e-Jurnal Poltekkes Tanjungkarang
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Warm Foot Soak Intervention for Hyperthermia in DHF (Dengue Hemorrhagic Fever) Patients: A Case Study at Bhayangkara Hospital, Lampung
Full text linkWarm water foot soak therapy presents a viable alternative for managing fever in patients who experience discomfort with conventional compress methods. This scientific paper aims to provide nursing care for patients with Dengue Hemorrhagic Fever (DHF) experiencing hyperthermia, utilizing warm water foot soak interventions in the inpatient ward of Bhayangkara Hospital, Lampung. The nursing care approach follows the nursing process framework, focusing on direct nursing interventions. The subject of care consisted of DHF patients in the inpatient unit, with the primary intervention being warm water foot soaking. Data collection tools included physical examinations and standardized nursing assessment formats (KMB), with data gathered through interviews, observation, and physical examination. During the assessment phase, the patient exhibited classic signs of DHF, including high-grade fever. A nursing diagnosis of hyperthermia was established. The primary intervention implemented was a warm water foot soak. After three days of therapy, the patient's body temperature decreased to 37.2°C, and the patient reported improved comfort and no further complications. These findings suggest that warm water foot soaking is an effective supportive intervention for managing hyperthermia in DHF patients. It is recommended that patients and their families be encouraged to understand and apply simple, non-pharmacological interventions such as warm foot soaks alongside adherence to prescribed medical treatment
Gambaran Kelengkapan Resep Elektronik dan Pengkajian pada Aspek Klinis di Poli Ortopedi RSUD Jenderal Ahmad Yani Metro
Full text linkEvaluasi kelengkapan resep elektronik di Rumah Sakit Umum Daerah Jenderal Ahmad Yani Metro, khususnya di poliklinik ortopedi, selama bulan Mei 2024. Penelitian ini bertujuan untuk menilai kelengkapan resep dari aspek administrasi, farmasetik, dan klinis, dengan mengacu pada Peraturan Menteri Kesehatan Nomor 72 Tahun 2016. Metode yang digunakan adalah penelitian observasional dengan pendekatan deskriptif kuantitatif, dimana data dikumpulkan melalui observasi dan checklist
Perbedaan Hasil Jumlah Trombosit Berdasarkan Waktu Pemeriksaan Dan Suhu Penyimpanan Darah EDTA Metode Otomatis
No full textPemeriksaan jumlah trombosit merupakan prosedur penting dalam laboratorium klinik sampel darah dengan antikoagulan Ethylene Diamine Tetraacetic Acid (EDTA) sebaiknya segera diperiksa setelah pengambilan. Meskipun demikian, hasilnya dapat dipengaruhi oleh pemeriksaan yang tertunda. Tujuan dari penelitian ini adalah untuk mengetahui apakah ada korelasi antara waktu pemeriksaan dan suhu penyimpanan dengan variasi jumlah trombosit pada pegawai di Puskesmas Kedung II Jepara. Dengan menggunakan sampel darah vena dari 38 pegawai yang dipilih melalui purposive sampling , penelitian ini menggunakan desain analitik observasional cross-sectional. Sebanyak 3 kondisi digunakan untuk melakukan pemeriksaan jumlah trombosit menggunakan hematology analyser Sysmex XP-100 disimpan selama 1 jam penyimpanan pada suhu ruang (18-29°C), dan setelah 1 jam penyimpanan pada suhu lemari kulkas (2-8°C). Setelah dilakukan uji One-Way ANOVA , uji normalitas dan homogenitas menunjukkan bahwa data mengikuti distribusi normal dan signifikan (p>0,05). Terdapat perbedaan yang signifikan secara statistik antara kelompok perlakuan dalam uji One-Way ANOVA (p = 0,021), dan dalam uji Post Hoc Bonferroni (p = 0,018), namun tidak terdapat perbedaan yang signifikan secara statistik antara trombosit yang disimpan dalam lemari es dan trombosit yang diperiksa segera atau pada suhu ruangan. Disimpulkan jika jumlah trombosit turun secara signifikan setelah satu jam disimpan pada suhu ruangan, tetapi sebagian besar tetap stabil setelah disimpan pada suhu kulkas
Hubungan Hubungan Vulva Hygiene dengan Keberadaan Candida albicans Penyebab Kejadian Keputihan
No full textInfeksi Candida albicans adalah penyebab paling umum dari keputihan, yang merupakan masalah bagi banyak wanita, terutama remaja. Keputihan adalah sesuatu yang hingga 75% wanita akan alami di beberapa titik dalam hidup mereka. Vulva hygiene yang tidak tepat dapat menyebabkan keputihan abnormal yang disebabkan oleh jamur oportunistik Candida albicans, yang tumbuh subur di daerah genital yang lembap. Tujuan dari penelitian ini adalah untuk mengidentifikasi frekuensi keputihan dalam urin mahasiswa tahun ketiga di Universitas Kudus Muhammadiyah dan untuk menetapkan korelasi antara Vulva hygiene dan Candida albicans. Peneliti dalam penelitian ini menggunakan desain cross-sectional berdasarkan observasi. Untuk penelitian ini, 41 mahasiswi yang memenuhi syarat memberikan data melalui kuesioner Vulva hygiene dan pengujian urin untuk Candida albicans. Analisis mikroskopis dan makroskopis mengikuti inokulasi sampel urin ke dalam media SDA. Sementara 10 (62,5%) dari 16 responden dengan Vulva hygiene rata-rata positif dan 6 (37,5%) negatif, 5 (20%) dari 25 responden dengan Vulva hygiene baik negatif. Ada hubungan yang signifikan antara Vulva hygiene dan keberadaan Candida albicans dalam urin, seperti yang ditunjukkan oleh analisis menggunakan uji Chi-square (p = 0,015 <α 0,05). Untuk menghindari infeksi jamur, yang dapat membahayakan kesehatan reproduksi wanita, temuan penelitian ini menekankan pentingnya menjaga kebersihan organ kewanitaan
