Beranda Jurnal Online Politeknik Kesehatan Kemenkes Semarang (POLTEKKES E-Journal)
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Implementasi Pemanfaatan Sumber Radiasi Pengion pada Ruang CT Scan ditinjau berdasarkan Peraturan BAPETEN No. 4 tahun 2020 di Instalasi Radiologi Rumah Sakit type B di Wilayah Kabupaten Sumedang
Full text linkBackground: Occupational safety and health (OSH) management is the main factor in hospital services, which aims to control and minimize potential dangers due to radiation. One of the evaluations used is the implementation of OSH management requirements based on the Republic of Indonesia Ministry of Health Regulation No. 1014 of 2008 and Bapeten regulation no. 4 of 2020. The aim of this research was to determine the extent of implementation of OSH management in terms of completeness of management requirements, radiation protection, room design and personal protective equipment (PPE) implemented in Radiology Department in hospital type B, Sumedang Regency.Methods: This research was a descriptive qualitative by conducting direct observations, interviews and documentation.Results: The results of the research on the design of the room without ventilation outside the CT Scan room, this aims to minimize the dose of scattered radiation that comes out, decentralization and good air circulation, has warning signs and directions for radiation danger areas, the radiation protection equipment is quite complete. Implementation of radiation management has been carried out, but not completely, there is no health monitoring at the end of the work period and upon termination of work. Radiation safety verification has been carried out periodically, quality control is only carried out externally, so it does not meet standards, internal quality control cannot be carried out because there is no survey meter.Conclusions: This research was conducted in Radiology Department room in August 2023, the results showed that in the CT Scan room there was no air ventilation, there was radiation dose monitoring for staff, overall, Radiology Installation hospital type B in Sumedang Regency area had implemented occupational safety and health
The Role of Task Force SUP IVA (Task Force Husband Peduli IVA) on IVA Examination Behavior in WUS
No full textBackground : The total number of women aged 30-50 years in Temanggung Regency who underwent IVA (Visual Acetic Acid Inspection) examination for early diagnosis of cervical cancer was reported to be 2,127, which accounts for 1.1% of the total population of 114,035 women in that age group. The proportion of WUS who conduct VIA examinations is still well below the established aim of 10% (Dinkes Temanggung, 2022). This study seeks to ascertain the impact of the IVA SUP Task Force (IVA Concerned Husband Task Force) on the conduct of IVA examinations in WUS.Methods : This type of research uses quasi-experiments with design only with control group design. The population in this study was all men who had wives aged 30-50 years in Coyo, Dayohan, and Jekaton Hamlets of Wonosari Village who had not done IVA examination totaling 197 people. The sample amounted to 130 respondents into the intervention group and 30 respondents into the control group. The sampling technique uses purposive sampling. The statistical test of this study used the Chi Square test.Result : The group that received counseling from the SUP IVA Task Force (Task Force Husband Peduli IVA), as many as 11 people (16.9%) carried out IVA examinations. The group that received counseling for female IVA cadres, as many as 6 people (9.2%) carried out IVA examinations. There was no difference in IVA examination behavior in the group that received counseling from the SUP IVA Task Force (Task Force Husband Peduli IVA) with the group that received counseling for female IVA cadres (p value = 0.298). Conclusion: there is no influence on the role of Task Force SUP IVA (Task Force Husband Peduli IVA) on IVA examination behavior. Conclusions : Provide input to health workers to involve the role of the husband in the behavior of IVA examination in WUS. Keywords : Task Force on the role of husbands, cadres, WUS, IV
