Window of Health (WOH) : Jurnal Kesehatan
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Genetic Factors and Purine Consumption as Predictors of Uric Acid in Coastal Communities
Get PDFThe incidence of uric acid in the world is estimated at 47.2% which varies in various populations throughout the world. The highest prevalence of uric acid in people aged >15 years, according to districts/cities in Southeast Sulawesi Province, based on doctors' diagnoses, was in North Buton (12.62%). therefore, North Buton District, especially in the working area of the Kulisusu Health Center was chosen as the location of this study. This study aims to determine the predictors of uric acid in people in coastal areas. This study uses a case-control study design. The population in this study consisted of people living in the coastal area of the Kulisusu Health Center, with a total sample of 106 (53 cases and 53 controls). Sampling using a simple random sampling technique. Data was collected using a questionnaire, and the data that had been collected was analyzed statistically using the chi-square test at a 95% confidence level (α = 0.05) which aims to analyze predictors of gout. The results showed that genetic factors had a value (p=0.004; OR=3.559; CI = 1.483-8.539) and purine consumption patterns had a value (p=0.02; OR=3.103; CI=1.162-8.288). It can be concluded that genetic factors and purine consumption patterns are predictors or risk factors for gout in coastal communities in the working area of the Kulisusu Health Center. Coastal communities should limit foods that contain high purines, such as shellfish and meat, especially for those who have a family history of uric acid
Use of Medication in Outpatient Hypertension Patients
Get PDFHypertension is a major risk factor for cardiovascular disease, there are 1.13 billion people in the world suffering from hypertension. Hypertension should be given special consideration due to its impact on both the short and long term, one of which is by providing appropriate pharmacological therapy. The purpose of this study is to ascertain the pattern of medication use in hypertensive patients. The current study is a retrospective observational study that examines drug use patterns in hypertensive patients with or without associated disease. Using time-limited sampling techniques, the study sample is drawn from an electronic prescription of outpatient hypertension patients at Universitas Airlangga Surabaya Hospital (RSUA) in March 2021. According to the findings of this study, the most frequently prescribed antihypertensive medications were beta-blockers (29,66 %), ARB (27,51 %), CCB (26,17 %), aldosterone antagonists (6,72 %), loop diuretics (5,78 %), ACEi (3,98 %), and central α2 agonists (3,98 %) (0,14 % ). Antihypertension medications are prescribed singly or in combination. In hypertensive patients with co-morbidities, drugs other than antihypertensives will be prescribed to treat the co-morbidities. The most frequently prescribed non-antihypertensive drugs are antihyperlipidemia statin (45,1 %), platelet antiagregation (19,1%), and antiangina (13,8 %). The study concludes that antihypertension medications are used alone or in combination with up to five other antihypertensive medications, with the most common combination being three drugs in 45% of patients. Suggestions for this study are that it should be accompanied by direct patient identification to minimize the incidence of drug interactions and drug side effects in patients
Quality of Family Planning Services Affects Acceptor Satisfaction During the Covid-19 Pandemic
Get PDFThe rapid spread of the Covid-19 virus has impacted economic, social, environmental, and health challenges. One of them is maternal and child health services, such as reducing contraceptive use by 10% in some low and middle-income countries (LMIC) to prevent and control COVID-19. Quality family planning services affect satisfaction and correlate with continuity of family planning use. This study aims to determine the relationship between family planning acceptor satisfaction and the quality of family planning services during the COVID-19 pandemic. This study used quantitative research with a cross-sectional. The study population was women of child-bearing age (WCBA) aged 15-49 years who received non-natural family planning services in Sleman Regency, Yogyakarta, starting in