Beranda Jurnal Online Politeknik Kesehatan Kemenkes Semarang (POLTEKKES E-Journal)
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Pengelolaan Defisit Pengetahuan Pada Lansia Dengan Diabetes Mellitus Type II Di RSUD Dr. R Soetijono Blora
Get PDFLatar Belakang: Prevalensi lansia dengan diabetes mellitus di Indonesia tahun 2021 menduduki 10,3 juta dan meningkat pada tahun 2045 sebesar 16,7 juta. Manajemen diabetes tipe 2 adalah diet sehat, meningkatkan aktivitas fisik dan menjaga berat badan, obat oral dan insulin untuk mengontrol kadar glukosa darah. Defisit pengetahuan diet, minum obat dan olahraga berhubungan dengan keterbatasan kognitif lansia ditandai dengan pasien mengatakan tidak mengetahui cara penanganan diabetes dengan benar sering didapati dilapanganTujuan: Menggambarkan asuhan keperawatan diabetes mellitus pada lansia dengan fokus studi pengelolaan defisit pengetahuan di RSUD Dr. R Soetijono Blora. Metoda: Rancangan penelitian ini menggunakan pendekatan penelitian deskriptif, melalui studi kasus dan menggunakan pendekatan proses keperawatan. Pengumpulan data dilakukan dengan wawancara, observasi, pemeriksaan fisik, dan studi dokumentasi keperawatan. Hasil: Setelah dilakukan asuhan keperawatan lansia selama tiga hari, di dapatkan hasil klien memperoleh peningkatan pengetahuan spesifik tentang diabetes mellitus (diet, minum obat dan olah raga) dan mengetahui cara penanganan diabetes dengan benar. Saran yang diajukan, agar keluarga melakukan pendampingan tentang cara penanganan diabetes pada klien lansia. Kata kunci: Diabetes mellitus, lansia, defisit pengetahuan
Pengaruh Penggunaan T2 Blade terhadap Kualitas Citra MRI Cervical Potongan Sagital pada Pasien Non-Cooperative
Get PDFBackground: Using T2 BLADE in Cervical MRI examination can improve image quality because it can reduce artifacts especially with Non-Cooperative patients. The purpose of this study was to analyze the effect of T2 BLADE use on sagittal cut image quality in Non-Cooperative patients. The benefit of using T2 BLADE is that it provides insight to the reader and as an alternative in selecting the right sequence on Cervical MRI examination with Non-Cooperative patients so as to get an optimal and informative picture.Methods: The research design carried out was qualitative descriptive analytic with an observation and experimental approach which was carried out from May to June 2023 at Fatmawati Hospital using a Siemens Magnetom Altea 1.5T MRI aircraft. The population of this study was samples that performed Cervical MRI examination with a total of 6 samples. The data in this study is primary data collected by observation, experiments and questionnaires. Data processing and analysis was carried out by giving questionnaires to radiologst and radiographer who made subjective assessments and processed with simple calculations using Ms. Excel to find the Mean.Results: The results of this study are, the image quality of Cervical MRI examination in Non-Cooperative patients is more optimal using T2 BLADE sequences, the resulting images have quite informative results when compared to T2 TSE sequences. This study can be an option when conducting Cervical MRI examination on Non-Cooperative patients based on questionnaires, simple calculations and author analysis, so that patients get a diagnosis accurately and quickly.Conclusions: It can be concluded that the image quality of Cervical MRI examination in Non-Cooperative patients is more optimal using T2 BLADE sequences, the resulting image has quite informative results. This study can be an option when conducting Cervical MRI examination on Non-Cooperative patients based on questionnaires, simple calculations and author analysis, so that patients get a diagnosis accurately and quickly
MSCT Thoracolumbal Kontras pada Suspek Metastasis Tulang Belakang: Studi Kasus di Rumah Sakit Hermina Pandanaran Semarang
Get PDFBackground: MSCT is a routine imaging modality for detecting bone metastases. The use of 1.25 mm slice thickness reconstruction on Thoracolumbar MSCT examination at Hermina Pandanaran Hospital is different from preliminary studies. This study aims to determine MSCT Thoracolumbar contrast with 1.25 mm slice thickness and 3D reconstruction to produce information on anatomical images in suspected cases of spinal metastases. Methods: This research was qualitative with a case study approach. The respondents were 3 radiographers, 2 radiologists, and 1 referring doctor. Data collection by observation, interviews, and document studies. Processing and data analysis used open coding and analysis to obtain conclusions. Results: The examination procedure was carried out by preparing the patient to fast for 6 hours before the examination, checking the results of ureum creatinine, filling out the informed consent and doing a skin test. Contrast media as much as 1.1-1.2 ml/kg per patient's body weight plus saline half of the amount of contrast, flow rate 2.5-3 mL/s, scan delay 25 s. DFOV 25-35cm, ASIR 40%. Reconstruction of slice thickness 1.25 mm to get more detailed results so that it could produce informative images that evaluated the spine and soft tissue. MPR and 3D reconstruction so that the image looked real bone and could be viewed 360ᵒ. Conclusions: The resulting slice thickness of 1.25mm and 3D reconstruction produced anatomical image information that could visualize bone to see destructive lytic lesions due to metastases, and visualize soft tissue such as paravertebral masses or discs.