Identifikasi Glukosa Urin dan Keton Urin pada Pasien Tuberkulosis Paru yang Mendapat Terapi Obat Anti Tuberkulosis (OAT) Di Puskesmas Tlogosari Wetan
Full text linkTuberculosis is a contagious infection caused by Mycobacterium tuberculosis. Anti-Tuberculosis Drug Therapy (OAT) given also has side effects, one of which is nephrotoxic. Laboratory examination of urine glucose identification can indicate if there is damage to the kidney glomerulus in the filtration process. The purpose of this study was to identify urine glucose and urine ketones in non-DM pulmonary TB patients with OAT treatment at the Tlogosari Wetan Health Center. This type of research is descriptive observational with a cross-sectional approach. The population was all TB patients who underwent examination at the Tlogosari Wetan Health Center. The research sample was a random urine sample from non-DM pulmonary TB patients. The examination method used was a dipstick using a reagent strip test. The results showed that out of a total of 30 non-DM pulmonary TB patients with OAT therapy (100%). A total of 6 (20%) patients were identified with urine glucose, with details of intensive phase treatment 2 (7%) patients with trace urine glucose (±), while in the continuation phase 2 (7%) patients were identified with trace urine glucose (±) and 2 (7%) patients with low urine glucose (+1). The majority of positive urine glucose results were experienced by males with an elderly age range (46-65 years) of 4 patients (14%). The results of urine ketone identification showed that 2 (6.6%) patients were identified with urine ketones, namely trace (±) in intensive phase treatment, while 15 patients in the continuation phase had all negative urine ketones. The majority of positive urine ketone results were experienced by males with an adult age range (26-45 years) of 2 patients (14%). The conclusion of 30 non-DM pulmonary TB patients with OAT therapy who met the inclusion criteria, there were 6 (20%) patients identified with urine glucose and 2 (6.6%) patients identified with urine ketones. The impact of this study is expected for non-DM pulmonary TB patients to take OAT and have regular medical check-up.Tuberkulosis merupakan infeksi menular yang disebabkan oleh Mycobacterium tuberkulosis. Terapi Obat Anti Tuberkulosis (OAT) yang diberikan juga memiliki efek samping salah satunya nefrotoksik. Pemeriksaan laboratorium identifikasi glukosa urine dapat menunjukkan apabila terjadi kerusakan glomerulus ginjal dalam proses filtrasi. Tujuan penelitian ini untuk mengidentifikasi glukosa urin dan keton urin pada pasien TBC paru non DM dengan pengobatan OAT di Puskesmas Tlogosari Wetan. Jenis penelitian ini adalah deskriptif observasional dengan pendekatan cross sectional. Populasinya adalah seluruh pasien TBC yang mlakukan pemeriksaan di Puskesmas Tlogosari Wetan. Sampel penelitian ialah sampel urin sewaktu dari pasien TBC paru non DM. Metode pemeriksaan yang digunakan adalah carik celup menggunakan reagent strip test. Hasil penelitian menunjukkan dari total keseluruhan 30 pasien TBC paru non DM dengan terapi OAT (100%). Sebanyak 6 (20%) pasien teridentifikasi glukosa urin, dengan rincian pengobatan fase intensif 2 (7%) pasien glukosa urin trace (±), sedangkan pada fase lanjutan 2 (7%) pasien teridentifikasi glukosa urin trace (±) dan 2 (7%) pasien glukosa urin low (+1). Mayoritas hasil positif glukosa urin dialami jenis kelamin laki-laki dengan rentan usia lansia (46-65 tahun) sebanyak 4 pasien (14%). Hasil identifikasi keton urin menunjukkan 2 (6,6%) pasien teridentfikasi keton urin yaitu trace (±) pada pengobatan fase intensif, sedangkan 15 pasien fase lanjutan keton urin seluruhnya negatif. Hasil positif keton urin mayoritas dialami jenis kelamin laki- laki rentan usia dewasa (26-45 tahun) sebanyak 2 pasein (14%). Kesimpulan dari 30 pasien TBC paru non DM dengan terapi OAT yang memenuhi kriteria inklusi terdapat 6 (20%) pasien teridentifikasi glukosa urin dan 2 (6,6%) pasien teridentifikasi keton urin. Dampak penelitian ini diharapkan pasien TBC paru non DM untuk meminum OAT dan melakukan medical check up secara teratur
