e-Jurnal Poltekkes Tanjungkarang
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Potensi Buah Tomat (Lycopersicum esculentum) Sebagai Alternatif Pengganti Eosin 2% Dalam Pemeriksaan Telur Cacing
Get PDFSoil Transmitted Helminths (STH) masih menjadi masalah kesehatan masyarakat diseluruh dunia, terutama pada masyarakat desa, pinggiran kota ataupun perkotaan yang memiliki kepadatan penduduk yang tinggi pada negara yang beriklim tropis dan subtropis. Infeksi STH merupakan infeksi yang disebabkan oleh nematoda usus yang membutuhkan tanah untuk penularannya. Diagnosis infeksi STH dapat dideteksi dengan pemeriksaan feses secara mikroskopis yang dapat dilakukan menggunakan pewarnaan Eosin 2% yang merupakan Gold Standart untuk pemeriksaan. Tujuan Penelitian untuk mengetahui perbedaan hasil kualitas sediaan telur cacing menggunakan pewarnaan Eosin 2% dan pewarnaan ekstrak buah tomat dengan perbandingan konsentrasi (1:1), (1:2), dan (1:3). Metode penelitian yaitutrue eksperimental. Penelitian dilakukan pada tanggal 19-20 Januari 2023 di Laboraturium IKesT Muhammadiyah Palembang yang berjumlah 32 sediaan, dengan 4 perlakuandanpengulangan 8 kali. Hasilpenelitian yang didapat pada penelitian ini pada pewarnaan Eosin 2% dan pewarnaan ekstrak buah tomat perbandingan konsentrasi (1:1), (1:2), dan (1:3) terdapat 5 tingkatan kualitas yaitu sangat baik, baik, cukup baik, tidak baik, dan sangat tidak baik. Simpulan menunjukkan bahwa konsentrasi (1:2) memberikan kualitas pewarnaan yang baik untuk mewarnai telur cacing hal ini terlihat bahwa lapang pandang kontras, telur cacing menyerap warna dan bagian telur terlihat jelas. Dengan demikian, Buah Tomat (Lycopersicum esculentum) dapat digunakan untuk mewarnai telur cacing
Identifikasi Cacing Pita (Taenia solium) dengan Metode Mikroskopis dan Nested PCR
Get PDFTaenia solium merupakan parasit yang dapat menimbulkan infeksi taeniasis dan sistisekosis. Di Indonesia terutama di Bali kejadian taeniasis tinggi yang disebabkan kebiasan masyarakatnya mengonsumsi “lawar pork”. Daging babi yang terinfeksi dapat menjadi sumber penularan T. solium. Tujuan dari penelitian ini adalah untuk mengidentifikasi T. solium menggunakan metode mikroskopis dan Nested PCR. Penelitian merupakan penelitian deskriptif dengan desain observasional yang dilakukan terhadap 26 sampel yang diperiksa secara mikroskopis dan molekuler menggunakan Nested PCR dengan primer spesifik terhadap gen Tso31. Dari hasil penelitian menggunakan metode mikroskopis diperoleh sebanyak 21 sampel yang positif yang mengandung bagian cacing dan telur cacing, sedangkan dengan metode Nested PCR diperoleh 2 sampel positif yang memiliki berat molekul 234 bp. Identifikasi T. soliumpada manusia penting karena diperlukan untuk memberikan pengobatan tepat waktu pada penderita sekaligus untuk memutus rantai penularan parasit tersebut
Phase I Cardiovascular Rehabilitation, Risk Stratification, and Length of Hospitalization in Post-Percutaneous Coronary Intervention (PCI) Patients
Get PDFPercutaneous Coronary Intervention (PCI) is one of the most effective actions for patients with Acute Coronary Syndrome (ACS), which can improve prognosis and minimize hospitalization time. To optimize medical therapy programs, PCI must be complemented with further preventive measures, such as cardiovascular rehabilitation, including lifestyle modification and risk stratification. This study aims to analyze the relationship between phase I cardiovascular rehabilitation, risk stratification, and length of hospitalization in post-PCI patients. The study design was a retrospective cohort sourced from electronic medical record data. Respondents were divided into groups: those exposed and those not exposed to phase I cardiovascular rehabilitation. Risk stratification and length of hospitalization were studied as study outcomes. Among 201 patients who were followed up during hospitalization, high-risk stratification was more in the unexposed group: exposed group (92.2%: 90.8%; RR 0.85, 95%CI 0.340-2.104). Length of hospitalization ≥3 days was more in the unexposed group: exposed group (63.1%: 59.2%; RR 0.904 95%CI (0.639-1.279). Length of hospitalization ≥3 days was more in the high stratification group: low stratification (63.6%: 35.3%; RR 0.555 95%CI (0.289-1.066). Phase I cardiovascular rehabilitation was not associated with risk stratification and length of hospitalization. Patient risk stratification was related to the length of hospitalization of post-PCI patients. Phase I cardiovascular rehabilitation is an integral part of medical therapy that can reduce adverse events in post-PCI patients
