Beranda Jurnal Online Politeknik Kesehatan Kemenkes Semarang (POLTEKKES E-Journal)
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    The Relationship between Family Support and Foot Care Compliance with Recurrent Diabetic Foot Wounds

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    As many as 15-25% of Diabetes Mellitus (DM) patients have the potential to experience diabetic foot ulcers and the rate of recurrence or recurrence of diabetic ulcers is 50% to 70% over 5 years.  A quarter of patients with Diabetes Mellitus have the potential to develop diabetic foot sores or diabetic ulcers and more than half to 70% have a recurrence of diabetes mellitus over 5 years. Recurrent diabetic ulcers have various impacts such as reduced quality of life, economic burden, and psychological, and social effects, even if not treated properly, they can lead to infection, amputation, and even death. The study aimed to analyze the relationship between family support and foot care compliance with the incidence of recurrent diabetic ulcers. The study design was a cross-sectional study, with a sample size of 50 diabetic ulcer patients and the family support measurement instrument was the Hensaring Diabetes Family Support Scale (HDFSS). The results of statistical analysis using the chi-square test obtained p value = 0.013. Patients who adhere to foot care experience recurrent wounds (12%) and those who do not comply with foot care experience recurrent wounds (34%). Statistical analysis using the chi-square test obtained p value = 0.039. It can be concluded that family support and compliance with foot care are related to the incidence of recurrent diabetic foot injuries, so it is recommended to comply with foot care and provide support for DM patients to prevent recurrent foot injuries.Abstract As many as 15-25% of Diabetes Mellitus (DM) patients have the potential to experience diabetic foot ulcers and the rate of recurrence or recurrence of diabetic ulcers is 50% to 70% over 5 years. Recurrent diabetic ulcers have various impacts such as reduced quality of life, economic burden, and psychological, and social impacts, even if not treated properly, they can lead to infection, amputation, and even death. Foot care is an effort to prevent injuries and the family is an important and closest support system for the patient. The study aimed to analyze the relationship between family support and foot care compliance with the incidence of recurrent diabetic ulcers in the Poso Regency. Cross-sectional study research design. The sample was 50 diabetic ulcer patients. The results showed that patients who received high family support experienced recurrent injuries (18%) and those with low family support experienced recurrent injuries (28%). The results of statistical analysis using the chi-square test obtained p value = 0.013. Patients who adhere to foot care experience recurrent wounds (12%) and those who do not comply with foot care experience recurrent wounds (34%). Statistical analysis using the chi-square test obtained p value = 0.039. It can be concluded that family support and compliance with foot care are related to the incidence of recurrent diabetic foot injuries, so it is recommended to comply with foot care and provide support for DM patients to prevent recurrent foot injuries.Keywords: Family support; Foot care; Recurrent foot ulcer

    Use of A Web-Based Application For Monitoring Changes in Elderly Knowledge on Oral Health Maintenance

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    The results of the Basic Health Research (2018) stated that the Indonesian population with oral problems aged 55-64 years was 61.9% and aged 65 years was 54.2%. Some changes in teeth and oral cavity that are often found in the elderly are tooth loss which results in impaired food digestion, pain / pain in the teeth due to periodontal tissue and root caries, reduced vertical dimensions of artificial teeth, gingivitis and various other abnormalities. It is hoped that after being given oral health education through an innovation program in the form of a stroke elderly companion link or what is called “LIPSIAS” can increase the knowledge of stroke elderly on how to maintain their oral health through the help of a companion so that it can have a good influence on their dental hygiene. Research Objectives: Producing a dental and oral health maintenance program through empowering elderly companions in the form of the LIPSIAS Application as a medium for promoting oral health in the Elderly Social Service Home. Using Quantitative methods with pre-experiment research design (one group pretest and posttest design). The sampling technique was purposive sampling consisting of 14 elderly stroke at the Elderly Social Services Home. Results: The results of the statistical test showed P value 0.05, meaning that there was a significant difference in the knowledge of dental and oral health maintenance of stroke elderly before and after being given the LIPSIAS application intervention. Before treatment, the average value of knowledge of stroke elderly was 4.07 (poor category) increased to 8 (good category). The LIPSIAS application is effective in increasing the knowledge of stroke elderly about how to maintain oral health through companion assistanc

