e-Jurnal Poltekkes Tanjungkarang
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Deteksi Dini Faktor Risiko Stroke Pada Pra Lansia dan lansia di Kelurahan Tongole Kota Ternate
Full text linkStroke merupakan penyakit tidak menular yang berdampak besar terhadap angka kecacatan dan kematian di Indonesia. Data Survei Kesehatan Indonesia tahun 2023 mencatat prevalensi 10,9 dari setiap 1.000 penduduk mengalami stroke. Kelompok usia pra lansia dan lansia menjadi yang paling rentan terhadap stroke. Pengabdian masyarakat ini bertujuan meningkatkan pengetahuan kelompok berisiko stroke melalui skrining, konseling dan edukasi berbasis komunitas di Kelurahan Tongole. Kegiatan ini dilakukan dengan metode skrining faktor risiko stroke melalui pemeriksaan tekanan darah, glukosa darah, kolesterol, Indeks Masa Tubuh serta wawancara perilaku dan gaya hidup. Peserta kegiatan sebanyak 87 orang masyarakat pra lansia usia 45-59 tahun dan lansia usia ≥60 tahun. Selain itu, juga dilakukan pengukuran tingkat pengetahuan peserta tentang faktor risiko stroke dengan pre-post-test. Hasil kegiatan menemukan mayoritas peserta memiliki tingkat pengetahuan rendah dan memiliki faktor risiko sedang hingga tinggi terhadap stroke. Kegiatan deteksi dini faktor risiko stroke melalui skrining, konseling serta edukasi berhasil mendapatkan informasi mayoritas peserta berisiko tinggi terhadap stroke, memberikan rujukan kepada peserta yang memiliki risiko tinggi, konseling peserta dengan risiko sedang, dan edukasi seluruh peserta. Hasil pengukuran cepat tingkat pengetahuan menunjukkan peningkatan signifikan. Disarankan masyarakat lebih sadar faktor risiko, puskesmas memperkuat program posbindu, perlu kegiatan berkelanjutan yang terintegrasi dari berbagai lintas sektor
Implementation of Anti-Stroke Exercises to Address Stroke Prevention in Villages
Full text linkStroke remains a leading cause of disability and death, particularly in village areas where access to health education and preventive services is limited. While physical activity is known to reduce stroke risk, structured, community-based prevention programs are rarely implemented or studied in village settings. This study evaluates the implementation of anti-stroke exercises for stroke prevention in a village in Magelang, Central Java. A qualitative descriptive approach was used. Data were collected through focus group discussions and semi-structured interviews with village residents, community health workers, and local leaders in three village villages where the anti-stroke exercise program had been introduced. Thematic analysis was used to interpret the data. Participants reported increased awareness of stroke risk factors and the importance of physical activity. The exercise sessions were generally well-received and promoted social interaction among participants. Three key points for implementing anti-stroke exercises in rural areas aimed at preventing stroke were identified: early detection, education, and community participation. The program contributed to stroke prevention efforts by raising awareness and encouraging healthier lifestyles in village communities. Community engagement and leadership played crucial roles in the success of implementation. To strengthen the program, ongoing facilitator