Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan
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SKRINING KANKER SERVIKS DENGAN PEMERIKSAAN PAP SMEAR PADA PROFESI BIDAN DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN TAHUN 2017
Get PDFCervical cancer is a malignant tumor that grows inside the cervix (the lowest part of the uterus attached to the top of the vagina). A Pap smear is a method in which a cell is taken from the cervix and examined under a microscope. Any woman who is 18 years old, or a woman who has been sexually active should begin a Pap smear. This check should be done every year, although there are no symptoms of cancer. An examination of more than a year if it reaches the age of 65 years or three previous consecutive checks shows normal results. The purpose of the study changed the behavior of the midwife profession in order to perform cervical cancer screening with pap smear examination at Tk II Putri Hijau Hospital Medan. The design of this research is qualitative through phenomenology approach. The result of the research was obtained by the informant as many as 8 people consisting of 1 male informant that is obgyn doctor, 7 person work as midwife consisting of informant 2 often doing pap smear examination. Informants who do not routinely perform pap smear examination of informants 3 informants 3 times, informant 4 as much as 1 times, informant 5 as much as 3 times, informant 6 as much as 2 times. While informant 7 has never done pap smear examination, and informant 8 as much as 1 times. Some of the reasons that changed the behavior of the midwife profession to the Pap smear examination were shyness (fear), fear, no complaints (abnormalities), kesetrilan (medical equipment), lazy and cost. Here is found the expression of the eight informants is a more dominant shame words. Suggestion for the Tk II Putri Hijau Medan, submitted to the leader to oblige all female sex workers who have been actively engaged in sexual intercourse to perform cervical cancer screening by Pap smear examination routinely according to procedure and done at Tk II Putri Hijau Hospital Medan for free with existing health insurance facilities.Keyword: Cervical cancer screening, Pap smear Examination, Midwife Profession
DETEKSI DINI KANKER SERVIK PADA WANITA USIA SUBUR DENGAN INSPEKSI VISUAL ASAM ASETAT (IVA TEST) DI KLINIK BERSALIN KOTA MEDAN
Get PDFCervical cancer in Indonesia ranks first, 65% of the patient's condition is in an advanced stage. In research in thirteen anatomical pathology laboratories in Indonesia, the frequency of cervical cancer patients was around 18.5%. This community service aims to: (1) provide communication, education and information (IEC) about cervical cancer and the benefits of IVA Test; (2) conduct IVA Test; (3) measure WUS's knowledge about cervical cancer and IVA test. Performed at the maternity clinic, namely SAM maternity clinic (20 people) and Sari (20 people). Data analysis using dependent t test. The results of the activity were data from 26-30 years old (40%), Batak tribes (13%), Islamic religion (95%), first marriage (77.5%), high school / diploma / undergraduate education (80%), IRT (77.5 %), the work of husband's employee (52.5%), first age married 26-30 years (40%) and not smoking (80%); using injection contraception (42.5%); the obstetric history of the majority of WUS giving birth twice (42.5%) , never checked (80%), no brother is sick (75%), breast cancer (10%), not much vaginal discharge (65%), no pain under the abdomen (70%), no bleeding during intercourse (90%) and did not experience irregular menstruation (55%); results of IVA WUS Test were negative (80%), inflammation (17.5) and positive (2.5); WUS knowledge before being given Information Education Communication (IEC) about cervical cancer and the IVA Test averages = 13.58, SD = 3.012 and after being given health education on average = 14.30, SD = 3.275. The results of statistical tests obtained different mean = 0.725 and P value = 0.016, it can be concluded that there was a significant effect of IEC on WUS knowledge about cervical cancer and IVA Test. Keywords: Cervical cancer, fertile age women (WUS), IVA Tes
HUBUNGAN PEMBERIAN MP-ASI DENGAN KEJADIAN KONTIPASI PADA BAYI USIA DI BAWAH 6 BULAN DI KLINIK “PA” HAMPARAN PERAK
