NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871

Pengaruh Pemberian Air Rebusan Daun Kersen (Muntingia calabura L.) Terhadap Penurunan Kadar Glukosa Darah Pada Mencit Diabetes Melitus

Rivaldi Rivaldi — 2024-12-02

Diabetes Mellitus (DM) is a chronic or chronic disease in the form of a metabolic disorder, characterized by high blood sugar levels. So treatment can be done by regularly consuming foods and herbal medicines that contain high levels of antioxidants such as flavonoids, saponins, tannins and alkaloids. Cherry leaves (Muntingia calabura L) are a plant that contains antioxidants. Therefore, this study aims to determine the effect of giving boiled water from cherry leaves (Muntingia calabura L.) on reducing blood glucose levels in mice with diabetes mellitus. This type of research is a pre-experimental laboratory using a pretest and posttest control group research design. A total of 20 mice were selected using a purposive sampling technique which were then divided into 4 groups, namely positive control group, negative control, treatment 1 (young cherry leaves with a dose concentration of 5%) and treatment 2 (young cherry leaves with a dose concentration of 10%). Bivariate analysis was carried out using the ANOVA test with the LSD Post-Hoc follow-up test. The research results obtained showed that giving a decoction of young cherry leaves had a significant effect on reducing blood glucose levels (p<0.05), and there was a significant difference between treatment groups, namely P1 versus P2 (p<0.05). In conclusion, giving a 10% dose of cherry leaf decoction (Muntingia calabura L) was more effective in reducing blood glucose levels in a mouse model of diabetes mellitus.

Analisis Faktor Penyebab Terjadinya Penyakit Hipertensi pada lansia Diatas Umur 60 Tahun

Irwan Embang Walanda — 2024-12-02

Hipertensi merupakan manifestasi gangguan keseimbangan hemodinamik sistem kardiovaskular yang mana patofisiologinya tidak bisa diterangkan dengan hanya satu mekanisme tunggal. Semua definisi hipertensi adalah angka kesepakatan berdasarkan bukti klinis (evidence based) atau berdasarkan konsensus atau berdasar epidemiologi studi meta analisis. Hipertensi dapat diklasifikasikan berdasarkan penyebabnya, yakni hipertensi primer/essensial dan hipertensi sekunder, dan berdasarkan derajat penyakitnya. Angka insiden hipertensi sangat tinggi terutama pada populasi lanjut usia, usia di atas 60 tahun,. Tujuan penelitian ini untuk mengetahui Analisis faktor penyebab terjadinya penyakit hipertensi pada lansia diatas umur 60 tahun. Penelitian ini merupakan penelitian cross-sectional, Sampel yang digunakan berjumlah 105 sesuai kriteria inklusi dan ekslusi orang pada masyrakat Kaskasen kota tomohon. Hasil Penelitian dengan uji chi-square menyatakan bahwa terdapat hubungan antara Genetik dengan kejadian Hipertensi P-Value (0,006), olahraga dengan kejadian Hipertensi P-Value 0,020, Kebiasaan Merokok dengan kejadian Hipertensi P-Value 0,006 kesimpulan, terdapat hubungan diatara variber genetic, olahraga, kebiasaan merokok, dengn kejadian penyakit Hipertensi

HUBUNGAN DUKUNGAN SOSIAL KELUARGA DENGAN KEPATUHAN MINUM OBAT PADA PASIEN ODGJ DI UPT PUSKESMAS KEDUNGJAJANG KABUPATEN LUMAJANG

Siswo Purwono — 2024-12-02

Patients with mental disorders, are those who experience disturbances in their thoughts, feelings and behavior. Families with individuals who experience mental disorders will provide a negative social model. Families who can’t handle it, may deal with many challenges, including difficulties in the healing process, for family members who suffer from mental illness and lack of supervision in taking medication. The aim of this research is to determine the correlation between family social support and medication adherence in PWMD patients at the Kedungjajang Community Health Center, Lumajang Regency. This research design uses a cross sectional design. Sampling used an accidental sampling technique with a sample size of 56 respondents carried out from 1 to 31 July 2024. The instrument used for data collection was a questionnaire. The results of the study showed that of the 56 respondents' social support for adherence to taking medication for PWMD patients, 54 (96.4%) were good, while 51 (91.1%) of ODGJ patients were compliant in taking medication for PWMD. Data processing using the chi square test calculated using SPSS Windows obtained a value of p=0.038 (p<0.05) so it can be concluded that Ha is accepted, meaning there is a significant correlation between family social support and adherence to taking medication in PWMD patients at the Kedungjajang Community Health Center, Lumajang Regency. in 2024. As a nurse we are expected to improve communication, information, and education to the family of PWMD. It can help families play a bigger role in providing the best social support to PWMD patients and monitor medication adherence in PWMD patients.

HUBUNGAN OVERWEIGHT DENGAN KEJADIAN CHF (CONGESTIVE HEART FAILURE) DI RUANG RAWAT INAP RUMAH SAKIT RIZANI PAITON PROBOLINGGO

Yunita Irani — 2024-12-02

Background: Congestive Heart Failure (CHF) is a growing health problem with high mortality and morbidity rates in both developed and developing countries. At Rizani Paiton Hospital Probolinggo, CHF is among the top ten most common cases. Overweight is one of the factors that worsen the condition of CHF patients, measured through Body Mass Index (BMI). Objective: To determine the relationship between overweight and the incidence of CHF in the inpatient ward of Rizani Paiton Hospital Probolinggo. Methods: This analytical study used direct observation and Gamma correlation analysis, involving 60 patient samples. Results: The significance value (sig) of 0.000 (p < 0.05) indicates a very significant correlation between overweight and the incidence of CHF. The correlation value of 0.922 shows a very strong and positive relationship, meaning that the higher the patient's BMI, the greater the risk of CHF. Conclusion: Overweight has a significant correlation with the incidence of CHF. Weight management is important as a preventive measure against CHF. Dietary control is necessary to reduce the risk of CHF.

Studi Kasus: Ketidaknyamanan Pada Ibu Hamil Dengan Intervensi Senam Kegel

Sari Wahyuni — 2024-12-02

Frequent urination is a common complaint among pregnant women, particularly during the first and third trimesters, due to hormonal changes and the enlarged uterus exerting pressure on the bladder. This complaint can disrupt the comfort and quality of life of pregnant women and increase the risk of urinary tract infections. One intervention to address this issue is Kegel exercises. This study aims to analyze midwifery care for a 35-week pregnant woman with complaints of frequent urination using a Kegel exercise approach. The case study was conducted on Mrs. P, G3P2A0 pregnant woman at 35 weeks of gestation, at PMB Tinti Halipah Palembang on October 21, 2023. Data collection included interviews, observations, physical examinations, and documentation using the SOAP method. The intervention consisted of education on the physiological changes of pregnancy, fluid intake management, Kegel exercise implementation, and recommendations to maintain genital hygiene to prevent urinary tract infection. The results of the intervention showed that Kegel exercises helped strengthen pelvic floor muscles, reduce complaints of frequent urination, and improve comfort during pregnancy. Mrs. P was able to understand and implement the recommended fluid intake patterns and consistently performed Kegel exercises, significantly reducing the frequency of complaints. The condition of both the mother and the fetus remained good until the final evaluation. .

GAMBARAN PSIKOLOGIS DAN GANGGUAN KUALITAS TIDUR PASIEN HIPERTENSI DI PUSKESMAS BT.X TANJUNGPINANG

Ikha Rahardiantini — 2024-12-02

Latar Belakang Psikologis merupakan salah satu faktor penyebab terjadinya penyakit hipertensi. Hipertensi merupakan salah satu jenis penyakit degeneratif yang umumnya dialami oleh lansia, namun belakangan ini penyakit degeneratif tersebut justru sudah mulai dialami oleh Dewasa Muda. Tujuan penelitian adalah untuk mengetahui gambaranaspek psikologis pada pasien hipertensi dewasa muda di Puskesmas Bt. X Tanjungpinang . Metode yang digunakan yaitu jenis penelitian kuantitatif dengan desain analisis deskriptif. Sampel yang diperoleh berjumlah 97 responden. Instrumen penelitian yaitu kuesioner Depression Anxiety Stress Scales (DASS). Metode analisis data menggunakan analisis univariat. Hasil diperoleh mayoritas pasien memiliki Tingkat Kecemasan sedang sebanyak 49 responden (50,5%), Tingkat Depresi normal sebanyak 75 (77,3%), Tingkat Stres normal sebanyak 95 (97,9%). Kesimpulan bahwa ada pengaruh antara tingkat kecemasan, stres dan depresi dengan tekanan darah penderita hipertensi.

EFEK DYNAMIC STRETCHING PADA NYERI DELAYED ONSET MUSCLE SORENESS OTOT QUADRICEPS PEMAIN FUTSAL REKREASIONAL

rama anugrah tubagus — 2024-12-02

Nyeri otot akibat olahraga yang berlebihan, dikenal sebagai Delayed Onset Muscle Soreness (DOMS), umum terjadi pada individu yang melakukan aktivitas fisik intensif. Penelitian ini bertujuan mengeksplorasi efek dynamic stretching terhadap intensitas nyeri DOMS pada otot quadriceps pemain futsal rekreasional di STIKes RS Dustira Cimahi. Penelitian dilaksanakan pada bulan [bulan penelitian] dengan melibatkan 20 pemain futsal berusia 19-23 tahun. Penelitian menggunakan desain time series dengan pendekatan one group pre-test and post-test. Pengukuran intensitas nyeri dilakukan menggunakan Numeric Rating Scale (NRS) sebelum dan setelah perlakuan selama empat sesi dalam kurun waktu empat minggu. Hasil penelitian menunjukkan penurunan signifikan pada rata rata skor nyeri dari 3,10 pada pre-test pertama menjadi 1,85 pada post-test keempat (p-value <0,05). Temuan ini menunjukkan bahwa dynamic stretching efektif dalam menurunkan intensitas nyeri DOMS melalui mekanisme peningkatan aliran darah dan aktivasi neuromuskular. Penelitian ini diharapkan memberikan kontribusi praktis bagi atlet dan pelatih dalam mengimplementasikan dynamic stretching sebagai metode pemanasan dan pemulihan untuk mencegah dan mengurangi nyeri otot.