training, integration into broader public health strategies, and government support are needed. Regular monitoring and community feedback can help sustain and scale the initiative effectively.Dengan meningkatnya prevalensi penyakit tidak menular di desa-desa terpencil, pencegahan kesehatan diperlukan untuk meminimalkan beban biaya kesehatan. Penelitian ini merupakan evaluasi pelaksanaan senam anti stroke untuk pencegahan stroke pada kelompok risiko tinggi di desa-desa terpencil di Magelang, Jawa Tengah. Karena pencegahan kesehatan diprioritaskan di negara-negara berpenghasilan rendah, pelaksanaan senam anti stroke menunjukkan kemungkinan peningkatan program pencegahan stroke di desa-desa terpencil dan tempat-tempat serupa. Penelitian ini menggunakan pendekatan eksplanatori dengan menggabungkan rancangan studi kasus dengan studi komparatif, yang berfokus untuk melakukan kajian mendalam tentang peran pemerintah daerah di desa Kalegen, Kabupaten Magelang, Jawa Tengah. Sumber data primer meliputi Kepala Desa, staf Puskesmas, Kader Desa, dan Tokoh Masyarakat, serta kelompok Masyarakat. Metode analisis data yang digunakan adalah analisis kualitatif. Hasil analisis menunjukkan bahwa implementasi senam anti stroke memiliki peran yang sangat strategis dalam pencegahan stroke di desa terpencil. Hal ini terjadi karena mengandung unsur pemberdayaan masyarakat dalam pencegahan kesehatan. Hasil tersebut menyentuh langsung kepentingan mayoritas masyarakat yang memiliki risiko stroke yang tinggal di desa terpencil. Ditemukan bahwa respon penduduk berisiko stroke, kader kesehatan, program penyakit tidak menular dan tokoh masyarakat telah menghasilkan partisipasi masyarakat yang tinggi. Oleh karena itu, optimalisasi pelaksanaan senam anti stroke dipengaruhi oleh partisipasi masyarakat
Efektivitas Handrub Berbahan Alkohol Dengan Handrub Benzalkonium Chlorida Terhadap Angka Kuman Pada Tangan Perawat : The Effectiveness Of Alcohol Handrub With Benzalkonium Chlorida Handrub On Germs Numbers On The Hand Of A Nursing
No full textAbstrak: Tujuan penelitian mengetahui efektivitas handrub berbahan alkohol dengan handrub benzalkonium chlorida terhadap angka kuman pada tangan perawat. Jenis penelitian adalah quasi eksperimen dengan desain one group pre test – post test. Subjek penelitian adalah perawat yang bekerja di ruang rawat inap RS. Imanuel Kota Bandar Lampung, yang dibagi 2 kelompok yaitu kelompok handrub berbahan alkohol dan kelompok handrub benzalkonium chloride, dengan waktu 30, 60, 90, dan 120 detik dan pengulangan sebanyak 6 kali. Bakteri diidentifikasi sampai genus/spesies bakteri. Data dianalisis dengan uji t berpasangan. Hasil penelitian menunjukkan Penurunan angka kuman terbanyak setelah mengaplikasikan handrub berbahan alkohol yaitu pada waktu 30 detik (73,91%), sedangkan setelah mengaplikasikan handrub benzalkonium klorida yaitu pada waktu 120 detik (37,00%). Efektivitas waktu pada 30, 60 dan 90 detik didapatkan perbedaan yang signifikan penggunaan handrub berbahan alkohol dibandingkan handrub benzalkonium klorida, dengan p-value 0,000; 0,001 dan 0,03. Sedangkan waktu 120 detik didapatkan p-value 0,044. Genus/spesies bakteri terbanyak adalah Bacilus sp (28,8%) diikuti S. epidermidis (21,7%) dan P. mirabilis (13,1%), yang paling sedikit P. peneri (9,1%).
