e-Jurnal Poltekkes Tanjungkarang
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ANALISIS FAKTOR LINGKUNGAN FISIK DAN KEJADIAN TUBERKULOSIS DI WILAYAH KERJA PUSKESMAS KEDATON KOTA BANDAR LAMPUNG
Get PDFSaat ini Indonesia menempati posisi kedua kasus terbanyak Tuberculosis (TB) (845.000 kasus) setelah India. Faktor lingkungan rumah berhubungan erat dengan penyebaran kasus, selain faktor lain seperti gizi, imunisasi, kemiskinan, dan pelayanan kesehatan. Penelitian bertujuan untuk mengidentifikasi faktor risiko lingkungan fisik rumah terhadap kejadian TB di wilayah kerja Puskesmas Kedaton Kota Bandar Lampung. Penelitian menggunakan rancangan kasus-kontrol, dilaksanakan pada bulan Maret hingga Mei 2022. Total 279 rumah tangga (93 kasus dan 186 kontrol) diikutkan selama penelitian. Kasus adalah penderita TB dengan hasil pemeriksaan BTA+ dan tercatat pada buku register TB. Kelompok kontrol dipilih dari tetangga terdekat tanpa riwayat TB. Pengumpulan data dilakukan dengan alat ukur untuk variabel suhu, kelembaban, pencahayaan, dan luas ventilasi. Sedangkan kepadatan hunian dengan wawancara. Analisis data dilakukan dengan Chi-square dan Logistic Regression. Penelitian telah mengidentifikasi empat faktor risiko lingkungan fisik rumah terhadap kejadian TB. Pencahayaan yang tidak memenuhi syarat menjadi faktor risiko terbesar terhadap TB (AOR 70.19; 95% CI 17.08 - 288.44). Tiga faktor risiko lainnya adalah kepadatan hunian (AOR 21.77; 95% CI 5.80 - 81.70), suhu (AOR 16.38; 95% CI 5.38 - 49.92), dan ventilasi (AOR 13.05; 95% CI 4.80 - 35.52). Empat faktor lingkungan fisik rumah tinggal secara signifikan telah teridentifikasi sebagai faktor risiko TB, yaitu pencahayaan, kepadatan hunian, suhu dan ventilasi. Perbaikan kondisi fisik rumah menjadi langkah intervensi yang harus diterapkan, selain peningkatan kampanye perilaku sehat
Efektivitas Kompres Aloe Vera dan Daun Kubis terhadap Breast Engorgement pada Ibu Nifas
Get PDFThe problem that often occurs in post-partum mothers after giving birth is the occurrence of breast swelling where there is a narrowing of the lactiferous ducts or the glands are not completely emptied or due to abnormalities in the nipples such as blisters or sinking nipples. Aloe vera gel compresses and cabbage leaves are useful to help reduce pain, swelling, and tenderness in wounds. This study aims to analyze aloe vera compresses and breast care compared to cabbage leaf compresses and breast care on breast swelling in postpartum mothers. This study used a quasi-experimental design with a pre-test post-test non-randomized control group design. The non-probability sampling technique is a consecutive sampling type. The research sample for each group was 15 respondents at one of the Central Lampung Health Centers in June-October 2020. The type of data analysis was the Mann-Whitney test. The results showed that the average swelling of the breasts before being given an aloe vera compress was 4.53 and the average after being given an aloe vera compress was 2.47. The mean breast swelling before compressing cabbage leaves was 5.00 and after compressing cabbage leaves was 3.60. Giving aloe vera compresses is effective in preventing breast swelling in postpartum mothers with a p-valu
Sistem Informasi Pemantauan Pengobatan Pasien TB Paru (SISFOTBPARU) Berbasis Android Gateway
Get PDFLatar Belakang: Upaya-upaya yang dilakukan pemerintah untuk menanganani TB sampai menghilangkan angka kejadian TB melalui berbagai macam kebijakan dan berbagai program belum mampu menjawab permasalahan yang ada. Sebuah program inovasi aplikasi berbasis teknologi informasi perlu dikembangkan untuk pemberdayaan dan pengembangan masyarakat yang dilakukan secara berkelanjutan disertai upaya pemantauan dari petugas kesehatan setempat. Tujuan: Mengembangkan aplikasi Sistem Informasi Pemantauan Pengobatan Pasien Tuberkulosis Paru (SISFOTBPARU) berbasis Android Gateway di Puskesmas Kampung Sawah kota Bandar Lampung. Metode: Jenis penelitian adalah actions research berupa pengembangan sistem (sistem development) aplikasi SISFOTBPARU. Subjek penelitian terdiri atas 5 responden yang terdiri atas kepala seksi penanggulangan penyakit menular, pengelola TB Paru di Dinas Kesehatan dan 3 orang petugas TB Paru Puskemas. Pengumpulan data dilakukan dengan observasi, wawancara mendalam serta menggunakan kuesioner. Tahapan pengembangan aplikasi menggunakan FAST (Framework for application of sistem tehnique) menggunakan metode aplikasi SISFOTBPARU Android Gaetway. Hasil: Studi memperoleh hasil pengembangan aplikasi sitem informasi berbasis web dengan fitur Android Gateway dengan lebel aplikasi SISFOTTBPARU. Dalam aplikasi