e-Jurnal Poltekkes Tanjungkarang
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    Relationship Self-Management Level of Hypertension Patients Towards Risk of Coronary Heart Disease

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    Most hypertension sufferers are not very strict in controlling themselves and managing their blood pressure to prevent complications. One of the significant risk factors for heart disease is hypertension. This study aims to ascertain if hypertension patients' degree of self-management and the prevalence of coronary heart disease are related. This specific type of research uses a cross-sectional study design and is quantitative. Purposive sampling is employed. The Slovin formula is used to compute the sample. The study's total sample was 109 outpatients with hypertension from the internal medicine polyclinic of Dr. Moewardi Surakarta Hospital. This study used the HSMBQ (Hypertension Self-Management Behavior Questionnaire) questionnaire by Nargis Akther to measure the level of self-management of hypertension with coronary heart disease. The data analysis used was a univariate test, and the risk level was calculated using the Framingham Risk Score and the chi-square bivariate test. Results show that the study's p-value=0.048 (<0.05) suggests a significant correlation between hypertension patients' degree of self-management and the prevalence of coronary heart disease. Most individuals fall into the category of having an adequate level of self-management. The majority of the 76 people (69.7%) with intermediate levels of self-management had a minor risk of coronary heart disease. The results of the study showed a significant relationship between the incidence of coronary heart disease and the level of self-control in hypertensive patients. Promotive and preventive efforts through educational approaches and structured interventions are essential to improve the quality of self-control in hypertensive patients

    Pengaruh Jenis Antikoagulan dan Variasi Konsentrasi Suspensi Tes Sel ABO terhadap Hasil Pemeriksaan Serum Grouping Metode Tabung

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    Pemeriksaan golongan darah adalah rangkaian yang dilakukan sebelum transfusi untuk menguji kecocokan darah pasien dan donor. Pemeriksaan golongan darah ABO mencakup cell grouping dan serum grouping dengan gold standarnya adalah metode tabung. EDTA adalah antikoagulan yang biasa digunakan, tetapi sitrat juga bisa digunakan untuk pemeriksaan golongan darah. Salah satu faktor yang bisa memengaruhi pemeriksaan serum grouping adalah konsentrasi sel uji.  Tujuan penelitian ini adalah untuk mengetahui pengaruh jenis antikoagulan K2EDTA dan Na Sitrat 3,8% dan variasi konsentrasi supensi tes sel ABO 1%, 3%, dan 5% terhadap hasil pemeriksaan serum grouping metode tabung. Jenis penelitian ini adalah eksperimen semu dengan 5 kali pengulangan. Data hasil penelitian diolah menggunakan uji Friedman dan dilanjutkan dengan uji Wilcoxon. Hasil uji Friedman terhadap pengaruh jenis antikoagulan diperoleh nilai signifikan 0,002 yang berarti terdapat pengaruh jenis antikoagulan K2EDTA dan Na Sitrat 3,8% terhadap hasil pemeriksaan serum grouping metode tabung. Hasil uji Friedman dan uji Wilcoxon terhadap variasi konsentrasi diperoleh nilai signifikan 0,002 dan 0,004 yang berarti terdapat pengaruh variasi konsentrasi suspensi tes sel ABO 1%, 3%, dan 5% terhadap hasil pemeriksaan serum grouping metode tabung. Derajat aglutinasi pada sel uji 1% dengan hasil positif 2, sedangkan 3% dan 5% pada aglutinasi positif 3 atau positif 4

    Uji Mutu Ekstrak Etanol Daun Kumis Kucing (Orthosiphon Aristatus (Blume) Miq)

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    Daun kumis kucing (Orthosiphon aristatus (Blume) Miq) digunakan secara tradisional sebagai obat dan terbukti efektif untuk berbagai penyakit. Daun kumis kucing mengandung senyawa flavonoid golongan sinensetin sebagai senyawa identitas yang memiliki efek diuretik, penurun asam urat, penurun tekanan darah, anti-inflamasi, penurun suhu tubuh, diabetes dan penghancur batu kandung kemih. Kandungan senyawa dan manfaat daun kumis kucing yang banyak maka perlu dilakukan standarisasi ekstrak untuk menjamin mutu tersebut. Penelitian ini bertujuan untuk menguji mutu ekstrak etanol daun kumis kucing (Orthosiphon aristatus (Blume) Miq) terhadap parameter spesifik dan non-spesifik mutu ekstrak yang telah ditentukan sehingga dapat digunakan sebagai bahan baku obat tradisional atau fitofarmaka. Metode penelitian ini menggunakan rancangan deskriptif non-eksperimental. Hasil penelitian diperoleh bahwa daun kumis kucing memiliki nama latin (Orthosiphon aristatus (Blume) Miq). Ekstraksi dilakukan dengan metode maserasi dan rendemen ekstrak sebesar 18,25%. Organoleptik dari ekstrak etanol daun kumis kucing yaitu kental, berwarna hijau kecoklatan, berbau tidak khas dan berasa pahit. Ekstrak etanol daun kumis kucing mengandung senyawa flavonoid, saponin, tanin dan steroid. Nilai Rf ekstrak sebesar 0,51.  Susut pengeringan simplisia sebesar 9,980 %. Kadar air ekstrak sebesar 5,65%. Kadar abu ekstrak sebesar 5,9%. Kadar abu tidak larut asam ekstrak sebesar 0,95%. Kesimpulan dari penelitian ini  ekstrak etanol daun kumis kucing (Orthosiphon aristatus (Blume) Miq) memliki mutu yang baik untuk dapat dijadikan bahan baku obat tradisional

