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Hubungan Tingkat Pengetahuan Dengan Kepatuhan Ibu Hamil Dalam Melakukan Imunisasi Tetanus Toksoid Di Puskesmas Dumbo Raya Kota Gorontalo: The Relationship Between Knowledge Level and Compliance of Pregnant Women in Receiving Tetanus Toksoid Immunization at Dumbo Raya Public Health Center Gorontalo City
No full textBased on the World Health Organization data, it is estimated that the global incidence of tetanus is approximately 0.5-1 million cases, with neonatal tetanus accounting for 50% 0f tetanus-related deaths in developing countries, including Indonesia (Mariyana & Sihombing, 2021). Tetanus toxoid immunization is one of the preventive measures to control the risk factors for maternal and neonatal mortality. This study aims to determine the relationship between the knowledge level and the compliance of pregnant women in receiving tetanus toxoid immunization at Dumbo Raya Public Health Center, Gorontalo City.
This study employed a quantitative method with an observational approach. The sample consisted of 40 pregnant women in their first and second trimesters, selected using non-probability sampling. Data collection included questionnaire and checklist. Data analysis was peformed using univariate and bivariate analysis. The findings show that most pregnant women have good knowledge and comply with tetanus toxoid immunization. Chi-square analysis reveals a p-value = 0.002< α = 0.05, indicating a significant relationship between the knowledge level of pregnant women and their compliance with tetanus immunization. This study is expected to serve as input for public health centers to enhance their health promotion efforts related to tetanus immunization among pregnant women. This research has passed the Health Assessment Ethics Commission of Gorontalo State University with Number: 070A/UN47.B7/KE/2024 starting June 20, 2024.Data dari World Health Organization menghitung secara kasar insiden kejadian tetanus di dunia berkisar antara 0,5-1 juta kasus dan Tetanus Neonatrum terhitung 50% dari kematian akibat tetanus pada negara-negara berkembang termasuk.Imunisasi tetanus toksoid merupakan salah satu upaya pengendalian untuk mencegah terjadinya faktor risiko kematian ibu dan bayi. Tujuan penelitian ini untuk mengetahui Hubungan Tingkat Pengetahuan Dengan Kepatuhan Ibu Hamil Dalam Melakukan Imunisasi Tetanus Toksoid Di Puskesmas Dumbo Raya Kota Gorontalo.
Metode penelitian ini menggunakan jenis penelitian kuantitatif dengan pendekatan Observasional. Sampel sebanyak 40 ibu hamil trimester 1 dan 2 dengan menggunakan Non Probability Sampling. Instrumen penelitian ini menggunakan angket dan lembar ceklis. Analisa data menggunakan analisis Univariat dan Bivariat. Hasil penelitian menunjukkan bahwa sebagian besar ibu hamil memiliki pengetahuan yang baik dan patuh dalam melakukan imunisasi tetanus toksoid. dengan hasil uji analisis chi-square didapatkan nilai p-value = 0,002< dari α 0,05 yang artinya terdapat hubungan antara tingkat pengetahuan ibu hamil dengan kepatuhan dalam melakukan imunisasi tetanus toksoid. Penelitian ini diharapkandapat menjadi bahan masukan informasi bagi puskesmas agar bisa menigkatkan pemberian promosi kesehatan terkait imunisasi tetanus pada ibu hamil. Penelitian ini telah Lolos Komisi Etik Penilaian Kesehatan Universitas Negeri Gorontalo dengan Nomor: 070A/UN47.B7/KE/2024 mulai tanggal 20 Juni 2024
Penerapan Terapi Air Putih dan Kompres Hangat untuk Mengatasi Masalah Nyeri dan Gangguan Eliminasi Urin pada Pasien ISK di RSUD Ende :
No full textUrinary tract infection (UTI) is an infection caused by the growth of microorganisms in the urinary tract, which in normal conditions urine does not contain bacteria, viruses or other microorganisms. Urinary tract infections can occur in men and women of all ages. The purpose of this special study is that the author is able to apply the provision of drinking water therapy and warm compresses to overcome pain problems and changes in urine elimination patterns in patients with Mrs. SM with a medical diagnosis of UTI through a nursing process approach. The method used in the case study on Mrs. SM with UTI is a case study with a nursing process approach which was carried out on March 