Jurnal Online Poltekkes Kemenkes Pontianak
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EFEKTIVITAS RANGE OF MOTION (ROM) DALAM MENCEGAH KONTRAKTUR PADA LANSIA STROKE DI WILAYAH KERJA PUSKESMAS SINGKAWANG UTARA 1
Full text linkABSTRACTElderly (elderly) is a phase of aging in human life with increasing age. A person experiencing the aging phase will experience a decline in organ function and a decrease in physical development which will result in health problems. Stroke is a major health problem in both developed and developing countries, stroke is the second most common cause of death and the main cause of disability in adults. It is characterized by loss of communication and motor skills, as well as cognitive decline. If the joint is not moved for a long time it will cause joint contractures. ROM is a person's ability to perform movements optimally in carrying out movements whether the muscles are fully shortened or not, or fully extended or not. ROM exercises are given to the shoulders, arms, elbows, wrists, fingers, groin, knees, ankles, and toes. Through this study, we designed ROM (Range Of Motion) exercises for elderly people with stroke to prevent contractures.This research aims to determine whether Range of Motion (ROM) exercises are effective in preventing joint contractures in elderly people with stroke. This research method is Quasi-Experimental Research, with a Pre and Post Test Without Control Group Design research design, with a sample size of 30 respondents. For data analysis in the study, Wilcoxon was used. The results of the study showed an increase in muscle strength in elderly people who trained with ROM. The conclusion of the research results shows that ROM (Range of Motion) is effective in preventing contractures with a p-value of 0.00Keywords : Range Of Motion, joint contractures, elderly, stroke ABSTRAKLanjut usia (lansia) merupakan fase penuaan dalam kehidupan manusia dengan bertambahnya usia. Seseorang yang mengalami fase penuaan akan terjadi penurunan fungsi organ dan penurunan perkembangan fisik yang akan berdampak adanya masalah kesehatan. Stroke merupakan masalah utama kesehatan baik di negara maju maupun di negara berkembang, stroke menjadi penyebab kematian kedua terbanyak dan penyebab utama kecacatan pada orang dewasa. Hal tersebut ditandai dengan hilangnya keterampilan komunikasi dan motorik, serta penurunan kognitif. Jika sendi tidak digerakkan dalam waktu lama akan menyebabkan tejadinya kontraktur sendi. ROM adalah kemampuan seseorang melakukan gerakan secara maksimal dalam melakukan gerakan apakah otot memendek secara penuh atau tidak, atau memanjang secara penuh atau tidak. Latihan ROM diberikan pada bagian bahu, lengan, siku, pergelangan tangan, jari-jari tangan, pangkal paha, lutut, pergelangan kaki dan jari jari kaki. Melalui studi ini kami merancang latihan ROM (Range Of Motion) pada lansia dengan Stroke yang tujuan nya mencegah terjadinya kontraktur. Tujuan dari penelitian ini untuk mengetahui Latihan Range Of Motion (ROM) efektif mencegah kontraktur sendi pada lansia dengan Stroke. Metode penelitian ini adalah dengan Quasi Experimental Research, dengan desain penelitian Pre And Post Test Without Control Group Design, dengan jumlah sampel yaitu 30 responden. Untuk analisa data pada penelitian digunakan Wilcoxon. Hasil penelitian menunjukkan adanya peningkatan kekuatan otot pada lansia yang dilatih ROM. Kesimpulan hasil penelitian menunjukkan bahwa ROM (Range of Motion) efektif dalam mencegah kejadian kontraktur dengan nil ai p value 0.00.Kata Kunci : Range Of Motion, kontraktur sendi, lansia, strok
Hubungan Asupan Purin dan Lingkar Pinggang dengan Kadar Asam Urat Pada Pralansia dan Lansia di Puskesmas Gamping Ii Sleman
Full text linkBackground: Hyperuricemia is still a problem in the elderly in Yogyakarta, ranking 23rd out of 34 provinces. The causes are high purine foods, obesity, alcohol, physical activity, gender, and genetics. So it is necessary to conduct research on purine intake and waist circumference with uric acid levels in the elderly and elderly. Objectives: To analyze the relationship between waist circumference and purine intake with uric acid levels in the elderly and the elderly in the working area of Puskesmas Gamping II. Methods: This study used a cross-sectional design on 103 pre-elderly and elderly people in Gamping, Yogyakarta. The data taken were primary data in the form of respondent identity, high purine food data, waist circumference data and uric acid level data. The instruments used were SQ-FFQ questionnaire, metline tape, and Auto Check tool, Data were analyzed using chi-square with α 5%. Results: Results of univariate analysis of waist circumference at risk 71.8%, high purine intake 41.7%, and high uric acid levels 43.7%. There is no relationship between waist circumference waist circumference with uric acid levels p = 0.461 and there is a relationship between purine intake and uric acid levels p = 0.036. with uric acid levels p = 0.036. Conclusion: There is a relationship between purine intake and uric acid levels. Need education about high purine foods
