e-Jurnal Poltekkes Tanjungkarang
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Determining Formula Feeding Risk Factors: The Effect of Income and Education on Exclusive Breastfeeding Adherence in Rural Communities
Full text linkAttempts to raise the prevalence of exclusive breastfeeding in rural areas continue to face obstacles when it comes to formula feeding infants ages 0–6 months. The use of formula milk is still widespread despite national policies that support exclusive breastfeeding; this is due to sociodemographic factors like family income and educational attainment. Through respiratory infections, impaired cognitive development, intestinal issues, and the possibility of stunting, these factors may endanger the health of children. In places like Puskesmas Donomulyo, which is surrounded by rural areas, some families still have limited access to health services and information, so economic and educational factors are the primary determinants of whether to breastfeed or use formula. This study aimed to identify the variables associated with formula feeding in infants aged 0–6 months in the Donomulyo Community Health Center area. A quantitative, retrospective case-control design is used in this investigation. The unpaired categorical analytic formula with Zα 0.96 and Zβ 0.84 was used to determine the sample. Using a straightforward random sampling method, 68 respondents in total were chosen based on inclusion and exclusion criteria. In order to determine the 95% confidence level and a significant level of p ˂ 0.05, the analysis employed the chi-square test and the computation of proportions in each category. Of the mothers who gave formula milk to their infants between the ages of 0 and 6 months, 58.8% had a supportive attitude, 67.6% had a supportive attitude, 64.7% worked, 52.9% had a high parental income, and 58.8% had support from health professionals. Results of statistical tests for maternal education (p value = 0.001; OR 5.510), attitude (p value = 0.002; OR 5.018), employment (p value = 0.004; OR 4.400), parental income (p value = 0.013; OR 3.656), and health worker support (p value = 0.225; OR 1.810). There was no correlation between formula feeding and health worker support in infants aged 0–6 months; however, a correlation was found between the mother's occupation, attitude, education, and parents' income. It is recommended that healthcare professionals provide ongoing education regarding the dangers of formula feeding and the significance of exclusive breastfeeding. Health professionals' home visits, regular counseling at Posyandu, and the activation of mothers' study groups can all contribute to achieving this goal. Particularly in rural areas with limited access to information, this strategy seeks to improve breastfeeding motivation, increase maternal understanding, and lessen reliance on formula mil
Asupan Karbohidrat dan Aktivitas Fisik dengan Kadar Glukosa Darah Puasa Penderita Diabetes Melitus Tipe 2
Full text linkABSTRACT
Diabetes mellitus is a metabolic disease that occurs because blood glucose levels increase due to impaired insulin secretion. The purpose of this study was to analyze the relationship between carbohydrate intake and physical activity with fasting blood glucose levels in patients with type 2 diabetes mellitus at Puskesmas Mangkubumi in 2025. We used a cross-sectional design with 72 subject selected by quota sampling method. Chi-square was used to data analyze. The results showed that the majority of respondents were female (68.1%), and aged 50-69 years (76.4%). The majority of respondents were in excess carbohydrate intake (41.7%), moderate physical activity (45.8%), and uncontrolled blood glucose levels (61.1%). Bivariate results showed carbohydrate intake (p=0.018) had a significant relationship with fasting blood glucose levels, while physical activity had no significant relationship with fasting blood glucose levels (p=0.128). Carbohydrate intake showed a significant association with fasting blood glucose levels, while physical activity is not significantly related to blood glucose levels in patients with T2DM.