    The Effectiveness of Acupressure and Common Cold Massage on Healing Cold in Infants

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    Acute respiratory infection (ARI) is a common disease that affects the community, particularly children and infants. Acute respiratory infections (ARI) that occur in children and infants are very dangerous because they can interfere with eating and sometimes lead to more serious lower respiratory tract infections if not treated properly. Acupressure and common cold massage are non-pharmacological methods of cough and cold treatment. A preliminary study was conducted in the working area of the Balapulang Health Center on September 7, 2021, and a total of 200 babies were obtained. Knowing the effectiveness of acupressure and common cold massage on the duration of cough and cold healing at the Balapulang Public Health Center. A quasi-experimental design with a two group posttest design with a sample size of 20 babies. There is a difference in the effectiveness of acupressure and common cold massage on the duration of cough and cold healing, as indicated by the mean rank values of the acupressure group of 14.05 and the common cold massage group of 6.95. Common cold massage is more effective than acupressure On the healing time of cough and cold in babies with a p-value of 0.005       

    Perbandingan Metode Demonstrasi dan Video Terhadap Keterampilan Perawatan Payudara Ibu Hamil Trimester III

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    Exclusive breastfeeding given to children from birth to 6 months of age with no supplementary foods and beverages. exclusive breastfeeding was one of the keys to reduce infant mortality rate (IMR). The coverage of babies receiving exclusive breast milk in 2019 was 67.74%. The low level of exclusive breastfeeding is influenced by many factors, one of which is the mother's lack of awareness of the importance of breastfeeding in the first 6 months after giving birth. Breasts need to be prepared during pregnancy, which impacts providing IMD (Early Initiation of Breastfeeding), which influences exclusive breastfeeding. Research aim was to compare the effectiveness between  media phantom and video regarding the Breast Care Skills of Pregnant Women in the Third Trimester. The research used quasi-experiment with a non-equivalent control group design. The research sample was obtained by purposive sampling of 60 people (30 intervention groups and 30 control groups). The results of data analysis used Mann-Whitney test. Results showed that p value p = 0.000, meaning p 0.05, stating that the demonstration using phantom media was more effective in improving breast care skills in third-trimester pregnant women. In conclusion, it is hoped that this guide can be used by stakeholders or service partners and motivate pregnant women to carry out breast care since pregnancy so that they can successfully provide exclusive breastfeeding until the baby reaches 6 months

