Beranda Jurnal Online Politeknik Kesehatan Kemenkes Semarang (POLTEKKES E-Journal)
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    Gambaran Kecemasan Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa di Rumah Sakit Santa Elisabeth Medan Tahun 2023

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    Background: Chronic renal failure is the presence of progressive kidney damage in the human body characterized by uremia (urea in other wastes circulating in the blood and its complications. Hemodialysis is a high-tech substitute for removing metabolic waste from human blood circulation such as water, sodium, potassium, hydrogen, urea, creatinine, uric acid, and other substances through a   semi-membrane Permeable as a separator of blood and dialysate fluid in artificial kidneys where diffusion, osmosis and ultra filtration processes occur.  Proses hemodialysis 1-3 times a week and each time takes 2-5 hours, this activity will continue 3-4 hours per therapy. Anxiety in hemodialysis patients arises because during the hemodialysis process they see tubes that are fed by blood entering the body, they also have to pay costs when undergoing hemodialysis, and uncertainty about recovery. Objective: To find out the anxiety picture of chronic kidney failure patients undergoing hemodialysis at Santa Elisabeth Medan Hospital 2023. Methods: To find out the anxiety picture of chronic kidney failure patients undergoing hemodialysis at Santa Elisabeth Medan Hospital 2023. Method: This study is a descriptive research. Sampling using Total Sampling technique amounting to 40 respondents. The research instrument uses Zung Self Rating Scale (ZSAS) questionnaire. Results: The results of this study found that the anxiety of chronic kidney failure patients undergoing hemodialysis at the Santa Elisabeth Hospital in Medan in 2023 mostly experienced mild anxiety as much as 50.0%, moderate anxiety as much as 40.0% and severe anxiety as much as 7.5% and panic as much as 2.5%. Conclusion: This researcher illustrates that the anxiety level of patients with chronic kidney failure undergoing hemodialysis is influenced by characteristics such as age, type of health, and education

    PROMOSI KESEHATAN GIGI DAN MULUT LANSIA MELALUI APLIKASI ASUHAN KESEHATAN GIGI DAN MULUT

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    Hasil Riset Kesehatan Dasar (2018) menyatakan penduduk Indonesia yang memiliki masalah gigi dan mulut usia 55-64 tahun sebanyak 61,9% dan usia 65 tahun sebanyak 54,2%. Di provinsi jawa tengah terdapat 56,7% penduduk yang mengalami masalah gigi dan mulut. Masalah gigi yang sering terjadi di Indonesia yaitu gigi berlubang, gigi hilang atau dicabut, gigi ditambal, dan gigi goyah. Kelompok usia 55- 64 tahun yang mengalami gigi berlubang sebesar 48,5%, gigi hilang atau dicabut sebesar 29%, gigi ditambal sebesar 4,2%, serta gigi goyah sebesar 15,9%, dan usia 65 tahun yang mengalami gigi berlubang sebesar 38,6%, gigi hilang atau dicabut sebesar 30,6%, gigi ditambal sebesar 3,1%, serta gigi goyah sebesar 15,5%. Hasil survei yang telah dilakukan kepada 22 lansia yang tinggal di panti sosial Potroyudan Jepara pada tangga 10 November 2022 diperoleh data kondisi kesehatan dan kebersihan gigi dan mulut dengan ratarata nilai OHI-S sebesar 4,9 dengan kriteria (buruk) dengan (DI=2,4, CI=2,3) angka ini sangat tinggi karena untuk kriteria baik sebesar 0-1,2 dan angka DMF-T 1,2 dengan kriteria (rendah). Metode pelaksanaan dengan adalah pemeriksaan OHI-S, pengisian kuesioner, senam mulut, senam prokesgisia dan penyuluhan. Pada pendamping lansia dilakukan wawancara dan pelatihan program ASGISI

    Facial Exercise as an Effort to Improve Quality of Life in Elderly People With Xerostomia at Posyandu, Gedawang Village Banyumanik, Semarang

