e-Jurnal Poltekkes Tanjungkarang
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GAMBARAN PENGELOLAAN LIMBAH MEDIS PADAT DI RUMAH SAKIT Hi MUHAMMAD YUSUF KALIBALANGAN KOTABUMI TAHUN 2019
Hi Muhammad Yusuf Hospital produces about 2.4 kg of solid medical waste per day. The initial survey results found that solid medical waste has not been appropriately managed, even though this waste can be a source of health problems for the community. This study aimed to describe the management of solid medical waste at the Hi Muhammad Yusuf Hospital, Kalibalangan, Kotabumi. This research describes the management of solid medical waste from source, type, weight, sorting, container, collection, and temporary storage. Data were collected through observation and interviews with medical waste management officers. Furthermore, the data is compared with Minister of Health Regulation No. 7 of 2019. Solid medical waste management is declared to meet the requirements if it is following the regulation. The process of sorting, storing, and transporting hospital waste does not meet the requirements. There is still solid medical waste mixed with non-medical waste. Hospitals need to provide medical bags in brown for pharmaceutical waste, red for radioactive waste, and purple for cytotoxic waste. Training for waste management officers is needed to improve understanding of solid medical waste management and the availability of SOPs as a guide for waste management officers
Pengaruh Sekolah Secara Online terhadap Perilaku Sedentari yang Berisiko Obesitas pada Remaja Berumur 15-19 Tahun
Obesity is the accumulation of excessive fat in the body as a result of an imbalance in the amount of energy that enters and leaves the body. One of the causes of obesity is sedentary behavior. Sedentary behavior makes the activity passive. Behavior changes are also happening at this time due to the Covid-19 pandemic. Pandemic makes all activities to be carried out from the home to prevent the spread of the Covid-19 virus, like studying from home. Online school is considered more passive than offline school because when a rest period that can be used for physical movement through interacting with friends like playing together. Whereas online school, teenagers are only more dominant in being silent in front of a laptop or smartphone. This study aims to determine the effect of online school on sedentary behavior at risk of obesity in adolescents. This type of research is a quantitative study using a cross-sectional design. The number of respondents in this study consisted of 267 people. Data was obtained through the results of questionnaires which were conducted online using Google Forms. The results showed that online schools had a high risk of sedentary behavior by 49,1%, 44.9% of moderate risk, and less risk by 6,0%. Statistical test using chi-square obtained p-value=0,008 (<α=0,05). So it can be concluded that there is an effect of online schooling on sedentary behavior that is at risk of obesity in adolescents aged 15-19 years in the city of Medan
Pengaruh Pemberian Cookies Bunite terhadap Kadar Gula Darah Sewaktu pada Penderita DM Tipe 2
The prevalence of DM in Indonesia in 2018 was 2.0% and in South Sumatra was 20,7%. Non-pharmacological management of DM is by giving "cookies bunite". Research objectives are to find out the effect of giving "cookies bunite" to blood sugar levels in patients with type 2 diabetes. The type of research used was quasi-experimental with the research design "The type of research is a quasi-experiment with a pretest and posttest control group design". This research was conducted from September to March 2021 at the Public Health Center Social in Palembang. Samples were patients with type 2 Diabetes Mellitus who were selected by purposive sampling with inclusion criteria: blood sugar levels 200mg/dl and age 40 years, male and female. The number of samples in the treatment and comparison groups was 30 respondents each. Data were collected by purposive sampling technique and selected according to the criteria. Data analysis used paired sample test and independent t-test with the difference