Beranda Jurnal Online Politeknik Kesehatan Kemenkes Semarang (POLTEKKES E-Journal)
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The Effect of Reflexology on Blood Pressure in Pregnant Women with Hypertension
Get PDFNearly 95% of all maternal deaths occurred in low and lower-middle-class countries in 2020, and most were preventable. The direct causes of maternal death were 33.07% of hypertension disorders, 27.03% of obstetric bleeding, 15.7% of non-obstetric complications, 12.04% of other obstetric complications, 6.06% of infections in pregnancy, and 4.81% of other causes. This study aimed to explore the effect of reflexology on blood pressure in pregnant mothers with hypertension. A quasi-experimental design with a non-randomized pretest-posttest design was carried out in this study. The results showed that there was a statistically significant difference in the systolic blood pressure of hypertensive pregnant women before (147.30 ± 16,458) and after (130.55 ± 14,095) given reflexology massage therapy (p-value = 0.0001 (α 0.05); with a difference in pressure reduction up to 16.75 mmHg). In line with systolic blood pressure, Table 3 also shows that there is a statistically significant difference in the diastolic blood pressure of hypertensive pregnant women before (90.75 ± 8.571) and after (82.05 ± 8.912) given reflexology massage therapy (p-value = 0.001 (α 0.05); with a difference in pressure drop of up to 8.7 mmHg). Reflexology massage can be used as an alternative solution to lower blood pressure in pregnant women with hypertension. However, further research needs to be done on how reflexology massage can be applied properly to pregnant women to determine its impact on the mother and unborn baby
Hubungan Kejadian Hipertensi dengan Kadar Trigliserida pada Supir Bus di Terminal Arjosari Kota Malang
Get PDFHypertension is a health problem that is widely encountered in the community and correlates with other diseases. There are many factors that cause hypertension, one of which is abnormal triglyceride levels or hypertriglycerides. Higher levels of triglycerides will inhibit the occurrence of lipogenesis. Lipogenesis is a factor that causes hypertension from food intake, this is because food has a significant role in increasing blood pressure, especially protein and fat. This study aims to determine the relationship between triglyceride levels and hypertension. This type of research is an analytical research with the crosssectional method, statistical data analysis using correlation regression, the number of population as many as 50 respondents and the sample used as many as 21 respondents. Data collection using questionnaires, blood pressure measurements and triglyceride level checks. Blood pressure measurement is done manually and then for the examination of triglyceride levels using the GPO-PAP method is carried out in the laboratory of the Bareng Health Center using a spectrophotometer. The statistical analysis used is the correlation Pearson test. The results of the study on bus drivers with high blood pressure showed that some respondents had high triglyceride levels because they often ate fatty foods. Based on the examination that has been carried out on 21 bus driver respondents at the Arjosari Terminal, Malang City, it shows that triglyceride levels and high blood pressure have no relationship, with the test results using the Pearson correlation statistical test obtained a result of P=0.0766 0.05 with a Pearson value of P=-0.069 correlation meaning that it does not have a relationship with the degree of very weak relationship.Hipertensi merupakan masalah kesehatan yang banyak di jumpai pada masyarakat dan berkorelasi dengan penyakit lainnya. Banyak faktor terjadinya hipertensi salah satunya adalah kadar trigliserida yang tidak normal atau hipertrigliserida. Kadar trigliserida yang lebih akan menghambat terjadinya lipogenesis. Lipogenesisi adalah satu faktor penyebab hipertensi dari asupan makanan, hal ini dikarenakan makanan mempunyai peranan yang berarti dalam meningkatkan tekanan darah terutama protein dan lemak. Penelitian ini bertujuan untuk mengetahui hubungan kadar trigliserida dengan hipertensi. Jenis penelitian ini merupakan penelitian analitik dengan metode crossectional, analisis data statistik dengan menggunakan regresi korelasi, jumlah populasi sebanyak 50 responden dan sampel yang di gunakan sebanyak 21 responden. Pengumpulan data dengan menggunakan kuesioner, pengukuran tekanan darah dan pemeriksaan kadar trigliserida. Pengkuran tekanan darah di lakukan secara manual lalu untuk pemeriksaan kadar trigliserida dengan metode GPO-PAP di lakukan di laboratorium Puskesmas Bareng menggunakan alat spektrofotometer. Analisis statistik yang di gunakan adalah uji pearson korelasi. Dari hasil penelitian pada supir bus dengan tekanan darah tinggi menunjukan sebagian responden memiliki kadar trigliserida yang tinggi di karenakan sering mengonsumsi makanann yang berlemak. Berdasarkan pemeriksaan yang telah di lakukan pada 21 responden supir bus di Terminal Arjosari Kota Malang, menunjukan hasil bahwa kadar trigliserida dan tekanan darah tinggi tidak memiliki hubungan, dengan hasil uji menggunakan uji statistik korelasi pearson di dapatkan hasil P=0,0766 0,05 dengan nilai pearson korelasi P=-0,069 artinya tidak memiliki hubungan dengan derajat hubungan yang sangat lemah
