e-Jurnal Poltekkes Tanjungkarang
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The Effect of Cognitive Therapy on the Ability to Control Negative Thoughts in Low Self-Esteem Patients
Low self-esteem is the appearance of negative thoughts about the meaning of self as a response to a situation. Negative thoughts can influence how you think about yourself and how you view the world and can interfere with work, study, and daily activities. Therapy is cognitively focused on helping the client identify and correct maladaptive thoughts, type automatic behaviors, and change behaviors caused by various emotional problems. This research aims to analyze the influence of cognitive therapy on the ability to control negative thoughts in low self-esteem patients. This research uses a quantitative quasi-experimental study with a pretest-posttest non-equivalent group control design. The sample for this study was 64 respondents from patients with low self-esteem who were hospitalized, divided into 32 intervention groups and 32 control groups. The sampling technique for this research uses purposive sampling. Research data collection used the ATQ-B-15 (Automatic Thoughts Questionnaire–Believability-15) instrument. Data were analyzed using descriptive statistics, dependent t-test, and independent t-test. The results showed a change in the intervention group's ability to control negative thoughts before and after cognitive therapy (t=15.84; p=0.00). There was a difference in the ability to control negative thoughts in the post-test of the control and intervention groups (Sig.2-tailed=0.00 or p-value<0.05). Giving cognitive therapy has a significant influence on reducing the ability to control negative thoughts in low self-esteem patients.Low pride is the appearance of negative thoughts about the meaning of self as a response to a situation. Negative thoughts can influence how you think about yourself and how you view the world and can interfere with work, study, and daily activities. Therapy is cognitively focused on helping the client identify and correct maladaptive thoughts, type automatic behaviors, and change behaviors caused by various emotional problems. This research aims to analyze the influence of cognitive therapy on the ability to control negative thoughts in patients who price themselves low. This research uses a quantitative quasi-experimental study with a pretest-posttest non-equivalent group control design. The sample for this study was 64 respondents from patients with low self-esteem who were hospitalized, divided into 32 intervention groups and 32 control groups. The sampling technique for this research uses purposive sampling. Research data collection used the ATQ-B-15 ( Automatic Thoughts Questionnaire – Believability- 15 ) instrument. Data were analyzed using descriptive statistics, dependent t-test, and independent t-test. The results showed a change in the intervention group's ability to control negative thoughts before and after cognitive therapy (t = 15.84 ; p = 0.00). There was a difference in the ability to control negative thoughts in the post-test of the control and intervention groups ( Sig. (2-tailed) = 0.00 or p-value < 0.05). Giving cognitive therapy has a significant effect on reducing the ability to control negative thoughts in low self-esteem patients
Effects of Frangipani Flower Extract (Plumeria acuminata L.) Against the Mortality of Aedes aegypti Larvae
Bioinsecticide development has become a demand after the adverse effects of long-term use of synthetic chemical insecticides, including vector resistance and environmental pollution. In particular, this study investigated the ability of Frangipani flower extract (Plumeria acuminata L.) as larvacidal against Aedes aegypti instar III. The study used a Factorial Completely Randomized Design (two replications), conducted on March-May 2023. Plant extraction by maceration using 96% ethanol solvent. Bioassay tests were carried out at three concentration levels (5%, 7%, 10%) and four levels of contact time (6, 12, 18, 24 hours), with 25 larvae in each treatment. Spectrophotometry methods measured flavonoid and saponin content. The two-way ANOVA test analyzed data, the Tukey test, and the probit test to