e-Jurnal Poltekkes Tanjungkarang
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    Analisis Kualitatif Praktik Pemberian ASI pada Bayi Usia 0-4 bulan di Wilayah Rajabasa Kota Bandar Lampung

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    Cakupan pemberian ASI eksklusif di Indonesia masih jauh dari target nasional, sebaliknya di wilayah  Puskesmas Rajabasa telah memiliki keberhasilan di atas target nasional pemberian ASI Eksklusif. Tujuan penelitian adalah menganalisis praktik pemberian ASI pada bayi 0 – 4 bulan di Wilayah Kerja Puskesmas Rajabasa Bandar Lampung. Penelitian ini menggunakan desain kualitatif: Rapid Assessment Procedure dengan sampel ibu menyusui yang memberikan ASI saja pada bayi 0 – 4 bulan dan pengelola program gizi. Metode pengumpulan data melalui FGD, wawancara mendalam, dan observasi. Analisis data menggunakan contents analysis untuk memperoleh informasi mendalam terkaitASI.Hasil penelitian praktik pemberian ASI menunjukkan sebagian besar ibu menyusui menggunakan kedua payudara, teknik menyusui sudah baik, dan memerah ASI saat berjauhan dengan bayi serta seluruh ibu tidak merasakan nyeri setelah menyusui.Selain itu, diketahui seluruh ibu tampak rileks dan nyaman serta terlihat bonding antara ibu dan bayi saat kegiatan menyusui. Sebagian besar kondisi payudara ibu sehat, puting tidak luka, dan lentur.Sebagian besar ibu mendapat pengaruh positif, dukungan, dan berbagi informasi terkait menyusui dengan suami, orangtua, dan tetangga. Dengan demikian, adanya kelompok pendukung ASI (KP-ASI) dan kegiatan monitoring evaluasi per 6 bulan diharapkan dapat meningkatkan keberhasilan praktik pemberian ASI eksklusif di Puskesmas Rajabasa Indah

    Efektivitas Pemberian Daun Binahong (Anredera cordifolia (tenore) steen) dan Povidone Iodine 10% terhadap Penyembuhan Luka Perineum

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    Infeksi perlukaan jalan lahir merupakan morbiditas dan mortalitas bagi ibu pasca bersalin.Kasus luka perineum pada ibu melahirkan masih tinggi.Penelitian ini bertujuan untuk mengetahui efektivitas pemberian daun binahong (Anredera Cordifolia (Tenore) Steen) dan Povidone Iodine 10% terhadap penyembuhan luka perineum. Penelitian ini merupakan jenis penelitian kuantitatif Quasi Eksperimental dengan rancangan non randomized control group pre test – post test design. Populasi dalam penelitian ini adalah ibu Post Partum yang mengalami luka perineum dengan sampel sebanyak 76 responden, yang dibagi menjadi 2 kelompok intervensi yaitu kelompok yang diberikan daun binahong dan kelompok yang diberikan povidone iodine. Pengumpulan data dilakukan dengan menggunakan lembar observasi pengkajian perkembangan luka perineum.Analisis data menggunakan uji McNemar dan uji regresi logistic.Hasil penelitian menunjukkan ada perbedaan penyembuhan luka perineum pada intervensi daun binahong dan povidone idodine dengan p value sebesar 0,000. Artinya, bahwa daun binahong lebih efektif untuk penyembuhan luka perineum dibandingkanPovidone Iodine 10%. Rekomendasi yaitu bekerja sama dengan bagian Farmasi untuk memproduksi obat herbal dalam bentuk cream atau salep yang terbuat dari bahan baku daun binahong

    Pengaruh Penggunaan Minyak Serai (Cymbopogon nardus L Oil) terhadap Penurunan Intensitas Nyeri Artritis Rheumatoid pada Lansia