PERFORMANCE TEST OF MAGNETIC RESONANCE IMAGING MACHINE 0,35 TESLA AT KASIH IBU HOSPITAL SABA
Get PDFBackground: This research on the performance testing of the Magnetic Resonance Imaging (MRI) machine was conducted using performance tests on three different parameters at Kasih Ibu Hospital Saba. This research aims to determine the performance of the MRI machine at Kasih Ibu Hospital Saba in Bali Province and establish baseline data for future testing. Method: This type of research is quantitative and uses a survey approach. The tools and materials used in this study are a 0.35 Tesla MRI machine, an ACR phantom, and a head coil. Data were collected by conducting nine MRI performance testing procedures using the ACR (2015) guidelines and then analyzed using international standards issued by ACR (2015). Result: In the visual checklist testing, all observed parameters were over 30 days and functioned well, For the Artifact Evaluation test, the author evaluated all scanned images and found no artifacts. The author analyzed the measurements from the first slice of T1W and T2W images for the Slice Thickness Accuracy test. The measurement results for the T1W image were 4.6mm, and for the T2W image, they were 5.57mm. The Slice Thickness Accuracy testing standard set by ACR in 2015 is 5mm ± 0.7mm. Therefore, based on the measurement results from the T1W and T2W images, the MRI machine at Kasih Ibu Saba Hospital meets the established international standards. Conclusion: Based on the results of the visual checklist test, the following results were obtained: all parameters on the visual checklist functioned well during the 30-day observation. Meanwhile, the two tests conducted with the phantom on the MRI machine at Kasih Ibu Hospital Saba the following results are: the artifact evaluation test and the slice thickness accuracy test met the international standards set by ACR in 2015
The Effect of Application of The Benson Relaxation Technique on Reducing The Scale of Pain in Patients Post-Odontectomy Operation
Get PDFPain can be controlled through pain management which aims to reduce pain to a comfort level. The Benson relaxation technique is a relaxation method that combines breathing with words that contain elements of belief that can help achieve a higher level of health and well-being. This study aims to determine the effect of the Benson relaxation technique on reducing the pain scale in patients after odontectomy surgery. This type of research is a pre-experimental design with a one-group pretest post-test design. Population: all 125 patients after odontectomy surgery. Patient selection was carried out using a purposive sampling technique of 56 patients. Data analysis used univariate and bivariate with the Mann-Whitney Test. The results of the study obtained a p-value of 0.000, which means that there was an influence before and after being given the Benson relaxation technique on reducing the pain scale after odontectomy surgery. Thus, it can be concluded that the Benson relaxation technique affect reducing the pain scale in patients after odontectomy surgery at RSKGM Bandung City
ANALISIS TINGKAT PENGETAHUAN TENTANG THALASSEMIA PADA GENERASI MUDA: STUDI PADA SISWA SMA DAN MAHASISWA KEPERAWATAN TINGKAT AWAL
Get PDFThalassemia merupakan kelainan genetik autosomal resesif yang berdampak pada produksi hemoglobin. Pengetahuan tentang thalassemia pada generasi muda menjadi penting dalam upaya pencegahan kelahiran anak dengan thalassemia mayor. Penelitian ini bertujuan untuk menganalisis tingkat pengetahuan thalassemia pada siswa SMA kelas 3 dan mahasiswa keperawatan tingkat awal. Penelitian menggunakan desain deskriptif analitik dengan jumlah responden sebanyak 100 orang, terdiri dari 70 siswa SMA dan 30 mahasiswa keperawatan. Hasil penelitian menunjukkan bahwa 67% responden memiliki tingkat pengetahuan yang baik, dengan kontribusi masing-masing 30% dari mahasiswa keperawatan dan 37% dari siswa SMA. Sebanyak 17% memiliki pengetahuan sedang, dan 16% memiliki pengetahuan kurang. Hasil ini menggarisbawahi perlunya edukasi yang lebih intensif untuk meningkatkan kesadaran dan pengetahuan remaja mengenai thalassemia.Pengetahuan yang baik diharapkan dapat mendorong perilaku self-care, seperti skrining pranikah, sebagai upaya memutus rantai kelahiran generasi dengan thalassemia. Studi ini merekomendasikan program edukasi terstruktur dan kolaboratif antara lembaga pendidikan dan layanan kesehatan untuk meningkatkan kesadaran remaja tentang pentingnya pencegahan thalassemia
