Beranda Jurnal Online Politeknik Kesehatan Kemenkes Semarang (POLTEKKES E-Journal)
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Faktor – Faktor Yang Berpengaruh Terhadap Pengambilan Keputusan Pemilihan Tempat Bersalin Di Puskesmas Libarek Kabupaten Jayawijaya
No full textInappropriate choice of birthing place and birth attendant will have a direct impact on the mother's health. The most ideal place for giving birth is a health facility with equipment and health workers who are ready to help at any time if birth complications occur or require emergency treatment. The aim of this research is to determine the factors that influence decision making in choosing a place to give birth at the Libarek Health Center, Jayawijaya Regency in 2023.This type of research is quantitative research with a cross sectional approach. The population in this study was all mothers giving birth normally during 2022, namely 51 respondents and domiciled in the work area of the Libarek Health Center, Jayawijaya Regency. The samples in this study were 34 samples taken using purposive sampling technique. The statistical test used is Chi-square.The research results obtained factors that influence the choice of delivery location. For the factors of knowledge, family support and access (distance to location of health facility), the p-values were respectively 0.003, 0.01 and 0.035, which means that the factors knowledge, family support and access (distance to location of health facility) influence the choice of delivery location.Conclusion: knowledge, family support and access (distance to health facilities) are factors that influence the choice of delivery place at the Libarek Health Center, Jayawijaya Regency. Keywords: Delivery place, knowledge, family support, access
HUBUNGAN STATUS GIZI (OBESITAS) SEBAGAI FAKTOR RESIKO DIABETES MELLITUS DENGAN KADAR GULA DARAH
Get PDFLatar Belakang : Angka kejadian Diabetes Mellitus di kawasan Asia Tenggara, Indonesia berada diurutan ketiga dengan prevalensi sebesar 11,3%. Pada tahun 2019 Jawa Tengah terdapat 652.822 kasus. Faktor utama peningkatan kadar gula darah pada manusia selain genetic yaitu dari tingkat obesitas. Status Gizi (Obesitas) mempengaruhi kejadian diabetes mellitus.Tujuan : Untuk mengetahui Hubungan Status gizi (Obesitas) sebagai faktor resiko Diabetes Mellitus dengan Kadar Gula darahMetode : Penelitian ini merupakan penelitian kuantitatif dengan desain deskriptif analitik dan pendekatan cross sectional. Teknik pengambilan menggunakan Teknik purposive sampling. Penelitian ini dilakukan untuk mengetahui hubungan status gizi (obesitas) sebagai faktor resiko Diabetes Mellitus dengan Kadar Gula darahHasil : Setelah dilakukan pengolahan data di ketahui bahwa tidak terdapat hubungan yang signifikan antara kadar Indeks Massa Tubuh dengan Kadar Gula Darah Puasa dengan nilai p-value adalah 0,922 dan nilai korelasi adalah 0,018.Simpulan: Tidak terdapat hubungan yang signifikan antara kadar indeks massa tubuh dengan kadar gula darah puasa. Kata Kunci : Diabetes Mellitus, Status Gizi, Obesita
Medication Error Prevention Using Healthcare Failure Mode And Effect Analysis At Clinical Pharmacy Installation
Get PDFMedication error is the second most common patient safety incident worldwide. Medication errors can be defined as unintentional failures in medication services that have the potential to cause harm to patients. Maintaining safe health services is highly dependent on the ability of service providers to proactively conduct patient safety risk analysis, one of which is using the Healthcare Failure Mode and Effect Analysis (HFMEA) method. This study was aimed at obtaining the HFMEA design as an effort to prevent medication errors at Company X Clinical Pharmacy Installation. The research method used is qualitative research with a specific type of Operations Research. Data collected by in-depth interviews, observation, secondary data analysis, and focus group discussion. The results of this study found factors that cause medication errors to occur from organizational factors and staff factors. These results then analyzed for the HFMEA design which obtained 11 risks that required attention and then 14 action plans are made to overcome them. This study successfully developed HFMEA design to prevent medication error in Company X Clinical Pharmacy Installation
Analisis Perbedaan Sekuen 3D DIR pada MRI Brain Kasus Epilepsi (Studi Komparasi 3D T2 FLAIR SPACE) di Instalasi Radiologi RSUP Prof. Dr. I.G.N.G. Ngoerah
Get PDFBackground: Double Inversion Recovery (DIR) is a newer sequence compared to the T2 FLAIR sequence in MRI Brain examinations used for epilepsy cases. Further research is needed to determine the optimal sequence for MRI Brain in epilepsy cases.Methods: This research is a quantitative study with an experimental approach. This study uses DIR and T2 SPACE sekuen to assess image quality in terms of Contrast to Noise Ratio (CNR). The data will be analyzed using SPSS.Results: The normality test shows a p-value 0.05, indicating that the data is not normally distributed. In the Wilcoxon test, the negative rank indicates a decrease in image quality (CNR) from the DIR sequence to T2 FLAIR SPACE. The test statistics show a p-value 0.05, indicating a significant difference in image quality (CNR) between the DIR and T2 FLAIR SPACE sekuen.Conclusions: The Contrast to Noise Ratio (CNR) image quality in Double Inversion Recovery (DIR) is higher compared to T2 FLAIR SPACE, thus making the DIR sequence more optimal in assessing image quality (CNR) compared to the T2 FLAIR SPACE sequence
