Beranda Jurnal Online Politeknik Kesehatan Kemenkes Semarang (POLTEKKES E-Journal)
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Risiko Kepadatan Hunian, Kebiasaan Merokok dan Riwayat Kontak terhadap Kasus Tuberkulosis Paru di Indonesia: Meta Analisis
Get PDFTuberkulosis (TB) merupakan penyakit menular yang diakibatkan oleh bakteri bernama Mycobacterium tuberculosis. Meskipun biasanya menyerang paru-paru, bakteri TB bisa juga menyerang organ tubuh lainnya, termasuk ginjal, tulang belakang, dan otak. Di Indonesia, Tuberkulosis (TB) menduduki peringkat ketiga setelah India dan China, dengan jumlah kasus mencapai 824 ribu dan menyebabkan 93 ribu kematian per tahun, atau setara dengan 11 kematian per jam. Tujuan dari penelitian ini adalah untuk mengkaji faktor risiko seperti kepadatan hunian, riwayat kontak, dan kebiasaan merokok terhadap kejadian Tuberkulosis Paru di Indonesia. Studi ini mengadopsi metode meta-analisis dengan sumber data yang diperoleh dari Google Scholar. Hasil data sekunder dari metode meta analisis menemukan bahwa variabel Riwayat Kontak memiliki risiko 3.819 kali lebih besar, Kepadatan Hunian memiliki risiko 2.585 kali lebih besar. Selain itu, kebiasaan merokok memiliki risiko 1.840 lebih besar. Kesimpulan dari hasil meta analisis yang memiliki risiko paling signifikan terhadap kejadian Tuberkulosis paru di Indonesia adalah variabel riwayat kontak, kepadatan hunian, dan yang terendah, variabel kebiasaan merokok. Upaya pencegahan dan pengendalian dapat dilakukan dengan penyuluhan kesehatan dan perubahan perilaku masyarakat menuju lebih sehat dengan menjaga kondisi rumah tetap sehat
Learning Simulations in Increasing Satisfaction and Self-Confidence of Nursing Students
Get PDFBackground: Simulation activities are an effective teaching method to increase student participation. Assessing student satisfaction with simulation methods is also important because it has not been fully explored in previous research.Purpose: The purpose of this research was to analyze the relationship between simulation design scale, education practice questionnaire, students' self-confidence and self-confidence in learning for Bachelor of Applied Nursing students.Methods: This research was a cross sectional descriptive study conducted on Bachelor of Applied Nursing students at the Ministry of Health Semarang Health Polytechnic in June-September 2023. The sample used was a total sampling of 80 students who were in the third year of study. Data collection techniques were carried out using the Student Satisfaction and Self-Confidence in Learning Scale (SCLS), Simulation Design Scale (SDS), and Educational Practice Questionnaire (EPQ) questionnaires and then processed using the Spearman rank test to determine the relationship between the three.Results: The results of the Spearman rank test test show that SDS is strongly related to EPQ (0.744), SDS is strongly related to SSCL (0.681), while EPQ is very strongly related to SSCL (0.846) with a positive relationship between each variable. There is a significant relationship between the SDS, EPQ, SSCL variables in Bachelor of Applied Nursing students with a p-value 0.05.Conclusion: Nursing students' satisfaction and confidence with simulation-based learning correlated with students' confidence in clinical practice
Perawatan Kateter Urine Dengan Chlorhexidine Gluconate 5% dalam Mencegah Infeksi Saluran Kemih
Get PDFBackground: Urinary tract infections that occur in hospitals are mostly caused by the installation of indwelling urinary catheters. Indwelling urinary catheter care is one way to prevent catheter-related urinary tract infections. Objective: This study aims to determine the effect of indwelling urinary catheter treatment using 5% chlorhexidine gluconate on urinary tract infections in the Blora Hospital. Methods: This research uses a quasi-experimental posttest-only design. The sampling technique was purposive sampling, 12 subjects were recruited. The independent variable is indwelling urinary catheter care, and the dependent variable is urinary tract infection. Data were collected using colony counts and bacterial types on the fourth day. Data were analyzed by using the Mann Whitney test. Results: The results of the study showed that there was no difference in the incidence of urinary tract infections between patients in the treatment group who received indwelling urinary catheter treatment using chlorhexidine gluconate 5% and patients in the control group who received standard catheter treatment (p=0.138). Conclusion: Perineal care agents do not affect the incidence of catheter-related urinary tract infections. Further research should involve a larger number of respondents and consider respondent characteristics such as antibiotic use, diabetes mellitus, and urine production to obtain more accurate results