Spatial Temporal Analysis of Groundwater Fluoride Concentration and Its Implication to Human Health in Jakarta, Indonesia
Full text linkGroundwater serves as the primary source of potable water globally, including in Indonesia. Unfortunately, the presence of fluoride concentrations in groundwater, whether in ideal, insufficient, or excessive quantities, can have either beneficial or detrimental effects. Presently, the inhabitants of Jakarta persist in relying on groundwater as their primary source of clean water, which presents an escalating peril to public well-being as a result of increased domestic activities. Regarding the situation, this research aims to analyze the temporal trends and spatial distribution of fluoride concentration in groundwater and its potential consequences for public health risks in Jakarta. A total of 1,418 fluoride and temperature data from the Jakarta Environmental Agency was used for spatial-temporal analysis of 2016–2019 trends. We applied Microsoft Excel 2021 and ArcGIS Pro 3.2 for statistical and spatial data analysis. The result indicated that the fluoride concentration in groundwater was 72.14% below the minimum recommended value of 0.5 mg/L, mostly in the southern part of Jakarta. However, the average fluoride concentration for all seasons per year is consistently increasing, specifically in the northern part of Jakarta. Based on this research's findings, we concluded that the deficiency of fluoride concentration in groundwater is the majority problem in Southern Jakarta and could potentially cause dental caries if the groundwater is used as the daily source of clean water. This information is very useful for the government and public health authorities to further mitigate and protect people in Jakarta who still rely on groundwater as the source of clean water
Unexpected Risk Factors of Premature Rupture of Membranes in Independent Midwife Practice: A Contradiction to Existing Theory
Full text linkThe incidence of premature rupture of membranes (PROM) is still one of the critical problems in obstetrics that increases maternal and neonatal morbidity and mortality. This study aims to investigate the relationship between anemia, parity, and chronic energy deficiency (CED) and the incidence of premature rupture of membranes (PROM) in the Independent Midwife Practice (PMB) setting at the Sukarame Health Center area, Bandar Lampung City. The study design used was cross-sectional. The subjects were 137 mothers giving birth in the PMB area of Sukarame Health Center, Bandar Lampung City in 2024. Data collection was carried out using primary data from interviews with mothers giving birth in PMB in the Sukarame Health Center area, Bandar Lampung City. Data analysis used univariate and bivariate data analysis with the Chi-Square test. The results showed that there was no significant relationship between parity and premature rupture of membranes (p-value: 0.637). However, there were significant relationships between anemia (p-value: 0.017) and CED (p-value: 0.029) and PROM in PMB. Interestingly, the results showed that PROM was more common in mothers without anemia and without CED. Although anemia and CED are conventionally considered risk factors for PROM, this study found a higher incidence of PROM among mothers without anemia and without CED. Therefore, antenatal care should not only focus on preventing anemia and CED but also on identifying other hidden risk factors such as infections, stress, and physical strain, even in seemingly healthy pregnancies
Toxicological Exploration of Tapak Dara Catharanthus roseus as Bioinsecticide
Full text linkMosquito control efforts have been done physically, chemically, and through environmental management. However, the use of synthetic chemical insecticides has various negative impacts. Therefore, plant-based alternatives are a solution that needs to be developed. This study explores the toxicological potential of Catharanthus roseus as a botanical bioinsecticide. This systematic review study takes data from the literature in the form of published articles obtained via the internet from Google Scholar, Semantic Sholar, Garuda, PubMed, and Science Direct databases. The subjects of the study were 12 articles that focused on using Catharanthus roseus as a larvicide. The selected journals were eligible based on the study of LC50, zero value, and No Observed Adverse (NOA) of Catharanthus roseus plant extract against mosquito larvae. The data are presented in tabular form. Several studies provided different results regarding LC50 and zero value, but only 1 study reported on NOA. Further research is needed to improve data consistency, especially on LC50 values and control effects, including against non-target organisms.Mosquito control efforts have been done physically, chemically, and through environmental management. However, the use of synthetic chemical insecticides has various negative impacts. Therefore, plant-based alternatives are a solution that needs to be developed. This study explores the toxicological potential of Catharanthus roseus as a botanical bioinsecticide. This systematic review study takes data from the literature in the form of published articles obtained via the internet from Google Scholar, Semantic Sholar, Garuda, PubMed, and Science Direct databases. The subjects of the study were 12 articles that focused on using Catharanthus roseus as a larvicide. The selected journals were eligible based on the study of LC50, zero value, and No Observed Adverse (NOA) of Catharanthus roseus plant extract against mosquito larvae. The data are presented in tabular form. Several studies provided different results regarding LC50 and zero value, but only 1 study reported on NOA. Further research is needed to improve data consistency, especially on LC50 values and control effects, including against non-target organisms