    Health Literacy Level and Quality of Life among Post-Partum Mothers

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    Pregnancy and childbirth are natural physiological processes that involve tremendous changes in the mother's physiology, anatomy, and psychology. Apart from that, pregnancy and birth can disrupt physical and mental health, so it has a significant impact on the quality of life of post-partum mothers. Poor quality of life in post-partum mothers becomes, which affects the health of the mother and baby. This study aims to analyze the relationship between health literacy and the quality of life of post-partum mothers in the Bandung Health Center, Tegal City. The research method uses quantitative with a cross-sectional approach. The population of this study was all post-partum mothers who gave birth in June – July 2023 in the Bandung Community Health Center area, Tegal City. The total sample was 59 post-partum mothers. Data collection using the HLS-EU-Q16 and Post-partum Quality of Life (PQOL) questionnaires. In the adequate health literacy category, 43 respondents (72.9%), followed by the problematic health literacy category 15 respondents (25.4%) and low literacy level 1 respondent (1.7%). In addition, of the respondents with a good quality of life, 57 respondents (96.6%) had a good quality of life, and 2 respondents (3.4%) had a low quality of life. Based on the chi-square test, there is a relationship between health literacy and the quality of life of post-partum mothers, which shows a significant relationship with a significance level of p=0.05). This research concludes that good health literacy gives post-partum mothers a good quality of life so they can care for their newborn babies.Pregnancy and childbirth are natural physiological processes that involve tremendous changes in the mother's physiology, anatomy, and psychology. Apart from that, pregnancy and birth can disrupt physical and mental health, so it has a significant impact on the quality of life of postpartum mothers. Poor quality of life in postpartum mothers becomes, which affects the health of the mother and baby. This study aims to analyze the relationship between health literacy and the quality of life of postpartum mothers in the Bandung Health Center, Tegal City. The research method uses quantitative with a cross-sectional approach. The population of this study was all postpartum mothers who gave birth in June – July 2023 in the Bandung Community Health Center area, Tegal City. The total sample was 59 postpartum mothers. Data collection using the HLS-EU-Q16 and Postpartum Quality of Life (PQOL) questionnaires. In the adequate health literacy category, 43 respondents (72.9%), followed by the problematic health literacy category 15 respondents (25.4%) and low literacy level 1 respondent (1.7%). In addition, of the respondents who have a good quality of life, 57 respondents (96.6%) had a good quality of life, and 2 respondents (3.4%) had a low quality of life. Based on the chi-square test, there is a relationship between health literacy and the quality of life of postpartum mothers, which shows a significant relationship with a significance level of p=0.05). This research concludes that good health literacy gives postpartum mothers a good quality of life so they can care for their newborn babies

    Burtas Uterus Involution Phantom Development

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    One way to diagnose retained placenta is by palpating the uterus to confirm uterine involution. Midwives must have these competencies. One effort to improve student competency is the availability of complete facilities and infrastructure. Currently, the phantom used does not describe in detail the process of uterine involution according to postpartum physiology. Detailed and detailed phantoms are very expensive. This research aims to develop a burtas (paper pulp) uterus involution phantom. It is a phantom covering several parts: the pelvis, abdomen, uterus, and external genitalia. The research was done in the laboratory of the Midwifery Department, Health Polytechnic, Ministry of Health, Palembang, June-October 2023. Research Subjects were DIII Midwifery Study Program students by purposive sampling in small groups of ten people and large groups of 20 people. This research uses a development research design known as Research and Development (R&D). Research and development aim to develop an existing product that can be tested for feasibility and effectiveness. The stages are potential and problems, data collection, product design, design validation, design revision, product trials, product revisions, usage trials, product revisions, and production. The burtas uterine involution phantom feasibility test results were declared very feasible by media experts with a score of 100%. Material expert with a score of 100%, Students 88.03%. The developed uterine involution phantom can be used as a phantom or alternative teaching aid for examining uterine involution in midwifery and breastfeeding care practicums

