e-Jurnal Poltekkes Tanjungkarang
Not a member yet
1715 research outputs found
Sort by
Controlling Pre-operative Anxiety with Self Relaxound Therapy
Get PDFThe impact of anxiety before surgery can affect the operation, so it must be postponed. Action is needed to overcome the anxiety experienced by the patient. One that can be done by giving self relaxound therapy is by providing a combination of relaxation interventions, maybe, and natural sounds developed by researchers, which is done by perception and self-suggestion while listening to natural sounds and deep breathing exercises. This research aims to determine the effect of relaxation self relaxound on patient anxiety before laparotomy surgery. This type of research uses quantitative research by designing a quasi-experiment using a nonplan equivalent without a control group. This research was carried out in the surgical inpatient room on 32 respondents. Anxiety measurement uses a questionnaire called the Zung Self Rating Scale. Data analysis was done using a paired sample T-test with a significance limit 0.05. The analysis results obtained a p-value=0.000 (α<0.05), which shows a significant effect between therapy self relaxound and patient anxiety. Psychological problems are closely related to surgery; for this, the researchers suggest self relaxound therapy can be considered as a nursing procedure for every pre-operative patient.
Perbandingan Nilai Laju Endap Darah (LED) Otomatis Menggunakan Antikoagulan K3EDTA dengan LED Manual Menggunakan Antikoagulan Natrium Sitrat
Get PDFLaju Endap Darah (LED) merupakan pemeriksaan yang mengukur kecepatan pengendapan eritrosit. Nilai LED dapat dihgunakan sebagai petunjuk adanya penyakit kronik. LED berperan dalam memantau perjalanan penyakit dan keberhasilan terapi pada penyakit kronik. Saat ini metode otomatis banyak tersedia, tetapi ICSH menetapkan metode standar pemeriksaan LED adalah metode Westergren. Standar pemeriksaan LED yang direkomendasikan ICSH menggunakan antikoagulan Na sitrat, namun pada metode otomatis menggunakan K3EDTA. Penelitian ini bertujuan mengetahui perbandingan nilai LED menggunakan metode otomatis menggunakan antikoagulan K3EDTA dengan nilai LED manual menggunakan antikoagulan Na sitrat. Penelitian dilakukan secara obeservasional analitik. dengan 57 responden penelitian yang melakukan pemeriksaan LED di Laboratorium RSUD Serpong Utara. Hasil penelitian mendapatkan rerata nilai LED otomatis K3EDTA dan manual Na Sitrat berturut-turut adalah 34,42 mm/jam dan 39,39 mm/jam. Uji bivariat digunakan nonparametrik Wilcoxon. Nilai p yang diperoleh 0,002 (nilai p<0,05), yang berarti terdapat perbedaan yang bermakna antara nilai LED otomatis K3EDTA dengan manual Na Sitrat. Penggunaan antikoagulan Na Sitrat masih menjadi rekomendasi dari ICSH dan ICCLS. Antikoagulan K3EDTA pada alat otomatisasi juga direkomedasikan karena pada penelitian ini hanya 5 dari 57 sampel yang memberikan perbedaan hasil. Kedua antikoagulan dapat digunakan untuk pemeriksaan LED.