Analisis Kesiapan Pelaksanaan Rekam Medis Elektronik dengan Metode Doctor’s Office Quality-Information Technology (DOQ-IT) di Rumah Sakit Umum Daerah Kajen Kabupaten Pekalonga
Get PDFBerdasarkan Permenkes RI Nomor 24 Tahun 2022 tentang Rekam Medis, seluruh fasilitas pelayanan kesehatan harus menyelenggarakan RME sesuai dengan ketentuan dalam peraturan tersebut paling lambat tanggal 31 Desember 2023. Analisis kesiapan diperlukan sebelum melaksanakan RME untuk mengetahui tingkat kesiapan fasilitas pelayanan kesehatan terkait. Penelitian ini bertujuan untuk menganalisis kesiapan pelaksanaan RME dengan metode doctor’s office quality-information technology (DOQ-IT) pada aspek sumber daya manusia (SDM), budaya kerja organisasi, tata kelola kepemimpinan, dan infrastruktur teknologi informasi. Jenis penelitian ini yaitu deskriptif kuantitatif. Data penelitian dikumpulkan melalui kuesioner yang disebarkan menggunakan Google Form. Sampel yang digunakan merupakan petugas RSUD Kajen yang akan mengoperasikan RME. Kesiapan pelaksanaan RME di RSUD Kajen memperoleh nilai 91,44 dengan rata-rata 3,2. Nilai tersebut berarti RSUD Kajen cukup siap dalam melaksanakan RME. RSUD Kajen sebaiknya menyusun kebijakan terkait reward, anggaran untuk peningkatan kapasitas PPA dan pemeliharan infrastruktur teknologi informasi, serta dilakukan identifikasi SDM agar kesiapannya lebih maksimal
Abdominal Streaching Exercise and Warm Compresses of Ginger Decoction Affect The Reduction of Primary Dysmenorrhea Pain
Get PDFBackground: Dysmenorrhea is lower abdominal pain due to blood discharge from the uterus that generally bothers young women. The impact of dysmenorrhea makes it difficult for young women to move. One way to overcome dysmenorrhea is with non-pharmacological methods of giving abdominal stretching exercises and warm compresses of ginger decoction. This study aims to determine the effect of abdominal stretching exercises and warm compresses of ginger decoction on reducing primary dysmenorrhea pain in adolescent girls at SMA Negeri 1 Jamblang. Research method: Type of experimental quasi-research with two groups pre and post-test design. The population of adolescent girls in grade XI science and social studies who experience dysmenorrhea is 74 samples. Data were collected using questionnaire observation sheets with the Numeric Rating Scale pain scale, and bivariate analysis using the Wilcoxon test and the Friedman test. Results: The Friedman test obtained an average of dysmenorrhea pain after abdominal stretching exercise and warm compresses of ginger decoction in the intervention group and obtained an average post-treatment pain of 1.34. While in the control group given warm compress treatment ginger decoction obtained an average value of post-treatment pain of 1.66 with the highest decrease value on day 3 obtaining p value of 0.014 (p 0.05). Conclusions and Suggestions: Giving abdominal stretching exercises and warm compresses of ginger decoction affects reducing the scale of primary dysmenorrhea pain in adolescent girls at SMA Negeri 1 Jamblang
Kasus Reaksi Transfusi pada Pasien Penerima Donor Darah di RSUD Sayang Kabupaten Cianjur Periode 2020-2022
