Beranda Jurnal Online Politeknik Kesehatan Kemenkes Semarang (POLTEKKES E-Journal)
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The Necessity of Early Palliative Care in Patients with Severe Coronary Artery Disease: A Reflective Practice
Full text linkBackground: Palliative care aims to improve the quality of life for patients with serious illnesses and their families. It is provided throughout the course of the disease, starting from the initial diagnosis to the grieving phase after the patient's death. Coronary artery disease has been proven to be a major cause of death, making palliative care important. Purpose: This study was to reflect the patient's case in order to gain of new insight and perspective. Methods: This article was a critical review of author experience when providing patient nursing care in a hospital. The case was reviewed using reflective practice. Results: Through reflection on the case, it was found that the initiation of palliative care was only carried out when the patient was continuously deteriorating. So that patients and their families do not receive adequate palliative care. Conclusion: Early palliative care has an impact on symptoms, quality of life, and support for patients and their families during the dying process. However, there are obstacles to early palliative care implementation, such as negative stigma, medical professionals who wish to continue giving treatment in hospitals till the end, and a lack of expertise and capability among health workers to deliver palliative care
Hubungan Antara Dukungan Sosial dengan Tingkat Kecemasan pada Pasien Kanker Payudara
Full text linkBackground: Breast cancer is the most common cancer experienced by women. In Indonesia, there are 68,858 cases of breast cancer with 30.9% of them in Central Java. The impact on the bio-psychosocio-spiritual aspects of breast cancer patients is anxiety. One effort to reduce anxiety levels in patients is to provide social support. Objective: To determine the relationship between social support and the anxiety level of breast cancer patients. Methods: The research design used is descriptive quantitative with correlational methods and cross-sectional approaches. A total of 60 respondents were selected using the consecutive sampling technique. The Medical Outcomes Study Questionnaire: Social Support Survey (MOS: SSS) was used to measure social support and the State-Trait Anxiety Inventory (STAI) to measure anxiety levels. Data analysis used Spearman's rank test. Results: There are 54 respondents of 60 respondents who have received social support in the high category, while the level of anxiety they experience tends to be in the low category (65.3%). The results of Spearman's Rank analysis showed a social relationship with anxiety (p-value = 0.021, rcount = 0.298) which means that the higher social support received, the lower the level of anxiety experienced by breast cancer patients. Conclusion: There is a negative correlation between social support and anxiety levels in breast cancer patients. The higher the social support the patient gets, the lower the level of anxiety in breast cancer patients.
Ketepatan Pengkodean Diagnosis Demam Berdarah Dengue Berdasarkan Hasil Pemeriksaan Klinis di Rumah Sakit Singaparna Medika Citrautama
Full text linkOne of the supporting units in the hospital, namely medical records, is a manual / electronic record carried out by health care providers such as diagnosis. One of the medical record activities is to code the disease. Coding is the provision of alphanumeric symbols carried out by the coder. The diagnosis coding provided must be correct in accordance with the codes listed in ICD-10, the correct coding will affect hospital health financing. The research was conducted at Medika Citra Utama Hospital. This study aims to describe the coding procedures and accuracy of disease diagnosis using a cross sectional design. The population of cases in this study were medical records of dengue haemorrhagic fever patients from January to December 2022. The number of samples was 98 medical records. The sampling technique used was simple random sampling. The results of the study of diagnosis coding procedures carried out by the coder have not been in accordance with the steps that have been determined by ICD-10 volume 2 due to the busyness of officers in carrying out other activities and there are 78.6% of medical records that are appropriate and in accordance with the results of clinical examinations, 21.4% of medical records that are not appropriate and do not match the results of clinical examinations resulting in pending claims at the hospital. The conclusion of this study is that coder officers are expected to do coding referring to ICD-Volume 2 and pay attention to clinical examination in order to get accurate coding so that hospital claims are claimed on time
