e-Jurnal Poltekkes Tanjungkarang
Not a member yet
1715 research outputs found
Sort by
Perbedaan Kadar Protein Human Cpp (Copeptin) Berdasarkan Lama Menderita Pada Pasien Diabetes Melitus
Get PDFDiabetes mellitus is a big public health problem in Indonesia. The length of time of suffering from DM is associated with a decrease in the function of pancreatic beta cells resulting in insulin resistance, which occurs in type 2 diabetes mellitus. Insulin resistance can be determined by measuring copeptin levels. The aim of this study was to determine differences in levels of human CPP protein (copeptin) in diabetes mellitus patients based on length of suffering. This type of research is observational analytic with cross sectional research design. Samples were taken from diabetes mellitus outpatients at Roemani Muhammadiyah Hospital as many as 20 samples, then the samples were examined for levels of human CPP (copeptin) protein using the ELISA (Enzyme Linked Immunosorbent Assay) method. The results showed that the average copeptin level in patients with diabetes mellitus ≤ 3 years was 1054 pg/mL and the average copeptin level in patients with diabetes mellitus > 3 years was 899 pg/mL. Statistical tests using the Independent Sample T Test obtained a significant sig value of 0.027 with a significance level of 0.05, namely 0.027 3 years, namely 899 pg/m
Increasing Incidence and Risk Factors for Transmission of Covid-19 in Brebes Community Health Center, Indonesia
Get PDFIntroduction: Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Now, COVID-19 is still a problem in Central Java. COVID-19 cases in Central Java rank third highest in Indonesia, one of which is Brebes Regency, where there have been confirmed cases leading to death, with the highest cases at the Brebes Community Health Center. Purpose: The purpose of the study was to determine the risk factors for the occurrence of COVID-19 in the work area of the Brebes CHC, Central Java. Method: This quantitative study uses an analytical observational design and a cross-sectional approach. The data is carried out using exclusion and inclusion criteria so that it is based on the desired research focus. The sample in this study amounted to 78 respondents using purposive sampling. Univariate, bivariate (Chi-square test), and multivariate data analysis were performed. Results: The results of this study were that gender, occupation, contact history, and habit of wearing masks had a significant relationship with COVID-19 cases, with a p-value of 0.046, 0.035, 0.019l, and 0.026, respectively. Meanwhile, education has no relationship with the incidence of COVID-19 (p-value = 0.379). Conclusion: Risk factors that increase the incidence of COVID-19 in the Brebes district Public Health Centre area are consistent with other studies, namely gender, occupation, contact history, and habit of wearing masks. Prevention and control of COVID-19 cases by paying attention to these risk factors and other health protocols, washing hands using soap, maintaining distance and implementing a One-Health approach through cross-sector collaboration.
Latar Belakang: Penyakit Coronavirus 2019 (COVID-19) adalah penyakit menular yang disebabkan oleh Sindrom Pernafasan Akut Parah Coronavirus 2 (SARS-CoV-2). Hingga saat ini, COVID-19 masih menjadi masalah di Jawa Tengah. Kasus COVID-19 di Jawa Tengah menduduki peringkat ketiga tertinggi di Indonesia salah satunya Kabupaten Brebes yang telah terkonfirmasi kasus meninggal dunia dengan kasus tertinggi di Puskesmas Brebes. Tujuan: Mengetahui faktor risiko terjadinya COVID-19 di wilayah kerja Puskesmas Brebes Jawa Tengah. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain observasional analitik dengan pendekatan Cross-Sectional. Sampel dalam penelitian ini berjumlah 78 responden dengan menggunakan random sampling. Analisis data dilakukan secara univariat, bivariat (uji Chi-square), dan multivariat. Hasil: Hasil penelitian ini adalah jenis kelamin, pekerjaan, riwayat kontak, dan kebiasaan memakai masker memiliki hubungan yang bermakna dengan kasus COVID-19, dengan p-value 0,046; 0,035; 0,019l; dan 0,026, masing-masing. Sedangkan pendidikan tidak ada hubungan dengan kejadian COVID-19 (p-value = 0,379). Simpulan: Faktor risiko yang meningkatkan insiden COVID-19 di wilayah Pusat Kesehatan Masyarakat kabupaten Brebes konsisten dengan studi lain, yaitu jenis kelamin, pekerjaan, riwayat kontak, dan kebiasaan memakai masker. Pencegahan dan pengendalian kasus COVID-19 dengan memperhatikan factor risiko tersebut, selain protocol Kesehatan lain, cuci tangan menggunakan sabun, jaga jarak dan menerapkan pendekatan One-Health melalui kolaborasi lintas sektor