in the average blood glucose levels of the treatment group 45, 27 mg/dl (p-value=0,00) and the experimental group. comparison 18,9mg/dl (p-value=0,00). The difference in decreasing blood glucose levels between the intervention group was mg/dl and the comparison group was 26.37 mg/dl. The result of the independent sample test statistic is p-value=0,013. There was an effect of giving "cookies bunite" on blood glucose levels in patients with type 2 Diabetes Mellitus with the average difference in the treatment group being greater than in the control group. There is an effect of giving "cookies bunite" to decrease blood glucose levels in patients with type 2 Diabetes Mellitus.Â
GAMBARAN PENGETAHUAN DAN PERILAKU CUCI TANGAN PAKAI SABUN (CTPS) PADA SISWA SEKOLAH DASAR DI WILAYAH KERJA PUSKESMAS NEGARA RATU KECAMATAN SUNGKAI UTARA KABUPATEN LAMPUNG UTARA TAHUN 2019
Mencuci tangan adalah kegiatan yang umum dilakukan manusia di dunia. Tapi membasuh tangan dengan air saja tidaklah cukup. Cuci Tangan Pakai Sabun (CTPS) merupakan upaya yang direkomendasikan untuk mencegah penyakit, dengan pertimbangan bahwa sabun mudah diperoleh dan terjangkau. Selain itu, air mengalir dapat diupayakan hampir di setiap rumah tangga. Supaya efektif, perilaku CTPS juga perlu dilakukan dengan benar.Tujuan penelitian ini adalah untuk Mengetahui Gambaran Pengetahuan dan Perilaku Cuci Tangan Pakai Sabun (CTPS) Pada Siswa Sekolah Dasar Di wilayah Kerja Puskesmas Negara Ratu tahun 2019. Jenis penelitian yang di gunakan adalah deskriptif yaitu menggambarkan pengetahuan dan perilaku Cuci Tangan Pakai Sabun (CTPS) pada siswa SD yang berada di wilayah kerja Puskesmas Negara Ratu. populasi dalam penelitian ini adalah siswa sekolah dasar kelas IV dan V yang di ambil dari 3 sekolah dasar untuk mendapatkan sampel 96 siswa di Wilayah Kerja Puskesmas Negara Ratu.Hasil penelitian melaporkan dari 96 responden yang berasal dari 3 sekolah dasar, diketahui bahwa 52 responden (54,2%) yang memiliki pengetahuan baik, tidak terdapat fasilitas di sekolah dasar, dan 44 responden (45,8%) yang memiliki perilaku baik. Puskesmas Natar agar melakukan penyuluhan lebih intensif sehingga pengetahuan dan perilaku cuci tangan pakai sabun pada siswa di sekolah dasar lebih meningkat dan melakuan advokasi kepada pihak sekolah agar membangun fasilitas cuci tangan pakai sabun
Efek Pemberian Massage Effleurage Mampu Meningkatkan Produksi Air Susu Ibu pada Ibu Nifas
Background: The problem with the target of the exclusive breastfeeding program has not yet reached the global target due to the factor that mothers who give birth think that breastfeeding has not been smooth. The solution can be done with non-pharmacological therapy, oxytocin massage, effleurage massage, by involving and supporting the husband. Purpose: This study was to examine the effect of oxytocin massage through effleurage massage on breast milk production in postpartum mothers. Methods: Quasi experimental with nonequivalent control group as the design of this study. The treatment group was 17 normal postpartum pregnant women and 17 control groups. The treatment group after 6-8 hours postpartum was given effleurage massage on the back using olive oil for 3-5 minutes. Data analysis using Mann-Whitney test. Results: The results showed that there was an effect before and after effleurage massage was carried out in the experimental and control groups, namely (p = 0.002). Conclusion: Non-pharmacological therapy with oxytocin massage through effleurage massage was able to increase the amount of milk production by involving and supporting the husband.Latar belakang: Masalah target program pemberian ASI (Air Susu Ibu) eksklusif masih belum mencapai target global disebabkan oleh faktor ibu bersalin menganggap ASI belum lancar. Solusi dapat dilakukan dengan terapi nonfarmakologi pijat oksitosin massage effleurage dengan melibatkan dan dukungan suami. Tujuan: Studi ini untuk mengkaji pengaruh pijat oksitosin melalui massage effleurage terhadap produksi ASI pada ibu postpartum. Metode: Quasi eksperimental dengan nonequivalent control group sebagai rancangan studi ini. Kelompok perlakuan adalah ibu hamil postpartum normal berjumlah 17 dan kelompok kontrol 17 orang. Kelompok perlakuan setelah postpartum 6-8 jam diberikan massage effleurage di bagian punggung dengan menggunkan minyak zaitun selama 3-5 menit. Analisis data menggunakn Uji Mann-whitney. Hasil: Hasil menunjukkan terdapat pengaruh sebelum dan sesudah dilakukan massage effleurage pada kelompok eksperimen dan kontrol yaitu (p=0,002). Simpulan: Terapi nonfarmakologi dengan pijat oksitosin melalui massage effleurage mampu meningkatkan jumlah produksi ASI dengan melibatkan dan dukungan suami.  <w:LsdException