Research Progress of Neonatal Jaundice 2013-2023: a Bibliometric Analysis
No full textBackground: Jaundice or neonatal jaundice is a problem that occurs in neonates, especially in the first week of life, which is caused by the accumulation of bilirubin that exceeds the threshold in the blood and tissues. Dangerous complications such as encephalopathy and kernicterus can occur which can be fatal and cause mental retardation and neurological disorders in babies.Methods: We extracted all relevant publications about neonatal jaundice between 2013 and 2023 through the Scopus database with a total of 7336 articles with document type only article and review, keywords limited to newborn, infant, newborn jaundice and English language. VOSviewer software was used to visualize trends in neonatal jaundice research from the perspective of co-occurring keywords.Results: There are fluctuations in article growth from year to year, but there has been a significant increase in 2021 of around 18.93%. The United States contributed the largest number of publications with 571 articles followed by China and India. Canada ranks first with the highest citations, the Journal of Maternal Fetal and Neonatal Medicine is the journal that publishes the most articles about neonatal jaundice with a citation ranking of 87. Key words that often appear are bilirubin, deficiency, disease.Conclusion: It is still a big and important opportunity to research the breastfeeding variable with a public health approach because it still rarely appears in findings for the keyword neonatal jaundic
Edukasi Gizi Seimbang dan Screening Faktor Risiko Penyakit Tidak Menular pada Lansia Binaan Poltekkes Kemenkes Semarang
Full text linkLansia rentan terhadap Penyakit Tidak Menular (PTM) seperti diabetes, hipertensi, dan penyakit jantung, sehingga edukasi gizi seimbang sangat penting untuk meningkatkan pemahaman lansia mengenai kebutuhan nutrisi yang tepat. Program edukasi yang terintegrasi dengan screening ini bertujuan agar lansia dapat mengadopsi pola makan sehat dan mengenali tanda-tanda awal PTM. Tujuannya adalah meningkatkan pengetahuan, deteksi dini risiko, kualitas hidup, dan perubahan perilaku dalam menjaga kesehatan di usia lanjut. Metode yang digunakan dengan edukasi kesehatan pada lansia dengan metode ceramah dan pemeriksaan status gizi dan pemeriksaan kesehatan kadar gula darah, kolesterol dan asam urat. Dokumentasi kegiatan berupa video dan foto kegiatan. Hasil Sebagian besar lansia yang mengikuti kegiatan adalah perempuan, dan 58.3 % IMT lansia tergolong obesitas. Mayoritas hasil pengukuran gula darah dan asam urat menunjukkan kategori normal dengan persentase masing-masing 62.1% dan 54.4%, sedangkan pengukuran kolesterol menunjukkan persentase tertinggi pada kategori "tidak melakukan pengukuran" sebesar 35.9%. Selain itu, terdapat persentase yang signifikan untuk kategori "tidak melakukan pengukuran" pada gula darah dan asam urat, masing-masing sebesar 20.4%. Kesimpulan Mayoritas lansia dalam keadaan sehat atau IMT normal dari semua pemeriksaan darah sewaktu dan pemeriksaan fisik yang telah dilakukan
Tingkat Pendidikan Penjamah dengan Cemaran Bakteri Coliform pada Depot Air Minum Isi Ulang di Kelurahan Air Putih