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    Rheumatoid arthritis is an autoimmune disease and this means joint inflammation. The objective of this research was to find out the influence of Cymbopogon oil (Cymbopogon nardus L) on the elderly’s rheumatoid arthritis pain intensity reduction in Way Panji public health center of Sidoharjo village in Way Panji sub-district of South Lampung in 2018. This was pre-experimental research with one group pretest and posttest design. 67 samples were taken by using stratified random sampling. Data were collected using interviews and observations by using a numeric rating scale (NRS) for pain intensity. The result showed that before and after Cymbopogon oil administration the NRS were 2,87 and 1,37 respectively. The independent t-test result showed rheumatoid arthritis pain intensity differences before and after Cymbopogon oil administration with a t-value of 24.254 and a significance value of 0.000. This indicated that Cymbopogon oil could be used as one of the alternatives for reducing pain intensity. The conclusion was that there was a significant difference in pain intensity before and after using Cymbopogon oil at rheumatoid arthritis patients in Way Panji public health center of Sidoharjo village in South Lampung (p-value 0,000). The researcher expects this research result can be used as an information source and reference for autonomous intervention for rheumatoid arthritis patients.Â

    Literature Review: Peran Telehealth sebagai Upaya Pencegahan Readmisi Pasien dengan Acute Miocard Infark

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    Telehealth is an endeavor to prevent readmission in patients with Acute Miocard Infarct (AMI). The objective of this study was to identify the effect of Telehealth as a reoccurrence and readmission strategy for a patient with AMI. This study was a literature review with article searches in some databases including ScienceDirect, Sage Journals, Ebsco, Scopus, and Cochrane for the last ten years. The selected articles were limited to those in English with free full text. Studies that were involving adult AMI in the adult patient and obtaining intervention or monitoring via phone or Telehealth were included. The result from reviewed articles showed that Telehealth can be used as an alternative intervention to prevent readmission in patients with AMI. Various methods which are explained in the literature can be implemented as a strategy to prevent reoccurrence or readmission for the patient with AMI

    Hypnobreastfeeding dan Motivasi Pemberian ASI

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    Breastmilk is the only perfect and best food for babies because it contains the nutritional elements needed by babies for optimal growth and development. Although the rate of exclusive breastfeeding in the Pringsewu Regency has increased from year to year, support for community participation and empowerment in health development has not been optimal. One solution that can help overcome barriers to exclusive breastfeeding is hypnobreastfeeding. The purpose of this study was to determine the effect of hypnobreastfeeding on the motivation of breastfeeding in the Pringsewu Regency in 2019. This research is a quasi-experimental research with pre-post-test design with a control group design. The sampling technique was purposive sampling with a sample size of 48 pregnant women from term to breastfeeding. Data analysis was done by using the Independent Two Mean Difference test (T-Test) using the Paired Sample Test. The results of the study on the Paired Sample Test showed a significant value (p) of 0.004, meaning that there was a significant difference in the motivation of breastfeeding before and after hypnobreastfeeding. Midwives always provide hypnobreastfeeding therapy and lactation education to help increase motivation for breastfeeding as part of efforts to increase exclusive breastfeeding and breastfeeding for up to 2 years or more. For other researchers, it is necessary to carry out further research with other variables that can affect the motivation of breastfeeding

    Beban Keluarga sebagai Caregiver Orang dengan HIV/AIDS

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    The role of the family as a caregiver of people living with HIV/AIDS can cause a lot of stress. The purpose of this study was to explore the family burden as a caregiver of people living with HIV/AIDS. This research is qualitative research with a descriptive phenomenology approach. This research was conducted at RSUP H. Adam Malik in Medan City. Participants in this study were 4 family members who care for family members infected with HIV who were taken by purposive sampling technique. Participants' inclusion criteria were ≥17 years of age who were able to speak Indonesian and were able to tell about the burdens experienced while caring for people living with HIV/AIDS. The themes found included psychological burdens, social burdens, family problems, and role conflicts. The research conclusions illustrate that families who are caregivers in carrying out their roles are not easy because they cause psychological burdens, social burdens, economic burdens, family problems, and role conflicts. Nurses can provide nursing interventions to increase caregiver coping to reduce the burden they experience

