Beranda Jurnal Online Politeknik Kesehatan Kemenkes Semarang (POLTEKKES E-Journal)
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An Overview of Post-Traumatic Stress Disorder (PTSD) Among Flash Flood Victims
Flash flood disaster is a natural disaster that can have a negative impact on victims. The psychological impact caused after the disaster is in the form of Post-Traumatic Stress Disorder (PTSD) which shows several symptoms in the form of Re-experiencing, Avoidance, and Hyper arousal. This research was conducted with the aim of knowing the description of Post-Traumatic Stress Disorder (PTSD) in the victims of the flash flood disaster one year after the incident. The method used in this study is descriptive research with a survey approach. The sample technique used in this study is a purposive technique. Data analysis used univariate analysis to determine the characteristics of the respondents which included age, occupation, gender, education, and description of PTSD symptoms. This study involved 48 people as respondents who showed the characteristics of 70% meeting the PTSD diagnostic criteria after the flash flood that hit their village two years ago. The results of this study can be used as a reference or basis for preparing interventions to improve mental health in communities especially those experiencing disasters.
The Effectiveness of The Simulation Method and The Peer Teaching Method in Counseling on Improvement of Tooth Brushing Behavior at SD Muhammadiyah Tanjungsari Pekalongan
The dental health maintenance behavior of the Indonesian people in brushing their children's teeth directly is still deficient. Brushing your teeth correctly and adequately is one factor in avoiding dental and oral diseases such as caries. Therefore, it is necessary to emphasize that dental and oral health information in early childhood is needed. This study aimed to analyze the effect before and after counseling using simulation and peer teaching methods on tooth brushing behavior in SD Muhammadiyah Tanjungsari Pekalongan students. The type of research used is a quasi-experiment (quasi-experimental) with a pre-test and post-test group design. The population in this study amounted to 124 students. The sample consisted of 40 students, with 20 students being given the simulation method and 20 students being given the peer teaching method and taken by purposive sampling technique. The tests were carried out by univariate analysis and bivariate analysis, using the Mann-Whiteny test to determine differences in the effectiveness of the methods used. The statistical test results used the Mann-Withney test with results on knowledge (p=0.954), attitude (p=0.498), action (p=0.040), and index debris (p=0.001). Shows that there are differences in the effectiveness of counseling before and after using the simulation method compared to the peer teaching method; namely, knowledge is more effective using the simulation method with an average simulation of 20.60, attitudes are more effective using the peer teaching method with an average of 21.68, on the action it is more effective using the simulation method with an average of 24.30, and on the debris index it is more effective using the peer teaching method with an average of 26.55
The Maternal Risk Factors Analysis Based on The Type of Refferal Senders
The obstetric emergency referral system is intended to handle pregnancy emergencies quickly, precisely, efficiently, and effectively by the capabilities and authorities of health care facilities. This condition is reflected by sending referrals following the established risk factor diagnosis. The purpose of this study was to determine the differences in maternal risk factors based on the type of referral sender’s health facility. A cross-sectional study was conducted in 2018-2019 taking 113 cases of referral deliveries at the Sultan Agung Islamic Hospital in Semarang. Referral senders are divided into three groups consisting of 1) private practice midwives, 2) primary health care, primary health clinics, general practitioner, type D hospitals, and 3) type C hospitals. The risk factors of pregnancy are divided into three categories such as low, high, and very high-risk pregnancies. Very high-risk pregnancy was the most dominant finding in each referral sending health facility. The very high-risk pregnancy rate that comes from private practice midwives is 62.5%; from the primary health centers, type D hospitals, clinics, and general practitioner is 57.9%, and 92.9% came from type C hospitals. Based on the fisher’s exact test, there is no difference in maternal risk factors based on the sender’s referral (p-value of 0.187). It is necessary to review and harmonize tiered referral regulations with regional health regulations, so that the referral system can be implemented effectively and efficiently
