e-Jurnal Poltekkes Tanjungkarang
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Alat Permainan Edukasi (APE) Meningkatkan Perkembangan Motorik Halus pada Anak Usia 4-6 Tahun
Get PDFGames that are available today do not all contain elements of education that can help children's brain growth. Choosing educational toys that educate children today is indeed not easy. Based on a preliminary survey on January 10, 2019, conducted at Al-Kautsar Kindergarten out of 10 mothers, it was found that 6 (60%) mothers who gave playing equipment were not based on educational play equipment for their children and 4 (40%) mothers who gave toys to their children based on tools educational game to his child. Hypothesis there is the effect of giving APE to the development of fine motor children in 4-6 years. This type of quantitative research is quasi-experimental design with one group pretest and posttest design. The population of children in Al-Kautsar Kindergarten is 150 people, a sample of children aged 4-6 years in Al-Kautsar Kindergarten is 51 people. Sampling technique with accidental sampling. Dependent Research Variables Educational Game Tools and Independent Variables are Fine Motor Development. The time of this research is 4 months. The method used starts from pretest about fine motor skills of children and then carried out with interventions with 10 indicators and posttest. The results obtained are the effect of providing Educational Tools to children aged 4-6 years in Kindergarten AL-Kautsar with p-value 0,000 so it is smaller than the p-value of α (<0,005)
Evaluasi Kualitas Udara Dengan Mengukur Kadar Total Suspended Particulate (TSP) di Laboratorium Akrilik Program Studi D III Teknik Gigi
Get PDFLaboratorium pendidikan merupakan unit penunjang akademik pada lembaga pendidikan. Laboratorium pendidikan teknik gigi dibedakan menjadi: laboratorium akrilik, laboratorium logam, dan laboratorium keramik/porselen. Bahan dasar akrilik adalah metil metakrilat (MMA). MMA dilaporkan dapat menjadi faktor iritan bagi paru-paru, kulit maupun mata. Tujuan penelitian yang akan dilakukan adalah: untuk mengetahui nilai TSP sebelum praktikum , selama praktikum dan setelah praktikum di laboratorium akrilik, untuk mengetahui kualitas udara sebelum, selama, dan setelah praktikum, serta untuk mengetahui perbedaan kualitas udara sebelum praktikum, selama praktikum, sesudah praktikum pada kondisi tanpa perlakuan dan dengan perlakuan . Jenis penelitian yang digunakan adalah penelitian non eksperimental yang bersifat deskriptif analitik. Pengumpulan data dilakukan dengan teknik data primer, yaitu kadar debu (TSP) sebelum, selama, dan setelah praktikum. Penelitian akan dilakukan di Laboratorium Akrilik Jurusan Teknik Gigi, Poltekkes Kemenkes Tanjung Karang pada bulan Agustus-Desember 2019. Teknik sampling yang digunakan purposive sampling dengan jumlah sebanyak 18 sampel. Data ditampilkan dalam bentuk tabel distribusi frekuensi dan uji t independen untuk melihat perbedaan kadar TSP sebelum, selama, dan sesudah praktikum dilaksanakan. Hasil penelitian menunjukkan bahwa jumlah Total Suspended Particulate (TSP) di laboratorium akrilik jurusan teknik gigi masih masih tergolong baik. Dari seluruh waktu pengukuran hanya pada saat pagi hari yang terdapat perbedaan secara bermakna antara kelompok perlakuan dan tanpa perlakuan
Literature Review: Pemanfaatan Buku Kesehatan Ibu dan Anak (KIA) serta Potensi Pengembangan Selanjutnya
