Gaceta Médica de Caracas http://saber.ucv.ve/ojs/index.php/rev_gmc <p class="Default">La Gaceta Médica de Caracas, es el órgano de divulgación de la <a href="https://academianacionaldemedicina.org/">ACADEMIA NACIONAL DE MEDICINA</a>. Siendo su responsable editorial.</p> <p><strong>ISSN impreso</strong>: 0367-4762</p> <p><strong>ISSN-e:</strong> 2739-0012</p> <p class="Default"> </p> <p class="Default"> </p> Academia Nacional de Medicina venezolana. es-ES Gaceta Médica de Caracas 0367-4762 The Changing Face of Metabolic Disorders: Current Trends and Future Directions http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29717 <p>Metabolic diseases, such as obesity, diabetes mellitus, and metabolic syndrome, have emerged as significant global public health concerns. Their rising prevalence, accompanied by changing lifestyles, urbanization, and dietary regimes, requires further updates on the underlying mechanisms, epidemiology, and therapeutic interventions. This editorial aims to synthesize recent findings and trends in metabolic diseases, highlighting the contribution of genetics, environmental factors, and innovative therapeutic approaches.</p> Rifky Octavia Pradipta Ferry Efendi Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 167 170 Comité Editorial de la Gaceta Médica de Caracas (Editorial Board) http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29714 Gaceta Médica de Caracas Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 The effect of mindfulness interventions on blood pressure and stress in hypertensive patients: A Literature Review http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29735 <p>Introduction: Hypertensive patients have received appropriate treatment, but some still show uncontrolled blood pressure. One way to control blood pressure is to adopt a healthy lifestyle and manage stress, with or without drug therapy. This study aimed to review the literature on the effectiveness of mindfulness interventions on hypertensive patients’ blood pressure and stress, providing a focused and comprehensive understanding of the topic.</p> Adin Mu’afiro Nursalam Joko Suwito Kiaonarni O.W Sri Hidayati Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 266 282 Partograph adherence trends in various healthcare services: A Systematic Review http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29736 <p>A partograph is a tool used to monitor the progress of labor and identify potential complications. However, evidence shows that many countries still need to improve partograph adherence. This study aims to review the adherence to using partographs in health services. Literature is identified through PubMed, Scopus, and Google Scholar with the keywords “Partograph,” “Adherence,” AND “Health Care.” In total, 12 studies were identified and analyzed. The results showed that partograph adherence in developing countries ranged from 20% to 80%. Factors associated with low adherence include a lack of training and knowledge of partographs among healthcare workers, lack of resources, and traditional childbirth culture. Compliance with partographs<br>still needs to improve in health services.</p> Widya Maya Ningrum Soetrisno Sri Mulyani Lia Nurcahyani Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 283 293 Impact of Mindfulness-Based Stress Reduction on Diabetes Mellitus Psychological Well-Being and Glycemic Control: A Systematic Review http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29737 <p>Introduction: It is a well-established fact that many diabetes mellitus patients grapple with psychological issues, which can often lead to depression if not properly managed. This systematic review was conducted to explore the impact of mindfulness therapies on the psychological well-being and blood glucose levels of those with diabetes mellitus. Methods: The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) criteria. The keywords were type 2 diabetes mellitus, mindfulness-based stress reduction, glycemic control, blood glucose, glycated hemoglobin, and psychological well-being.</p> Arina Qona’ah Nursalam Nursalam Ninuk Dian Kurniawati Moses Glorino Rumambo Pandin Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 294 304 Challenges encountered during the process of obtaining informed consent in human subject research: A Scoping Review http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29738 <p>Introduction: Informed consent is a procedure to encourage and invite participants by providing information when making research decisions. However, implementing informed consent is considered unfeasible and imposes constraints on the value of research inquiries. Obtaining informed consent is also seen as a potential bias in acquiring knowledge. In other words, research participants and researchers face many challenges in the process of informed consent. This comprehensive study aimed to map the challenges encountered while obtaining informed consent in human subject research.</p> Erica Dorelia Pajuk Kyela Friska Br Sinurat Enjelika Putri Manalu Ni Gusti Ayu Eka Komilie Situmorang Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 305 329 Identifying internal and external factors of pressure injury in surgical patients: Literature Review http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29739 <p>Introduction: Pressure injury (PI) induced by surgical interventions usually occurs within a few hours after surgery. This comprehensive study aims to identify internal and external factors of PI in surgical patients. Methods: The research used descriptive data from all the papers searched in ScienceDirect, CINAHL, PubMed, and Google Scholar databases, ensuring a thorough investigation. The review results were analyzed and grouped into intrinsic and extrinsic factors for pressure injury in patients with surgery.</p> Luh Titi Handayani Nursalam Rondhianto Susi Wahyuning Asih Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 330 342 Ver el contenido del presente número en inglés http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29712 Gaceta Médica de Caracas Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 During the COVID-19 pandemic, the impact of religious caring behavior increases the immunity of medical-surgical nurses http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29721 <p>Introduction: Caring is a fundamental service basis in nursing because it is the main behavior of nurses in carrying out nursing care. Islamic caring could stabilize the psychological condition of nurses and patients. Psychologically stable nurses and patients could increase immunity in giving care nursing during the COVID-19 pandemic. This study aimed to analyze the impact of Islamic caring behavior on nurses, particularly in terms of enhancing their psychospiritual comfort, preparedness, and immunity. This research’s findings open avenues for further exploration into the potential of Islamic caring to improve nurses’ psychospiritual comfort and immunity.