e-Jurnal Poltekkes Tanjungkarang
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HUBUNGAN PENERAPAN 5 PILAR SANITASI TOTAL BERBASIS MASYARAKAT (STBM) DAN KEJADIAN DIARE DI DESA TAMAN BARU KECAMATAN PENENGAHAN KABUPATEN LAMPUNG SELATAN
Get PDFDiarrhea affects the death of several people around the world. In Lampung Province, the morbidity rate for all age groups tended to increase in 2005-2014. The increase in cases also occurred in South Lampung Regency from 2016-2018, and the most in Taman Baru Village, Penengah District.The study used a cross-sectional design with a sample of 267 households, which are all households in Taman Baru Village. Primary data were collected through a survey using a questionnaire and checklist. The collected data were processed and analyzed in a bivariate manner with the help of a computer program.The results showed a relationship between knowledge and application of the five pillars of STBM and the incidence of diarrhea. Community leaders and village officials fully support STBM activities. The people of Taman Baru Village have not carried out liquid waste management and household waste management, this factor can be the cause of the increasing incidence of diarrhea
Telehealth Sebagai Determinan Pengetahuan, Sikap dan Perilaku Klien pada Masa Pendemi Covid-19
Get PDFBackground: Health workers are exposed to the transmission of COVID-19 events in various countries, due to the lack of effective prevention at the level of health care facilities. There are still many clients who come to get midwifery services without using telehealth to be one of the risk factors for transmission to health workers and clients. The implementation of telemedicine services to prevent COVID-19, including midwifery services, needs to be evaluated. Purpose: This study is to analyze the effect of telehealth on increasing the knowledge, attitudes, and behavior of clients. Methods: This study used a cross-sectional study design. The research sample is clients who visit midwifery services who have used teleregistration and teleconsultation totaling 300 respondents. Data was collected by distributing questionnaires using a questionnaire. Data analysis was carried out in stages, starting with univariate, bivariate, and multivariate analysis using multiple logistic regression tests. Results: The results of the study show that there is a significant relationship between knowledge, attitudes, and behavior with the use of telehealth. Multiple logistic regression analysis showed that the behavior of clients who came to midwifery services had the most influence on the utilization of telehealth (ORadjusted = 25.19). Conclusion: Telehealth is able to provide the effect of increasing knowledge and positive attitudes and behaviors. Behavior is the most influential factor in the client's utilization of telehealth in midwifery services. Access to information on the use of telehealth services needs to be improved through education in various midwifery service facilities, especially to the community during the COVID-19 pandemic, so that transmission from health services can be minimized.AbstrakPendahuluan: Tenaga kesehatan terpapar penularan kejadian covid-19 di berbagai negara, disebabkan karena belum efektif pencegahan di tingkat fasilitas pelayanan kesehatan. Masih banyaknya klien yang datang untuk mendapatkan layanan kebidanan tanpa memanfaatkan telehealth menjadi salah satu faktor risiko penularan terhadap tenaga kesehatan maupun klien. Penyelenggaraan pelayanan telemedicine upaya pencegahan covid-19, termasuk pelayanan kebidanan perlu dievaluasi. Tujuan:Â Studi ini untuk menganalisis efek telehealth terhadap peningkatan pengetahuan, sikap dan perilaku klien. Metode:Â Penelitian ini menggunakan rancangan studi cross sectional. Sampel penelitian adalah klien yang berkunjung di pelayanan kebidanan yang telah memanfaatkan teleregistrasi dan telekonsultasi berjumlah 300 responden. Pengumpulan data dilakukan dengan menyebarkan angket menggunakan kuesioner. Analisis data dilakukan secara bertahap mulai analisis univariat, bivariat dan multivariat menggunakan uji regresi logistik ganda. Hasil:Â Hasil studi menunjukkan ada hubungan yang bermakna antara pengetahuan, sikap dan perilaku dengan pemanfaatan telehealth. Analisis regresi logistik ganda menunjukkan bahwa perilaku klien yang datang ke pelayanan kebidanan paling berpengaruh terhadap pemanfaatan telehealth (ORadjusted = 25,19). Simpulan: Telehealth mampu memberikan efek peningkatan pengetahuan dan sikap serta perilaku positif. Perilaku menjadi faktor yang paling berpengaruh terhadap pemanfatan teleheatlh oleh Klien di pelayanan kebidanan. Akses informasi pemanfataan layanan telehealth perlu ditingkatkan melalui edukasi diberbagai sarana pelayanan kebidanan khususnya kepada masyarakat pada masa pandemi covid-19, sehingga penularan yang bersumber di pelayanan kesehatan mampu diminimalkan
