e-Jurnal Poltekkes Tanjungkarang
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Systematic Review: Tantangan Pelayanan Pengobatan Pasien TB Saat Pandemi Covid-19
Get PDFThe Covid-19 pandemic is affecting global health issues. The interaction between Covid-19 patients and Tuberculosis makes it the number one cause of death worldwide. Numerous deaths caused by Covid-19 are reported every day in Indonesia, leading to a reduced number of TB patients who require routine treatment to health services in the community. Therefore, this review aimed to identify challenges in treatment services for TB patients during the Covid-19 pandemic. The study design used was a systematic review to identify the challenges in treatment services for TB patients during the Covid-19 pandemic. The challenges are a low-capacity health system, lack of knowledge about health, less-optimum treatment for TB patients due to social restrictions, limited regular visits to health services, and low TB case detection. To prevent negative impacts in reduced treatment for TB patients, telemedicine can be used, proper knowledge can be provided through social media, and consistent policies can be implemented to strengthen the weakening health system
Rekomendasi Apoteker Komunitas Saat Menghadapi Permintaan Swamedikasi Diare yang Disertai Alarm Symptoms
Get PDFAppropriate recommendations given by pharmacists play a critical role in determining the efficacy and safety of self-medication practices in pharmacies, including in the case of diarrhea with alarm symptoms. This observational study with a cross-sectional design aims to determine the profile and appropriateness of recommendations given by pharmacists in Surabaya when they faced self-medication requests for diarrhea with alarm symptoms. Data were collected using a questionnaire consisting of two parts, i.e., participants’ characteristics and one case of adult diarrhea with alarm symptoms. The case used was newly developed and the content had been validated. The content validation and the determination of appropriate recommendations given by pharmacists involved experts in clinical pharmacy, community pharmacy, and public health. The final data were analyzed and presented descriptively. A total of 160 pharmacists were involved in this study, the majority of whom were managing pharmacists (82.50%), female (85.50%), and have been working as pharmacists for 1 to 7 years (48.75%). Most pharmacists (56.87%) gave more than one type of recommendation, the majority of whom recommended dispensing of pharmaceutical products accompanied by a referral to physicians (21.88%). Only 42 pharmacists (26.25%) gave appropriate recommendations including referral to physicians (18.13%) or referral accompanied by pharmaceutical product (6.88%) and non-pharmacology recommendations (1.25%). Need assessment is required to identify interventions preferred by pharmacists to optimize their role in promoting responsible self-medication practices
OPTIMALISASI SUPERVISI PEMBERIAN EDUKASI PASIEN DAN KELUARGA PADA RS DI JAKARTA SELATAN
Get PDFKeselamatan pasien dan kualitas perawatan adalah prioritas di semua layanan kesehatan termasuk rumah sakit. Rumah Sakit memfasilitasi pemberian edukasi yang merupakan faktor penunjang partisipasi pasien dan keluarga dalam proses optimalisasi asuhan.Studi kasus ini bertujuan untuk mengoptimalkan pelaksanaan supervisi pemberian edukasi pasien dan keluarga di RS Jakarta Selatan. Data dikumpulkan melalui observasi, penyebaran kuesioner dan wawancara. Analisis menggunakan diagram fishbone.Implementasi yang dilakukan dengan membuat instrumen supervisi pemberian edukasi dan observasi pendokumentasian pemberian edukasi pasien dan keluarga. Edukasi merupakan salah satu intervensi yang dilakukan oleh perawat. Pelaksanaan pemberian edukasi pasien dan keluarga dapat meningkatkan kualitas asuhan keperawatan. Perbaikan form pemberian edukasi pasien dan keluarga, pengesahan instrumen supervisi dan observasi pemberian edukasi pasien dan keluarga merupakan elemen penting dalam mencapai kualitas pelayanan keperawatan
PENGARUH TERAPI MUSIK TERHADAP BOUNDING ATTACHMENT PADA IBU POST SECTIO CAESAREA
Get PDFNyeri post sectio caesarea akan mengganggu proses bounding attachment antara ibu dan bayi. Musik dapat menurunkan stres dan nyeri sehingga mempercepat bounding attachment. Tujuan penelitian ini adalah mengetahui pengaruh terapi musik terhadap bounding attachment pada ibu post sectio caesarea. Desain penelitian ini dengan quasy eksperimental non equivalent control group  Populasi adalah pasien post sectio caesarea dengan jumlah sampel 60 responden. Analisis dengan uji T test Independen. Hasil penelitian ini menunjukkan rata-rata bounding attachment pada kelompok intervensi dengan terapi musik adalah 113.97, sedangkan rata-rata bounding attachment pada kelompok kontrol (tanpa terapi musik) adalah 98.70. Hasil analisis menunjukkan hasil Ï-value = 0,00, maka dapat disimpulkan ada pengaruh yang signifikan terapi musik terhadap bounding attachment pada ibu post sectio caesarea, dimana tingkat bounding attachment pada kelompok yang diberikan terapi musik lebih tinggi daripada ibu yang tidak diberikan tetapi musik. Sarannnya adalah sebaiknya program terapi musik ini bisa diberikan pada setiap rungan perawatan post partum di setiap rumah sakit