    Gambaran Morfologi Eritrosit Mahasiswi saat Menstruasi

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    College students when entering the early adult phase have experienced puberty which is marked by menstruation. The duration of menstruation between one woman and another varies greatly so that the volume of blood released also varies. Excessive blood loss can reduce iron (Fe) levels in the body of female students and can affect erythrocyte morphology. Researchers conducted this study with the aim of knowing the description of erythrocyte morphology of female college students during menstruation. The research conducted is included in the type of descriptive research with observational design. The population was d3 TLM class 12 students with a sample size of 20 students who were experiencing menstruation. The sampling technique used incidental sampling. The results described the morphology of erythrocytes in female students of DIII Medical Laboratory Technology Batch XII Poltekkes Kemenkes Semarang during menstruation on the 4th day based on aspects of assessment of erythrocyte size, namely 7 people (35%) included in the microcytic category and 13 people (65%) included in the normocytic category. Based on the aspect of erythrocyte staining, 7 people (35%) were included in the hypochromic category and 13 people (65%) were included in the normochromic category. While based on the aspect of assessing the shape of erythrocytes, all 20 respondents (100%) were included in the mild poikilocytosis category. The conclusion that can be drawn from this study is the picture of erythrocyte morphology of DIII Medical Laboratory Technology Batch XII Poltekkes Kemenkes Semarang students during menstruation on the 4th day, out of 20 respondents as many as 7 people (35%) showed hypochromic microcytic erythrocyte morphological abnormalities with mild poikilocytosis and 13 people (65%) showed normocytic normochromic erythrocyte morphological abnormalities with mild poikilocytosis. It is recommended to increase the consumption of vegetables and foods that increase the formation of red blood cells during menstruation.Mahasiswi saat memasuki fase awal dewasa telah mengalami pubertas yang ditandai dengan peristiwa menstruasi. Durasi menstruasi antara satu perempuan dengan perempuan lainnya sangat bervariasi sehingga volume darah yang dikeluarkan juga berbeda-beda. Pengeluaran darah yang berlebihan dapat menurunkan kadar zat besi (Fe) dalam tubuh mahasiswi dan dapat memengaruhi morfologi eritrosit. Peneliti melakukan penelitian ini dengan tujuan untuk mengetahui gambaran morfologi eritrosit mahasiswi saat menstruasi. Penelitian yang dilakukan termasuk dalam jenis penelitian deskriptif dengan rancangan observasional. Populasi adalah mahasiswa d3 TLM angkatan 12 dengan besar sampel sebanyak 20 mahasiswa yang sedang mengalami mentrusasi. Teknik sampling menggunakan insidental sampling. Hasil penelitian menggambarkan morfologi eritrosit pada mahasiswi DIII Teknologi Laboratorium Medis Angkatan XII Poltekkes Kemenkes Semarang saat menstruasi hari ke-4 berdasarkan aspek penilaian terhadap ukuran eritrosit yaitu 7 orang (35%) termasuk dalam kategori mikrositik dan 13 orang (65%) termasuk dalam kategori normositik. Berdasarkan aspek pewarnaan eritrosit, sebanyak 7 orang (35%) termasuk dalam kategori hipokromik dan 13 orang (65%) termasuk dalam kategori normokromik. Sedangkan berdasarkan aspek penilaian terhadap bentuk eritrosit, keseluruhan responden sebanyak 20 orang (100%) termasuk dalam kategori poikilositosis ringan. Kesimpulan yang dapat diambil dari penelitian ini adalah gambaran morfologi eritrosit mahasiswi  DIII Teknologi Laboratorium Medis Angkatan XII Poltekkes Kemenkes Semarang saat menstruasi hari ke-4, dari 20 responden sebanyak 7 orang (35%) menunjukkan kelainan morfologi eritrosit mikrositik hipokromik dengan poikilositosis ringan dan 13 orang (65%) menunjukkan kelainan morfologi eritrosit normositik normokromik dengan poikilositosis ringan. Disarankan Perbanyak  konsumsi sayuran dan makanan yang meningkatkan pembentukan sel darah merah selama masa mentruasi

    Kejadian Bendungan ASI pada Ibu Postnatal Care: Literature Review

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    Background: The postpartum period is a transition period from intranatal to postnatal, during this period the problems that often occur, one of which is breast milk dams caused by narrowing of the lacteferous ducts by glands that are not emptied completely so that venous and lymphatic flow is blocked, this causes The breasts are swollen and very painful, to overcome this you can do breast massage (breast massage). Objective: of this research is to determine the effect of lactation massage on breast milk retention in post partum mothers at RSIA Khadijah 1 Makassar. Method: This research is a type of quantitative research with a quasi-experimental design, with a pre-test and post-test with control group design approach. The population in this study was post partum mothers at RSIA Sitti Khadijah I Makassar in June 2018 using accidental sampling technique. The total sample was 16 post partum mothers who were given breast massage intervention for 3 days with a duration of 15 minutes. The data analysis used was bivariate analysis using the Paired Sample T test. Results: Based on the research results before breast massage was carried out, of 16 post partum mothers there were 81.3% or 13 post partum mothers who were categorized as having breast milk dams and after lactation massage there was a decrease in breast milk dams from 81.3% to 18.8% . Conclusions and Suggestions: There is an effect of Lactation Massage on breast milk dams with a ρ.Value of 0.007. It is hoped that you will continue to carry out breast massage both before and after giving birth to avoid breast milk dams and facilitate the release of breast milk as early as possible

