e-Jurnal Poltekkes Tanjungkarang
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Prioritisation of Problems in Public Health Programme Planning Using The Difficulty Usefulness Method: Scoping Review
Get PDFThe difficulty-usefulness method is not widely known as a prioritization method. Some researchers have used this method in prioritization, but no researcher has reviewed the difficulty-usefulness method, the elements used, or the development of this method. This scoping review examines the difficulty-usefulness method in priority setting, the elements used, and the development of this method. This scoping review follows the five-stage framework of Arksey and O'Malley. A database search used keywords for literature published between January 2014 and June 2024. Data were organized, summarized, and presented in tables based on various themes. Eight studies were reviewed that utilized the difficulty-usefulness method in improving e-learning activities, preventing pesticide usage risks, selecting contraceptive methods, determining healthy family indicators, and determining community-based disaster preparedness parameters. The elements used in priority setting were aligned with the activities or issues to be improved or enhanced. These elements were determined through focus group discussions (FGD) and previous research results. The development of the difficulty-usefulness method has been carried out by several researchers, including the arrangement of elements in a pyramid structure, weighting attributes, and grouping elements into quadrants. The effectiveness of the difficulty-usefulness method has not yet been assessed, and there is still significant potential for further development.Tujuan: Scoping review ini bertujuan mengulas metode difficulty-usefulness dalam penentuan prioritas, elemen-elemen yang digunakan serta pengembangan dari penggunaan metode ini. Desain: Scoping review ini menggunakan kerangka kerja lima tahap dari Arksey dan O'Malley. Metode:Pencarian dalam database menggunakan kata kunci untuk literatur yang diterbitkan antara Januari 2014 hingga Juni 2024. Data disusun, diringkas dan ditampilkan dalam bentuk tabel berdasarkan beberapa tema. Hasil: Studi yang diulas sejumlah 8 yang menggunakan metode difficulty-usefulness dalam perbaikan kegiatan e-learning, pencegahan risiko penggunaan pestisida, pemilihan metode kontrasepsi, penentuan indikator keluarga sehat dan penentuan parameter kesiapsiagaan bencana berbasis masyarakat. Elemen-elemen yang digunakan dalam menentukan prioritas sesuai dengan kegiatan atau masalah yang akan ditingkatkan atau diperbaiki. Elemen-elemen tersebut ditentukan dengan cara FGD dan menggunakan hasil penelitian sebelumnya. Pengembangan metode difficulty-usefulness ini sudah dilakukan oleh beberapa peneliti yaitu penyusunan elemen dalam susunan piramida, pembobotan atribut dan pengelompokan elemen dalam kuadran. Penggunaan metode difficulty-usefulness ini masih belum dilakukan penilaian efektifitas dan masih sangat dimungkinkan untuk dikembangka
Studies Literature: Connection Style Life with Incident Breast Cancer
Get PDFIntroduction: Breast cancer is one of the non-communicable diseases that tends to continue to increase every year, so it can be said that the burden that the world has to bear due to the disease is increasing. Based on Globocan data in 2018 in Indonesia, breast cancer is in first place with the number of 16.7% cases, with the number of deaths as high as 11.0% matter This cannot be separated from the factors that trigger breast cancer, one of which is lifestyle. Objective: This literature review aims to determine the relationship between lifestyle, namely diet, physical activity, and exposure to cigarette smoke, with breast cancer. Methods: This study uses a literature review design. This study consists of 5 articles (3 national and 2 international) from 2005-2017. Data collection using literature studies obtained from Google Scholar and PubMed. From the research obtained, 3 literatures discuss cigarette smoke exposure variables, 3 literatures discuss smoking pattern variables, and 3 literatures discuss 3 variables of activity physique. Results: Data analysis was carried out by looking at the research year starting from the most recent and then stepping back to Which most long. From the literature obtained, 3 studies showed that there was a relationship between exposure to cigarette smoke and the incidence of breast cancer, 3 studies showed that there was a relationship between diet and the incidence of breast cancer, and 3 studies showed that there was a relationship between physical activity and incidence of breast cancer. Conclusion: There is a relationship between exposure to cigarette smoke, poor diet, and lack of physical activity with the incidence of breast cancer in women
Analysis of Quality of Life Among Covid-19 Survivors in Medan