HUBUNGAN KEBISINGAN DENGAN KESEHATAN PEKERJA BAGIAN PRODUKSI DI PT. CENTRALPERTIWI BAHARI FISH FEEDMILL
Get PDFTingginya intensitas kebisingan di ruang produksi PT.Centralpertiwi Bahari Fish Feedmill akan memberikan dampak terhadap kesehatan pekerja, baik gangguan fisiologis maupun psikologis. Penelitian bertujuan untuk mengetahui hubungan faktor kebisingan dengan gangguan kesehatan, meliputi intensitas kebisingan, sumber kebisingan, pengendalian transmisi kebisingan, dan penggunaan APD.Penelitian bersifat analitik dengan rancangan cross sectional, dilakukan pada bulan Juni 2017 di ruang produksi PT. Centralpertiwi Bahari Fish Feedmill. Variabel penelitian yaitu intensitas kebisingan, sumber kebisingan, pengendalian transmisi kebisingan, dan penggunaan APD dan gangguan kesehatan akibat kebisingan berupa gangguan fisologis dan psikologis. Pengukuran kebisingan dengan Sound Level Meter pada 10 titik pengukuran. Wawancara dilakukan untuk mendapatkan karakteristik, serta keluhan fisologis dan psikologis pekerja.Hasil penelitian mendapatkan bahwa tingkat kebisingan berkisar antara 79,87-92,86 dB. Sebanyak 32,5% pekerja mengalami gangguan fisiologis dan 47,5% gangguan psikologis, akibat paparan kebisingan. Namun, keseluruhan variabel tidak terdapat hubungan yang bermakna dengan gangguan kesehatan pekerja
PENGETAHUAN, PERILAKU DAN LINGKUNGAN YANG BERHUBUNGAN DENGAN KEJADIAN KECACINGAN ANAK DI TEMPAT PEMBUANGAN AKHIR BAKUNG
Get PDFKecacingan masih sering dijumpai di seluruh wilayah Indonesia. Data World Health Organization (WHO) pada tahun 2015 lebih dari 1,5 miliar orang, atau 24% dari populasi dunia, terinfeksi cacing. Tujuan penelitian mengetahui hubungan pengetahuan, perilaku dan lingkungan dengan kejadian kecacingan anak di Tempat Pembuangan Akhir Bakung tahun 2017.Penelitian ini menggunakan rancangan cross sectional (potong lintang), bertujuan mengetahui hubungan dua variabel yaitu variabel bebas dan variebel terikat. Tempat penelitian di pembuangan akhir bakung dilakukan pada bulan mei - juni 2017. Populasi dalam penelitian ini adalah seluruh anak pemulung sampah berusia 1 – 12 tahun yang bermukim di tpa bakung sebanyak 55 orang.Hasil penelitian melaporkan 89.9% anak berusia 1 – 12 tahun yang bermukim di TPA Bakung positif terinfeksi cacing. Hasil uji chi-square diperoleh tidak ada hubungan antara pengetahuan anak dengan kejadian kecacingan (p= 0.23), tidak ada hubungan antara perilaku anak dengan kejadian kecacingan (p=0.674) ada hubungan antara lingkungan anak dengan kejadian kecacingan (p=0.000)
Pengaruh Karakteristik Individu terhadap Fungsi Paru pada Petugas Penyapu Jalanan
Get PDFThe increase in the number of vehicles in Samarinda City occurs significantly every year this has the potential to decrease environmental quality, namely air pollution. People who are at risk of air pollution are street sweepers who work on the streets every day so that it can have an impact on health. Therefore, the purpose of this study was to determine the individual characteristics of lung function among street sweeping officers in Samarinda City. This research is a type of observational analytic study with a cross-sectional research design that has the aim of analyzing the risks to the consequences that are caused together. This research is included in the quantitative description. The research location was carried out along the protocol road in Samarinda City. The study population was street sweeping officers who were taken randomly amounting to 55 people. This study consisted of the dependent variable, namely lung function, and the independent variables were gender and year of service. Data analysis her use fisher’s exact. Data were collected using questionnaires and interviews, measuring lung function on street sweeping officers using a spirometer, while interviews were carried out to determine the sex and year of service of the officers while working as a street sweeper in Samarinda City. The results of the bivariate analysis of individual characteristics, namely between gender and lung function obtained p-value=0,674, while the bivariate results between a work period and lung function obtained p-value 0,219. There was no significant relationship between gender, work period, and lung function
DAUN PEPAYA (CARICA PAPAYA LINNAEUS) SEBAGAI LARVASIDA PADA LARVA AEDES AEGYPTI INSTAR III