Get PDFBlood transfusions must be performed based on appropriate indications, selecting the correct volume and type of component, and administered at the right time. The risk of transfusion reactions is inherent in nearly every transfusion process and can manifest clinical symptoms in patients. Hospitals must conduct oversight of the blood transfusion process, known as hemovigilance, to prevent transfusion reactions and enhance the safety of blood services. This study aims to determine the number of transfusion reaction cases in blood donor recipients at RSUD Sayang, Cianjur Regency, during the period from 2020 to 2022. This qualitative research utilizes a total sampling technique. The population comprises all blood donor recipients at RSUD Sayang, Cianjur Regency, from 2020 to 2022. The sample includes medical records data of transfusion reaction cases in blood donor recipients at RSUD Sayang, Cianjur Regency, from 2020 to 2022. The results indicate 35 cases of transfusion reactions. The majority of transfusion reaction cases in blood donor recipients were acute category I (mild) reactions, totaling 21 cases (60%). Patients with a history of previous transfusions predominantly experienced category I (mild) and category II (moderate) reactions, each with 12 cases (57.1%). Most acute reaction cases were category I (mild), with 20 cases (57.1%), occurring during transfusions with Packed Red Cells (PRC). The majority of acute transfusion reactions occurred after the administration of the first blood bag, with 17 cases (48.6%), and these reactions were primarily category I (mild).Transfusi darah harus dilakukan dengan indikasi, pemilihan volume dan jenis komponen yang tepat dan diberikan pada waktu yang tepat. Resiko terjadinya reaksi transfusi hampir ada di setiap proses transfusi darah dan dapat menimbulkan gejala klinis pada pasien. Rumah sakit harus melakukan pengawasan terhadap proses tranfusi darah atau hemovigilance agar tidak terjadi reaksi tranfusi dan untuk peningkatan keamanan pelayanan darah. Penelitian bertujuan untuk mengetahui jumlah kasus reaksi transfusi pada pasien penerima donor darah yang mengalami reaksi transfusi di RSUD Sayang Kabupaten Cianjur periode 2020 - 2022. Jenis penelitian kualitatif, menggunakan teknik total sampling. Populasi adalah seluruh pasien penerima donor darah di RSUD Sayang Kabupaten Cianjur periode 2020-2022 dan Sampel penelitian adalah data rekam medis kasus reaksi transfusi pada pasien penerima donor darah di RSUD Sayang Kabupaten Cianjur periode 2020-2022. Hasil penelitian terdapat 35 kasus reaksi transfusi. Kasus reaksi tranfusi mayoritas pada pasien penerima donor darah mengalami reaksi transfusi akut kategori I (ringan) sebanyak 21 kasus (60%). Pasien yang memiliki riwayat pernah transfusi, mayoritas mengalami reaksi tranfusi kategori I (ringan) dan kategori II (sedang) masing-masing sebanyak 12 kasus (57,1%). Mayoritas kasus reaksi akut termasuk kategori I (ringan) sebanyak 20 kasus (57,1%) pada tranfusi dengan Packed Red Cell (PRC). Mayoritas kasus reaksi tranfusi akut terjadi pada pasien setelah pemberian kantong darah pertama sebanyak 17 kasus (48,6%) dan reaksi tranfusi yang terjadi termasuk kategori I (ringan)
Analisis Perbedaan Nilai Hematokrit pada Penderita Hipertensi Derajat Satu dan Derajat Dua
Get PDFBlood pressure is the pressure exerted by blood against the walls of blood vessels and is generated by the pressure of blood against the walls of arteries when the blood is pumped from the heart to the tissues. The amount of pressure varies depending on the blood vessels and heart rate. Hypertension is a non-communicable disease that triggers health problems that occur throughout the world. Kupang Regency is one of the districts with the highest cases of hypertension in NTT province with 1,582 cases. Hypertension is closely related to hemoglobin levels, hematocrit values and erythrocyte counts. There is a significant positive relationship between hematocrit values and diastolic blood pressure. Increased blood pressure has a significant positive relationship between hemoglobin levels, hematocrit values and erythrocyte counts. Apart from that, factors that influence hypertension with hemoglobin levels, hematocrit values and erythrocyte counts are age, gender, circulating fibrinogen and red blood cell aggregation. The aim of this research is to determine the difference in hematocrit values in sufferers of grade one and degree two hypertension. This research uses a cross-sectional analytical research design based on primary data originating from examination results in Bone Village, Nekamese District, Kupang Regency in April 2023 which