Get PDFThe Covid-19 pandemic is a global challenge with significant impacts in various countries, including Indonesia. This study investigates the quality of life of Covid-19 survivors in the Medan Sunggal Sub-district, considering age, gender, education, employment status, and disease duration. Descriptive research was conducted from March to June 2023, involving 146 respondents aged 16-55 who had survived for one year. The snowball sampling method was applied, and data were collected using the SF-36 questionnaire. Results showed that early adulthood and female age groups tended to have better quality of life. Higher education was also positively correlated with quality of life. The implications of these findings support the development of specific recovery and support programs for Covid-19 survivors, especially those experiencing prolonged symptoms. With a better understanding of the factors that influence the quality of life of Covid-19 survivors, recommendations include developing rehabilitation and support programs tailored to individual characteristics. These efforts are expected to support optimal recovery and contribution to the response to the pandemic in Medan Sunggal Sub-district
Quality of Life Patients HIV Based on Characteristic, Duration of Diagnosis, and Types Antiretroviral (ARV)
Get PDFHuman Immunodeficiency Virus (HIV) is a retrovirus that attacks the body's immune system, leading to an increase in morbidity and mortality rates in Indonesia. HIV can cause problems in both physical and emotional aspects, impacting the quality of life in daily activities. This study aims to determine the health-related quality of life of HIV patients based on characteristics, duration of diagnosis, and types of antiretroviral treatment at RSUD Sumedang. The research utilized a cross-sectional design with a population of HIV patients visiting the teratai clinic at RSUD Sumedang. Sampling was done using consecutive sampling, involving 71 respondents who met the inclusion criteria. Data analysis in this study utilized univariate analysis and bivariate analysis using chi-square. The univariate analysis results indicated that the majority of respondents had a good quality of life at 56.3%, measured using EQ-5D-5L, with the anxiety/depression domain being the one with the most issues. The results of bivariate analysis using chi-square showed no significant relationship between characteristics, duration of diagnosis, and types of antiretroviral treatment with the quality of life in HIV patients at RSUD Sumedang. It was concluded that the quality of life of HIV patients at RSUD Sumedang, measured using EQ-5D-5L, is mostly good. The domain of anxiety/depression is the most problematic
Utilization for Non-Communicable Diseases Management in Southeast Asia
Get PDFNon-communicable diseases (NCDs) are still a morbidity and mortality problem in Southeast Asia. However, NCD in Southeast Asia still needs to be handled faster. WHO recommends the use of digital in treating NCDs in Southeast Asia. Therefore, this literature review study aims to describe how mHealth is utilized to overcome the problem of NCDs in Southeast Asian countries. The author collected articles using Google Scholar and Proquest, which were published in 2019-2023. The focus of the search was articles published in English-language Research Journals. Researchers used advanced search with the keywords NCD, Non-communicable diseases, mHealth, Mobile Health, Nursing, and Health Promotion. Keywords are combined using Boolean and/or the online database that the researcher chose. Articles that have been filtered are filtered again by selecting research locations in Southeast Asian countries. Ten articles obtained came from research in Southeast Asian countries Indonesia (n=4), Malaysia (n=1), Singapore (n=1), Vietnam (n=1), Thailand (1), Cambodia (n=1), Philippines (n=1). All articles discussed the use of mHealth for NCD management in their countries and aimed to determine the barriers (n=3), feasibility (n=1), effectiveness (n=2), impact (n=2), potential (n=1), perception (n=1), and perspective (n=1) of service providers, as well as the experience of using mHealth in remote areas (n=1). It can be concluded that mHealth can be used for independent screening for PTM, providing education about NCDs, and can be applied in rural areas as a comprehensive effort to handle NCDs
Potensi Ekstrak Etanol Biji Duku (Lansium domesticum Corr) Terhadap Mortalitas Larva Nyamuk Culex Sp