29-April 1, 2025 in the Internal Medicine Room of Ende Hospital. The results of the case study showed that the assessment data found in Mrs. S.M with UTI were weakness, pain in the waist, lower abdominal pain, pain that comes and goes and feels like being stabbed, painful urination, abdominal distension, bloating, grimacing face, BP: 110/80 mmHg, S: 38 0C, N: 94x/min, RR: 20x/min, urination comes out a little at a time. The nursing diagnosis raised in Mrs. S.M\u27s case was pain and impaired urinary elimination. After implementation, the results obtained were that the problems of pain and impaired urinary elimination were resolved thanks to the cooperation of the patient, family and nurse. Nursing care carried out on Mrs. S.M\u27s patient can run well thanks to the cooperation and support of the family. Therefore, it is expected that the patient will behave healthily by not holding back urine and consuming lots of water 8-10 glasses a day.Infeksi saluran kemih (ISK) adalah infeksi akibat berkembang biaknya mikroorganisme di dalam saluran kemih, yang ddalam keadaan normal air kemih tidak mengandung bakteri, virus atau mikroorganisme yang lain. Infeksi saluran Kemih dapat terjadi pada pria maupun wanita dari semua umur. Tujuan studi khusus ini adalah penulis mampu menerapkan pemberian terapi air minum dan kompres hangat untuk mengatasi masalah nyeri dan perubahan pola eliminasi urin pada pasien Ny.S.M dengan diagnosa medik ISK melalui pendekatan proses keperawatan.
Metode yang digunakan dalam studi kasus pada Ny.S.M dengan ISK ini adalah studi kasus dengan pendekatan proses keperawatan yang dilaksanakan pada tangal 29 Maret-1April 2025 di Ruang Penyakit Dalam RSUD Ende.
Hasil studi kasus menunjukan bahwa data pengkajian yang ditemukan pada Ny.S.M dengan ISK adalah lemah, nyeri pada pinggang, nyeri perut bagian bawah, nyeri hilang muncul dan rasanya seperti ditusuk-tusuk, kencing terasa sakit, distensi abdomen, kembung, wajah meringis, TD : 110/80 mmHg, S : 38 0C, N : 94x/mnt, RR : 20x/mnt, kencing keluar sedikit-sedikit. Diagnosa keperawatan yang diangkat pada kasus Ny.S.M adalah nyeri dan gangguan eliminasi urin. Setelah dilakukan implementasi maka hasil yang diperoleh adalah masalah nyeri dan gangguan eliminasi urin teratasi berkat kerja sama pasien, keluarga dan perawat.
Asuhan keperawatan yang dilakukan pada pasien Ny.S.M dapat berjalan dengan baik berkat kerja sama dan dukungan keluarga. Oleh karena itu diharapkan agar penderita berperilaku hidup sehat dengan tidak menahan kencing dan mengkonsumsi air putih yang banyak dalam sehari 8-10 gela
Obesity Among Female Lecturers During the Covid-19 Pandemic in Aceh, Indonesia: A Retrospective Study
No full textThe Covid-19 pandemic has led to changes in uncontrolled consumption patterns and decreased physical activity among female teaching staff members. Therefore, they tend to gain weight, leading to non-communicable diseases (NCDs) and comorbidities. In support of the government’s efforts, the prevalence of obesity must be reduced through healthy behavioral changes. This study aimed to identify the cause of obesity among female lecturers in Aceh during the Covid-19 pandemic. This study used a case-control design and was conducted in Aceh Province from March to June 2021. The sample consisted of 65 female lecturers (obese) and 65 controls (non-obese), obtained by purposive sampling. Physical activity, NCDs history, anthropometric, BMI, and blood pressure data were collected and analyzed using the chi-square test at a 95% confidence interval (CI). Results found that Female lecturers in Aceh had a higher prevalence of obesity (55.4%). This was because of age > 45 years (p= 0.013; AOR= 2.42), junk food consumption (p= 0.017; AOR= 2.33), not on a diet (p= 0.034; AOR= 2.13), and less physical activity (p= 0.012; AOR= 2.79). During the Covid-19 pandemic, neither income nor pickle consumption were risk factors for obesity (p > 0.05). However, arthritis (p= 0.034; AOR= 2.12) and hypertension (p= 0.003; AOR= 2.93) were present in a high proportion of obese female lecturers (p < 0.05). Additionally, the risk of obesity during the Covid-19 pandemic in Aceh was unrelated (p > 0.05) to diabetes, high cholesterol, and heart disease. In conclusion, obesity among female lecturers in Aceh was caused by risk factors such as age, junk food consumption, and lack of physical activity during the Covid-19 pandemic. It is also associated with NCDs including arthritis and hypertension. It is hoped that avoiding obesity will prevent the emergence of non-communicable diseases
