Window of Health (WOH) : Jurnal Kesehatan
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Complementary Implementation of Sujok on Blood Pressure, Pulse, Respiration, and PONV in Post-Surgical Patients with Spinal Anesthesia
No full textSpinal anesthesia can cause nausea and vomiting. It is due to the non-depolarizing effect of the drug on the spinal cord, where there are chemoreceptor trigger zone receptors. As much as 53.4% of PONV in gynecological surgery using spinal anesthesia in Indonesia, and at cesarean section 60% in spinal anesthesia. One of the efforts that have been carried out is acupressure, but the incidence of PONV is still relatively high. Another intervention that can overcome PONV is the complementary intervention of sujok. This research aims to analyze the effectiveness of sujok implementation on post-surgical syndrome in patients with spinal anesthesia. This study used a true experiment with a proportional random sampling technique. Data collection involved 32 respondents divided into two groups: control and intervention groups, with 16 samples each. This study used the implementation of sujok given two times in 1 day. There was a statistically significant decrease in systolic pressure with an average decrease of 120.56 mmHg (p= 0.00), diastolic with an average decrease of 75.88 mmHg (p= 0.00), pulse with an average decrease of 71.25 x/minute (p= 0.00), respiration with an average decrease of 17.00 x/minute (p= 0.00), and PONV nausea and vomiting score with the average decrease value became 0.44 (p = 0.00) at the 28-hour observation result after being given implementation. Sujok implementation with a duration of 30 minutes, which is stimulated every 10 minutes for 3 minutes, performed at 1 hour and 24 hours after surgery, effectively reduces systolic pressure, diastolic pressure, pulse, respiration, and PONV
Correlation Between Age with Cholesterol Levels, Random Blood Sugar (GDS) and Uric Acid
Get PDFAge is one of the important variables in the incidence of degenerative diseases such as heart disease, stroke, diabetes mellitus (DM), and kidney disorders. It is estimated that by 2030, there will be an increase in deaths due to degenerative diseases in the world, namely ischemic heart disease of around 7.2 million cases and stroke of around 5.5 million cases. This is a double burden in various countries, including Indonesia. This analytical observational study with a cross-sectional design aims to analyze the correlation between age factors and cholesterol levels, time blood sugar levels (TBS), and uric acid levels. The sample involved in this study was 24 people who were taken using the purposive sampling technique. Analysis of the data for the correlation test uses the Spearman test. The results showed that the increase in cholesterol levels (P value = 0.000 < = 0.05 with R = 0.703), TBS levels (P value= 0.454 > =0.05 with R=0.160), and uric acid levels (P value= 0.454 > =0.05 with R=0.235). It can be concluded that age positively correlates with cholesterol levels, meaning that the older a person is, the higher their cholesterol levels. Age does not correlate with GDS levels and uric acid levels. It is expected that the higher-age person must change his lifestyle to a healthy lifestyle to avoid various disease problems, especially degenerative diseases that are closely related to lifestyle
The incidence of obesity in patients seeking treatment at Ibnu Sina Hospital: Indonesia
No full textObesity is a condition of excess nutrition or being overweight that can interfere with health. Obesity is a multifactorial disease caused by several risk factors such as gender, genetic factors, food intake, physical activity, and socioeconomic, many diseases can be caused by obesity, such as type 2 diabetes mellitus, cardiovascular disease, and various other diseases, so that researchers are interested to conduct research related to the characteristics of the disease in obesity conditions treated at the Ibnu Sina Hospital Makassar in 2019. This study used a descriptive design with a cross-sectional using secondary data taken from the Ibnu Sina Hospital Makassar. Most patients are in the age range of 20- 60 years with a total of 32 people (71.1%), female sex with a total of 30 people (66.6%), Obesity Body Mass Index I with a total of 39 people (86.6%). , work as a housewife with a total of 18 people (40%), high school education level with a total of 17 people (37.7%), and type of diabetes mellitus type 2 with a total of 20 people (44.4%)
Effectiveness of Rosella Flower Syrup on Blood Pressure in Hypertensive Patients with Cholesterolemia
Get PDFHypertension is one of the causes of repeated morbidity and mortality worldwide. Basic Health Research (Riskesdas) shows an increase in the prevalence of hypertension in Indonesia with ages 18 years and over, from 25.8% in 2013 to 34.1% in 2018. Rosella Flower Syrup, which contains flavonoids ± 40 mg / 4 grams of rosella extract dissolved in 5 ml of distilled water, reduces blood pressure. This research aims to determine whether a 5 ml rosella flower syrup combined with antihypertensive drugs and simvastatin can reduce blood pressure in hypertensive patients with cholesterolemia. This true experimental study used a pre-test and post-test control group design. Forty-eight respondents were selected using the stratified random sampling method through the probability sampling technique. They were divided into two groups; the control group was only given antihypertensive drugs and simvastatin; meanwhile, the intervention group was combined with a 5 ml rosella flower syrup. Rosella flower syrup 5 ml combined with antihypertensive and simvastatin for 14 days can reduce systolic blood pressure (p = 0.000) and diastolic blood pressure (p = 0.033), which means there was a significant difference between the two groups. The conclusion is that five 5ml of Rosella flower syrup combined with antihypertensive drugs and simvastatin can reduce systolic and diastolic blood pressure compared to taking antihypertensive drugs and simvastatin alone. Future research is expected to increase the dose of rosella flower syrup for more than 14 days to get more effective results