EFEKTIVITAS EKSTRAK DAUN CATNIP (Nepeta cataria) SEBAGAI BIOINSEKTISIDA TERHADAP KECOA AMERIKA (Periplaneta americana)
Get PDFKecoa (Periplaneta americana) merupakan vektor beberapa penyakit, sehingga populasinya harus dikendalikan. Daun catnip (Nepeta cataria) berpotensi menjadi bioinsektisida karena mengandung senyawa nepatalactone, alkaloid, dan atsiri yang bersifat racun terhadap serangga. Penelitian bertujuan untuk mengetahui efektivitas ekstrak daun catnip sebagai bioinsektisida terhadap kecoa P.americana. Penelitian ini menggunakan rancangan acak lengkap (RAL) faktorial. Variabel yang diteliti adalah konsentrasi ekstrak daun catnip (0%, 2%, 5%, 8%, 11%), waktu kontak (3 jam, 6 jam, 9 jam, 12 jam). Sebanyak 400 ekor kecoa P. americana ditangkap dari pemukiman penduduk, dan dipelihara selama 3 hari sebelum percobaan. Daun catnip diekstraksi dengan metode maserasi menggunakan pelarut etanol 96%, selanjutnya diencerkan dengan aquadest. Analisis statistik untuk mengetahui distribusi kematian kecoa berdasarkan konsentrasi dan waktu kontak, serta pengaruh kedua variabel terdahap jumlah kematian. Teknik analisis yang digunakan adalah mean, SD, anova dan regresi linear. Hasil penelitian mendapatkan kematian tertinggi pada konsentrasi 11% (2,13 ekor) dan waktu kontak 12 jam (2,20 ekor). Kematian P. americana secara signifikan berbeda berdasarkan konsentrasi (p-value=0,007), dan waktu kontak (p-value=0,002). Hasil analisis regresi menunjukkan pengaruh konsentrasi dan waktu kontak terhadap kematian kecoa sebesar 56,1% dan 57,3%. Walaupun efek kematian rendah, namun penelitian telah membuktikan bahwa daun catnip dapat menjadi alternatif untuk membasmi kecoa. Penelitian lanjutan diperlukan untuk mendapatkan dosis dan waktu kontak yang memberikan efek kematian lebih baik
GANGGUAN LAJU PERNAPASAN BERDASARKAN PENGGUNAAN MASKER DAN LAMA PAPARAN PADA SISWA TEKNIK GIGI POLITEKNIK KESEHATAN TANJUNGKARANG
Get PDFLatar belakang: Penggunaan akrilik dalam kegiatan praktikum teknik gigi dapat menimbulkan risiko gangguan pernapasan. Penelitian bertujuan mengetahui gangguan laju pernapasan berdasarkan penggunaan masker dan lama paparan.Metode: Penelitian menggunakan rancangan potong lintang, dilaksanakan di Laboratorium Teknik Gigi Politeknik Kesehatan Tanjungkarang. Sebanyak 98 orang siswa diikutkan dalam penelitian. Laju pernapasan diukur menggunakan spirometer, dan observasi dilakukan terhadap penggunaan masker dan lama paparan. Analisis data dilakukan menggunakan uji Chi-square dan Odds Ratio pada tingkat kepercayaan 95%.Hasil: Ditemukan sebanyak 10,2% siswa mengalami gangguan laju pernapasan, dan 24,5% tidak menggunakan masker selama kegiatan praktikum. Penilaian paparan mendapatkan 62,2% siswa terpapar dalam waktu yang lama. Pada penelitian ini, hasil analisis statistik tidak menunjukkan hubungan yang signifikan antara gangguan laju pernapasan dengan penggunaan masker (p-value=0,968) dan lama paparan (p-value=0,849).Simpulan: Walaupun secara statistik seluruh variabel tidak menunjukkan hubungan yang bermakna, namun bukti awal telah menunjukkan adanya gangguan pernapasan pada siswa. Perlu perbaikan sistem ventilasi dengan jenis local exhauster ventilation, selain ketegasan dalam penggunaan masker selama kegiatan praktikum.Â
Pijat Refleksi dan Penurunan Intensitas Nyeri pada Pasien Post Operasi Sectio Caesarea
Get PDFPost Sectio Caesarea patients experience pain so they need postoperative adaptation. The pain felt by Sectio Cesarean patients comes from wounds in the abdomen. The pain usually occurs 10 to 36 hours after surgery and decreases on the third day. The purpose of this study was to determine the effect of reflexology on labor pain after a cesarean section. The research was conducted from August to October 2021, at Bhayangkara Hospital Bandar Lampung and RSIA AMC. Quasi-experimental research design with Wilcoxon signed rank. The research sample will be conducted on some 64 respondents (32 intervention respondents and 32 control respondents). Inclusion criteria for post-SC mothers, age 20-50 years, spinal anesthesia, intervention time 10 hours after post-SC, and mothers who are willing to receive reflexology. The results of the study