Associated Factors of Housewives\u27 Behavior in Managing Domestic Waste
Full text linkThe volume of waste increases each year; however, household waste management remains inadequate. Housewives are often seen as the key individuals responsible for managing waste at home. Therefore, this study aimed to identify the factors influencing housewives\u27 behavior toward household waste management in Terusan Village, located in the Mempawah Hilir District. This cross-sectional study was conducted from February to June, involving a sample of 85 housewives selected through total sampling. Data were analyzed using the chi-square test. The results indicated no correlation between housewives\u27 behavior in waste management and their age (p-value = 0.414), education level (p-value = 0.107), knowledge (p-value = 0.364), attitude (p-value = 0.439), availability of facilities (p-value = 0.207), or distance to temporary disposal sites (p-value = 0.438). In contrast, the study found a significant correlation between employment status (p-value = 0.001), family income (p-value = 0.007), and family support (p-value = 0.020) with the behavior of housewives in household waste management. The findings suggest that while demographic factors like age, education, and knowledge do not significantly impact waste management practices, employment status, family income, and support from family members do play a critical role in shaping housewives\u27 behavior in waste management in Terusan Village.
Socio-demographic Characteristics of Delivery by Caesarean Section of the Vietnamese Population: A Cross-sectional study
Full text linkThe rising trend of caesarean deliveries in Vietnam, influenced by various social and demographic factors, has raised public health policy concerns as many procedures are performed without clear medical indications. This study seeks to explore the relationship between socio-demographic factors and the likelihood of caesarean section deliveries within the Vietnamese population. This study employed a cross-sectional design using data from the Vietnam Multiple Indicator Cluster Survey (MICS) 2020–2021, which utilized a two-stage stratified cluster sampling method to ensure national representativeness. The analysis focused on 1,049 women aged 15–49 who had at least one child. Data were collected through standardized questionnaires and analyzed using chi-square tests and binary logistic regression to examine associations between socio-demographic factors and caesarean section deliveries. Based on data from 1,343 Vietnamese women, this study found that 32.84% of deliveries were by caesarean section (CS). Bivariate analysis showed significant associations between CS and factors such as maternal age, education, residence, wealth, and place of delivery. However, multivariate logistic regression revealed that only maternal age, household wealth, and place of delivery remained significant predictors. Older women and those from wealthier households had higher odds of CS, while births at commune health centers were less likely to involve CS. Education level and rural residence were not independently associated with CS after adjustment
Analisis Pengetahuan Ibu tentang Stunting terhadap Upaya Pencegahan Stunting di Posyandu
Full text linkBackground: Stunting is a condition of impaired growth in children under five years of age (toddlers) due to chronic malnutrition and recurrent infections, particularly during the first 1,000 days of life. It is caused by multiple factors. Some of the primary causes of stunting include poor parenting practices, such as the mother\u27s lack of knowledge about nutrition, limited access to health services, insufficient access to nutritious food, and inadequate access to clean water and sanitation. Objective: This study aims to analyze mothers\u27 knowledge of stunting and its impact on stunting prevention efforts. Method: This research employed a correlational