Beranda Jurnal Online Politeknik Kesehatan Kemenkes Semarang (POLTEKKES E-Journal)
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Effectivenes Of Puzzle Play Therapy To Reduce Anxiety, Case Study In Pre-School Age Children Who Undergo Chemotherapy At Rsup Dr. Kariadi Semarang
No full textABSTRACTBackground: Children with cancer will undergo various treatments and the most common is chemotherapy. Chemotherapy and repeated hospitalization make children uncooperative with health workers and anxious. One of the cooperative and collaborative efforts that can be done to overcome children's anxiety is by playing puzzle therapy. Purpose: Knowing the effect of the application of puzzle play therapy on reducing anxiety in preschool children (3-6 years) undergoing chemotherapy during hospitalization. Methods: Case study design based on inclusion and exclusion criteria. The number of respondents was 3 clients. Observation using the instrument of measuring the level of anxiety Preschool Anxiety Scale Revised (PASR). The intervention was carried out for 10-15 minutes 1 hour before chemotherapy. Discussion: There were 3 respondents aged 3-6 years, most of them were women who did not receive chemotherapy for the first time. 2 out of 3 clients experienced severe anxiety and 1 client experienced moderate anxiety, the child seemed to cry, was silent, avoided eye contact, looked tense. After the puzzle play therapy intervention, 2 clients experienced moderate anxiety and 1 client experienced mild anxiety, the three clients seemed calm, didn’t cry, tensed less. Recommendation: In this case study the application of puzzle play therapy can reduce the anxiety level of preschool children undergoing chemotherapy with hospitalization. It is hoped that by carrying out this case study, it can add insight, references, and innovations in non-pharmacological actions for preschool children who are undergoing chemotherapy with anxiety.Keywords: anxiety level; pre-school; chemotherapy; hospitalization; puzzle play therapy
Analysis Of Nursing Care In Schizophrenic Patients With Chronic Low Self-Esteem Through Hortikultural Therapy At Rsj Prof. Dr. Soerodjo Magelang
Get PDFBackground : Schizophrenia is a severe mental disorder that is chronic and requires antipsychotic treatment for a long time or even a lifetime (Julacha et al. 2022). One of the nursing problems in Schizophrenic patients encountered is low self-esteem. Low self-esteem is a personal assessment of the results achieved by analyzing how far the behavior meets the ideal self. Long-lasting low self-esteem in the absence of therapeutic intervention can lead to identity chaos and eventually personalization. So it is necessary to make a promotive effort.Purpose : To explain the application of horticultural therapy to improve self-esteem in schizophrenic patients with chronic low self-esteem.Method : Using a case study of the application of horticultural therapy in 3 patients with chronic low self-esteem. The location of the case study was carried out at Wisma Dwarawati RSJ Prof. Dr. Soedjono Magelang. Selection of case study subjects according to inclusion criteria. Data collection was carried out through a therapeutic approach to patients, observation, and measurement of low self-esteem levels using the Rosenberg Self Esteem Scale (RSES) instrument. Implementation was carried out for three meetings for 60 minutes.Discussion : Based on research by Krissanti et al. (2019) revealed that occupational gardening therapy can reduce the level of low self-esteem disorders. Recommendations : Efforts in implementing low self-esteem patients with horticultural therapy can affect the level of self-esteem in patients to fall. So that it can be used as a guideline for health workers to provide implementation of structural activity therapy with horticultural therapy in patients with intense chronic low self-esteem.Keywords : Schizophrenia, Low Self-Esteem, Horticultural Therap
Description Of Pregnant Women's Knowledge About Anemia