    Perbandingan Aktivitas Penghambatan Sel Kanker Payudara Fraksi Aseton dan Etil Asetat Kulit Buah Coklat (Theobroma cacao)

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    Kanker payudara merupakan kanker yang paling sering didiagnosis di kalangan wanita, berdampak pada 2,1 juta wanita setiap tahunnya. Kemoterapi masih menjadi penanganan utama kanker payudara. Akan terapi kemoterapi memiliki efek samping berbahaya bagi sel-sel normal. Oleh karena itu, masih diperlukan senyawa baru dengan potensi terapeutik yang lebih baik dan efek samping yang lebih rendah. Penelitian ini menggunakan kulit coklat sebagai kandidat penemuan senyawa obat kanker payudara. Tujuan penelitian ini untuk membandingkan fraksi aseton dan etil asetat dalam menghambat pertumbuhan sel kanker payudara MCF-7. Metode ekstraksi yang digunakan adalah maserasi dan dilanjutkan dengan fraksinasi cair-cair. Uji aktivitas antikanker MCF-7 dilakukan dengan metode MTT assay  menggunakan sel kanker payudara MCF-7 (ATCC HTB 22). Hasil penelitian menunjukkan bahwa Fraksi etil asetat memiliki kemampuan penghambatan pertumbuhan sel kanker payudara MCF-7 lebih tinggi dibandingkan dengan fraksi aseton. Nilai penghambatan pertumbuhan sel kanker MCF-7 tertinggi pada fraksi etil asetat diperoleh pada konsentrasi 50 ?g/mL, yaitu 14,13%. Sedangkan, pada konsentrasi yang sama nilai persen inhibisi fraksi etanol hanya 7,9%. Berdasarkan nilai IC50,baik fraksi aseton maupun etil asetat kulit coklat memiliki aktivitas antikanker yang tergolong lemah. Perlu dilakukan optimasi metode ekstraksi untuk mendapatkan nilai IC50 yang lebih optimal dalam menghambat pertumbuhan sel kanker payudara MCF-

    Tinjauan Kandungan Escherichia Coli Pada Makanan Jajanan di Lingkungan Kampus-B Poltekkes Bandung

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    Makanan berbahan dasar buah memiliki banyak peminat dengan cara pengolahan tanpa melalui penggorengan sehingga angka kuman atau cemaran bakterinya bisa lebih tinggi. Penelitian bertujuan mengetahui cemaran Escherichia coli pada makanan, serta pengetahuan dan perilaku pedagang dalam pengelolaan makanan. Penelitian bersifat deskriptif kuantitatif dengan analisis data univariat. Seluruh pedagang makanan jajanan berbahan dasar buah diikutkan dalam penelitian (enam pedagang). Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner untuk menilai pengetahuan higiene sanitasi makanan, serta melakukan observasi untuk menilai perilaku responden dalam mengelola makanan. Pemeriksaan kualitas mikrobiologi makanan dilakukan untuk mengetahui cemaran E. coli, menggunakan metode Angka Paling Mungkin (APM). Pemeriksaan mikrobiologi makanan dilakukan di Laboratorium Kesehatan Jawa Barat. Penelitian mendapatkan bahwa pengetahuan dan perilaku pedagang mengenai higiene sanitasi makanan masuk dalam kategori baik. Namun, peralatan yang digunakan dan sanitasi lokasi berdagang tidak memenuhi syarat, karena ditemukan peralatan yang berkarat serta tempat penyimpanan yang tidak tertutup. Hasil pemeriksaan mikrobiologi, tidak menunjukkan adanya kontaminasi bakteri E. coli pada makanan (<3 APM/g), sehingga aman untuk dikonsumsi. Untuk menjaga higiene dan sanitasi makanan, sebaiknya para penjual tidak merokok saat berdagang, menggunakan sarung tangan agar tidak bersentuhan langsung dengan makanan, dan menggunakan celemek. Bagi pihak Dinas Kesehatan atau Puskesmas dapat memberikan penyuluhan dan pengawasan kepada para pedagang jajanan mengenai higiene dan sanitasi makana

    Pengaruh Senam Ergonomis dan Relaksasi Terhadap Keluhan Musculoskeletal Disorders Pada Pekerja Pembuatan Genteng di Sleman Yogyakarta