The Effect of Health Counseling on Self-Management and Blood Pressure Stability in Hypertension Patients at the Klinik Ronaa Husada

Oi Qurota Ayuni — 2024-12-02

Hypertension is still one of the problems that exist in the world of health to this day. General public knows it as hypertension because of the increase in blood pressure exceeding the normal limit. According to 'Riskesdas’ data in Southeast Asia in 2018, the number of hypertension patients in Indonesia increased by 34.1% annually. This study uses a correlational analytical design with a cross-sectional approach. Data was collected in July 2024 with a population of 35 respondents and a sample of 33 respondents who met the inclusion and exclusion criteria with purposive sampling techniques. Data processing included coding, editing, and tabulating, then analyzed with SPSS software for the Wilcoxon test with an α of 0.05. The study results showed that before the counseling was carried out, as many as 13 respondents had poor self-management, while 15 had good self-management after counseling. Meanwhile, the blood pressure results before counseling were 21 respondents with unstable systolic results and 23 respondents with stable diastolics, while after counseling there were 24 respondents with stable systolic results and 33 respondents with stable diastolic. After the Wilcoxon test showed a p-value of 0.003 in self-management, a p-value of 0.001 in systolic blood pressure, and a p-value of 0.002 in diastolic blood pressure, which was smaller than α (0.05). This shows the influence of health counseling on self-management and blood pressure stability in hypertensive patients. This research shows that health counseling is essential to realize good self-management in hypertensive patients so that good blood pressure stability can be achieved.

Relationship Between Treatment Compliance Level and Vision Value in Post-Phacomulsification Cataract Surgery Patients at Rumah Sakit Bhayangkara Lumajang

Prahesty Yuliawardani — 2024-12-02

Cataracts are one of the causes of blindness, successful cataract treatment does not depend on surgery alone. Postoperative care and treatment greatly influences visual outcomes after surgery. The research aims to explain the relationship between the level of treatment compliance and visual acuity in patients after phacomulsification cataract surgery at Rumah Sakit Bhayangkara Lumajang. The research design used was analytical observational with a cross sectional approach. The target population is 70 patients with cataracts who check up at the eye clinic, the target population is post-cataract surgery patients who are controlled at the eye clinic with a amount of 46 patients. The research sample consisted of 45 respondents who were selected using the Accidental Sampling technique. Data collection used the MMAS-8 questionnaire to measure the level of treatment compliance and the Snellen Chart to measure visual acuity values. Data analysis used the Spearman rank correlation test. The results of measuring the level of compliance with treatment of patients after phacomulsification cataract surgery at Rumah Sakit Bhayangkara Lumajang were obtained by 17 patients (37.8%) of the amount respondents who had a low level of treatment compliance. The results of measuring the vision values of 16 patients (35.6%) of the amount respondents had good vision values. The results of data analysis using the Spearman rank correlation test showed a significant relationship between the level of treatment compliance and vision scores with a value of ρ = 0.000 < 0.05. This shows that the more compliant the treatment is, the better the visual acuity score. Research shows that patient compliance with post-cataract surgery treatment is critical for optimal recovery. High compliance is associated with improved vision, so disciplined patients tend to have better vision. These findings emphasize that interventions to improve patient compliance should be a top priority in cataract treatment, and postoperative patient compliance needs to be considered

The Effect Of Health Education Using Direct Demonstration Method On Compliance In The Use Of Personal Protective Equipment (PPE) In Sugar Cane Farmers Group In Desa Banyuputih Kidul , Kecamatan Jatiroto, Kabupaten Lumajang

Nuril Huda — 2024-12-02

Personal protective equipment is very important in carrying out work which can cause work accidents, so health education using direct demonstrations makes a huge contribution to change respondent behavior. So with direct demonstrations it was hoped that people would understand and remember more quickly. The aim of this research wss to identify the effect of direct demonstration method health education on compliance with the use of personal protective equipment (PPE) in sugar cane farmer groups. The research method used in this research was a pre-experimental one group pre test and post test design. The population of this study was a group of sugar cane farmers in Desa Banyuputih Kidul , Jatiroto subdistrict, Lumajang district with a sample of 30 respondents. The sampling technique used Amount sampling with a data collection sheet, observation sheet and analyzed using the SPSS statistical test, the Willcoxon test showed that the results were p value = a = 0.000, a <0.05. The results of the research before health education using the direct demonstration method showed that most of the compliance was not good, 30 people (100%) and after health education using the direct demonstration method, the majority of compliance was good, 17 people (56.7%), and there was an influence of health education using the method. direct demonstration of the level of compliance among sugar cane farmer groups. It is hoped that this research can increase more efforts and support from village officials and farmer group administrators in providing personal protective equipment (PPE), and health education using the direct demonstration method can be applied in educational services in village communities, especially in farmer groups with other implementations.

Relationship Between Early Detection Of Signs And Symptoms Of Hypoglycemia With Hypoglycemia Prevention Behavior In Patients With Diabetes Mellitus Type II At Yosowilangun Community Health Center

Ainin Nurohmah Febrianti — 2024-12-02

Diabetes mellitus is a metabolic disorder characterized by high blood sugar levels associated with abnormal carbohydrate, fat, and protein metabolism caused by decreased insulin secretion or decreased insulin sensitivity effectively. One of the acute complications in patients with Diabetes Mellitus (DM) 2 is hypoglycemia. Hypoglycemia is a blood glucose level ≤ 70 mg / dl (3.9 mmol / L). The purpose of this study was to determine the correlation between early detection of signs and symptoms of hypoglycemia and hypoglycemia prevention behavior in patients with type II diabetes mellitus at the Yosowilangun Health Center.This study design was descriptive analytical using a cross-sectional method. All patients with type II diabetes mellitus at the Yosowilangun Health Center. This study used a purposive sampling technique. The Amount population is 50 patient. The research sample was 48 respondents. The instrument used for data collection using a questionnaire for early detection of signs and symptoms and prevention of hypoglycemia. Both instruments were categorized as good, sufficient, and lacking. The statistical test used Spearmen-rank with a significance level of 0.05.The results of the study showed that early detection of signs and symptoms of hypoglycemia was sufficient (66.7%) and prevention of hypoglycemia was sufficient (44.8%). The results of data analysis using the Spearmen-rank test showed that the p value was smaller than significant (0.001 <0.05), so there was a correlation between early detection of signs and symptoms of hypoglycemia and prevention of hypoglycemia in Type 2 DM patients at the Yosowilangun Health Center. The results of this study can be concluded that Type 2 DM respondents with a history of hypoglycemia can prevent hypoglycemia through knowledge of the signs and symptoms of hypoglycemia, so that they can minimize recurrent hypoglycemia. This can be recommended for health services that early detection of the disease as a guideline in treating Type 2 DM patients with hypoglycemia

Relationship Between Response Time Level Of Patient Handling With Patient Satisfaction Level In Emergency Of Klakah Lumajang Community Health Center

Tomo Tomo — 2024-12-02

The health center is one of the health facilities that are widely used by the community where the health center and its network are the spearhead of health services in Indonesia. Response time is an indicator of speed and accuracy in handling patients which is calculated from the time the patient arrives until the patient is treated. The purpose of this study was to determine the Relationship between the Level of Response Time Speed of Patient Handling and the Level of Patient Satisfaction in the Emergency Room of the Klakah Health Center. In this study, the sample determination used the Accidental Sampling method and a Cross-sectional research design with data collection techniques using questionnaires and observations. The population in this study was 100 emergency room patients who met the inclusion and exclusion criteria, with a sample of 80 respondents.The results obtained that the Level of Response Time Speed of Handling Patients in the Emergency Room of Klakah Health Center, Lumajang Most of them are in the fast category, namely 67 people (83,8%), in the slow category there are 12 respondents, namely (15%) and in the very slow category there is 1 respondent, namely (1.3%). This finding indicates that response time greatly influences the level of patient satisfaction at the Klakah Health Center Emergency Department in the fast category, namely 67 people (83.8%).

HUBUNGAN SPIRITUAL LEADERSHIP DENGAN MANAJEMEN KEPERAWATAN : SCOOPING REVIEW

Elisabet Indania — 2024-12-05

Spiritual leadership in nursing management is emerging as an approach that integrates spiritual values with leadership practices in the health care environment. In this context, leaders not only act as decision makers, but also as mentors who motivate and inspire teams through ethical principles, empathy and a deep sense of responsibility.

This research uses the Arksey and O'Malley model to carry out the analysis. Data Source: The literature analyzed consisted of Scholar, Science Direct, and Pubmed from January 2020 to June 2024. Identification and selection of literature used Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) Moher 2009.

The result was 12 articles analyzed, consisting of 8 quantitative articles, 2 descriptive articles, and 2 qualitative articles. This article summarizes the findings regarding spiritual leadership in nursing management, namely that there is a relationship between spiritual leadership and performance, trust, motivation, leadership style and health services.

Conclusion: There is a relationship between spiritual leadership and performance, trust, motivation, leadership style and health services.

Plank Exercise Dapat Meningkatkan Keseimbangan Remaja Di SMAN 01 Bongan

Rahmah Ghinha Fauziah — 2024-12-06

Keseimbangan pada remaja bertujuan untuk mempertahankan pusat massa tubuh terhadap sumbu tubuh untuk melawan gravitasi bumi yang di pengaruhi oleh proses sensorik atau system saraf, motorik atau musculoskeletal. Keseimbangan merupakan salah satu aspek penting dalam Kesehatan dan kebugaran tubuh manusia. Keseimbangan memungkinkan seseorang untuk melakukan aktivitas sehari-hari dengan lancer dan mengurangi resiko jatuh. Kajian ini merupakan studi Pre eksperimental yang bertujuan untuk mengetahui adanya peningkatan pada keseimbangan dengan pemberian plank exercise. Dengan desain penelitian one group pre-test dan post-test. Dengan sampel 20 orang remaja laki-laki dan Perempuan yang berusia 16-17 tahun di SMAN 01 Bongan. Penulis memberikan pengukuran keseimbangan dengan Y Balance Test kepada sampel dengan meminta untuk menyeimbangkan satu kaki sekaligus meraih sejauh mungkin dengan kaki satunya dalam 3 arah terpisah: anterior, posterolateral, dan posteromedial, setelah itu di berikan plank exercise. Frekuensi Latihan adalah 3 kali seminggu selama satu bulan dengan 3 kali pengulangan untuk pengukuran keseimbangan dan plank exercise ditahan selama 10 detik. Berdasarkan hasil Y Balance Test terdapat pengaruh dari pemberian plank exercise selama 12 kali yang di dapatkan dari uji t berpasangan diperoleh nilai p= 0,000<0,05 untuk left dan right dengan nilai pre-test keseimbangan sebesar 82,45 untuk left dan 85,25 untuk right dan post-test keseimbangan 90,65 untuk left dan 92,45 untuk right. Sehingga didapatkan adanya pengaruh dari pemberian plank exercise untuk keseimbangan remaja usia 16-17 tahun di SMAN 01 Bongan.