Get PDFBackground :: Anemia is a health problem that affects people worldwide and affects both developed and developing countries. Anemia occurs during every human life cycle, with one in four suffering from anemia. Most people with anemia are pregnant women. Anemia is an indirect cause of death for pregnant women. According to the World Health Organization (WHO), defines anemia during pregnancy as a hemoglobin level of less than 11 g or less than 33% at any time during pregnancy. The hemoglobin level during pregnancy is less than 11 g and is in early pregnancyObjective: Explain the characteristics of pregnant women's knowledge about anemia based on age, education level, and mother's occupationMethods: Quantitative descriptive research with a study with a total of 56 respondents in the Working Area of the Karang Anyar Health Center, South Lampung. Data collection used a questionnaire sheet, data testing was carried out using Chi Square.Research result: the characteristics of the respondents which include age, education level, and mother's occupation, most of the respondents are aged 20-35 years, with a high school education level, the second article has elementary school education, and the respondent's occupation is that most of the respondents do not work. An overview of pregnant women's knowledge about anemia was obtained from the majority in the sufficient category. Knowledge can be influenced by the support factor from the family. Other factors that can help pregnant women's knowledge about anemia with education and information from health workers must be further improved so that the quality of knowledge of pregnant women will be even betterConclusion: Knowledge of pregnant women about anemia can be influenced by factors from family support and health workers, education of pregnant women and motivation for health education so that the quality of knowledge of pregnant women is getting better
HUBUNGAN STUNTING DENGAN KECERDASAN SOSIAL DAN EMOSIONAL PADA ANAK PRASEKOLAH
Get PDFAbstrak Penurunan stunting merupakan program prioritas pemerintah yang dicanangkan dalam RPJMN 2020-2024. Stunting pada anak prasekolah dapat menyebabkan gangguan kecerdasan sosial dan emosional yaitu penurunan aktivitas bermain dan kurang antusias untuk eksplorasi lingkungan, lebih cenderung cemas dan rentan depresi, kepercayaan diri yang rendah, dan menampakkan perilaku-perilaku hiperaktif yang bertentangan dengan kondisi normal, apabila hal ini dibiarkan akan berdampak pada perilaku kriminalitas anak. Tujuan penelitian ini adalah untuk menganalisis hubungan stunting dengan kecerdasan sosial dan emosional pada anak prasekolah diwilayah kerja Puskesmas Ngablak. Penelitian ini adalah penelitian analitik korelasi dengan pendekatan crosssectional. Populasi dari penelitian ini adalah anak prasekolah stunting usia 4-6 tahun di wilayah Puskesmas Ngablak. Tehnik pengambilan sampel adalah purposive sampling dengan jumlah sampel 54 orang. Penelitian mendapatkan ada hubungan antara stunting dengan kecerdasan sosial dan emosional pada anak prasekolah. Hasil anak prasekolah stunting yang kecerdasan sosialnya abnormal tinggi badannya sangat pendek yaitu 25 anak prasekolah (92,6%), dan 22 anak prasekolah (81,5%) dengan tinggi badan pendek. Sedangkan kecerdasan emosional abnormal tinggi badannya sangat pendek yaitu 25 anak prasekolah (92,6%), dan 2 anak prasekolah (7,4%) dengan tinggi badan pendek. Saran pada petugas kesehatan untuk meningkatkan penyuluhan dan pelayanan kesehatan khususnya dibidang perkembangan anak dan penurunan stunting untuk mengurangi terjadinya gangguan kecerdasan sosial dan emosional anak. Abstract The reduction of stunting is a government priority program proclaimed in the 2020-2024 RPJMN. Stunting in preschool children can cause social and emotional intelligence disorders, namely decreased play activity and less enthusiasm for environmental exploration, more likely to be anxious and prone to depression, low self-esteem, and display hyperactive behaviors that are contrary to normal conditions, if this is allowed will have an impact on children's criminal behavior. The purpose of this study was to analyze the relationship between stunting and social and emotional intelligence in preschool children in the working area of the Ngablak Health Center. This research is a correlation analytic study with a cross-sectional approach. The population of this study were stunted preschool children aged 4-6 years in the Ngablak Health Center area. The sampling technique was purposive sampling with a total sample of 54 people. Research has found that there is a relationship between stunting and social and emotional intelligence in preschoolers. The results of stunting preschoolers whose social intelligence was abnormal were very short height, namely 25 preschoolers (92.6%), and 22 preschoolers (81.5%) with short stature. Meanwhile, abnormal emotional intelligence had very short height, namely 25 preschool children (92.6%), and 2 preschool children (7.4%) with short height. Suggestions for health workers to improve counseling and health services, especially in the field of child development and reducing stunting to reduce the occurrence of disorders of children's social and emotional intelligence.