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    ABSTRACT Background: The function of the organs of the elderly as they get older will decrease (organ degeneration), both due to natural factors and due to disease. An estimated 30% of seniors aged 65 years and older have decreased saliva production. Decreased saliva production causes complaints of dry mouth which is often known as xerostomia. This situation is caused by atrophy of the salivary glands (saliva) which will reduce salivary production and change its composition. The decreased salivary secretion will cause discomfort in the oral cavity, pain, and increased rates of dental caries and oral infections. Facial gymnastics is the act of giving massage to the facial area from top to bottom around the cheeks, mouth, and chin, this activity can stimulate the function of the oral cavity.Research objective: to analyze the effectiveness of facial exercises on the quality of life of elderly people with xerostomia.Research Methods: Quasi-experimental with pre-test and post-test design, a sample of 30 elderly people with xerostomia. Facial exercise treatment was carried out for 30 days, measurements were carried out using the Xerostomia Related Quality of Life Scale (XeQoLS). Questionnaires were given before and after treatment.Results: The results showed that after doing facial exercises there was an increase in salivary secretion from an average of 0.6 ml/per minute to 1.1 ml/per minute, and the results of the paired t-test p-value = 0.000. The majority of respondents had a low quality of life of 53% and after doing facial exercises the majority of respondents had a high quality of life of 57%, with the results of the paired t-test p-value = 0.000. This can happen because the implementation of facial exercises gets mechanical stimulation. The stimulation given can increase the flow of salivary secretion which directly affects the increase in saliva volume. The normal salivary secretion will cause a sense of comfort in the oral cavity, thereby increasing the quality of life of the elderly

    Pemberian Serbuk “Banasoy” Pisang Ambon (Musa Paradisiaca Var. Sapientum Linnaeus) Dan Kacang Kedelai (Glyciline Max) Terhadap Tekanan Darah Pasien Hipertensi Di Wilayah Kerja Puskesmas Gerung

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    Jumlah penderita hipertensi yang terus mengalami peningkatan setiap tahunnya. Hipertensi merupakan keadaan dimana tekanan darah sistolik ≥ 140 mmHg dan diastolik ≥90 mmHg. Salah satu cara mengatasi hipertensi adalah mengkonsumsi pangan fungsional yaitu serbuk banasoy yang kaya akan kalium dan magnesium sebagai pengontrol tekanan darah. Tujuan Penelitian : Penelitian ini bertujuan untuk mengetahui pengaruh dari pemberian Serbuk “Banasoy” Pisang Ambon (Musa paradisiaca var. sapientum linnaeus) dan Kacang Kedelai (Glyciline max) terhadap Pasien Hipertensi di Wilayah Kerja Puskesmas Gerung. Metode Penelitian : Jenis penelitian ini adalah Quasi Experiment Non Equivalent Control Group Designs, dengan rancangan penelitian Pretest-Posttest with control group design. Jumlah sampel penelitian 20 orang yang diperoleh dari rumus Lameshow dan dipilih secara Purposive sampling. Sampel dibagi menjadi 2 kelompok yaitu kelompok kontrol dan kelompok perlakuan dengan dosis 30 g bubuk banasoy selama 7 hari.Hasil Penelitian : Terdapat Penurunan tekanan darah sistolik sebelum dan sesudah perlakuan pada kelompok intervensi yaitu rata-rata 161±11,97 mmHg menjadi 147,00±11,60 mmHg dengan selisih 14,00 mmHg dan penurunan tekanan darah diastolik dengan rata-rata  sebelum 103,00±10,59 mmHg menjadi 92,00±10,33 mmHg dengan selisih 11,00 mmHg. Kesimpulan : Tidak ada pengaruh pemberian serbuk banasoy terhadap tekanan darah pasien hipertensi

    Pemberdayaan Masyarakat Melalui GURU CIKA (Guyub Rukun Cegah dan Atasi KEK dan Anemia) Pada Remaja dan Ibu Hamil di Desa Purworejo Kabupaten Blora

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    According to the World Health Organization (WHO), the highest percentage causes of maternal death are bleeding (28%) and infection, which can be caused by low hemoglobin (Hb) levels or anemia and chronic energy deficiency (CED). Prevention efforts that can be carried out before pregnancy are prioritized from adolescence so that the actions taken can provide optimal results. This activity aims to increase the knowledge of teenagers and pregnant women about preventing anemia and CED. The activity was carried out through counseling through the emotional demonstration method to 20 pregnant women and 20 young women. Assessment of the target's level of knowledge in preventing anemia and CED was carried out before and after counseling through a questionnaire containing closed questions. The Wilcoxon test is used to analyze the mean difference between the two assessment results. The results of this activity showed an increase in knowledge of adolescents and pregnant women about the fulfillment of nutrition and prevention of SEZs and Anemia after counseling using the emotional demonstration methodKeyword: adolescents, pregnant women, SEZ, anemi

    Nursing Students’ Knowledge on Breast Cancer

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    Background: Breast cancer is the most common type of cancer in women and is one of the main causes of cancer death in women throughout the world. Around 9-8% of women have the potential to experience breast cancer. It is estimated that there are 100 new sufferers per 100,000 population every year in Indonesia. The prevalence of cancer in Indonesia is 1.4 per 1000 population and increases with age. Breast cancer contributes 30% and is the most common type of cancer in Indonesia.Methods: The research method employed was quasi-experimental with a pre-posttest without control group design. Total sampling was used to collect samples. The data was evaluated using the paired t test.Results: The study showed significant differences in nursing students' knowledge of breast cancer before and after they received the self-paced module (p value 0.000).Conclusion: The self-paced module can help students learn more about breast cancer. There is need for various approaches of educating nursing students about breast cancer as well as the students' ease of access to resources for breast cancer information