SISFOTBPARU pasien dapat dilihat jadwal pengobatan, jadwal minum obat dan jadwal ambil obat berdasarkan tanggal yang diinginkan oleh petugas. Pengiriman pesan pengingat (SMS) lebih mudah dilakukan ke handphone pasien, dan terdapat rekapitulasi laporan pengobatan pasien TB Paru, dan grafik pengobatan pasien. Simpulan: Pengukuran aplikasi SISFOTBPARU dengan 4 jenis sistem diperoleh sistem usefulness, information quality, dan interface quality termasuk kategori Layak. Pengukuran secara keseluruhan overall satisfaction menunjukkan bahwa sistem informasi Overall satisfaction Pemantauan Pengobatan Pasien TB Paru termasuk kategori Layak. Sehingga, aplikasi SISFOTPARU dapat dilanutkan ke tahap uji coba.
Abstract. Information Sistem for Pulmonary TB Patient Treatment Monitoring (SISFOTBPARU) Based on Android Gateway.
Background: The efforts made by the government to deal with TB to eliminate the incidence of TB through various policies and various programs have not been able to answer the existing problems. An information technology-based application innovation program needs to be developed for sustainable community empowerment and development accompanied by monitoring efforts from local health workers. Purpose: This study is to develop an Android Gateway-Based Pulmonary Tuberculosis Patient Treatment Monitoring Information System (SISFOTBPARU) application in the Health Center of Kampung Sawah Bandar Lampung City. Methods: The type of reaction is action research in the form of the system development of the SISFOTBPARU application. The research subjects consisted of 5 respondents consisting of the head of the infectious disease control section, the management of pulmonary TB at the Health Office, and 3 officers of pulmonary TB at the Public Health Center. Data collection was carried out by observation, in-depth, interviews, and using a questionnaire. The stages of application development use FAST (Framework for application of system engineering) using the SISFOTBPARU Android Gateway application method. Results: The study obtained the results of developing a web-based information system application with the Android Gateway feature with the SISFOTTBPARU application label. In the SISFOTBPARU application, patients can see their treatment schedule, schedule for taking, medication, and schedule for taking medication based on the date desired by the officer. Sending reminder messages (SMS) is easier to do to the patient's cellphone, and there is a recapitulation of pulmonary TB patient treatment reports and patient treatment charts. Conclusion: Measurement of the SISFOTBPARU application with 4 types of systems obtained system usefulness, information quality, and interface quality including the Eligible category. The overall measurement of overall satisfaction shows that the Overall satisfaction information system for Monitoring Pulmonary TB Patient Treatment is in the Eligible category. So that, the SISFOTPARU application can be continued to the trial stage
Literature Review: Model Edukasi Menyusui Untuk Suami
Get PDFBreastfeeding can prevent annual deaths in children, including having a positive impact on the country's economy and even at the family level. Men are often forced to be involved in breastfeeding and caregiving, but the approach of the Maternal and Child Health (MCH) program is too girly, which often makes men feel alienated. Breastfeeding education for men is not impossible. This paper tries to describe several models that have been shown to have a positive impact on breastfeeding success using the literature review method. The results show that some face-to-face models for 2-3 hours can be done with several sessions for 2-3 weeks. Other models without face-to-face can also be done, for example by providing flyers, booklets, and disseminating information through mass media including education through Facebook and WhatsApp groups and smartphone applications. The government and health services should start seeing men as subjects in the MCH program and start developing breastfeeding education activities for fathers, even if breastfeeding education activities are combined with mothers, they should use a gender-free approach
Aplikasi Dekokta Daun Salam dalam Penghambatan Candidiasis Eritematosa pada Pengguna Gigi Tiruan Lepasan Akrilik
