e-Jurnal Poltekkes Tanjungkarang
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Evaluasi Rekurensi Laparoskopi-assisted Ligasi Ekstraperitoneal dengan Penggunaan IV Catheher 18G pada Pengobatan Hernia Inguinalis Anak
Get PDFTreatment of pediatric inguinal hernia can be done with conventional and laparoscopy methods. Laparoscopic percutaneous extraperitoneal ligation closes the internal inguinal ring by making sutures that are knotted by the extraperitoneum and implanted in the subcutaneous tissue. The rate of recurrence and postoperative complications are still a major concern. Division of pediatric surgery at Dr. M.Djamil Hospital Padang made modifications using an 18G intravenous catheter that was bent to form an angle of 100-150. This study aims to determine the success of laparoscopic herniotomy with modification performed by recurrence rate. This study is a retrospective analytic design method. Data was taken from the medical record status of pediatric inguinal hernia patients undergoing laparoscopic herniotomy at RSUP Dr. M.Djamil Padang from January 2018 -December 2019. Data were analyzed by crosstabulation using the Fisher test. Recurrence was seen in 7,4% of patients (5/68 patients). Three cases in boys and 2 cases in girls. Two cases in the age group ≤1 year and 3 cases in the age group >1 year. One case in the weight group ≤10 kg and 4 cases in the bodyweight >10 kg. Three recurrent cases appeared on the right side and 2 cases on the left side. There were no differences in the incidence of recurrence after laparoscopic-assisted extraperitoneal ligation with intravenous catheter 18G as needle puncture according to age, sex, body weight, and location of the hernia
Hubungan Reward dan Supervisi dengan Pelaksanaan Pelayanan Keperawatan Syariah
Get PDFReward and supervision are important parts in implementing the quality of sharia-based nursing services. The quality or quality of sharia services at RSISA is in a good category, but it takes efforts to maintain and improve continuously. One of these efforts is by increasing rewards and supervision. The purpose of this study is to analyze the relationship between reward and supervision with the implementation of sharia nursing services. The subjects of this study were inpatients at Sultan Agung Islamic Hospital Semarang with a sampling technique that is simple random sampling with 96 respondents. Data analysis techniques in this study used the Spearman correlation statistical test. The results showed that there was a relationship between reward and the implementation of sharia nursing services with a p-value of 0,05 and there was a relationship between supervision with the implementation of sharia nursing services with a p-value of 0,01. The results of this study were expected to be considered by hospital policy stakeholders to review the giving of rewards for nurses and the implementation of work supervision to nurses to improve the quality of sharia-based nursing services
Faktor Kejadian Anemia pada Pasien Kanker yang Mendapat Radioterapi dan atau Kemoterapi
Get PDFBase on research, radiotherapy can reduce cancer recurrence in 10 years from 35% to 19,3% in breast cancer. However, the therapy given affects the life quality of patients, one of which is anemia. Anemia causes a decrease in response and tolerance to treatment. This study aims to determine the factors associated with the incidence of anemia in cancer patients who receive radiotherapy and or chemotherapy. This study was an observational analytic study with a cross-sectional design. The method of sampling with consecutive sampling with a minimum sample size of 47. The result showed the age of a p-value (0,321)>0,05, the number of fractions a p-value (0,181)>0.05, the frequency of light that had been conducted a p-value (0,160)>0,05, type of radiotherapy a p-value (0,933)>0,05, setting radiotherapy a p-value (0,769)>0,05, history of blood transfusion during chemotherapy a p-value (0,411)>0,05 and nutrient intake (Protein a p-value (0,337)>0.05, iron a p-value (0,086)>0,05, zinc a p-value (0,411)>0,05, folic acid a p-value (0,963)>0,05, vitamin C a p-value (0,240)>0,05). Meanwhile, the total radiation dose received by respondents during one period of radiotherapy showed that there was a relationship with the incidence of anemia with a p-value (0,045)<0,05. As conclusions, that there was no significant relationship between age, type of cancer, number of fractions, frequency of light that had been conducted, type of radiotherapy, radiotherapy settings, history of blood transfusion during chemotherapy and nutrient intake, while the total radiation dose given to respondents showed a significant relationship with anemia incidence
Efektivitas Penerapan Metode Ular Tangga terhadap Pengetahuan dan Keaktifan Mengikuti Kelas Ibu Hamil
