e-Jurnal Poltekkes Tanjungkarang
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Gambaran Efek Samping Obat Beradasarkan Usia, Cara Minum, dan Dosis Obat Metformin pada Penderita Diabetes Melitus Tipe 2
Get PDFMetformin merupakan obat antidiabetik oral yang umumnya direkomendasikan sebagai pengobatan lini pertama untuk Diabetes Melitus Tipe II ketika kadar gula darah gagal dikontrol dengan perubahan gaya hidup. Penelitian bertujuan untuk mendapatkan gambaran efek samping obat berdasarkan usia, cara minum, dan dosis obat metformin pada penderita diabetes melitus tipe 2 di Puskesmas Rajabasa Indah Kota Bandar Lampung. Metode penelitian Cross-Sectional dengan analisa deskriptif kuantitatif dari data primer berupa wawancara terpimpin menggunakan lembar checklist dan data sekunder berupa dokumen rekam medik pasien diabetes melitus tipe 2 periode April-Mei 2023. Teknik pengambilan sampel Purposive Sampling dengan jumlah sampel 65. Hasil penelitian berdasarkan usia terbanyak 46-65 tahun sebesar 75,38%. Penyakit penyerta tertinggi yaitu hipertensi 62,29%, kondisi penyerta terdapat nyeri sebesar 30,55%, dan pengunaan obat lainnya terdapat kombinasi amlodipine 20,87%, vitamin b komplek 18,13%, natrium diclofenak 9,34%, glibenclamid 8,79%. Pasien yang mengalami efek samping dari metformin ada sebesar 9,23% dan tidak ada sebesar 90,76%. Pasien yang mengalami efek samping 6 responden ESO yang banyak dialami pasien yaitu mual 66,66%, diare 16,66%, dan perut kembung 16,66%. Cara minum obat metformin yang banyak digunakan pasien yaitu sesudah makan sebesar 93,84%, dengan dosis obat 2x500 sebesar 53,84%. Pasien yang mengalami efek samping berdasarkan usia terdapat pada 46-65 tahun ESO mual 66,66%, diare dan kembung masing-masing 16,66%, pada cara minum sesudah makan ESO berupa mual 66,66%, perut kembung 16,66% dan sebelum makan terdapat diare 16,66%, pada dosis obat terdapat pada 2x500 mg dengan ESO mual 50%, diare dan perut kembung masing-masing 16,66%
Effect of Green Betle Leaf Extract (Piper betle L.) on Indoor Microbiological Quality
Get PDFThe microbiological quality of indoor air is still a signifikans concern because it causes mortality and morbidity. This study aims to analyze the effect of green betel leaf extract (Piper betle L.) on reducing the bactherial in the air. Quasi-research using the One Group Pretest Posttest design, conducted in March-May 2024. Betle leaves were extracted using the maceration method using 96% Ethanol solvent, then diluted with distilled water to obtain a concentration of 15%. Three volume variations (0.5 ml, 1.0 ml, and 1.5 ml) were put into a humidifier and applied to a nine-square-meter bedroom for three hours, with six replication. Sampling was carried out before and after the experiment. All data (N= 48) were analyzed using the One Way ANOVA and Tukey tests at CL 95%. The study results found a decrease in colonies in the treatment with a volume of 1.0 ml and 1.5 ml: 39.3% (from 36.2 to 22.3 CFU /m3) and 17.6% (from 49.2 to 37.0 CFU /m3). The treatment with a volume of 0.5 ml did not show a decrease. The statistical analysis showed a significant effect of betle leaf extract on reducing the bacteria in the air (P= 0.020). The study results have proven that green betle leaf extract can be used as a disinfectant to reduce the bacteria in the air. However, safe use must be applied by paying attention to the air humidity level
Youth Space Development in Urban Kampong of Pondok Cina, Depok City, Indonesia
Get PDFYouth spaces are necessary for adolescents to express themselves, build community, and strengthen identity. The study aims to identify needs and preferences and obtain alternatives for developing youth spaces in the urban kampong of Pondok Cina, Depok City. Qualitative research was conducted from February to April 2024. Data was collected through observation, in-depth interviews, and Focus Group Discussions. The study found that adolescents need multifunctional youth spaces, including places to socialize, develop talents, and exercise. An attractive, comfortable, and inclusive space design is essential, including complete facilities that support young people's activities. This study also emphasizes integrating youth spaces with environmental health, such as waste management and environmental education. Developing youth spaces that are managed effectively, sustainably, and integrated with environmental healthh can improve quality of life, prevent juvenile delinquency, and build a healthy community
Womb to Growth: How Maternal Anemia and Low Birth Weight Shape Toddler Stunting