Get PDFThe use of acrylic removable dentures can cause problems if they are not paid attention to cleanliness and care. This can result in a buildup of food waste which predisposes to plaque formation, thereby increasing the prevalence of candida albicans microorganisms and causing candidiasis. The most commonly found candidiasis is erythematous candidiasis. Bay leaf because it contains essential oils, flavonoids, and tannins that can act as anti-bacterial in the mouth and are safe for health. The bay leaf ethanol extracts of 40% v/v (7mm), 80% v/v (9mm), and 100% v/v (11mm) were effective in inhibiting the growth of Candida ATCC 10231 in Sabouraud Dextrose Agar (SDA). Based on the antimicrobial activity of the bay leaf, the researchers wanted to conduct a study on the effectiveness of the bay leaf in inhibiting the occurrence of erythematous candidiasis in acrylic denture users. This type of research is experimental research and uses a pre-and post-test design with a control group. Data analysis using pair T-test. The results of the initial erythematous candidiasis examination showed that the frequency distribution of the type of erythematous candidiasis in respondents was 100% type I, simple inflammation was localized and the area of erythematous candidiasis was 100% type 1, pinpoints hyperemia. The application of bay leaf decoction in respondents caused 75% of respondents to experience a change in the type and extent of the lesion from type I to normal (no lesions). The paired samples t-test showed a significance of 0.00
Analisis Determinan Proksi Faktor yang Berhubungan dengan Kinerja Kader Posbindu Penyakit Tidak Menular (PTM)
Get PDFPosbindu Non-Communicable Diseases (PTM) is a form of community participation in activities for early detection, monitoring, and early follow-up of risk factors for Non-Communicable Diseases independently, routinely, integrated, and continuously. So that the role of cadres is needed to carry out tasks in health services related to non-communicable diseases. The purpose of this study was to analyze the determinants of factor proxies consisting of training, awards, infrastructure, knowledge, and job design related to the performance of Posbindu PTM cadres in the working area of Wundulako Health Center. This study uses a descriptive-analytic design with a cross-sectional approach, sampling using a total sampling so that the number of samples is 55 people. The results of the chi-square test show that there is a significant relationship between training and the performance of Posbindu PTM cadres (p-value=0.003), there is no relationship between rewards and the performance of Posbindu PTM cadres (p-value=0.352), facilities and performance of Posbindu PTM cadres (p-value=0.874), there knowledge and performance of posbindu PTM cadres (p-value=0.424). But, there is a significant relationship between job design and performance of Posbindu PTM cadres (p-value=0.009). This study concludes that there are only 2 factors that affect the performance of PTM posbindu cadres, i.e training and job design, so it is hoped that the Wundulako Health Center as the organizer can provide training to cadres, it must be carried out at least every month to maintain and improve cadre knowledge and socialization related to the duties and roles of cadres
Determinan Ibu Hamil Kurang Energi Kronis (KEK) dan Anemia
Get PDFPregnant women who experienced anemia in 2013 were 37.1% and increased in 2018 to as many as 48.9%. In Lampung Province, the largest percentage of women of childbearing age who are at risk of Chronic Energy Deficiency are in Tulang Bawang Barat (17.1%), while the highest percentage of the incidence of Chronic Energy Deficiency in pregnant women is in Tulang Bawang Barat (26.3%). The purpose of the study is to determine the determinants of pregnant women with Chronic Energy Deficiency and Anemia at the Karta Raharja & Marga Kencana Public Health Center, Tulang Bawang Barat Regency in 2020. This research is a correlation analytic study that uses a cross-sectional approach. The subject of this study was pregnant women in the Karta Raharja & Marga Kencana Public Health Center, Tulang Bawang Barat Regency in 2020. Each respondent was observed, interviewed, and examined. The data were processed and analyzed using a logistic test. The results showed that pregnant women who experienced Chronic Energy Deficiency were 22% and those who experienced anemia were 26%. The variables most related to the incidence of Chronic Energy Deficiency are parity above 4 children, 106 times the risk of suffering from malnutrition (95%CI=105.502), pregnant women with age <20 or >35 years are 6 times at risk of experiencing malnutrition (95%CI=6.327 ), and pregnant women with malnutrition were 10 times more at risk of experiencing Chronic Energy Deficiency (95% CI=10.224). The variables most related to the incidence of anemia were parity above 4 children 5 times at risk of developing anemia (95%CI=4.995), pregnant women with age <20 or > 35 years 4 times at risk of anemia (95%CI=3.918), and maternal Pregnant women with birth spacing <2 years are 2 times more at risk of developing anemia (95%CI=1.579)