Physiotherapy Modalities and Physiotherapy Modalities and its Effect on The Development of Functional Ability in Children with Cerebral Palsyits Effect on The Development of Functional Ability in Children with Cerebral Palsy
In Indonesia, currently there are various physiotherapy intervention modalities for children with special needs, especially in cerebral palsy. The Bobath concept is a holistic approach to solving the problems of individuals with movement disorders and postural control as a result of lesions in the central nervous system. The purpose of this study was to determine the effect of physiotherapy modalities on functional abilities in children with cerebral palsy. This research was an experimental type that had a control variable with a nonequivalent control group design, but in this design the experimental group and the control group were not randomly selected, functional ability measuring tool used gross motor functional movement (GMFM). All respondents received treatment 16 times (2 times per week), measured as fisrt post-test, followed by treatment 16 times (2 times per week) measured as second post-test. The first post-test (16 times) and the second post-test (32 times), these data were compared. The results of the repeated measured ANOVA test in the control group revealed that there was a significant difference in functional ability after the bobath concept treatment (p=0.060; x1=-0.714; x2=-2.714) and after the bobath concept and taping treatment (p=0.027; x1=-2.400; x2=-6.000). But, there was found not significant after the bobath concept and stretching treatment (p =0.071; x1=-0.333; x2=-3.667), and after the bobath concept and infrared treatment (p=0.126; x1=-1.000; x2=-2.500). The results of the Freadman test there was a significant difference in functional ability after the bobath concept and massage treatment (p=0.023). The conclusion, there was a significant difference in functional ability improvement after being given treatment by the bobath concept, bobath concept plus taping, and/or bobath concept plus massage
Konflik Beban Ganda Bidan Di Puskesmas
The alignment of the roles of men and women has the result of women's involvement in the field of work due to biological faktor s, technological advances, and the human desire to work as a form of self-actualization. This research method is quantitative with a descriptive approach. The research was conducted at 3 Community Health Centers with a population of 30 midwives who worked outpatient care at Health Centers in the Kendal district in October 2022. Data collection used primary data by distributing questionnaires through the Google form which were distributed to midwives who had given informed consent. A small part of the conflict that occurred with midwives working at the Puskesmas was having problems when carrying work at home because their partners also worked and had been midwives for a long time. so that adaptation has occurred, and problems at home do not affect midwives when performing their duties at the outpatient Health Center because the tasks are carried out with full commitment
Design and Build Application of Web-Based Practice Material Management Information System (SIP-BATIK JKG) in the Laboratory of the Department of Dental Health Poltekkes Ministry of Health Semarang