ANALISIS FAKTOR (ATTITUDE, SUBJECTIVE NORM, PERCEIVED CONTROL) YANG MEMPENGARUHI NIAT IBU DALAM PENCEGAHAN STUNTING DENGAN PEMBERIAN ASI EKSKLUSIF BERDASARKAN THEORY OF PLANNED BEHAVIOR

ULVA NOVIANA — 2024-12-07

Exclusive breastfeeding has a great contribution to the growth and development and endurance of children. Children who are exclusively breastfed will grow and develop optimally and do not get sick easily. Based on preliminary studies, data were obtained as much as 60% of mathers intentions in stunting prevention (exclusive breastfeeding). The purpose of the study is to analyze the factors on influence mather intentions in stunting prevention, namely: attitude, subjective norm, perceived control, in preventing stunting.

This study used observational analytics with cross-sectional design. The study population mothers who had babies aged 0-6 months, a total of 72 people in Jaddih Village. Sample size: 61 respondents. The independent variables were attitude, subjective norm, perceived control. and the dependent variable was intention. The instrument in this research used 4 questionnaires which were modified by the researcher. Sampling technique; purposive sampling. Data analysis: spearman rank.

The results of the spearman rank test of the attitude variable with intention get a p value of 0.001 (0.05) then there is a relationship between attitude and intention. Norm variables with intention get a p value of 0.002 (0.05) then there is a subjective norm relationship with intention. The perceived variable with intention is assigned a p value of 0.001 (0.05) then there is a relationship between perceived control and intention. The conclusion of this study is that there is a relationship between attitude, subjective norm, perceived control and the intention of mothers to provide exclusive breastfeeding in stunting prevention.

Suggestions for respondents are expected to add insight so that they are maximized in carrying out stunting prevention by improving attitude, subjective norms, perceptions of control so that mothers will have the intention to practice fulfilling nutritional intake in stunted children. Especially in mothers who have babies aged 0-6 months. Information from this study is expected to increase the active role of the community in stunting prevention, one of which is the benefits of health services

The Effect Of Chest Percussion On The Reduction Of Additional Breath Sounds In Pneumonia Patients In The Bougenville Room Of Rumah Sakit dr. Haryoto Lumajang

Dwi Shanti Wahyu Widyanuari — 2024-12-07

Pneumonia is an acute inflammation of lung tissue caused by microorganisms, symptoms that appear such as increased temperature and can be accompanied by seizures, restlessness, cyanosis, shortness of breath, and productive coughing, so that proper treatment is needed to remove sputum that accumulates in the airways, one of which is chest physiotherapy with the Chest Percussion method. The purpose of this study is to determine the effect of Chest Percussion on the decrease in additional breath sounds in pneumonia patients in the bougenville room of Rumah Sakit dr. Haryoto Lumajang. The design of this study was a pre-experimental study using a one-group pretest-posttest approach using standard operating procedures on chest percussion and observation sheets for additional breathing sounds. The statistical test used was the wilcoxon test, with a research sample of 31 respondents taken by the accidental sampling method from July 31 until August 30, 2024. The results in this study showed that of the 20 (64.5%) respondents with missing ronkhi when coughing/inhaling before the Chest Percussion action, there were 18 (90%) respondents who at the time after the procedure changed to sound smooth ronkhi and the remaining 2 (10%) did not experience any change. Meanwhile, in 11 (35.5%) respondents who at the time before the Chest Percussion action heard a smooth ronkhi sound, 11 (100%) of the respondents after receiving the action changed to clear. The results of the Wilcoxon statistical test obtained a p-value of 0.000 (p < 0.05) which means that there is a significant influence between Chest Percussion on additional decrease of breathing sounds in pneumonia patients. The results of this study can be concluded that Chest Percussion can reduce sputum in pneumonia patients, with reduced sputum the sound of the ronkhi in pneumonia patients can be reduced. It can be recommended for hospitals that Chest Percussion is a guideline in treating pneumonia with additional sounds.

The Correlation Between Sugar Level Values in Patients with DM and the Incidence of Skin Fungus in the Skin Clinic of Bhayangkara Hospital Lumajang

Munik Tri Indahati — 2024-12-07

DM is a group of metabolic diseases with characteristics of hyperglycaemia that occurs due to abnormalities in insulin secretion, insulin action or both. Skin sugar levels constitute 55% of blood sugar levels in ordinary people. In patients with diabetes, the ratio increases to 69-71% of blood glucose that has been elevated. The purpose of this research is to determine the correlation between sugar level values in patients with dm and the incidence of skin fungus in the skin clinic of Bhayangkara Lumajang hospital.This study was a quantitative study with a r etrospective design, and is a type of correlational research. The sample size was 41 patients with total sampling technique. Data were collected by observing patient medical record data from January 2022 - December 2023 and using an instrument in the form of a checklist, then the data were analysed using the Spearman rank test. According to the results, the majority of patients (63,4%) had high blood sugar levels when they checked into the Skin Clinic, and the majority of patients (58,5%) had skin events meeting severe criteria. The results of the analysis test showed a Sig.(2-tailed) = 0.000 < 0,05 and r (correlation coefficient) = +0,701, meaning that there is a relationship between blood sugar values in patients with DM and the incidence of skin fungus in the Dermatology Clinic of Bhayangkara Lumajang Hospital. As an effort to improve the quality of services at the skin clinic, this research requires support from management in the form of a standard operating procedure so that every patient diagnosed with skin fungus is also checked for blood sugar considering that there is a strong relationship between sugar levels and the incidence of skin fungus

Gambaran Jumlah Eosinofil Pada Penderita Penyakit Asma Di Rumah Sakit Universitas Muhammadiyah Malang

Faisal Faisal — 2024-12-07

Asma adalah suatu kondisi di mana saluran udara mengalami penyempitan karena aktivitas rangsangan yang berlebihan menyebabkan peradangan dan kontraksi sementara, dan asma dapat menyebabkan penyakit paru-paru tidak menular. Asma dapat terjadi pada semua usia dan manifestasinya sangat berbeda. serta berbeda-beda pada setiap orang. Tujuan penelitian ini adalah untuk mengetahui gambaran jumlah eosinofil pada pasien asma di Rumah Sakit Universitas Muhammadiyah Malang. Penelitian ini merupakan penelitian deskriptif kuantitatif yang menggunakan sampel seluruh data rekam medis sebanyak 42 pasien. Dalam teknik pengambilan sampel digunakan teknik total sampling Berdasarkan hasil penelitian ini menunjukkan bahwa sebagian besar eosinofil pada responden memiliki nilai di atas normal pada pria sebanyak 9 orang (35%), pada wanita terdapat 5 orang (31%). Hasil untuk jumlah eosinofil yang nilainya normal adalah 17 orang (65%) pada pria, 11 orang (69%) pada wanita. Berdasarkan penelitian yang dilakukan di Rumah Sakit Universitas Muhammadiyah Malang yang menunjukkan gambaran jumlah eosinofil pada setengah dari pasien normal pada penderita asma.

HUBUNGAN DUKUNGAN KELUARGA DENGAN PENGAMBILAN KEPUTUSAN TERAPI HEMODIALISA

Dwi Apriliana — 2024-12-07

Chronic Kidney Disease Stage 5 is a progressive and irreversible kidney function disorder. This condition necessitates that patients with chronic kidney failure receive kidney replacement therapy, such as haemodialysis. Haemodialysis is a method of treating patients with chronic kidney failure that requires a lot of money, not just 1-2 months. But it also takes quite a long time. Without family support, it is impossible to carry out haemodialysis treatment according to the scheduled schedule. The main problem faced by patients when they first undergo haemodialysis is decision-making. After receiving a diagnosis of chronic kidney failure, patients often feel uncertain about making decisions about haemodialysis therapy. This study aims to determine the relationship between family support and haemodialysis therapy decision-making. This research is a correlational analytical study with a cross-sectional approach. The number of samples in this study was 103, and data collection techniques used random sampling. Based on the Spearman Rank test, the research results showed that there was a relationship between family support and haemodialysis therapy decision-making (p-value = 0.000, p<0.05). This research suggests that families should provide good family support, including self-esteem support, information, instrumentality, social closeness, and motivation, to aid in haemodialysis therapy decision-making.

PERAN PERAWAT PENANGGUNG JAWAB ASUHAN TERHADAP KUALITAS PELAYANAN KESEHATAN : SCOOPING REVIEW

Elisabet Indania — 2024-12-07

Peran Perawat Penanggung Jawab Asuhan (PPJA) dalam manajemen keperawatan telah menjadi fokus perhatian karena kontribusinya terhadap peningkatan mutu layanan kesehatan. PPJA berperan penting dalam supervisi, pelaksanaan asuhan keperawatan berbasis standar, serta optimalisasi kualitas pendokumentasian dan diagnosis.

Penelitian ini menggunakan metode review berdasarkan model Arksey dan O'Malley dengan analisis literatur yang diperoleh dari Science Direct, Scholar, dan Pubmed untuk periode Januari 2020 hingga Juni 2024. Literatur dipilih menggunakan pendekatan PRISMA Moher 2009.

Hasilnya mencakup analisis dari 12 artikel yang terdiri dari 8 penelitian kuantitatif, 3 penelitian deskriptif, dan 1 penelitian kualitatif. Temuan menunjukkan peran PPJA dalam meningkatkan kualitas pelayanan melalui pelatihan berkelanjutan, supervisi, pendekatan patient-centered care, dan inovasi teknologi. Selain itu, faktor kepemimpinan situasional, kompetensi PPJA, dan kolaborasi antara akademisi dan praktisi keperawatan terbukti berkontribusi secara signifikan terhadap mutu layanan keperawatan.