Get PDFThe best food for babies aged 0-6 is breast milk. Mother's Milk (ASI) is the best and most ideal source of energy with a balanced composition according to the needs of the baby during the growth period, the benefits of breastfeeding are not only felt by babies but also by mothers, the environment and even the country. The food digestive system is related to receiving food and preparing it for processing by the body. The food digestion process can occur normally and can experience interference, this is because food substances are digested by the body, so that digestive problems can occur such as constipation. Constipation is a defect that is no more frequent than every three days. In normal children, stool consistency and frequency of bowel movements can vary. Breast milk may experience defecation after each breastfeeding or only once every 7-10 days. Babies fed with formulas and older children may experience bowel movements every 2-3 days. The Purpose study was to determine the frequency distribution of MP-ASI, contipation and to know the relationship between MP-ASI and contipation. This type of research is using analytic survey research methods with Crossectional design. The samples to be studied were 30 respondents. Data were analyzed by conducting chi-square analysis test. Showed that there was a relationship between the relationship between MP-ASI and contipation, namely (p = 0.006). This study is that there is a significant relationship between the administration of MP-ASI and contipation, namely (p = 0.006).Keywords: MP-ASI, Contipation In Infant Before The Age of 6 month
HUBUNGAN POSISI KERJA DENGAN KELUHAN MUSKULOSKELETAL PADA KARYAWAN- KARYAWATI SWALAYAN DIAMOND MEDAN JOHOR
Get PDFAbstrakErgonomi merupakan penerapan ilmu-ilmu biologis tentang manusia bersama-sama dengan ilmu-ilmu teknik dan teknologi untuk mencapai penyesuaian. Keluhan muskuloskeletal adalah keluhan sakit, nyeri, pegal-pegal dan lainnya pada sistem otot (muskuloskeletal) seperti tendon, pembuluh darah, sendi, tulang, syaraf dan lainnya yang disebabkan oleh aktivitas kerja. Suatu survey yang dilakukan oleh Simon Fraser University and the United Food and Commercial Workers mengidikasikan 30% pekerja kasar menderita MSD. Tujuan dari penelitian ini adalah untuk mengetahui Hubungan berbagai posisi kerja dengan keluhan muskulosekeletal pada karyawan-karyawati swalayan Diamond Medan Johor. Manfaat penelitian ini diharapkan dapat disebarluaskan di media massa tentang hubungan posisi kerja dengan keluhan muskuloskeletal sehingga dapat bermanfaat bagi karyawan-karyawati lainnya. Desain penelitian ini adalah menggunakan metode penelitian analitik pendekatan cross sectional dengan besar sampel 60 orang. Penelitian ini dilakukan pada bulan April sampai Mei 2018 dan alat pengumpulan data yang di pakai adalah dengan menggunakan lembaran kesioner. Hasil penelitian ini menunjukkan bahwa keluhan muskuloskeletal berupa nyeri terbanyak yaitu pada posisi mengangkat (Staf Area) 31 orang (50.6%), dimana 20 orang (33.3%) pada posisi berdiri (kasir) dan 6 orang (13.1%) pada posisi berjalan (pramuniaga). Keluhan muskuloskeletal berupa bengkak terbanyak yaitu posisi mengangkat (Staf Area) 2 orang (1.2%), 1 orang (0.6%) pada posisi berjalan (pramuniaga) dan pada posisi berdiri (kasir) tidak dijumpai keluhan muskuloskeletal.Kata Kunci : Ergonomi, Keluhan Muskuloskeletal, Posisi Kerj
ANALISIS KECELAKAAN KERJA PADA PEKERJA PENGELASAN DI CV. CAHAYA TIGA PUTRI
Get PDFA work accident is an undesirable adverse event against a human, damaging property or disadvantage to the process. Data from the ILO in 2013 says that one worker die every 15 seconds due to workplace accidents. This study aims to analyze accidents in welding workers in CV. Cahaya Tiga Putri Kelurahan Sungai Sapih Kecamatan Kuranji Padang in 2017. The research design used was cross-sectional study. This research was conducted at CV. Cahaya Tiga Putri Padang located at Jalan Lolongkaran Sungai Sapih Padang in December to July 2017. The population of this research were welding workers. Samples were taken using total sampling technique, as many as 32 people. Data were analyzed univariat and bivariate with chi-square test. The result of the research shows that 46,9% of respondents have work accident, 53,1% of respondents have unsafe behavior, 53,1% of respondent have unsafe condition, 56,3% respondent have bad knowledge. From the statistical test results known there was a relationship between unsafe acts with work accidents, there was a relationship between unsafe conditions with work accidents and there was a relationship between knowledge with accidents. To reduce the number of occupational accidents, it is expected that workers should always working with using personal protective equipment (PPE), create a safe working environment and for the owner in order to improve worker knowledge by providing training and promotion of occupational health and safetty such as counseling about PPE.Key words : Work Accident, Unsafe Action, Unsafe Condition, Knowledg
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINDAKAN MEMBUANG SAMPAH DI LINGKUNGAN IV KELURAHAN HELVETIA KECAMATAN MEDAN HELVETIA TAHUN 2017