Peranan Magnetic Resonance Imaging (MRI) Lumbal dalam Penegakan Diagnosis Kasus Low Back Pain: Studi Kasus di Instalasi Radiologi Rumah Sakit Satya Negara Jakarta Utara
Get PDFBackground: Magnetic resonance imaging (MRI) is considered the best imaging for chronic low back pain because of high tissue contrast and no effect of ionizing radiation. The purpose of this study was to determine the management of Lumbar MRI examination with Low Back Pain Cases.Methods: The research used was a qualitative descriptive research method by collecting data by direct observation which was conducted in December 2022 at Satya Negara Hospital, North Jakarta. The research was conducted using direct observation methods, documentation and decision studies. The sample used was 1 patient.Results: The image results are strengthened by the expertise of a radiologist. The results of the study were obtained from the beginning of the patient's process of coming to radiology to perform a Lumbar MRI examination in the administration section until the examination was completed. Using a GE 1.5 T MRI machine and a whole spine coil. The sequences used are 3-plane location, calibration scan lumbar, Coronal T2, Sagittal T2, Sagittal T1, Sagittal T2 + FATSAT, Axial T2, Sagittal Myelography, Coronal Myelography.Conclusions: This study shows that Lumbar MRI image results and the doctor's expertise show that there is grade I spondylolithesis and L4-L5 spondyloarthrosis with disc protrusion. It’s mean that MRI can provide information for making a diagnosis
Kombinasi Ovitrap Berbahan Plastik dan Atraktan terhadap Telur Aedes Aegypti yang Terperangkap
Get PDFDemam Berdarah Dengue (DBD) merupakan penyakit yang disebabkan oleh virus dengue dengan penular vektor nyamuk Aedes aeypti. Kasus DBD pada tahun 2021 terdapat 73.518 kasus dengan jumlah kematian mencapai 705 kasus. Tujuan penelitian untuk mengetahui efektivitas ovitrap berbahan plastik dengan jenis atraktan terhadap jumlah telur Aedes aegypti yang terperangkap. Penelitian ini dengan jenis eksperimen dengan desain Quacy Experiment dengan Posttest only design with nonequivalent groups sebagai rancangan penelitian. Jenis bahan plastik yang digunakan yaitu PET (Polyethylene Terephthalate), HDPE (High Density Polyenthylene), dan PP (Polypropylene) dan atraktan yang digunakan yaitu air rendaman sabut kelapa konsentrasi 25% dan air rendaman jerami konsentrasi 25%. Analisis Faktorial Anova menunjukkan bahwa jenis atraktan mendapatkan hasil p ≤ 0,05, sehingga Ho ditolak artinya terdapat perbedaan signifikan berbagai jenis atraktan. Adapun jenis atraktan yang paling efektif yaitu air rendaman jerami konsentrasi 25%. Simpulan jumlah telur Aedes aegypti yang terperangkap dipengaruhi oleh jenis atraktan dan tidak dipengaruhi oleh jenis bahan plastik yang digunakan
The Influence of Oketani Massage and Acupressure Massage on Lactation Success in the Working Area of Darul Imarah Health Center, Aceh Besar District
No full textBackground: The low coverage of exclusive breastfeeding in Indonesia is caused by various factors, one of which is the lack of milk production. Based on data for 2020, the target for exclusive breastfeeding coverage is 69% . Based on data obtained from Aceh's health profile in 2019 the number of babies receiving exclusive breastfeeding in Aceh Besar is 47%. In 2020 the coverage of exclusive breastfeeding for babies will increase by 61%. But in 2021 the coverage of exclusive breastfeeding is only 49%. This shows that the coverage of exclusive breastfeeding in the last 1 year has decreased.
Methods: This type of research is Quasy Experiment with two group pre-test and post-test design . The sample in this study were postpartum mothers from the first day to the third day , totaling 34 people, of which 17 postpartum mothers were given oketani massage interventions and 17 postpartum mothers were given acupressure ur massage interventions.