Get PDFDemam Berdarah Dengue (DBD) merupakan salah satu masalah kesehatan masyarakat di Indonesia dengan jumlah penderita cenderung meningkat dan penyebarannya semakin luas. Provinsi Lampung merupakan salah satu daerah endemik DBD dengan jumlah kasus sebanyak 277 (2015), meningkat dibandingkan tahun sebelumnya (227 kasus). Dalam penelitian ini akan digunakan ekstrak daun pepaya karena diketahui mengandung banyak senyawa metabolit beracun yang dapat digunakan sebagai alternatif pestisida alami. Tujuan penelitian ini adalah Untuk mengetahui kemampuan ekstrak daun pepaya (Carica papaya l) sebagai larvasida pada larva Aedes aegypti Instar III.Jenis penelitian ini adalah eksperimental dengan rancangan penelitian Rancangan Acak Lengkap Faktorial. Penelitian ini dilakukan di Laboratorium Jurusan Kesehatan Lingkungan Tanjung Karang pada bulan Februari-Maret 2019. Metode pengambilan sampel dengan Randomized Sampling. Variabel independen yaitu ekstrak daun pepaya (konsentrasi dan waktu kontak), variabel dependen yaitu larva Aedes aegypti.Hasil penelitian ini menunjukan bahwa dari 5 macam konsentrasi dengan 2 kali pengulangan didapatkan hasil pengaruh konsentrasi ekstrak daun pepaya yang paling efektif terdapat pada konsentrasi 1,5% dan 3% serta waktu kontak 4 jam
Hubungan Tingkat Pengetahuan dengan Perilaku Pencegahan Penularan Covid-19 pada Masyarakat
Get PDFThe number of Covid-19 in various countries continues to increase every day, various efforts have been made by the government in various countries, one of which is in Indonesia, one of the efforts that have been made is education. Education is the first step to form behavior that can reduce the spread of Covid-19. The purpose of this research is to find out whether there is a relationship between knowledge about the prevention of transmission of Covid-19 with prevention behavior of transmission of Covid-19 in the community in the Garut district. This type of research is a cross-sectional study, using data collected online based on reports from 145 respondents. The research data were analyzed using the chi-square to assess the relationship between knowledge and behavior. The results showed that more than half of the respondents already had good knowledge, namely 77,2%, and 67% of respondents have good behavior. From the results of statistical tests obtained p-value 0,06 (>0,05), it can be concluded that there is no significant relationship between the level of knowledge about the prevention of Covid-19 and the behavior to prevent the spread of Covid-19. Given that there are several findings in research and limitations in the study, therefore, it is hoped that in the future various parties can examine other factors related to the level of knowledge about and behavior to prevent the spread of Covid-19 in various communities in various regions, districts, cities and countries
Determinan Kadar Cluster Diferensiasi 4 (CD4) pada Orang dengan HIV/AIDS
Get PDFAIDS which is caused by the human immunodeficiency virus (HIV), is a global health crisis, with differentiated cluster 4 (CD4) cells being the main target so that it can affect the high morbidity and mortality rates. This study aimed to determine the determinants that affect CD4 levels in people with HIV/AIDS. The study population was all people with HIV/AIDS in care, support, and treatment (CST) services in Palembang City with a sample size of 118. The sampling technique was carried out using nonrandom, namely purposive sampling. Samples were taken when respondents took antiretroviral (ARV) treatment at a health facility. The research instrument used a structured questionnaire and medical records. To measure the determinant (independent variable) was done by interview, while to determine the CD4 count using data that has been recorded in the Medical Record. The results are the length of treatment was a factor that could reduce the risk of low CD4 levels in people with HIV/AIDS, with p-value=0,006; ORAdj 0,286 (0,117-0,697), whereas stigma and treatment side effects were proven as confounding variables. Increasing the CD4 in people living with HIV/AIDS requires appropriate and regular treatment. Regular treatment with a duration of therapy of more than 1 year has been shown to prevent low CD4 cells. The higher the CD4 cell count in people living with HIV/AIDS, the greater the chance of controlling opportunistic infections, reducing transmission and premature death. People with HIV/AIDS are advised to take regular medication at available health facilities and take medication regularly
Faktor yang Berhubungan dengan Kejadian Potentially Inappropriate Medication (PIM) Berdasarkan Kriteria Stopp Start pada Pasien Geriatri dengan Gangguan Kardiovaskuler