Efektifitas Psikoedukasi Keluarga Terhadap Klien Gangguan Jiwa
Get PDFBackground: One of the obstacles in efforts to cure clients with mental disorders is the family's lack of knowledge of caring for clients at home. Hospital treatment will be in vain if the family does not continue it. One way of caring for families is psychoeducation. Objective: To determine the effectiveness of psychoeducation for families of clients with mental disorders after treatment. Method: Quasi-experimental design using pre-post test design without control group. The research population was all families who had family members with mental disorders after treatment with a sample size of 44 (22 intervention and 22 controls, inclusion criteria for clients with mental disorders after treatment for more than 1 month, and were willing to be respondents. The research instrument used a questionnaire answered by the family containing statements regarding cognitive and psychomotor. The research instrument was valid and reliable with a validity test value of 0.382 and a Cronbach alpha value of 0.74. The intervention group was given 3 sessions, each session lasting 20 minutes and the control group was given no intervention other, only medication. Bivariate analysis using t-independent and t-dependent. Results: for respondent characteristics, 72.7% of clients were women, 77.3% had basic education and 68.2% had average cognitive abilities before the action 41.59 and after the action 45.00. Average psychomotor ability before the action 23.00 and after the action 25.3. There is an influence of family psychoeducation on client care at home with a p value of 0.000. Conclusion: Family psychoeducation is effective for families in caring for clients with mental disorders after treatment at home so that the frequency of relapse is smaller and the prognosis is better.
Latar Belakang: Salah satu kendala dalam upaya penyembuhan klien gangguan jiwa adalah minimnya pengetahuan keluarga merawat klien di rumah Perawatan di rumah sakit akan sia-sia bila tidak diteruskan oleh keluarga. Salah satu cara perawatan untuk keluarga adalah psikoedukasi. Tujuan: Mengetahui efektifitas psikoedukasi keluarga klien gangguan jiwa pasca rawat. Metode: Desain quasi eksperiment dengan menggunakan pre post test design without control group. Populasi penelitian yaitu seluruh keluarga yang memiliki anggota keluarga gangguan jiwa pasca rawat dengan jumlah sampel 44 (22 intervensi dan 22 kontrol), kriteria inklusi klien gangguan jiwa pasca rawat lebih dari 1 bulan, dan bersedia menjadi responden. Instrumen penelitian menggunakan kuesioner yang dijawab keluarga berisi pernyataan tentang kognitif dan psikomotor. Instrument penelitian valid dan reliable dengan nilai uji validitas 0.382 dan nilai Cronbach alpha 0.74. Pada kelompok intervensi diberikan tindakan sebanyak 3 sesi, setisp sesi waktunya 20 menit serta pemberian obat. Kelompok kontrol tidak diberikan intervensi lain, hanya obat saja. Analisis bivariat menggunakan t-independent dan t-dependent. Hasil: untuk karakteristik responden didapatkan 72,7% klien adalah perempuan, 77,3% dengan pendidikan dasar dan 68,2% bekerja. Rata-rata kemampuan kognitif sebelum tindakan 41,59 dan setelah tindakan 45,00. Rata-rata kemampuan psikomotor sebelum tindakan 23,00 dan setelah tindakan 25,3. Ada pengaruh psikoedukasi keluarga terhadap perawatan klien di rumah dengan p value 0,000. Simpulan: Psikoedukasi keluarga efektif dilakukan keluarga dalam merawat klien gangguan jiwa pasca perawatan di rumah sehingga frekuensi kekambuhan lebih kecil dan prognosis lebih baik
Lifestyle Risk Factors Increasing the Prevalence of Hypertension in Women of Reproductive Age in Metro City, Indonesia: A Community-Based Case Control Study