Enhancing Dietary Knowledge And Low-Salt Compliance In Hypertension Patients Through Flip Chart-Based Nutritional Literacy
Full text linkHypertension is a non-communicable disease where blood pressure is above the normal limit, namely systolic ≥140 mmHg and diastolic ≥90 mmHg. Hypertension is often known as the "silent killer" because it has no symptoms. This research aims to determine the effect of nutritional literacy through flipchart media on knowledge and adherence to a low-salt diet in hypertension sufferers. This research is quantitative with a quasi-experimental design with a Pretest-Posttest Control Group Design approach. The intervention group was given nutritional literacy through flipchart media and the control group was only given leaflets. The results show a difference in the average post-test knowledge score between the intervention and control groups (p-value 0.000) and a difference in the average score for increasing sodium intake between the intervention group and the control group (p-value 0.017). After nutrition education with flipchart media, there was a difference in knowledge and salt intake between the intervention and control groups. The intervention group achieved higher knowledge and lower salt intake than the control group (p-value 0.05)
Tooth Loss In Elderly With Cognitive Function Based On Gender At Posyandu Elderly In Manggis Village, Panggul, Trenggalek District
Full text linkTooth loss is one of the problems that often occurs in the elderly and has an adverse impact starting with a decrease in speech, chewing and decreased cognitive function. Impaired cognitive function of the elderly is due to difficulties in the process of chewing food, as well as the initial procedure for digesting it where there is an expulsion into a bolus to support the swallowing stage. Initial survey findings in August 2023 found a high percentage of the elderly population as much as (60%) of the elderly who have 20 teeth functioning at the Posyandu Lansia Desa Manggis, Panggul, Trenggalek Regency. This type of research is analytic quantitative observational. Using a survey method with a Cross Sectional approach. The population in this study were elderly people aged 60 years and over at the Manggis Village Elderly Posyandu, Panggul, Trenggalek Regency with a total of 40 elderly people. The data collection instruments used were MMSE questionnaire examination sheets and dental examination observation sheets. The data analysis technique used was the Spearmen correlation test. The results of this study are cognitive function based on gender has a normal cognitive function. The level of tooth loss in the elderly based on gender has a high category which means that the level of tooth loss in elderly men and women has a number of functioning teeth 20 teeth. The conclusion is that tooth loss is related to cognitive function in the elderly at Posyandu Lansia Desa Manggis, Panggul, Trenggalek Regency.
Effectiveness of Counseling Using Puzzle Games and Lectures on Index Debris and Index Plaque in Class IV and V Students at Muhammadiyah Meruyung Primary School, Depok
Full text linkHealth education aims to raise awareness and encourage people to adopt healthy practices, especially in dental health for elementary school children. Dental health is crucial as it affects overall health and requires early intervention. Elementary school children are particularly at risk for dental issues. A screening at SD Muhammadiyah Meruyung Depok showed an average debris index of 2.7, indicating poor dental hygiene among students in grades IV and V. The aim of this research was to determine the effectiveness of index debris and index plaque values before and after being given counseling using puzzle games with lectures. This type of research is analytical, the method used is Quasy Experimental pre and post test design with control group with