Get PDFThe effort to reduce maternity and child mortality is through the implementation of maternity classes. However, pregnant women who take maternity classes in Indonesia are still low because pregnant class participants feel bored with the method used. The purpose of this study was to determine the effectiveness of the application of the snake ladder method to the knowledge and activeness of taking classes in pregnant women in the Poso City Health Center. This research was carried out for 3 months. The population in this study were all trimester II and III pregnant women who examined their pregnancies. The research sample consisted of 79 people who were divided into 3 Puskesmas in the Poso City Region. The results obtained showed that the snake and ladder method lectures each showed a value of p-vaue<0,001 which means that there were differences in the mean of knowledge and activeness before and after using the snake and ladder method for pregnant women. It can be concluded that there is an increase in knowledge about pregnancy and the activeness of mothers in attending classes of pregnant women
Faktor Dominan Perilaku Berisiko terhadap Melahirkan Usia Anak
Get PDFThe impact of early marriage, among others, is related to reproductive health. Lampung Province is 10.70% and is the 12th of 22 provinces where the prevalence of child marriage is still above the national average. The purpose of this study is to determine the risk behavior of giving birth to teenagers in Tanggamus Regency in 2020. This type of research is quantitative, analytical research design with a cross-sectional approach. Data analysis was univariate, bivariate, and multivariate. The results of the study were 132 (53,7%) respondents with good knowledge, 143 (58,1%) respondents with a positive attitude, 149 (60,6%) respondents with higher education, 164 (66,7%) %) respondents with sufficient economic status, as many as 168 (68.3%) respondents with premarital sex, as many as 78 (31,7%) respondents with a positive physical environment, as many as 133 (54,1%) respondents with positive beliefs, as many 140 (56,9%) respondents with a positive role as an officer, as many as 137 (55,7%) respondents with a negative parent role, as many as 176 (71,5%) respondents with a positive socio-cultural role, as many as 164 (66,7%) respondents who did not give birth to the age of the child. There is a relationship between knowledge, attitudes, economic status, premarital sex, physical environment, beliefs, and customs on the behavior of giving birth to teenagers. There is no relationship between the role of health workers, the role of parents on the behavior of giving birth to adolescents, the dominant factor in giving birth to children in Tanggamus Regency in 2020 is premarital sex
Penggunaan Media Booklet Ibu Hamil dalam Upaya Pencegahan Anemia pada Ibu Hamil Korban Tsunami
Get PDFAnemia has a high contribution to mortality in Indonesia with a percentage of 50-70%. The research objective was to determine the benefits of booklet media to prevent anemia in pregnant women victims of the tsunami in the South Lampung area which occurred in December 2018. The research design was pre-experimental with one group pre-test and post-test research designs. The population of this study was pregnant women who were in the South Lampung area which was affected by the December 2018 tsunami. The number of samples was the total population taken randomly. Quantitative data analysis using frequency distribution, independent T-test. Based on the results of the Wilcoxon Matched Pairs statistical test, the effectiveness of the pregnant women booklet on HB levels, the value of α=0,000 was obtained, so that α<0,05. The results of this statistical test prove that the booklet of pregnant women is effective on the HB level of pregnant women. Likewise, in the booklet effectiveness test of pregnant women on maternal knowledge, the value of α=0,000 was obtained so that α<0,05. Thus it can be concluded that there is the effectiveness of pregnant women booklets in efforts to prevent anemia in pregnant women victims of the tsunami in the South Lampung area in 2019
Perbedaan Glasgow Coma Scale dan Rapid Emergency Medicine Score dalam Memprediksi Outcome Pasien Trauma Kepala di Instalasi Gawat Darurat
Get PDFInitial assessment of patients with head trauma is an influence on the management of patients with head trauma. GCS was developed to describe the level of consciousness in patients with head trauma. Whereas REMS is a scoring system that has been used widely in various countries to predict the mortality of patients coming to the emergency room. The purpose of this study was to determine the differences in the effectiveness of REMS and GCS scoring on the outcome of head trauma patients in the Emergency Departement. This study uses an analytic observational design with a retrospective cohort approach. The sample consisted of 181 patients where the sampling was carried out using a purposive sampling technique in which the researchers selected samples according to the inclusion and exclusion criteria of the existing population. Bivariate analysis conducted in this study used the Somers'd test and the Spearman test. The Area Under Receiver Operating Characteristics (AUROC) is used to assess the ability of REMS and GCS scoring to distinguish good outcomes and bad outcomes. The results of this study indicate that REMS and GCS scoring has a p-value<0,05 which means there is a significant relationship with the outcome of head trauma patients. From the results of the AUROC analysis, the AUC value was 0.753 for REMS, and the AUC was 0.769 for GCS. The ability of REMS and GCS to predict the outcome of head trauma patients shows good performance. So that both can be considered used as an early detection system or Early Warning Score System (EWSS) in head trauma patients in the Emergency Departement
