e-Jurnal Poltekkes Tanjungkarang
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Risk Factors for Primary Hypertension
Get PDFHypertension is a deadly disease caused by high blood pressure, causing damage to the kidneys, heart, and brain. This study aims to determine the risk factors for hypertension related to family history, food, eating regularity, and physical activity with the incidence of primary hypertension in the community in Sintang District. This research method is a quantitative study with a cross-sectional method design, the population in this study was 699 people with a total sample of 97 respondents. The sampling technique used was a simple random sampling technique. The results of this study indicate that there is a significant relationship between family history and the incidence of hypertension, p-value of 0.001<(p-value=0.05) and OR of 4.800; there is a significant relationship between the type of food and the incidence of hypertension, p-value of 0.005<(p-value=0,05) and an OR of 4.680, there is a significant relationship between regular meals and the incidence of hypertension, p-value of 0.040< (p-value=0.05) and OR of 3.520, and there is a significant relationship between physical activity and the incidence of hypertension, p-value of 0.003< (p-value=0.05) and OR of 4.308. In conclusion, family history, type of food, regular food, and physical activity are related to the incidence of hypertension, therefore it is recommended that people who have a history of hypertension sufferers can regulate their diet and do physical activity regularly
Family Support and Psychological Adaptation (Letting-Go) in Primipara Post-partum
Get PDFDuring the recovery period, the post-partum mother will experience psychological changes proposed by several theories, which divide the period of psychological adjustment for the post-partum mother through three phases: taking in, taking hold, and letting go. The moms' emotional, intellectual, and behavioral disorders are triggered by their awareness of their guilt. Mothers must adjust to their new positions as they deal with new families with babies. Inadequately adapting to the post-partum period, mothers should get support from the family. This study aimed to determine the relationship between family support and the process of psychological adaptation (letting go) in primiparous post-partum mothers. This study sampled 33 primiparous post-partum mothers using a proportional random sampling technique. These involved primiparous post-partum mothers who lived with their families for 10-42 days and were willing to be respondents. The research used a questionnaire to analyze data. Data analysis using the Kolmogorov-Smirnov showed a p-value of 0.047 (p-value≤0.05). The results suggest that there is a relationship between family support and the process of psychological adaptation. Improving early screening for post-partum depression and increasing understanding of mothers and families can help reduce baby blues syndrome and post-partum depression in post-partum mothers
Development of the Si PaPa Gasi Module (First Aid for Preeclampsia/Eclampsia) with a Family Approach in the Archipelago Region
Get PDFMaternal deaths in the Riau Islands Province in 2020 are still dominated by direct causes, namely hypertension in pregnancy (around 39%), known as preeclampsia and eclampsia. The Community Health Center also does not have a particular module regarding first aid in emergencies if preeclampsia or eclampsia occurs. This research aims to determine the effectiveness of the Si PaPa Gasi Module (First Aid in Preeclampsia/Eclampsia emergencies) with a family approach in island areas. The research design is a quasi-experiment with a pre-posttest and control group design. The population is all pregnant women in the Berakit Health Center working area. The total sample was 47 in the intervention group and 47 in the control group. The research instrument is a questionnaire. Statistical analysis uses the computer program by looking at the increase in the average (mean) and the influence of the independent variable on the dependent variable using the t-test. The results of the Si PaPa Gasi module research were Si PaPa Gasi module could increase knowledge regarding First Aid for Preeclampsia/Eclampsia Emergencies and increase the attitudes and motivation of pregnant women to perform First Aid for Preeclampsia/Eclampsia Emergencies. Health facilities can use the PaPa Gasi module as a health education media in efforts to prevent preeclampsia and eclampsia