ABSTRAK
Diabetes melitus adalah penyakit metabolik yang terjadi karena kadar glukosa darah meningkat akibat adanya gangguan sekresi insulin. Penelitian ini bertujuan menganalisis hubungan antara asupan karbohidrat dan aktivitas fisik dengan kadar glukosa darah puasa pada penderita diabetes melitus tipe 2. Desain penelitian cross sectional dengan sampel 72 responden menggunakan metode quota sampling. Analisis data yang digunakan yaitu uji chi square. Hasil penelitian menunjukkan mayoritas responden berjenis kelamin perempuan (68,1%), dan berusia 50-69 tahun (76,4%). Mayoritas responden berada pada asupan karbohidrat berlebih (41,7%), aktivitas fisik sedang (45,8%), dan kadar glukosa darah tidak terkontrol (61,1%). Hasil bivariat menunjukkan asupan karbohidrat (p=0,018) terdapat hubungan signifikan dengan kadar glukosa darah puasa, sedangkan aktivitas fisik tidak terdapat hubungan yang signifikan dengan kadar glukosa darah puasa (p=0,128). Asupan karbohidrat memiliki hubungan yang signifikan dengan kadar glukosa darah, sedangkan aktivitas fisik tidak berhubungan signifikan dengan kadar glukosa darah pada penderita DM tipe 2
Application of Supportive Therapy Group for Mental-Emotional Problems of Adolescents
Full text linkIndonesia National Adolescent Mental Health Survey (I-NAMHS) shows that one in three adolescents aged 10-17 years in Indonesia had mental health problems in the last 12 months, equivalent to 15.5 million adolescents in the country and one in 20 adolescents aged 10-17 years in Indonesia also experience mental disorders equivalent to 2.45 million adolescents in the country. Of the 120 respondents, it was found that there were several emotional and mental problems, namely, the aspect of emotional problems in the high abnormal category. This study aims to determine the effect of implementing supportive therapy on adolescent mental problems. This study employs a quantitative, quasi-experimental pre-post-test design with a control group. The inclusion criteria are divided into class A and class B. The total sample used based on the screening results is 120 adolescents. 60 adolescents from class A were given the intervention group, and 60 adolescents from class B were made the control group and did not receive group supportive therapy. The sampling technique used in this study was the total sampling technique. The instrument used was the Strengths and Difficulties Questionnaire (SDQ). The results of the study obtained a range of mental and emotional problems of adolescents in the intervention group before therapy, namely emotional problems 48.3%, behavioral problems 26.7%, peer problems 12.5%, and hyperactivity 12.5%. after therapy, emotional problems were 45%, behavioral problems 16.6%, hyperactivity 3.33%, and peer problems 13.3%. This shows that there is a significant difference between the range of mental and emotional problems after being given supportive group therapy.Indonesia National Adolescent Mental Health Survey (I-NAMHS) shows that one in three adolescents aged 10-17 years in Indonesia had mental health problems in the last 12 months, equivalent to 15.5 million adolescents in the country and one in 20 adolescents aged 10-17 years in Indonesia also experience mental disorders equivalent to 2.45 million adolescents in the country. Of the 120 respondents, it was found that there were several emotional and mental problems, namely, the aspect of emotional problems in the high abnormal category. This study aims to determine the effect of implementing supportive therapy on adolescent mental problems. This study employs a quantitative, quasi-experimental pre-post-test design with a control group. The inclusion criteria are divided into class A and class B. The total sample used based on the screening results is 120 adolescents. 60 adolescents from class A were given the intervention group, and 60 adolescents from class B were made the control group and did not receive group supportive therapy. The sampling technique used in this study was the total sampling technique. The instrument used was the Strengths and Difficulties Questionnaire (SDQ). The results of the study obtained a range of mental and emotional problems of adolescents in the intervention group before therapy, namely emotional problems 48.3%, behavioral problems 26.7%, peer problems 12.5%, and hyperactivity 12.5%. after therapy, emotional problems were 45%, behavioral problems 16.6%, hyperactivity 3.33%, and peer problems 13.3%. This shows that there is a significant difference between the range of mental and emotional problems after being given supportive group therapy
The Role of Family Support in Enhancing Illness Acceptance Among Heart Failure Patients
Full text linkHeart failure is a chronic disease that has a significant impact on the physical and psychological condition of the patient. A critical aspect of disease management is illness acceptance, which is the patient's ability to accept their condition positively. Family support has a crucial role in helping patients undergo this acceptance process. This study aims to analyze the relationship between family support and acceptance of illness in heart failure patients. The method used in this study is correlative analysis with a quantitative approach, a sample of 149 respondents was collected using a purposive sampling technique. The research was conducted at the General Hospital of Surakarta. Research data were collected using demographic questionnaires, family support, and acceptance of illness (ais). The results showed a positive and significant relationship between family support and acceptance of illness in heart failure patients with a p-value of 0.007 (p <0.05). Patients receiving family support in the form of emotional, instrumental, appreciation, and informational have an acceptance level of illness compared to patients who lack support. Family support helps patients manage emotions, improve treatment adherence, and adjust to necessary lifestyle changes. The conclusion of this study confirms that family support plays an essential role in increasing acceptance of illness in heart failure patients. After obtaining a p-value of 0.007, which means (p < 0.05) the null hypothesis (ho) is rejected