ABSTRACTThe quality of material management in the JKG Semarang laboratory has not been maximized because the material management is done manually. Manual management creates problems in management quality and user satisfaction. The SIP BATIK JKG model is an information system designed to be able to overcome problems in the laboratory. The purpose of this study is a practical material management model with SIP-BATIK JKG that is feasible and effective to improve the quality of material management and increase user satisfaction in the JKG Semarang laboratory. This study uses the RD method, the trial model uses a pre-experimental design method with purposive sampling. The independent variable is the web-based SIP BATIK JKG model and the dependent variable includes the quality of material management and user satisfaction. Respondents were 50 people. The data from the model test used the proportion test and the different pair test. The results of expert validation using the kappa coefficient test with a value of 0.737 (k0.6) satisfactory category means that the SIP BATIK JKG model is relevant and feasible as a material management system in the laboratory. Most of the respondents' assessments stated that the quality of SIP BATIK JKG was in the good and very good categories. The subject's ability to the quality of material management and user satisfaction after treatment increased significantly compared to before with p = 0.000. The results of the effect size test on aspects of user satisfaction (d=1.30) and materials management (d=1.26) in the strong effect category mean that the SIP BATIK JKG model is very effective in improving the quality of material management services in the JKG lab. Conclusion The application of the SIP BATIK JKG model is relevant and suitable for use in management by users to improve the quality of information systems in the JKG laboratory ABSTRAKKualitas manajemen bahan di laboratorium JKG Semarang belum maksimal karena pengelolaan bahan dilakukan secara manual. Pengelolaan secara manual menimbulkan masalah pada kualitas pengelolaan bahan dan kepuasan pengguna. Model SIP BATIK JKG merupakan sistem informasi yang dirancang untuk dapat mengatasi permasalahan manajemen bahan lab dan meningkatkan kepuasan pengguna di laboratorium. Tujuan penelitian ini Menghasilkan model manajemen bahan praktik dengan SIP-BATIK JKG yang layak dan efektif untuk meningkatkan kualitas manajemen bahan dan meningkatkan kepuasan pengguna di laboratorium JKG Semarang. Penelitian ini menggunakan metode RD, uji coba model menggunakan metode pre-eksperimen design dengan purposive sampling. Variabel independen adalah model SIP BATIK JKG berbasis web dan variabel dependen meliputi kualitas manajemen bahan dan kepuasan pengguna. Responden sebanyak 50 orang ( 40 mahaiswa, 8 dosen dan 2 petugas laboratorium). Data hasil uji model menggunakan uji proporsi dan uji beda berpasangan. Hasil validasi ahli menggunakan uji koefisien kappa dengan value 0,737 (k0,6) kategori memuaskan artinya model SIP BATIK JKG relevan dan layak sebagai sistem pengelolaan bahan di laboratorium. Penilaian responden sebagian besar menyatakan kualitas SIP BATIK JKG dalam kategori baik dan sangat baik. Kemampuan subjek terhadap Kualitas sistem informasi setelah perlakuan meningkat bermakna dibandingkan sebelumnya dengan p=0,000. Hasil uji effect size pada aspek kepuasan pengguna(d=1,30 ) dan manajemen bahan (d=1,26) kategori strong effect artinya Model SIP BATIK JKG sangat efektif meningkatkan kualitas pelayanan pengelolaan bahan di lab JKG. Kesimpulan Penerapan model SIP BATIK JKG relevan dan layak digunakan dalam pengelolaan bahan oleh pengguna untuk meningkatkan kualitas sistem informasi di laboratorium JKG.
Hubungan Antara Kadar Asam Urat dengan Kepatuhan Minum Obat pada Pasien Tuberculosis Paru
Tuberculosis lungs is disease infectious disease caused by bacteria Mycobacterium tuberculosis. TB disease still become threat health Indonesian society which leads to illness , disability and death tall so that need exists countermeasures. Research objectives know connection between rate sour tendon with obedience drink medication in pulmonary TB patients. Study This is study retrospective analytic observational with approach cross sectional, with use analysis Research Chi square test statistics conducted at the Ambarawa Community Health Center (BALKESMAS) in October 2022. Population all moderate pulmonary TB patients undergo treatment at BALKESMAS Ambarawa. Research sample This of the total population namely 30 patients. Results from 30 respondents there is rate sour veins in patients Tuberculosis lungs there is enhancement rate sour tendon namely 11 respondents that is man with average levels sour urate 7.08 mg/dL (6 respondents ), female with average level 6.41 mg/dL (5 respondents ). Based on forever drink drug obtained that amount patient with treatment 