Sleep Quality in Patients with Human Immunodeficiency Virus
Get PDFHuman Immunodeficiency Virus (HIV) is a viral infection that occurs in the human immune system and makes the body unable to fight infection because the virus can replicate itself. The physical and psychological problems experienced by HIV patients can change their sleep patterns and quality. Poor sleep quality will cause various health problems, including a decreased immune system. HIV patients have experienced a decrease in their immune system due to viral infection, so they need good quality sleep so as not to disrupt their condition and health status. This research was conducted to determine the quality of sleep of HIV patients at Sumedang Hospital. This research method is descriptive and quantitative, with 74 HIV patients taken using consecutive sampling techniques. The sleep quality assessment instrument uses the Pittsburgh Sleep Quality Index (PSQI). Univariate analysis was used in this study to describe the distribution of frequencies and percentages of respondent characteristics and sleep quality. The results of this study showed that the majority of HIV patients experienced poor sleep quality (63.5%). Poor sleep quality that occurs in HIV patients is related to various factors such as psychological stress, disease, medication, age, and gender. From these findings, efforts, and interventions are needed for nurses or health service providers to improve the sleep quality of HIV patients
Implementation of Minimum Antenatal Care Service Standards in North Lampung Regency
Get PDFMaternal Mortality Rate (MMR) in North Lampung is high. Coverage of antenatal care visits in 2021 (88.7%) has yet to reach the target (100%), even though the number of midwives and integrated health post (Posyandu) services increases every year. The Minimum Service Standard report also indicates that the budget for maternal care services is around 17% of the total budget allocation. This study aims to provide an overview of the implementation of the 10 Antenatal Care (ANC) services in North Lampung. The research design employs a quantitative method with a documentation study using Maternal and Child Health (MCH) books and questionnaires to measure midwives' knowledge in North Lampung. The sample size was determined using the open-source calculator SSPropor (OpenEpi, version 3), resulting in 595 collected samples for this study. Data were analyzed using univariate and bivariate analyses. None (0%) of the pregnant women received all 10 ANC services. Almost all pregnant women (>90%) received blood pressure examinations, counseling, and referral services. Meanwhile, the ANC service received least frequently (<50%) was the provision of Iron and Folic Acid (IFA) tablets. There is a significant difference in the mean coverage based on the three clusters, and there is a weak relationship between Midwives' Knowledge and the implementation of 10 ANC services. Recommendations: There is a need for programs to comprehensively improve knowledge about ANC standards among health workers and volunteers. Discipline in recording needs to be enhanced. Further qualitative studies are required to gain a broader perspective
Simalungun Batak Family Support for Elderly Independence