Aktivitas Antikanker Ekstrak Aseton Kulit Buah Kakao (Theobroma cacao L.) Terhadap Sel Vero dan MCF-7 Secara In Vitro
Sebagian besar pasien pengidap kanker mendapatkan kemoterapi yang melibatkan pemakaian obat antikanker, salah satunya adalah doksorubisin. Namun penggunaan doksorubisin dalam jangka waktu yang panjang bersifat racun bagi organ-organ penting. Oleh karena itu banyak dikembangkan penelitian untuk mencari senyawa antikanker lain yang bersifat alami guna meminimalisir efek samping dari obat antikanker tersebut. Penelitian ini bertujuan untuk menguji aktivitas antiproliferasi ekstrak aseton kulit buah kakao (Theobroma cacao L.) pada sel kanker MCF-7 dan sel vero secara in vitro. Ekstrak kulit buah kakao diharapkan mampu menghambat pertumbuhan sel kanker sehingga dapat dikembangkan untuk pengobatan kanker. Penelitian ini merupakan penelitian eksperimental. Kulit buah kakao diekstraksi menggunakan aseton 80% dan dievaporasi hingga diperoleh ekstrak kental. Uji aktivitas antikanker dilakukan secara in vitro dengan metode MTT assay. Dari hasil pengujian diperoleh nilai IC50 dari analisis regresi dari konsentrasi ekstrak dan persentase inhibisi. Nilai IC50 ekstrak terhadap sel vero yaitu 528,13 ppm, sedangkan Nilai IC50 ekstrak terhadap sel MCF-7 yaitu 24,26 ppm.Simpulan dari penelitian ini adalah ekstrak aseton kulit buah kakao tergolong aktif dalam menghambat pertumbuhan sel kanker payudara MCF-7 dan tidak aktif menghambat pertumbuhan sel normal vero
HUBUNGAN JENJANG KARIR DENGAN KEPUASAN KERJA PERAWAT PELAKSANA DI RUMAH SAKIT WANGAYA
Semakin besar jumlah pegawai yang bekerja pada suatu perusahaan akan meningkatkan kemungkinan timbulnya suatu permasalahan, penanganan permasalahan tersebut tergantung pada kesadaran manajemen akan pentingnya sumber daya manusia dalam suatu organisasi. Sumber daya manusia merupakan sumber daya utama pada suatu perusahaan, sehingga diperlukan suatu perencanaan dan pengembangan karir. Jenjang karir perawat yang baik dapat berpengaruh pada peningkatan kepuasan kerja perawat. Penelitian ini bertujuan untuk menganalisis hubungan jenjang karir perawat terhadap kepuasan kerja perawat pelaksana di Ruang Rawat Inap RSUD Wangaya. Penelitian ini menggunakan rancangan penelitian korelasional dengan pendekatan cross sectional. Sampel yang digunakan sebanyak 125 perawat pelaksana. Teknik analisa data yang digunakan adalah analisis univariat untuk menjelaskan atau mendeskripsikan karakteristik variabel penelitian dan analisis bivariat yang digunakan pada penelitian ini adalah uji chi square untuk menganalisis hubungan jenjang karir perawat dengan kepuasan kerja perawat pelaksana. Hasil uji statistik diperoleh nilai p= 0.001, hal ini menunjukkan bahwa ada hubungan jenjang karir dengan kepuasan kerja perawat pelaksana di Ruang Rawat Inap RSUD Wangaya. Penting bagi institusi rumah sakit untuk memberikan kesempatan kepada perawat pelaksana untuk meningkatkan jenjang karir, salah satunya melalui pendidikan lanjutan, sehingga kepuasan kerja perawat dapat meningkat
Foot Screening dan Pengaruh Edukasi terhadap Pengetahuan dan Perilaku Pencegahan Diabetic Foot Ulcer pada Individu dengan Diabetes Mellitus