Kesimpulan: Peran PPJA yang didukung oleh pelatihan, supervisi, dan inovasi mampu meningkatkan kualitas layanan, keselamatan pasien, dan efisiensi pelaksanaan asuhan keperawatan. Optimalisasi kompetensi PPJA merupakan strategi yang penting untuk keberlanjutan layanan kesehatan berkualitas tinggi.

HUBUNGAN FLEKSIBILITAS LUMBAL DAN LINGKAR PINGGANG TERHADAP KELUHAN LOW BACK PAIN PADA KARYAWAN RS X DI TANGERANG

Siska Ratna Sari — 2024-12-17

Low Back Pain (LBP) merupakan masalah kesehatan yang umum terjadi, dapat memengaruhi kualitas hidup, produktivitas kerja, dan kesejahteraan individu, termasuk karyawan. Penelitian ini bertujuan untuk menganalisis hubungan antara fleksibilitas lumbal dan lingkar pinggang dengan keluhan LBP pada karyawan RS X di Tangerang. Desain penelitian menggunakan pendekatan cross-sectional dengan pengukuran data pada satu waktu tertentu. Sebanyak 55 karyawan back office dipilih sebagai sampel menggunakan teknik purposive sampling, berdasarkan kriteria inklusi: usia 25–60 tahun, pria maupun wanita, bekerja minimal 6 bulan, dan mengalami LBP miogenik. Data primer dikumpulkan melalui wawancara dan pemeriksaan langsung, kemudian dianalisis menggunakan uji Pearson. Hasil penelitian menunjukkan adanya hubungan signifikan antara fleksibilitas lumbal dengan keluhan LBP (r = 0,341; p = 0,011) dan tidak ada hubungan antara lingkar pinggang dengan keluhan LBP (r = 0,190; p = 0,165). Disimpulkan bahwa fleksibilitas lumbal yang rendah berhubungan dengan keluhan LBP dan lingkar pinggang yang besar tidak berhubungan dengan keluhan LBP. Penelitian ini menyarankan agar studi selanjutnya melibatkan jumlah sampel yang lebih besar untuk hasil yang lebih representatif.

HUBUNGAN INDEKS MASSA TUBUH, DURASI KERJA, DAN MASA KERJA DENGAN KELUHAN MUSCULOSKELETAL DISORDER PADA PENGEMUDI OJEK MOTOR ONLINE

Yuniarti Amran — 2024-12-17

Musculoskeletal Disorders (MSDs) adalah keluhan kesehatan yang menyerang otot, saraf, tendon, dan ligamen. Faktor risiko MSDs mencakup aspek individu seperti indeks massa tubuh (IMT), durasi kerja, dan masa kerja. Penelitian ini bertujuan untuk mengetahui hubungan antara IMT, durasi kerja, dan masa kerja dengan keluhan MSDs pada pengemudi ojek motor online.Penelitian menggunakan desain cross-sectional dengan total sampling pada 100 pengemudi ojek motor online di Gading Serpong, Provinsi Banten. Alat ukur yang digunakan pada variabel IMT, Durasi kerja, dan masa kerja pada kuesioner dalam bentuk google form serta variabel Musculosceletal disorder menggunakan Nordic Body Map. Analisis data yang digunakan adalah Uji Pearson dengan hasil menunjukan tidak terdapat hubungan signifikan antara IMT dan durasi kerja dengan keluhan MSDs (nilai P =0,586 >0,05 dan p=0,152 >0,05). Namun, ditemukan hubungan signifikan antara masa kerja dengan keluhan MSDs (p=0,039 <0,05). Maka disimpulkan kejadian Musculosceletal disorder pada pengemudi ojek motor online dipengaruhi oleh lamanya masa kerja.

Manajemen Nyeri dengan Teknik Relaksasi Autogenik dan Aromaterapi Pada Lansia dengan Hipertensi

Lisdahayati Lisdahayati — 2024-12-17

Hypertension in the elderly is often accompanied by chronic pain that affects their quality of life, requiring safe and effective pain management interventions. This study aimed to evaluate the effectiveness of autogenic relaxation techniques and aromatherapy in reducing pain in elderly individuals with hypertension. A descriptive case study design was used with two elderly clients in the working area of UPTD Sukaraya Public Health Center, Baturaja Timur District, over two weeks. Data were collected through interviews, observations, and documentation. The results showed a reduction in pain scale from 6 to 4 for Client I and from 4 to 3 for Client II after the intervention. In addition, the clients' blood pressure significantly decreased, and improvements were noted in sleep quality and daily activities. In conclusion, the combination of autogenic relaxation techniques and aromatherapy is effective in reducing pain intensity in elderly individuals with hypertension. It is recommended to integrate this technique into nursing care practices and conduct further research with a larger sample size.

ASUHAN KEPERAWATAN DIABETES MELITUS DENGAN PENDEKATAN TEORI JEAN WATSON: LITERATURE REVIEW

Eka Ratna Dewi — 2024-12-18

Artikel ini merupakan tinjauan literatur tentang penerapan teori Jean Watson dalam asuhan keperawatan pada pasien Diabetes Melitus (DM). Teori Jean Watson menawarkan pendekatan yang humanistik, berfokus pada hubungan terapeutik yang mendalam antara perawat dan pasien, serta mengintegrasikan aspek fisik, emosional, dan spiritual dalam praktik keperawatan. Dalam artikel ini, kami menjelaskan konsep dasar dari teori Jean Watson, mengidentifikasi manfaat utama dalam asuhan keperawatan Diabetes Melitus, seperti peningkatan kepatuhan pengelolaan penyakit, perbaikan kualitas hidup, dan pemenuhan kebutuhan holistik pasien. Namun, penerapan pendekatan ini juga menghadapi tantangan, termasuk kurangnya pemahaman teori oleh perawat, keterbatasan waktu dalam praktik klinis, serta pengintegrasian nilai-nilai spiritual ke dalam perawatan sehari-hari. Tantangan-tantangan ini dapat diatasi melalui pelatihan profesional berkelanjutan, dukungan manajemen rumah sakit, dan penyesuaian strategi intervensi berbasis kebutuhan pasien. Dalam kesimpulan, penerapan teori Jean Watson dalam asuhan keperawatan Diabetes Melitus memiliki potensi besar untuk meningkatkan hasil kesehatan pasien melalui pendekatan yang holistik dan penuh kasih. Dengan pemahaman yang mendalam tentang prinsip-prinsip dasar teori, manfaat yang diberikan, dan solusi atas tantangan yang dihadapi, perawat dapat menciptakan pengalaman perawatan yang lebih bermakna dan relevan. Teori Jean Watson adalah kerangka kerja yang kuat untuk membantu perawat dalam memberikan asuhan keperawatan yang optimal dan humanistik bagi pasien Diabetes Melitus.

RELATIONSHIP BETWEEN KNOWLEDGE AND ATTITUDE OF ADOLESCENTS TOWARDS HIV/AIDS PREVENTION AT YPK IMMANUEL HIGH SCHOOL MANOKWARI

Gidion Mansa — 2024-12-21

Global HIV Number In 2023, there will be 39.9 million people worldwide living with HIV. Of these, 38.6 million are adults and 1.4 million are children. Global HIV-related deaths. In 2023, 630,000 people will die from HIV-related causes worldwide. HIV cases in Indonesia. The estimate of PLHIV in West Papua Province in 2024 is 12,050 and PLHIV who have been found until January 2024 are 4,681 people or around 39%, still very far from the fast track target of 95%. To determine the relationship between knowledge and attitudes of adolescents towards HIV/AIDS prevention at SMU YPK Immanuel Manokwari 2024. This type of research is a quantitative research type with a quasi-experimental method or "Quasi Experiment". The design used in this study is the One-Group Pretest-Posttest Design. The sample consisted of 60 students, using nonprobability sampling with purposive sampling. Where students will be measured for knowledge and attitudes about HIV/AIDS prevention after the pre-test will be given treatment/counseling about HIV/AIDS prevention, after that will be given a post-test questionnaire. The results of the study obtained an increase in knowledge and attitudes after treatment or counseling about HIV/AIDS prevention and with the Wilcoxon test and obtained a value (α <0.05).

A Literatur Review Pemanfaatan Program Manajemen Berbasis Internet (Telenursing-Telemedicine- Aplikasi Website-Smartphone) dalam Upaya Mengurangi Kekambuhan Penyakit Ashma Bronchiale

Dwi Erma Santi — 2024-12-05

Based on data from the Ministry of Health in 2020, asthma is one of the most prevalent diseases among the Indonesian population. By the end of 2020, the number of asthma sufferers in Indonesia reached 4.5 percent of the total population, totaling more than 12 million individuals. Asthma is a chronic condition characterized by recurrent episodes and currently cannot be completely cured. However, with proper control and treatment, asthma patients can lead normal lives and have a high life expectancy. Internet-based support systems for self-management and education, along with internet and mobile technologies, are increasingly recognized as valuable tools for patients with chronic diseases. The purpose of this literature review is to identify internet-based management programs that can effectively reduce the recurrence of bronchial asthma. This literature review method employs the PRISMA flow, with database searches including Google Scholar (57 articles), ProQuest (20 articles), and Wiley (14 articles). Keywords used in the article search include internet-based disease management, bronchial asthma, and knowledge. Only 6 articles were deemed appropriate through analysis of objectives, topic suitability, research methods used, sample size, research ethics, results of each article, and encountered limitations. The findings of the literature review indicate that information systems that can be utilized and have yielded significant results in achieving positive outcomes in the management of bronchial asthma include social media features such as Twitter and WhatsApp, internet features for telecommunication or telemedicine websites, the Attend Anywhere application based on Google Chrome, Zoom, and telemedicine.

a Literature review Performance assessment of nurse competence based on Electronic Nursing Logbook in Health Services