The Impact of the Combination Therapy of Listening to the Holy Quran and Progressive Muscle Relaxation on Blood Pressure Reduction in Women of Reproductive Age with Hypertension: A Randomized Controlled Trial Study
Get PDFIntroduction: Hypertension is a global public health problem, including Indonesia as a silent killer. Nonpharmacological (complementary) therapies are experiencing an increasing trend to be given along with pharmacological therapy requires evaluation as a blood pressure lowering for evidence-based practice. Objective: To evaluate the effect of combined therapy of listening to the Holy Quran and progressive muscle relaxation (PMR) on lowering blood pressure in women of reproductive age with hypertension. Methods: The research design used a quasi-experimental study with a pretest-posttest control group design approach. Women of reproductive age with mild and moderate hypertension in the experimental and control groups, a total of 21 participants each, were carried out at the Community Health Center in Metro City, Indonesia. Participants were given audio or listening to the Holy Quran and RPO as an experimental group and standard hypertension drug therapy in the control group. Mann-Witney test to prove the hypothesis with a significant level < 0.05 was chosen as statistical analysis. Results: This study found that women of reproductive age who were given a combination therapy of listening to the Holy Quran and PMR affected lowering their blood pressure (p-value 0,001). Participant, after being given the treatment, experienced a decrease in systolic blood pressure of 15,71 mmHg (CI 95%: 13,77-17,66) and diastolic 10,71 mmHg (CI 95%: 9,41-12,02). Conclusion: Nonpharmacological therapy (complementary) of listening to the Holy Quran audio and PMR given simultaneously can reduce blood pressure in women of reproductive age with hypertension. Therefore, this complementary therapy can be used as a companion therapy along with conventional therapy for community health services.Latar Belakang: Hipertensi menjadi masalah kesehatan masyarakat global, termasuk Indonesia sebagai silent killer. Terapi nonfarmakologi (komplementer) mengalami trend peningkatan untuk diberikan bersamaan dengan terapi farmakologi memerlukan evaluasi sebagai penurun tekanan darah untuk evidence base practice. Tujuan: Untuk mengevaluasi efek terapi kombinasi mendengarkan Al-Qur’an dan relaksasi otot progresif (ROP) terhadap penurunan tekanan darah pada wanita usia subur dengan hipertensi. Metode: Rancangan penelitian menggunakan studi quasi eksperimen pendekatan pretest posttest control group design. Wanita usia subur dengan hipertensi ringan dan sedang pada kelompok eksperimen dan kontrol masing-masing total 21 sebagai Partisipan yang dilaksanakan di Pusat Kesehatan Masyarakat di kota Metro, Indonesia. Partisipan diberikan terapi audio mendengarkan al-quran dan ROP sebagai kelompok eksperimen dan pemberian terapi obat standar hipertensi pada kelompok control. Uji mann-witney untuk membuktikan hipotesis dengan tingkat signifikan < 0,05 dipilih sebagai analisis statistic. Hasil: Studi ini menemukan bahwa ada pengaruh wanita usia subur yang diberikan terapi kombinasi mendengarkan al-quran dan ROP terhadap penurunan tekanan darah (p-value 0,001). Partisapan setelah diberikan perlakuan mengalami penurunan tekanan darah sistolik 15,71 mmHg (CI 95%: 13,77-17,66) dan diastolic 10,71 mmHg (CI 95%: 9,41-12,02). Simpulan: Terapi nonfarmakologi (komplementer) mendengarkan Al-Qur’an dan relaksasi otot progresif yang diberikan bersamaan mampu memberikan efek penurunan tekanan darah pada wanita usia subur dengan hipertensi. Oleh karena itu, terapi komplementer ini dapat dijadikan terapi pendamping bersamaan dengan terapi konvensional untuk pelayanan kesehatan komunitas
Implementasi Layanan Profilaksis Pra Pajanan (PrEP) Oral (Studi Kualitatif 2 Puskesmas di Kota Semarang)