Family Support for Coronary Heart Disease (CHD) Patients in Utilizing Health Information and Services
Get PDFThe morbidity and mortality rate of Coronary Heart Disease (CHD) in Indonesia is increasing every year. The results of the 2019 Basic Health Research showed that 1.5% or 15 out of 1000 Indonesians suffer from CHD. The lack of health literacy of CHD patients and their families related to symptoms, risks, lifestyle, and treatment of CHD will further worsen the patient's condition. The purpose of this study was to analyze family support in coronary heart disease (CHD) patients in the use of information and health services. Qualitative research methods with a phenomenological approach and data collection techniques are used through in-depth interviews, observations, and documentation. There were eight research informants consisting of one doctor as a key informant, two supporting informants, and five ordinary informants with criteria for a patient's condition that was stable, communicative, and willing to be an informant. The results showed that the ability of patients to receive and manage information, called health literacy in CHD patients and their families, is still low because they lack the ability to receive and manage information from doctors and lack independent information search efforts. The conclusion of this study is that access to information, receipt, and management of information are very important to improve the health literacy of CHD and their families.
 
Elderly Participation in Non-Communicable Disease Posbindu Services in Rembang Regency
Get PDFNon-communicable diseases have increased from 39.8% in 1990 to 69.9% in 2017, and some are suffered by the elderly. The government guarantees the availability of elderly health services through posbindu, but the participation of the elderly in posbindu services has not met the 100% target. This study aimed to analyze what factors can affect the elderly in utilizing Posbindu PTM in Rembang Regency. The type of research used is quantitative research with a cross-sectional approach. The total population is 60,726 elderly in Rembang Regency. The sampling method is random sampling, and the sample size is determined using the Lemeshow formula; a number of 400 elderly people are obtained. The instrument was used as a questionnaire with the interview method. Data were analyzed using Chi-square and multiple logistic regression. The relationship test results showed a p-value <0.05 between the variables of health worker support, family support, perceived vulnerability, perceived severity, perceived benefits, and perceived obstacles to using Posbindu PTM. The results of this study obtained a lack of utilization of Posbindu PTM by 65.5%. The most influential factor in the multivariate analysis was perceived vulnerability p value = 0.0001, OR = 9.153, 95% CI = 4.595-18.230, while family support proved to have no significant effect (p-value = 0.259). The conclusion of this study is that the perceived vulnerability variable has the most influence on the utilization of Posbindu PTM. It is suggested that there should be efforts to increase the knowledge of the elderly so that the elderly have literacy about their illness so that they can increase the participation of the elderly in posbindu service
The Information on Exposure and Duration of Suffering with Medication Compliance in Patients of Hypertension
Get PDFThe successfully of hypertension therapy is long-term blood pressure control. Taking antihypertensive drugs regularly is one way to control blood pressure. However, many hypertensive patients are reluctant to seek treatment and continue taking medication. Some factors associated with this condition are the length of time suffering from hypertension and exposure to information received. The use of drugs for a long time can trigger boredom, while credible information can increase adherence to therapy. This study aims to analyze the relationship between information exposure and duration of hypertension with medication adherence. The subjects of this study were hypertensive patients. The sample size was 320 people who suffered from hypertension for at least six months and were actively treated. The research data were collected with a questionnaire instrument and quota sampling technique. The data were processed with SPSS and presented univariately and bivariately. The correlation test used the Chi-Square test with a significance level of 0.05. The results showed that the majority of respondents were less compliant with taking medication. The correlation test of information exposure and duration of hypertension with medication adherence obtained a p-value of 0.000 for both variables. The test results indicate a relationship between information exposure and duration of hypertension with medication adherence. Hypertensive patients need to get credible information during their therapy. Therefore, it is very important to provide credible information facilities as a means to inform and educate hypertensive patients about the importance of medication adherence to optimize health status
Additional Food Supplementation Of High Animal Protein Food, Calcium, And Zinc In Children Aged 6-24 Months As An Effort To Increase Children's Body Length