Ni Putu Sri Budiani — 2024-12-05

The era of industry 4.0, has developed an electronic logbook (E-logbook) which is used for more accurate documentation and assessing performance based on the achievement of each individual activity. The nurse's E-logbook is designed as a documentation that contains records of activity achievements, nurse skills, and updates of all activities, and is used in assessing employee behavior for one year. The purpose of this literature review is to determine whether the use of Electronic logbook has a significant impact on performance appraisal. The database search used included Google Scholar (40 articles), Pubmed (15 articles), and EBSCO (30 articles). The keywords used in the search for articles are electronic logbook, nurse, service quality, health services and only 5 articles were used that were suitable through analysis of objectives, topic suitability, research methods used, sample size, research ethics, results of each article, and limitations that occur. It was found that there was a positive impact on the use of electronic logbooks on clinical staff. The e-logbook continues to be updated to facilitate quantitative recording of the activities of each medical staff according to the details of their clinical authority and as a means of performance assessment

A Risk Management Analysis on Employee Performance: Literature Review

Ayu Tri Widiyanti — 2024-12-27

Risk management is one of the efforts made to avoid risks or face other risks that can interfere with the achievement of targets, one of the things that can be done is to increase employee performance productivity. The purpose of this study is to determine and analyze the influence of risk management and employee performance in the Company environment. The method used in this literature review uses a comprehensive approach, such as searching for articles in research journal databases, internet searches, and article reviews. The databases used in the search in 2020-2024 include those obtained from Google Scholar with 13,900 articles; PubMed with 1,253 articles, and Science Direct with 6,293 articles. The keywords used in the article search are risk management and employee performance. After identification, screening, and feasibility assessment, ten articles were selected based on the analysis of objectives, topic relevance, research methods used, sample size, research ethics, results of each article, and limitations found. The results of this study, namely the application of risk management to employee performance, are proven to be correct and risk management plays an important role in ensuring the realization of good employee performance in the company.

A Literature Review Evaluation Of Hospital Information Management System (SIMRS) Based On Human Organization Technology-Fit (Hot-Fit) Method

Ayu Tri Widiyanti — 2024-12-27

SIMRS is a series of activities that cover all hospital health services at all administrative levels which can provide information to managers for the management process. The aim of this literature review is to analyze the success of implementing the SIMRS hospital management information system. The method used in this literature review uses a comprehensive strategy, such as searching for articles in research journal databases, searching via the internet, reviewing articles. Data collection was carried out using secondary data which is support sourced from various existing literature and references. Data analysis was carried out using literature review techniques including looking for similarities (compare), looking for differences (contrast), giving views (critite), comparing (synthesize), and summarizing (summarize). Database searches used included SciVerse ScienceDirect, Scopus, Pubmed and Google scholar. The keywords used in the article search were SIMRS, SOP, Evaluation Monitoring, Information Management. 457 articles were obtained, then the reviewers screened the titles and abstracts to obtain 10 articles that were appropriate to the topic and carried out a review. appropriate through analysis of objectives, suitability of topics, research methods used, sample size, research ethics, results of each article, as well as limitations that occur. There are effective results in hospital services with a variety of service management information systems and different features. There is a need for regulations and minimum standardization that must be determined by the Ministry of Health in order to achieve uniform services and be able to carry out full electronic-based activities. There is a need for the capacity of the Ministry of Health to provide applications for hospitals that are still unfamiliar with SIMRS and ongoing training and need more monitoring.

Hubungan Status Gizi, Derajat Keasaman (ph) Saliva, dan Status Kebersihan Gigi dan Mulut Terhadap Kejadian Karies Pada Anak di Sekolah Dasar

Marshellyana Marshellyana — 2024-12-27

Karies gigi merupakan salah satu masalah kesehatan yang sering terjadi pada anak-anak dan dapat memengaruhi kualitas hidup mereka. Penelitian ini bertujuan untuk menganalisis hubungan antara status gizi, derajat keasaman (pH) saliva, dan status kebersihan gigi serta mulut terhadap kejadian karies pada siswa sekolah dasar. Penelitian ini menggunakan desain cross-sectional dengan melibatkan 67 siswa kelas IV dan V di sekolah dasar. Sampel dipilih menggunakan teknik purposive sampling berdasarkan kriteria inklusi dan eksklusi. Data dikumpulkan melalui pengukuran status gizi, pH saliva, kebersihan gigi, dan karies menggunakan metode observasi serta pemeriksaan langsung. Hasil penelitian menunjukkan hubungan yang signifikan antara status gizi (ρ = 0,001, r = -0,505), pH saliva (ρ = 0,001, r = -0,777), dan kebersihan gigi serta mulut (ρ = 0,001, r = 0,775) dengan kejadian karies. Anak-anak dengan status gizi kurang, saliva asam, dan kebersihan gigi buruk memiliki risiko lebih tinggi mengalami karies. Kesimpulannya, faktor-faktor tersebut saling memengaruhi dalam meningkatkan risiko karies pada anak-anak. Disarankan agar program pendidikan kesehatan gigi dan pola makan sehat diperkuat di sekolah, serta dilakukan pemeriksaan gigi secara berkala untuk mencegah karies sejak dini.

The Description of Stress Levels and Coping Strategies among Correctional Inmates in Class II A Detention Centers in Pekalongan City

Annisa Risky Fadilla — 2024-12-27

Life in a correctional facility can lead to psychological issues among inmates, such as stress. According to the WHO, there are approximately 350 million people worldwide experiencing high levels of stress, making it the fourth most common health issue. Stress contributes to 40% of mental health problems among inmates. Therefore, effective coping strategies are crucial, as they help inmates manage stressors. This study aims to describe the stress levels and coping strategies of inmates at the Class II A Prison Pekalongan. This quantitative study employs a descriptive design, using total sampling with 124 respondents. Data were collected using the PSS-10 questionnaire to assess stress levels, the Brief COPE questionnaire to evaluate coping strategies, and a respondent characteristics questionnaire. Data analysis involved numerical and categorical analysis. The study found that the average age of respondents was 33.27 years. Most had been in the facility once, and the majority were male (93.5%). The most common marital status was married (46.0%), and the most frequent educational level was high school/vocational school (32.3%). The stress level among inmates was predominantly moderate, with 72.6% experiencing moderate stress. Most inmates used problem focused coping strategies (70.2%).

PENGARUH KOMPRES DAUN KOL TERHADAP PEMBENGKAKAN PAYUDARA PADA IBU POST PARTUM DI RUMAH SAKIT SUKMA WIJAYA SAMPANG

Mei Lestari Ika Widyyati — 2024-12-28

Background: Breast engorgement occurs when breast milk is clogged due to the narrowing of the milk ducts or because the mammary glands do not empty. Severe breast engorgement can cause discomfort to the mother because it can cause pain, interfere with the baby's ability to breastfeed, and even cause mastitis and breast abscesses in the mother. Objective: To determine the effect of cabbage leaf compresses on breast swelling in postpartum mothers at Sukma Wijaya Hospital, Sampang. Method: The research design used in this research is a pre-experimental design with one group pretest-posttest. The population in this study was 46 postpartum mothers at Sukma Wijaya Sampang Hospital using a probability sampling technique, namely simple random sampling. The instrument used in this study used a checklist, namely a direct assessment of the incidence of breast swelling using the Six Point Engorgement Scale (SPES). The results of this research were processed using the Wilcoxon test, the results are presented in the form of tables and narratives. Result: The results of this study showed that the majority of respondents before the intervention showed moderate pain on a scale of 4-5, namely 24 respondents (57.1%) and almost all respondents after the intervention showed mild pain on a scale of 2-3, 33 respondents (78 .6%). The results of the Wilcoxon Test statistical test obtained a p-value of 0.000 < a = 0.05. So it can be concluded that there is an effect of cabbage leaf compresses on breast swelling in post-partum mothers at Sukma Wijaya Hospital, Sampang. Conclusion: Cabbage leaf compress is an alternative that can be used to treat breast swelling. Cabbage leaf compresses are effective in reducing breast swelling compared to not giving cabbage leaf compresses.

Gangguan Komunikasi Verbal Dengan Terapi Aiueo: Laporan Kasus Pasien Pasca Stroke

Dessy Rindiyanti Harista — 2024-12-28

Post-stroke patients experience decreased physical function characterized by difficulty speaking such as slurred speech, aphasia, difficulty expressing feelings through words, and damage to other physical functions due to nerve damage. This triggers the emergence of problems with verbal communication disorders in patients after a stroke. This research aims to carry out the nursing care process for post-stroke patients who experience verbal communication disorders with five stages starting from assessment, establishing a nursing diagnosis, determining nursing interventions, and implementing the nursing plan to the final stage, namely nursing evaluation. Two post-stroke patients were interviewed and observed 7 times over 2 weeks from 28 October 2023 to 10 November 2023. Post-stroke patients were given AIUEO therapy 7 times with the results of the evaluation on the last day showing a marked improvement in the individual's health condition. With increased speech ability, improved behavioral responses, increased hearing ability, decreased aphasia, and decreased speech. The research results were assessed based on the results criteria stated in the Indonesian nursing output standards with interpretation of resolved problems.

HUBUNGAN STATUS GIZI DAN STRES DENGAN KEJADIAN HIPERTENSI PADA PELAJAR SMA DI SMAN 2 SAMPANG

Mery Eka Yaya Fujianti — 2024-12-30

Background: Nutritional problems that usually occur in teenagers are undernutrition and overnutrition, as well as anemia. This can cause changes in health conditions in adolescents. Adolescents with with higher nutritional status will be at risk of experiencing degenerative diseases such as hypertension. Apart from that, psychosocial aspects in adolescents are also very important in the development process. If teenagers are unable to cope with the changes within themselves, this will result in an identity crisis which, if not resolved, will result in stress for teenagers. Nutritional status and prolonged stress are risk factors for hypertension in adolescents. Objective: This study aims to determine the relationship between nutritional status and stress and the incidence of hypertension in high school students at SMAN 1 Sampang. Method: The research method used is quantitative with a cross-sectional approach. The research was conducted at SMAN 2 Sampang with a population of 25 respondents. The sampling method used is total sampling. The analysis methods used are univariate and bivariate analysis. Univariate analysis was used to determine the distribution of nutritional status, stress and the incidence of hypertension, while bivariate analysis was used to determine the relationship between nutritional status and stress and the incidence of hypertension using the chi-square test. Result: The research results show that risk factors for hypertension include nutritional status and stress. Adolescents with the habit of consuming foods with high energy density result in excessive energy intake. This results in fat deposits which can cause blood vessels to narrow and result in high blood pressure. Apart from that, during adolescence many changes occur in teenagers. This situation causes teenagers to experience stress. Prolonged stress results in hypertension. Conclution: There is a relationship between nutritional status and stress and the incidence of hypertension.