Efektivitas Edukasi Diet Dietary Approaches to Stop Hypertension dengan Audiovisual Terhadap Pengetahuan dan Sikap Penderita Hipertensi di Kecamatan Pasar Rebo
No full textLatar Belakang: Penderita hipertensi perlu mengontrol tekanan darah melalui asupan makanan yang tepat. DASH (Dietary Approaches to Stop Hypertension) merupakan salah satu diet yang dianjurkan JNC 7 untuk menurunkan tekanan darah tinggi. Penggunaan media audiovisual dalam edukasi gizi mempermudah seseorang untuk memahami materi dan dapat meningkatkan pengetahuan dan sikap.Tujuan: Penelitian ini bertujuan untuk mengetahui efektivitas edukasi diet DASH dengan media audiovisual terhadap pengetahuan dan sikap penderita hipertensi di wilayah Kecamatan Pasar Rebo.Metode: Penelitian ini menggunakan desain quasi experimental design dengan rancangan pretest-posttest nonequivalent control group design, yang dilaksanakan pada bulan April-Juni 2021. Subyek penelitian adalah penderita hipertensi di wilayah Kecamatan Pasar Rebo terdiri atas kelompok kontrol dan kelompok intervensi, dengan total 84 penderita hipertensi. Analisis data menggunakan uji independent sample t-test, mann-whitney, paired t-test dan wilcoxon test.Hasil: Hasil Penelitian menunjukan, pengetahuan dan sikap penderita hipertensi sebelum mendapatkan edukasi tidak berbeda secara signifikan (p-value0.05) pada kelompok kontrol dan intervensi. Setelah diberikan edukasi audiovisual terjadi peningkatan skor pengetahuan: 1.396±1.125 dan sikap: 4.588±3.094 terkait diet DASH pada penderita hipertensi (p-value: 0.000) di kelompok intervensi. Saat follow-up setelah 2 minggu pasca intervensi, terdapat pula peningkatan skor pengetahuan 1.125±1.124 dan sikap 3.094±3.714 terhadap diet DASH (p-value0.05).Kesimpulan: Edukasi diet DASH menggunakan media audiovisual efektif terhadap perubahan pengetahuan dan sikap penderita hipertensi di wilayah Kecamatan Pasar Rebo. Penggunaan metode ini dapat memudahkan peserta untuk menonton ulang video dan mempertahankan pengetahuan dan sikap penderita hipertensi terhadap diet DASH
Perbandingan Persentase Risiko Meninggal pada Pasien Covid-19 Komorbid TBC dengan Komorbid Lainnya di Kabupaten Pati
Get PDFCorona Virus Disease 2019 (COVID-19) is a disease that has never previously been found in humans and is a new type of disease. The virus that causes COVID-19 is called Sars-CoV-2. It was found that patients experienced increased mortality due to COVID-19 because they had comorbid diseases. COVID-19 patients who have one comorbid disease are at risk of death up to 6.5 times higher than COVID-19 patients without comorbidities. Pulmonary TB is a comorbidity that can make a person more susceptible to contracting COVID-19 with severe symptoms. Apart from attacking the lungs, COVID-19 also damages the lungs. Damaged lungs prevent the body's organs from getting enough oxygen, which can trigger organ damage that can cause death. The aim of this study was to compare the percentage risk of death in COVID-19 patients who had comorbid TB disease with COVID-19 patients who had comorbid kidney disease and DM in the Pati area, Central Java. This research can be a reference for data regarding the percentage risk of death in COVID-19 patients with comorbidities. This research uses a descriptive, observational research design. The samples in this study were COVID-19 sufferers who had comorbid TB, comorbid kidney disease and comorbid DM. The sample population during the period January to December 2021 was 998. The sample was determined using the Slovin formula with a total of 135 samples with a sampling quota taken. Results Comorbid TB has a percentage risk of death of 40%, comorbid kidney has a percentage risk of death of 33.3%, and comorbid DM has a percentage risk of death of 6.8%. Comorbid TB is a comorbid that has the highest percentage risk of death, so intensive care is important for sufferers.Corona Virus Disease 2019 (COVID-19) yaitu suatu penyakit yang dahulunya belum pernah ditemukan pada manusia dan merupakan penyakit jenis baru. Virus yang menyebabkan COVID-19 ini memiliki nama Sars-CoV-2. Ditemukan bahwa pasien mengalami peningkatan kematian akibat COVID-19 karena terdapat