Kurnia's Web-Based Drill Method Can Measure the Level of Toothbrushing Skills of Blind Children
Get PDFBackground: Blind children have limited vision so that the health of the oral cavity is lower than that of children with normal vision. To improve the dental and oral health of blind children, a change in skills is needed. Choosing the right method of delivering educational material is very helpful in changing target skills. Kurnia's Web-based Drill method with audio modification can be an innovation in providing dental and oral health education. Where audio media that relies on sound can help optimize the sense of hearing that is still functioning so that the message conveyed can be easily remembered and understood by blind children.Research Objective: Build a web-based model of Kurnia's Drill method to improve toothbrushing skills in blind children.Methods: Research and Development (RD) and model testing (Quasi-Experimental Control Group Pretest and Posttest Design studies). The research subjects of blind children were divided into 2 groups, namely intervention and control. The results of the model design are validated by experts. The data were tested using intraclass, paired t-test and independent t-test correlation coefficients.Results: Kurnia's Drill web-based method is feasible as an educational model for dental health maintenance in blind children (p= 0.000). The implementation of this model effectively improved the brushing skills of blind children (p= 0.047) and decreased the debris index of blind children (p= 0.000) compared to the control group.Conclusion: Kurnia's Drill web-based method effectively improves brushing skills and decreases debris index in visually impaired children.
Warm Aluminum Foil Blankets to Prevent Hypothermia during Early Breastfeeding after Cesarean Delivery
Get PDFEarly Initiating Breastfeeding after cesarean delivery can increase the risk of hypothermia in the baby due to the cold temperature of the operating room and the mother's lowered body temperature. To prevent hypothermia, a heating method during breastfeeding initiation is needed. This study aims to evaluate the effectiveness of using aluminum foil warm blankets in preventing hypothermia in newborns after caesarean during early breastfeeding initiation. The study used a True Experiment Pretest Posttest Control Group Design with consecutive sampling. The research groups were randomly allocated. A total of 50 infants were included, with 25 infants receiving aluminum foil warm blankets in the experimental group, and 25 infants receiving warm blankets only in the control group. The treatment was given for 30 minutes in the recovery room, and the infant's temperature was measured with an axillary digital thermometer. Data analysis using the Wilcoxon Signed Rank Test showed that the body temperature of infants increased from moderate hypothermia (35.75°C in the experimental group and 35.8°C in the control one) to mild hypothermia (36.34°C in the experimental group and 36.12°C in the control one). The Mann-Whitney U test showed a significant difference in the average body temperature of newborns between the experimental group and the control group, with a p-value0.05. The study concluded that using aluminum foil warm blankets is better than using warm blankets alone in increasing the body temperature of babies born through cesarean section during early breastfeeding initiation in the recovery room
The Correlation of Lavender Aromatherapy with The Childbirth Process in The Independent Practice of Midwives
Get PDFProlonged labor is one of the causes of high Maternal Mortality Rate (MMR) in the world. Prolonged labor has an average cause of maternal death worldwide by 8% and in Indonesia by 9%. Prolonged labor can be prevented with several efforts, namely by using various proven pharmacological and non-pharmacological methods, which are used to shorten the labor process. Lavender aromatherapy is a well-known complementary medicine with a calming effect. Lavender essential oil, used as aromatherapy for analgesics, contains 8% terpenadan and 6% ketones. This study aims to determine the relationship between lavender aromatherapy and the labor process in the Independent Midwife Practice in Denpasar City. This type of research was a correlation analysis using a cross-sectional design. The research conducted in February-April 2023 with 55 respondents used simple random sampling. The instrument used in this study was a data collection format. The data analysis used was the Chi-Square test, and the Chi-Square statistical test was 0,004 (0,05) so that the hypothesis can be accepted and it can be concluded that there was a relationship between lavender aromatherapy and the labor process in Independent Midwife Practices in Denpasar City. Independent Midwife Practices in Denpasar City were expected to apply complementary lavender aromatherapy therapy to provide obstetric care for labor.