Anti-Inflammatory Activity Test of Tapak Liman (Elephantopus scaber L.) Leaf Extract Using Red Blood Cell Membrane Stabilization Method
Full text linkInflammation is the reaction of living tissue to trauma or infection, both in acute and chronic conditions. One plant with anti-inflammatory potential is the tapak liman leaf (Elephantopus scamber L.), which contains secondary metabolites such as phenolics, flavonoids, tannins, alkaloids, steroids/treponoids, and saponins. The purpose of this study was to determine the anti-inflammatory activity of Elephantopus scamber L. leaf extract at concentrations of 0.005%, 0.01%, 0.02%, 0.04%, and 0.08% using the red blood cell membrane stability method. Anti-inflammatory activity showed that 70% ethanol extract of tapak liman leaves had low anti-inflammatory activity at a concentration of 0.005% with a stability of 98.00%, while the highest activity was found at a concentration of 0.08% with a stability of 99.65%. Microscopic examination showed that at concentrations of 0.005%, 0.01%, 0.02%, 0.04%, and 0.08%, the administration of tapak liman extract could restore the normal shape of erythrocytes. The Kruskal-Wallis test yielded a significance value of 0.000, which is less than 0.05, meaning that Ha is accepted. It can be concluded that there are differences in the anti-inflammatory activity of tapak liman leaf extract (Elephantopus scamber L.) at concentrations of 0.005%, 0.01%, 0.02%, 0.04%, and 0.08%
Stability of Urine Glucose in Active-Smoking Adolescents with Delayed Examination Times
Full text linkUrine glucose is one of the important parameters in early screening for glucose metabolism disorders. The presence of glucose in urine occurs when blood glucose levels exceed the renal threshold, causing it to be excreted in the urine. Adolescents with long-term smoking habits may develop insulin resistance, which increases the risk of glucosuria. This study aimed to describe the results of urine glucose examinations among active-smoking adolescents with delayed testing at 2, 4, and 6 hours at a storage temperature of 2–8°C in Private College X. This research employed a descriptive observational design. The samples consisted of 30 active-smoking adolescents whose urine specimens were examined using the dipstick method. The results showed that all urine samples were negative for glucose, even after a delay of up to 6 hours. No indicator color changes were observed on the test strips during the storage period. These findings may be related to stable glucose metabolism and an intact renal reabsorption threshold in adolescents
Pengaruh Sediaan Deodoran Krim Kombinasi Destilat Daun Sirih Hijau (Piper betle L.) dan Kulit Kayu Manis (Cinnamomum burmannii) Terhadap Pertumbuhan Staphylococcus aureus
Full text linkCream deodorant is a topical preparation used to reduce body odor caused by Staphylococcus aureus bacteria in sweat glands. The purpose of this study was to determine the effect of a cream deodorant preparation containing a combination of green betel leaf and cinnamon bark at concentration of 10%, 20%, and 30% on inhibiting the growth of Staphylococcus aureus bacteria. Synthetic deodorants containing alumunium chloralhydrate have the potential to cause negative side effects, including cancer risk. Essential oils from green betel leaf and cinnamon bark contain antibacterial compounds such as betephenol and cinnamaldehyde, which work synergistically as active ingredients. This study used a purposive sampling technique and the well diffusion method on MHA medium. 10 replications were conducted, resulting in 30 samples. The results showed that the inhibition zone at a concentration of 10% is on average 13,4 mm (strong), at a concentration of 20%, it is on average 20.5 mm (very strong) and at a concentration of 30%, it is on average 23,5 mm (very strong). The results of a simple linear regression statistical test showed a significance value (p=0.000 → p < 0.05), indicating a significant effect of concentration on inhibitory power. This study concludes that the cream deodorant preparation containing the combination of green betel leaf and cinnamon bark distillate was effective in inhibiting Staphylococcus aureus, with the highest inhibition zone at a concentration of 30%. This combination has the potential to be developed as a safe, natural antibacterial deodorant ingredient