    Literature Review: Efektivitas, Keamanan, dan Biaya Terapi Imidafenacin untuk Pasien Overactive Bladder

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    Imidafenacin is a new antimuscarinic agent in Indonesia that was recently approved in 2019 to treat overactive bladder (OAB) symptoms, including urinary incontinence, urinary frequency, and urinary urgency. As a new OAB medication in the Indonesian commercial market, a comprehensive review on the efficacy, safety, and cost of imidafenacin are essentially needed to optimize the responsible use of this drug, particularly in the era of universal coverage implementation in Indonesia. This review aimed to describe the profile of imidafenacin and to compare the efficacy, safety, and cost of imidafenacin with the other antimuscarinic drugs in Indonesia, and the guideline recommendations towards when to use imidafenacin for OAB treatment. Only results from systematic reviews and meta-analyses were used in the efficacy and safety comparison. Our review found that the efficacy of imidafenacin was relatively comparable to the other antimuscarinic drugs in Indonesia, including solifenacin, tolterodine, dan propiverine. Also, a better safety profile was found in the imidafenacin group, in particular, imidafenacin caused less dry mouth and constipation. This could be attributable to the higher affinity of imidafenacin to the M3 receptor resulting in less antimuscarinic effect at the other receptors. From the cost perspective, the cost of medication by using imidafenacin was relatively lower compared to the other antimuscarinic drugs in Indonesia. It, therefore, could be suggested to use imidafenacin as a potential agent for OAB

    Faktor yang Berhubungan dengan Perilaku Penggunaan Full Body Harness di Proyek Pembangunan Apartemen oleh PT. X

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    Working at height is an important component in construction work, using a Full Body Harness (FBH) to prevent the risk of falling from a height. Needs an effort to control accidents in the workplace, that is by using an FBH. This study aims To see and learn the factors related to the behavior of the workers at height in using an FBH in the apartment project of X Company. This study method Using a cross-sectional design. Using a total sampling of 65 workers. This research shows that 81,5% using an FBH. There is a correlation between knowledge (p-value=0,001), attitude (p-value=0,001), OSH training (p-value=0,001), and the availability of FBH (p-value=0,001), but there is no correlation between the level of education (p-value=1,000), and work period with the behavior of using an FBH. There is a correlation between behavior, OSH training, availability of FBH on apartment project at X Company of 2020. The worker should use their knowledge and behavior that are received from OSH training and the company must keep the availability of FBH for workers so it will support the worker's behavior in using an FBH

    Peranan Wondershare Video dan Booklet dalam Meningkatkan Perilaku Jumantik-PSN Anak Sekolah dan Keberadaan Jentik di Kelurahan Bukit Tunggal Kota Palangka Raya