Get PDFThe period of 1000 days of life plays an important role in determining the quality of children's growth and development. Accessibility of quality health services through the MCH handbook is an important strategy for improving maternal and child health. The purpose of this review is to present an overview of the use and usefulness of the possession of a specific MCH handbook on maternal, infant and child outcomes, as well as the potential for further research development. The method of systematic study and study search through the ProQuest, EBSCOhost, and Scopus databases, with the keywords maternal and child health handbook, home based record, mother, newborn, infant, and child, published from January 2008 to October 2018. Furthermore, filtering of articles and data abstraction. A total of 56 articles on the use of the MCH handbook that met the eligibility/inclusion criteria were screened, and 16 articles were selected for a systematic review. The variety of existing studies, has proven the benefits, functions, and effectiveness of the MCH handbook on the health of mothers, infants, and children. The categories of use and use of MCH handbook are integrated with home-based records, namely as an effective tool to facilitate improvement in health-seeking behavior; continuous care; health communication, information and education; as well as home based health records. In order to fill the gap, further research can be directed at evaluating especially premature babies/LBW as part of a population of newborns with high risk. The use of digital technology in improving the implementation of interventions and the accessibility of MCH handbook is also important to be developed
ANALISIS RISIKO CEMARAN MIKROBIOLOGIS PADA PENGELOLAAN PERALATAN MAKAN DAN MINUM DI KANTIN SEKOLAH DASAR
Get PDFFood services must pay attention to a proper sanitary and hygiene practices, including on the eating and drinking utensils used in school cafetaria. Eating and drinking utensils management must prevent contamination, so it does not pose any risks of adverse health effect to the students. Preliminary test showed that the glass swab sample total plate count result was 2.894,6 CFU/cm2, thus it did not comply to the health regulation. This research aims to analyze the risks of managing eating and drinking utensils in the school cafetaria using the HACCP method by determining its critical control points (CCPs).This is an observasional study in which the object was two state elementary school cafetaria in Pakis Village, Sawahan region, Surabaya. Data was collected through observations, interviews, and samplings. Total plate count was measured on the utensils  swab samples, while E.coli and total coliform was counted on the washing water samples.Based on the HACCP approach, the equipment management flow starts with handwashing, followed by using, washing and storing utensils. As from the result suggested, it is known that there are microbiological hazards in the utensils management, causes of risks originated from the utensils management, there are necessary control measures, CCPs are identified in the utensils management flow, and equipment management is able to pose risks of contamination and disease transmission. Causes of risks from the utensils management include washing water microbiological quality and inadequate washing stage. The necessary control measures can be applied to the identified CCPs, namely at the scraping, washing, rinsing, sanitizing, and drying stages
Evaluasi Pengelolaan Instalasi Pengolahan Air Limbah Puskesmas
Get PDFCommunity health centers are releasing infectious wastewater that must be treated using a Wastewater Treatment Plant (WWTP). The performance of WWTP will affect the quality of effluent wastewater, while the quality has been determined by the Governor of East Java Regulation No. 72 of 2013, so as not to pollute the environment. This research purposed to evaluate the management of WWTP incommunity health center in Surabaya, which covers the north, south, east and west. This research analyzed the installation of 5 wastewater treatment plants, consisting of 2 WWTP Non-Inpatient Health Centers with the highest population category, and 3 Inpatient Health Centers with the highest number of beds. Data collection was obtained from observations, interviews and laboratory tests. Wastewater samplings were carried out at the inlet, after filtration and outlet. Data were analyzed descriptively and compared with East Java Governor Regulation No. 72 of 2013 and WWTP Technical Guidelines. The results of the research showed that the effluent quality of the Surabaya City Health Center wastewater treatment plant has met the quality standards. The discharge of wastewater community health centersnot exceed the maximum discharge of wastewater, but the Tanah Kalikedinding and the Jagir Health Center produced wastewater exceeding the discharge capacity of WWTP, so that the performances becomes less efficient. In terms of management, only Dr. Soetomo health center had sufficient grades, while others got excellent grades