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    Musculoskeletal disorders (MSDs) merupakan keluhan pada jaringan lunak yang dapat berpengaruh terhadap sistem otot, saraf, sendi, tulang rawan, dan punggung bawah. MSDs disebabkan oleh postur tubuh yang tidak ergonomis saat bekerja. Salah satu pekerjaan yang mengalami MSDs adalah pekerja pembuat genteng, karena sikap kerja membungkuk, berdiri, dan duduk secara terus menerus. Tujuan penelitian ini yaitu mengurangi keluhan MSDs pada pekerja pembuatan genteng di Dusun Klaci Margoluwih Seyegan Sleman dengan penerapan senam ergonomis dan relaksasi. Jenis penelitian menggunakan eksperimen semu dengan rancangan Non equivalent control group design. Populasi penelitian adalah pekerja pembuat genteng sebanyak 44 orang, yang terdiri dari kelompok eksperimen (n=22) dan kelompok kontrol (n=22). Pada kelompok eksperimen diberikan intervensi berupa peregangan senam ergonomis dan relaksasi selama 5 hari berturut-turut. Sedangkan pada kelompok kontrol tidak dilakukan peregangan, hanya pengamatan sikap bekerja. Kuesioner yang digunakan adalah Nordic Body Map. Analisis data menggunakan Wilcoxon Rank Test dengan α = 0,05. Total keluhan Musculoskeletal disorders kelompok eksperimen, didapatkan nilai pre test 1.197 dengan rata-rata 54,40. Setelah dilakukan peregangan didapatkan nilai post test 1.037 dengan rata-rata 47,13. Artinya pada kelompok eksperimen terjadi penurunan sebesar 7,27 atau 13,36% dengan p value = 0,000. Sedangkan kelompok kontrol didapatkan nilai pre test 1.215 dengan rata-rata 55,22. Meskipun tidak diberi perlakuan terjadi penurunan oleh kelompok kontrol dengan nilai post test 1.188 dengan rata-rata 54,00. Artinya terjadi penurunan sebesar 1,22 dengan presentase 2,20%.  Penurunan ini terjadi karena beberapa pekerja memanfaatkan waktu istirahat dengan baik. Peregangan senam ergonomis dan relaksasi mampu menurunkan keluhan MSDs pada pekerja pembuat genten

    The Design of an Interprofessional Health Record Form for Diabetes Mellitus Care at Primary Health Care Facility: A Recommendation

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    This research focuses on the pillars of primary care transformation by increasing primary services' capacity and capability, especially Diabetes Mellitus (DM) care. The study aims to produce a recording form containing simple, interprofessional records of DM patient care that can be used by various professions and can be applied in multiple primary health facilities. The design was developed through a development research approach with stages of form modification, expert and practitioner review, revision, trial, focus group discussion, and final revision. The trial was carried out by Community Health Center (Puskesmas) nurses in services at the Puskesmas through home visits for DM patients, Posbindu services, and outpatient care. Data from expert opinions, user opinions, and observations of the forms tested were analyzed qualitatively using the Technology Acceptance Model concept approach. The resulting form consists of two pages containing primary patient data and daily progress notes in tabular form. Research participants showed positive beliefs, attitudes, and behavior toward the forms being tested—the actual use of the form on an average of 3 patients per participant. The completeness was 90 percent filled. They expressed their intention to use the form further and recommended widespread dissemination to implement it in practice. The form is acceptable and ready to be applied for outpatient care, health monitoring, and home care for DM cases. Recommendations can be given to policymakers and health service providers to implement in services. Apart from that, the form can be further developed in electronic form by information technology developers

    Family and Healthcare Worker Participation in Promoting Exclusive Breastfeeding among Mothers

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    The family greatly influences the mother's desire to practice exclusive breastfeeding to the baby and strongly influences the decision to breastfeed. Support from health worker professionals like nurses, doctors, cadre health professionals, and midwives can also help in the exclusive application of breast milk. This study uses an approach study quantitative. This study aims to identify family and health workers' participation in practice exclusive breastfeeding to mothers breastfeeding at the Medan Sunggal Community Health Center. This study's population is mothers with babies aged 0-24 months: retrieval technique purposive sampling sample, as many as 90 people. Research results show that the majority aged 20-35 years, as many as 71 people (78.9%), have the child more than 1 (multiparous), as many as 69 (76.7%), educated middle school (high school equivalent ), as many as 61 (68.7%), no work as many as 82 people (91.1%) and gave exclusive breast milk as many as 77 (85.6%). Research results show that families participate in practice exclusive breastfeeding to the mother by providing informational support in a way good (56.7 %), instrumental support good (84.4%), support emotional in a way good (61.1%), and support award in a way good (75.6%). The research results also show that significant health workers follow participation with good-to-mother breastfeeding during pregnancy (87.8%), when giving birth (80%), and during the postpartum period (77.8%). So it is concluded that the big family and health workers participate in practice exclusive breastfeeding to the mother

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