Get PDFattention from all sectors. One of the main factors influencing stunting is anemia during pregnancy. Object: Therefore, this study aimed to determine the relationship between a history of maternal anemia during pregnancy and stunting in toddlers in the Banjarsari Community Health Center, North Metro, in 2025. Method: This research used a quantitative case-control design. The population consisted of 622 mothers with toddlers aged 24–59 months in the Banjarsari area. The sample size, calculated using an unpaired categorical comparative formula, totaled 60 respondents (20 cases and 40 controls) with a 1:2 ratio. Sampling was done using stratified random sampling. Data collection involved observation, interviews, and documentation through checklists, stadiometers, and KIA books. Results: Data were analyzed using univariate and bivariate (chi-square) tests. The results showed that 33.3% of mothers experienced anemia during pregnancy. Statistical analysis indicated a significant relationship between maternal anemia during pregnancy and stunting in toddlers (p = 0.012, OR = 4.210, 95% CI = 1.331–13.320). Conclusion: The study concluded that maternal anemia is significantly associated with stunting. Health workers are advised to strengthen maternal and child health promotion and empower community cadres to provide nutritional education for pregnant women and toddlers
DEVELOPMENT OF AN ANDROID-BASED APPLICATION "BERAKSI" TO CONDUCT EARLY DETECTION OF STUNTING
No full textStunting is a condition of failure to thrive in children under five years of age (toddlers) due to chronic malnutrition and recurrent infections. Children are classified as stunted if their length or height is below minus two standard deviations of the size or height of children their age. Stunting handling must synergize between ministries/institutions, regional governments, and the business world/community. This study aims to help cadres and parents monitor the growth and development of typical toddlers in general and stunted toddlers in particular by using the BERAKSI Application. The method used in compiling this application is "Waterfall," a sequential software development process starting from planning, modeling, implementation (construction), and testing. The stages in developing the waterfall method are requirements (needs analysis), system design, coding and testing, program implementation, and maintenance. The results of the application compilation research, namely BERAKSI, display four menu features, including 1) Growth, 2) Development, 3) Balanced Nutrition, and 3) Parenting. The advantage of the BERAKSI Program application compared to similar applications is that it has updates in the form of interventions providing balanced nutrition for toddlers who experience stunting and malnutrition with menus that have been consulted and recommended by nutritionists, as well as having a parenting menu that has been consulted and advised by child psychologists. Field data input into the BERAKSI application can be saved and downloaded on Google Spreadsheet. The BERAKSI application can be downloaded without paying via Playstore using an Android-based mobile device connected to the internet network.Stunting is a condition of failure to thrive in children under five years of age (toddlers) due to chronic malnutrition and recurrent infections, especially during the window of opportunity, namely from the fetus to a child aged 23 months. Children are classified as stunted if their length or height is below minus two standard deviations of the size or height of children their age. Stunting handling must synergize between ministries/institutions, regional governments, and the business world/community. The BERAKSI application is expected to help and make it easier for Cadres and parents to monitor the growth and development of typical toddlers in general and stunted toddlers in particular. Cadres can conduct inspections on Integrated Service Post activities, and parents can monitor the development of babies and toddlers at any time through the application on their respective smartphones. The BERAKSI application displays four menu features, namely the inspection feature: 1) Growth, 2) Development, 3) Balanced Nutrition, and 3) Parenting. The advantage of the BERAKSI Program application compared to similar applications is that it has updates in the form of interventions providing balanced nutrition for toddlers who experience stunting and malnutrition with menus that have been consulted and recommended by nutritionists, as well as having a parenting menu that has been consulted and recommended by child psychologists. Field data input into the BERAKSI application can be saved and downloaded on Google Spreadsheet. The BERAKSI application can be downloaded without paying via Playstore using an Android-based mobile device connected to the internet network
The Effect of Andaliman Fruit Extract on the Incision Wound Healing the Wistar Male White Rats and Collagen Type III
Get PDFThe extract of andaliman fruit has antimicrobial activity. The active compounds of andaliman fruit are believed to positively contribute to human health, one of which is flavonoids, which can improve the wound healing process because of their function as an antioxidant and anti-inflammatory. This study aims to determine the effect of giving ethanol extract of andaliman fruit on the healing process of incision wounds in Wistar strain white rats and collagen type III. This research is an experimental posttest-only controlled group design. This study used five groups: NaCL treatment, betadine treatment, 1% andaliman ethanol extract treatment, 3% andaliman ethanol extract treatment, and 5% andaliman ethanol extract treatment, where each group had six rats. Data analysis used normality tests, homogeneity tests, and ANOVA tests. The results showed that the ethanol extract of andaliman fruit contains several active compounds such as alkaloids, saponins, tannins, and glycosides. The fastest incision wound healing was the fourth test group, the test group with 3% andaliman fruit ethanol extract treatment on day 14, with an average length of incision wound healing of 3.44mm. The 3% andaliman ethanol extract had the potential to accelerate wound healing activity