obtain LC50 and LC90. The study found flavonoid and saponin content of 4.43 Mg QE/g and 2.45%, respectively. The lowest total mortality (24 hours after exposure) of Aedes aegypti larvae was at a concentration of 5% (MR= 58%) and highest at concentrations of 7% and 10% (MR= 100%). The 7% concentration is the best performance as a larvicide. Statistical analysis showed differences in mortality based on concentration (P = 0.0001) and contact time (P = 0.0001). Mortality of larvae was caused by damage to the respiratory and digestive systems, as seen from the lateral hair, siphon, and abdomen condition. The results of the probit test obtained LC50 and LC90 of 4.85% (4.36–5.10%) and 5.86% (5.49-7.20%), respectively. The study has proven that Plumeria acuminata L. flower extract has the potential as a biolarvaside against Aedes aegypti, with a mortality effect reaching 100% after 24 hours of exposure
[RETRACTION] Factors Related to The Unsuccessful of Exclusive Breastfeeding in Breastfeeding Moms at Yosomulyo Health Center, Metro City
Introduction: The World Health Organization WHO (2019), recommends to mothers around the world to exclusively breastfeed their babies for the first 6 (six) months after the baby is born to achieve optimal growth, development and health. At the Yosomulyo Health Center, 45.3% were not given exclusive breastfeeding (97 babies out of 214 babies). Objective: The purpose of this study was to determine the factors associated with the failure of exclusive breastfeeding in breastfeeding mothers at the Yosomulyo Health Center. Method: This type of research is quantitative with a cross sectional design. The total population of breastfeeding mothers at the Yosomulyo Health Center is 336 nursing mothers. The sample size was determined based on the Lemeshow formula obtained by 75 respondents. The sampling technique used is simple random sampling. Collecting data using a questionnaire. Results: The results showed that the proportion of breastfeeding mothers: not exclusive breastfeeding was 37.3%, poor knowledge was 18.7%, primiparous parity was 36% and did not support 33.3%. Based on the analysis, it was obtained that each p-value was knowledge with a p-value of 0.009, parity with a p-value of 0.000 and family support with a p-value of 0.000. Conclusion: this study is that there is a relationship between knowledge, parity, and family support with the failure of exclusive breastfeeding for breastfeeding mothers at Yosomulyo Public Health Center, Metro City
The Effect of Cat Stretch Exercise on Reducing Menstrual Pain in Female Students
Introduction: Dysmenorrhea can reduce school productivity and quality of life in adolescent girls. Cat Stretch exercises can reduce pain but have never been taught to junior high school students at SMP Negeri 1 Gondangrejo Karanganyar. Purpose: The purpose of this research is to determine how giving stretch exercise paint reduces dysmenorrhoea in junior high school students. Method: The type of research used is quantitative with a Quasi-Experimental research design with pretest and posttest with group control. Researchers measured pain at the beginning, then provided intervention for one month and measured dysmenorrhea pain again during the next menstruation. The purposive sampling technique obtained a sample size of 50 junior high school female students, of which 25 were in the intervention group and 25 were in the control group. The data analysis technique used was the Independent T-Test. Results: The average pre-test intensity of menstrual pain in the intervention group was 4.04, decreasing to 2.72 during the post-test. There was a significant difference in students before and after the cat stretching intervention (p=0.000). In contrast, the control group showed an average pain intensity of 3.56 in the pre-test and almost did not decrease during the post-test, namely 3.52 with p=0.327. Testing for pain reduction in the intervention group was 1.32 while the control group was 0.04 with significant difference results (p-value 0.014). Conclusion: Providing cat stretch exercises can reduce dysmenorrhoea pain in female students. Therefore, young women can use stretch paint exercises to reduce dysmenorrhoea non-pharmacologically.