Get PDFIntroduction: The prevalence of hypertension is still a global health problem, and efforts have been made to control and prevent it, including in Indonesia. However, the trend of high prevalence of hypertension and healthy lifestyle has not indicated a significant decrease, including in women of reproductive age. Objective: This study is to evaluate the lifestyle factors associated with the incidence of hypertension in women of reproductive age, so that evidence base practice can be used in prevention and control efforts. Methods: Observational study with case control design involving women of reproductive age with hypertension in Yosomulyo Primary Health Care, Metro city. Case group and control group with a ratio of 26: 26 were selected by consecutive sampling technique that fulfilled the research requirements. Hypertension data was collected using a digital tensimeter, while lifestyle factors data was collected using a questionnaire tool that has been tested for validity and reliability. The chi square test was used to prove the relationship between lifestyle risk factors and hypertension. Results: The results showed that lifestyle factors associated with women of reproductive age were obesity (OR=5.127; p=0.012), high sodium consumption (OR=14.00; p=0.000), experiencing stress (OR=8.80; p=0.002), and the use of hormonal contraception (OR=7.50; p=0.021). Meanwhile, exercise activity had no statistical association (p-value 0.404). Conclusion: Unhealthy lifestyle factors, such as obesity, excessive sodium consumption, stress and prolonged use of hormonal contraceptives increase the incidence of hypertension in women of reproductive age. Strengthening healthy lifestyle efforts by increasing education on hypertension risk factors to women of reproductive age is important for the prevention and control of hypertension.
Pendahuluan: Masalah prevalensi hipertensi masih menjadi masalah kesehatan global, termasuk Indonesia telah dilakukan upaya pengendalian dan pencegahan. Namun, trend tingginya prevalensi hipertensi dan pola hidup sehat belum mengindikasikan penurunan yang signifikan, termasuk pada wanita usia subur (WUS). Tujuan: Mengevaluasi factor-faktor pola hidup yang berhubungn dengan kejadian hipertensi pada WUS, sehingga dapat digunakan evidence base practise dalam upaya pencegahan dan pengendalian. Metode: Studi observasional dengan rancangan case control melibatkan wanita usia subur dengan hipertensi di Pelayanan Kesehatan Primer Yosomulyo, kota Metro. Kelompok kasus dan kelompok control dengan perbandingan 26 : 26 yang dipilih dengan teknik consecutive sampling yang memenuhi syarat penelitian. Data hipertensi menggunakan tensimeter digital, sedangkan data factor-faktor pola hidup dikumpulkan menggunakan alat kuesioner yang telah diuji validitas dan reabilitas. Uji chi square digunakan untuk membuktikan hubungan faktor risiko pola hidup dengan hipertensi. Hasil: Hasil penelitian menunjukkan bahwa factor pola hidup yang berhubungan dengan wanita usia subur adalah obesitas (OR=5,127; p= 0,012), konsumsi tinggi natrium (OR=14,00; p=0,000), mengalami stress (OR=8,80; p=0,002), dan penggunaan kontrasepsi hormonal (OR=7,50; p=0,021). Sedangkan, aktivitas olahraga tidak ada hubungan secara statistik (p-value 0,404). Simpulan: Faktor pola hidup yang tidak sehat, seperti obesitas, konsumsi natrium berlebihan, stress dan lama penggunaan kontrasepsi hormonal meningkatkan kejadian hipertensi pada wanita usia subur. Penguatan upaya pola hidup sehat dengan peningkatan edukasi factor-faktor risiko hipertensi kepada wanita usia subur penting dilakukan untuk pencegahan dan pengendalian hipertens
Gambaran Tingkat Kepatuhan Minum Obat Antidiabetik Oral pada Pasien Diabetes Melitus Tipe 2 di Puskesmas Purbolinggo Lampung Timur
Get PDFDiabetes merupakan salah satu penyakit kronis yang prevalensinya terus meningkat secara global. Indonesia merupakan satu-satunya negara Asia Tenggara yang berada di peringkat ke 7 di antara 10 negara dengan jumlah penderita diabetes melitus terbanyak yaitu sebesar 10,7 juta. Kepatuhan pengobatan yang buruk tentu saja berdampak negatif terhadap peningkatan berbagai komplikasi mikrovaskuler dan makrovaskuler. Penelitian ini bertujuan untuk menggambarkan tingkat kepatuhan penggunaan obat antidiabetik oral pada pasien diabetes melitus tipe-2 di Puskesmas Purbolinggo, dengan pengambilan data menggunakan kuesioner Medication Adherence Report Scale-5 (MARS-5). Hasil penelitian menunjukan persentase usia pasien diabetes melitus tipe-2 yaitu terbanyak pada usia 46-65 tahun sebesar 69%, berdasarkan jenis kelamin yaitu perempuan sebesar 77% dan laki-laki sebesar 23%. Hasil persentase jenis obat paling banyak yaitu glimepiride sebesar 42%, golongan obat terbanyak yaitu pada golongan sulfonilurea sebesar 65%. Berdasarkan tingkat kepatuhan pasien pada kuesioner MARS-5 yang mempunyai kategori patuh adalah sebesar 27% dan kategori tidak patuh sebesar 73%