Get PDFThe 2021 Basic Health Research (Riskesdas) results of the Ministry of Health of the Republic of Indonesia show that stunting prevalence in five-year-old children is 24.4%. Children who are stunted until the age of 5 years will find it challenging to overcome, so it will continue into adulthood and can increase the risk of offspring with low birth weight. Stunting will cause long-term impacts, namely impaired physical, mental, intellectual, and cognitive development. This research method used true experimental design by providing 50,0 g of nuggets daily for six weeks as high supplements in animal protein, calcium, and zinc. The subjects of this research were children aged 6-24 months, the subjects were randomly assigned. The number of samples based on the sample size calculation was 30 children. Bodyweight was measured using a digital scale, and body length/height was measured using a stadiometer and microtoice. Data was processed and analyzed using computerized statistical software. The results showed that before the intervention was given to the treatment subjects, the average height was 79,6 ± 4,8 cm; after the treatment, the average height was 80,01±4,9 cm. Based on the paired t-test results, there was a significant difference in height of 0,41 ± 0,26 cm (p = 0,000). For initial body weight or before being given treatment to the treatment subjects, there was an average body weight of 10,1 ± 1,5 kg, and after being given treatment, the average body weight was 10,3±1,5 kg, there was no difference (p = 0,082) of body weight after being given supplementation. As a suggestion, it is necessary to develop a more varied form of food so that infants and children of all ages can consume high amounts of supplements in animal protein, calcium, and zinc
Combination of Murottal Al-Qur'an, Asmaul Husna, Dhikr and Aromatherapy "Muasda" on Blood Pressure, Alpha Amylase Levels and Spiritual Wellbeing in Hypertension Clients
Get PDFHypertension is a non-communicable disease, but prevention is needed because it risks causing other body organs to be damaged organs, either directly or indirectly. The combination of “muasda” causes relaxation, giving derivatives in blood pressure, and alpha-amylase levels, and increasing spiritual well-being. This study aims to determine the effect of the muasda combination on blood pressure, alpha-amylase levels, and spiritual well-being in hypertensive clients. This research is a quasi-experiment using pre-test and post-test with a control group design. The number of samples in this study was 62 respondents divided into two groups, namely the intervention and control groups. In taking the sample, the researcher used simple random sampling. The intervention in this study was a muasda combination, given for seven consecutive days with a time of administration of 45 minutes. In the intervention group, respondents will receive a muasda combination and amlodipine. The control group received amlodipine from the public health center. In the intervention group, the mean decrease in systolic blood pressure was 35 mmHg or 11.7% (p = 0.000). The mean decrease in diastolic blood pressure was 24 mmHg or 8% (p = 0.000). The average decrease in alpha-amylase levels was 26.58 or 19% (p = 0.000). The average increase in spiritual well-being scores was 36.94 or 32% (p = 0.000). The muasda combination reduces blood pressure and alpha-amylase levels and increases spiritual well-being in hypertensive clients
Predictors of Self-Efficacy in Pregnant Women During the COVID-19 Pandemic
Get PDFPregnant women are one of the vulnerable groups affected by the COVID-19 pandemic through limited access and reach to health services, resulting in the adaptation process during pregnancy and increased pregnancy stressors. Self-efficacy is one of the important factors in the ability of pregnant women to cope when experiencing stress and depression during the COVID-19 pandemic. This study aimed to examine the factors that influence the self-efficacy of pregnant women during the COVID-19 pandemic. This is a quantitative study with a cross-sectional design in the working area of the Panti Community Health Center, Jember Regency, from August to October 2021. The research sample was 170 randomly selected using cluster random sampling. The research instrument used the General Self-Efficacy Scale (GSES) to measure self-efficacy and a structured questionnaire to measure the characteristics of the respondents. The results showed that the factors that influenced the self-efficacy of pregnant women during the COVID-19 pandemic were education (p-value = 0.007; OR = 3.852), income (p-value = 0.014; OR = 4.325), and occupation (p-value = 0.014; OR = 4.325), and occupation (p-value = 4.325). value = 0.006; OR = 5.464). And the most influential predictor of pregnant women's self-efficacy during the COVID-19 pandemic was occupation (p-value = 0.002; OR = 6.224). Working mothers tend to have higher adaptability through changing conditions at work as an effort to develop themselves, demands, initiatives, and targets at work to make the right decisions and other stressors at work, so they tend to have higher self-efficacy, be able to solve problems and solve problems challenges well, especially during the COVID-19 pandemic. Conclusion: The predictors that influence pregnant women's self-efficacy during the COVID-19 pandemic are the mother's education, the mother's occupation, and family income. Strengthening cooperation with stakeholders in the region to increase the capability and empowerment of mothers through training to develop the competence of mothers according to mothers’ education and local resources so that they can work in the formal and informal sectors so that mothers' self-efficacy increases