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    DBD merupakan salah satu penyakit menular merupakan masalah kesehatan utama  Indonesia, termasuk di . Kota Palangka Raya, dimana angkanya semakin meningkat.  Salah satu  strategi mengoptimalkan peran serta masyarakat dalam pengendalian DBD adalah  pemberdayaan peserta didik   dengan    media  wondershare video untuk Jumantik-PSN anak sekolah. Tujuan penelitian adalahm untuk mengetahui perbedaan  penggunaan  media  wondershare video dengan booklet dalam meningkatkan perilaku jumantik-PSN anak sekolah dan keberadaan jentik di SMP Negeri  3 dan 14 Kelurahan Bukit Tunggal Kota Palangka Raya. Penelitian ini menggunakan desain eksperimental  dengan two group pre and posttest design.  Jumlah sampel sebanyak 40 siswa SMPN kelas VIII, masing-masing 20 kelompok eksperimen dan control. Data sikap dan perilaku dikumpulkan pada dua kelompok penelitian. Selanjutnya data dianalisis dengan independent t-test. Hasil penelitian menyimpulkan terdapat perbedaan peningkatan rata-rata skor, sikap (p=0,038) dan perilaku (p=0,001) antara kelompok kontrol dengan  kelompok intervensi. Dengan demikian disempulkanmedia Wondershare video  efektif dalam  meningkatkan  pengetahuan, sikap, perilaku   oleh Jumantik-PSN  Anak Sekolah, oleh karena itu disaran  pada pihak sekolah  dan Puskesmas agar menggunakan media ini dalam  meningkatkan pengetahuan, sikap, perilaku dan angka bebas jentik (ABJ)  terhadap pencegahan dan penanggulangan DBDAbstrak: Peranan Wondershare Video dan Booklet dalam  Meningkatkan Perilaku Jumantik-PSN Anak Sekolah dan Keberadaan Jentik di Kota Palangka Raya. DBD, salah satu penyakit menular merupakan masalah kesehatan utama  Indonesia. IR DBD Kota Palangka Raya  3 tahun terakhir meningkat menjadi  62,76%  dan  CFR  1,23% tahun 2017.  Salah satu  strategi mengoptimalkan peran serta masyarakat dalam pengendalian DBD adalah  pemberdayaan peserta didik   dengan    media  wondershare video untuk Jumantik-PSN anak sekolah. Tujuan penelitian : mengetahui perbedaan  penggunaan  media  wondershare video dengan booklet dalam meningkatkan perilaku jumantik-PSN anak sekolah dan keberadaan jentik di SMP Negeri  3 dan 14 Kelurahan Bukit Tunggal Kota Palangka Raya. Metode penelitian : desain eksperimental    Two group pre and posttest design.  Sampel : 40 siswa SMPN kelas VIII, masing-masing 20 kelompok eksperimen dan kontrol, instrumen : wondershare video, booklet, kuesioner, dan lembar cheklist.Hasil penelitian: Uji independent t-test – terdapat perbedaan peningkatan rata-rata skore, sikap dan perilaku antara kelompok kontrol dengan  kelompok intervensi: P=0,038 dan P=0,001, (P<0,5)    Simpulan: media Wondershare video  efektif dalam  meningkatkan  pengetahuan, sikap, perilaku   oleh Jumantik-PSN  Anak Sekolah, oleh karena itu disaran  pada pihak sekolah  dan Puskesmas agar menggunakan media ini dalam  meningkatkan pengetahuan, sikap , perilaku dan angka bebas jentik (ABJ)  terhadap pencegahan dan penanggulangan DBD

    Kombinasi Terapi Musik dan Self Hypnosis Efektif Menurunkan Tekanan Darah Klien Hipertensi

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    Hipertensi merupakan kondisi yang sering terjadi pada usia lebih dari 30 tahun, dan kejadian ini akan meningkat pada lanjut usia (usia 50 tahun). Kombinasi musik instrumental dan self hypnosismerupakan pilihan alternatif untuk mencapai keadaan rileks sehingga dapat menurunkan tekanan darahnya.Penelitian ini bertujuan untuk mengetahui efektivitas kombinasi terapi musik instrumental dan self hypnosis terhadap penurunan tekanan darah klien hipertensi.Penelitian ini merupakan penelitian pre eksperiment dengan rancangan one group pretest-posttest.Populasi penelitian adalah pasien hipertensi yang berkunjung ke Puskesmas Rangas Kab.Mamuju.Jumlah sampel 30 orang dengan teknik penarikan sampel menggunakan purposive sampling.Hasil  penelitian menunjukan perbedaan yang bermakna tekanan darah sistolik sebelum dan sesudah pemberian musik instrumental dan self hypnosis (p=0,0005)dan perbedaan yang bermakna tekanan darah diastoliksebelum dan sesudah pemberian musik instrumental dan self hypnosis (p=0,0005). Kombinasi terapi musik instrumental dan self hypnosisefektif menurunkan tekanan darah klien hipertensi.Peneliti merekomendasikan kepada para praktisi perawatdapat mengaplikasikan terapi ini untuk menurunkan tekanan darah pada klien yang mengalami hipertensi

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