e-Jurnal Poltekkes Tanjungkarang
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Hubungan Proteinuria Dengan Jumlah Trombosit pada Pasien Infeksi Dengue
Dengue Hemorrhagic Fever is a viral infectious disease that often causes high morbidity and mortality in Indonesia every year. Platelet count is one of the parameters that can be used as an indication in the diagnosis of this disease. In its development, severe dengue infection often causes proteinuria because there are no abnormalities in plasma, this condition will continue as the severity of the disease increases. This study aims to find out whether there is a relationship between thrombocytopenia and the incidence of proteinuria in dengue infection. This type of research is a retrospective analytic with a cross-sectional design, the data were taken from medical records at the Vita Medika Clinic laboratory in March – June 2020, including data on examination of thrombosis and examination of proteinuria in dengue patients. Data were analyzed by Spearman correlation test. The results of the study showed that there was a relationship between the number of platelets and the incidence of proteinuria in dengue infection with a value of p=0.002 (p<0.05). This is indicated by the mean, median, maximum and minimal platelet counts in respondents with proteinuria which were lower than respondents without proteinuria
Hubungan Latihan Fisik dengan Depresi Postpartum
Postpartum depression develops within a month of giving birth and can last up to a year. Depressive disorders that can occur can affect the health of the mother and newborn. Regular physical exercise during pregnancy and postpartum can have a comfortable effect on the body thereby reducing the risk of depression in pregnant women and after giving birth to children. The purpose of this study was to determine the relationship between physical exercise during the puerperium and postpartum depression. Research design Quasi Experiment approach to Non-Equivalent Control Group. The subjects of this study were 61 postpartum mothers at the Bangetayu Health Center Semarang which was carried out from July-December 2021. The study was conducted by examining the psychology (level of depression) in postpartum mothers before (pre-test) and after (post-test) physical exercise. The sampling technique was quota sampling with the research instrument using the Edinburgh Postnatal Depression Scale (EPDS) questionnaire with the Chi-Square test. There is a relationship between physical exercise (p-value=0.018) and postpartum depression (p-value=0.005) in the work area of Bangetayu Public Health Center Semarang. It is hoped that the results of this study can be used as information material regarding the relationship between physical exercise and postpartum depression. Postpartum mothers are expected to realize how important it is to keep the psyche from depression that can hinder physical exercise. For further researchers, it is hoped that they need to consider adding these variables with a larger number of respondents
Program Lintas Generasi Lansia-Remaja (LAMAJA)
The existence of a gap between generations is an issue that needs special handling considering the importance of values transformation from the older generation to the younger generation so that healthy relationships between generations are established. The development of an intergenerational program for Elderly-adolescents is one of the interventions to improve the harmonization relationship between the elderly and adolescents. This study aimed to determine the effect of intergenerational programs in increasing the knowledge, attitudes, and social interactions of adolescents. The research design used a quasi-experimental control group design with 68 elderly people in North Bogor Sub-Districts and West Bogor Sub-Districts, Bogor City. Data analysis used T-Test, Chi-Square test, and Multiple Logistics Regression. Results of the study found that there were significant differences in the knowledge, attitudes, and social interactions of adolescents before and after implementing intergenerational programs in the intervention group, while in the control group there was no difference. There was no influence of adolescent characteristics on the knowledge, attitudes, and social interactions of adolescents. This intergenerational program was proven to be able to improve the knowledge, attitudes, and social interactions of adolescents, therefore it needs to be replicated in other places, considering that this model has not been developed in Indonesia.Â
Analisis Perbedaan Variasi Derajat Keasaman terhadap Tingkat Spesifisitas Metode Kastle-Meyer dalam Pendeteksian Darah