Pengaruh Pengembangan Model Suami Siaga terhadap Dukungan Suami pada Pelaksanaan Inisiasi Menyusu Dini
Get PDFBreastfeeding is one of the first steps for a human being to get a healthy and prosperous life. UNICEF states that IMD is one of 10 steps towards successful breastfeeding that will have a positive impact on the health of mothers and babies. Babies who are allowed to breastfeed early are eight times more successful in exclusive breastfeeding and breastfeeding for a long time until the age of 2 years. This study aims to determine the effect of the development of the standby husband model on the husband's support in preparation for the implementation of Early Breastfeeding Initiation. This type of research is a quantitative (analytic) research method using a quasi-experimental design with a post-test-only control group design. The research subjects were husbands of multigravida mothers with a gestational age of 32 weeks with a total of 94 people. Collecting data using primary data. Univariate data analysis using percentages and bivariate analysis using chi-square. The results showed that there was an effect of developing the standby husband model by giving a pocketbook to the husband's support in preparation for the implementation of Early Breastfeeding Initiation (IMD) with a p-value of 0.01, Suggestions are addressed to midwives who provide services to pregnant women and maternity mothers to include husbands in preparation for the implementation of Early Breastfeeding Initiation by providing information about the need for husband's support in preparation for the implementation of IMD through the provision of pocketbooks.Â
Intervensi Berbasis Edukasi pada Ibu terhadap Feeding Practice Ibu dalam Upaya Peningkatan Status Gizi Anak Stunting pada Usia 6-24 Bulan
Get PDFStunting increases in Indonesia because the practice of complementary feeding has not met the UNICEF program standards. Nutrition education is one of the recommendations to overcome mothers’ feeding practices. This study aims to influence the educational-based interventions on maternal eating practices in Paga Village. This study was quasi-experimental research designed with one pre-test and post-test group and without a control group. The sample of this study involved 45 respondents selected by a total sampling technique. The feeding practices were measured through a questionnaire. The intervention was given three times. The data were analyzed by employing paired sample t-test. There is an effect of education-based intervention interventions on the feeding practice of companion breast milk (p-value 0.00; T-5.223). Changes in better feeding practice occur by fulfilling points of the feeding practice program. This intervention can be an alternative for health workers to continue to promote and for the mothers to apply for feeding practice programs
Aplikasi Orange Sistem Informasi Laboratorium (O-SIL) untuk Laboratorium Puskesmas di Kota Bandar Lampung
Get PDFHealth care is one industry that cannot escape from the touch of technology. Improvement of service quality, effective operational management, and customer satisfaction are the main objectives in the use of technology. One ofthe technology products that are important in clinical laboratories is the laboratory information system(LIS). Clinical laboratories produce and manage a lot of data as information to support medical diagnosiswith no exception in clinical laboratories at the Puskesmas (public health centre). Puskesmas as the spearhead of health services required to give the best performance and the use of LIS in clinical laboratory units can help improve laboratory operational performance. The purpose of this study was to determine the needs of the laboratory for LIS and to design a website-based LIS application according to the needs of the Puskesmas in Bandar Lampung City. This research method is a survey with data collection from the interviews with MLTs at 13 Puskesmas in Bandar Lampung City from June to December 2021. The design of a website-based SIL application is carried out using the data flow diagram (DFD) method. The results of the research is application features that can be applied in the design of making applications, namely ordering laboratory examinations, inputting patient data with a complete identity format, inputting laboratory results, and monthly results reports. These features are then designed in an application called the Orange Laboratory Information System (O-SIL)