e-Jurnal Poltekkes Tanjungkarang
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Definisi Integrasi Layanan Kesehatan Primer: Perspektif dari Pimpinan Puskesmas
No full textIntegrating primary health services is crucial for improving the quality and accessibility of healthcare at the community level. This qualitative study investigates how leaders of Puskesmas define and implement integration within their services, as well as the challenges and factors that influence this process. Ten Puskesmas leaders in several Municipalities of the Province of Jambi and one key informant from the Municipal Department of Health were interviewed to obtain in-depth insights. Data collection was conducted through semi-structured interviews, and the information was analyzed using content analysis methods. The findings indicate that integration is viewed as a multi-dimensional strategy to enhance patient care coordination, maximize resource efficiency, and improve community health outcomes. Key factors affecting integration include leadership styles, inter-departmental collaboration, and the support provided by municipal health authorities. This study underscores the importance of robust leadership and strategic partnerships in facilitating service integration at the primary health center level, providing valuable insights for policymakers and healthcare administrators.The integration of primary health services is crucial for improving the quality and accessibility of healthcare at the community level. This qualitative study investigates how leaders of Puskesmas define and implement integration within their services, as well as the challenges and factors that influence this process. To obtain in-depth insights, ten Puskesmas leaders in several Municipalities of the Province of Jambi and one key informant from the Municipal Department of Health were interviewed. Data collection was conducted through semi-structured interviews, and the information was analyzed using content analysis methods. The findings indicate that integration is viewed as a multi-dimensional strategy aimed at enhancing patient care coordination, maximizing resource efficiency, and improving community health outcomes. Key factors affecting integration include leadership styles, inter-departmental collaboration, and the support provided by municipal health authorities. This study underscores the importance of robust leadership and strategic partnerships in facilitating service integration at the primary health center level, providing valuable insights for policymakers and healthcare administrators.
 
The effect of the combination of acupressure therapy and breast care on the duration of smooth breastfeeding in postpartum women in the PMB working area of Pujokerto Trimurjo health center, Central Lampung
Full text linkIntroduciton: Insufficient breast milk is one of the main obstacles to the success of exclusive breastfeeding. Data from the Pujokerto Health Center work area shows that 61% of postpartum mothers experience insufficient breast milk. Objective: The study aims to determine the effect of a combination of acupressure and breast care therapy on the duration of smooth breast milk in postpartum mothers. Method: Quantitative research with a quasi-experimental pretest-posttest group design. The sample consisted of 14 respondents, divided into two groups: intervention (acupressure + breast care) and control (only breast care). Data analysis used the dependent T test. Results: The average number of days of smooth breast milk in the intervention group was 3.14 days and the control group was 3.42 days. The bivariate test showed a p-value = 0.414 (≥ 0.05), meaning that there was no significant effect between the combination of therapies on the duration of smooth breast milk. Conclusion: There was no significant effect of the combination of therapies on the duration of smooth breast milk
The Effectiveness of Starfruit (Averrhoa bilimbi L.) As A Hand Sanitizer to Reduce the Bacteria on Hand of Food Handlers
Full text linkThe cleanliness of the hands of food handlers is a major factor in preventing the spread of disease. The study aims to analyze the effect of using starfruit juice hand sanitizer on the bacteria in the hands of food handlers. The study used a Pretest Posttest with a Control Group Design, conducted in Yogyakarta from March to May 2024. The study involved 24 food handlers. The study used starfruit juice as the basic ingredient for hand sanitizer in three concentration variations (25%, 30%, and 35%). Sampling of hand bacteria was carried out before and after each treatment using the swab method, then incubated for 24 hours at 37°C. Data were analyzed using the Shapiro-Wilk test, One Way ANOVA, and Tukey HSD with a