    Case report : nursing care management in adolescent with nefrotic syndrome

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    Abstract:Background: Adolescent with nefrotic syndrome always face many problem of biopsychosociocultural and spiritual. During the nursing management, it is a challenge to nurse as a profession to give holistic care. Methods: This is a case report using nursing management from assesment to evaluation.Results: This is a case of a 16 year old male who presented with new-onset nephrotic syndrome. He presented with progressive edema, and laboratory findings were significant for proteinuria and hypercholesterolemia. The nursing diagnoses are impaired skin integrity, excess fluid volume, knowledge deficit and anxiety and nurse give an interventation for better result.Conclusion: This is an early phase of case study of nephrotic syndrome in adolescent. However, our patient has history of drink beverage in long term. It could be that drink drink beverage in long term could be the trigger for new onset nephrotic syndrome. More studies are needed to understand the impact of nursing care for nephrotic syndrome in adolescent.Keywords: Adolescent; nefrotic syndrome, Nursing care

    FAKTOR-FAKTOR PENYEBAB KEMATIAN PERINATAL

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    Angka Kematian Perinatal (AKP) merupakan salah satu indikator yang dapat digunakan dalam menilai derajat kesehatan suatu bangsa Banyak faktor yang dianggap sebagai factor penentu kematian perinatal, faktor-faktor penyebab tersebut dijadikan sebagai faktor determinan diantaranya faktor usia, paritas, pendidikan, faktor bayi yaitu IUFD, BBLR, Kelainan kongenital, premature dan asfiksia.  Jenis penelitian deskriptif. Variabel dalam penelitian ini adalah usia, status paritas, pendidikan, penyakit penyebab kematian perinatal (IUFD, BBLR, kelainan kongenital, premature, dan asfiksia)  Berdasarkan hasil penelitian menggunakan uji Chi-square terdapat hubungan antara usia dengan kematian perinatal dengan pvalue=0,000. Terdapat hubungan antara paritas dengan kematian perinatal dengan pvalue=0,000. Terdapat hubungan penyakit penyebab kematian perinatal dengan pvalue=0,000. Sedangkan tidak ada hubungan antara pendidikan ibu dengan kematian perinatal dengan pvalue=0,750. Diharapkan tenaga kesehatan mampu meningkatkan kualitas pelayanan ANC pada ibu hamil beresiko yang dapat mengalami kematian perinata

    Pelvic Rocking Exercise Menggunakan Birthing ball Mempengaruhi Kemajuan Persalinan Kala I

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    Maternal mortality in the Riau Islands Province in 2019 was still dominated by direct causes, namely bleeding and hypertension in pregnancy. In addition, the percentage of other causes which are indirect causes is also quite large, such as prolonged labor around 1.8%. This study aims to determine the effect of Pelvic rocking Exercises using a birth ball on the progress of labor in women in first stage of labor. This study used a pre-experimental study using a static group comparison design with accidental sampling technique. The sample was divided into 2 groups, the intervention group was rocked with a birth ball for active phase mothers for 30 minutes for 2 sessions and the progress of the study in the control group was carried out in November-December 2021 using an independent sample test. The results showed that there was an effect of rocking the pelvis with birthing ball on the progress of labor where the average progress of labor for the status of ball delivery was done and not done, it was different with a p value of 0.00001 0.05. The birth ball status was 138.2 minutes faster than the non-performed birth ball status. The conclusion is that pelvic sway with a birth ball helps the baby rotate to the optimal position and shortens the first stage of labor so as to reduce pain and provide comfort to the mother on the labor process. Suggestion to health workers will be facilitators for mothers in labor and support physiological delivery

    Faktor Resiko Penyebab Perdarahan Postpartum

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    One of the causes of the high maternal mortality rate in Indonesia is postpartum hemorrhage. Postpartum hemorrhage is an abnormal condition where the blood that comes out is very much up to 500 cc or even more. This case of postpartum hemorrhage can occur in all circles of pregnant women. AKI is one of the biggest problems in the health sector in developing countries and is mostly caused by bleeding. This study aims to determine what are the risk factors for postpartum hemorrhage. The type of research used in this study is a literature review research using 5 journals obtained from Google Scholar, this study uses two variables, the dependent variable and the independent variable. The dependent variable is postpartum hemorrhage and the independent variables are age, parity, delivery distance, hemoglobin level, duration of labor and previous delivery history. The most dominant factor in the incidence of postpartum hemorrhage is parity. It is hoped that further researchers will seek more references from various reliable sources to enrich the dat

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