Antibacterial Activity of Ethanol Extract Ointment of Tithonia diversifolia Against Staphylococcus aureus
Full text linkSkin infections caused by pathogenic bacteria such as Staphylococcus aureus remain a common health problem, and the need for safer alternative topical antibacterial agents continues to increase. This study aimed to evaluate the antibacterial activity of ethanol extract ointment of Tithonia diversifolia leaves with various concentrations formulated as a semi-solid topical preparation. A quasi-experimental design was used, and ointments were prepared at concentrations of 5%, 7%, 9%, 11%, 13%, 15%, 17%, 19%, and 21%. Antibacterial activity was tested using the well-diffusion method against Staphylococcus aureus. A total of 27 samples were tested with three replications. The results showed that the ointment produced inhibition zones ranging from 13.83 mm to 22.00 mm, with higher concentrations yielding greater inhibition. Repeated Measures ANOVA showed a significant difference among concentrations (p = 0.003), indicating that the increase in extract concentration significantly affected the antibacterial effectiveness. This study concludes that ethanol extract ointment of Tithonia diversifolia leaves demonstrates strong antibacterial activity against Staphylococcus aureus*, with effectiveness increasing proportionally with concentration
Pre-Analytical Stability of Fasting Blood Glucose: A Comparison Between Immediate Analysis and Two-Hour Room Temperature Storage
Full text linkThe stability of blood samples for glucose testing is a critical preanalytical factor. In vitro glycolysis at room temperature can significantly decrease glucose levels, potentially leading to inaccurate diagnostic results. This study aimed to compare fasting blood glucose levels examined immediately and those stored for 2 h at room temperature. This descriptive, cross-sectional study involved 35 serum samples from participants undergoing fasting blood glucose tests at the Sintang Regional Health Laboratory. Each sample was split into two aliquots: one was analyzed immediately after processing (baseline), and the other was analyzed after being stored for 2 hours at room temperature (25-30°C). Glucose levels were measured using the GOD-PAP method with a Microlab 300 spectrophotometer. Statistical analysis was performed using the Shapiro-Wilk normality test and paired T-test to compare the differences in glucose levels between the two groups. The mean glucose level examined immediately was 90.8 mg/dL (SD=5.098), while the level after the 2-hour delay was 85.8 mg/dL (SD=4.451), showing an average decrease of 5.0 mg/dL. The data were normally distributed (p=0.129), and the paired T-test showed a highly statistically significant difference (p<0.001) between the two examination conditions. Storing serum samples at room temperature for 2 h significantly decreased glucose levels. This finding underscores the importance of immediate sample processing for glucose testing to ensure accurate diagnosis. If a delay is unavoidable, sample refrigeration is highly recommended to inhibit the glycolysis process
Identifikasi Bakteri Escherichia Coli Pada Ulkus Diabetikum Studi di Klink Kanazawa Pontianak Menggunakan PCR gen 16S rRNA
Full text linkDiabetes mellitus can lead to complications such as ulcers that are highly susceptible to bacterial infection. Escherichia coli is one of the pathogenic bacteria commonly found in diabetic foot ulcers. Accurate detection of E. coli species is essential to support appropriate infection management, and one of the reliable methods is Polymerase Chain Reaction (PCR) targeting the 16S rRNA gene. This study employed a descriptive design with an accidental sampling technique. Samples were obtained from swab specimens of diabetic foot ulcer patients. The procedures included culture on Eosin Methylene Blue (EMB) agar, Gram staining, bacterial DNA isolation, PCR amplification of the 16S rRNA gene, electrophoresis for visualization of PCR products, and sequencing for species confirmation. Based on the results of the study involving 30 diabetic foot ulcer patients at Kanazawa Clinic Pontianak, culture analysis showed that 4 isolates were positive for Escherichia coli. Gram staining further confirmed the presence of E. coli by demonstrating its characteristic morphology. The PCR results visualized through electrophoresis showed that 4 samples (13.3%) were positive for Escherichia coli based on the 16S rRNA gene, indicated by the presence of DNA bands at approximately 1500 bp. Sequencing analysis further confirmed the isolates as Escherichia coli with 99% similarity.