a sample size of 66 respondents. The sampling technique used purposive sampling technique and statistical tests using the Wilcoxon and Mann Whitney tests were used to determine the effectiveness of the research results. The results of this study show that puzzle games are more effective than lectures. The average change value of puzzle games was higher than lectures for both index debris and index plaque. The statistical test results obtained a significant value 0.05. The conclusion from the research results is that puzzle games are more effective in reducing index debris and index plaque in class IV and V students at SD Muhammadiyah Meruyung Depo
Effectiveness of Application P6 Point Acupressure to Emesis Gravidarum at Hermina Hospital Bekasi
Full text linkIn 2019 the World Health Organization (WHO) in Indonesia obtained data on pregnant women with nausea and vomiting reaching 14.8% of all pregnancies, complaints of nausea and vomiting occur in 60-80% of primigravidas and 40-60% of multigravidas . Untreated nausea and vomiting will continue to become hyperemesis gravidarum or excessive nausea and vomiting. Management depending on the severity of symptoms, treatment consists of pharmacological and non-pharmacological therapy, even now with various complementary therapies like acupressure. Purpose of the study know effectiveness of applying acupressure point P6 to emesis gravidarum at Hermina Hospital Bekasi In 2023 . Study use method Quasi Experiment with pre-test post-test design. Sample in study this totaling 25 respondents. Retrieval technique sample use total sample. Instrument study sheet check mark observation and questionnaires. Data analysts use univariate and bivariate with the Wilcoxon test. In the research Frequency of emesis gravidarum during the pretest of 25 respondents before being given acupressure P6 had an average value (mean) of 8.9. The distribution of data (Std. Deviation) obtained was 2.52 with a minimum value of 4 and a maximum value of 13. The frequency of emesis gravidarum conditions after being given acupressure P6 had an average value (mean) of 5.6 from 25 data. The distribution of data (Std.Deviation) obtained was 1.99 with a minimum value of 4 and a maximum value of 11 after the post-test. Conclusion study there is Effectiveness of Applying P6 Point Acupressure to Emesis Gravidarum at Hermina Hospital Bekasi
Evaluating The Effectiveness of The PMTCT Program at RSUD Jayapura: A Mixed Method Study
Full text linkAt RSUD Jayapura, from 2021 to 2023, 62 babies were born to HIV-positive mothers. However, no prior study has evaluated whether all these babies were tested for HIV. Babies born directly into the delivery room without passing through the VCT clinic often face challenges in follow-up, especially with high dropout rates in the Prevention of Mother-To-Child HIV Transmission (PMTCT) program. This study aimed to evaluate HIV transmission in babies enrolled in the PMTCT program at RSUD Jayapura and assess the involvement of healthcare providers (doctors, midwives, nurses, counselors, and lab technicians) in the program. A mixed-methods approach was used, combining quantitative (case-control design) and qualitative (content analysis of in-depth interviews). The quantitative sample included 64 babies born to HIV-positive mothers who participated in the PMTCT program from 2021 to 2023. The qualitative sample comprised 5 healthcare providers involved in the program. Data were analyzed using Chi-Square tests for quantitative analysis and content analysis for qualitative data. Chi-Square analysis showed a significant association with a p-value of 0.00 (0.05) and an Odds Ratio (OR) of 217.000, indicating a strong impact of the PMTCT program in preventing HIV transmission. In-depth interviews with the VCT head revealed many cases were lost to follow-up, especially those whose families moved out of the city. Babies who remained in the area were mostly HIV-negative by 18 months. Interviews with midwives highlighted that HIV-positive mothers with low viral loads typically delivered via caesarean section, though they faced delayed wound healing and higher infection risks. No discrimination was observed in room usage for HIV-positive mothers