Perancangan Aplikasi TB Berbasis Android: “TB REMAIND”
Full text linkData pasien TB yang mengalami kegagalan pengobatan masih ada, walaupun dalam jumlah kecil. Pengobatan TB membutuhkan waktu yang panjang, dan sering menyebabkan efek samping yang cukup berbahaya. Kondisi ini sering menyebabkan ketidaknyamanan pasien minum obat, sehingga butuh bantuan alarm yang dapat mengingatkan minum obat pada jam yang sama setiap harinya. Tujuan penelitian ini merancang aplikasi TB berbasis android yang mudah digunakan oleh pasien TB dalam mengingat minum obat yang diberi nama “TB Remaind”. Rancangan aplikasi ini memiliki fitur-fitur utama, yaitu pengingat jadwal minum obat (alarm), menyimpan data efek samping yang terjadi, informasi mengenai penyakit TB, layanan kesehatan. Pengguna aplikasi dirancang ada empat dengan hak akses sesuai klasifikasinya (role) yaitu Pasien, Kader, Petugas Kesehatan dan Administrator
Formulasi Facial Wash Ekstrak Etanol Herba Sirih Cina (Peperomia pellucida L. Kunth)
Full text linkPenyebab utama masalah kulit salah satunya adalah jerawat, sehingga perlunya facial wash digunakan untuk mengangkat kotoran, keringat, bakteri dan lemak berlebih pada kulit. Sediaan facial wash berbahan alam masih jarang ditemukan di pasaran, tanaman yang dapat dimanfaatkan dalam pengobatan jerawat yaitu tanaman sirih cina. Senyawa yang terkandung dalam tanaman sirih cina (Paperomia pellucida L.) berpotensi sebagai agen antibakteri terdiri dari senyawa flavonoid sehingga memiliki sifat anti bakteri yang kuat. Tujuan penelitian untuk mengetahui formula facial wash ekstrak herba sirih cina (Peperomia pellucida L.) dengan konsentrasi F0 0%, F1 15%, F2 17,5%, F3 20%. Penelitian bersifat eksperimental. Setiap formula dilakukan evaluasi sesuai dengan persyaratan mutu sediaan facial wash yang meliputi uji organoleptis, uji homogenitas, uji pH, uji daya sebar, uji tinggi busa, uji viskositas, uji bobot jenis, dan uji stabilitas. Hasil organoleptis facial wash ekstrak herba sirih cina berwarna hijau kehitaman, berbau khas ekstrak, dan bertekstur kental. Semua formula sediaan homogen. Uji pH memenuhi syarat dengan rentang pH 6,1-7,5. Uji daya sebar memenuhi syarat dengan hasil 6,0-6,9 cm. Uji tinggi busa memenuhi syarat dengan hasil 62-65 mm. Uji viskositas sediaan 2.386-6.106 cps, hanya F3 dengan konsentrasi ekstrak 20% tidak memenuhi syarat viskositas facial wash. Pada uji bobot jenis semua formula tidak memenuhi syarat bobot jenis facial wash yaitu 1,01-1,10%. Pada pengujian stabilitas semua formula tidak mengalami perubahan organoleptik, homogenitas, tinggi busa dan mengalami perubahan pH, daya sebar, viskositas, dan bobot jenis
Correlation Study on Personal Factors of General and Specialist Dentists Regarding Emergency Management of Traumatic Dental Injuries
Full text linkTraumatic dental injuries are increasingly recognized as a significant dental health issue, particularly among children and adolescents. These injuries commonly result from falls, motorbike accidents, sports injuries, or violence. Both general dentists and specialists are responsible for providing emergency care for these injuries, making it essential for them to have sufficient knowledge and experience in managing such cases. This study aims to assess the personal factors influencing the emergency management of traumatic dental injuries among general dentists and specialists in Medan City. A quantitative, cross-sectional design was used, involving a total sample of 300 general and specialist dentists. Data analysis included univariate, bivariate, and multivariate methods. The results showed a significant correlation between knowledge, perception, experience, and work length in managing traumatic dental injuries (p<0.00). However, no correlation was found between age and gender with the ability to manage these injuries (p>0.00). Among the variables, knowledge was identified as the most influential factor. The study concludes that while knowledge, perception, experience, and work duration play a critical role in emergency management, age and gender do not. It is recommended that dentists in Medan continuously enhance their knowledge in this area to ensure effective treatment, reduce patient anxiety, and improve patient satisfaction
Development of a Decubitus Risk Assessment Instrument using Website Media on The Incidence of Decubitus