penyakit komorbid. Pasien COVID-19 dengan memiliki satu penyakit komorbid bisa beresiko kematian bisa sampai 6,5 kali lipat lebih tinggi dibandingkan dengan pasien COVID-19 tanpa komorbid. TBC paru merupakan salah satu komorbid yang bisa membuat seseorang lebih rentan mengalami COVID-19 dengan gejala berat. Selain menyerang organ paru-paru, COVID-19 juga merusak organ paru-paru. Paru-paru yang sudah rusak membuat organ tubuh tidak memperoleh oksigen yang cukup sehingga dapat memicu kerusakan organ yang dapat menyebabkan kematian. Tujuan penelitian ini untuk membandingkan persentase risiko meninggal pada pasien COVID-19 yang memiliki penyakit komorbid TBC dengan pasien COVID-19 yang memiliki penyakit komorbid ginjal dan DM di wilayah Pati, Jawa Tengah. Penelitian ini bisa menjadi acuan data terkait persentase risiko meninggal pada pasien COVID-19 dengan komorbid. Penelitian ini menggunakan desain penelitian deskriptif secara observasional. Sampel pada penelitian ini adalah penderita COVID-19 yang memiliki komorbid TBC, komorbid ginjal dan komorbid DM. Populasi sampel yang ada selama periode bulan Januari s/d Desember 2021 sejumlah 998. Penentuan sampel menggunakan rumus Slovin dengan jumlah 135 sampel dengan pengambilan quota sampling. Hasil Komorbid TBC memiliki persentase risiko kematian 40%, komorbid ginjal memiliki persentase risiko kematian 33,3%, dan komorbid DM memiliki persentase risiko kematian 6,8%. Komorbid TBC menjadi komorbid yang memiliki persentase risiko kematian tertinggi sehingga pentingnya perawatan intensif bagi penderita
Efektivitas Media Index Card Match Terhadap Tingkat Pengetahuan, Sikap dan Perilaku Menstrual Hygiene
Get PDFBased on data from the Ministry of Health of the Republic of Indonesia in 2017, there were 5.2 million young women experiencing complaints after menstruation because they did not maintain cleanliness during menstruation, such as pruritus vulvae which is characterized by an itchy sensation on the genitals who have less knowledge about menstrual hygiene. Therefore, it is necessary to provide health education about menstrual hygiene to increase the knowledge, attitudes and behavior of young women. This study aims to determine the effectiveness of health education using index card match media on the level of knowledge, attitudes, and behavior of menstrual hygiene in young women. This type of research is a pre-experimental study with a one group pretest-posttest design. The sampling technique used a total sampling of 33 respondents. All samples were given intervention using index card match media by playing index card match twice. The research results show an increase in knowledge, attitudes,and the behavior of young women after being given health education using media index card match regarding menstrual hygiene with Wilcoxon test results each p-value 0.000 (0.05) for the level of knowledge, attitudes and behavior. It is hoped that the results of this research can add to thisknowledge of young women about menstrual hygiene and young women canapply the knowledge about menstrual hygiene that has been acquired tochange attitudes and behavior in order to adopt a healthy life
Analisis Faktor Hiperbilirubinemia pada Bayi Di RSUD dr. Gunawan Mangunkusumo
Get PDFHyperbilirubinemia is one of the most common clinical phenomena in newborns, where hyperbilirubinemia occurs in 60% of Neonatus 35 weeks and 80% of Neonatus 35 weeks. Many factors influence hyperbilirubinemia. Hyperbilirubinemia if not handled properly can have serious consequences such as: kernicterus, chore athetoid cerebral palsy, hearing and cognitive impairment. This study aims to analyze the factors associated with the occurrence of hyperbilirubinemia and determine the relationship between breastfeeding, type of childbirth, birth weight, gestational age and asphyxia in infants at RSUD dr.Gunawan Mangunkusumo. This research is an analytical research with a cross sectional design. The sampling technique used total sampling, with a total of 52 infans as the sample size. Univariate data analysis was conducted using frequency distribution and bivariate analysis was performed using the chi-square test. The results of