meets the research sample criteria. Sampling for this research was determined using the Purposive Sampling technique. The research respondents were 30 hypertension sufferers in Bone Village, Nekamese District, Kupang Regency. Research on blood pressure and hematocrit values was carried out on all respondents. The results showed that hypertension sufferers consisted of 5 (17%) men and 25 (83%) women with the highest age of hypertension sufferers being 56 years old, 24 people (80%). There were 9 (30%) people suffering from grade 1 hypertension and 21 (70%) people suffering from degree 2 hypertension with the hematocrit value of most hypertensive sufferers still within normal limits, 18 (60%) and low hematocrit values as many as 12 (40%). The results of this study were processed using SPSS software with Mann-Whitney Test analysis and presented descriptively regarding the analysis of hematocrit values in sufferers of degree one and degree two hypertension. The results of statistical analysis show p-value 0.05, which means there is no significant difference between variables and vice versa. The results of the study showed that there was no difference in hematocrit values in sufferers of degree one and degree two hypertension with a value of p=0.295. In this study, hypertension sufferers generally had normal hematocrit values, but in second-degree hypertension sufferers the hematocrit values tended to be low.Tekanan darah merupakan tekanan yang diberikan darah terhadap dinding pembuluh darah dan ditimbulkan oleh desakan darah terhadap dinding arteri ketika darah tersebut dipompa dari jantung ke jaringan. Besar tekanan bervariasi tergantung pada pembuluh darah dan denyut jantung. Hipertensi merupakan penyakit tidak menular yang menjadi pemicu masalah kesehatan yang terjadi di seluruh dunia. Kabupaten Kupang merupakan salah satu Kabupaten dengan kasus hipertensi tertinggi di propinsi NTT dengan 1.582 kasus. Hipertensi sangat berkaitan dengan kadar hemoglobin, nilai hematokrit dan jumlah eritrosit. Terdapat hubungan positif yang bermakna antara nilai hematokrit dengan tekanan darah diastolik. Peningkatan tekanan darah memiliki hubungan positif yang signifikan antara kadar hemoglobin, nilai hematokrit dan jumlah eritrosit. Selain itu faktor yang mempengaruhi hipertensi dengan kadar hemoglobin, nilai hematokrit dan jumlah eritrosit adalah umur, jenis kelamin, sirkulasi fibrinogen dan agregasi sel darah merah. Tujuan dari penelitian ini adalah untuk mengetahui Perbedaan Nilai Hematokrit pada penderita Hipertensi Derajat Satu dan Derajat Dua. Penelitian ini menggunakan desain penelitian analitik cross-sectional berdasarkan data primer yang berasal dari hasil pemeriksaan di Desa Bone Kecamatan Nekamese Kabupaten Kupang pada bulan April 2023 yang memenuhi kriteria sampel penelitian. Pengambilan sampel untuk penelitian ini ditentukan menggunakan teknik Purposive Sampling. Responden penelitian adalah 30 penderita hipertensi di Desa Bone Kecamatan Nekamese Kabupaten Kupang. Penelitian tekanan darah dan nilai hematokrit dilakukan terhadap seluruh responden. Hasil penelitian menunjukkan penderita hipertensi terdiri dari 5 (17%) laki-laki dan 25 (83%) perempuan dengan usia penderita hipertensi terbanyak adalah usia 56 tahun sebanyak 24 orang (80%). Penderita hipertensi derajat 1 (satu) terdiri dari 9 (30%) orang dan penderita hipertensi derajat 2 sebanyak 21 (70%) orang dengan nilai hematokrit penderita hipertensi terbanyak masih berada dalam batas normal sebanyak 18 (60%) dan nilai hematokrit yang rendah sebanyak 12 (40%).Hasil penelitian ini diolah menggunakan software SPSS dengan analisis Mann-Whitney Test dan disajikan secara deskriptif tentang analisis nilai hematokrit pada penderita hipertensi derajat satu dan derajat dua. Hasil analisis statistik menunjukkan p-value 0,05 yang berarti tidak ada perbedaan yang signifikan antar variabel dan sebaliknya. Hasil penelitian menunjukkan bahwa tidak ada perbedaan nilai hematokrit pada penderita hipertensi derajat satu dan derajat dua dengan nilai p=0,295. Pada penelitian in penderita Hipertensi pada umumnya memiliki nilai hematokrit yang normal tetapi pada penderita hipertensi derajat dua nilai hematokrit cenderung rendah