FAKTOR RISIKO KERACUNAN PESTISIDA PADA PETANI HORTIKULTURA DI KABUPATEN LAMPUNG BARAT
Get PDFPesticide poisoning is still an important health problem in agricultural areas, especially horticultural agriculture. Various chronic health effects can be caused by long-term exposure to pesticides. This study aims to determine the risk factor of pesticide poisoning in horticultural farmers in West Lampung Regency.The study used a cross sectional design which was conducted in four different areas as the center of horticulture agriculture, West Lampung Regency, Lampung Province. The study involved 289 participants by interviewing, observing and examining blood samples to measure cholinesterase levels as an indicator of pesticide poisoning. In this section, we have applied research ethical procedures. The obtained data were analyzed using Chi squre test, Odds Ratio test and Logistic Regression.The results showed that the risk factors for pesticide poisoning were incomplete use of personal protected equipment (PPE), spraying with the wrong dose and spraying frequency. Unwearing a complete PPE had a 4.54 times (OR = 4.54; 95% CI 2.09-9.83) higher risk of experiencing pesticide poisoning, and statistically suggested, a very significant relationship (p = 0.0001). While the use of excessive dosage has a risk of 4.39 times (OR = 4.39; 95% CI 1.87-10.33; p = 0.001); and the frequency of spraying more than twice a week had a 2.33 times higher risk of experiencing pesticide poisoning (OR = 2.33; 95% CI 1.24-4.40; p = 0.009).Excessive use of pesticide dosage and the frequency of spraying with the cover blanked method are the main factors of pesticide exposure to farmers. On the other hand, the use of PPE is a method of protection from exposure. It needs joint efforts through increasing knowledge about the dangers of pesticides, pesticide management, how to work safely, and the use of PPE
Kombinasi Massage Nape dan Teknik Marmet terhadap Percepatan Pengeluaran ASI pada Ibu Post Partum
Get PDFWHO in 2016 still shows the average rate of exclusive breastfeeding (ASI) in the new world is around 38%. In Indonesia, although a large number of women (96%) breastfeed their children in their lifetime, only 42% of babies under 6 months of age are exclusively breastfed. By the time children approach their second birthday, only 55% are still being breastfed. When compared with the WHO target of 50%, this figure is still far from the target. Maximum achievement can be applied by applying nape and marmot massage techniques for postpartum mothers so that breast milk can be released more quickly. This study aims to help and explain the combination of nape and marmet massage techniques to speed up the use of breast milk in postpartum mothers in the working area of Ngaglik II Sleman Health Center. This research is Quasi-Experimental research using quantitative and post-test designs, with a sample of 30 respondents divided into groups given intervention and control groups taken by purposive sampling. Univariate and bivariate data analysis. The results showed that the effect of nape massage combination and guinea pig technique on the acceleration of ASI use based on the Mann Whitney Test statistical test showed results (p-value 0,002)<0,05. The combination of nape massage and marmet technique has an effect on accelerating breastfeeding
GAMBARAN KEBUTUHAN SPIRITUAL PASIEN PRE OPERATIF DI RUANG BEDAH RUMAH SAKIT BANDUNG