 
Economic Pressures and Occupational Health and Safety: A Qualitative Study of Workers’ Experiences in the Shipbuilding and Ship Scrapping Industry in Kendari
Full text linkThe shipbuilding and ship scrapping industries play a significant role in maritime economic development, especially in coastal areas such as Kendari. Within the framework of industrial economics theory, this sector reveals the complex relationship between cost-efficiency, market structure, and its influence on occupational health and safety (OHS) standards. This research endeavor aims to investigate the correlation between economic constraints in the shipbuilding and ship dismantling sectors and the prevalence of significant occupational hazards, as well as their impact on the accessibility of occupational health services in Kendari. A descriptive qualitative approach was employed, utilizing an intrinsic case study design. Data were gathered through comprehensive interviews with a cohort of 12 pivotal informants, comprising both laborers and proprietors of ship workshops, as well as direct observational analysis conducted at the workplace. The findings reveal that cost-efficiency pressures drive the neglect of occupational health and safety (OHS) practices. The majority of workers do not use personal protective equipment (PPE), have never participated in OHS training, and work in unsafe environmental conditions. Common health complaints include respiratory issues, skin irritation, fatigue, and hearing impairment. Access to occupational health services is also highly limited, with most workers lacking social security and relying on self-medication. This study concludes that the economic structure of the industry directly contributes to the lack of adequate workplace safety measures. Therefore, an inclusive, participatory, and community-based policy approach is essential for improving OHS protections in the informal sector
Investigating Nasal Anatomy in the Javanese Ethnic Group in Indonesia
Full text linkThe nasal is a fundamental anatomical feature of humans and serves as a benchmark for beauty ideals. Rhinoplasty is a popular procedure worldwide. References to anatomical elements are crucial when discussing the distinct nasal shapes of each race, particularly in the context of Indonesia. Research is scarce on the nasal morphology of the Javanese ethnic group, resulting in a lack of precise quantitative measurements for their specific nasal form. The study conducted was a cross-sectional investigation with a sample of 50 individuals, consisting of 20 males and 30 females of Javanese ethnicity. The analysis was performed to determine the precise quantities of the three variables under investigation, specifically intercanthal distance, alar width, and base of nasal width. The mean figure at the intercanthal was 2.38 cm, alar base 2.92 cm, and base of nasal width 3.46 cm. The T-test results are significant for the base of nasal width variable at a p-value of 0.002. The acquired data were subsequently juxtaposed with data from various races in Indonesia and other regions, serving as a benchmark for rhinoplasty operations specifically for individuals of Javanese descent in Indonesia. The data reveal a significant gender gap in the Javanese base of nasal width. A study reveals that Javanese nasals are shorter and wider than those of other ethnicities, suggesting that rhinoplasty may be recommended over non-surgical methods
Spatial Analysis of Breeding Places of Anopheles sp. Mosquitoes as Potential Vectors of Malaria Infection in Pesawaran District, Lampung, Indonesia
Full text linkMalaria is an infectious disease caused by microorganisms of the genus Plasmodium, transmitted to humans by the female Anopheles mosquito species. The breeding place of this Anopheles mosquito is typically found in the environment, such as stagnant water in rivers, abandoned ponds, lagoons, and other similar areas. Pesawaran Regency is a malaria-endemic area in Lampung Province with an API of 1.4 in 2023. Mapping the distribution of breeding places is necessary to control malaria vectors in Pesawaran Regency. Based on this, this study will conduct a spatial analysis of the breeding sites of Anopheles sp. mosquitoes, which are potential vectors of malaria infection in Pesawaran District. This type of research is descriptive observational using cross sectional design, coordinate survey and visual inspection of larvae found in breading place and spatially processed using Arcgis V.10.8. From the observations of breeding places in the form of swamps, water reservoirs (buckets and derigen) unused fish ponds or ponds, buffering breeding place analysis carried out can be seen that malaria cases are in the area of vector flight distance of 1,000 meters and 3,000 meters. Potential breeding places were found in Teluk Pandan sub-district of Pesawaran Regency, breeding places are scattered in five villages and are located in coastal areas with a distance between 407.88 meters - 707.266 meters from the coastline, buffering analysis of breeding places can be seen that the location at risk of malaria case transmission is in the vector flight distance area of 1,000 meters and 3,000 meters covering eight villages