analytic design with a cross-sectional approach. The study sample consisted of mothers of toddlers from Posyandu Kenanga 5, with a population of 55. Purposive sampling was used to select 40 respondents. A questionnaire was utilized as the instrument for data collection. The Chi-square statistical test was applied to analyze the data. Results: The findings of this study indicate that 53% of the mothers had sufficient knowledge about stunting. In terms of stunting prevention efforts, 50% of the respondents were categorized as having sufficient efforts. The Chi-square statistical test revealed a significant relationship between mothers\u27 knowledge of stunting and their efforts to prevent it, with a p-value of 0.000
The The Effect of the Distraction Technique with Watching Video Cartoons on Reducing Scale of Pain During Intravenous (IV) Line Insertion in the Emergency Room
No full textBackground: Intravenous (IV) Line Insertion is a procedure that involves puncturing a vein and causing significant pain and stress in children. The pain and fear experienced during childhood can increase the potential for avoiding medical care in adulthood. Aims: to determine the effectiveness of providing cartoon video distraction in reducing pain in children undergoing IV drips Method: This study was conducted in the Emergency Room of Dr. Soerojo Hospital in November - December 2024 involving 66 children who were going to receive IV treatment, the research sample was divided into two groups, namely the intervention group and the control group. The intervention group received treatment in the form of watching cartoon videos for 5 to 10 minutes, while the control group received standard therapy in the form of deep breathing distraction techniques. Result: There was a significant difference in the pain scale in children who received distraction techniques by watching cartoon videos compared to children who only received standard therapy when the infusion was installed (p value = 0.001). Conclusion: Providing cartoon video distractions has been proven effective in reducing pain in children undergoing Intravenous puncture
The Use of Puzzle Media on the Knowledge of Toothbrushing Techniques in Children with Intellectual Disabilities
Full text linkChildren with intellectual disabilities often experience limitations in cognitive and motor functions, behavioral and muscular disorders, gag reflexes, and uncontrolled body movements. These conditions hinder their ability to perform optimal toothbrushing, which negatively affects their oral and dental health. Oral health education, particularly regarding proper toothbrushing practices, can serve as a solution to address these challenges. This study aimed to determine the effect of puzzle media on the knowledge of toothbrushing techniques among children with intellectual disabilities at SLB B-C Optimal Surabaya. A true experimental design with a pretest-posttest control group approach was employed, involving 34 students divided into intervention and control groups. Data were collected using a structured questionnaire. The data were analyzed using the Wilcoxon signed-rank test and the Mann–Whitney U test. The results showed a statistically significant difference with an Asymp. Sig. (2-tailed) value of 0.001, indicating a significance level below α (0.05). The findings suggest that the use of puzzle media has a significant effect on improving the knowledge of toothbrushing techniques among children with intellectual disabilities at SLB B-C Optimal Surabaya
Terapi Komplementer Rendam Kaki Air Jahe Hangat Untuk Penurunan Tekanan Darah Pasien Hipertensi Di Puskesmas Puu Weri Kabupaten Sumba Barat: Implementation of Warm Ginger Foot Soak Complementary Therapy for Blood Pressure Reduction in Hypertensive Patients in the Puu Weri Public Health Center, West Sumba Regency
Full text linkLatar Belakang: Hipertensi didefinisikan sebagai tekanan darah sistolik ≥140 mmHg dan diastolik ≥90 mmHg, kondisi ini adalah kondisi serius yang dikenal sebagai “the silent killer” karena sering menunjukkan gejala sehingga muncul komplikasi. Prevalensi hipertensi secara global terus meningkat, pada tahun 2023 prevalensi hipertensi di Indonesia mencapai 30,8% atau sekitar 85,8 juta orang dewasa.