Get PDFBackground: Identification of drug prescriptions in the geriatric population is very important to prevent dangerous prescriptions, increased morbidity, adverse drug reactions, and mortality. The STOPP START criterion is one of the criteria that is widely used to identify the safety of pharmacological therapy in the geriatric population. Purpose: This research aims to know factors associated with the incidence of PIM in geriatric patients with a diagnosis of cardiovascular disorders based on the STOPP START Criteria. Methods: The design of this research is analytic observation research with a cross-sectional study method. The population in this study were inpatient geriatric patients diagnosed with cardiovascular disorders at Dr. H. Abdul Moeleok Hospital Lampung Province in 2018. Sample collection was carried out by observing patient medical record data in 2018. The incidence of PIM was identified using the STOPP START criteria. Data analysis was carried out by using the chi-square test. Results: The results of the univariate analysis showed that the four most common types of PIM were not using statins in patients with a history of coronary heart disease and cerebral vascular disease (25.81%), not using ACE inhibitors in patients with chronic heart failure (24.19%), not using ACE inhibitor in patients with acute myocardial infarction and atrial fibrillation 11.29% each. Bivariate analysis showed that there was a significant relationship between the incidence of PIM and comorbidities. Conclusion: The most PIM in the treatment of geriatric patients is the use of statins in patients who have a history of coronary heart disease and cerebral vascular disease as much as 25.81% and there is a significant relationship between the incidence of PIM and comorbidities.Abstrak. Latar Belakang: Identifikasi peresepan obat pada populasi geriatri sangat penting dilakukan untuk mencegah peresepan yang membahayakan, peningkatan morbiditas, reaksi obat tidak diinginkan, dan mortalitas. Kriteria STOPP START merupakan  salah satu kriteria yang banyak digunakan untuk mengidentifikasi keamanan terapi farmakologi pada populasi geriatri. Tujuan: Penelitian ini bertujuan untuk mengetahui factor yang berhubungan dengan kejadian PIM pada pasien geriatri dengan diagnose gangguan kardiovaskuler berdasarkan Kriteria STOPP START. Metode: Desain penelitian ini adalah penelitian observasi analitik dengan metode cross sectional study. Populasi dalam penelitian ini adalah pasien geriatri rawat inap dengan didiagnosa gangguan kardiovaskuler di RSUD Dr. H. Abdul Moeleok Provinsi Lampung pada tahun 2018. Pengumpulan sampel dilakukan dengan mengobservasi data rekam medik pasien tahun 2018. Kejadian PIM diidentifikasi menggunakan criteria STOPP START. Analisis data dilakukan dengan uji chi square. Hasil: Hasil analisis univariat menunjukkan empat jenis PIM terbanyak adalah tidak digunakannya statin pada pasien yang memiliki riwayat penyakit jantung koroner dan cerebral vascular disease (25,81%), tidak digunakannya ACE inhibitor pada pasien gagal jantung kronik (24,19%), tidak digunakannya ACE inhibitor pada pasien infark miokardial akut dan fibrilasi atrial masing-masing 11,29%. Analisis bivariat menunjukkan terdapat hubungan bermakna antara kejadian PIM dengan komorbid. Simpulan PIM terbanyak pada pengobatan pasien geritari adalah tidak digunakannya statin pada pasien yang memiliki riwayat penyakit jantung koroner dan cerebral vascular disease sebanyak 25,81% dan terdapat hubungan yang bermakna antara kejadian PIM dengan komorbid
Pengaruh Senam Kegel terhadap Penyembuhan Luka pada Ibu Post Partum
Get PDFRisiko tinggi/komplikasi adalah keadaan penyimpangan dari normal, yang secara langsung menyebabkan kesakitan dan kematian ibu maupun bayi. Tujuan Penelitian : diketahui pengaruh senam kegel terhadap penyembuhan luka pada ibu post partum. Jenis penelitian kuantitatif, desain penelitian metode quasi eksperimen dengan pendekatan Post test with control group design, objek penelitian adalah pengaruh senam kegel dengan ruptur perineum. Populasi dalam penelitian ini adalah seluruh ibu bersalin. Populasi penelitian ini adalah seluruh ibu bersalin primi dengan jumlah sampel adalah 60 responden. Analisis data menggunakan uji t independen. Hasil Penelitian: Rata-rata penyembuhan luka pada kelompok eksperimen sebelum senam kegel adalah 10,73 dan setelah senam kegel 4.40. Rata-rata penyembuhan luka pada kelompok kontrol pada pengukuran pertama adalah 10.53 dan pengukuran kedua 5.20. Ada penyembuhan luka pada ibu post partum (p-value 0,015) dengan nilai beda mean 0,800 dan t-test 2,592. Kepada perawat diharapkan selalu mengajarkan senam kegel pada ibu hamil dan terutama pada ibu-ibu primigravida.Â