Fatigue in Pediatric Cancer Patients Undergoing Chemotherapy: A Cross-Sectional Study
Full text linkFatigue is one of the most common and significant side effects experienced by children undergoing chemotherapy for cancer. This condition not only affects the child's physical state but also significantly impacts their overall quality of life. However, the assessment of fatigue levels in pediatric patients often remains a low priority in clinical services. This study aimed to describe the level of fatigue among pediatric cancer patients after chemotherapy at the Seruni Polyclinic, Arifin Achmad Regional General Hospital, Riau Province. This was a quantitative study with a cross-sectional design. The sampling technique used was purposive sampling, involving 59 children diagnosed with cancer, having received chemotherapy more than once, aged 1–15 years, and willing to participate in the study. The instrument used was the Fatigue in Pediatric Oncology–Allen (FOA-A) questionnaire, which has been validated (r=0.509–0.884) and tested for reliability (r=0.948). Data were analyzed using univariate analysis and presented in frequency distribution tables. The results showed that most respondents were in the preschool age group (33.9%) and male (52.5%). The most common type of cancer was leukemia (66.1%). A total of 64.4% of respondents had undergone 4–6 cycles of chemotherapy, and 61% had received chemotherapy for ≥6 months. Fatigue levels indicated that 62.7% of respondents experienced fatigue. The majority of pediatric cancer patients post-chemotherapy experienced fatigue. These findings emphasize the importance of regular fatigue assessments and the need for structured nursing interventions to reduce its negative impact on children’s quality of life
Pengaruh Fraksi Minyak Atsiri Daun Ungu (Graphtophyllum pictum L.) terhadap Apoptosis pada Sel Hela Kanker Serviks
Full text linkKanker serviks menjadi salah satu penyebab kematian terbanyak ke empat pada perempuan. Global Burden of Cancer Study (GLOBOCAN) tahun 2020 melaporkan kasus baru kanker serviks terdiagnosis sebanyak 604.000, serta kasus terjadinya kematian sebanyak 342.000. Resistensi obat terhadap kemoterapi/radioterapi merupakan tantangan tersendiri untuk menemukan obat dari bahan alam yang memiliki efek samping terkecil sehingga diperlukan penelitian yang lebih mendalam. Daun ungu memiliki toksisitas yang tinggi, pada fraksi etil asetat ditemukan senyawa fenolik, tanin, dan flavonoid yang bisa menjadi alternatif pengobatan. Penelitian ini bertujuan untuk mengetahui pengaruh fraksi minyak atsiri daun ungu (Graphtophyllum pictum L.) terhadap apoptosis pada sel HeLa kanker serviks. Pengujian apoptosis menggunakan metode flow cytometry. Hasil penelitian didapatkan proses apoptosis pada minyak atsiri daun ungu konsentrasi 0,5 LC50 hanya sebesar 11%, sedangkan apoptosis yang terbentuk pada konsentrasi 1 LC50 sebesar 24,7% dan apoptosis tertinggi pada konsentrasi 2 LC50 yaitu sebesar 89%. rata-rata persentase sel yang apoptosis dilakukan uji statistik One Way ANOVA diperoleh nilai p<0,05 sehingga terdapat perbedaan bermakna antara kelompok perlakuan. Uji statistik dilanjutkan dengan uji Post Hoc dan didapatkan nilai p 0,00. Simpulan dalam penelitian ini adalah data LC50 menunjukkan nilai rata-rata LC50 fraksi minyak atsiri daun ungu mampu menginduksi efek apoptosis terhadap sel HeLa kanker serviks
Pengembangan Mi Kering Modifikasi Tepung Ikan Cakalang dengan Tepung Bayam Hijau
Full text linkABSTRACT
Noodles are a widely favored food in society. In addition to being affordable and easy to prepare, noodles can serve as an alternative staple food to rice for many Indonesians. Among the many types of noodle products available on the market, dried noodles are particularly competitive and high carbohydrate content. The aimed of study was evaluate the acceptability of noodles modified with skipjack tuna flour and green spinach flour. The method of study was using a completely randomized design (CRD) which was used with four treatments and three replications. Data were collected using an organoleptic test form and analyzed using the Friedman test, followed by the Wilcoxon post-hoc test. Results of study was revealed the most preferred sample in terms of taste was P1 with a score of 3.64. For aroma, P1 was also most preferred with scoring 3.81. The highest preference for color was P1 with scoring 3.98, and for texture, P1 scored the highest at 3.83. The Friedman analysis was indicated the different between four formula in aspect taste, color, aroma, and texture (p = 0,000). The conclusion based on the organoleptic tests, the most accepted formulation in terms of taste, aroma, color, and texture was P1, which contained 5 grams of skipjack tuna flour and 5 grams of green spinach flour. The Mikcabahy product can be use alternative food product high nutrition density.