Optimizing Postpartum Depression Prevention in Primary Health Care Services
Get PDFPost-partum depression (PPD) is a post-natal disorder that not only impacts the mental health of the mother but also has long-term effects on the development and well-being of the child and family. PPD is a preventable disorder, starting from interventions at primary health care facilities. As one of the developing countries with a PPD incidence of 22% per 100,000 births, PPD is considered an urgent public health issue in Indonesia. In practice, evaluation, and improvement of services at primary health care facilities are needed. This study aims to identify and adapt international intervention strategies to reduce post-partum depression prevalence in Indonesian primary health care. A scoping review analysis method was used, involving previous studies on activities from pregnancy to post-partum that can prevent and reduce post-partum depression. The reviewed articles employed Randomized Controlled Trials or Randomized Clinical Trials (RCT) methods with specific inclusion and exclusion criteria. Data were collected from relevant sources, and a synthesis was conducted on 16 articles that met the inclusion criteria. The results show that direct psychological support activities (through health professionals or groups) and indirect support using digital platforms and applications are effective in reducing depression. Strategies such as digital technology, direct support programs, physical therapy, pharmacological therapy, community involvement, and strengthening health services, particularly post-partum psychological counseling, are recommended to enhance prevention. This research supports the expansion of evidence-based strategies that can be implemented in primary healthcare facilities to address post-partum depression
Hubungan Pelayanan Dan Komunikasi Perawat Dengan Kepuasan Pasien
No full textProper and standard healthcare services will provide patient satisfaction in evaluating healthcare performance. Based on interviews conducted in December 2023 in the Surgical Inpatient Room at RSUD DR. H. Abdul Moeloek, Lampung Province, with 10 respondents, 6 respondents (60%) they were stated that some nurses did not explain the actions to be taken and were slow to respond to patient complaints. This study aims to determine the relationship between nurse services and communication with patient satisfaction in the surgical inpatient room of RSUD Dr. H. Abdul Moeloek, Lampung Province. This study was conducted in March-April using a quantitative method with a descriptive-analytic design through a cross-sectional approach. The study population was 83 respondents selected through accidental sampling (accidental sampling, also known as convenience sampling, is often considered a weak sampling technique because it does not ensure that the sample is representative of the larger population). Data collection instruments used questionnaires with dependent variables of patient satisfaction and independent variables of nurse services and communication. Data analysis used the Chi-square test. The results showed that 94% (78) of respondents stated that nurse communication was always good, and 96.4% (80) stated that nurse services were good. The correlation results showed a p-value=0.000<0.050, indicating a significant relationship between nurse services and communication with patient satisfaction. It is recommended that nurses continue to provide good, prompt, friendly, and always smiling services to patients.Pelayanan kesehatan yang tepat serta berdasarkan standar akan menimbulkan kepuasan untuk pasien dalam mengevaluasi kinerja layanan kesehatan. Berdasarkan wawancara pada bulan Desember 2023 di Ruang Rawat Inap Bedah RSUD DR. H. Abdul Moeloek Provinsi Lampung terhadap 10 responden, 6 responden (60%) menyatakan bahwa beberapa perawat tidak menerngkan tindakan yang hendak dilaksanakan serta lambat merespon keluhan pasien. Studi ini memiliki tujuan dalam rangka mengidentifikasi korelasi pada pelayanan dan komunikasi perawat dan kepuasan pasien di ruang rawat inap bedah RSUD Dr. H. Abdul Moeloek Provinsi Lampung. Studi ini dilaksanakan pada bulan Maret-April menggunakan metode kuantitatif dengan desain deskriptif analitik dengan pendekatan cross-sectional. Populasi penelitian sebanyak 83 responden dengan sampel aksidental. Instrumen pengumpulan data menggunakan kuesioner dengan variabel terikat kepuasan pasien dan variabel tida terikat pelayanan serta komunikasi perawat. Analisis data mempergunakan uji Chi-square mempergunakan analisis univariat dan bivariat. Temuan dari studi inimenunjukkan 94% (78 orang) responden menyatakan komunikasi perawat selalu baik dan 96,4% (80 orang) responden menyatakan pelayanan perawat baik. Hasil korelasi menunjukkan p-value = 0,000 < 0,05, yang artinya ada hubungan signifikan antara pelayanan dan komunikasi perawat dan kepuasan pasien. Disarankan agar perawat terus memberikan pelayanan yang baik, tepat, cepat, ramah, dan selalu tersenyum kepada pasien