Efektivitas Variasi Lama Waktu Pengukusan pada Titik Didih 100°C dalam Menurunkan Kadar Formalin pada Tahu Putih
Full text linkBadan POM menemukan 22 sarana produksi tahu dan mie basah di DKI Jakarta, Jawa Timur, Jawa Tengah, Jawa Barat, Kalimantan Timur, Riau, dan Sumatera Barat yang menyalahgunakan formalin sebagai pengawet makanan pada periode Januari hingga Juni 2022. Mengonsumsi makanan berformalin menyebabkan iritasi, gangguan saraf pusat, pencernaan, pernapasan, hingga kanker. Penelitian ini bertujuan untuk menganalisis perbedaan efektivitas berbagai lama waktu pengukusan pada titik didih 100°C untuk menurunkan kadar formalin pada tahu putih. Jenis penelitian ini adalah pre-experiment dengan desain static group comparison. Sampel berupa 24 buah tahu putih non-formalin di pedagang X Pasar Wage Purwokerto yang direndam larutan formalin 2% selama 30 menit, kemudian dikukus selama 0, 40, 50, dan 60 menit pada titik didih 100°C dengan 6 replikasi. Hasil rata-rata kadar formalin tahu putih dengan pengukusan 0 menit sebesar 350,202 ppm, 40 menit sebesar 346,393 ppm, 50 menit sebesar 341,333 ppm, dan 60 menit sebesar 330,976 ppm. Hasil uji annova one way terdapat perbedan yang signifikan dalam penurunan kadar formalin pada tahu putih yang dikukus pada titik didih 100°C selama 0, 40, 50, dan 60 menit (p-value 0,000). Pengkusan selama 60 menit menurunkan kadar formalin sebesar 5,47% atau 19,225 ppm, 50 menit sebesar 2,52% atau 8,868 ppm, dan 40 menit sebesar 1,08% atau 3,809 ppm. Berbagai variasi lama waktu pengukusan pada titik didih 100°C memiliki efektivitas yang berbeda dalam menurunkan kadar formalin dengan pengukusan selama 60 menit dinilai yang paling efektif. Bagi peneliti selanjutnya disarankan menggunakan metode pengukusan dengan wadah terbuka untuk hasil penurunan kadar formalin yang lebih optima
Penyuluhan dan Penerapan Standard Sanitation Operational Procedure dalam Pencegahan Penyakit Kulit Pada Pekerja Batik di Bantul, Yogyakarta
Full text linkProses pewarnaan merupakan salah satu kegiatan yang berbahaya karena zat pewarna kimia menetes di kulit terutama pada tangan. Dari 38 pembatik di Sentra Batik Giriloyo Bantul terdapat 22 pembatik (57,9%) mengalami penyakit kulit (dermatitis) dan 16 pembatik (42,1%) tidak mengalami keluhan penyakit kulit. Pembatik mengalami keluhan di kulit terutama bagian karena aktivitas yang terus-menerus. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh penyuluhan kesehatan dan penerapan SSOP pada pekerja terhadap tingkat pengetahuan dan tindakan pencegahan penyakit kulit pada pembatik warna sintetis di Sentra Batik Giriloyo Bantul. Penelitian ini bersifat Quasi eksperiment dengan desain penelitian Pre-test Post-test with control Group. Semua data dianalisis menggunakan statistic, dengan uji Shapiro wilk dan Mann-Whitnney. Populasi pada penelitian ini adalah pekerja batik bagian pewarnaan sintetis di Sentra Batik Giriloyo sebanyak 30 orang dengan teknik purposive sampling. Penyuluhan Kesehatan yang dilakukan menggunakan metode kelompok kecil atau diskusi. SSOP (Sanitation Standard Operating Procedures) merupakan salah satu prosedur yang penting untuk menjamin kegiatan hygiene dan sanitasi di suatu industri. Hasil penelitian ini yaitu pemberian penyuluhan kesehatan menggunakan metode kelompok kecil mampu meningkatkan pengetahuan pembatik warna sintetis sebesar 21%. sedangkan pembatik warna sintetis yang tidak diberikan penyuluhan dapat meningkatkan pengetahuan sebesar 5%. Penerapan SSOP jika disertai dengan penyuluhan dapat meningkatkan kesadaran pembatik warna sintetis dalam upaya pencegahan penyakit kulit sebesar 12%, sedangkan pembatik warna sintetis yang hanya diberikan penerapan SSOP hanya meningkat 4%. Penyuluhan dan penerapan SSOP dapat meningkatkan pengetahuan dan tindakan pencegahan penyakit kulit pada pekerja bagian pewarnaan sintetis di Sentra Batik Giriloyo Bantul, Yogyakarta.