confidence level of 95%. The study results found that starfruit juice hand sanitizer can reduce the number of hand germs (P = 0.001). A concentration of 25% was able to reduce 65.06% (2.29 x 104 to 8.22 x 104 CFU/cm2), a concentration of 30% reduced 69.79% (from 2.09 x 104 to 6.15 x 104 CFU/cm2), and a concentration of 35% reduced up to 85.53% (from 2.72 x 104 to 3.99 x 103 CFU/cm2). The study results also found that more than 85% of respondents liked the color, smell, viscosity, and texture of the hand sanitizer. In addition, the hand sanitizer did not change even though it was stored for up to 28 days (12-140C). Star fruit has the potential to be used as a basic ingredient for making hand sanitizers. In addition to being easy to obtain and cheap, hand sanitizers made from star fruit juice have been proven to be effective as antiseptic
Associated Factors of Father Involvement in Stunting Prevention in Toddlers Based on Transcultural Nursing Theory
Full text linkStunting is still one of the most pressing global health problems. Father involvement in childcare is needed to ensure optimal child growth and development and free the child from stunting problems. Based on transcultural nursing theory, this study analyzes factors related to father involvement in preventing toddler stunting. The study used a cross-sectional approach with a multistage random sampling technique in Jember Regency with a sample of 852 respondents. A questionnaire was used to collect data. The study was conducted for 2 weeks, from August 1, 2024, to August 15, 2024. Statistical tests were carried out using Spearman Rho with a significance of 95% (α <0.05). Statistical analysis showed that technology factors (p-value=<0.001, r score=0.297), religion, spirituality, and philosophy (p-value=<0.001, r score= 0.170; kinship and social (p-value=<0.001, r score= 0.378), cultural values, beliefs, and lifestyles (p-value=<0.001, r score=0.204); politics and law(p-value=<0.001, r score=0.360); economics (p-value=<0.001, r score=0.370)—were positively correlated with father involvement in preventing stunting in toddlers. Meanwhile, biological variables (p-value=0.054, r score=0.237) and education level (p-value=-0.067, r score=0.052) did not correlate significantly with the father's involvement in preventing toddler stunting. Current research shows that father involvement in preventing stunting in toddlers is beneficial. Public health nurses can use these results to create health promotion initiatives that encourage fathers to be more involved in child care and prevent childhood stunting. The results of this study can be used to develop health promotion programs to increase father involvement in improving stunting prevention.Stunting masih menjadi salah satu masalah kesehatan global yang paling mendesak. Father involvement dalam pengasuhan anak diperlukan untuk menjamin tumbuh kembang anak yang optimal dan terbebas dari permasalahan stunting. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan father involvement dalam mencegah stunting pada balita berbasis transcultural nursing theory. Penelitian menggunakan pendekatan cross sectional dengan teknik sampling multistage random sampling di Kabupaten Jember dengan jumlah sampel 852 responden. Variabel independen adalah faktor teknologi, faktor nilai budaya, kepercayaan dan cara hidup, faktor agama, spiritual dan filosofi, faktor politik dan hukum, faktor biologis, faktor kekerabatan dan sosial, faktor ekonomi, dan faktor pendidikan. Variabel dependen adalah father involvement dalam pencegahan stunting. Kuesioner digunakan untuk mengumpulkan data. Uji Statistik dilakukan menggunakan Spearman Rho dengan signifikansi 95% (α < 0,05). Analisis statistik menunjukkan bahwa faktor teknologi; agama, spiritual dan filosofi; Nilai Budaya, Kepercayaan dan cara hidup; Politik & hukum ; ekonomi berkorelasi positif dengan father involvement dalam pencegahan stunting pada balita. Sementara variabel biologis dan tingkat pendidikan tidak berkorelasi signifikan dengan father involvement dalam pencegahan stunting pada balita. Penelitian saat ini menunjukkan bahwa father involvement dalam pencegahan stunting pada balita terbukti baik. Hasil penelitian ini dapat digunakan untuk menyusun program promosi kesehatan untuk meningkatkan keterlibatan ayah dalam meningkatan pencegahan stunting
Analysis of Determinants of Exclusive Breastfeeding in Breastfeeding Mothers