Full text linkDecreased quality of service in the ICU occurs due to decubitus conditions, namely localized tissue damage due to pressure on soft tissue over bony prominence and pressure from outside for an extended period, so the importance of instruments with the Braden scale is used as an effort to prevent decubitus. This study aims to develop a decubitus risk assessment instrument based on Virginia Henderson's theory on a website that can be applied in the ICU to prevent decubitus. This research is descriptive research using the Delphi approach method, which consists of two stages: a literature study, FGD, expert consultation, content validity tests, readability tests, and website-based applications. In the second stage, researchers will conduct instrument experiments on ICU nurses at RSI Sultan Agung Semarang, with a sample of 50 ICU nurses. The results showed that the instrument has strong validity, so the manufacture of instruments can continue at the stage of making website applications. The results of the validity and reliability test of the instrument obtained 11 instruments that were declared feasible to use with valid and reliable values of 0.714>0.70. ICU nurses can use the Virginia Henderson theory-based decubitus instrument with a website to prevent decubitus
The Effect of Cognitive Behavioral Intervention Based on Self-Management on the Ability to Control Hallucinations in People with Schizophrenia
Full text linkHallucinations are a common symptoms found in individuals with schizophrenia. These hallucination cause people with schizophrenia (PWS) to experience difficulty in controlling themselves. This has an impact on suicidal behavior, harming other people, and destroying the surrounding environment. Therefore, a cognitive behavioral intervention based on self-management is needed as a non-pharmacological therapy to help PWS control hallucinations. This study aims to identify the effect of cognitive behavioral interventions based on self-management in people with schizophrenia. This study uses a quasy-experimental two groups pretest-posttest design. The sample consists 78 inpatient respondents with schizophrenia, divided into two groups, 39 in the intervention group and 39 in control group. Technique sample in this study using purposive sampling. Research data collection uses a questionnaire instrument for the ability to control hallucinations. The data explained used statistics, such as descriptive, dependent, and independent t-tests. The research results show that there are changes in the ability to control hallucinations in the intervention group and control group before and after self-management-based cognitive behavioral intervention (p-value=0.001). There was a difference in the ability to control hallucinations between the intervention group with the control group after cognitive behavioral intervention based on self-management (p-value= 0.013). The cognitive behavioral intervention based on self-management can be used as an effective cessation intervention to improve the ability of PWS to control hallucinations so that they can optimize their function in carrying out daily activities
Hubungan Rotasi dengan Kinerja Perawat di RS Martha Friska Multatuli
No full textJob rotation is the displacement from one room to another, but it is still within the scope of the same job. Rotation is one of the methods for increasing quality service nursing, refreshing and preventing boredom, fulfilling the need for energy nursing in the room, and improving the skills of nurses. Job rotations at Martha Friska Multatuli Hospital have been held since 2020. This research aims to determine job rotation's correlation with nurses' performance at Martha Friska Multatuli Hospital. Research methods use descriptive correlation with cross-sectional design. The sample size in the study was as many as 71 respondents, and the technique of taking the sample was purposive sampling. The instrument used to collect data was adopted and modified from the existing rotation, and performance questionnaires were tested for validity and reliability. Data analysis using the coefficient test correlation Pearson. Research shows that nurses state that rotation at Martha Friska Multatuli Hospital is good enough for as many as 42 respondents (59.2%). It is also known that part big nurses' performance in categories good as many as 58 respondents (81.7%). Statistical results using the Pearson test obtained a ρ-value 0.004. This matter shows a correlation between positive rotation and nurses' performance at Martha Friska Multatuli Hospital. It is expected that nurses can accept the rotation decision that the hospital has determined.Job rotation is a move from one room to another but still within the same scope of work. Rotation is carried out as a way to improve the quality of nursing services, to refresh and prevent boredom, to meet the needs of nursing staff in the room, and to improve nursing skills. At Martha Friska Multatuli Hospital, rotation has been implemented since 2020. This research aims to determine the relationship between rotation and the performance of nurses at Martha Friska Multatuli Hospital. This research method uses descriptive correlation with a cross sectional design. The sample size in this study was 71 respondents with a sampling technique using total sampling. Data analysis in this study used the Spearman's Rank correlation coefficient test. The research results showed that the majority of nurses stated that the rotation at Martha Friska Multatuli Hospital was a fairly good rotation, 42 respondents (59.2%) and it was also known that the majority of nurses' performance was in the good category, 58 respondents (81.7%). The results of statistical tests using the Spearman rank test obtained an r-value of 0.255 with a Ï-value of 0.032. This shows that there is a correlation or positive relationship between rotation and the performance of nurses at Martha Friska Multatuli Hospital with a low level of relationship. Keywords: Peformance, Rotatio