Blood is evidence of a crime that can be damaged by humans and environmental factors. One of the contaminants that have the potential to affect the specificity of the Kastle-Meyer method in detecting blood is the variation in the degree of acidity (pH). Specificity analysis of the Kastle-Meyer method is needed to determine the ability of the Kastle-Meyer method to detect blood in the presence of other components/contaminants that may be present in a sample. The purpose of this study was to analyze the difference in the addition of an acidic solution with a pH of 1.2-8.4 on the specificity of blood detection using the Kastle-Meyer method. The research was conducted in the form of pre-experimental research with a static-group comparison design. The sampling technique used was purposive sampling. Blood samples that have been added to an acid solution with a certain pH (pH 1,2; 2.4; 3.6; 4.8; 6; and 7.2) were then tested using the Kastle-Meyer method. The principle of the Kastle-Meyer method is based on the activity of the peroxidase enzyme present in hemoglobin in the blood. The results showed the specificity of the Kastle-Meyer method on blood samples with acid solution contaminants with a pH of 1.2; 2,4; 3,6; 4.8; 6.0; 7.2; and 8.4 respectively at 70%, 70%, 90%, 60%, 60%, 90%, 80%. The results of data analysis from the Kruskal-Wallis test showed a significance p-value 0.269 > 0.05, so it can be concluded that there is no difference in the specificity of the Kastle-Meyer method in detecting blood in the addition of acid solutions with different acidity degrees
Media WhastApp Group Berisi Poster Indikator Urine Card Berpengaruh terhadap Pengetahuan dan Sikap Remaja dalam Pemenuhan Konsumsi Air Putih
Konsumsi minum air putih merupakan permasalahan yang telah menjadi perhatian pemerintah Indonesia. Remaja yang mengabaikan pemenuhan kebutuhan asupan air minum dapat mengalami dehidrasi yang dapat berakibat fatal. Tingkat pengetahuan merupakan salah satu faktor risiko dehidrasi pada remaja. Edukasi kesehatan memanfaatkan media sosial WhatsApp yang berisi poster dapat menjadi solusi mencegah kekurangan minum air putih. Tujuan: Studi ini untuk membuktikan pengaruh media social WhatsApp berisi poster indikator urine card terhadap pengetahuan dan sikap remaja dalam pemenuhan konsumsi minum air putih di Kota Bengkulu. Metode: Pre-experiment dengan one group pretest posttest merupakan rancangan penelitian dengan jumlah subyek adalah 36 remaja di kota Bengkulu. Media poster indikator urin card sebagai variabel independen, sedangkan pengetahuan dan sikap konsumsi minum air putih remaja sebagai variabel dependen. Intervensi penelitian yang diberikan adalah edukasi kesehatan secara online melalui WhatsApp group berisi media poster selama 7 hari. Analisis data menggunakan uji Wilcoxon. Hasil: Studi ini menunjukkan rerata peningkatan pengetahuan remaja tentang konsumsi minum air putih setelah dilakukan intervensi dari pretest (5,89) menjadi posttest (9,91). Sedangkan, rerata sikap remaja dari pretest (30,67) menjadi 39,42 dari hasil posttest. Analisis data memperoleh hasil terdapat pengaruh pengguaan poster indikator urine card terhadap pengetahuan dan sikap remaja dalam pemenuhan konsumsi minum air putih. Simpulan: Pengetahuan dan sikap remaja mengalami peningkatan setelah diberikan edukasi kesehatan menggunakan media poster indikator urine card yang di share melalui media sosial WhatsApp pada remaja di asrama. Media poster berisi pemenuhan kebutuhan minum air putih yang adequate, jika dipasang dapat memberikan motivasi remaja.Background:Consumption of drinking water is a problem that has become a concern for the Indonesian government. Adolescents who neglect to fulfill their drinking water intake needs can become dehydrated which can be fatal. The knowledge level is one of the risk factors for dehydration in adolescents. Health education using WhatsApp social media which contains posters can be a solution to prevent water shortages. Purpose: This study is to prove the effectiveness of social media WhatsApp holding posters of urine card indicators on the knowledge and attitudes of adolescents in fulfilling drinking water consumption in Bengkulu City. Methods: Pre-experiment with one group pretest-posttest is a research design with the number of subjects 36 teenagers in the city of Bengkulu. Media poster indicator urine card as an independent variable, while the knowledge and attitude of drinking water consumption of adolescents as the dependent variable. The intervention procedure uses an online health education method for 7 days using a smartphone with the WhatsApp group application. Data analysis using the Wilcoxon test. Results: This study shows the average increase in adolescent knowledge about drinking