</p> Abu Bakar Laily Hidayati Lailatun Ni’mah Ika Nur Pratiwi Siti Nur Qomariah Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 171 178 Factors associated with diabetes distress and depression in diabetes mellitus patients in rural East Nusa Tenggara Indonesia http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29723 <p>Introduction: Patients with diabetes mellitus frequently experience depression and diabetes distress. Patients with diabetes mellitus who experience depression, diabetic distress, or both can find it difficult to manage their condition on their own, which can lead to complications, lower quality of life, or even death. The purpose of this research is to identify the risk variables for depression and diabetes distress in individuals with diabetes mellitus. Methods: This cross-sectional survey was conducted from February to April 2023. consecutive sampling (n=72) was used to choose the study’s sample. Patients with diabetes mellitus between 25 and 65 years and conscious (capacity to relate to oneself and surroundings) are inclusion criteria. The binary logistic regression test and Chi-Square were utilized in the data analysis. Results: The results of multivariate analysis showed a significant relationship between glycemic control (AOR: 3.151.95 % CI: 1.014-9.794, p-value 0.047) and diabetes distress.</p> Oliva Suyen Ningsih Ferry Efendi Yulis Setiya Dewi Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 179 186 The relationship between length of illness and quality of life in patients with colorectal cancer http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29722 <p>Introduction: The length of illness often results in changes in the quality of life of colorectal cancer patients in several aspects of life, such as psychological, physiological, and social, especially the initial condition of the patient diagnosed. Due to the high risk of death from colorectal cancer, it is recommended that the timing of diagnosis be important for all colorectal cancer patients. The aim was to determine the relationship between length of illness and quality of life in colorectal cancer patients. Methods: The research method uses a correlational design with a cross-sectional approach. The sampling method is purposive sampling, with a sample size of 72 patients. The research variables are the length of illness and quality of life. The research instrument is the WHOQOL-BREF questionnaire.</p> Ernita Rante Rupang Nursalam Nursalam Friska Sembiring Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 187 192 Functional status outcomes of adolescents with mental disorders: A descriptive study http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29724 <p>Introduction: Mental disorder impacts various aspect of an individual’s ability to function in daily life and their living environment. There are still limited studies that describe the functional health status of adolescents with mental disorders. This study aimed to determine the functional status of adolescents with mental disorders. Methods: This study was cross-sectional. Data were obtained from 50 family caregivers of adolescents aged 12-18 who experience mental disorders. The sample was conducted by purposive sampling. The variable measured in this study was functional status. The data was measured using a questionnaire and analyzed using descriptive analysis.</p> Ah Yusuf RR Dian Tristiana Ivana Sajogo Yuli Anggraini R Endro Sulistyono Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 193 199 Preparedness of coastal communities in facing a tsunami disaster http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29727 <p>Introduction: Disaster education for coastal communities has not been implemented well. Community disaster preparedness supports successful disaster management. This study aimed to assess if there is a link between disaster education and coastal community readiness for a tsunami disaster. Method: The research design is a correlational study using a cross-sectional approach. The sample obtained was 104 respondents using a simple random sampling technique. Analysis was performed using the Chi-Square test. Results: There was a relationship between disaster education and the preparedness of coastal communities dealing with a tsunami disaster in Puger Kulon Village, Jember Regency; with a p-value&lt;0.0001 &lt; 0.05, thus H1 is accepted, which means there is a relationship between disaster education and the preparedness of coastal communities in facing the tsunami disaster. Conclusion: The recommendation is that the quality of disaster education must be further improved so that the public can better understand and manage information to improve community preparedness in dealing with a tsunami disaster.</p> Susi Wahyuning Asih Ahmad Yusuf Supriyadi Supriyadi Luh Titi Handayani Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 200 206 The effect of health media in reminiscence therapy on cognitive disorders in post-stroke patients http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29728 <p>Introduction: One of the psychosocial obstacles that often arise in post-stroke patients is cognitive obstacles. These obstacles include various problems in cognitive function, ranging from disturbed attention and difficulty in maintaining orientation to time, place, or situation to problems in memory and thought processes. This study aims to investigate the effect of health media in reminiscence therapy on cognitive disorders in post-stroke patients in Medan City. Methods: This research uses quantitative research methods. Data was collected by distributing questionnaires to respondents in seven hospitals in Medan City.