Full text linkPenjamah depot air minum bertanggung jawab atas penanganan air dan peralatan, termasuk persiapan, pembersihan, dan pengelolaan. Peran mereka sangat penting dalam memastikan standar kualitas air minum yang sehat. Penjamah dengan pendidikan tinggi cenderung lebih sadar akan risiko kesehatan yang berkaitan dengan kebersihan air minum serta lebih mungkin mengambil langkah untuk menjaga kebersihan Depot juga memahami regulasi dan standar kesehatan. Selain itu pendidikan tinggi juga dapat memberikan akses kepada teknologi dan metode pengolahan air yang lebih baik dan tepat untuk dapat membantu mengurangi kontaminasi bakteri pada air minum isi ulang. Di kelurahan Air Putih, Kota Samarinda, terdapat 14 DAMIU, 9 DAMIU belummemiliki sertifikat yang sesuai dan 5 sudah memiliki sertifikat. Penelitian ini bertujuan untuk menentukan hubungan antara Tingkat Pendidikan penjamah dengan kontaminasi bakteri Coliform. Dengan menggunakan metode eksperimen laboratorium dan desain potong lintang, penelitian ini tidakmenemukan hubungan yang signifikan antara tingkat pendidikan penjamah dengan kontaminasi bakteri. Bakteri Coliform, 9 sampel memenuhi standar dan 5 sampel melebihi standar. Analisis deskriptif kuantitatif tentangkontaminasi Coliform dengan tingkat pendidikan penangan tidak signifikan (nilai signifikansi 0,872). Hal ini menunjukkan bahwa Tingkat Pendidikan penjamah tidak memiliki efek signifikan pada kontaminasi bakteri Coliform, sehingga menunjukkan bahwa ada faktor lain yang mungkin memiliki hubungan yang lebih besar
Effectiveness of Bamboo Stick Liquid Smoke (Bamboo sp.) With Methanol Extract of Sengon Twig Wood (Falcataria moluccana) as a Disinfectant
Full text linkPathogenic microorganisms that cause infectious diseases are widely spread in the environment, especially in public places that allow microorganisms to multiply. Disinfectants are used to prevent the spread of these microorganisms. The use of chemical-based disinfectants can cause side effects, so it is necessary to look for alternatives from natural materials, such as a mixture of bamboo stem liquid smoke and methanol extract from Sengon twig wood. The purpose of this study was to determine the effectiveness of a mixture of bamboo stem liquid smoke and methanol extract of Sengon twig on bacteria and fungi. This research method began with an inhibition test of the disc and well diffusion method with five comparison treatments (50:50, 40:60, 30:70, 20:80, 10:90) to obtain the most effective comparison of the volume of 100% bamboo stem liquid smoke mixture and 11% sengon twig wood methanol extract, then tested using the Total Plate Count (TPC) method with swab samples on wooden tables. The results showed that the most effective comparison of the volume of 100% bamboo stem liquid smoke mixture and 11% sengon twig wood methanol extract was the volume ratio of 50:50 from the results of the inhibition zone on Salmonella typhimurium with a diameter of 10.3 mm. The results of the mixed effectiveness test with a ratio of 50:50 with the swab test on the table showed a decrease in the number of bacteria (51%) and fungi (65%). This shows that the mixture of bamboo stem liquid smoke and methanol extract of Sengon twig wood is effective as a disinfectant
The Oxytocin Acupressure and Self-Talk in Increasing The Uterus Contraction
No full textKomplikasi maternal yang menjadi penyebab kematian ibu disebabkan oleh perdarahan dan angka kematian ibu di Kalimantan mencapai 92 kasus pada tahun 2020. Terapi akupresur mampu meningkatkan hormon oksitosin sehingga hormon kortisol (salah satu hormon stres) yang meningkat dan pemberian selftalk digunakan untuk mengonrtol mindset ibu sehingga hormon kortisol menurun membuat uterus berkontraksi. Tujuan dalam penelitian ini yaitu menganalisis pengaruh akupresur oksitosin dan selftalk dalam meningkatkan kontraksi uterus pada masa persalinan. Metode yang digunakan dalam kegiatan ini quasi eksperimen. Total sampel yang digunakan sebanyak 20 respondent ibu hamil trimester III yang telah diseleksi diberikan terapi akupresur dan self-talk sebanyak 2 kali sehari sebelum tidur dan bangun tidur. Terapi diberikan secara berkelanjutan hingga proses bersalin. Pada tahapan pertama, bidan berkolaborasi dengan keluarga untuk membantu ibu dalam meningkatkan hormon oksitosin menggunakan akupresur oksitosin dan selftalk, setelah itu bidan akan mengevaluasi kontraksi secara berkala pada periode bersalin. Hasil rerata kontraksi sebelum diberikan terapi rata-rata 2 kali dalam 10 menit namun setelah terapi, kontraksi meningkat dengan rata-rata kontraksi 3.25 kali dalam 10 menit. Data tersebut diolah menggunakan uji Wilcoxon dan menunjukkan hasil yang signifikan dengan p value 0.000. Dari hasil tersebut dapat