water consumption after the intervention from pretest (5.89) to posttest (9.91). Meanwhile, the average attitude of adolescents from the pretest (was 30.67) to 39.42 from the post-test results. Data analysis obtained the results that there was an effect of using the urine card indicator poster on the knowledge and attitudes of adolescents in fulfilling drinking water consumption. Conclusion: Adolescent knowledge and attitudes increased after being given health education using the urine card indicator poster media which was shared through social media WhatsApp to teenagers in dormitories. Media posters contain the fulfillment of adequate drinking water needs, if installed can provide motivation for teenagers
Efektivitas Konsumsi Jus Nanas dan Madu terhadap Penyembuhan Luka Perineum pada Ibu Post Partum
Latar Belakang: Latar belakang: Robekan perineum terjadi pada hampir semua persalinan pertama dan tidak jarang juga pada persalinan berikutnya. Jika penanganan luka perineum tidak adequate dapat menimbulkan komplikasi infeksi nifas seperti vulvitis, vaginitis, servisitis, endometritis. Penatalaksanaan dengan terapi komplementer madu dan konsumsi jus nanas dapat membantu penyembuhan luka perineum. Tujuan: Membuktikan efektivitas konsumsi jus nanas dan madu terhadap lamanya penyembuhan luka perineum pada ibu post partum di Tempat Praktik Mandiri Bidan. Metode: Penelitian yang digunakan adalah quasy experiment two group postest only design. Populasi penelitian ini adalah semua ibu post partum yang melahirkan spontan dengan luka laserasi dan jahitan perineum dengan dua kelompok intervensi yang diberikan konsumsi jus nanas (n=16) dan kelompok intervensi dua diberikan konsumsi madu (n=16) selama 7 hari atau lebih sampai luka perineum sembuh. Pengamatan hasil intervensi kesembuhan luka perineum menggunakan instrumen pengukuran dengan pemeriksaan luka jahitan skala REEDA (1-3). Analsisi bivariat menggunakan uji t-independent. Hasil: Hasil penelitian menemukan rerata penyembuhan luka perineum yang diberikan jus nanas diperoleh mean = 1,813 atau penyembuhan luka perineum ≤ 7 hari. Sedangkan, kelompok yang diberikan madu diperoleh mean = 1,563 atau penyembuhan luka perineum > 7 hari. Hasil analisis bivariat menunjukkan pemberian jus nanas lebih efektif membantu penyembuhan luka perineum pada ibu post partum. Simpulan: Pemberian jus nanas pada ibu post partum dengan luka laserasi dan jahitan perineum membantu mempercepat penyembuhan kurang dari 7 hari. Implikasi studi ini memberikan kontribusi praktik klinis pada ibu post partum dengan luka perineum lebih cepat sembuh pada ibu yang dianjurkan mengkonsumsi jus nanas.Background: Perineal tears occur in almost all first deliveries and not infrequently also in subsequent deliveries. If the perineal wound is not treated adequately, it can lead to complications of puerperal infections such as vulvitis, vaginitis, cervicitis, and endometritis. Management with complementary therapy of honey and consumption of pineapple juice can help heal perineal wounds. Purpose: To prove the effectiveness of pineapple juice and honey consumption on the duration of perineal wound healing in postpartum mothers at the Midwife Independent Practice Center. Methods: The study used was a quasi-experimental two-group posttest only design. The population of this study was all postpartum mothers who gave birth spontaneously with lacerations and perineal sutures with two intervention groups given pineapple juice consumption (n=16) and the second intervention group given honey consumption (n=16) for 7 days or more until the perineum wound was healed. Observation of the results of the two-group perineal wound healing intervention using a measurement instrument with theexamination of the REEDA scale (1-3). Data analysis using the t-independent test. Results: The results found that the mean of perineal wound healing given pineapple juice was 1.813 or perineal wound healing was 7 days. Meanwhile, the group that was given honey had a mean = 1,563 or perineal wound healing > 7 days. The results of the bivariate analysis showed that the administration of pineapple juice was more effective in helping the healing of perineal wounds in postpartum mothers. Conclusion: Giving pineapple juice to postpartum mothers with lacerations and perineal sutures helps accelerate healing in less than 7 days. The implication of this study is to contribute to clinical practice in postpartum mothers with perineal wounds healing faster in mothers who are recommended to consume pineapple juice
Aktivitas Fisik, Pola Makan, dan Konsumsi Makanan Glikemik Tinggi Meningkatkan Risiko Kejadian Diabetes Mellitus Tipe 2