ABSTRAK
Mi merupakan makanan yang sangat digemari masyarakat, selain murah dalam pengolahannya yang praktis, mi juga merupakan makanan yang dapat menggantikan nasi sebagai makanan pokok masyarakat Indonesia. Produk mi yang bersaing di pasaran adalah mi kering dengan kandungan karbohidrat yang tinggi. Penelitian ini bertujuan untuk mengetahui uji daya terima mi modifikasi tepung ikan cakalang dan tepung bayam hijau. Metode penelitian menggunakan Rancangan Acak Lengkap (RAL) dengan empat perlakuan serta tiga kali replikasi. Pengumpulan data menggunakan formulir uji organoleptik dan analisis data menggunakan uji Friedman dan uji lanjut Wilcoxon post-hoc test. Hasil penelitian menunjukan bahwa tingkat kesukaan rasa yang paling disukai adalah P1 dengan nilai 3,64 dengan modifikasi tepung ikan cakalang dengan tepung bayam hijau pada aroma yang disukai yaitu P1 dengan nilai 3,81 pada warna yang paling banyak disukai yaitu P1 dengan nilai 3,98 sedangkan pada tekstur mendapatkan nilai P1 tertinggi 3,82. Analisis uji Friedman menunjukkan terdapat perbedaan antara empat formula pada aspek rasa, warna, aroma, dan tekstur (p = 0,000). Kesimpulan berdasarkan uji organoleptik yang paling disukai mi pada aspek rasa, aroma, warna, dan tekstur adalah P1 dengan modifikasi tepung ikan cakalang 5 gram dan tepung bayam hijau 5 gram. Produk olahan pangan Mikcabahy dapat digunakan sebagai produk makanan alternatif dengan kandungan gizi yang tinggi
Analisis Faktor Pengetahuan, Gaya Hidup dan Kebersihan Lingkungan Terhadap Risiko Penularan Penyakit Demam Berdarah Dengue (DBD)
Full text linkPeningkatan kasus Demam Berdarah Dengue (DBD) di Indonesia, termasuk di Kelurahan Bungursari, Tasikmalaya menjadi perhatian serius dalam upaya pencegahan penyakit menular. Penelitian ini bertujuan untuk menganalisis pengaruh kebersihan lingkungan dan kebiasaan hidup masyarakat terhadap risiko penyebaran DBD. Metode penelitian yang digunakan adalah deskriptif kuantitatif dengan pendekatan survei melalui kuesioner tertutup yang diisi oleh 49 responden. Hasil penelitian menunjukkan bahwa 87,8% responden memiliki pengetahuan baik tentang gejala DBD, sebanyak 81,6% menerapkan gaya hidup sehat, dan 85,7% menjaga kebersihan lingkungan. Hasil pengolahan data statistik menggunakan SPSS menunjukan bahwa hasil analisis Inferensial regresi logistik menunjukan variabel Pengetahuan DBD Odds Ratio: 0,30 dan p=0,045, Gaya Hidup sehat Odds Ratio 0,45 dan p=0,021 sedangkan Kebersihan Lingkungan Odds Ratio 0,22 dan p=0,003 artinya bahwa ketiga variabel (pengetahuan, gaya hidup sehat, kebersihan lingkungan) secara signifikan memengaruhi risiko penyebaran penyakit DBD. Penyuluhan yang dilakukan dalam penelitian ini terbukti efektif meningkatkan pemahaman masyarakat, sebagaimana ditunjukkan oleh tingginya antusiasme peserta selama kegiatan. Hasil penelitian disimpulkan bahwa pentingnya strategi pencegahan DBD berbasis edukasi mengenai kebersihan lingkungan dan penerapan pola hidup sehat dalam masyarakat