Get PDFAging is an event that will be experienced by everyone who is blessed with a long life. Biologically, elderly people experience a continuous aging process characterized by decreased physical resistance to disease. These various changes often cause elderly people to experience problems in facing life, so family support is needed. This study aims to analyze the influence of Simalungun Batak family support on the independence of the elderly in the working area of the Haranggaol Community Health Center. Type of quantitative research with a cross-sectional approach. The subjects were 149 elderly people who lived at home with family members in Harangaol who were selected using purposive sampling. The instrument was adopted and modified from existing family support, and elderly independence questionnaires and validity and reliability tests were carried out on 30 subjects with r-table >.361, with Cronbach's alpha reliability of .761. The results of the univariate analysis show that the majority of emotional family support is in the excellent category 68 (46%), the appreciation family support is good 63 (43%), the informational family support is sufficient 100 (67%) the instrumental family support is good 75 (50%), the total independence of the elderly is 96 (65%). The Pearson product-moment analysis results show a significant relationship between emotional, appreciative, informational, and instrumental family support and the independence of the elderly. There is a significant relationship between emotional family support, appreciation family support, informational family support, and instrumental family support for the independence of the elderly at the Haranggaol Health Center. It is recommended that the family support the elderly in participating in integrated services, elderly activities, and customary activities to maintain the elderly's level of independence in fulfilling daily living activities
Pengaruh Ekstrak Etanol Daun Pegagan (Centella asiatica (L.) Urban) Terhadap Jumlah Trombosit Tikus Putih (Rattus norvegicus)
Get PDFPegagan merupakan tanaman obat yang mengandung beberapa bahan aktif yang bermanfaat bagi kesehatan. Salah satu kandungan aktif daun pegagan adalah flavonoid seperti kuersetin. Kuersetin merupakan senyawa kelompok flavonoid yang banyak terkandung pada tanaman serta memiliki kemampuan meningkatkan jumlah trombosit dalam darah. Tujuan penelitian ini adalah untuk mengetahui pengaruh dan dosis yang paling berpengaruh pada pemberian ekstrak etanol daun pegagan (Centella asiatica (L.) Urban) terhadap jumlah trombosit tikus putih (Rattus norvegicus). Penelitian ini merupakan penelitian analitik eksperimental dengan “Post test only kontrol group design”. Pembagian kelompok menggunakan teknik sampling Simple Random Sampling. Terdapat 4 kelompok yaitu kontrol (-), kontrol (+), perlakuan 450 mg/kgBB dan 900 mg/kgBB. Pemberian perlakuan dilakukan selama 22 hari lalu dilakukan pengukuran jumlah trombosit menggunakan hematology analyzer abacus 3CT. Data penelitian dianalisa menggunakan One-Way ANOVA dengan SPSS. Didapatkan hasil uji normalitas Shapiro-Wilk dengan nilai sig>0.05; uji homogenitas Levene Test dengan nilai sig.>0.05; uji One-Way ANOVA dengan nilai sig<0.05; dan uji Post Hoc Tukey pada perlakuan 450 mg/kgBB dan 900 mg/kgBB memberikan nilai sig<0.05. Terdapat pengaruh yang signifikan terhadap jumlah trombosit tikus putih (Rattus norvegicus) setelah dilakukan pemberian ekstrak etanol daun pegagan (Centella asiatica (L.) Urban) dengan dosis 450 mg/kgBB dan 900 mg/kgB
Perbandingan Kapasitas Penjerapan Debu Daun Tabebuya (Tabebuia rosea), Bauhinia (Bauhinia purpurea), dan Angsana (Pterocarpus sp.)
Get PDFPolusi udara merupakan masalah lingkungan serius yang disebabkan oleh aktivitas manusia. Tanaman memiliki peran penting dalam mengatasi polusi udara dengan kemampuannya menjerap debu dan gas berbahaya, selain menghasilkan oksigen. Penelitian bertujuan menganalisis kapasitas jerapan debu dari tiga jenis tanaman, yaitu Tabebuya (Tabebuia rosea), Bauhinia (Bauhinia purpurea), dan Angsana (Pterocarpus sp.). Penelitian bersifat deskriptif, dilaksanakan di Kota Salatiga, pada bulan Oktober 2023. Tiga jenis tanaman (Tabebuya, Bauhinia, dan Angsana) yang berbatasan langsung dengan jalan raya dipilih secara purposive, masing-masing dua pohon. Dari setiap pohon (n=6), diambil daun yang berada di posisi paling bawah dan langsung berhadapan dengan jalan raya. Selanjutnya dilakukan pengukuran kapasitas jerapan debu (metode gravimetry) dan analisis kapasitas absorpsi partikel harian. Hasil penelitian menunjukkan bahwa kapasitas jerapan debu Tabebuya sebesar 1,713 gram/m2 (sampel 1) dan 5,553 gram/m2 (sampel 2). Pada Angsana 0,096 gram/m2 (sampel 1) dan 1,270 gram/m2 (sampel 2). Sedangkan kapasitas jerapan debu pada Bauhinia sebesar -2,279 gram/m2 (sampel 1) dan -1,334 gram/m2 (sampel 2). Kemampuan tanaman menjerap debu berkaitan dengan bentuk dan tekstur permukaan daun. Dari tiga jenis tanaman yang diperiksa, Tabebuya memiliki kapasitas penjerapan debu harian tertinggi, diikuti oleh Angsana dan Bauhinia. Berdasarkan kemampuannya menjerap debu, Tabebuya potensial digunakan sebagai alternatif tanaman penghijauan