Get PDFGarbage is the consequence human activity in the form of disposal or waste. There are 2000 tons of garbage per day in Medan, and most of the garbage which comes from people’s homes and is produced by housewives reaches to 1,500 to 1,600 tons per day. which is caused by several factors that are predisposition, enabler and amplifier. The objective of the research was to find out some factors which were correlated with the behavior of action throwing garbage at Lingkungan IV, Kelurahan Helvetia, Medan Helvetia, in 2017. The population was178 people, and 123 of them were used as the samples. The research used observational analytic method with cross sectional design. The data were analyzed by using univariate anaslysis, bivariate analysis, and multivariate analysis. The result of the research showed that there was the correlation of knowledge (p-value = <0.001), attitude (p-value = 0.004), education (p-value = <0.001), availability of facility (p-value = <0.001), socialization of health care providers (p-value = <0.001), and knowledge about perda no 6 year 2015 (p-value = <0.004) of throwing garbage. The variable which had the most dominant correlation with of throwing garbage was knowledge which 8.6 times of the possibility to be a good behavior in throwing garbage compared with those who had bad knowledge. It is recommended that the Government do regular evaluation and promote environmental health by making public figures participate in good behavior of throwing garbage.Keywords: Predisposition, Enabling, Enforcing, Action Throwing Garbage Garbage is the consequence human activity in the form of disposal or waste. There are 2000 tons of garbage per day in Medan, and most of the garbage which comes from people’s homes and is produced by housewives reaches to 1,500 to 1,600 tons per day. which is caused by several factors that are predisposition, enabler and amplifier. The objective of the research was to find out some factors which were correlated with the behavior of action throwing garbage at Lingkungan IV, Kelurahan Helvetia, Medan Helvetia, in 2017. The population was178 people, and 123 of them were used as the samples. The research used observational analytic method with cross sectional design. The data were analyzed by using univariate anaslysis, bivariate analysis, and multivariate analysis. The result of the research showed that there was the correlation of knowledge (p-value = <0.001), attitude (p-value = 0.004), education (p-value = <0.001), availability of facility (p-value = <0.001), socialization of health care providers (p-value = <0.001), and knowledge about perda no 6 year 2015 (p-value = <0.004) of throwing garbage. The variable which had the most dominant correlation with of throwing garbage was knowledge which 8.6 times of the possibility to be a good behavior in throwing garbage compared with those who had bad knowledge. It is recommended that the Government do regular evaluation and promote environmental health by making public figures participate in good behavior of throwing garbage.Keywords: Predisposition, Enabling, Enforcing, Action Throwing Garbag
PENGALAMAN PERAWAT MELAKUKAN LATIHAN AKTIFITAS FISIK PADA PASIEN CONGESTIVE HEART FAILURE
Get PDFPeople with congestive heart failure (CHF) need a comprehensive rehabilitative program to restore physical abilities post-attacks and prevent re-attacks. Physical exercise in congestive heart failure (CHF) patients is aimed at optimizing the physical capacity of the body, providing counseling to patients and families in preventing worsening and helping patients to return to physical activity as before congestive heart failure (CHF). This study aims to explore in depth the experience of nurses doing physical exercise exercises in congetive heart failure patients. The research design used is descriptive phenomenology. Participants in this study amounted to 6 participants selected by purposive sampling technique. The data collected were in-depth interviews completed with field notes and then made in verbatim and analyzed using Colaizzi's approach. The research results found four themes, namely: the implementation of physical exercise exercise congestive heart failure patient is not optimal; increased knowledge of nurses and patients; the need for support from the hospital; and expectations for the exercise of physical activity. The results showed that things that could affect physical exercise activity in congestive heart failure patients were standard operating procedures, nurse knowledge, hospital support; and expectations for the exercise of physical activity. This study provides an understanding of the nurse's understanding of physical activity exercises so that nurses are able to provide appropriate nursing care.Keywords: experience, physical activity exercise, congetive heart failur
HUBUNGAN KARAKTERISTIK DAN TEKANAN SOSIAL DENGAN PERILAKU PENCEGAHAN PENULARAN HIV/AIDS PADA WBP DI LAPAS KELAS IIA PADANG