Effects of Low Knowledge on Anemia, Weight Gain, and Chronic Energy Deficiency in Pregnant Women
Get PDFIntroduction: High risks of pregnancy, such as anemia, chronic energy deficiency, and hypertension at risk of emergencies, can be prevented. However, its prevalence is still high. This situation is triggered by a low of information and low knowledge of pregnant women. Purpose: This study was to analyze the effect of the knowledge level of pregnant women with the incidence of anemia, chronic energy deficiency, weight gain, and hypertension as a high risk of pregnancy. Method: A cross-sectional study was used to design this study involving 74 pregnant women selected according to inclusion criteria. A questionnaire measuring tool to collect data on the mother's level of knowledge about the high risk of pregnancy and the incidence of high risk of pregnancy: anemia, lack of protein-energy, weight gain, and hypertension. Analysis of bivariate data using a chi-square test with a confidence level of 0.05. Results: Low knowledge in high-risk pregnant women about one-third (34%), anemia 28.4%, chronic energy deficiency 18.9%, weight gain more than 14.9%, and hypertension 8.1%. Low knowledge of pregnant women affects the incidence of high risk of pregnancy with anemia (p=0.013; OR=3.996), weight gain (p= 0.004; OR=13.44), and chronic energy deficiency (p=0.012; OR=3.778). Meanwhile, the incidence of hypertension does not indicate any association (p = 0.084) Conclusion: Less knowledgeable pregnant women contribute to an increased incidence of high-risk pregnancy and pregnancy complications. Efforts to educate about high-risk and pregnancy complications need to be increased by innovating the development of easy and affordable educational methods, such as online media to increase maternal knowledge. Latar belakang: Risiko tinggi kehamilan, seperti anemia, kekurangan energi kronik dan hipertensi berisiko mengalami kegawatdaruratan, dapat di cegah. Namun, kenyatannya prevalensinya masih tinggi. Keadaan ini dipicu oleh kurang informasi dan pengetahuan kurang pada ibu hamil. Tujuan: Studi ini untuk menganalisis pengaruh tingkat pengetahuan ibu hamil dengan kejadian anemia, kekurangan energi kronis, peningkatan berat badan, dan hipertensi sebagai risiko tinggi kehamilan. Metode: Studi cross sectional digunakan sebagai desain penelitian ini yang melibatkan 74 ibu hamil yang dipilih sesuai kriteria inklusi. Alat ukur kuesioner untuk mengumpulkan data tingkat pengetahuan ibu tentang risiko tinggi kehamilan dan kejadian risiko tinggi kehamilan: anemia, kekurangan energi kronik, penambahan berat badan dan hipertensi. Analisis data bivariat menggunakan uji chi square dengan tingkat kepercayaan 0,05. Hasil: Pengetahun rendah pada ibu hamil risiko tinggi sekitar sepertiga (34%), mengalami anemia 28,4%, kekurangan energi kronik 18,9%, penambahan berat badan lebih 14,9%, dan hipertensi 8,1%. Pengetahuan rendah ibu hamil berpengaruh terhadap kejadian risiko tinggi kehamilan dengan anemia (p=0.013; OR=3.996), kenaikan berat badan (p=0.004; OR=13.44) dan kekurangan energi kronik (p=0.012; OR=3.778). Sedangkan, kejadian hypertensi tidak menunjukkan ada hubungan (p=0.084). Simpulan: Ibu hamil yang berpengetahuan kurang berkontribusi pada kejadian peningkatan kejadian risiko tinggi kehamilan dan komplikasi kehamilan. Upaya edukasi risiko tinggi dan komplikasi kehamilan perlu ditingkatkan dengan inovasi pengembangan metode edukasi yang mudah dan terjangkau, seperti media online untuk meningkatkan pengetahuan ibu
Overview of Dengue Hemorrhagic Fever in Kebayoran Lama