Full text linkExclusive breastfeeding for babies aged 0-6 months, which continues until the age of 2 years accompanied by adequate complementary feeding, has an essential meaning, especially regarding the fulfillment of nutritional needs and other substances to form the body's immunity to disease, because at that age the baby's condition is still precarious. This study uses an analytic survey research cross-sectional design. The aim was to analyze the relationship between determinants of exclusive breastfeeding. The population of all mothers with babies aged 6-12 months amounted to 127, using a purposive random sampling technique. Sample calculation, according to Slovin, obtained a sample of 84. Data collection using a questionnaire. Univariate analysis with percentages, bivariate analysis with chi-square test. There is a relationship between knowledge (p-value=0.026), Early initiation breastfeeding (EIBF) history (p-value=0.005), breastfeeding self-efficacy (p-value=0.042), breastfeeding motivation (p-value=0.016), cultural customs (p-value=0.012), and family support (p-value=0.036) with exclusive breastfeeding in mothers who have babies aged 6-12 months at the Tanjung Sari Health Center, South Lampung Regency in 2024. A relationship exists between breastfeeding self-efficacy knowledge, motivation, and exclusive breastfeeding. There is a relationship between breastfeeding self-efficacy knowledge, breastfeeding motivation, cultural customs, and family support with exclusive breastfeeding. Suggested improving IEC (Communication, Information, and Education), implementing lactation management programs, making behavioral changes, and providing support for exclusive breastfeeding
Pengaruh Pemberian Ekstrak Daun Kelakai Terhadap Kadar GGT Pada Mencit Yang Terinfeksi Tuberkulosis
Full text linkData Kemenkes RI tahun 2022 menunjukkan kasus tuberkulosis sebanyak 824 ribu kasus dengan 93 ribu kematian per tahun atau setara dengan 11 kematian per jam. Pengobatan tuberkulosis biasanya terdiri dari obat anti tuberkulosis (OAT). OAT ini diketahui dapat menyebabkan hepatotoksisitas ditandai dengan peningkatan kadar GGT. Salah satu upaya terapi obat hepatoprotektor ialah daun Kelakai (Stenochlaena palustris). Kandungan alkaloid dan flavonoid yang terdapat di dalam tumbuhan ini berfungsi memberi efek antibakteri, antioksidan, dan antiinflamasi. Tujuan penelitian ini untuk mengetahui pengaruh pemberian ekstrak daun Kelakai terhadap kadar GGT pada mencit terinfeksi tuberkulosis yang mengalami kerusakan hati pemberian OAT. Jenis penelitian ini adalah eksperimen murni (True Experimen Reseacrh) dengan desain Pretest and Posttest Only Control Group Design dengan menggunakan 24 ekor hewan coba berupa mencit jantan yang dibagi menjadi 4 kelompok yaitu kelompok mencit kontrol, kelompok mencit Tb, kelompok mencit Tb diberi ekstrak daun kelakai, dan kelompok Tb diberi ekstrak daun kelakai dan OAT. Analisa data menggunakan uji One Way Anova. Hasil penelitian menunjukkan tidak terdapat pengaruh pemberian daun kelakai terhadap kadar GGT pada mencit tuberkulosis dengan nilai statistik p 0,652 (p value >0,05). Tidak terdapat pengaruh pemberian ekstrak daun kelakai terhadap kadar GGT pada mencit tuberkulosis
Influence Factors of Reproductive Organ Maintenance Among Adolescent Girls in Coastal Areas
Full text linkAdolescent girls are vulnerable to reproductive health problems such as vaginal discharge and reproductive tract infections, which are triggered by poor maintenance of their reproductive organs. This may further impact adolescents' quality of life and productivity. Adolescents in coastal areas tend to have limited sources of information, parental support, and inadequate health facilities related to adolescent reproductive health. This study aims to determine the factors that influence the behavior of maintaining reproductive organs among adolescent girls in coastal areas in the Buluspesantren District. Method: This research uses quantitative methods with a cross-sectional approach. The research population was 859 adolescent girls in coastal regions of Buluspesantren District, and a total sample of 96 respondents were selected through purposive sampling. Data were analyzed univariate, bivariate, and multivariate. There is a relationship between the availability of facilities and infrastructure (p-value=0.049) and attitudes (p-value=0.012) with reproductive organ maintenance behavior among adolescent girls in coastal areas in Buluspesantren District. The most influential factor is attitude (p-value = 0.018) with Odds Ratio (OR)=3.004. Adolescent girls with a positive attitude are 3.004 times more likely to have good reproductive organ maintenance behavior than adolescent girls with a negative attitude. Adolescent girls need to get information on reproductive organ maintenance from various trusted sources so that they have a positive attitude toward reproductive organ maintenance behavior
Nilai Tumor Marker CA 15-3 dan Kadar Leukosit Pada Penderita Kanker Payudara Yang Menjalani Kemoterapi