Get PDFData on the prevalence of Biological Integrated Surveillance and Behavior of the Ministry of Health in 2011 found that the prevalence of HIV and syphilis among prisoners was 3% and 5%. Penitentiary (Lapas) Class IIA Padang is one of the Penitentiary in West Sumatra Province that has HIV / AIDS cases. There are risky behaviors that cause WBP at risk of being infected with HIV/AIDS. This study aims to determine the behavior of prevention of HIV/AIDS transmission in WBP at the Padang II Class IIA Penitentiary in 2018. This type of research is analytical with a cross sectional design. This research was conducted from January - September 2018 Penitentiary Class IIA Padang. The study population numbered 1375 people and the number of samples was 94 people. Sampling is done by simple random sampling technique. Primary data collection is done by interviewing techniques using a questionnaire. Data analysis included univariate analysis and bivariate analysis. The results of the study indicate a relationship between social pressure, and the behavior of prevention of HIV/AIDS transmission in WBP in Padang Class IIA Prison. The results of the study also showed no relationship between age, education, ethnicity. It is recommended that officers from the Penitentiary need to collaborate with relevant stakeholders, such as the Padang City Health Office, to conduct direct monitoring of WBP who are still using narcotics. There needs to be an increase in the socialization of prevention of HIV/AIDS transmission in the Penitentiary Class IIA Padang.Keywords: Characteristics, Social Pressure, Behavior, HIV/AID
PENGARUH HOSPITALISASI TERHADAP TINGKAT KECEMASAN ANAK PRESCHOOL DI RUMAH SAKIT TK II PUTRI HIJAU KESDAM I/BB MEDAN
Get PDFSick children have a different response in which the child has unusual anxiety by interacting with other people, it causes the child must undergo hospitalization. In Indonesia an estimated 35% of children undergoing hospitalization and 45% had anxiety. The purpose of this study was to determine the effect of hospitalization on the level of anxiety of preschool children in child inpatient hospital TK II Putri Hijau Kesdam I/BB city of Medan. This type of research is analytic survey with cross sectional design. The population in this study across Preschool children who were treated at the TK II Putri Hijau Kesdam I/BB Medan with the average monthly total of 35 patients. Samples used as many as 20 people using total sampling technique. The data were obtained using a questionnaire and analyzed by using Spearman Rank Test (Rho). The test results Spearman Rank (Rho) with the results obtained α = 0.05 p value = 0.001 (p value <α 0.05) and the correlation coefficient (ρ) with a value of -0.502 which can be concluded that there are significant and not the direction being between hospitalization support the preschool child's anxiety level. Thus, the better the hospitalization, the lower the anxiety levels of preschool children. It is expected that health professionals in order to work professionalism to achieve optimum service and maximum.Keywords: Hospitalization, Anxiety Levels, Preschool Childre
HUBUNGAN STATUS GIZI DENGAN USIA MENARCHE PADA SISWI SMP NEGERI 1 KUNTO DARUSSALAM TAHUN 2016
Get PDFMenarche is the first period experienced (menstruation) by every adolescent who will enter puberty. The age when a girl began menstruating are very varied. Several recent studies indicate that the age of menarche in adolescence has decreased in recent years. The decline in the age of menarhe caused by several factors, one of them is nutritional status. This type of research is used observational analytic to determine the relationship of nutritional status and the age of menarche in junior high school 1 Kunto Darussalam 2016 with cross sectional approach. The population in this research were all students of Junior high school 1 Kunto Darussalam totaling 210 people. Consecutive sampling method is used to take a sample with a sample of 68 people overall. The collected data include consist of primary data and secondary data. Primary data was collected by direct measurement and questionnaires, secondary data obtained from the Administration School. Analysis techniques data used are analysis techniques data univariate and bivariate. Hypothesis testing was doing at the level of significance of 0.05 or 95%.The results of this research shown the average age of menarche in junior high school 1 Kunto Darussalam 2016 is 11.66 years. From the results showed that there are differences in the average age of menarche between the nutritional status Underweight, Normalweight, Pre-Obesity and Obesity. It was found that the average age of menarche earlier occurred in student years Obesity is 10.25. Based on the analysis using Chi-Square(p-value = 0.013), it can be concluded that there is relationship between nutritional status and age of menarche. From results of this research suggested to the adolescent to live a life style and a healthy life style, so that it can achieve normal reproductive health.Key words : menarche, nutritional status