Results: There is a significant difference in the LATCH score before and after oketani massage with a value (P Value 0.00
Perbandingan Hasil Pemeriksaan Protein Urine Metode Carik Celup, Asam Asetat 6%, dan Asam Sulfosalisilat 20% Menggunakan Aturan Westgard
Get PDFProteinuria is caused by kidney damage. Qualitative examination of urine protein can be carried out using the dip strip method, 6% acetic acid and 20% sulfosalicylic acid. The aim of this research is to determine the accuracy and precision of urine protein examination using the dip strip method, 6% acetic acid and 20% sulfosalicylic acid. The research was experimental with repeated measurements of levels carried out visually and gave positive results of 1, 2, 3 and 4. The research was carried out in January 2022 using a research sample of 20 proteinuria positive patients at RSJD Dr. Amino Gondohutomo. The results of this research are that all methods meet the 12S rules where there is 1 control that is more than ± 2SD (still in the ± 3SD area), categorized as a warning/warning of method malfunction (needs more careful analysis). The best method is dip strip because it has the lowest Coefficient of Variation (KV) value, namely 0.497%. The method can still be used for patient care. The coefficient of variation obtained was dye liquid 0.497%, 6% acetic acid 0.654%, and 20% sulfosalicylic acid 0.630%. The smaller the KV value (%) the more thorough the system/method. The conclusion that can be drawn from this research is that the dip strip is a method that has the best accuracy and precision compared to the 6% acetic acid and 20% sulfosalicylic acid methods because it has the smallest coefficient of variation (KV%) value, namely 0.497% and meets the 12S rules. Researchers recommend always ensuring that the research location has the required samples with adequate volume, urine protein examination can be carried out using the dip strip method, researchers can then carry out urine protein examination regarding the sensitivity and specificity of the three qualitative methodsProteinuria disebabkan oleh kerusakan ginjal. Pemeriksaan kualitatif protein urine dapat dilakukan dengan menggunakan metode carik celup, asam asetat 6%, dan asam sulfosalisilat 20%. Tujuan dari penelitian ini yaitu untuk mengetahui akurasi dan presisi pemeriksaan protein urine menggunakan metode carik celup, asam asetat 6%, dan asam sulfosalisilat 20%. Penelitian bersifat eksperimental dengan pengukuran berulang kadar yang dilakukan secara visual dan memberikan hasil positif 1, 2, 3 dan 4. Penelitian dilaksanakan pada Januari 2022 dengan menggunakan sampel penelitian 20 pasien positif proteinuria RSJD Dr. Amino Gondohutomo. Hasil dari penelitian ini yaitu semua metode memenuhi aturan 12S dimana terdapat 1 kontrol berada lebih dari ± 2SD (masih terdapat di daerah ± 3SD), dikategorikan sebagai peringatan/warning adanya malfungsi metode (perlu analisis lebih seksama). Untuk metode terbaik adalah carik celup karena memiliki nilai Koefisien Variasi (KV) terendah yaitu 0,497%. Metode masih dapat digunakan untuk pelayanan pasien. Koefisien variasi yang didapatkan yaitu caik celup 0,497%, asam asetat 6% 0,654%, dan asam sulfosalisilat 20% 0,630%. Semakin kecil nilai KV (%) maka semakin teliti sistem/metode tersebut. Simpulan yang dapat diambil dari penelitian ini adalah carik celup merupakan metode yang memiliki akurasi dan presisi yang paling baik dibandingkan dengan metode asam asetat 6% dan asam sulfosalisilat 20% karena memiliki nilai koefisien variasi (KV%) terkecil yaitu 0,497% dan memenuhi aturan 12S. Peneliti menyarankan untuk selalu memastikan bahwa lokasi penelitian memiliki sampel yang dibutuhkan dengan volume yang memadai, pemeriksaan protein urin dapat dilakukan dengan menggunakan metode carik celup, peneliti selanjutnya dapat melakukan pemeriksaan protein urine terkait sensitivitas dan spesifisitas ketiga metode kualitatif
EMPOWERING THE ROLE OF MOTHERS THROUGH SELF-SUFFICLENCY TRAINING IN PROCESSED ANCHOVY SAUSAGES (Stolephorus spp.) IN FAMILY COMMUNITIES WITH CHILDREN WITH SPECIAL NEEDS “KURNIA ILAHI” IN METESEH SEMARANG