Hubungan Higiene Perorangan dan Sanitasi Lingkungan Dengan Kejadian Diare Pada Balita di Kelurahan Mekarjaya, Kota Depok
Get PDFPenyakit diare pada balita berkaitan erat dengan higiene perorangan dan sanitasi lingkungan yang buruk. Penelitian bertujuan menganalisis hubungan kejadian diare pada balita dengan perilaku cuci tangan pakai sabun (CTPS) dan sarana sanitasi di Kelurahan Mekarjaya, Kota Depok. Penelitian menggunakan rancangan cross sectional, dilaksanakan di Kelurahan Mekarjaya, Kota Depok. Variabel yang diteliti adalah kejadian diare pada balita, perilaku CTPS, dan sanitasi lingkungan (air bersih, jamban, pembuangan sampah, dan pembuangan air limbah rumah tangga). Sampel (n = 70) adalah anak balita (usia 0-59 bulan) yang dipilih secara acak proporsional dari sepuluh rukun warga (RW). Data dikumpulkan dengan wawancara dan observasi, selanjutnya diolah dan dianalisis secara univariat dan bivariat. Teknik analisis yang digunakan adalah uji Chi-square dan rasio prevalensi (Prevalensi Rasio/PR). Hasil penelitian mendapatkan 52,9% balita pernah mengalami diare. Hanya 50% ibu balita yang memiliki perilaku CTPS. Sebagian besar rumah tinggal balita memiliki jamban (80,0%) dan pembuangan air limbah (82,9%) yang memenuhi syarat. Namun lebih dari separuh tidak memiliki sarana air minum (55,7%) dan pembuangan sampah (54,3%) yang memenuh syarat. Hasil analisis statistik menunjukkan bahwa prevalensi diare pada balita lebih tinggi pada kelompok ibu yang tidak memiliki perilaku CTPS (PR: 2,70; 95% CI: 1,55-4,67; P= 0,0001), tidak memiliki sarana air minum yang aman (PR: 6,56; 95% CI: 2,60-16,53; P= 0,0001), serta sarana pembuangan sampah yang memenuhi syarat (PR: 2,62; 95% CI: 1,46-4,71; P= 0,0001). Penelitian mendapatkan bahwa diare pada balita berhubungan dengan perilaku CTPS, kepemilikan sarana air minum yang aman, dan sarana pembuangan sampah
Analysis of Demographic Factors Affecting Exclusive Breastfeeding Success among Breastfeeding Mothers
Get PDFSuccessful breastfeeding significantly impacts the health of both mothers and infants. This study aims to analyze factors affecting breastfeeding success through a quantitative design incorporating bivariate and multivariate analyses. Data were collected from 90 breastfeeding mothers and analyzed using statistical tests. The results reveal that maternal age is a significant factor (p-value=0.007); mothers aged 20–35 are 1.6 times more likely to breastfeed successfully than those younger than 20 or older than 35. Maternal education also plays a critical role (p-value=0.002); mothers with higher education levels are 2.3 times more likely to succeed in breastfeeding than those with primary education. Employment status is another significant factor (p-value=0.013); non-working mothers are 1.8 times more likely to breastfeed successfully than working mothers. Parity also influences success (p-value=0.029); multiparous mothers are 1.2 times more likely to succeed than primiparous mothers. These findings highlight the need for targeted interventions. Educational programs should prioritize mothers with primary or secondary education and those employed. Support mechanisms for working and primiparous mothers are crucial to address breastfeeding challenges. Policies such as extended maternity leave and workplace lactation facilities are also recommended to foster breastfeeding success. In conclusion, maternal age, education, employment status, and parity significantly impact breastfeeding outcomes. Tailored programs and supportive policies can improve breastfeeding rates and enhance maternal and infant health