Pengaruh Pendidikan Kesehatan Terhadap Kebiasaan Olahraga dan Nyeri Haid pada Remaja Putri Kelas XII di SMA N 1 Mlati
Get PDFDysmenorrhea is pain in the lower abdomen during menstruation. Therefore, many efforts have been made to reduce menstrual pain complaints, namely by pharmacological and non-pharmacological methods. For Non- pharmacological intervention, one of which is regular exercise such as jogging, running, cycling, swimming and gymnastics 3-5 times a week. One way to improve the sports habits of these teenagers is through health education. The research objective was to determine the effect of health education on exercise habits and menstrual pain in class XII female adolescents at SMAN 1 Mlati. The research design used was a pre-experimental design with the one group pretest-posttest method. The population of this study were all female students of class XII at SMAN 1 Mlati who experienced menstrual pain as many as 50 respondents with a sampling technique using total sampling. Pain scale was determined through a verbal descriptor scale sheet. The analysis technique used univariate and bivariate analysis. Bivariate analysis used the Wilcoxon signed ranks test. The results of the Wilcoxon signed rank test on both variables show that Asymp. Sig. (2-tailed) is 0.000, because the sig. (2- tailed) 0.000 0.05. It can be concluded that there is an influence of health education on exercise habits and menstrual pain in class XII female adolescents at SMAN 1 Mlati. As a suggestion, sport can be used as an alternative intervention that can be done to relieve menstrual pain
Dukungan Emosional Keluarga pada Rencana Pemilihan Penolong Persalinan Di Puskesmas Rumpin Kabupaten Bogor
Get PDFBogor district contributes the largest MMR in West Java Province. Rumpin sub-district in Bogor district has quite low numbers for birth assisted by health worker. A study says that one of the causes is lack of family emotional support. Find out relations between family emotional support with birth attendant selection plan in Rumpin Public Health Bogor District. The research is used analytical research with a cross sectional design. The population of the study was pregnancy woman 3rd trimester and conducted at the Rumpin Public Health Center in 2023 as many as 83 respondens. Analysis using the Chi-Square test showed that the P-value was 0,007 or there was a relationship between family emotional support with birth attendant selection plan with an OR of 6,125. Pregnancy woman with low family support were 6,125 times more likely to plan to choose non-health workers as a birth attendant. There is a relations between emotional family support with birth attendant selection plan in Rumpin Public Health Center Bogor Distric
INHIBITOR AND ENHANCER FACTOR CONSUMPTION RELATION WITH ANEMIA IN ADOLESCENT GIRLS
Get PDFAdolescence is a golden period with optimal growth and development. At this time, teenagers have very important physical and psychological needs. Moreover, if there is malnutrition, one of the problems is anemia. Anemia is a global public health problem that affects adolescent girls, women of childbearing age, pregnant women, and children in developed and developing countries. This study aims to analyze the correlation between inhibitor and enhancer consumption and anemia in adolescent girls. This is a cross-sectional study conducted in Semarang City. Early adolescents ages 10 – 15 years old, and fulfill the inclusion and exclusion criteria were selected using a questionnaire. Consumption of inhibitors and enhancers of iron was measured using a semi-qualitative food frequency questionnaire. Anemia status was measured using a digital hemoglobin meter device. The Chi-square test and Fisher’s exact test were used to analyze the research data. The result of this study shows there is no significant correlation between the consumption of inhibitors and enhancers of iron toward anemia status among adolescent girls with p-values 0.158 and 0.744 α (CI:95%) respectively. Adolescents should be concerned about what they consume, and information about what food can enhance and obstruct iron should be socialized so they can wiser to reduce consuming inhibitors and increase consumption enhancers of iron