March 2020. The sampling technique used was consecutive sampling. All research data were collected online (Google Forms). The total sample size was 171 respondents. The analysis used was the Chi-Square test and logistic regression. The results showed that the satisfaction of family planning acceptors with the quality of family planning services during the COVID-19 pandemic in Sleman Regency was 93.6%. There is a significant relationship between the satisfaction of family planning acceptors and the quality of family planning services in tangible, reliability, responsiveness, assurance, and empathy (p < 0.05). There was no association between family planning acceptor satisfaction with age, occupation, education, and health facilities. The quality of family planning services with the tangible dimension was 8.376 times more likely to result in family planning acceptor satisfaction (p=0.026; 95% CI=1.284-54.631). Strengthening cooperation between health service providers, health workers, and all relevant stakeholders is needed to maintain the quality of family planning services, and ensuring the availability and access to family planning services in the community is a strategy for family planning services in the new normal of the coming era
Factors Related to Sufferer Behavior in Preventing Tuberculosis Transmission in the Family
Get PDFTuberculosis is an infectious disease caused by Mycobacterium Tuberculosis; the method of transmission is through the air by sneezing, splashing phlegm, or coughing from Tuberculosis sufferers. Family members who live in the same house as Tuberculosis sufferers have a very high risk of being infected with Tuberculosis. This research aims to determine the relationship between knowledge, attitudes, family support, and health workers' role in Tuberculosis sufferers' behavior to prevent transmission to families in the Puuwatu City Health Center working area. Kendari 2021. This research is quantitative research with a cross-sectional study approach. The population in this study was 54 TB sufferers. The sampling technique used was a non-random sampling technique, namely total sampling. Primary data was collected using a pre-tested questionnaire. The data that has been collected is then processed using the Chi-Square test (α=0.05). From the results of statistical analysis, the relationship between the independent variable and the dependent variable was obtained for the variables knowledge (ρ-value= 0.004), family support (ρ-value= 0.033), role of health workers (ρ-value= 0.049) and attitude (ρ -value= 0.067). The variables of knowledge, family support, and the role of health workers are related to the behavior of Tuberculosis sufferers to prevent transmission to the family. In contrast, the attitude variables are not related to the behavior of tuberculosis sufferers in order to prevent transmission to the family
Anxiety, Depression, and Sleep Quality of Nursing Clinical Practitioner Students During the COVID-19 Pandemic
Get PDFThe nursing clinical practice program is an orientation for students to apply theory to practice and gain competence in nursing skills before graduation. The COVID-19 pandemic brings a new reality to nursing students who carry out clinical practice to be more professional. This condition triggers increased cases of anxiety and depression in nursing students. This study aims to determine the anxiety, depression, and sleep quality of nursing students undergoing clinical practice during the COVID-19 pandemic. The population in this study was 1320 nursing students. This study used a cross-sectional approach to 377 nursing students. Research respondents were taken using a purposive sampling technique. A generalized Anxiety Disorder 7‐item scale (GAD-7) was used to collect anxiety data. Depression was measured using the Patient Health Questionnaire (PHQ-9). Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Based on the Spearman rank correlation test results, there is a correlation between sleep quality scores and depression scores with p = 0.000 (p < 0.01) and r = 0.528. There is a correlation between anxiety scores and sleep quality scores with p = 0.000 (p < 0.01) and r = 0.448. There is a correlation between anxiety scores and depression scores with p = 0.000 (p < 0.01) and r = 0.829. The quality of student sleep needs to be maintained to help reduce anxiety and depression in students practicing clinically. The role of professional clinical instructors in assisting students is needed to assist students in carrying out clinical practice well