Get PDFRencana tindakan pembedahan bagi pasien pre operatif merupakan stressor psikososial yang dapat menimbulkan stres, cemas, dan depresi. Kebutuhan spiritual merupakan kebutuhan yang penting untuk membantu pasien pada masa krisis dalam menghadapi penyakitnya, kesehatan atau kematian.      Jenis penelitian yang digunakan adalah deskriptif. Tujuan penelitian ini adalah untuk mendapatkan gambaran tentang kebutuhan spiritual pasien pre operatif di ruang perawatan bedah Rumah Sakit Bandung. Metode sampel dalam penelitian ini adalah Accidental Sampling yaitu suatu cara pengambilan sample yang dilakukan dengan mengambil responden yang kebetulan ada atau tersedia dan didapatkan 40 orang. Metode pengumpulan data dengan lembar kuisioner dan analisis uji Spearmen Rank dengan tingkat signifikansi 0,05 (5%). Hasil penelitian didapatkan hampir seluruh responden yaitu 32 orang (80,00 %) sangat memerlukan kebutuhan spiritual, dan sisanya sebanyak 8 orang (20,00 %) cukup memerlukan kebutuhan spiritual, ternyata tidak seorangpun responden yang kurang memerlukan akan kebutuhan spiritual. Mengupayakan kualitas pemberian kebutuhan akan pemenuhan kebutuhan spiritual pasien pre operatif karena hal tersebut sangat mutlak sekali diperlukan oleh pasien yang akan menjalani tindakan pembedahan
Analisis Situasi dan Optimalisasi Pelaksanaan Metode Asuhan Keperawatan Primer di RS Anak dan Bunda Di Jakarta
Get PDFAsuhan keperawatan primer dikembangkan untuk mengurangi fragmentasi perawatan pasien, dan meningkatkan status profesional keperawatan.  Penelitian bertujuan mengidentifikasi faktor yang berkontribusi terhadap belum optimalnya pelaksanaan metode keperawatan primer.  Penelitian menggunakan desain penelitian deskriptif analysis dengan Fishbone Analysis. Sampel diambil secara purposive sampling dengan jumlah  54 responden. Data dikumpulkan melalui wawancara, observasi, penyebaran kuesioner, dan data sekunder (telusur dokumentasi). Wawancara melibatkan Kepala bidang keperawatan, Kepala ruangan, dan Perawat Primer (PP). Observasi dilakukan dengan pengamatan langsung kegiatan asuhan keperawatan. Kuesioner diberikan kepada 54 perawat pelaksana di Instalasi Peristi. Hasil analisis menunjukan masih kurangnya pemahaman/tingkat pengetahuan staf keperawatan tentang metode keperawatan primer.  Kualifikasi pendidikan formal dan kompetensi staf keperawatan yang belum sesuai.  Peran dan fungsi manajemen yang belum optimal, dan pengembangan teknologi keperawatan yang belum memadai. Penelitian menyimpulkan sumber daya manusia merupakan faktor yang dominan terutama tingkat pengetahuan tentang keperawatan primer, pemahaman terhadap peran dan fungsi perawat primer, perawat asosiet, dan kepala ruangan. Upaya yang dapat dilakukan dengan peningkatan pengetahuan dan pemahaman staf keperawatan yang di update secara berkala, meningkatkan peran informasional tentang primary nursing care dan meningkatkan fungsi staffing, actuating, dan controlling dari manajer keperawatanAbstrak: Asuhan Keperawatan merupakan salah satu komponen yang esensial dalam pelayanan kesehatan. Asuhan keperawatan primer dikembangkan untuk mengurangi fragmentasi perawatan pasien, dan meningkatkan status profesional keperawatan.  Tujuan: mengidentifikasi faktor yang berkontribusi terhadap belum optimalnya pelaksanaan metode keperawatan primer. Metode: merupakan penelitian deskriptif analysis dengan menggunakan Fishbone Analysis. Sampel diambil secara purposive sample yaitu pada salah satu instalasi di rumah sakit anak dan bunda di Jakarta. Data dikumpulkan melalui wawancara, observasi, penyebaran kuesioner, dan data sekunder (telusur dokumentasi). Wawancara melibatkan Kepala bidang keperawatan, Kepala ruangan, dan Perawat Primer (PP). Observasi dilakukan dengan pengamatan langsung kegiatan asuhan yang dilakukan di ruang perawatan. Kuesioner tentang pemahaman dan pelaksanaan metode keperawatan primer  diberikan kepada 54 perawat pelaksana di Instalasi Peristi. Hasil: Penelitian ini menganalisis lima komponen yang berkontribusi terhadap belum optimalnya metode asuhan keperawatan primer yaitu Man, Methode, Manajemen, Materials, dan Machine. Hasil analisis menunjukan masih kurangnya pemahaman/tingkat pengetahuan staf keperawatan tentang metode keperawatan primer.  