</p> Sarida Surya Manurung I Ketut Sudiana Joni Haryanto Sarmaida Siregar Jonni Sastra Manurung Abdul Malik Ritonga Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 207 216 Relationship between self-control as an internal factor and internet addiction in adolescents http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29729 <p>Introduction: The increasing interest of adolescents in internet usage has heightened the risk of internet addiction. Self-control, a crucial internal factor, has been the focus of our study. We aimed to investigate the relationship between self-control and internet addiction. Methods: Using a correlational design with a cross-sectional approach, we surveyed 165 senior high school students selected through cluster sampling. Self-control was the independent variable, and internet addiction was the dependent variable.</p> Ariestika Baktian Hapsari Rizki Fitryasari Dianis Wulan Sari RR Dian Tristiana Ah Yusuf Chong-Mei Chan Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 217 222 The relationship between family support, subjective well-being, and dietary adherence in diabetes mellitus patients http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29730 <p>Objective: The research aims to explain the correlation between family support and subjective well-being with dietary adherence in diabetes mellitus (DM) patients. Methods: This research used a cross-sectional design. This research applied proportional simple random sampling with 110 respondents in Krembung Health Center. Data was collected using the Hensarling Diabetes Family Support Scale (HDFSS), subjective well-being questionnaires, and Self-Management Dietary Behaviors Questionnaire (SMDBQ). Data analysis used Spearman’s rho relation test with a significance level of α ≤ 0.05. Results: This research involved 79 female respondents with an age range of 46-55 years (98 persons), married status of 89 persons, and had suffered from DM for 1-2 years of 63 people.</p> Ika Nur Pratiwi Putri Puji Rahayu Iqlima Dwi Kurnia Ika Yuni Widyawati Nursalam Nursalam Nor Aziyan Yahaya Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 223 230 The relationship between the level of knowledge and attitudes of premenopause women toward readiness to face the menopause phase at Curug Community Health Center http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29731 <p>Introduction: According to the Indonesian Ministry of Health, in 2017, 14 million people in Indonesia, or 7.4 % of the total population, experienced menopause. It is estimated that 60 million women will experience menopause in Indonesia by 2025. Preliminary data on ten premenopausal women at the Curug Community Health Center, Tangerang Regency, show that most women do not know well about menopause. This study aims to identify the relationship between knowledge and attitudes of premenopausal mothers toward readiness to face the menopause phase</p> Wednes Clarita Lase Ratna Sari Lase Yubrianti Herdiana Tloim Belet Lydia Ingrit Prisca A. Tahapary Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 231 238 Internet addiction, active school transport barriers and overnutrition of adolescents in urban areas: A Cross-sectional Study http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29732 <p>Introduction: Overnutrition, such as obesity and overweight in adolescents in urban settings, is one of the most serious health problems in the 21st century. Several lifestyle factors cause the problem of overnutrition experienced by adolescents. This research aims to analyze the relationship between internet addiction, barriers to active school transport, and the incidence of overnutrition in adolescents in urban areas. Methods: This study used a cross-sectional design. Respondents were 231 adolescents in senior high schools in Surabaya, Indonesia, who were selected using proportional stratified random sampling techniques.</p> Retno Indarwati Wahyuni Tri Lestari Nevienta Yusrike Virdianty Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 239 246 Relationship between knowledge and attitude about human papillomavirus infection and vaccination in female nursing students http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29733 <p>Introduction: Human papillomavirus (HPV) infection is the primary cause of cervical cancer, which is the second-leading cause of women’s death in Indonesia, and that is why a national HPV vaccination program is required to address this issue. A preliminary survey of 20 female nursing students revealed that 70% were unaware of the HPV virus, 80% were unaware of cervical cancer, and 80% were unaware that HPV could lead to cervical cancer. This study aimed to determine the relationship between knowledge and attitude about human papillomavirus infection and vaccination in female nursing students. Methods: This descriptive-quantitative study used a cross-sectional design and univariate and bivariate analysis.</p> Delima Rosalina Silaban Jeane Kornalia Blegur Ruth Nataly Marbun Joice Cathryne Kinanthi Lebdawicaksaputri Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 247 256 Use of cucumber as a complementary intervention for preventing complications in hypertension http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29734 <p>Introduction: Most people use herbal medicine as a complementary treatment for chronic diseases. However, the need for optimal services for individuals with chronic diseases is paramount to help them maintain a healthy lifestyle consistently. This study aims to evaluate the effectiveness of using cucumbers as a complementary intervention to prevent complications in patients with hypertension in Surabaya. Methods: The research design is a quasi-experimental pre-post test with a control group. The sample size in this study There were 50 respondents following the criteria set by the researcher: those who were not below 50 years old and suffered from hypertension for more than one year.</p> Jujuk Proboningsih Mohammad Najib Sriyono Mohammad Zamroni Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 257 265 Comisiones Científicas para el bienio 2024-2026 http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29715 Gaceta Médica de Caracas Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 Junta Directiva, Individuos de Número, Miembros Correspondientes Nacionales y Extranjeros, Invitados de Cortesía y Comisiones de la ANM Gaceta Médica de Caracas http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29713 Gaceta Médica de Caracas Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2 Ver el contenido del presente número en español http://saber.ucv.ve/ojs/index.php/rev_gmc/article/view/29711 Gaceta Médica de Caracas Derechos de autor 2024 Gaceta Médica de Caracas https://creativecommons.org/licenses/by-nc/4.0 2024-11-21 2024-11-21 132 S2