Latar Belakang: Dismenorea dapat menurunkan produktivitas sekolah dan kualitas hidup pada remaja putri perempuan. Latihan Cat Stretch dapat menurunkan nyeri namun belum pernah diajakan pada siswa SMP di SMP Negeri 1 Gondangrejo Karanganyar. Penelitian ini bertujuan untuk mengetahui pengaruh dari pemberian cat stretch exercise terhadap pengurangan dismenorea pada siswi SMP Metode: Jenis penelitian yang digunakan kuantitatif dengan rancangan penelitian Quasi Eksperimen dengan pretest posttest with control gruop. Peneliti mengukur nyeri di awal kemudian diberikan intervensi selama satu bulan dan mengukur nyeri dismenore kembali saat menstruasi selanjutnya. Teknik pengambilan sampel purposive sampling, diperoleh jumlah sampel 50 responden siswi Smp, dimana 25 responden kelompok intervensi dan 25 responden kelompok kontrol. Teknik analisa data yang digunakan adalah Independent T Test Hasil: Rata-rata pre test intensitas dismenorea pada kelompok intervensi 4,04 menurun menjadi 2,72 saat posttest. Terdapat perbedaan bermakna pada siswa sebelum dan setelah intervensi cat stretching (p=0,000). Berbeda pada kelompok kontrol yang menunjukkan intensitas nyeri rata- rata pre test 3,56 dan hampir tidak turun saat post test yaitu 3,52 dengan p=0,327. Pengujian penurunan nyeri pada kelompok intervensi 1,32 sedangkan kelompok kontrol 0,04 dengan hasil perbedaan bermakna (p-value 0,014). Simpulan: Pemberian Latihan cat stretch mampu menurunkan nyeri disminorea pada siswi. Oleh karena itu, remaja putri dapat menjadikan latihan cat stretching sebagai upaya menurunkan disminorea secara nonfarmakologi secara mandiri.
Pemanfaatan Zeolit-A Sebagai Adsorben Logam Berat Kromium Total (Cr) Pada Limbah Cair Sisa Analisis Chemical Oxygen Demand (COD)
Limbah cair sisa analisis Chemical Oxygen Demand (COD) mengandung krom total (Cr), sehingga bersifat racun dan karsinogen. Metode adsorpsi menggunakan zeolit-A dapat digunakan untuk menurunkan polutan Cr. Penelitian bertujuan mengetahui waktu kontak optimal adsorpsi terhadap penurunan Cr oleh zeolit-A berbahan dasar limbah daun nipah dan alumunium kaleng. Penelitian menggunakan zeolit-A yang disintesis dari limbah daun nipah dan alumunium kaleng. Sintesis zeolit dilakukan dengan rasio molar Si/Al 1,9 (6,6 g NaOH, 3,36 g SiO2, 2,98 Al2O3, dan 103,43 mL H2O). Efektifitas adsorpsi dinilai berdasarkan lima variasi waktu kontak (30, 60, 90, 120, dan 150 menit). Kinetika adsorpsi digambarkan dengan pemodelan orde nol, orde satu semu (pseudo first orde) serta orde dua semu (pseudo second orde). Hasil penelitian menunjukkan bahwa zeolit-A memiliki kemampuan sebagai penukar kation yang baik, sehingga dapat berperan sebagai adsorben Cr. Berdasarkan proses adsorpsi didapatkan waktu kontak optimal adsorpsi Cr pada waktu 150 menit, dengan efisiensi adsorpsi sebesar 17,742%. Sedangkan kinetika adsorpsi Cr mengikuti model orde nol, dengan nilai kecepatan adsorpsinya adalah -0,0007 min-1. Zeolit-A yang disintesis dari limbah daun nipah dan alumunium kaleng dapat digunakan sebagai adsorben logam Cr. Waktu optimal adsorpsi pada waktu kontak 150 menit dengan efisiensi adsorpsi sebesar 17,74%. Peningkatan dosis adsorben, variasi pH, dan variasi waktu kontak lebih dari 150 menit, menjadi saran penelitian selanjutnya.