    THE PERINATAL ANXIETY SCREENING SCALE VERSI INDONESIA: STUDI INSTRUMEN KECEMASAN PADA KEHAMILAN

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    Instrumen untuk mengukur kecemasan pada ibu hamil dibutuhkan agar dapat menyusun langkah penanganannya. Tujuan penelitian ini untuk untuk melakukan uji validitas dan reliabilitas The Perinatal Anxiety Screening Scale (PASS) versi Indonesia bagi ibu hamil. Ibu hamil trimester III di Kabupaten Banyumas yang berpartisipasi sejumlah 83 orang, yang diminta untuk mengisi instrumen PASS yang telah diterjemahkan ke dalam Bahasa Indonesia. Uji validitas dengan validitas kriteria yang meliputi validitas internal (validitas butir) dan validitas eksternal (convergent validity, sedangkan uji reliabilitas meliputi reliabilitas internal (internal consistency) dan reliabilitas eksternal (test-retest/stability). Setiap item PASS memiliki hubungan yang signifikan dengan skor total (p-value 0,000) dengan koefisien korelasi (r) 0,412-0,793. PASS berkorelasi dengan skor total DASS dan dengan sub skala depression, anxiety dan stress DASS (p-value 0,000). Internal consistency baik (Cronbach’s alpha 0,957) dan test-retest reliability adekuat (koefisien korelasi 0,729). PASS Versi Indonesia valid dan reliabel sebagai instrumen untuk mengukur kecemasan pada Ibu hamil. PASS dapat digunakan untuk mendeteksi kecemasan pada ibu hamil lebih dini, sehingga mendapatkan penanganan segera

    RIWAYAT KEHAMILAN PADA DEPRESI POSTPARTUM DARI KONTEKS KASUS GLOBAL: SYSTEMATIC REVIEW

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    Depresi postpartum (PPD) yang mempengaruhi 10-15% kondisi kesehatan ibu adalah masalah kesehatan psikologis wanita di seluruh dunia. Literature riview ini bertujuan menganalisa penyebab kejadian depresi postpartum dari konteks riwayat kehamilan berdasarkan kelompok negara miskin, negara berkembang dan negara maju. Metode dan prosedural penelitian ini adalah tinjauan pustaka sistematis yang diarahkan oleh The Preferred Reported Criteria for A systematic Evaluates and Meta-analyses (PRISMA) dari Sciences Direct, Pub Med dan Wiley Online Library. Pencarian data dilakukan pada bulan Oktober 2023. Artikel yang egilible sejumlah 13 artikel dari 241 artikel. Hasil: Dinegara miskin riwayat kehamilan penyebab kejadian depresi postpartum didominasi riwayat kekerasan pasangan intim selama kehamilan, ekonomi sosial yang rendah, pendidikan rendah, dan kurangnya dukungan sosial. Di Negara berkembang, Ibu yang memiliki usia remaja saat hamil, kehamilan dengan HIV AIDS dan merebaknya pandemic Covid adalah kasus yang mendominasi penyebab depresi postpartum. Di Negara Maju, Wanita hamil dengan gaya hidup tidak sehat dan penyakit yang menyertai saat kehamilan bagian penyebab gejala depresi postpartum. Kesimpulan: Banyak factor yang menyebabkan adanya perbedaan penyebab dari riwayat kehamilan sebagai bagian pencetus terjadinya depresi postpartum dari yang dapat berdampak negatif pada domain pemulihan pascapersalinan termasuk ikatan ibu-bayi, tidur, nyeri, kemampuan kognitif, dan fungsi