Get PDFDengue Hemorrhagic Fever is a vector-based disease still a significant problem in Indonesia. For two years, the Kebayoran Lama Selatan Sub-District has been in the first position of cases in the Kebayoran Lama District. This study aims to find out the distribution of dengue incidence based on individual characteristics (age, sex, education, knowledge, attitudes) and environmental factors (presence of mosquito larvae, water reservoirs (TPA), lighting, humidity, presence of wire netting, and presence of larvae-eating fish. This research is descriptive with a research design case study in June 2022. The population was DHF sufferers in 2020-2021. The sampling technique uses the technique of total sampling. Data collection was carried out through interviews, observation, and direct measurements. The results were 52.6% of patients with female sex, 52.6% of patients with an age range ≥15, 36.8% of patients with elementary school education, 73.7% had a good level of knowledge, 78.9% had a good attitude, 52.6% found mosquito larvae, 89.5% did not close the water reservoir, 57.9% did not have wire mesh in the ventilation, 100% did not have larvae-eating fish, 52.6% lighting did not meet the requirements, and 100% humidity did not meet the criteria. Based on the results of the study, it is recommended to routinely drain the TPA once a week, close the TPA both inside and outside the house, install wire mesh on the ventilation, use a humidifier to regulate humidity, install glass tiles, and maintain environmental cleanliness as a form of prevention of DHF
The Effectiveness of The Marmet Technique Breast Massage is Comparable to Standard Breast Massage
Get PDFExclusive breastfeeding is essential for human infants' physical and mental development. However, breastfeeding problems can hamper this low quantity of breast milk. This study aimed to evaluate the benefits of Marmet breast massage for increasing the amount of breast milk in post-partum mothers. This is an experimental study design. The subjects of 100 breastfeeding mothers were randomly assigned to two groups; a control group (which received standard breast care massage) and the treatment group (who received the Marmet technique breast massage). Although there were no significant differences in the rate of change over time between the Marmet technique group and the control group (p-value>0.05), there was an increase in breastfeeding fluency scores in the Marmet technique group. The Marmet breast massage technique increased milk production in term infants at a rate comparable to usual breast massage. Therefore, this technique could be used to improve exclusive breastfeeding rates, including for mothers with nipple abnormalities
Kajian Penyelenggaraan Pelayanan Kesehatan Remaja pada Masa Covid-19
Get PDFBanyak Puskesmas yang gagal menyelenggarakan Program Pelayanan Kesehatan Remaja (PKPR) sesuai dengan pedoman nasional meskipun telah dilakukan upaya yang ekstensif. Banyak puskesmas yang mengalami penurunan pelayanan kesehatan akibat pandemi Covid-19, yang juga menghambat efektivitas program kesehatan saat ini seperti PKPR. Dengan diberlakukannya PSBB oleh pemerintah, terdapat kebutuhan nyata terhadap layanan berbasis masyarakat, khususnya PKPR. Penelitian ini akan mengkaji penyelenggaraan PKPR di Puskesmas untuk mengetahui bagaimana PKPR di Puskesmas Kota Balikpapan Provinsi Kalimantan Timur, dijalankan. Penelitian ini menggunakan desain cross-sectional untuk memberikan gambaran penyelenggaraan PKPR di Puskesmas Kota Balikpapan Provinsi Kalimantan Timur, dengan menggabungkan metode deskriptif analitik dengan pendekatan kuantitatif. Penelitian ini mengkaji staf pemimpin PKPR, staf pelaksana PKPR, dan staf pendukung serta pengelola Puskesmas dan remaja di 12 Puskesmas yang berada di wilayah kerja Kota Balikpapan Provinsi Kalimantan Timur, yang berjumlah 48 orang. Kuesioner Standar Pelayanan Kesehatan Nasional digunakan sebagai instrumen penelitian. Hasilnya menunjukkan bahwa penerapan PKPR sejalan dengan standar nasional PKPR dan tingkat kepatuhan terhadap standar tersebut masih rendah di manajemen, remaja, dan jejaring. Di masa wabah Covid-19, pemberian layanan bagi remaja yang mengalami gangguan reproduksi merupakan hal yang penting sebagai upaya preventif dan promotif
Evaluation of Early Marriage Prevention in Adolescent Children: A Descriptive Qualitative Study of the Implementation of Maturing Marital Age in Kotabaru, Indonesia