Pengaruh pH Terhadap Stabilitas Daun Pacar Kuku Sebagai Counterstain Alternatif pada Pewarnaan Gram
Identifikasi bakteri pewarnaan gram dilakukan dengan metode konvensional atau molekuler secara mikroskopis. Pewarnaan gram memiliki kemampuan menyeleksi bakteri gram positif dengan bakteri gram negatif berdasarkan peptidoglikannya.Pewarnaan gram menggunakan safranin sebagai cat penutup.Safranin merupakan pewarna kationyang bersifat karsinogenik dan menimbulkan permasalahan bagi lingkungan dan kesehatan manusia. Oleh sebab itu, perlu dikembangkan pewarna alternatif dari bahan alami yang sama dengan safranin. Daun pacar kuku merupakan senyawa fenolik dan termasuk dalam protein yang memberikan kemampuan pewarnaan yang baik. Penelitian ini memiliki tujuanmenentukan pengaruh antara variasi pHdengan stabilitas daun pacar kuku sebagai counterstain alternatif pewarnaan gram dan membuat inovasi baruberbahan dasar alami untuk pewarnaan gram yang stabil dan lebih ramah lingkungan. Metode penelitian ini dilakukan secara eksperimen dengan uji stabilitas untuk mengukur absorbansi. Selanjutnya, setelah pewarnaan diamati dibawah mikroskop perbesaran 100x. Hasil penelitian menunjukkan bahwa zat warna pada pH 3 lebih stabil dibanding dengan zat warna pada pH 7 dan pada pewarnaan dengan ekstrak daun pacar kuku bakteri Staphylococcus aureus lebih terwarnai dan terlihat jelas dibanding dengan bakteri Esherichia coli yangtidak terwarnai oleh ekstrak daun pacar kuku.
Effectiveness of Smoke-Free Campus Implementation on Smoking Behavior Control
The tobacco industry is a significant obstacle in the effort to control smoking behavior, especially since they are allowed to promote their products to the public, including students. To address this issue, the Ministry of Health developed a smoke-free zone that may be implemented in universities to reduce smoking rates among adolescents. To know the effectiveness of implementing a smoke-free campus policy on smoking behavior control at Universitas Prima Indonesia by assessing aspects of student knowledge and compliance levels. This research is a descriptive quantitative study with a cross-sectional design and uses purposive sampling techniques with the criteria of active smoker students, 74 people in the medical study program of the Faculty of Medicine, Dentistry, and Health Sciences at Universitas Prima Indonesia. Data was obtained in February-April by distributing questionnaires directly to student smokers. The results showed that smoking behavior control among students increased in 50 (67.6%) out of 74 respondents. This is supported by the relationship between the level of knowledge and students' attitudes toward smoking behavior control in the smoke-free campus area, as indicated by a p-value<0.05 (0.005<0.05 and 0.001<0.05). This study found that students’ knowledge and attitudes towards smoke-free campus areas are important aspects influencing the effectiveness of the smoke-free campus policy in controlling smoking behavior
GAMBARAN INSPEKSI SANITASI PEMUKIMAN DI KAWASAN KUMUH KELURAHAN SUNGAI PINANG LUAR, SAMARINDA
Latar belakang: Permukiman kumuh yang belum memenuhi persyaratan kesehatan rumah tinggal dapat berpotensi meningkatkan risiko terjadinya penularan penyakit. Peranan sanitasi lingkungan dapat berpengaruh besar terhadap derajat kesehatan masyarakat yang tinggal atau bermukim di wilayah tersebut. Studi kasus penelitian ini di laksanakan pada Kelurahan Sungai Pinang Luar yang mana termasuk ke dalam permukiman berkategori kumuh. Adapun tujuan penelitian untuk mengetahui penilaian rumah sehat dalam rangka peningkaan kondisi permukiman kumuh yang memenuhi syarat di Kelurahan Sungai Pinang Luar berdasarkan pada persyaratan yang berlaku.
Metode: Penelitian ini menggunakan deskriptif obervasional secara langsung dan inspeksi terhadap komponen rumah, sarana sanitasi, serta perilaku penghuni. Pengambilan data dilaksanakan pada bulan November 2023. Penelitian ini berlokasi sekitaran bantaran Sungai Karang Mumus, Kelurahan Sungai Pinang Luar, Kecamatan Samarinda Kota, tepatnya pada RT 4-9. Populasi yang diambil sebagai sampel sebanyak 30 rumah dari proses pemilihan sampel yang representatif dari seluruh rumah yang ada pada permukiman kumuh tersebut.