Keterpaparan Informasi Kesehatan Reproduksi terhadap Pengalaman Seksual Remaja
Get PDFMasa remaja adalah masa antara dari anak-anak menjadi dewasa yang ditandai dengan perubahan secara fisik dan seksual yang signifikan. Salah satu masalah yang seringkali muncul pada masa ini adalah perilaku seksual berisiko yang terjadi saat organ reproduksi belum matang. Saat ini informasi kesehatan reproduksi bagi sebagian masyarakat masih dianggap tabu. Data menunjukkan walaupun sebagian besar remaja telah mendapatkan informasi mengenai kesehatan reproduksi, namun perilaku seksual berisiko pada remaja tetap tinggi. Perilaku seksual berisiko disni seperti berciuman, berpelukan, meraba dan atau merangsang. Penelitian ini bertujuan untuk menganalisis keterpaparan informasi kesehatan reproduksi remaja terhadap perilaku seksual remaja berisiko di Provinsi Kalimantan Tengah. Penelitian ini merupakan penelitian analitik observasional dengan desain cross sectional melalui analisa data Survei Kinerja dan Akuntabilitas Program (SKAP) Remaja Tahun 2019 dengan unit analisis Provinsi Kalimantan Tengah. Hasil Penelitian menujukkan sebagian besar remaja di Kalimantan Tengah merupakan kelompok remaja awal (usia 10-14 tahun) yaitu 54,2%, berpendidikan dasar (65,7%), berjenis kelamin laki-laki (53,8%) dan memiliki tingkat kesejahteraan rendah (65,1%). Sumber informasi kesehatan reproduksi remaja dari media luar ruang terbanyak didapatkan melalui televisi (64,2 %), dari petugas terbanyak didapatkan dari guru (70,9%) dan dari institusi didapatkan terbanyak dari pendidikan formal (73,7%). Sebanyak 2,2 % remaja mengaku pernah melakukan hubungan seksual. Tidak terdapat hubungan antara keterpaparan informasi kesehatan reproduksi remaja dengan pengalaman seksual remaja di Kalimantan Tengah (p lebih kecil 0,05). Diperlukan kerjasama berbagai pihak dalam upaya promosi kesehatan reproduksi remaja dan pencegahan perilaku seksual berisiko pada remaja
Penerapan Point Of Care Quality Improvement (POCQI) terhadap Dokumentasi Keperawatan dI RSUD Kabupaten
Get PDFoai:ojs2.jurnal.fkmumi.ac.id:article/8Point Of Care Quality Improvement (POCQI) merupakan model peningkatan kualitas layanan kesehatan untuk memastikan pasien menerima perawatan kesehatan berkualitas. Dokumentasi keperawatan merupakan indikator penting kualitas asuhan keperawatan. Penelitian ini bertujuan meningkatkan kualitas dokumentasi asuhan keperawatan melalui penerapan model point of care quality improvement (POCQI) di Ruang Perinatal RSUD Kabupaten Kupang dan RSUD Kabupaten Rote Ndao. Jenis penelitian kuantitatif dengan rancangan penelitian eksprimen. Total populasi 60 responden dan sampel 30 responden sebagai kelompok intervensi dan 30 sebagai kelompok kontrol. Pengambilan sampel menggunakan metode sampling jenuh. Analisa data univariat mendekskripsikan karakteristik responden dan karakteristik variabel, analisis bivariat menggunakan uji t test. Hasil penelitian menunjukkan bahwa pendokkumentasian sebelum intervensi POCQI kategori kurang (63%) dan setelah intervensi kategori baik (100%), ada pengaruh signifikan penerapan model POCQI dan PDSA (Plan-Do-Study-Action) terhadap dokumentasi keperawatan p lebih kecil 0.05 (p= 0.000). Kesimpulan setelah intervensi model POCQI, tingkat pengetahuan, sikap dan motivasi perawat dalam pendokumentasian asuhan keperawatan pada kategori baik. Penerapan PDSA telah berjalan dengan baik, terdapat pengaruh penerapan model POCQI dan PDSA terhadap mutu dokumentasi keperawatan. Saran rumah sakit dapat menggunakan pendekatan ini untuk peninggkatan kualitas layanan kesehatan anak
Korelasi Self-Care dengan Kualitas Hidup Pasien DM Tipe 2 di Kota Pekanbaru