Parenting Style and Stimulation of Psychosocial Development on the Psychosocial Development of Pre-School Children with Stunting
Get PDFStunting is a condition of impaired growth in children under five caused by chronic malnutrition, particularly within the first 1,000 days of life, resulting in children being too short for their age. This issue is crucial because stunting also impacts children's motor skills and psychosocial development. The problem of malnutrition predominantly occurs in developing countries, where approximately 80% of stunted children are found in 24 countries across Asia and Africa. Indonesia has the highest prevalence, followed by India, China, Nigeria, and Pakistan. This study analyzes the influence of parenting styles and psychosocial stimulation on preschool-aged children experiencing stunting development. The research design uses an analytical observational method with a cross-sectional approach. The study sample consists of stunted children aged 3-6 years and their parents in Nganjuk Regency, totaling 150 respondents. Sampling was conducted purposively, and data were collected through the PSDQ questionnaire for parenting style, the EC HOME for psychosocial stimulation, and the KMME for psychosocial development. Multiple linear regression analysis was employed, with a significance level of (α=0.05). The analysis results indicate a significant effect of psychosocial stimulation on the psychosocial development of stunted children, with a p-value of 0.001≤α=0.05. Responsive parenting and active parent-child interaction are crucial in supporting children's development. Therefore, it is essential to improve children's nutritional status through proper caregiving approaches to ensure they grow with normal nutritional status and achieve optimal development in the future
The Relationship between House Conditions and the Household Contacts with the Incidence of Children's Pulmonary Tuberculosis
Get PDFTuberculosis (TB) is a high risk in vulnerable groups with low immunity, such as children. Environmental factors and household contacts influence the high incidence of tuberculosis. This study aimed to analyze the relationship between housing conditions and the presence of household contacts with the incidence of pulmonary tuberculosis in children. This study used a case-control design. This study used a case-control design at the Puskesmas Kedaton Bandar Lampung from December 2023 to January 2024. The total sample was 58 children (29 cases and 29 controls), selected using Simple Random Sampling. The variables of this study were residential density, humidity, lighting, floor type, ventilation area, and the presence of household contacts. This study used univariate analysis, bivariate analysis with chi-square, and multivariate with multiple logistic regression. This study shows that there is a relationship between lighting (p=0,008), ventilation area (p=0,032), and the presence of household contacts (p<0,001) with the incidence of pulmonary TB in children. The factor most associated with the incidence of pulmonary TB in children was lighting (OR=6.061; 95% CI=1.768-20.777), which means children with home lighting that does not meet the requirements have a 6.061 times higher risk of experiencing childhood pulmonary TB than those who meet the lighting requirements. There is a relationship between lighting, ventilation area, and the presence of household contacts with the incidence of pediatric pulmonary tuberculosis in the Puskesmas Kedaton, Bandar Lampung working area.Tuberculosis (TB) is a high risk in vulnerable groups with low immunity, such as children. Environmental factors and household contacts influence the high incidence of tuberculosis. This study aimed to analyze the relationship between housing conditions and the presence of household contacts with the incidence of pulmonary tuberculosis in children. This study used a case-control design. This study used a case-control design at the Puskesmas Kedaton Bandar Lampung from December 2023 to January 2024. The total sample was 58 children (29 cases and 29 controls), selected using Simple Random Sampling. The variables of this study were residential density, humidity, lighting, floor type, ventilation area, and the presence of household contacts. This study used univariate analysis, bivariate analysis with chi-square, and multivariate with multiple logistic regression. This study shows that there is a relationship between lighting (p=0,008), ventilation area (p=0,032), and the presence of household contacts (p<0,001) with the incidence of pulmonary TB in children. The factor most associated with the incidence of pulmonary TB in children was lighting (OR=6.061; 95% CI=1.768-20.777), which means children with home lighting that doesn't meet the requirements have a 6.061 times higher risk of experiencing childhood pulmonary TB than those who meet the lighting requirements