Hasil: Terdapat 29 rumah yang belum memenuhi syarat rumah sehat. Untuk rumah yang mendapatkan skor ≥ 1068, hanya ada 1 rumah yang memenuhi syarat rumah sehat, yaitu dengan nilai 1087. Dalam evaluasi perilaku terhadap 30 rumah, perilaku membuka jendela di kamar tamu dan ruang keluarga mendapat penilaian paling rendah.
Simpulan: Sebanyak 90% rumah tidak memenuhi syarat sebagai kategori rumah sehat. Hal ini didominasi oleh faktor yang terkait dengan sarana sanitasi dan perilaku penghuni. Perlunya pemenuhan sarana dan edukasi sebagi rencana tindak lanjut perbaikan
Implementation of Pulmonary TB Management Program with Pulmonary Tuberculosis Patient Treatment Monitoring Information System (SISFOTBPARU)
Various factors are thought to hinder the success of TB treatment, including failure of therapy due to non-compliance as one of the main factors. The solution is expected to be the development of an android-based pulmonary tuberculosis patient treatment monitoring information system application (SISFOTBPARU). This study aims to assist the operational health officers of the Kampung Sawah, Satellite, and Kedaton Bandar Lampung Health Centers in monitoring the treatment of TB patients at their Health Centers. Based on the results of the black box testing that had been carried out, the application could run according to the development design. In the UAT test using a list of questions for each application user using Likert's summed rating scaling calculation technique, for users of Kampung Sawah, Satellite, and Kedaton Health Center Officers in Bandar Lampung, 76.0% of users stated that it was very appropriate and 24.0% stated that it was proper that the menus displayed on the application met the expectations of health center officers. In the Testing of the Application for Patient Users of Kampung Sawah, Satellite, and Kedaton Health Centers in Bandar Lampung, 78.7% of users stated that it was very appropriate, and 21.3% stated that it was proper that the menus displayed on the application made it easier for patients to report their treatment activities. This study proves that the criteria for success include the web and Android TB patient treatment monitoring applications used by health workers at Kampung Sawah, Satellite, and Kedaton Health Centers and TB patients
PROFIL PENDERITA KANKER PAYUDARA USIA DIATAS 50 TAHUN DI LABORATORIUM PATOLOGI ANATOMI TAHUN 2020-2022 RSUD ABDUL WAHAB SJAHRANIE SAMARINDA.
Kanker payudara menempati urutan tertinggi dalam jumlah kasus kanker sekaligus menjadi penyebab kematian terbesar akibat kanker di dunia setiap tahunnya. Data Globocan tahun 2020, jumlah kasus baru kanker payudara mencapai 68.858 kasus (16.6%) dari total 396.914 kasus baru kanker di Indonesia. penderita kanker payudara lebih dominan di usia 40 - 60 tahun. Pada penelitian ini bertujuan Untuk mengidentifikasi profil penderita kanker payudara berdasarkan paritas, Gambaran Histopatologi, dan Stadium Klinis Profil penderita kanker payudara usia diatas 50 tahun dilaboratorium patologi anatomi tahun 2020-2022 RSUD Abdul Wahab Sjahranie. Penelitian ini menggunakan desain Cross Sectional, observasional analitik. Besar Sampel 49 penderita kanker payudara, teknik pengambilan Purposive sampling. Penelitian ini dilaksankan di Rekam Medik dan Laboratorim Patologi Anatomi RSUD Abdul Wahab Sjahranie Samarinda. Hasil penelitian menggunkan Analisis Univariat. Dari penelitian ini menunjukkan persentase terbanyak pada penderita kanker payudara kelompok Paritas Multipara 31 orang (64%), Gambaran Histopatologi pada karsinoma duktal infiltrasi 41 orang (94%), dan Stadium Klinis tipe IIB 17 orang (35%). Sebaran kanker payudara terbanyak pada Paritas Multipara, Gambaran histopatologi terbanyak karsinoma duktal infiltrasi, dan Stadium klinis terbanyak pada tipe IIB