Get PDFKualitas hidup adalah persepsi individu terhadap kehidupannya dan di masyarakat dalam konteks budaya dan sistem nilai yang ada terkait dengan tujuan, harapan, standar, dan perhatian. DM tipe 2 memerlukan tindakan self-care dalam pengelolaan penyakitnya yang akan mempengaruhi kualitas hidup pasien DM. Penelitian ini bertujuan untuk mengetahui korelasi self-care dengan kualitas hidup pasien DM tipe 2. Jenis penelitian ini adalah analitik observasional dengan desain cross sectional. Populasi dalam penelitian ini adalah penderita DM di wilayah kerja Puskesmas Harapan Raya dengan besar sampel 100 responden. Teknik sampling menggunakan purposive sampling. Analisis statistik menggunakan uji regresi linier sederhana. Hasil penelitian diketahui ada korelasi yang kuat dan hubungan signifikan self-care dengan kualitas hidup (r = 0,713, p = 0,0005). Komponen dalam self-care juga menunjukkan korelasi dan hubungan dengan kualitas hidup diantaranya diet (r = 0,708, p = 0,0005), aktivitas fisik (r = 0,664, p = 0,0005), terapi obat (r = 0,381, p = 0,0005), monitor gula darah (r = 0,641, p = 0,0005), dan perawatan kaki (r = 0,570, p = 0,0005). Kesimpulannya terdapat korelasi yang kuat dan hubungan antara self-care dengan kualitas hidup pasien DM tipe 2. Oleh karena itu penting untuk memberikan edukasi dan praktek kepada pasien DM tipe 2 untuk konsisten dan meningkatkan self-care agar kualitas hidup pasien juga meningkat
Peanut Sucrosa Agar (PSA) Sebagai Media Modifikasi Candida albicans pada Urine Penderita Diabetes Melitus
Get PDFMedia standar untuk menumbuhkan jamur adalah media Potato Dextrose Agar ( PDA) dan Sabaroud Dextrose Agar (SDA) namun media ini sulit didapat dan harganya relatif mahal, sehingga diperlukan alternatif media pembiakan jamur Candida albicans dengan pemanfaatan bahan alam. Media alternatif dengan pemanfaatan bahan alam yaitu menggunakan kacang tanah (Arachis hypogaea) varietas Talam-1. Penelitian bertujuan untuk mengetahui pengembangan Peanut Sucrose Agar (PSA) sebagai media modifikasi untuk identifikasi Candida albicans pada urin penderita diabetes melitus. Jenis penelitian ini adalah eksperimental laboratorium dengan rancangan penelitian eksploratoris. Sampel yang digunakan adalah penderita diabetes mellitus yang diambil secara acak. Metode pemeriksaan pemeriksaan glukosa darah puasa, dan pemeriksaan urin rutin. Sedimen urin dibiakan ke media PSA. Hasil pertumbuhan koloni Candida albicans pada media Peanut Sucrosa Agar (PSA) pada Responden Diabetes Melitus yang kadar gula darahnya lebih dari 126 mg/dL dan pemeriksaan lekosit positif didapat hasil yang pertumbuhan lebih dari 150 koloni sebanyak 64.7% dan pada media Potato Dextrosa Agar (PDA) sebesar 70.5%. Sedangkan pada media PSA yang kurang dari 150 koloni sebesar 35.3% dan media PDA sebesar 29.5%.Tumbuhnya jamur Candida albicans pada media Peanut Sucrosa Agar (PSA) menunjukkan mampu sebagai media modifikasi dengan terlihat jumlah koloni yang tumbuh lebih dari 150 koloni sebesar 64.7%. Berdasarkan uji statistik T-Test Paired menghasilkan nilai sig p = 0.077 pada α = 0.05 artinya tidak ada perbedaan pertumbuhan jamur Candida albicans pada media PSA dan media PDA, sehingga disimpulkan bahwa media Peanut Sucrose Agar dapat dipergunakan sebagai Agar media modifikasi untuk pertumbuhan Candida albicans dan disarankan untuk dilakukan penelitian dengan menggunakan jenis jamur yang berbeda
Hubungan Karakteristik Individu dengan Perilaku Proaktif Perawat dalam Melaksanakan Handover
Get PDFKarakteristik individu seperti jenis kelamin, umur, tingkat pendidikan, dan masa kerja merupakan variabel yangdapat mempengaruhi kinerja perawat, termasuk sikap proaktif perawat dalam melaksanakan handover. Artikel inibertujuan untuk mengetahui hubungan karakteristik perawat yang terdiri dari jenis kelamin, umur, tingkatpendidikan, dan masa kerja dengan perilaku proaktif perawat di ruang rawat intensif dalam melaksanakanhandover di RSUD Zainal Abidin Provinsi Aceh. Penelitian ini menggunakan metode kuantitatif model deskriptifdengan desain cross sectional study. Sampel penelitian adalah seluruh perawat yang bertugas di ruang intensifyang berjumlah 124 orang. Pengumpulan data dilakukan secara online dengan bantuan aplikasi google formkemudian dianalisis menggunakan uji Spearman Rank dengan bantuan aplikasi SPSS. Berdasarkan hasilpenelitianditemukan bahwa perawat yang bekerja di ruang rawat intensif RSU Zainal Abidin mayoritas berjenis kelaminperempuan (68.5%) berumur 31-40 tahun (60.5%), berpendidikan Sarjana (53.2%), masa kerja 0- 5 tahun (40.3%),dan memiliki kategori perilaku proaktif tinggi dengan persentase 80.6%. Kemudian, berdasarkan hasil pengujianyang dilakukan ditemukan bahwa variabel umur dan masa kerja perawat tidak berhubungan dengan perilakuproaktif perawat dalam melakukan handover. Sedangkan variabel pendidikan dan jenis kelamin memilikihubungan yang signifikan dengan perilaku proaktif perawat dalammelaksanakan handover di ruang rawat intensifRSU Zainal Abidin Aceh