Hipertensi yang tidak ditangani dapat menyebabkan berbagai komplikasi serius seperti penyakit jantung, stroke, gagal ginjal, gangguan penglihatan, dan kerusakan otak. Oleh karena itu, diperlukan pendekatan terapi farmakologis dan non-farmakologis, dimana terapi komplementer rendam kaki air jahe hangat menjadi salah satu metode komplementer yang efektif untuk meningkatkan sirkulasi dan menurunkan tekanan darah. Tujuan: Menggambarkan penerapan terapi komplementer rendam kaki air jahe hangat untuk penurunan tekanan darah pada pasien hipertensi. Metode: Penelitian ini menggunakan metode studi kasus deskriptif dengan dua subjek pasien hipertensi yang berusia 45-60 tahun, tidak komplikasi berat dan kesadaran composmentis Intervensi dilakukan 5 hari berturut-turut selama 15 menit di setiap sore. Hasil: Setelah 5 hari berturut-turut intervensi dilakukan, tekanan darah pasien 1 (Ny.E.I) menurun dari 170/100 mmHg menjadi 130/mmHg, dan pasien 2 (Ny.E.R) dari 160/90 mmHg menjadi 120/90 mmHg. Nyeri yang dirasakan kedua pasien juga menurun pasien 1 dari skala nyeri 6 menjadi 2 dan pasien 2 dari skala nyeri nyeri 6 menjadi tidak dirasakan lagi. Hasil ini menunjukkan bahwa terapi komplementer rendam kaki terbukti efektif menurunkan tekanan darah. Kesimpulan: Penerapan terapi komplementer rendam kaki air jahe hangat efektif dalam menurunkan tekanan darah serta mengurangi nyeri bagian belakang kepala pada kedua pasien. Terapi ini dapat menjadi alternatif terapi nonfarmakologi yang mendukung pengelolaan hipertensi dan meningkatkan kualitas kesehatan pasien.Latar Belakang: Hipertensi didefinisikan sebagai tekanan darah sistolik <140 mmHg dan diastolik <90 mmHg, kondisi ini adalah kondisi serius yang dikenal sebagai “the silent killer” karena sering menunjukkan gejala sehingga muncul komplikasi. Prevalensi hipertensi secara global terus meningkat, pada tahun 2022 WHO melaporkan sekitar 1,28 miliar orang dewasa mengalami hipertensi. Di Indonesia, prevalensi hipertensi mencapai 30,8% pada tahun 2023 atau sekitar 85,8 juta orang dewasa menderita kondisi ini. Faktor resiko termasuk riwayat keluarga, konsumsi tinggi garam, kurang aktifitas fisik, dan stres. Oleh karena itu, diperlukan pendekatan terapi farmakologis dan non-farmakologis, dimana terapi komplementer rendam kaki air jahe hangat menjadi salah satu metode komplementer yang efektif untuk meningkatkan sirkulasi dan menurunkan tekanan darah. Tujuan: Menggambarkan penerapan terapi komplementer rendam kaki air jahe hangat untuk penurunan tekanan darah pada pasien hipertensi. Metode: Penelitian ini menggunakan metode studi kasus deskriptif dengan dua subjek pasien hipertensi yang berusia 45-60 tahun, tidak komplikasi berat dan kesadaran composmentis Intervensi dilakukan 5 hari berturut-turut selama 15 menit di setiap sore. Hasil: Setelah 5 hari berturut-turut intervensi dilakukan, tekanan darah pasien 1 (Ny.E.I) menurun dari 170/100 mmHg menjadi 130/mmHg, dan pasien 2 (Ny.E.R) dari 160/90 mmHg menjadi 120/90 mmHg. Nyeri yang dirasakan kedua pasien juga menurun pasien 1 dari skala nyeri 6 menjadi 2 dan pasien 2 dari skala nyeri nyeri 6 menjadi tidak dirasakan lagi. Hasil ini menunjukkan bahwa terapi komplementer rendam kaki terbukti efektif menurunkan tekanan darah. Kesimpulan: Penerapan terapi komplementer rendam kaki air jahe hangat efektif dalam menurunkan tekanan darah serta mengurangi nyeri bagian belakang kepala pada kedua pasien. Terapi ini dapat menjadi alternatif terapi nonfarmakologi yang mendukung pengelolaan hipertensi dan meningkatkan kualitas kesehatan pasien
Dust Exposure in the Stone Carving Industry and Its Impact on Respiratory Health: An Environmental Risk Assessment
No full textStone carving in Magelang Regency holds significant potential to enhance community welfare through industrial and tourism development, but it also presents health risks due to PM10 dust exposure exceeding safe limits. This study aims to identify respiratory health risks of stone craftsmen due to dust exposure with the incident of respiratory diseases, using a quantitative approach with observations and primary data collection from 60 respondents. Dust levels were measured using LVDS and HVDS, while the prevalence of Acute Respiratory Infections (ARI) was determined through health examinations. Environmental Health Risk Analysis (ARKL) with the Risk Quotient (RQ) was applied to evaluate long-term exposure. Results showed dust concentrations of 12.941 mg/m³ in Sedayu and 17.647 mg/m³ in Banyudono, both above the threshold, with respiratory disorders more prevalent in Sedayu (53.3%) than in Banyudono (33.3%). RQ values above 1 in both villages indicate significant health risks, highlighting the need for improved PPE use, ventilation, routine air quality checks, and health monitoring to prevent respiratory issues