 10.30989/mik.v7i3.292 STRATEGI RUMAH SAKIT UMUM SWASTA DI PURWOKERTO DALAM MENGHADAPI AKREDITASI <p><strong>Background:</strong> Accreditation is an obligation that must be done by every hospital in Indonesia. Purwokerto is the capital of Banyumas district, Central Java, Indonesia. Health services in Purwokerto are facilitated by 10 Public Hospitals and 7 are private public hospitals. Based on the preliminary study, of the seven general hospitals, get one hospital that has been accredited. How is the strategy of public private hospitals facing accreditation, becoming an interesting topic to learn.<strong>Objective:</strong> The purpose of this research is private hospital strategy in Purwokerto to face hospital accreditation.</p> <p><strong>Methods: </strong>The research method used is qualitative with phenomenology approach. Analysis the data research by using IPA (Interpretative Phenomenological Analysis).</p> <p><strong>Results:</strong> Based on the analysis of 5 informants, the theme of accreditation strategy for private hospitals that are human resources control, owner and management commitment, programmatic procedures, time management, process strategy, and building a comfortable working environment.</p> <p><strong>Conclutions: </strong>To be able of accreditation of public private hospitals need the ability to build human resources, and other resources both physical, facilities, environment and time management. Further research is expected to be implemented in all hospitals whether public hospitals, specialty, or clinics.</p> <p><strong>&nbsp;</strong></p> <p><strong><em>Keywords:</em></strong> <em>A</em><em>ccreditation</em><em>, </em><em>hospital, strategy </em></p> Bernadetta Eka Noviati ##submission.copyrightStatement## 2019-01-31 2019-01-31 7 3 250 258 10.30989/mik.v7i3.297 PENGARUH PEMBERIAN INFORMASI DENGAN APLIKASI WHATSAPP TERHADAP PENGETAHUAN REMAJA TENTANG HIV DAN AIDS <p><strong>Background: </strong>Yogyakarta has crucial health problem which is the rise of free sex incidence on youth which can lead to HIV and AIDS. One strategy to overcome this problem is by providing correct and easily accessible information of HIV/AIDS. Submission of the information is done through WhatsApp group application by considering the number of users and ease of information access through the application.</p> <p><strong>Objective:</strong> This study aimed to investigate the effect of information intervention using whatsapp on youth knowledge regarding HIV and AIDS in the Temon Kulon Progo district of Yogyakarta.</p> <p><strong>Methods: </strong>A pre-experimental study with one group pretest and post test design was applied to 50 respondents using purposive sampling. Data were gathered by employing questionnaires and then analized by using Wilcoxon Matched Pairs test.</p> <p><strong>Results:</strong> The results showed that there was an effect of giving information with whatsapp application to adolescent knowledge about HIV and AIDS in the Temon Kulon Progo district of Yogyakarta (z=-6,193; p&lt;0,05).</p> <p><strong>Conclusion:</strong> Information intervention by using WhatsApp can escalate the knowledge of youth regarding HIV and AIDS.</p> <p><strong><br> </strong><strong>Keywords:</strong> HIV and AIDS, Whatsapp, Teenagers</p> Herlin Fitriana Kurniawati Kharisah Diniyah ##submission.copyrightStatement## 2019-01-31 2019-01-31 7 3 259 264 10.30989/mik.v7i3.301 SPIRITUAL PASIEN PALIATIF DI RUMAH SAKIT, YOGYAKARTA <p><strong>Background: </strong>Palliative care goal is to improve the quality of life of the patient. Spiritual is believed can improve the quality of life in palliative patients.</p> <p><strong>Objective:</strong> The purpose of this research is to identify the spiritual status of palliative patients in PKU Muhammadiyah Gamping Yogyakarta Hospital.</p> <p><strong>Methods:</strong> This study is a non-experiment research. It used descriptive survey research method with 100 subjects which used total sampling technique. FACIT-Sp is choosen based on this validity(r=0,5) dan realibity (r=0,768) to get the spiritual status of the sample.</p> <p><strong>Results:</strong> The result of univariate analysis showed that the spiritual level of palliative patients in PKU Muhammadiyah Gamping Hospital with the mean values of 36,79 (0-48) and the spiritual component consisted of mean is 12,26 (0-16), faith is 12,85 (0-16) and peace 68 (0-16).</p> <p><strong>Conclusion: </strong>The spiritual status of palliative patients at Muhammadiyah Gamping Yogyakarta Hospital in the categories of meaning, faith, peace and spiritual level most&nbsp; have passed the cut of point, it showed that the palliative patient is headed to the good spiritual.</p> <p><strong><em>&nbsp;</em></strong></p> <p><strong>Keyword</strong> : <em>P</em><em>alliative care</em><em>, spiritual, mean, faith, peace</em></p> Milatul Afifah Arianti Arianti ##submission.copyrightStatement## 2019-02-04 2019-02-04 7 3 265 271 10.30989/mik.v7i3.331