Hubungan Sikap Ibu Hamil dengan Tindakan Screening HIV-AIDS

Diana Kusumawati — 2024-12-30

Ibu hamil sangat rentan terhadap berbagai penyakit. Infeksi HIV pada ibu hamil dapat menimbulkan ancaman serius terhadap kesehatan ibu dan janin. Selain berisiko tertular HIV, bayi yang dilahirkan dari ibu yang hidup dengan HIV juga menghadapi ancaman kematian. Rendahnya tingkat kepatuhan ibu hamil dalam melakukan tes HIV menjadi kendala utama dalam upaya pencegahan penularan HIV secara vertikal. Hal ini disebabkan oleh ketidaktahuan akan status HIV dan ketidakaksesan terhadap terapi antiretroviral (ARV) selama masa kehamilan. Tujuan:mengetahui Hubungan antara sikap ibu hamil dengan tindakan screening HIV AIDS di Puskesmas Kalibaru.Penelitian menggunakan desain analitik deskriptif dengan pendekatan cross sectional. Populasi seluruh ibu hamil yang datang di puskesmas kalibaru kulon dan pengambilan sample secara accidental sampling sehingga didapatkan sample sebanyak 30 orang. Pengumpulan data menggunakan observasi dan quesioner. Analisa dengan uji chi square menggunakan SPSS 22 for windows. Hasil penelitian hampir seluruhnya responden bersikap positif terhadap tindakan screening sebanyak 25 responden (83%) dan bersedia dilakukan screening test. Hasil analisa menggunakan uji fisher exact testdiperoleh data Asymp. Sig. (2-tiled)= 0,000, alpha < 0,05 yang berarti ada hubungan signifikan antara sikap ibu hanil dengan tindakan screening di Puskesmas Kalibaru Kulon. Tindakan screening perlu di sosialisasikan oleh tenaga kesehatan terutama pada saat melaksanakan ANC, dengan di berikanya penyuluhan dan konseling diharapkan ibu hamil akan mengetahui dan memahami tentang HIV. Dan pada akhirnya para ibu hamil akan bersikap positif melakukan pemerikaan screening HIV AIDS.

Kata kunci : sikap ibu hamil, tindakan screening, HIV-AIDS

Rendam Kaki Air Hangat terhadap Perubahan Tekanan Darah pada Penderita Hipertensi

Fany Anitarini — 2024-12-30

Hipertensi didiagnosis jika telah melakukan pengukuran tekanan darah sistolik (TDS) 140 mmHg atau lebih dan/atau tekanan darah diastolik (TDD) adalah ≥ 90 mmHg setelah dilakukan pemeriksaan tekanan darah berulang. Penatalaksanaan non farmakologi untuk menurunkan tekanan darah melalui perendaman kaki dengan air hangat. Merendam kaki dalam air hangat merupakan salah satu dari terapi yang memberikan efek fisiologis pada tubuh dengan meningkatkan sirkulasi darah menjadi lancar. Tujuan dari penelitian adalah untuk mengetahui pengaruh rendam kaki hangat terhadap perubahan tekanan darah. Desain penelitian menggunakan pre-eksperimental One Group Pretest-Postest Design dengan 30 responden yang dipilih dengan teknik sampling purposive. Pengumpulan data menggunakan SOP untuk variabel rendam kaki dan lembar observasi tekanan darah. Analisis data menggunakan uji Wilcoxon.Hampir seluruhnya dari responden rendam dengan jumlah 30 responden mengidap hipertensi Tk 1 sebanyak 27 responden (90%)dan sebagian kecil mengidam hipertensi Tk 2 sebanyak 10 orang(10%). Setelah di berikan perlakuan rendam kaki air hangat penderita mulai mengalami penurunan tekanan darahdarah yang awalnya penderita Hipertensi Tk 1 menjadi Pre-hipertensi sebanyak 7 orang (23,3%). Terdapat pengaruh yang signifikan antara rendam kaki air hangat dengan tekanan darah dengan nilai Sig. (2-tailed) sebesar 0,00 (< 0,05).Rendam kaki air hangat dapat membantu menurunkan tekanan darah pasien hipertensi, sehingga penderita dapat melakukan secara mandiri dalam mengontrol tekanan darah.

Kata kunci : Rendam kaki air hangat, tekanan darah, hipertensi

Analisis Tingkat Pengetahuan Ibu terhadap Pemberian Imunisasi Lanjutan Measles Rubela (MR) di Puskesmas Lansot Tomohon

Margaretha Bangkut — 2024-12-30

Imunisasi lengkap pada anak merupakan hal yang sangat penting karena berpengaruh pada kesehatan anak Tujuan: Penelitian ini untuk menganalisis tingkat pengetahuan ibu tentang pemberian imunisasi lanjutan Measles Rubella (MR) sebagai upaya pencegahan kematian bayi dan balita di Puskesmas Lansot Tomohon. Metode: dalam penelitian ini adalah deskriptif kuantitatif dengan pendekatan cross-sectional. Sampel penelitian ini terdiri dari 50 ibu yang memiliki anak usia 9 bulan hingga 5 tahun yang dipilih melalui teknik purposive sampling. Data dikumpulkan menggunakan kuesioner tertutup yang telah diuji validitas dan reliabilitasnya, kemudian dianalisis secara deskriptif dan inferensial. Hasil: penelitian menunjukkan bahwa mayoritas ibu berada dalam rentang usia produktif (20-30 tahun) dan memiliki tingkat pendidikan menengah, dengan sebagian besar berprofesi sebagai Ibu Rumah Tangga (60%). Dari segi demografi anak, mayoritas berjenis kelamin perempuan (54%) dan sebagian besar (64%) sudah menerima imunisasi MR, meskipun masih ada 36% yang belum terimunisasi. Penelitian ini juga menemukan bahwa 64% ibu memiliki pengetahuan yang baik tentang imunisasi MR, sementara 36% memiliki pengetahuan yang cukup. Kesimpulan : berdasarkan temuan penelitian ini menekankan pentingnya peningkatan edukasi dan intervensi kesehatan, khususnya untuk ibu yang berpendidikan lebih rendah, guna mencapai cakupan imunisasi yang lebih optimal. Secara keseluruhan, hasil penelitian ini memberikan dasar yang kuat untuk memperkuat program imunisasi dan kesehatan lainnya di komunitas Puskesmas Lansot Tomohon.

PENGARUH PENDIDIKAN, PENYULUHAN DAN VIDEO (PELUVI) RJP TERHADAP PENGETAHUAN SISWA DALAM MEMBERIKAN PERTOLONGAN PERTAMA HENTI JANTUNG DI SMAN 1 TORJUN

Ahmadi Ahmadi — 2024-12-15

Henti jantung adalah keadaan di mana aktivitas jantung terhenti secara tiba-tiba, baik pada individu dengan riwayat penyakit jantung maupun tanpa riwayat tersebut. Resusitasi jantung paru (RJP) atau Cardiopulmonary Resuscitation (CPR) merupakan tindakan penyelamatan darurat yang ditujukan untuk menangani henti jantung atau henti napas, melalui penerapan kompresi dada dan ventilasi buatan. Tujuan: Tujuan pada penelitian ini untuk mengetahui pendidikan, penyuluhan, dan video (PELUVI) RJP terhadap pengetahuan siswa dalam memberikan pertolongan Pertama Henti Jantung. Metode: penelitian ini merupakan penelitian kuantitatif dengan metode pre eksperimental dengan tipe one group pre-post test desain. Populasi dalam penelitian ini yaitu siswa kelas 11(A) di SMAN 1 Torjun dengan jumlah siswa yaitu 63 siswa. Penelitian ini menggunakan simple Random Sampling dan didapatkan sampel sebanyak 33 siswa. Hasil:. Berdasarkan hasil analisis statistik menggunakan uji Wilcoxon, diperoleh nilai p sebesar 0,014, yang berarti terdapat pengaruh intervensi berupa pendidikan, penyuluhan, dan video (PELUVI) RJP terhadap peningkatan pengetahuan siswa dalam memberikan pertolongan pertama pada henti jantung di SMAN 1 Torjun. Kesimpulan: terdapat pengaruh Pendidikan, Penyuluhandan Video (PELUVI) RJP Terhadap Pengetahuan Siswa Dalam Memberikan Pertolongan Pertama Henti Jantung

Determinan Diabetes Mellitus pada Usia Remaja: Literatur Review

Sukurni Sukurni — 2024-12-23

Diabetes Mellitus (DM) is a chronic metabolic disease with a significantly increasing prevalence among young people. This phenomenon has become a global health challenge due to its long-term complications and its impact on individual productivity and quality of life. This study aims to identify the main determinants of DM in young people through a systematic literature review. The study uses the PCC framework (Population, Concept, Context) to define the focus of the review. Relevant literature was identified from databases such as PubMed, Scopus, and Google Scholar using a combination of keywords like “Diabetes Mellitus,” “young adults,” and “risk factors.” Inclusion criteria included studies published in the last 10 years, written in English or Indonesian, and discussing DM risk factors in individuals aged ≤40 years. The data obtained were analyzed narratively and systematically. Based on the analysis, the determinants of DM in young people involve genetic, environmental, and behavioral factors. Genetic factors, such as FTO gene variants, significantly increase the risk of DM. Environmental factors, including air pollution exposure and low socioeconomic status, also play a crucial role. Moreover, unhealthy lifestyles, such as physical inactivity, high-sugar diets, and sleep disturbances, are major contributors. Research indicates that behavioral factors are the most modifiable determinants for preventing DM in young people. DM in young people is a multifactorial condition that requires a multidimensional preventive approach.