Kualifikasi pendidikan formal dan kompetensi staf keperawatan yang belum sesuai.  Peran dan fungsi manajemen yang belum optimal, dan pengembangan teknologi keperawatan yang belum memadai. Simpulan dan Rekomendasi:  sumber daya manusia merupakan faktor yang dominan terutama tingkat pengetahuan tentang keperawatan primer, pemahaman terhadap peran dan fungsi perawat primer, perawat asosiet, dan kepala ruangan. Upaya yang dapat dilakukan dengan peningkatan pengetahuan dan pemahaman staf keperawatan yang di update secara berkala, meningkatkan peran informasional tentang primary nursing care dan meningkatkan  fungsi staffing, actuating, dan controlling dari manajer keperawatan.                 Kata kunci:  Fish Bone Analysis, Metode asuhan keperawatan primer, perawat prime
ANALISIS PENERAPAN TEORI SELF CARE DOROTHEA OREM PADA Tn.S DENGAN DIABETES MELITUS TIPE 2
Get PDFDiabetes melitus (DM) penyakit gangguan metabolisme karbohidrat, lemak dan protein sehingga mengakibakan hiperglikemia kronis. Pendekatan yang digunakan  dalam menangani penyakit kronis yakni Self-Care Deficit Nursing Theory (SCDNT). Metode yang dIgunakan studi kasus dan studi literatur. Hasil Tn.S berusia 57 tahun saat ini dirawat dengan diagnosa medis sepsis perbaikan et causa selulitis, ulkus diabetes, CAP, AKI ec sepsis dan diabetes melitus tipe 2. Pengkajian dengan pendekatan self care Orem terdapat masalah ketidakadekuatan universal self care requisites, development self care requisites, dan health deviation self care requisites. Masalah keperawatan utama pada kasus yakni resiko perluasan infeksi. Tujuan yang ditetapkan mengacu pada NOC berdasarkan pendekatan Self Care Orem. Intervensi, implementasi dan evaluasi keperawatan mengacu pada nursing system pada pendekatan Self Care Orem.. Kesimpulan pendekatan self care Orem dapat diterapkan pada kasus DM dengan komplikasi yang kompleks. Perawat diharapkan mampu menerapkan pengkajian dengan menggunakan pendekatan teori self care Orem pada kasus DM dengan pendekatan universal self care requisites, development self care requisites, dan health deviation self care requisites serta berdasarkan nursing system dengan memberikan bantuan secara keseluruhan (the whole compensatory system), bantuan sebagian (the partly compensatory system),  bantuan pada pasien dengan tingkat ketergantungan yang rendah (the supportive compensatory system).Latar belakang Diabetes melitus (DM) penyakit gangguan metabolisme karbohidrat, lemak dan protein sehingga mengakibakan hiperglikemia kronis. Pendekatan yang digunakan  dalam menangani penyakit kronis yakni Self-Care Deficit Nursing Theory (SCDNT). Metode yang dgunakan studi kasus dan studi literatur. Hasil Tn.S berusia 57 tahun saat ini dirawat dengan diagnosa medis sepsis perbaikan et causa selulitis, ulkus diabetes, CAP, AKI ec sepsis dan diabetes melitus tipe 2. Pengkajian dengan pendekatan self care Orem terdapat masalah ketidakadekuatan universal self care requisites, development self care requisites, dan health deviation self care requisites. Masalah keperawatan utama pada kasus yakni resiko perluasan infeksi. Tujuan yang ditetapkan mengacu pada NOC berdasarkan pendekatan Self Care Orem. Intervensi, implementasi dan evaluasi keperawatan mengacu pada nursing system pada pendekatan Self Care Orem.. Kesimpulan pendekatan self care Orem dapat diterapkan pada kasus DM dengan komplikasi yang kompleks. Perawat diharapkan mampu menerapkan pengkajian dengan menggunakan pendekatan teori self care Orem pada kasus DM dengan pendekatan universal self care requisites, development self care requisites, dan health deviation self care requisites serta berdasarkan nursing system dengan memberikan bantuan secara keseluruhan (the whole compensatory system), bantuan sebagian (the partly compensatory system),  bantuan pada pasien dengan tingkat ketergantungan yang rendah (the supportive compensatory system).Â