No full textThe trial implementation of the PrEP program as an HIV prevention program in Semarang City has not run optimally. Health workers with an essential role as program implementers still experience technical and technical obstacles in recording and reporting, which are quite complicated. It is necessary for a program that has been running for almost 3 years to carry out more in-depth studies, especially for health workers who play a direct role in providing PrEP services. Data collection was descriptive and qualitative, using in-depth interviews. The study subjects consisted of nine primary informants and four triangulated informants using purposive sampling. Data validity is carried out by triangulating data sources. Data reliability is measured by data audit and data analysis using the content analysis method. The study results show that health workers' implementation of the PrEP program differs from the management guidelines published by the Ministry of Health of the Republic of Indonesia in 2023. Most health workers have a low level of knowledge regarding the PrEP program and perceive that the PrEP program supports LGBT and free sex. As a result, intrapersonal conflict arises because it is considered to conflict with one's thought patterns and conscience. The conclusion is that the low level of knowledge among the majority of PrEP program implementers significantly influences the PrEP program's success. Therefore, there is a need for regular, more comprehensive training related to the PrEP program.Pemberlakuan uji coba program Pre-Exposure Prophylaxis (PrEP) sebagai program pencegahan HIV di Kota Semarang belum berjalan optimal. Petugas kesehatan yang memiliki peran penting sebagai pelaksana program masih mengalami berbagai kendala, baik hambatan secara teknis maupun hambatan dalam pencatatan dan pelaporan yang cukup rumit. Program yang sudah berjalan hampir 3 tahun ini sangat penting untuk dilakukan kajian yang lebih mendalam, khususnya pada petugas kesehatan yang berperan langsung dalam memberikan layanan PrEP. Pengumpulan data secara deskriptif kualitatif yang dilakukan dengan wawancara mendalam. Subjek penelitian terdiri dari informan sembilan utama dan informan empat triangulasi dengan metode purposive sampling . Validitas data dilakukan dengan triangulasi sumber data. Reliabilitas data dilakukan dengan audit data dan analisis data menggunakan metode analisis isi . Hasil penelitian menunjukkan bahwa pelaksanaan program PrEP oleh petugas kesehatan belum sesuai dengan pedoman tata laksana yang diterbitkan oleh Kementerian Kesehatan Republik Indonesia tahun 2023. Sebagian besar petugas kesehatan memiliki tingkat pengetahuan yang rendah terkait program PrEP dan berpersepsi bahwa program PrEP mendukung LGBT dan bebas seks. Akibatnya, muncul konflik intrapersonal karena dianggap bertentangan dengan pola pemikiran dan hati nuraninya. Kesimpulan penelitian ini adalah tingkat pengetahuan yang rendah pada sebagian besar pelaksana program PrEP memberikan pengaruh yang cukup besar pada keberjalanan program PrEP. Oleh karena itu, perlu adanya pelatihan terkait program PrEP secara berkala yang lebih komprehensif
The Effect of Adolescent Therapeutic Group Therapy and Cognitive Behavioral Therapy in the Occurrence of Depression
Get PDFAdolescents are tasked with developing identity vs. role confusion, where the search for identity will shape the individual's character. There has been an increase in the use of social media among adolescents, causing an increase in the number of depression in adolescents. The need for promotive and preventive efforts to prevent depression in adolescents. This study aims to determine the effect of therapeutic group therapy and cognitive behavioral therapy in preventing depression in adolescent social media users. This study was conducted on 70 students aged 15-18 years old using a purposive sampling technique according to inclusion and exclusion criteria. This study uses a quasi-experimental pre-post-test design with intervention and control groups. The intervention group was given therapeutic and cognitive behavioral therapy, and the control group was given therapeutic group therapy without cognitive behavioral therapy. The results of this study indicate a significant effect on the control group. The combination of therapeutic group therapy therapy and cognitive behavioral therapy can be recommended as a therapy for reducing depression in adolescent social media users
Evaluation of Pedestrian Pathways on The UKSW Blotongan Campus Landscape on An Ecological Base