Analisis Pengelolaan Sampah Rumah Tangga di Permukiman Sekitar Daerah Aliran Sungai (DAS) Desa Ibul Besar II
No full textThe problem of household waste in Ogan Ilir Regency is increasingly complex due to the characteristics of the wetland area. Poor management of household waste around the watershed can cause various problems, both environmental and public health issues. This study analyzes household management in settlements around the Ibul Besar II Village watershed. This study is qualitative. The informants in this study consisted of seven key informants and five ordinary informants who were selected using the purposive sampling method. Data was collected through in-depth interviews, observation, and documentation (photovoice). The study results show that efforts to eliminate household waste still need to be improved. Four out of six housewives reuse used buckets. However, only two out of six housewives recycle. Household waste is not sorted into five types. The collection and transportation of household waste do not meet the requirements due to the unavailability of TPS or TPS 3R, waste carts, and limited waste transportation. The household waste is burned, and the waste is not processed. It can be concluded that household waste management in settlements around the Ibul Besar II Village watershed has not gone well. Waste reduction efforts are still limited, and waste handling needs to be corrected. Household waste management in Ibul Besar II Village experiences many obstacles, such as economic limitations, time, facilities, and infrastructure, and lack of public awareness and knowledge about the stages of good and correct household waste management. The problem of household waste in Ogan Ilir Regency is increasingly complex due to the characteristics of the area which is a wetland. Poor management of household waste around the watershed can cause various problems, both environmental and public health problems. The purpose of this study is to analyze household management in settlements around the watershed of Ibul Besar II Village. This study is a qualitative study. The informants in this study consisted of 7 key informants and 5 ordinary informants who were selected using the purposive sampling method. Data collection was carried out by in-depth interview, observation and documentation (photovoice). The study results show that efforts to eliminate household waste are still very minimal. Four out of six housewives reuse used buckets. However, only two out of six housewives doing recycle. Household waste is not sorted into five types. The collection and transportation of household waste doesn’t meet the requirements due to the unavailability of TPS or TPS 3R, waste cart and limited waste transportation. The household waste is burned and also the waste is not processed. It can be concluded that household waste management in settelements around the watershed of Ibul Besar II Village has not met the requirements in accordance with Republic of Indonesia Law Number 18 of 2008 and Republic of Indonesia Government Regulation Number 81 of 2012. Â
Optimization of Complete Blood Count Results with Variations in Specimen Handling and Whole Blood Secondary Homogenization Techniques
Get PDFSpecimen homogenization and the addition of anticoagulants are pre-analytical steps that influence the accuracy of the test results. Complete blood count (CBC) is a screening test that supports disease diagnosis and aids in determining the appropriate therapy for patients. Inadequate specimens are inappropriate for subsequent testing, as they can lead to inaccurate results in the CBC examination. This study aims to determine the optimization of complete blood count results with variations in specimen handling and secondary homogenization techniques for whole blood. The type of research used is quantitative analysis using laboratory experimental