3 months 57%, 2-3 months 30%, and 1 month 13%. Based on characteristics that kind sex men 53% and kind sex women 47%. Based on characteristics age category teenagers 23%, adults 50% elderly 27%. Based on obedience drink anti-tuberculosis drugs by 28 respondents or 93.34% of total number of respondents . Whereas For respondents who did not obedient drink drug namely 2 respondents or 6.06%. Chi square test results on compliance status drink medicine, type gender, age No showing connection significant (P0.05) against rate sour veins in patients Tuberculosis lungs. Research conclusions This No There is connection rate sour tendon with obedience drink medication in pulmonary TB patients, This caused by TB Treatment consists of over 2 stages that is intensive and advanced, function system immunity body relate with age, history of medication, obesity, consumption purines , and alcohol.Tuberkulosis paru merupakan penyakit menular yang diakibatkan oleh bakteri Mycobacterium tuberculosis. Penyakit TBC masih menjadi ancaman kesehatan masyarakat Indonesia yang berujung pada kesakitan, kecatatan, dan kematian tinggi sehingga perlu adanya penanggulangan. Tujuan penelitian mengetahui hubungan antara kadar asam urat dengan kepatuhan minum obat pada pasien TBC paru. Penelitian ini merupakan penelitian retrospektif analitik observasional dengan pendekatan cross sectional, dengan menggunakan analisis statistik uji Chi square Penelitian dilakukan di Balai Kesehatan Masyarakat Ambarawa (BALKESMAS) bulan Oktober 2022. Populasi semua pasien TBC paru yang sedang menjalani pengobatan di BALKESMAS Ambarawa. Sampel penelitian ini dari total keseluruhan populasi yaitu 30 pasien. Hasil dari 30 responden terdapat kadar asam urat pada pasien Tuberkulosis paru terdapat peningkatan kadar asam urat yaitu 11 responden yaitu laki-laki dengan rata-rata kadar asam urat 7,08 mg/dL (6 responden), perempuan dengan kadar rata-rata 6.41 mg/dL (5 responden). Berdasarkan lamanya minum obat didapatkan bahwa jumlah pasien dengan pengobatan 3 bulan 57%, 2-3 bulan 30%, dan 1 bulan 13%. Berdasarkan karakteristik yang jenis kelamin laki-laki 53% dan jenis kelamin perempuan 47%. Berdasarkan karakteristik umur kategori remaja 23%, dewasa 50% lansia 27%. Berdasarkan kepatuhan minum obat anti tuberculosis sebesar 28 responden atau 93.34 % dari jumlah total responden. Sedangkan untuk responden yang tidak patuh minum obat yaitu 2 responden atau 6.06 %. Hasil uji Chi square pada status kepatuhan minum obat, jenis kelamin, usia tidak menunjukan hubungan signifikan (P0,05) terhadap kadar asam urat pada pasien Tuberkulosisi paru. Kesimpulan penelitian ini tidak ada hubungan kadar asam urat dengan kepatuhan minum obat pada pasien TBC paru, hal ini disebabkan oleh Pengobatan TBC terdiri atas 2 tahapan yaitu intensif dan lanjut, fungsi sistem imunitas tubuh berhubungan dengan usia, Riwayat medikasi, obesitas, konsumsi purin, dan alkohol
PENGARUH EDUKASI DIET HIPERTENSI MELALUI WHATSAPP DALAM MENGENDALIKAN TEKANAN DARAH PASIEN HIPERTENSI
Diet dan nutrisi berperan penting dalam pengendalian tekanan darah pasien hipertensi. Pasien yang memperbaiki diet, tekanan darah dapat terkontrol dengan baik dan risiko komplikasi akibat hipertensi dapat dihindari. Media sosial dapat dipergunakan sebagai sumber informasi dalam pengelolaan diet hipertensi. Tujuan penelitian adalah untuk mengetahui adanya pengaruh edukasi diet hipertensi dengan media whatsapp terhadap tekanan darah pasien. Penelitian menggunakan desain quasy-experiment dengan pendekatan pre-post test nonequivalent control group design. Penelitian dilakukan kepada pasien hipertensi di Puskesmas Bandung kota Tegal. Sampel didapatkan 36 responden dengan teknik purposive sampling. Instrumen menggunakan media whatsapp, kuisioner food recall, dan tensimeter digital. Data dianalisis dengan uji independent t-test. Hasil penelitian menunjukkan ada perbedaan bermakna rata-rata tekanan darah pasien abtara sebelum dan sesudah diberikan edukasi (p-value0,05). Penelitian menyimpulkan ada pengaruh edukasi diet hipertensi melalui whatsapp untuk mengendalikan tekanan darah pasien hipertensi di Puskesmas Bandung Kota Tegal. Media whatsapp dapat digunakan sebagai media komunikasi, informasi, dan edukasi kepada pasien hipertensi dalam perawatan penyakit dan mencegah komplikasi hipertensi.Diet dan nutrisi berperan