Determinan Anemia Pada Ibu Hamil: Literatur Review

Saida Saida — 2024-12-23

Pregnancy-related anemia is a global health issue that can have serious implications for both maternal and fetal health. Anemia during pregnancy is caused by various factors, including iron, folate, and vitamin B12 deficiencies, as well as underlying socioeconomic conditions and infections. The high prevalence of anemia, particularly in developing countries, requires serious attention in efforts to prevent and manage anemia in pregnant women. This literature review was conducted by identifying and analyzing relevant articles on the prevalence, risk factors, management, and impact of anemia during pregnancy. Articles were searched in databases such as PubMed, Google Scholar, and Scopus, using keywords like "Anemia in pregnancy," "Iron deficiency anemia," and "Pregnancy complications." Inclusion criteria included articles published in the last five years, focusing on studies relevant to anemia in pregnant women. Based on the review findings, the prevalence of anemia during pregnancy ranged from 25-45%, with iron deficiency as the primary cause of anemia. Other risk factors included multiple pregnancies, parasitic infections, and low socioeconomic status. Iron, folate, and vitamin B12 supplementation were shown to be effective in increasing hemoglobin levels and reducing anemia prevalence. However, factors such as access to healthcare and adherence to supplementation programs play a critical role in the success of anemia management. Anemia in pregnant women is a complex health issue that requires a multidimensional approach. Public health programs involving nutritional education, supplementation, and routine monitoring are essential to reduce anemia prevalence in pregnant women

Literasi Kesehatan terhadap Kepatuhan Minum Obat pada Pasien Hipertensi: Literatur Review

La Ode Alifariki — 2024-12-23

Hypertension is one of the most prevalent chronic diseases worldwide, and its management highly depends on patients' adherence to medication. One of the factors influencing medication adherence is health literacy, which encompasses an individual's ability to understand and use health-related information in decision-making. This study aims to examine the relationship between health literacy and medication adherence in hypertensive patients through a literature review. Based on 10 relevant articles, it was found that higher health literacy is associated with better medication adherence because patients who have a good understanding of their disease and treatment are more likely to adhere to the prescribed regimen. Conversely, low health literacy may lead to misunderstandings of medication instructions, potentially decreasing adherence. Various factors, such as communication methods used by healthcare providers, social support, and health education programs, have proven effective in improving patients' health literacy. The findings of this review indicate that enhancing health literacy through clearer education and appropriate support is crucial for improving medication adherence and reducing the risk of hypertension-related complications. Therefore, a more holistic and individualized approach is needed in the management of hypertension to achieve optimal treatment outcomes

DETERMINAN NYERI PUNGGUNG BAWAH PADA APARATUR SIPIL NEGARA DI LINGKUNGAN DINAS KESEHATAN KABUPATEN SEKADAU

Elvi Juliansyah — 2024-12-01

Low back pain (LBP) is a common health problem experienced by workers in various sectors, including in the Health Service. In Sekadau Regency, this condition is a concern because it can have a direct impact on work productivity, quality of health services, and employee welfare. The results of the statistical test showed no significant relationship between age and lower back pain. The statistical test obtained a p value of 1,000> (p value = 0.05), there was a significant relationship between body weight and lower back pain with a p value of 0.001 < (p value = 0.05) and an OR value of 5.762, there was a significant relationship between knowledge and lower back pain with a p value of 0.005 < (p value = 0.05) and an OR value of 3.810, there was no significant relationship between sitting position and lower back pain with a p value of 1,000> (p value = 0.05), there was a significant relationship between length of service and lower back pain with a p value of 0.010 < (p value = 0.05) and an OR value of 3.567. It can be concluded that body weight, knowledge, and length of service are related to the incidence of lower back pain in Civil Servants in the Sekadau Regency Health Office. It is recommended that body weight should be maintained to remain stable and can support the body by increasing knowledge about back pain in Civil Servants with more than 10 years of service.

A Literatur Review “Strategi Manajemen Risiko Untuk Meningkatkan Keselamatan Pasien di Rumah Sakit”

Rahmawati Sri Utami — 2024-12-23

Patient safety incidents, one of which is the unexpected event of patient injury, should not occur in hospitals, so risk management programs are very important to implement, but in the implementation of the care process, patient safety incidents still occur. Implementing effective risk management is an important strategy to identify, analyze, and mitigate risks that may compromise patient safety. The purpose of this study was to review risk management strategies used in hospitals to improve patient safety. The method used in this literature review utilizes a comprehensive strategy, such as searching for articles in research journal databases, searching through the internet, reviewing articles. The database search used includes database searches used including Science Direct getting 29,162 articles, Pubmed getting 527 articles, Google Scholar getting 9370 articles, and Scopus getting 10 articles. The keywords used in the article search were risk management and patient safety. After going through the identification, screening and eligibility stages, 10 articles were obtained that were suitable through analysis of objectives, suitability of topics, research methods used, sample size, research ethics, results of each article, and limitations that occurred. The results showed that implementing an incident reporting system, regular staff training, improving standard operating procedures (SOP) and implementing health information technology are important steps to reduce patient safety incidents. Integrated and sustainable risk management has been shown to improve the quality of care and provide better protection to patients. This study recommends that hospitals continue to strengthen their safety practices and increase collaboration in risk management.

Hubungan Antara Stres Kerja Dengan Turnover Intention pada Perawat Di Wilayah Kerja Puskesmas Bangkalan

soliha soliha — 2024-12-23

Turnover intention adalah keinginan berpindah yang menggambarkan pikiran individu untuk keluar, mencari pekerjaan ditempat lain, serta keinginan meninggalkan organisasi. Kejadian perpindahan perawat (turnover intention) yang tinggi di rumah sakit dapat menimbulkan hambatan dalam memberikan pelayanan kepada pasien. Berdasarkan hasil studi pendahuluan didapatkan data sebanyak 41,6% perawat memiliki Turnover intention berada pada kategori Tinggi. Tujuan penelitian ini untuk mengetahui hubungan antara stres kerja dengan turnover intention pada perawat di wilayah kerja Puskesmas Bangkalan. Penelitian ini menggunakan desain analitik korelasi dengan pendekatan cross-sectional. Populasi dalam penelitian ini yaitu 58 perawat dengan besar sampel sebanyak 51 Responden dengan teknik sample random sampling. Variabel independen: stres kerja. dan variabel dependen: turnover intention. Instrumen dalam penellitian ini menggunakan 2 kuesioner yaitu stres kerja dan turnover intention. Data di analisis dengan menggunakan spearman rank dengan α 0,05 . No uji layak etik NO: 2094/KEPK/STIKES-NHM/EC/IV/2024. Hasil penelitian menunjukkan sebagian besar stres kerja dalam kategori sedang (88,2%). Turnover intention perawat sebagian besar dalam kategori sedang (68,8%). Hasil uji spearman rank variabel stres kerja dengan turnover intention di dapatkan p value sebesar 0,003 < α 0,05 maka ada hubungan antara stres kerja dengan turnover intention. Saran bagi perawat diharapkan perawat mampu beradaptasi dengan kondisi lingkungan kerja yang di tetapkan sehingga mampu menurunkan Stres dan mencegah terjadinya keinginan untuk mencari pekerjaan yang baru.

Hubungan Antara Dukungan Keluarga Dan Peran Kader Dengan Keaktifan Kunjungan Lansia Ke Posyandu Pada Daerah Urban Di Kelurahan Kraton

Luluk Fauziyah Januarti — 2024-12-23

Active visitation of the elderly Refers to how often or regularly the elderly (older people) attend or participate in visits to health facilities, public health programs, or other activities related to maintaining their health, the support needed to support the health of the elderly such as family support and the role of cadre. This research aims to analyze family support and the role of cadres in the activeness of elderly visits to posyandu, such as family support and the role of cadres. This research aims to analyze family support and the role of cadres in the activeness of elderly visits to posyandu. This research method is a cross-sectional analytical survey. Independent variables are family support and the role of elderly posyandu cadres and activeness of elderly visits. The population and sample were 46 elderly people in Kraton Bangkalan Village (Bangkalan Community Health Center Working Area) using a total sampling technique. The instrument uses a questionnaire. Analysis using Lambda (0.05). The research results showed that nearly half of elderly family support was insufficient, 22 (47.8%), the role of cadres was mostly sufficient, 33 (71.7%), the activeness of the elderly posyandu was mostly inactive, 26 (56.5%). From the results of the Lambda statistical test, a p value of 0.000 <a 0.05 was obtained. So it can be concluded that there is a relationship between family support and the elderly's activeness in participating in posyandu activities. From the results of the Lambda statistical test, the p value was 0.036 < a 0.05. So it can be concluded that there is a relationship between the role of cadres and the activeness of elderly people in participating in posyandu activities in urban areas in Kraton Subdistrict (Bangkalan Community Health Center Work Area). It is recommended that the elderly need to be given an understanding of the importance of participating in posyandu activities for their health. Education can be done through lectures, brochures and group discussions

HUBUNGAN FUNGSI KELUARGA DENGAN KUALITAS HIDUP PASIEN STROKE

Nisfil Mufidah — 2024-12-23

Stroke is a disease that affects the entire body such as paralysis, cognitive function deficits, speech difficulties, emotional difficulties, pain and problems in daily life which then causes patients to experience a decrease in quality of life. The results of a preliminary study conducted at ANNA Medika Madura General Hospital with 10 respondents found that 6 people experienced quality of life with poor criteria. The purpose of this study is to analyze the relationship between family function and quality of life of stroke patients in the working area of ANNA Medika Madura General Hospital.

This study used correlation analytical research method with cross sectional approach. The population of stroke patients was 35 people with a sample of 32 respondents. The independent variables was family function and the dependent variables was quality of life of stroke patients. The sampling technique used simple random sampling with APGAR and WHOQOL-BREF questionnaire instruments. Test statistics using the Spearman Rank test.

The results obtained P Value: 0.000 means that there was a relationship between family function and the quality of life of stroke patients. As for the results of the Correlation Coefficient or r: 0.835 which means there was a very strong relationship between family function and the quality of life of stroke patients.

Further researchers are expected to develop research with a larger sample and can develop other variables. For respondents, it is expected to improve family functions to improve the quality of life of patients during treatment and treatment.