Tren prevalensi diabetes melitus (DM) setiap tahun terus menunjukkan peningkatan dengan berbagai komplikasi. Ia disebabkan gaya hidup masyarakat yang tidak sehat dan termasuk silent killer disease. Perlu kajian faktor gaya hidup yang berhubungan DM tipe 2 dari waktu ke waktu. Tujuan: Studi ini untuk mengevaluasi pengaruh aktivitas fisik, pola makan, dan konsumsi makanan glikemik tinggi terhadap kejadian DM tipe 2, sehingga dapat menjadi pertimbangan rekomendasi penurunan dan pencegahan kasus Metode: Desain penelitian yang digunakan adalah studi case control. Jumlah sampel dalam penelitian ini sebanyak 400 responden. Diambil menggunakan teknik systematik random sampling. Instrumen yang digunakan adalah kuesioner. Analisis data menggunakan uji chi square. Hasil: Penelitian ini memperoleh temuan variabel yang mempunyai pengaruh terhadap kejadian diabetes mellitus tipe 2 adalah aktivitas fisik (p=0,001 dan OR=5,7), pola makan (p=0,001 dan OR=2,0), dan konsumsi tinggi gula (hiperglikemia tinggi) (p=0,001 dan OR=2,0). Kesimpulan: Peningkatan risiko kejadian diabetes melitus tipe 2 dipengaruhi oleh kurangnya aktivitas fisik, pola makan tidak seimbang, dan konsumsi makanan tinggi gula (hiperglikemia tinggi). Edukasi pola hidup sehat seperti rutin melakukan aktivitas fisik, mengatur pola makan dan mengurangi konsumsi gula secara rutin perlu dilakukan untuk mencegah dan menurunkan DM tipe 2 kepada masyarakat.
Abstrac. Physical Activity, Diet, and High Consumption of Glycemic Foods Increase the Risk of Incidence of Type 2 Diabetes Mellitus
Background: The prevalence of diabetes mellitus continues to increase every year with various complications. It is caused by the unhealthy lifestyle of society and is a silent killer disease. It is necessary to study lifestyle faktors related to type 2 diabetes mellitus from time to time. Purpose: This study was to evaluate the effect of physical activity, diet, and consumption of high glycemic foods on the incidence of type 2 diabetes mellitus, so that it becomes a consideration for recommendations for case reduction and prevention. Methods: The study design used was case-control. The number of samples in this study was 400 respondents. Taken using a systematic random sampling technique. The instrument used is a questionnaire. Data analysis used the chi-square test. Results: This study found that the variables that had an influence on the incidence of type 2 diabetes mellitus were physical activity (p=0.000 and OR=5.7), diet (p=0.000 and OR=2.0), and high sugar consumption (high hyperglycemia) (p=0.000 and OR=2.0). Conclusion: The increased risk of developing type 2 diabetes mellitus is influenced by a lack of physical activity, an unbalanced diet, and consumption of foods high in sugar (high hyperglycemia). Education about adopting a healthy lifestyle such as doing regular physical activity, managing diet and reducing sugar consumption on a regular basis needs to be done to prevent and reduce type 2 DM in the community
Efek Health Coaching tentang Diet Seimbang dan Aktivitas Fisik dengan Kejadian Hospital Readmission pada Pasien Diabetes Mellitus
Latar Belakang: asien diabetes mellitus (DM) yang mengalami hospital readmission banyak disebabkan pola diet yang buruk dan kurang aktifitas. Pemberian health coaching upaya intervensi untuk meminimalkan hospital readmission pada pasien DM. Tujuan: Studi ini mengevaluasi efek health coaching tentang pola diet seimbang dan aktifitas fisik terhadap kejadian hospital readmission pada pasien DM. Metode: Desain penelitian menggunakan quasi experiment post test-only non equivalen control group dan time series. Sampel berjumlah 52 responden dibagi 2 kelompok. Kelompok intervensi diberikan health coaching tentang pola diet DM dan aktifitas fisik, Sedangkan, kelompok kontrol diberikan discharge planning. Semua responden dievaluasi seminggu sekali selama 4 minggu dan dilakukan pemeriksaan GDS dan hospital readmission pada hari ke-30 Uji mann-whitney digunakan untuk mengevaluasi efek aktivitas fisik dan pola diet terhadap hospital readmission pada pasien DM. Hasil: Ada efek health coaching aktivitas fisik sebelum dan sesudah dilakukan intervensi, sedangkan tipe aktivitas tidak ada perbedaan sebelum dan sesudah intervensi. Ada efek pola diet sebelum dan sesudah dilakukan intervensi, sedangkan jumlah makanan tidak ada perbedaan sebelum dan sesudah intervensi. Ada perbedaan kejadian hospital readmission antara kelompok intervensi dan control. Simpulan: Intervensi health coaching yang diberikan kepada pasien DM untuk aktivitas fisik dan pola diet efektif dalam mencegah hiperglikemia dan mengurangi hospital readmission. Perlu adanya pelatihan health coaching bagi perawat, sehingga intervensi ini dapat diterapkan dalam memberikan asuhan keperawatan.