Pencegahan Drop-Out Pengobatan TB Akibat Efek Samping Pada Penggunaan Oat Fix Dose Combination
Get PDFPasien TB harus minum obat secara teratur minimal enam bulan. Bisa saja mereka berhenti minum obat sebelum selesai pengobatan karena tidak paham dan tidak tahan efek samping. Tujuan dari kegiatan ini adalah untuk membuat pasien dan keluarganya paham dan dapat mengatasi efek samping yang timbul dengan tindakan atau dengan obat yang sesuai, sehingga tidak menghentikan pengobatan. Metode yang dilakukan adalah penyuluhan, pembagian brosur dan video penanggulangan efek samping obat. Diserahkan juga obat yang dapat digunakan untuk mengatasi efek samping. Pesertanya 12 pasien TB dan 12 anggota keluarganya. Kepatuhan di monitor melalui grup whats-app. Peserta melaporkan aktifitas minum obatnya dan menginformasikan jika mengalami efek samping. Evaluasi kepatuhan minum obat dilakukan setelah tiga bulan dimonitor. Selama itu semua peserta tetap patuh menjalani pengobatannya, termasuk pasien yang mengalami efek samping obat, karena sudah memahami pentingnya kepatuhan minum obat TB. Selanjutnya peserta yang belum selesai pengobatan masih tetap melaporkan aktifitas minum obatnya sampai benar benar selesai. Semua pasien berhasil menyelesaikan pengobatannya sampai tuntas. Kesimpulannya bahwa melalui pendekatan yang simpatik pasien TB dapat dimotivasi untuk mematuhi aturan penggunaan obat meskipun mengalami efek samping, sehingga hal ini dapat mencegah pasien dari kegagalan terapi.One of the factors influencing recovery is compliance with therapy. Adherence to long-term treatment is not easy, especially when medication can cause side effects. TB patients must take medication regularly for a minimum of six months. They may stop taking medication before completing treatment due to lack of understanding and inability to tolerate side effects. The aim of this activity is to educate patients and their families to understand and manage the side effects that may arise either through action or appropriate medication, thus avoiding treatment discontinuation. The methods employed include counseling, distribution of brochures, and videos on managing medication side effects. Medication to alleviate side effects is also provided. The participants consist of 12 TB patients and 12 family members. Compliance is monitored through a WhatsApp group. Participants report their medication intake activities and inform if they experience side effects. As a result, all patients adhere to their medication regimen, including those experiencing side effects, because they understand the importance of not discontinuing medication. Side effects are alleviated with medication according to the guidance of the attending physician. All patients successfully complete their treatment. In conclusion, through a sympathetic approach, TB patients can be motivated to adhere to medication usage rules, thereby preventing treatment failure
Pengaruh Media Video Edukasi terhadap Tingkat Pengetahuan Ibu tentang Penanganan Kejang Demam
Get PDFBackground: Handling febrile seizures in toddlers that we often encounter such as putting a spoon into the mouth can cause airway obstruction and lead to difficulty breathing. This can harm the child and make the febrile seizures worse. The efforts were made to improve the mother’s knowledge about handling febrile seizures by using animated educational videos. The attractive animated video helps to understand the materials and increases the mother’s knowledge. Handling febrile seizures in toddlers that we often encounter such as putting a spoon into the mouth can cause airway obstruction and lead to difficulty breathing. This can harm the child and make the febrile seizures worse. The efforts were made to improve the mother’s knowledge about handling febrile seizures by using animated educational videos. The attractive animated video helps to understand the materials and increase the mother’s knowledge. Objective: The purpose of giving education was to analyze the effect of educational videos on the level of mother’s knowledge in handling febrile seizures. Methods: The type of study was a quasi-experimental pretest-posttest control group design. The samples were collected by simple random sampling and both groups were 44 respondents. The instrument is a Knowledge Questionnaire. about the characteristics of respondents and their knowledge about febrile seizures. Data analysis used paired sample t-test dan independent t-test. Results: The result showed that education with video significantly improves the knowledge of mothers on handling febrile seizures (p=0.000). Conclusion: The education video presented to the respondents improved the level of mother’s knowledge in handling febrile seizure