Full text linkPenelitian ini bertujuan untuk mengamati penggunaan CA 15-3 sebagai penanda tumor dalam memantau efektivitas pengobatan pada penderita kanker payudara yang menjalani kemoterapi di RS PKU Muhammadiyah Yogyakarta. Metode penelitian yang digunakan adalah deskriptif dengan pendekatan cross-sectional. Data penelitian berupa data sekunder diperoleh 46 penderita yang memenuhi kriteria inklusi. Hasil penelitian menunjukkan bahwa seluruh sampel (100%) adalah perempuan, dengan 9 orang (19,6%) berusia dewasa, 26 orang (56,5%) pra-lansia, dan 11 orang (23,9%) lansia. Sebanyak 15 orang (32,6%) tidak memiliki riwayat keganasan kanker payudara dalam keluarga, sementara 31 orang (67,4%) memiliki riwayat keganasan kanker payudara dalam keluarga. Hasil pemeriksaan CA 15-3 menunjukkan bahwa 40 orang (87%) memiliki nilai di bawah 25 U/mL, sedangkan 6 orang (13%) memiliki nilai di atas 25 U/mL. Sementara itu, dalam hal kadar leukosit, 36 orang (76,1%) mengalami leukopenia, 10 orang (21,7%) memiliki kadar normal, dan 1 orang (2,2%) mengalami peningkatan kadar. Uji chi-square untuk kedua parameter menunjukkan nilai p value masing-masing 0,858 dan 0,919 (p < 0,05), menunjukkan bahwa tidak ada hubungan yang signifikan antara usia dengan hasil pemeriksaan CA 15-3 dan leukosit pada penderita kanker payudara yang menjalani kemoterapi
Efektivitas Buku Saku Higiene dan Sanitasi Makanan Untuk Meningkatkan Pengetahuan dan Praktik Keamanan Makanan
Full text linkMakanan yang tidak diolah dengan benar dapat meningkatkan risiko keracunan dan penyebaran penyakit. Pengetahuan penjamah makanan menjadi bagian penting dalam pengolahan makanan yang memenuhi standar kesehatan. Penelitian bertujuan mengevaluasi buku saku higiene sanitasi makanan untuk meningkatkan pengetahuan dan praktik keamanan makanan para penjamah makanan. Penelitian menggunakan one group pre-test post-test design pada bulan April-Juni 2023 di Kecamatan Tegalrejo Yogyakarta. Empat puluh lima penjamah makanan dipilih secara purposive dan dilibatkan selama penelitian. Penelitian dilakukan dengan penilaian sebelum dan sesudah intervensi menggunakan buku saku. Lima belas pertanyaan digunakan untuk menilai pengetahuan, dan enam komponen diamati untuk menilai praktik keamanan makanan. Sebaran data diuji dengan Shapiro-Wilk, selanjutnya dianalisis dengan uji Wilcoxon untuk menilai perbedaan nilai sebelum dan sesudah intervensi. Nilai N-Gain diterapkan untuk menilai efektivitas intervensi buku saku. Penelitian menemukan bahwa intervensi dengan buku saku meningkatkan skor pengetahuan sebesar 1,6% – 72,6% (median 14,6%) dan praktik sebesar 5,9% – 72,7% (median 18,2%). Proporsi tingkat pengetahuan baik meningkat dari 46,7% menjadi 95,4% setelah intervensi. Sementara praktik yang baik meningkat dari 62,2% menjadi 86,7%. Hasil analisis statistik menunjukkan perbedaan skor pengetahuan (P = 0,0001) dan praktik (P = 0,0001) antara sebelum dan sesudah intervensi. Nilai N-Gain menjelaskan bahwa metode buku saku efektif meningkatkan pengetahuan (g = 0,477) dan praktik keamanan makanan (g = 0,524). Penelitian ini membuktikan bahwa intervensi buku saku dapat meningkatkan pengetahuan dan praktik penjamah makanan dalam keamanan pangan. Metode buku saku cukup efektif penerapannya sehingga menjadi salah satu alternatif untuk meningkatkan pengetahuan dan praktik keamanan pangan
The Effectiveness of Blanket Warmer, Warm Intravenous Fluids, and Operating Room Temperature Modification in Preventing Perioperative Hypothermia
Full text linkHypothermia is a dangerous condition where the body temperature drops drastically (<36°C). If not promptly addressed, it can be life-threatening, with a mortality rate of approximately 21% for moderate hypothermia and 40% for severe hypothermia. This literature review aims to identify the most effective preventive measures to be implemented in the operating room to prevent perioperative hypothermia. This study utilized a literature review method, analyzing articles from two databases, PubMed and Science Direct. After applying relevant keywords, a total of 401 articles were obtained. These articles were then identified, screened, and examined for eligibility, resulting in 12 included articles. Nine articles reported that warm intravenous fluids, warm irrigation fluids, electric warming blankets, warming mattresses, and operating room temperature modifications were significantly beneficial in preventing perioperative hypothermia. In comparison, two articles found no significant benefit in prevention. There needs to be a consensus among the reviewed articles regarding the most effective preventive measures for perioperative hypothermia. Additionally, none of the articles examined the combined use of all three interventions to prevent hypothermia in perioperative patients