penting dalam pengendalian tekanan darah pasien hipertensi. Pasien yang memperbaiki diet, tekanan darah dapat terkontrol dengan baik dan risiko komplikasi akibat hipertensi dapat dihindari. Media sosial dapat dipergunakan sebagai sumber informasi dalam pengelolaan diet hipertensi. Tujuan penelitian adalah untuk mengetahui adanya pengaruh edukasi diet hipertensi dengan media whatsapp terhadap tekanan darah pasien. Penelitian menggunakan desain quasy-experiment dengan pendekatan pre-post test nonequivalent control group design. Penelitian dilakukan kepada pasien hipertensi di Puskesmas Bandung kota Tegal. Sampel didapatkan 36 responden dengan teknik purposive sampling. Instrumen menggunakan media whatsapp, kuisioner food recall, dan tensimeter digital. Data dianalisis dengan uji independent t-test. Hasil penelitian menunjukkan ada perbedaan bermakna rata-rata tekanan darah pasien abtara sebelum dan sesudah diberikan edukasi (p-value0,05). Penelitian menyimpulkan ada pengaruh edukasi diet hipertensi melalui whatsapp untuk mengendalikan tekanan darah pasien hipertensi di Puskesmas Bandung Kota Tegal. Media whatsapp dapat digunakan sebagai media komunikasi, informasi, dan edukasi kepada pasien hipertensi dalam perawatan penyakit dan mencegah komplikasi hipertensi
IKAN MUJAIR DAN ZINC MAMPU MENINGKATKAN TINGGI BADAN ANAK UNTUK MENCEGAH STUNTING
AbstrakLatar Belakang: Stunting adalah suatu kondisi dimana balita memiliki tinggi badan yang kurang dari usianya. Suplementasi zinc akan mengoptimalkan penyerapan makanan dan meningkatkan proses tumbuh kembang anak. Ikan mujair memiliki banyak kandungan nutrisi yang dapat meningkatkan tinggi badan anak.Tujuan: Mengetahui pengaruh pemberian ikan mujahir dan zinc terhadap pertambahan tinggi badan dalam upaya pencegahan stunting di Kabupaten Karanggayam.Metode: Penelitian ini merupakan penelitian kuantitatif, metode yang digunakan adalah eksperimen semu, dengan kelompok eksperimen dan kontrol. Populasi adalah 51 teknik pengumpulan data total sampling. Penelitian ini menggunakan 46 sampel intervensi dari 23 anak usia 12-24 bulan dan 23 sampel kelompok. Hasil uji t berpasangan menunjukkan adanya peningkatan tinggi badan atau perbedaan yang signifikan sebelum dan sesudah diberikan ikan nila dan zinc, hal ini dibuktikan dengan nilai statistik yaitu nilai p value (0,000) 0,05.Terjadi peningkatan tinggi badan yang signifikan pada bayi usia 12 bulan hingga anak 24 bulan sebelum dan sesudah diberi ikan nila dan zinc 0,90435. Diharapkan ibu-ibu memberikan zinc dan aktif berinovasi membuat menu menggunakan ikan mujair sehingga gizi protein anak lebih terpenuhiKata Kunci: anak, ikan mujair, zinc, stunting AbstractBackground: Stunting is a condition where toddlers have a length or height that is less than their age. Zinc supplementation will optimize food absorption and improve the process of child development. Tilapia fish has a lot of nutritional content that can increase the length of the child's body.Objective: To determine the effect of giving mujahir fish and zinc on body length gain in an effort to prevent stunting in Karanggayam District.Methods: This research is a quantitative study, the method used is quasi-experimental, with experimental and control groups. The population is 51 total sampling data collection techniques. This study used an intervention 46 sample of 23 children aged 12-24 months and 23 group samples. The results of the paired t test showed that there was an increase in body length or a significant difference before and after being given tilapia and zinc, this was evidenced by the statistical value, namely the p value (0.000) 0.05.There was a significant increase in body length in infants aged 12 months to children 24 months before and after being given tilapia fish and zinc 0.90435. It is expected that mothers are active in innovating about making menus and child nutrition so that they are more fulfilledThere was a significant increase in body length in infants aged 12 months to children 24 months before and after being given tilapia fish and zinc 0.90435. It is hoped that mothers will give zinc and actively innovate to make menus using tilapia fish so that the protein nutrition of children is more fulfilledKeywords: chilldren, stunting, mujair fish and zinkAbstrakLatar Belakang: Stunting adalah suatu kondisi dimana balita memiliki