Get PDFIntroduction: Early marriage of girls increases the risk of death and morbidity in mothers and babies, including stunting. Several policies and programs to mature or increase the age of marriage have been implemented to eliminate this practice, but early marriages are still found. Purpose: This research examines in depth the evaluation of the implementation of the program for maturation and increasing the age of marriage for adolescent children. So, it can be identified the factors that cause teenage marriage to still be high. Method: A qualitative descriptive method was used as a research design and recruited six participants to study the maturation program and increasing the age of marriage as the main participants and triangulation participants. Participants triangulate the validity and reliability of information. Data or information collection uses interviews which are reported in the form of narrative descriptions and analyzed using an interactive analysis model for coding. Results: We found 3 research results on the reasons why there are still early marriages among adolescent children: (1) various limitations in the transformation of maturation programs and increasing the age of marriage; (1) the implementation of the program to increase the marriage age according to students has not met expectations; and (3) adolescent children who marry early are still found after graduating from school. Conclusion: The experience of adolescent children who took part in the maturation program and increasing the age of marriage felt that it did not meet expectations. Adolescent children still marry early after graduating from high school. This study indicates the need for adolescent children to receive early marriage education and its impact needs to be evaluated and improved from the input, process, and output aspects of implementing the maturation program and increasing the age of marriage so that it is attractive and meets the expectations of adolescent children
SUMBER DAYA MANUSIA DALAM PELAYANAN GAWAT DARURAT BAGI KORBAN KECELAKAAN LALU LINTAS DI KABUPATEN LAMPUNG SELATAN
Get PDFKecelakaan merupakan penyebab kematian kelima di dunia dan kedua di Indonesia. Hasil survei awal pelayanan gawat darurat di sepanjang jalan trans sumatera di Kabupeten Lampung Selatan sebagian besar belum memenuhi standar. Rancangan penelitian adalah penelitain deskriptif kualitatif dengan pendekatan fenomenologi. Subyek yang dijadikan informan adalah petugas kesehatan, petugas nonkesehatan dan pimpinan puskesmas di daerah rawan kecelakaan Kabupaten Lampung Selatan. Data dikumpulkan dengan teknik wawancara mendalam dan observasi. Selanjutnya data dianalisis melalui tiga tahapan meliputi data reduction, data display, dan conclusion or verification. Berdasarkan hasil penelitian disimpulkan bahwa jumlah dan kualifikasi pendidikan petugas kesehatan sebagian besar sudah sesuai dengan standar. Sedangkan dari segi kompetensi dalam melakukan pertolongan kegawatdaruratan sebagian masih kurang, dimana masih banyak petugas kesehatan di puskesmas belum mendapatkan pelatihan dasar kegawatdaruratan seperti BTCLS. Hasi penelitian di atas merekomendasikan untuk dilakukan evaluasi terhadap kompetensi petugas kesehatan dalam penanganan korban trauma khususnya kecelakaan lalu lintas secara berkala sekurang-kurangnya setiap 2 tahun. Selain itu perlunya update pengetahuan dan keterampilan petugas kesehatan melalui pelatihan
SURVEY SUSPECT TUBERCULOSIS MULTI DRUGS RESISTEN (TB MDR) DI KABUPATEN KONAWE KEPULAUAN
Get PDFTubrculosis Multi Drugs Resistan terjadi karena kegagalan pengobatan, putus pengobatan, atau pengobatan yang tidak benar sehingga terjadinya resistensi primer. Peneitian ini bertujuan untuk mengetahui angka kejadian suspek TB MDR di Kabupaten Konawe Kepulauan. Jenis penelitian ini adalah penelitian kuantitatif dengan menggunakan desain deskriptif. Survey dilaksanakan pada 85 pasien TB, menggunakan lembar observasi. Variabel mandiri untuk menilai kriteria suspek TB MDR yaitu pasien TB kronik, pasien TB pengobatan kategori 2 tidak konversi, Pasien riwayat pengobatan TB Non DOTS, pasien TB pengobatan kategori 1 yang gagal, pasien TB (relaps), kategori I dan kategori II, pasien TB/default, Suspek TB yang kontak erat dengan pasien TB MDR. Penelitian ini tidak ditemukan suspek TB kronik sebagai suspek TB MDR, pasien TB pengobatan kategori 2 yang tidak konversi sebanyak (2,4%), Pasien TB yang mempunyai riwayat pengobatan TB Non DOTS sebanyak (1,2%), pasien TB pengobatan kategori 1 gagal tidak ditemukan sebagai suspek, pasien TB relaps kategori I dan kategori II sebanyak(4,7%), pasien TB yang default (60%), suspek TB kontak erat dengan pasien TB MDR sebanyak (2,4%). Angka kejadian suspek TB MDR di kabupaten Konawe Kepulauan sebanyak 60 suspek. Perlu diadakan deteksi TB MDR sedini mungkin