methods. The study was conducted in May 2024 in the Clinical Pathology Laboratory of the Diploma-4 Medical Laboratory Technology Study Program, Faculty of Health Sciences, Muhammadiyah University of Sidoarjo, using 48 blood samples. The results of the MANOVA test indicate that the type of anticoagulant has a significant effect on the erythrocyte count (p=0.041) but does not have a significant impact on the leukocyte count (p=0.844) and platelet count (p=0.920). Meanwhile, the homogenization technique does not significantly affect the erythrocyte count (p=0.959), leukocyte count (p=0.991), or platelet count (p=0.867). This study concludes that the secondary homogenization technique has no significant effect. In contrast, the type of anticoagulant significantly impacts the results of the Complete Blood Count (CBC) test. This research suggests collecting whole blood specimens using Ethylene Diamine Tetra Acetate (EDTA) vacutainers as the anticoagulant and applying a secondary homogenization technique before performing the CBC analysis
Effectiveness of Self-Care Teaching Media for Pregnant Women and Pregnant Women with Hypertension
Get PDFComplications that occur during pregnancy are one of the causes of high maternal mortality, but these complications can be treated and prevented. Proper care before giving birth and adequate antenatal care can be supported by the presence of teaching media for pregnant women, including pregnant women with hypertension. Teaching media is effective in improving knowledge and self-care skills and helping understand pregnant women and pregnant women with hypertension. The small number of study articles on teaching media for self-care for pregnant women and pregnant women with hypertension made researchers interested in conducting a literature review on this topic. This study aims to determine the effectiveness of teaching media for self-care for pregnant women and pregnant women with hypertension. This research method is a literature review with a narrative review design. A comprehensive literature search was conducted using electronic databases, namely Pubmed, CINAHL, and Google Scholar. The author obtained 24 articles that were based on the research objectives. The results of the study, the teaching media used in self-care for pregnant women and pregnant women with hypertension are educational modules, power points, booklets, videos, animated videos, pamphlets, m-Health technology, mobile applications, social networks such as WhatsApp, Telegram, and Instagram. In conclusion, self-care teaching media can improve self-care in pregnant women, including pregnant women with hypertension because the teaching media is adjusted to the needs of pregnant women, the material is for self-care, the language is easy to understand, and the media used is interesting
Keamanan Puyer Parasetamol Sebagai Pengganti Analgetika-Antipiretika Sirup Pada Anak Balita di Puskesmas Kota Bandar Lampung
Get PDFDengan munculnya himbauan agar pada pasien anak-anak sementara waktu tidak diberikan sirup, maka bentuk sediaan Puyer menjadi pilihan pengganti sirup. Parasetamol adalah Obat Golongan Analgetika Antipiretika yang paling sering diberikan pada Bayi dan Anak. Hampir setiap pengobatan Bayi dan Anak melibatkan peresepan Parasetamol Sirup. Dengan adanya penarikan produk sirup Parasetamol, maka pemberian obat dialihkan menjadi Parasetamol puyer. Adapun penelitian ini bertujuan untuk mengevaluasi keamanan sediaan Parasetamol puyer hasil racikan di Puskesmas Kota Bandar Lampung. Hal ini dilakukan ntuk memastikan kadar parasetamol sesuai dengan jumlah yang diresepkan sehingga aman bagi anak-anak dan efek terapi bisa diperoleh. Jenis penelitian ini adalah deskriptif design Cross sectional serta teknik pengambilan sampel menggunakan metode accidental sampling. Berdasarkan hasil penelitian, terdapat 29 bungkus (48,33%) yang berada sesuai rentang kadar dosis dan 31 bungkus (51,67%) diluar rentang dosis yang telah ditentukan. Dari 12 bungkus sediaan yang diperiksa, jumlah sediaan yang sesuai rentang di masing-masing Puskesmas yaitu, Puskesmas RBI sebanyak 9 bungkus (85%), Puskesmas SPR sebanyak 7 bungkus (58,3%), Puskesmas STL sebanyak 3 sampel (25,0%), Puskesmas KML sebanyak 6 bungkus (50,0%), dan Puskesmas KDT sebanyak 4 sampel (33,3 %)