Get PDFThe pedestrian pathways within campus environments play a crucial role in ensuring safety, comfort, and efficient mobility for campus users. At the UKSW Blotongan Campus, there are several deficiencies in the pedestrian pathways that need to be addressed, especially concerning the needs of persons with disabilities and the lack of facilities such as traffic signs and dedicated bike lanes. Moreover, pedestrian pathways should also contribute to improving the surrounding environment. Therefore, the aim of this research is to evaluate the pedestrian pathways on campus and provide practical suggestions for their improvement and development. The method used is purposive sampling involving 20 trees with a diameter >50 cm, which includes an inventory of existing conditions, analysis of carbon absorption and plant dust absorption, and comparison with technical standards. The analysis results show that the Sesbania grandiflora tree (Kembang Turi) can significantly absorb carbon and dust. Based on the analysis results, recommendations can be made for the sustainable and environmentally friendly improvement of pedestrian pathways at the UKSW Blotongan Campus
Impact of Agitation on Platelet Concentrate Quality: A Time-Series Analysis of Platelet Counts
Get PDFStorage procedures are the main factor that influences the quality of platelet concentrate. In vitro, platelet concentrate is stored in a platelet agitator at a temperature of 20ºC-24ºC for 5 days. This study aims to determine the difference in the number of platelets in platelet concentrate with and without the agitation process. This type of research is quasi-experimental using a time series design with an independent t-test. The research was conducted in April 2024. Samples of 16 bags of platelet concentrate with and without the agitation process which were stored on the 0th, 1st, 2nd, 3rd, 4th, and 5th days were checked for platelet counts. In the normality test of the platelet examination data, the p-value was <0.05, so it was stated that the data was not normally distributed so it had to be continued with the Mann-Whitney U test. The research results showed that the p-value on days 0, 1, 2, and 3 was >0.05, indicating no significant difference in the number of platelets between the groups with and without the agitation process. Meanwhile, on days 4 and 5, a p-value <0.05 was found, and there was a difference in the number of platelets with and without the agitation process. It can be concluded that agitation plays an important role in maintaining platelet stability after the third day of storage, indicating that the agitation process is necessary to preserve platelet quality during longer storage periods.Storage procedures are the main factor that influences the quality of platelet concentrate. In vitro, platelet concentrate is stored in a platelet agitator at a temperature of 20ºC-24ºC for 5 days. This study aims to determine the difference in the number of platelets in platelet concentrate with and without the agitation process. This type of research is quasi-experimental using a time series design with an independent t-test. The research was conducted in April 2024. Samples of 16 bags of platelet concentrate with and without the agitation process which were stored on the 0th, 1st, 2nd, 3rd, 4th, and 5th days were checked for platelet counts. In the normality test of the platelet examination data, the p-value was <0.05, so it was stated that the data was not normally distributed so it had to be continued with the Mann-Whitney U test. The research results showed that the p-value on days 0, 1, 2, and 3 was >0.05, indicating no significant difference in the number of platelets between the groups with and without the agitation process. Meanwhile, on days 4 and 5, a p-value <0.05 was found, and there was a difference in the number of platelets with and without the agitation process. It can be concluded that agitation plays an important role in maintaining platelet stability after the third day of storage, indicating that the agitation process is necessary to preserve platelet quality during longer storage periods
Correlation of Clinical Factors with Hypertensive Patient Medication Adherence