disimpulkan bahwa terapi kombinasi akupresur oksitosin dan self-talk mampu meningkatkan kontraksi persalinan. Kontraksi uterue merupakan faktor penting dalam proses persalinan. Kontraksi yang buruk pada periode bersalin berkontribusi dalam perdarahan obstetric. Kompikasi maternal yang menjadi penyebab kematian ibu sebanyak 23.03% disebabkan oleh perdarahan dan angka kematian ibu di Kalimantan mencapai 92 kasus pada tahun 2020. Terapi akupresur mampu meningkatkan hormone oksitosin sehingga hormone kortisol (salah satu hormone stress) yang meningkat pada periode bersain hingga nifas terkontrol dan pemberian selftalk digunakan untuk mengonrtol mindset ibu sehingga hormone kortisol menurun dan hormone oksitosin membuat uterus berkontraksi. Metode yang digunakan dalam kegiatan ini yaitu metode quasi eksperimen tanpa control grup. Total sampel yang digunakan sebanyak 20 respondent ibu hamil trimester III yang telah diseleksi akan diberikan terapi akupresur dan self-talk sebanyak 2 kali sehari sebelum tidur dan bangun tidur. Terapi diberikan secara berkelanjutan hingga proses bersalin. Pada tahapan pertama, bidan berkolaborasi dengan keluarga untuk membantu ibu dalam meningkatkan hormone oksitosin menggunakan akupresur oksitosin dan selftalk, setelah itu bidan akan mengevaluasi kontraksi secara berkala pada periode bersalin. Hasil rerata kontraksi sebelum diberikan terapi rata-rata 2 kali dalam 10 menit namun setelah terapi, kontraksi meningkat dengan rata-rata kontraksi 3.25 kali dalam 10 menit. Data tersebut diolah menggunakan uji Wilcoxon dan menunjukkan hasil yang signifikan dengan p value 0.000. Dari hasiltersebut dapat disimpulkan bahwa terapi kombinasi akupresur oksitosin dan self-talk mampu meningkatkan kontraksi persalinan.Kata Kunci : akupresur, selftalk, kontraks
The Effect of Kluwak Extract on Discoloration Nanohybrid Composite Resin
Full text linkBackground: Composite resin is the most commonly used restorative material in dentistry because it has good esthetics. However, consuming colored foods and drinks over a long period of time can cause discoloration. Kluwak, an ingredient often used in Indonesian cooking, contains tannins, which can change the color of the nanohybrid composite resin if consumed over a long period of time. Purpose: To determine and explain the effect of kluwak solution (pangium edule r) on the color change of nanohybrid composite resin. Methods and materials: The research was conducted experimental laboratory pre and post test. The number of samples was 30 nanohybrid composite resins with a diameter of 10 mm and a height or thickness of 2 mm, divided into 3 treatment groups, each group consisting of 10 samples with immersion for 1 day, 3 days, and 5 days in kluwak solution. Results: One way ANOVA test results (p0.05) showed the effect of kluwak solution on hue color changes in nanohybrid composite resins. Conclusion: There is an effect of immersion in kluwak solution (pangium edule r) on nanohybrid composite resin
Determinants of Exclusive Breastfeeding and Immunization Status with ARI Incidence in Toddlers in Central Buton District
Full text linkIn Indonesia, infants with acute respiratory infections (ARI) are a common occurrence. Many baby deaths are brought on by ARI. The goal of the study was to ascertain the link between the prevalence of ARI in toddlers in the working area of Wamolo Public Health Center, Central Buton Regency, and exclusive breastfeeding and immunization status. Type research uses quantitative methods with a cross sectional study approach. Population is 223 and sample is 70 and sampling method used is purposive sampling. The research data consisted of primary data obtained from questionnaires and secondary data sourced from reports. The SPSS program is used to process the data. Analysis used is univariate and bivariate using chi square test at a 95% confidence level (α = 0.05). Results showed that relationship between exclusive breastfeeding and incidence ARI in toddlers was ρ=0,000 α =0,05 and relationship between immunization status and incidence ARI in toddlers was ρ=0,000 α =0,05. Conclusion shows that relationship between exclusive breastfeeding and immunization status with incidence of ARI in toddlers in working area of Wamolo Health Center, Central Buton Regency