KEJADIAN HIPERTENSI PADA LANSIA DI PUSTU KENYABUR BARU KECAMATAN TEMPUNAK KALIMANTAN BARAT

Sri Haryati — 2024-12-23

Lansia adalah seseorang yang telah berusia mencapai 60 tahun. Orang tua memiliki risiko atau kemungkinan lebih tinggi untuk terserang berbagai penyakit, terutama penyakit degenerative. Salah satu penyakit degeneratif pada lansia yang seringkali tanpa gejala adalah hipertensi. Indoneisia teirmasuk beirada pada urutan kei-2 peinyakit 10 teirbanyak meinurut WHO. Hipeirteinsi teirjadi pada keilompok umur 31-44 tahun (31,6%), umur 45-54 tahun (45,3%), umur 55-65 tahun (55,2%). Peinyeibab hipeirteinsi hingga saat ini seicara pasti beilum dapat dikeitahui, teitapi gaya hidup beirpeingaruh beisar teirhadap hipertensi, maka perlunya melakukan penelitian terkait faktor kejadian hipertensi pada lansia.Untuk mengetahui hubungan pengetahuan, sikap, pola makan dan riwayat hipertensi keluarga dengan kejadian hipertensi pada lansia. Penelitian ini menggunakan metode kuantitatif dengan desain Cross Sectional. Jumlah sampel 80 orang yang memenuhi kriteria inklusi dan ekslusi, Pengambilan sampel menggunakan Simple random Sampling, pengumpulan data menggunakan kuesioner, analisa data secara statistik dengan chi-Square.

Karakteristik responden paling banyak berusia (45 - 59 tahun) sebesar 55,0 %, mayoritas berjenis kelamin perempuan sebesar 56 (70,0 %) responden dengan hipertensi 43 (53,8 %). Hasil uji statistik dengan menggunakan Uji Chi Square, diperoleh pengetahuan p value = 0,010 (p value < 0,05), sikap p value = 0,001 (p value < 0,05), Riwayat hipertensi keluarga p value = 0,0001 (p value < 0,05). Pola makan p value = 0,018 (p value < 0,05). Terdapat hubungan antara pengetahuan, sikap, riwayat hipertensi keluarga dan pola makan dengan kejadian hiperteni pada lansia.

Strategi Program “Mentari Cafe” pada Pasien Skizofrenia di Instalasi Rehabilitasi Psikososial Rumah Sakit Dr. Soeharto Heerdjan, Jakarta

Tria Cahyani Mekarsari — 2024-12-23

Currently, there are 24 million people in the world with schizophrenia. People with schizophrenia need rehabilitation to improve their social functioning. One of the programs available at the Psychosocial Rehabilitation Installation of Dr. Soeharto Heerdjan Hospital is “Mentari Cafe”. This study aims to determine the strategies used in the “Mentari Cafe” program provided to schizophrenia patients. The method used is descriptive qualitative, data collection is done through interviews, observations, and documentation studies. The results showed that there were strategies used to make the “Mentari Cafe” program effective for schizophrenia patients. The strategies carried out in implementing the “Mentari Cafe” program are making program implementation guidelines, gradual learning, and working with families to support patients during the “Mentari Cafe” program. Approaching and motivating is one of the approaches suggested to overcome the patient's lack of initiative during the “Mentari Cafe” program.

Efektifitas Guided Imagery Dan Slow Deep Breathing Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi Di Desa Prigi Purbalingga

Putri Pramudya — 2024-12-22

Hypertension is a condition where the blood pressure in the arteries is too high. Hypertension occurs due to excessive workload of the heart when pumping blood throughout the body to meet the needs of oxygen and nutrients by the body. Hypertension is the leading cause of death which is often referred to as the silent killer disease. Nonpharmacological therapies used to reduce blood pressure in people with hypertension include Guided Imagery and Slow Deep Breathing therapy. This case study aims to describe the application of Guided Imagery and Slow Deep Breathing to lower blood pressure in families whose family members have hypertension in Prigi Purbalingga Village. The case study was conducted by observation for three meetings and the intervention of providing Guided Imagery and Slow Deep Breathing for three days on October 22-24, 2024. The results of the case study of the application of Guided Imagery and Slow Deep Breathing on the first day the patient was still in the category of grade 2 hypertension with blood pressure 162/102 mmHg, on the second day there was a decrease to the category of grade 1 hypertension with blood pressure 134/96 mmHg, and on the third day to pre-hypertension with blood pressure 120/80 mmHg. In conclusion, Guided Imagery therapy and Slow Deep Breathing can significantly reduce blood pressure in people with hypertension.

Analisis Tingkat Kepuasaan Pasien Terhadap Kualitas Pelayanan Rawat Jalan di Puskesmas Jaddih Bangkalan

Eddy Moeljono — 2024-12-23

Kepuasan merupakan hasil nyata yang dirasakan oleh pasien terkait pelayanan kesehatan yang diberikan oleh Puskesmas. Ketentuan kepuasaan sudah diatur jelas dalam peraturan yakni diatas 95%. Riset ini bertujuan menganalisis kepuasaan pasien rawat jalan terhadap kualitas pelayanan di Puskesmas Jeddih selama 2 bulan terakhir pada bulan November – Desember 2024. Penelitian ini adalah penelitian deskriftif dengan pendekatan kuantitatif, sampel dalam penelitian sebanyak 80 orang perhitungan sampel menggunakan rumus slovin. Tehnik sampling menggunakan accidental sampling. Tingkat kepuasaan pasien di Puskesmas Jeddih dengan skor rata – rata masing – masing diantaranya dimensi tangible 89,25 % kategori sangat puas, reliability 90.4 % kategori sangat puas, responsiveness 85.18 % kategori sangat puas, assurance 68.4% kategori puas dan emphaty 68.62% kategori puas.

Pengaruh Penyuluhan Terhadap Peningkatan Pengetahuan Pola Makan Bagi Penderita Diabetes Mellitus di Ruang Penyakit Dalam RSU dr. Abdoer Rahem

Ratih Eka Fitrianingrum — 2024-12-22

Diabetes Mellitus di Indonesia saat ini memang masih belum menempati skala prioritas utama namun terdapat dampak negatif yaitu bisa terjadi penurunan SDM. Pada tahun 2020 di perkirakan di indonesia akan memiliki 12 juta yang terkena diabetes, di jawa timur berada pada peringkat 7 dari 10 penyakit terbanyak atau sekitar 69.018 kasus dari 37 juta jumlah penduduk. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh penyuluhan terhadap pengetahuan pola makan bagi penderita diabetes militus di ruang penyakit dalam RSU dr. Abdoer Rahem Situbondo. Metode penelitian dalam penelitian ini adalah penelitian experimental dengan rancangan pra-eksperimental. Sampel sebanyak 30 responden, instrumen yang di gunakan dalam penelitian ini menggunakan kuesioner. Sebelum penyuluhan sebagian besar responden mempunyai pengetahuan cukup tentang pola makan bagi penderita diabetes sebesar 70,0 % dan sebagian kecil responden berpengetahuan kurang sebesar 10,0%. Setelah penyuluhan terjadi peningkatan pengetahuan tentang pola makan bagi penderita lebih dari 50% responden berpengetahuan cukup tentang pola makan bagi penderita diabetes sebesar 60,0%. Hasil analisa menggunakan Uji Wilcoxon di dapatkan bahwa α : 0,003 < α : 0,05 maka terdapat pengaruh penyuluhan terhadap pengetahuan tentang pola makan bagi penderita diabetes melitus di ruang penyakit dalam RSU dr. Abdoer Rahem Situbondo.

TINJAUAN KELENGKAPAN PERSYARATAN ADMINISTRASI KLAIM BADAN PENYELENGARA JAMINAN SOSIAL DI PUSKESMAS KEBONG KABUPATEN SINTANG TAHUN 2022

Joni Herman — 2024-12-15

Badan penyelengara jaminan sosial merupakan lembaga sosial yang dibentuk untuk menyelenggarakan program seperti jaminan sosial. Tujuan: Untuk mengetahui tinjauan kelengkapan persyaratan administrasi klaim Badan Penyelengara Jaminan Sosial di Puskesmas Kebong. Metode: Jenis penelitian kualitatif dengan pendekatan deskriptif. Subjek penelitian petugas klaim Badan penyelengara jaminan sosial informan utama petugas klaim dan informan pendukung petugas pendaftaran. Sedangkan objek penelitian persyaratan dokumen badan penyelengara jaminan sosial. Hasil: Persyaratan yang sering tidak dibawa pasien badan penyelengara jaminan sosial yaitu kartu badan penyelengara jaminan sosial, sedangkan persyaratan yang sering kurang mengajukan klaim pasien badan penyelengara jaminan sosial adalah kwitansi, fotokopi kartu tanda penduduk dan Fotokopi kartu badan penyelengara jaminan sosial. Penyebabkan keterlambatan pengajuan klaim ke badan Penyelengara Jaminan Sosial kesehatan karena masih ditemukan berkas atau dokumen rekam medis yang belum di tanda tangan oleh dokter. diharapkan Puskesmas Kebong untuk mensosialisasikan kembali terkait persyaratan berobat pasien badan penyelengara jaminan sosial kesehatan, agar klaim ke badan penyelengara jaminan sosial tepat waktu.

TEKNIK PEMERIKSAAN COLON IN LOOP PADA KASUS TUMOR INTRA ABDOMEN DENGAN KONTRAS GANDA DUA TINGKAT DI RSA UGM

Siti Arifah — 2024-12-12

Teknik pemeriksaan colon in loop pada kasus tumor intra abdomen di instalasi radiologi RSA UGM menggunakan media kontras barium sulfat dengan perbandingan 1:4 yaitu 300 gram barium yang dilarutkan dengan 1100 ml air hangat dan menggunakan proyeksi AP dan lateral tanpa proyeksi oblique. Jenis penelitian ini adalah penelitian kualitatif deskriptif dengan pendekatan studi kasus yang membahas tentang teknik pemeriksaan colon in loop pada kasus tumor intra abdomen dengan kontras ganda dua tingkat. Pemeriksaan colon in loop pada kasus tumor intra abdomen di instalasi radiologi RSA UGM menggunakan media kontras dengan perbandingan 1:4. Penggunaan media kontras dengan perbandingan 1:4 dinilai lebih baik dan lebih maksimal untuk menghasilkan kualitas radiograf yang optimal. Pemeriksaan colon in loop pada kasus tumor intra abdomen di instalasi radiologi RSA UGM menggunakan dua proyeksi yaitu AP dan lateral. Penggunaan proyeksi AP dan lateral sudah cukup untuk menampakkan rektosigmoidnya dan tidak dilakukan proyeksi oblique juga dinilai dapat mengurangi dosis radiasi yang diterima oleh pasien.