the average score in the post-intervention foot reflexology group were 6.19 with a standard deviation of 644, the lowest pain scale was 4 and the highest pain scale was 7. The average score in the post-control group was 6.13 with a standard deviation of 535, the scale the lowest pain was 5 and the highest pain scale was 7. The results of the statistical analysis obtained showed that the p-value<0.05, and it was concluded that there was an effect of foot reflexology on reducing pain intensity in postoperative Sectio Caesarea patients. Learning recommendations add to the literature review related to foot reflexology and include in nursing services at health care institutions and further research on complementary therapies for post-op pain or palliative care
Penghambatan Senyawa di dalam Kopi terhadap Protein Fibronektin dan Protein Shroom: Kajian Gangguan Neurulasi Primer Secara in Silico
Get PDFCoffee drinking habits exist in Indonesian culture. Coffee as the primary source of caffeine is here the effect of embryotoxicity on paralysis, wrong brain. The brain is going on so that the body is a curiosity. Fibronectin and shroom proteins play in the primary stacking cage, which is the seasoning of the nerve roof. This study aimed to predict molecular inhibition of compounds in coffee in fibronectin protein and shroom protein in silica. The research method used samples of ligands and target proteins from the PubChem database and protein databank, then analyzed using PyRx, Discovery Studio, and PyMol software. The results of the study of literature there are five compounds in coffee. As a result of molecular docking simulation analysis, caffeine compounds (CID 2519) had lower total binding energy (-9.9 kcal/mol) in other combinations in fibronectin and shroom proteins. There are six residues of the amino acid fibronectin and 5 in shroom with caffeine. There are chemical bonds provided for caffeine compounds consisting of hydrophobic, alkyl, Van der Waals, and electrostatic. Caffeine can inhibit fibronectin and shroom protein activity and in vitro and in vivo tests to validate bioinformatics results
Air Minum, Sanitasi, dan Hygiene sebagai Faktor Risiko Stunting di Wilayah Pedesaan
Get PDFThe prevalence of stunted toddlers becomes a public health problem if the prevalence is 20% or more. The 2014 Global Nutrition Report reported that Indonesia was included in 17 of 117 countries, with three nutritional problems, namely stunting, wasting, and overweight. The percentage of stunted toddlers in Indonesia is still high and is a health problem that must be addressed. The high rate of stunting in toddlers aged 6-24 months is due to access to quality drinking water, sanitation and hygiene are still low, so the risk of toddlers suffering from infectious diseases is still high which has an impact on the low intake of nutrients needed for toddler growth. This study aims to determine access to drinking water, sanitation, and hygiene as risk factors for stunting, using a case-control design, the number of samples is 525 (175 cases 350 controls) children aged 6-24 months. The results of this study found that individuals who have access to inadequate drinking water are at risk 4.62 times (95% CI1.924-11.077) compared to safe drinking water, and access to sanitation is not yet at risk 4.60 times (95% CI: 2.111-10.009) compared to Access to safe sanitation. Not having access to hygiene has a risk of 3.67 times (95% CI: 1.978-6.815) compared to access to proper hygiene. This study concludes that drinking water, sanitation, and hygiene are risk factors for stunting in North Sungkai District. So coordination between sectors and involving various stakeholders need to be improved
Indeks Massa Tubuh (IMT) dan Lingkar Lengan Atas (LiLA) sebagai Penentu Diabetes Mellitus Tipe 2
Get PDFThe Type 2 Diabetes Mellitus is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. The incidence of Type 2 Diabetes is often associated with as measure Body Mass Index (BMI) and Upper Arm Circumference. This study used a case-control study design. The population in this study were all patients who checked themselves and received treatment at the Wawotobi Public Health Center, Konawe Regency in the period January to August 2020. The sample in this study consisted of 120 samples consisting of 60 cases and 60 controls taken by simple random sampling technique. The results of statistical tests to see the effect of BMI and LiLA on the incidence of Type 2 DM obtained results for BMI (p-value=0.001, OR=3.923 with 95% CI 1.806-8.524) and Upper Arm Circumference (p-value=0.001, OR=3.923 with 95% CI 1.806-8.524). The conclusion from the results of this study is that BMI and LiLA variables are determinant variables for the incidence of Type 2 DM