    TINGKAT PENGETAHUAN SISWA SMA N 2 KELAS XII KOTA PEKALONGAN TENTANG DIABETES MELITUS

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    Latar Belakang : DM tipe 2 adalah jenis DM yang sering terjadi di masyarakat, biasanya terjadi pada orang dewasa, akan tetapi kejadian DM tipe 2 pada anak-anak dan remaja semakin meningkat. Faktor risiko paling utama pada DM tipe 2 adalah obesitas dan riwayat keluarga dengan riwayat DM tipe 2. Namun Kenyataan yang ditemukan di masyarakat pada umumnya banyak remaja cenderung mengonsumsi makanan yang tinggi gula, lemak jenuh, dan rendah serat. Diet yang tidak sehat ini dapat menyebabkan kelebihan berat badan atau obesitas, yang merupakan faktor risiko utama untuk perkembangan DM. Gaya hidup yang kurang aktif dan kebiasaan menghabiskan waktu terlalu banyak di depan layar (seperti dengan gadget dan televisi) dapat menyebabkan kurangnya aktivitas fisik. Kurangnya olahraga dan aktivitas fisik dapat meningkatkan risiko obesitas dan resistensi insulin, yang merupakan fa ktor risiko untuk DM.Tujuan: Mengetahui tingkat pengetahuan tentang DM pada siswa SMA N 2 kelas XII Kota Pekalongan.Metode: Penelitian ini menggunakan metode survei dengan instrumen kuesioner. Pendekatan secara cross sectional. Sampel yang diambil yaitu 40 responden. Setelah itu dilakukan evaluasil.Hasil:  Dari 40 responden yang diteliti, tingkat pengetahuan didominasi oleh pengetahuan kategori kurang dengan frekuensi 25 (62,5%), selanjutnya pengetahuan kategori sedang 15 (37,5%), dan pengetahuan kategori baik  0 (0%).. Berdasarkan jenis kelamin terbanyak adalah perempuan.Saran: Sebaiknya tenaga kesehatan Puskesmas menjalin kerja sama dengan guru SMA atau penanggungjawab unit kesehatan sekolah untuk mengadakan penyuluhan tentang penyakit Diabetes Melitus. Sebaiknya Puskesmas meyediakan layanan konsultasi tentang DM  kepada siswa yang memerlukan konsultasi individu terkait penyakit DM lebih mendalam sesuai kebutuhan merekaKata Kunci: Tingkat pengetahuan , Diabetes Melitu

    Hubungan Riwayat Keluarga, Pola Makan Dan Sedentary Lifestyle Dengan Diabetes Mellitus

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    Latar Belakang : Pandemi covid-19 menyebabkan perubahan pada kehidupan manusia. Mulai dari pola makan, pola aktivitas dan gaya hidup berubah pasca pandemi tersebut. Perubahan gaya hidup manusia cenderung mengarah pada gaya hidup dengan aktivitas fisik minimal. Artinya masyarakat lebih banyak melakukan aktivitas fisik didalam ruangan dan mobilitas rendah. Hal ini mengakibatkan kadar gula didalam tubuh tinggi akibat tidak digunakan sebagai sumber energi untuk melaksanakan aktivitas fisik. Kondisi ini memungkinkan terjadinya peningkatan kejadian diabetes mellitusTujuan : Penelitian ini bertujuan untuk mengetahui adanya hubungan antara riwayat, pola makan dan sedentary lifestyle pada kejadian diabetes mellitus di Kota Pekalongan.Metode : Penelitian ini menggunakan metode kualitatif. Subjek penelitian adalah penderita diabetes mellitus di wilayah Puskesmas Kusuma Bangsa Kota Pekalongan dengan teknik purposive sampling. Pengumpulan data menggunakan kuesioner dan dibantu oleh enumerator.Hasil : Hasil penelitian ini menunjukan bahwa usia, pola makan dan aktivitas fisik memiliki hubungan yang berarti pada kejadian diabetes mellitus, sementara gaya hidup memiliki hubungan tetapi tidak berarti dalam kejadian diabetes mellitus di wilayah kerja Puskesmas Kusuma Bangsa Kota Pekalongan.Simpulan : Gaya hidup sehat dapat mencegah terjadinya diabetes mellitus. Gaya hidup sehat juga dapat menurunkan risiko terjadinya perburukan pada penderita diabetes mellitus. Kata Kunci : Diabetes Mellitus, Sedentary Lifestyle, Gaya hidu

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