Determinants of The Incidence of Childbirth Complications in Bandar Lampung City
Full text linkIn 2021, the Maternal Mortality Ratio (MMR) in Lampung Province increased significantly, rising from 115 to 187 cases compared to 2020. Bandar Lampung emerged as one of the areas with the fourth highest MMR, recording 15 cases (8.02%). This study aims to identify determinants of childbirth complications among mothers in Bandar Lampung in 2024. This type of research is analytical-descriptive, with random sampling, so that samples are obtained from 432 post-natal mothers. This research method uses interviews and observations of post-natal mothers analyzed through a quantitative cross-sectional approach with a random sampling of 432 participants. Results indicate a correlation between birth spacing (p=0.015, OR=2.725), history of pregnancy complications (p=0.000, OR=2.049), and parity (p=0.011, OR=1.764) with childbirth complications. Recommendations include improving healthcare services at the primary level and educating pregnant women and families on risk factors to reduce maternal mortality.Pada tahun 2021 Angka Kematian Ibu (AKI) di Provinsi Lampung mengalami peningkatan yang signifikan, yakni dari 115 kasus menjadi 187 kasus dibandingkan tahun 2020. Bandar Lampung menjadi salah satu daerah dengan AKI tertinggi keempat, yakni sebanyak 15 kasus (8,02%). Penelitian ini bertujuan untuk mengidentifikasi determinan komplikasi persalinan pada ibu di Bandar Lampung tahun 2024, dengan menggunakan metode wawancara dan observasi pada ibu pasca bersalin, dianalisis secara kuantitatif dengan pendekatan cross-sectional dengan sampel acak sebanyak 432 orang. Hasil penelitian menunjukkan adanya korelasi antara jarak kelahiran (p=0,015, OR=2,725), riwayat komplikasi kehamilan (p=0,000, OR=2,049), dan paritas (p=0,011, OR=1,764) dengan komplikasi persalinan. Rekomendasi yang diberikan adalah meningkatkan pelayanan kesehatan di jenjang primer dan memberikan edukasi kepada ibu hamil dan keluarga tentang faktor risiko untuk menurunkan angka kematian ibu
Early Nutrition and Stunting: Why are Exclusive Breastfeeding and Complementary Feeding Essential for Optimal Growth?
Full text linkThis study investigates the relationship between exclusive breastfeeding, appropriate complementary feeding, and the incidence of stunting in toddlers. The objective is to identify how these nutritional practices impact child growth and development. A cross-sectional analysis was conducted involving 135 toddlers at Puskesmas Yosomulyo, utilizing a combination of interviews and questionnaires to gather data on feeding practices and health outcomes. The findings reveal that toddlers who received exclusive breastfeeding and appropriate complementary foods exhibited significantly lower rates of stunting compared to those who did not. Specifically, 33% of toddlers who were not exclusively breastfed experienced stunting, while only 19 toddlers who received appropriate complementary food were stunted. The results underscore the critical role of proper nutrition in early childhood development and highlight the need for enhanced educational programs for parents regarding feeding practices. In conclusion, promoting exclusive breastfeeding and appropriate complementary feeding is essential for reducing stunting rates and improving overall child healt
The Influence of A Combination of ACT, WDEP Technique, and Butterfly Hug on Reducing Anxiety in Cancer Patients
Full text linkCancer is a chronic disease that triggers significant psychological anxiety in patients who can negatively affect quality of life and adherence to treatment, making psychological management very important. This study aims to determine the effect of combining Acceptance and Commitment Therapy (ACT), the Wants, Doing, Evaluation, and Planning (WDEP) technique, and the butterfly hug on reducing anxiety among cancer patients. This study employed a quasi-experimental design with a pre-test and post-test and a control group, ensuring comparison between participants who received the intervention and those who did not. 40 patients selected by accidental sampling. The intervention group received a combination therapy of ACT, WDEP, and butterfly hug, while the control group received deep breathing therapy. Anxiety was measured using the STAI-T instrument. The mean anxiety score before receiving the combined ACT, WDEP, and butterfly hug therapy in the intervention group was 33.0, and after the intervention, it decreased to 27.85. The mean anxiety score before receiving deep breathing therapy in the control group was 31.30, and after the intervention, it decreased to 28.30. The independent samples T-Test showed a p-value≤0.0001. The combination of ACT, WDEP technique, and the butterfly hug proved effective in reducing anxiety levels among cancer patients at the halfway house in Bengkulu City. This combination therapy appears feasible, safe, and potentially effective as a brief psychological intervention for cancer patients. It should be considered as part of supportive care packages in oncology services with ongoing evaluation of its effectiveness and its long-term impact on patients' psychological well-being