the univariate analysis showed that 65.4% of the infants with breastfeeding were fulfilled, 61.5% of action childbirth, 57.7% of normal birth weight, 53.8% of term gestational and 59.6% of asphyxia. There was a relationship between breastfeeding with a ρ-value of 0.014, there was no relationship with the types of childbirth with a ρ-value of 0.628, there was a relationship between birth weight and a ρ-value of 0.038, there was a relationship between gestational age with a ρ-value of 0.016, there was no relationship between asphyxia and a ρ-value 0.226 with the occurrence of hyperbilirubinemia. It is hoped that health workers will be more proactive in providing motivation and education to postpartum mothers and their families about breastfeeding and signs of hyperbilirubinemia symptoms as an effort to prevent and early detect hyperbilirubinemi
THE CORRELATION LEVEL OF KNOWLEDGE OF DENTAL NURSING STUDENTS' ANXIETY REGARDING THE HAZARDS OF RADIATION IN PANORAMIC EXAMINATION AND DENTAL RADIOGRAPHY
No full textKnowledge is information that has been combined with understanding and the potential to act; which then sticks in someone's mind. Anxiety is an unreal fear, a feeling of being threatened in response to something that is not actually threatening, according to psychodynamic theory anxiety arises when self-will demands detachment from the ego. Panoramic radiography is a supporting tool that can be used to diagnose a case, such as the presence of a jaw fracture, symmetrical or asymmetrical evaluation of the TMJ or knowing the depth of caries.In radiological examinations, especially dental and panoramic, there are many worries or fears that arise when an examination is carried out. So it is necessary to increase knowledge in order to reduce the anxiety that arises.This type of research used is descriptive correlational research. The population and sample in this study were Diploma III students at the Department of Dental Nursing, Poltekkes Semarang who coincidentally (accidentally) met with researchers who were considered suitable with the specified sample characteristics to be sampled.The results of the Spearman rank test on the relationship between the level of knowledge and the anxiety level of the respondents obtained the Spearman rank correlation value (Rs) of -0.600, meaning that the higher the patient's level of knowledge about panoramic and dental radiographic examinations, the lower the patient's anxiety level. All respondents had no anxiety when dealing with radiological examinations, especially dental and panoramic examinations
Penggunaan Sikat Gigi Berbahan Elastomer Untuk Meningkatkan Keterampilan Menyikat Gigi dan Menurunkan Debris Anak Tunadaksa
Get PDFChildren with special needs (ABK) are children with limited development of physical and mental conditions characterized by behavior or emotions. In this case, a child with disabilities is a child who has abnormalities or defects in the muscular, bone, joint and nervous systems caused by diseases, viruses, accidents both before birth, at birth and after birth. Limitations that become obstacles in brushing teeth in a good and correct way cause high dental and oral health problems in children with disabilities. This study aims to determine the effectiveness of using elastomeric toothbrushes to improve brushing skills and reduce debris index rates in children with disabilities. The assessment of this program uses a health system approach, namely: Input – Process – Output. The results of toothbrushing skills in children with disabilities were found significant changes between the results before and after the intervention with statistical tests paired sample t-test and Wilcoxon with p-values of 0.001 and 0.017 (0.05) respectively, which means that the use of toothbrushes made from elastomers is effective for improving brushing skills and reducing debris index in children with disabilities. The problem solving program for children with disabilities in SLBN Jepara is to implement innovative toothbrush models with elastomer materials for children with disabilities and conduct training on how to brush teeth properly and correctly for children with disabilitie