Get PDFPhysical limitations and intelligence of children with special needs (ABK) cause a lack of maintenance of oral health. Maintenance of dental and oral health that is less than optimal causes children with special needs to experience problems with their teeth and mouth (dental caries). The high prevalence of dental caries causes the masticatory function is not optimal. Dental caries can be prevented by sufficient calcium and fluoride in the teeth, such as the consumption of anchovies. So there is a need for training in the manufacture of processed anchovy sausages for mothers of children with special needs "Karunia Ilahi". This Community Service aims to help parents in processing seafood dishes in order to improve the dental and oral health of children with special needs. The method of implementing the activity begins with the 5- table PosKesGi activity followed by training on making anchovy sausages for 30 women from the “Karunia Ilahi” community. After that, the cadres will be monitored for their activities in PosKesGi activities for 1 month. The results obtained were an increase in ABK discipline in brushing teeth. After consuming anchovy sausage, 10% of participants (3 people) experienced itching on the surface of the oral mucosa. Consumption of anchovy as much as 50 grams per day is recommended to optimize bone growth and prevent dental carie
HUBUNGAN PEMBERIAN ASI EKSKLUSIF DENGAN KEJADIAN STUNTING PADA BALITA
Get PDFStunting merupakan masalah gizi kronis pada balita yang disebabkan oleh asupan gizi yang kurang. Dunia sedang menghadapi permasalahan ini, terutama di negara-negara miskin dan berkembang. Indonesia menjadi peringkat ketiga dengan prosentase (36,4%) setelah Timor Leste (50,2%) dan India (38,4%). Rerata prevalensi stunting di Indonesia tahun 2005-2017 adalah 36,4%. Data Riskesdas tahun 2018 menunjukkan persentase balita stunting sebesar 20,06 %. (Dinkes Jateng, 2019). Data Dinkes Kabupaten Tegal menyatakan kasus balita stunting sekitar 9.346 (2020) dan 10.793 (2021). Pemberian ASI eksklusif menjadi salah satu faktor yang mempengaruhi terjadinya stunting pada balita. Secara nasional, cakupan bayi mendapat ASI eksklusif pada tahun 2017 (61,33%), sehingga belum mencapai target pemerintah yaitu 80%.Penelitian bertujuan mengetahui hubungan pemberian ASI ekslusif dengan kejadian stunting pada balita. Desain penelitian; merupakan penelitian deskriptif korelasi non-eksperimental yaitu penelitian korelasi dengan metode cross sectional yaitu variabel independen (Pemberian ASI eksklusif) dan variabel dependen (Balita Stunting). Penelitian dilakukan pada bulan Januari 2023 di Desa Kalisapu, Kecamatan Slawi, Kabupaten Tegal dengan populasi ibu yang mempunyai balita usia 2-3 tahun. Peneliti menggunakan purposive sampling yaitu sampel diambil berdasarkan kriteria inklusi dan eksklusi. Analisis data menggunakan uji chi-square (x2), dihasilkan p-value sebesar 0,004 (α=0,05). Simpulan: terdapat hubungan bermakna antara pemberian ASI ekslusif dengan kejadian stunting pada Balita, nilai Coeffesient Contingency sebesar 0,277 (hubungannya cukup erat). Disarankan agar ibu yang mempunyai balita untuk memberikan ASI Ekslusif sampai anak berusia 2 tahun, sehingga dapat mengurangi salah satu faktor risiko stunting
Pengaruh Pendidikan Kesehatan Dengan Media Booklet Terhadap Peningkatan Pengetahuan Remaja Tentang Infeksi Menular Seksual (IMS) Di SMAS Diponegoro Tumpang Kabupaten Malang
Get PDFThe phenomenon of promiscuity and public sex among Indonesian teenagers is increasingly worrying. Adolescents have the highest rate of STI infection compared to other age groups. The low level of knowledge among adolescents is one of the reasons why the incidence of sexually transmitted diseases among adolescents is high. Health education through booklets is a way to increase knowledge for adolescents. The purpose of this study was to determine the impact of health education using pamphlets in increasing adolescents' knowledge about sexually transmitted infections (STIs) in SMAS Diponegoro Tumpang, Malang Regency. The design of this study was a pretest design with a single-group pretest-posttest design. The population used was class XI SMAS Diponegoro Tumpang with a total of 89 people and a sample of 40 people using proportional stratified random sampling technique. The instrument used in this study was a questionnaire. Analyze the data using the Wilcoxon signed rank test and the results obtain p-value = 0.000, so we can conclude that the p-value is less than (0.000 0.05), we it can be concluded that there exists an effect of health education by media booklet to increase adolescents' knowledge about sexually transmitted infections (STIs) at SMAS Diponegoro Tumpang, Malang Regency. In addition to being easy to read anytime, anywhere, textbooks also have another advantage: they have images that can attract and arouse the interest of educational subjects in reading