Abstract: Effects of Health Coaching on Dietary Patterns and Physical Activity with Hospital Readmission in Diabetes Mellitus Patients
Background: Patients with diabetes mellitus (DM) who experience hospital readmission are mostly caused by poor diet and lack of activity. Provision of health coaching intervention efforts to minimize hospital readmission in DM patients. Purpose: This study evaluates the effect of health coaching about a balanced diet and physical activity on the incidence of hospital readmission in DM patients. Methods: The research design uses a quasi-experimental post test-only non equivalent control group and time series. The sample is 52 respondents divided into 2 groups. The intervention group was given health coaching about DM dietary patterns and physical activity, while the control group was given discharge planning. All respondents were evaluated once a week for 4 weeks and were examined for GDS and hospital readmission on day 30. The Mann-Whitney test was used to evaluate the effects of physical activity and dietary patterns on hospital readmission in DM patients. Results: There was a health coaching effect on physical activity before and after the intervention, while there was no difference in the type of activity before and after the intervention. There was an effect of dietary patterns before and after the intervention, while there was no difference in the amount of food before and after the intervention. There were differences in the incidence of hospital readmission between the intervention and control groups. Conclusion: Health coaching interventions given to DM patients for physical activity and dietary patterns are effective in preventing hyperglycemia and reducing hospital readmission. There is a need for health coaching training for nurses so that this intervention can be applied in providing nursing care
Uji Toksisitas Akut Nanoinsektisida Tembakau (Nicotiana tabacum L.) terhadap Mencit
Tobacco (Nicotiana tabacum) is a plant that can be used as a natural insecticide. Tobacco extracts can be made as alternative nanoinsecticides to be used as Aedes aegypti control. This study aims to obtain information on the toxicity of tobacco nanoinsecticides and obtain the LD50 of tobacco nanoinsecticides in mice. The research was conducted at the Center for Disease Vector and Reservoir Research and Development (B2P2VRP) with a pure experimental method. The results showed that the particle size ranged from 26.9; 53.7 and 89nm. The results of the metal content test with an Atomic Absorption Spectrophotometer (AAS) showed the presence of Ag content in the nanoinsecticide solution made. Spectrophotometry measurements showed a peak at a wavelength of 420 nm and functional group bonds were formed. The characteristic SEM photo shows the particle morphology in the form of round-face crystals. The results of the toxicity test using the OECD 423 LD50 method at 2500mg/kg BB showed that tobacco nanoinsecticides were in the slightly toxic category. Administration of tobacco nanoinsecticides causes toxic symptoms in the form of decreased cardiac activity, convulsions, and decreased movement activity, while from the histopathological test results, the number of kidney injuries is in the range of 10 to 25%
Pemeriksaan Rapid Test Antigen Untuk Mendeteksi Dini Covid-19
The spread of the coronavirus first appeared in Wuhan, China, this virus is a virus with a high transmission rate. Coronavirus can spread easily through human intermediaries. The purpose of this research is to find out, explore and understand more deeply the experiences of people who undergo the Rapid Antigen Test. The qualitative method and the participant phenomenological approach were carried out by purposive sampling, namely the sampling technique. The sample used was 10 participants. This research was conducted by means of open interviews so as to produce detailed answers. The number of participants was 10 consisting of 3 men, 3 and 7 women. The results of the interviews that most of the participants have a fairly large understanding of the antigen test. Almost all participants know how the rapid test works. Participants have feelings of anxiety and fear when deciding on a rapid antigen test because many of the surrounding environments have been affected by the Covid-19 virus after carrying out the test. The role of medical personnel is very influential for the community in providing guidance on Rapid Antigen Tests for the prevention of Covid-19