Peningkatan Kadar Hemoglobin Remaja Putri dengan Pemberian Kukis Pelangi Ikan Gaguk (Arius thalassinus)
Get PDFWomen have a higher risk of anemia, especially in young women. This study aimed to determine the effect of giving the rainbow fish cookies (Arius thalassinus) to changes in hemoglobin levels in young girls in Pancasila MTs Bengkulu City. This study was a pre-experimental design study with one group pretest and posttest design. The sampling technique was done by purposive sampling as many as 37 people. The treatment given is in the form of 10 pieces (100gr) rainbow fish cookies for 30 days to young women. This research was carried out by checking the levels of hemoglobin before and after the administration of the rainbow fish cookies. The analysis used is the dependent parametric T-test. The average recall of young women 3x24 hours was Fe intake by 5,40mg, protein intake by 40,4 grams, and vitamin C intake by 5,7mg. In the provision of cookies rainbow fish (Arius thalassinus) obtained an average value of hemoglobin levels before that is 10,70g/dL and after being given treatment to 12,87g/dL with a p-value of 0,000 (<0,05). There is an effect of giving cookies rainbow fish to hemoglobin levels in young girls in Pancasila MTs Bengkulu City
Beban dengan Koping Keluarga Saat Merawat Pasien Skizofrenia yang Mengalami Perilaku Kekerasan
Get PDFSchizophrenia is a severe mental disorder that is chronic, reality disorders, cognitive dysfunction, and difficulty in doing activities. Violent behavior is a form of aggressive behavior that causes suffering or hurts others, has an angry response, is expressed by threatening, injuring oneself and others, and can damage the environment. The study aims to determine the relationship of burden with a family coping when treating schizophrenic patients who experience violent behavior in the Prof.Dr.M.Ildrem mental hospital Medan. Descriptive correlation research design with a cross-sectional approach. The entire population of schizophrenic patients who treat family members with violent behavior who undergo outpatient as many as 384 people. Samples totaling 79 people with a sampling technique is a consecutive sampling. The results obtained that the objective burden of the majority family is 74,7% and the subjective burden of the majority family is 60,8%, coping of the adaptive majority family is 97,5%. It is known that there is a strong relationship between burden and family coping when treating patients with schizophrenia who experience violent behavior (p-value=0,000; p-value<0,01) with an objective load value of the correlation coefficient (r)=0,522. And the subjective load coefficient correlation coefficient (r)=0,525. Families are expected to reduce objective and subjective burdens when treating schizophrenic patients who experience violent behavior by increasing adaptive family coping so that the burden in the family is lighter and able to care for family members better
Studi Perbandingan Jumlah Plasmodium Malaria Menggunakan Variasi Volume Di Laboratorium RSUD dr. H. Chasan Boesoirie Ternate
Get PDFPemeriksaan malaria yang merupakan Gold Standart adalah dengan menggunakan mikroskop. Dignosa malaria secara mikroskopis dapat dilakukan dua cara yaitu dengan menghitung jumlah Plasmodium secara semikuantitatif dan kuantitatif. Cara kuantitatif dilakukan dengan menghitung jumlah Plasmodium malaria bersamaan dengan menghitung jumlah leukosit, bila jumlah Plasmodium telah mencapai 100 sel dan leukosit telah mencapai 200 maka dihentikan, bila Plasmodium belum mencapai 100 sel maka leukosit dihitung hingga mencapai 500 sel leukosit. Volume sampel darah yang digunakan untuk pembuatan sediaan darah tebal adalah 6 µl, 10 µl, 16 µl dan 20 µl. Tujuan penelitian ini adalah untuk mengetahui perbedaan jumlah Plasmodium malaria dari setiap variasi volume sampel darah tebal. Metode penelitian yang digunakan adalah deskriptif dengan jenis penelitian Studi Perbandingan (Comparatif Study) dan dianalisa menggunakan Uji Anova. Jumlah sampel 1 (satu), kemudian sampel tesebut di multipikasi menjadi 120 sediaan darah. Hasil penelitian  menggunakan analisa statistik dengan derajat kepercayaan 95% didapatkan nilai signifikan setiap variasi volume baik 10µl, 16µl dan 20µl pada sediaan darah tebal dengan nilai 0.000 < 0.005, maka hipotesa Ha diterima. Kesimpulan adalah ada perbedaan yang signifikan antara lama volume standar 6µl dengan variasi volume 10 µl, 16 µl dan 20 µl