Diabetic foot ulcer (DFU) is a complication of diabetes mellitus (DM) that is important to get attention especially by people with DM. Approximately 25% of DM cases develop DFU. In addition, 85% of amputations in DM cases are caused by DFU. However, amputation of the lower limb due to DFU could be minimized by giving education about its prevention. Therefore, this study was conducted to determine the risk level of DFU and evaluated the effect of education related to DFU prevention in people with DM. This research was an observational descriptive study with a cohort study approach. This research had 15 participants. Each participant underwent foot screening to determine the risk level of DFU. Afterward, they were given a pretest to evaluate the level of knowledge and behavior of DFU prevention by using questionnaires. Directly after the pretest, they were also given education about DFU prevention. After 6-8 weeks, a post-test was carried out using the same questionnaires. The results showed that all participants had a risk of developing DFU. Giving education has significantly improved the knowledge and behavior of participants in practicing foot care to prevent DFU. It is important to perform foot screening to prevent the complications of DFU. In addition, education is significantly influential in improving the knowledge and behavior related to DFU prevention in people with DM
Penggunaan Flashcard Game dalam Penerapan Cognitive Behaviour Therapy (CBT) Pada Pasien Skizofrenia dengan Masalah Harga Diri Rendah
Low self-esteem is one of the negative symptoms experienced by schizophrenia patients. A person evaluates himself as low, not good, always fails, is useless to become a burden and stressor for others in an extended period without any support or support system from the environment, raises the risk of suicide. This situation is a serious concern for all parties, especially health workers to be able to provide comprehensive and effective mental nursing care management, namely Cognitive Behaviour Therapy (CBT). This study was aimed to determine the effectiveness of CBT with flashcards on changes in signs and symptoms of low self-esteem in schizophrenic patients. Group therapy based on Cognitive Behavior Therapy (CBT) with flashcard media is one of the development and innovation models of psychotherapy that has an impact on increasing self-esteem in schizophrenia patients because the flashcard method makes it easier for patients to find positive thoughts in the form of communicative and interactive games so that patients feel their self-esteem increases and can behave adaptively. The research design was used a quasi-experimental pre-posttest with a control group. A sample of 50 people includes 25 people in the intervention group and 25 people in the control group. The results were showed that the reduction in signs and symptoms of low self-esteem in schizophrenic patients was greater in the intervention group than in the control group (p-value≤0,05). CBT therapy with flashcards was effective in reducing low self-esteem by 65,6%. CBT therapy with flashcards is recommended as an effective, efficient, and easy therapy for health workers and families to increase self-esteem for clients
FAKTOR PENYEBAB KECELAKAAN KERJA DI PT. TAPIOKA TEGUH WIBAWA BAKTI PERSADA LAMPUNG UTARA
Kecelakaan kerja disebabkan oleh faktor manusia dan faktor lingkungan Faktor manusia meliputi, kurang pendidikan, menjalankan pekerjaan tanpa mempunyai kewenangan dan tidak sesuai keahlian, pemakaian alat pelindung diri, bekerja melebihi jam kerja. Sedangkan faktor lingkungan meliputi peralatan yang tidak layak pakai, terdapat api di tempat bahaya, pengamanan gedung yang kurang standar, pencahayaan, kebisingan.Tujuan penelitian untuk mengetahui gambaran faktor penyebab kecelakaan kerja di PT Tapioka Teguh Wibawa Bakti Persada Kecamatan Blambangan Pagar Kabupaten Lampung Utara. Variabel yang diteliti adalah penggunaan alat pelindung diri (APD), waktu kerja, pencahayaan dan kebisingan. Penelitian bersifat deskriptif yang melibatkan seluruh pekerja bagian produksi, sebanyak 70 orang, Pengumpulan data dengan pengukuran, observasi dan wawancara. Hasil penelitian mendapatkan bahwa tingkat penggunaan APD pada pekerja masih rendah, berkisar antara 25,7-64,3%. Hasil pengukuran intensitas pencahayaan belum sesuai dengan persyaratan, dan intensitas kebisingan telah melebihi NAB yang diperbolehkan. Perlu upaya pengendalian untuk menghindari terjadinya gangguan kesehatan dan kecelakaan kerja