Prototype of EMR Information System for Primary Clinics According to Health Big Data Needs
Get PDFDigital Health Transformation requires health facilities to develop Electronic Medical Records (EMR) according to predetermined data standards. This research aims to develop a prototype of the Semarang Ministry of Health Polytechnic Primary Clinic RME which can be integrated with the SATUSEHAT portal. The EMR Primary Clinic prototype is prepared by analyzing system needs and designing prototypes to build a prototype. The subjects of the study were doctors, dentists, and administrative officers. The object of the study was the EMR Primary Clinic of Health Polytechnic of Semarang. The prototype results are compiled simple design but can include standard interoperability of data. Registration data includes all data standards in KMK 1423 of 2022. The EMR prototype can record all the clinical data and administrative data needed in the EMR. The test results show that this EMR prototype can accommodate the needs of primary care clinics and meet the data standards set by "SATUSEHAT". The implementation of this system is expected to facilitate the improvement of the quality of health services in primary clinics, as well as support efforts to integrate national health data more effectively and efficiently. This research also provides recommendations for further development to improve the functionality and interoperability of the system in the futur
The Influence of Health Education with Panthom Media about Breast Care on Knowledge and Behaviour in Postpartum Mothers
Get PDFBackground : Breast milk dams are swelling of the breast due to narrowing of the milk ducts due to curdled milk that blocks the duct cavity. Health workers who provide breast care education to postpartum mothers are very useful in increasing their knowledge and ability to carry out postpartum breast care independently. The aim of this research is to examine the impact of health education using pantomime on breast care knowledge and behavior in postpartum mothers.Methods : Participants in this study consisted of 30 mothers during the postpartum period. The sample approach used is total sample. The data obtained were analyzed using the Wilcoxon test. This research uses health education through pantomime media as an independent variable, while education and behavior as dependent factors. This intervention includes conveying health information to women during the postpartum period. Before and during the provision of health education, participants were asked to fill out a questionnaire covering knowledge and practices related to breast care.Result : Before the intervention 16 people (53.3%) had less knowledge, while after the intervention 30 people (100%) had good knowledge. Then it can be concluded that there is a difference before and after the intervention. Breast care behavior in respondents before the intervention was good value 19 people (63.3%), while after the intervention became 23 people (76.7%). Wilcoxon test on knowledge of sig value results. 0.000 0.05, while in behavior the results of the sig value. 0.000 0.05.Conclusions : Health education with panthom media about breast care affects the knowledge and behavior of postpartum mothers. Keywords : Panthom ,Breast Care, Puerperium, Knowledge, Behavior
HEMODYNAMIC STATUS STABILITY: BLOOD PRESSURE, MEAN ARTERY PRESSURE AND RESPIRATORY RATE IN ACUTE MYOCARDIAL INFARCTION PATIENTS IN CRITICAL CARE UNIT, SURAKARTA
Get PDFThe most important monitoring of acute myocardial infarction patients is monitoring the hemodynamic system because it affects the function of oxygen delivery in the body and involves heart function. This research aimed to find out the condition of the stability of blood pressure, mean artery pressure and respiratory rate in Acute Myocardial Infarction patients in the critical care unit, Surakarta. The method used an analytical observation design with a cross-sectional approach. The samples were 56 subjects. The results show statistical tests of respiratory aids, namely nasal cannula and non-rebreathing mask on hemodynamic status including systolic, diastolic blood pressure, mean artery pressure, and respiratory rate in the critical care unit, Surakarta, there is a significant relationship between the use of respiratory aids and hemodynamic status as evidenced by the value (p value 0.05). The conclusion suggests that it’s better the fulfillment of oxygen therapy needs with the proper respiratory aids (nasal cannula and non-rebreathing mask, the better the patient's hemodynamic status, especially in terms of blood pressure, mean artery pressure, and respiratory rate which are important indicators in the stability of acute myocardial infarction patients