PENDIDIKAN KESEHATAN MENGGUNAKAN MEDIA VIDEO TENTANG LUKA BEDAH CESAR PADA IBU NIFAS DI RUMAH SAKIT UMUM DAERAH LANDAK
Full text linkLatar Belakang : Salah satu faktor penyebab meningkatnya kejadian infeksi luka bedah cesar adalah karena ketidaktahuan ibu tentang luka bedah cesar, upaya untuk mengatasi masalah tersebut salah satunya adalah dengan pendidikan kesehatan tentang luka bedah cesar menggunakan media video. Tujuan: Menganalisis perbedaan pengatahuan pada ibu nifas sebelum dan sesudah diberikan pendidikan kesehatan menggunakan media video tentang luka bedah cesar. Metode: Desain penelitian yang peneliti gunakan merupakan metode eksperimen semu (Quasi Eksperiment) dengan pendekatan one group pre- post test design yang dilaksanakan pada bulan April sampai Mei 2023. Sampel penelitian ini adalah ibu nifas di Rumah Sakit Umum Daerah Landak dengan jumlah sampel 20 orang. Analisis data menggunakan uji Wilcoxon, alat ukur yang digunakan adalah kuesioner. Hasil : Ada perbedaan pengetahuan ibu nifas sebelum dan sesudah diberikan pendidikan kesehatan menggunakan media video. Sebelum diberikan pendidikan kesehatan nilai median 70,00 dan setelah diberikan pendidikan kesehatan menjadi 90,00 dengan nilai p = 0,000. Kesimpulan: Ada perbedaan pengetahuan pada ibu nifas sebelum dan sesudah diberikan pendidikan kesehatan tentang luka bedah cesar di RSUD Landak
Hubungan Pengetahuan, Sikap dan Perilaku Ibu Dengan Kejadian Stunting Pada Anak 24-59 Bulan
No full textStunting atau tubuh pendek adalah kondisi yang menunjukan balita dengan panjang atau tinggi badan yang kurang jika dibandingkan dengan umur. Tahun 2023 angka prevalensi stunting di Wilayah Kerja Puskesmas Pakem merupakan prevalensi stunting tertinggi diKabupaten Sleman yaitu sebesar 10,44%. Beberapa faktor yang dapat meningkatkan resiko stunting yaitu tingkat pengetahuan, sikap dan perilaku ibu. Tujuan penelitian ini yaitu untuk mengetahui hubungan antara pengetahuan, sikap dan perilaku ibu dengankejadian stunting anak usia 24-59 bulan di Wilayah Kerja Puskesmas Pakem. Penelitian ini menggunakan rancangan penelitian kuantitatif observasional dengan pendekatan cross-sectional. Jumlah sampel sebanyak 40 dengan teknik penarikan sampel yaitu purposive sampling. Metode pengumpulan data yang digunakan yaitu pengukuran antropometri anak dan pengisian kuesioner oleh ibu balita. Alat yang digunakan adalah microtoise untuk pengukuran antropometri anak serta kuesioner untuk pengukiuran pengetahuan, sikap, dan perilaku ibu. Analisis data menggunakan STATA ver14 dengan Uji Korelasi Pearson dengan p-value <0,05. Hasil penelitian mayoritas pengetahuan ibu dalam kategori baik (65%), sikap ibu dalam kategori baik (45%), perilaku ibu dalam kategori baik (50%). Hasil penelitian menunjukan bahwa tidak ada hubungan yang signifikan antara pengetahuan, sikap, dan perilaku ibu dengan kejadian stunting pada balita usia 24-59 bulan (p-value 0,26 ; 0,36 ; 0,64). Saran kepada pemerintah melalui kader kesehatan untuk melakukan pendampingan dan penyuluhan terkait kesehatan denganmetode yang berbeda dan lebih menarik