Get PDFFilariasis dikenal sebagai penyakit menular menahun yang disebabkan oleh infeksi cacing filaria, Culex Sp. sebagai vektor utama. Upaya untuk menanggulangi sebaran nyamuk salah satunya menggunakan insektisida kimia, namun penggunaannya dapat menimbulkan dampak negatif bagi manusia dan lingkungan. Oleh karena itu, alternatif yang lebih aman dan ramah lingkungan seperti penggunaan insektisida nabati perlu dieksplorasi misalnya menggunakan ekstrak biji duku. Penelitian ini bertujuan untuk mengeksplorasi potensi ekstrak biji duku (Lansium domesticum Corr) dalam mengendalikan populasi nyamuk Culex Sp. Metode penelitian yang digunakan adalah eksperimen laboratorium dengan desain penelitian "Post Test Only Control Group Design". Hasil penelitian menunjukkan konsentrasi 15% mortalitas larva mencapai 76%, konsentrasi 10% menjadi 46%, sedangkan konsentrasi 5% persentase kematian larva adalah 26%. Pada kontrol positif kematian larva Culex Sp. sebesar 100%, dan kontrol negatif yang tidak menunjukkan adanya kematian larva Culex Sp., dapat disimpulkan bahwa ekstrak biji duku memiliki potensi yang signifikan dalam membunuh larva Culex Sp. Penemuan ini menunjukkan bahwa ekstrak biji duku dapat menjadi alternatif yang efektif dalam pengendalian populasi nyamuk Culex Sp. Selain itu, penggunaan insektisida nabati seperti ekstrak biji duku juga memiliki keunggulan dalam hal keamanan dan keberlanjutan lingkungan, sehingga dapat menjadi solusi yang lebih baik dalam upaya pencegahan dan pengendalian filariasis
The Effect of Education Using Video Learning Multimedia on Increasing Knowledge of Early Breastfeeding Initiation and Breastfeeding Techniques in Postpartum Sectio Caesarean Mothers at the Hospital
Get PDFIntroduction: Excusive breastfeeding begins as early as possible from birth through the implementation of maternal compassionate care and join care. However, due to the impact of the COVID-19 pandemic, there is no joint care between babies and mothers after normal or section secaria deliveries in hospitals. It is important to increase knowledge of breastfeeding techniques to mothers, especially mothers giving birth by section secaria to prevent babies from not being breastfed early. Purpose: This study to evaluate the effect of education using video learning multimedia on increasing knowledge about breastfeeding and breastfeeding techniques in mothers who give birth sectio secaria. Methods: One group pretest posttest quasi experiment design was chosen as the research design. The study involved 58 participants selected using consecutive sampling technique. The treatment group was given an educational intervention on lactation management utilising multimedia videos that had been developed with eligible validity and reliability. Statistical analysis to test the hypothesis used the Wilcoxon test with a significance level (α) of 0.05. Results: A total of 57 out of 58 participants showed an increase in knowledge about breastfeeding and breastfeeding techniques with an average score of 67.97 (pretest) increasing to 82.34 (posttest). There was an effect on the level of knowledge before and after being given education using multimedia video learning media on participants (p=0,0001). Conclusion: The use of multimedia video learning media as education can improve knowledge about breastfeeding and breastfeeding techniques in postpartum SC mothers during the COVID-19 pandemic. Clinical midwives and health supervisors can utilise this media which is easy to use both online and offline for education, so that maternity mothers are motivated to carry out early breastfeeding of newborns to continue to provide exclusive breastfeeding.
Latar Belakang: Pemberian ASI ekskusif dimulai sedini mungkin sejak lahir melalui implementasi asuhan sayang ibu dan rawat gabung. Namun, dampak pandemi COVID-19 tidak dilakukan rawat gabung antara bayi dan ibu pasca bersalin normal maupun section secaria di rumah sakit. Pentingnya peningkatan pengetahuan teknik menyusui kepada ibu, khususnya ibu melahirkan secara section secaria untuk mencegah bayi tidak diberikan ASI sejak dini. Tujuan: Penelitian ini bertujuan mengevaluasi pengaruh edukasi menggunakan video learning multimedia terhadap peningkatan pengetahuan tentang pemberian ASI dan teknik menyusui pada ibu bersalin sectio secaria. Metode: Studi quasi experiment design one group pretest posttest dipilih sebagai rancangan penelitian. Penelitian melibatkan 58 partispan diseleksi menggunakan teknik consecutive sampling. Kelompok perlakuan diberikan intervensi edukasi menggunakan video multimedia dan yang telah diuji validitas dan reabilitasnya eligible. Analisis statistic untuk menguji hipotesis menggunakan wilcoxon test dengan tingkat kemaknaan (α) 0,05. Hasil: Sebanyak 98,28% dari 58 partisipan menunjukkan peningkatan pengetahuan mengenai pemberian ASI dan teknik menyusui dengan skor rata-rata 67,97 (pretest) meningkat menjadi 82,34 (posttest). Ada pengaruh level pengetahuan sebelum dan sesudah diberikan edukai menggunakan media video learning multimedia pada partisipan (p=0.0001). Simpulan: Pemanfaatan media video learning multimedia Sebagai edukasi mampu meningkatkan pengetahuan mengenai pemberian ASI dan teknik menyusui pada ibu pascabersalin SC pada masa pandemic COVID-19. Bidan klinik maupun Penyelia Kesehatan dapat memanfaatkan media ini yang mudah digunakan baik online maupun offline untuk edukasi, sehingga ibu bersalin termotivasi melaksanaan pemberian ASI dini pada bayi baru lahir hingga berlanjut memberikan ASI ekskluasif