Analisis Risiko Kesehatan Lingkungan SO2 dan NO2 di Kelurahan Kemiri Muka, Kota Depok
Get PDFKemiri Muka adalah sebuah Kelurahan di wilayah Kecamatan Beji, Kota Depok, Provinsi Jawa Barat. Berdasarkan survei pendahuluan yang telah dilakukan di pemukiman RT 01 Kelurahan Kemiri Muka lokasi pemukiman berdekatan dengan pasar tradisional, jalan tol, jalan utama Kota Depok dan tempat pembuangan sampah serta kepadatan rumah yang tinggi. Hal ini tentunya membuat kualitas udara di wilayah Kemiri Muka Kota Depok dapat menurun. Sehingga dilakukan penelitian ini dengan tujuan untuk melakukan analisis terhadap risiko kesehatan Masyarakat dan lingkungan dari paparan zat toksik yaitu SO2 dan NO2 yang tinggi di udara akibat transportasi di jalan raya dan kepadatan penduduk. Metode yang digunakan pada penelitian ini yaitu Analisis Risiko Kesehatan Lingkungan (ARKL). Sampel dari studi ini terdiri dari 3 kelompok umur, yaitu 15 orang usia dewasa, 3 orang anak usia sekolah, dan 5 orang balita. Berdasarkan hasil studi ARKL yang telah dilakukan, yaitu risiko efek-efek non karsinogenik (RQ) oleh pajanan inhalasi agen kimia, NO2 dan SO2 juga masuk dalam safe risk karena nilai RQ semuanya bernilai 1
The Impact of Stunted Nutritional Status on Children’s Intelligence Levels in Disaster-Prone Areas
Get PDFBackground: The nutritional problems arising post-disaster in Aceh Jaya Regency include health crises such as the cessation of healthcare services, casualties, and injuries among refugees. Other factors contributing to nutritional issues include the availability of clean water, environmental sanitation, and infectious diseases. Disasters create emergency situations that potentially lead to food and nutrition crises. The aim of this research is to investigate the impact of children with stunted nutritional status on the intelligence levels of children in disaster-prone areas. Methode: This study employs an observational research design with a cross-sectional approach. Data collection took place from July 24th to 27th, 2023, in the Sampoinet sub-district of Aceh Jaya Regency, Aceh Province. The sample size was determined to be 92 individuals using purposive sampling technique. Instruments used to measure children's nutritional status include a portable standing height measurement tool (stadiometer), while intelligence assessment of students was conducted using the CPM (Coloured Progressive Matrices) test. Bivariate data analysis was carried out using the chi-square statistical test with a confidence interval of 95%. Results: The study findings indicate that female children are more likely to have below-average intelligence levels (38.3%) compared to male children with the same intelligence level (22.2%). However, statistical analysis results show no significant relationship between gender and intelligence level. Furthermore, 57.1% of stunted children have below-average intelligence levels compared to children with normal nutrition with the same intelligence level (22.5%). Statistical analysis results indicate that stunted children have an impact on intelligence level (p=0.009). Conclusion: Stunted nutritional status has an impact on the intelligence level of school-age children in the Sampoinet sub-district of Aceh Jaya Regency
Pengelolan Kejang Demam Dengan Fokus Studi Hipertermi
Get PDFLatar Belakang : Tubuh manusia dalam menangani proses infeksi akan menyebabkan kenaikan suhu pada tubuhnya yang disebut sebagai demam. Demam adalah proses alami tubuh untuk melawan infeksi yang masuk ke dalam tubuh ketika suhu meningkat melebihi suhu tubuh normal (37,5°C). Demam merupakan suatu keadaan suhu tubuh diatas normal sebagai akibat peningkatan pusat pengatur suhu di hipotalamus. Demam adalah salah satu faktor resiko utama penyebab kejang demam. Kejang demam merupakan kelainan neurologis yang paling sering terjadi pada anak, hal ini dikarenakan anak yang masih berusia dibawah 5 tahun sangat rentan terhadap berbagai penyakit disebabkan sistem kekebalan tubuh belum terbangun secara sempurna. Dampak kejang demam kemungkinan dapat meningkatkan terjadinya epilepsi yang dapat menyebabkan berbagai macam permasalahan berupa kesulitan dalam belajar, gangguan pertumbuhan dan perkembangan, serta kualitas hidup yang kurang pada anak di masa depan.Tujuan penelitian : Untuk memberikan Asuhan Keperawatan Pada Anak Kejang Demam Dengan Fokus Studi Pengelolaan Hipertermi Resiko Kejang Berulang.Metode Penelitian : Desain penelitian yang digunakan studi kasus dengan metode deskriptif yaitu memaparkan kasus dengan pendekatan proses keperawatan pada anak kejang demam.Kesimpulan : Evaluasi yang akan dicapai pada kasus ini yaitu anak tidak terjadi kejang, takikardi menurun dan Suhu tubuh normal