tinggi badan yang kurang dari usianya. Suplementasi zinc akan mengoptimalkan penyerapan makanan dan meningkatkan proses tumbuh kembang anak. Ikan mujair memiliki banyak kandungan nutrisi yang dapat meningkatkan tinggi badan anak.Tujuan: Mengetahui pengaruh pemberian ikan mujahir dan zinc terhadap pertambahan tinggi badan dalam upaya pencegahan stunting di Kabupaten Karanggayam.Metode: Penelitian ini merupakan penelitian kuantitatif, metode yang digunakan adalah eksperimen semu, dengan kelompok eksperimen dan kontrol. Populasi adalah 51 teknik pengumpulan data total sampling. Penelitian ini menggunakan 46 sampel intervensi dari 23 anak usia 12-24 bulan dan 23 sampel kelompok. Hasil uji t berpasangan menunjukkan adanya peningkatan tinggi badan atau perbedaan yang signifikan sebelum dan sesudah diberikan ikan nila dan zinc, hal ini dibuktikan dengan nilai statistik yaitu nilai p value (0,000) 0,05.Terjadi peningkatan tinggi badan yang signifikan pada bayi usia 12 bulan hingga anak 24 bulan sebelum dan sesudah diberi ikan nila dan zinc 0,90435. Diharapkan ibu-ibu memberikan zinc dan aktif berinovasi membuat menu menggunakan ikan mujair sehingga gizi protein anak lebih terpenuhi AbstractBackground: Stunting is a condition where toddlers have a length or height that is less than their age. Zinc supplementation will optimize food absorption and improve the process of child development. Tilapia fish has a lot of nutritional content that can increase the length of the child's body.Objective: To determine the effect of giving mujahir fish and zinc on body length gain in an effort to prevent stunting in Karanggayam District.Methods: This research is a quantitative study, the method used is quasi-experimental, with experimental and control groups. The population is 51 total sampling data collection techniques. This study used an intervention 46 sample of 23 children aged 12-24 months and 23 group samples. The results of the paired t test showed that there was an increase in body length or a significant difference before and after being given tilapia and zinc, this was evidenced by the statistical value, namely the p value (0.000) 0.05.There was a significant increase in body length in infants aged 12 months to children 24 months before and after being given tilapia fish and zinc 0.90435. It is expected that mothers are active in innovating about making menus and child nutrition so that they are more fulfilledThere was a significant increase in body length in infants aged 12 months to children 24 months before and after being given tilapia fish and zinc 0.90435. It is hoped that mothers will give zinc and actively innovate to make menus using tilapia fish so that the protein nutrition of children is more fulfilled
Evaluasi Penerapan Aspek 5M Dalam Penggunaan Tracer di Unit Penyimpanan Rekam Medis RSIA Husada Bunda Malang
Tracer is an outguide when medical record documents are borrowed or taken by health workers in health services. Tracers at RSIA Husada Bunda is still not appropriate, seen in terms of the design of the marker slip which does not include the destination poly and the use of tracers is still done manually. This study aims to evaluate the use of tracers based on 5M aspects in the medical record unit of RSIA Husada Bunda. This research was conducted using a descriptive qualitative method with instruments in the form of observations and interviews conducted to the head of medical records and medical records officers in the storage section. The results of this study show that in the Man aspect there are discrepancies related to HR criteria in the medical records unit. In the Material aspect, the tracer uses semihard materials, while the use of the tracer refers to a special method, namely the SOP. The application of the tracer in terms of Machine still uses a written manual. In supporting all activities in the medical records unit, it is supported by Money (budget funds) and some are allocated for training activities and seminars. Overall, the use of tracers in the medical records unit of RSIA Husada Bunda has been relatively effective but still needs a stage of improvement in several aspects. Improvements related to the use of tracers can be in the form of updates to tracer materials, redesign of marker slips, and maximizing the use of machines in operational activities using tracers