Get PDFHypertension is the primary risk factor for both disability and death worldwide, mainly due to two significant complications: strokes (cerebrovascular accidents) and ischemic heart disease. Hypertension is a condition when systolic blood pressure ≥140mmHg and or diastolic blood pressure ≥90mmHg. Patient adherence is an indicator of the efficacy of therapy. Patient adherence measurement could be done by indirect methods such as self-report and pill count methods. The study aims to determine the correlation between clinical factors and medication adherence in hypertensive patients at Rajabasa Indah Community Health Center. This is a descriptive-analytic study with a cross-sectional approach. Purposive sampling was used in the sampling technique. There are 100 respondents in this study, patients diagnosed with hypertension at Rajabasa Indah Community Health Center who met the inclusion and exclusion criteria. A total of 45 patients were included in the category of non-adherent patients taking medication, and 55 patients were included in the category of patients who adhered to taking medication. This study showed that factors that influenced drug adherence in hypertensive patients were comorbidities (p=0.004), duration of treatment (p=0.007), the number of medications (p=0.002), and history of side effects (p=0.002). Medication adherence has been linked with some clinical factors such as comorbidities, duration of treatment, number of medications, and history of side effects. Incorporating adherence evaluation into the overall assessment of patients undergoing hypertension treatment should be essential
Penilaian Status Mutu Air Sungai Citarum Menggunakan Metode Indeks Pencemaran
Get PDFSungai Citarum merupakan salah satu sungai yang melintasi Kabupaten Karawang, yang kerap kali mengalami pencemaran, sehingga dibutuhkan upaya pengendalian yang tepat. Penelitian bertujuan untuk mengevaluasi kualitas air di Sungai Citarum agar mengetahui nilai status mutu air sungai, serta memahami peran Dinas Lingkungan Hidup (DLH) Kabupaten Karawang dalam merumuskan strategi pengendalian pencemaran air. Pengambilan sampel dengan metode grab sample dilakukan di dua titik lokasi Sungai Citarum pada Bulan Maret sampai Juni 2023, terhadap parameter Potential of Hydrogen (pH), Oxygen Demand (DO), Total Dissolved Solid (TDS), Total Suspended Solid (TSS), Biochemical Oxygen Demand (BOD), Chemical Oxygen Demand (COD), and E. coli. Nilai setiap parameter selanjutnya dibandingkan dengan Peraturan Pemerintah Nomor 22 Tahun 2021 untuk baku mutu air sungai (Kelas I), dan dianalisis menggunakan metode Indeks Pencemaran (IP). Hasil dari penelitian didapatkan bahwa terdapat empat dari tujuh parameter yang melebihi baku mutu, yaitu DO (2,4 mg/L), BOD (2,8 mg/L), COD (7,4 mg/L)), dan E. coli (105,3 MPN/100 ml). Hasil perhitungan nilai IP dari Bulan Maret hingga Juni 2023 berkisar antara 2,6-3.2 (Titik 1) dan 2,4-3,2 (Titik 2). Penelitian mendapatkan bahwa kualitas air Sungai Citarum di wilayah Kabupaten Karawang masuk dalam kategori Tercemar Ringan (IP= 2,91). Upaya pengendalian oleh DLH Kabupaten Karawang adalah melakukan pemantauan dan evaluasi pengolahan limbah cair perusahaan-perusahaan, serta pendampingan dalam pembuatan kebijakan lingkungan
Pengaruh Variasi Waktu Kontak Terhadap Penurunan Kadar Fe Dalam Air Minum Menggunakan Media Arang Sekam Padi dan Ferrolite
Get PDFKandungan besi (Fe) yang tinggi dalam air minum dapat menjadi faktor risiko kesehatan, terutama gangguan pencernaan, fungsi hati dan fungsi paru. Penelitian bertujuan untuk menganalisis pengaruh variasi waktu kontak terhadap penurunan kadar Fe dalam air, menggunakan media arang sekam padi dan ferrolite. Penelitian menggunakan rancangan Pre-test Post-test Design, pada tiga variasi waktu kontak (15, 20, dan 30 menit) dengan tiga kali pengulangan. Dua jenis media digunakan dalam penelitian ini, yaitu arang sekam padi (ketebalan 50 cm) dan ferrolite (ketebalan 30 cm). Sedangkan air baku yang digunakan untuk penelitian diambil dari sumur penduduk di Dukuh Sudimoro, Timbulharjo, Sewon, Bantul, Yogyakarta. Pengukuran kadar Fe dilakukan sebelum dan sesudah perlakuan. Keseluruhan data dianalisis dengan uji Kruskal-Wallis untuk mengetahui perbedaan kadar Fe antara sebelum dan sesudah perlakuan, serta uji Wilcoxon Signed Ranks untuk mengetahui perbedaan kadar Fe pada setiap perlakuan. Hasil penelitian menunjukkan penurunan kadar Fe pada setiap variasi percobaan, secara berurutan sebesar 74,3% (15 menit), 79,50% (20 menit), dan 80,90% (25 menit). Hasil analisis statistik secara signifikan membuktikan perbedaan kadar Fe antara sebelum dan sesudah perlakuan (P= 0,008). Penelitian juga membuktikan pengaruh signifikan waktu kontak terhadap penurunan kadar Fe (P= 0,027). Penurunan paling optimal pada waktu kontak 25 menit, sebesar 80,90% (dari 3,40 mg/L menjadi 0,67 mg/L). Hasil penelitian telah membuktikan bahwa penggunaan media arang sekam padi dan ferrolite dapat menurunkan kadar Fe hingga 80,90%, pada waktu kontak selama 25 menit