Hubungan Intensitas Radiasi Ultraviolet, Jarak Pengelasan, dan Karakteristik Pekerja Dengan Gejala Konjungtivitis Fotoelektrik Pada Pekerja Bengkel Las di Kota Bukittinggi
Get PDFKonjungtivitis merupakan peradangan pada konjungtiva yang disebabkan oleh virus, bakteri dan radiasi sinar ultraviolet (biasa disebut konjungtivitis fotoelektrik). Salah satu pekerjaan yang berhubungan dengan radiasi ultraviolet dan berisiko tinggi menyebabkan konjungtivitis fotoelektrik adalah pengelasan, khususnya pengelasan listrik. Penelitian bertujuan untuk menganalisis risiko konjungtivitis fotoelektrik pada pekerja bengkel las. Penelitian menggunakan desain cross-sectional dengan responden 49 orang, dilaksanakan di Kota Bukittinggi pada bulan Desember-Mei 2023. Pengumpulan data menggunakan kuesioner, observasi, dan pengukuran. Keseluruhan data dianalisis dengan Fisher’s Exact test, pada tingkat kepercayaan 95%. Penelitian menemukan bahwa sebagian besar responden mengalami gejala konjungtivitis fotolistrik berat (87,8%), dan terpapar intensitas radiasi ultraviolet yang tinggi (53,1%). Mayoritas responden berada pada kelompok usia muda (71,4%), terpapar lebih dari 2 jam sehari (85,7%), telah bekerja lebih dari 5 tahun (71,4%), dan bekerja pada jarak pengelasan yang dekat (59,2%). Penelitian juga menemukan hubungan yang signifikan antara gejala konjungtivitis fotolistrik dengan intensitas radiasi ultraviolet (P= 0.007), jarak pengelasan (P= 0.035), lama paparan (p= 0.002), dan masa kerja (P= 0.048). Penggunaan pelindung diri dan pemeriksaan kesehatan mata sangat disarankan dalam pekerjaan
Relationship of Emergency Ambulance Response Time to Australasian Triage Scale (ATS) Level in Non-Trauma Case Patients
Get PDFEmergency ambulance is an emergency service carried out outside the hospital, both trauma and non-trauma, which is carried out to prevent death and further disability. This service is carried out by increasing the ambulance response time. Emergency ambulance response time in pre-hospital emergency services can impact the assessment of patient triage levels in the development of modern triage, one of which is the Australasian Triage Scale (ATS). This study aims to determine the relationship between emergency ambulance response time and the Australasian Triage Scale (ATS) triage level in non-trauma case patients in Samarinda. The design of this study used a quantitative method, namely descriptive correlation, using a cross-sectional research design. The population in this study was 78 patients. Sampling used the total sampling technique. The instruments used in this study were observation sheets, stopwatches (response time), and the Australasian Triage Scale (ATS). This study was conducted for 3 months from March to May in Public Hospital Samarinda in 2024. Meanwhile, the person correlation test results found a p-value of 0.000<0.05, which means there is a relationship between the emergency ambulance response time to ATS Triage and an r-value of 0.767 where the strength of the relationship is high/strong. With a positive correlation result, the direction of the relationship is in the same direction. This means that the faster the emergency ambulance response time, the better (lower) the emergency condition of non-trauma patients based on the ATS triage level
Pengaruh Variasi Konsentrasi Suspensi Darah Talasemia dan Waktu Sentrifugasi terhadap Pemeriksaan Direct Coombs Test Metode Tabung
Get PDFTalasemia merupakan penyakit kelainan darah yang membutuhkan transfusi darah sebagai pengobatan. Transfusi darah secara berulang berpotensi membentuk alloantibodi atau antibodi ireguler. Tahapan uji pratransfusi untuk mendeteksi adanya antibodi yang melekat pada eritrosit dilakukan pemeriksaan Direct Coombs Test . Penelitian bertujuan untuk mengetahui pengaruh variasi konsentrasi suspensi darah Talasemia dan waktu sentrifugasi terhadap pemeriksaan Direct Coombs Test metode tabung. Desain penelitian ini adalah quasi eksperimen , dalam penelitian ini sebanyak 6 sampel inkompatibel darah Talasemia dilakukan pemeriksaan Direct Coombs Test metode tabung dengan variasi konsentrasi suspensi 1%, 3%, 5% dan waktu sentrifugasi pembacaan selama 1 menit, 2 menit dan 3 menit dengan suspensi 5% dan waktu sentrifugasi 1 menit sebagai kontrol. Hasil penelitian pemeriksaan Direct Coombs Test menggunakan konsentrasi suspensi darah Talasemia 1%, 3% dan 5% dengan waktu sentrifugasi selama 1 menit, 2 menit dan 3 menit menunjukkan hasil positif bervariasi dengan terbentuknya derajat aglutinasi +1 dan +2. Data hasil penelitian ini diperoleh dengan uji statistika Friedman, diperoleh nilai sig 0,000 < 0,05. Penelitian dapat menyimpulkan bahwa terdapat pengaruh variasi konsentrasi suspensi darah Talasemia yaitu semakin rendah konsentrasi, semakin menurun derajat aglutinasi. Sedangkan pada waktu sentrifugasi semakin lama waktu sentrifugasi, semakin meningkat derajat aglutinasi terhadap pemeriksaan Direct Coombs Test metode tabung