Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan
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GAMBARAN PARTISIPASI MASYARAKAT DALAM PROGRAM PENGENDALIAN VEKTOR DBD DI WILAYAH KERJA PUSKESMAS AIR DINGIN
Dengue Hemorrhagic Fever (DHF) is one of the important public health problems in Indonesia. Cases of dengue fever in the city of Padang in 2015 experienced a significant increase in the amount of 1,126 cases (IR = 124.8 per 100,000 population) with a total death of 8 people (CFR = 0.7%). The Cold Water Health Center is one of the health centers in the city of Padang with a work area that has a significant increase in dengue cases in 2015 with an IR of 361.5 per 100,000 population. The research objective was to analyze community participation in the DHF vector control program in the working area of the Cold Water Health Center in Padang City in 2018. This type of research was descriptive research. The sample is 99 people taken by proportional random sampling technique. Data analysis includes univariate analysis of community participation in vector control, namely environmental modification, environmental manipulation, physical control, chemical control, biological control and the existence of larvae. The results showed that 52.5% of respondents were larvae positive, 32.3% of respondents belonged to the bad category of environmental modification, 58.6% of respondents belong to the bad category of environmental manipulation, amounting to 30.3% of respondents classified in the bad category is physical control, 78.8% of respondents belong to the bad category of chemical control, and 35.4% of respondents belong to the bad category of biological control in the DHF vector control program in the working area of the Cold Water Health Center. It is recommended to the Air Dingin Health Center to be able to socialize to the public regarding DHF vector control programs both in aspects of environmental modification, environmental manipulation, physical, chemical and biological control.Keyword: DBD, vector, environmen
FAKTOR RISIKO PENYEBAB TERJADINYA STUNTING PADA BALITA UMUR 12-59 BULAN DI KELURAHAN KAMPUNG BARU KEC. LUBUK BEGALUNG TAHUN 2015
The prevalence of stunting in toddlers in Indonesia is still high, especially at the age 12 to 59 months.The aim of this research is to know the risk factor causes stunting to the toddlers who have the age 12 to 59 months in Kelurahan Kampung Baru Sub district of Lubuk Begalung Padang. The type of this research is observational with draft of case-control study. The dependent variable is the incidence of stunting in toddlers at the age 12 to 59 months. The sampling of case-control study is paired by ratio 1:1 with the number of samples 29:29. Univariate statistical test is using the distribution of frequency and also bivariate is using chi-square and multivariate. The result of this study is the toddlers who are not exclusively for getting ASI as much as 32% suffer from stunting. The toddlers who get poor parenting are 66.7% suffer from stunting, the toddlers who have families’ income are less well as much as 42.1% suffer from stunting, low mothers’ education level are 37.5% causes their toddlers suffer from stunting, the toddlers who have quantity of families more than 5 person are 52.4% suffer from stunting, the toddlers who have a history of infectious diseases are 62.9% suffer from stunting, the toddlers who suffer from ISPA in the last six months are 66.7% suffer from stunting, the toddlers who do not utilize Posyandu service are 60.9% suffer from stunting. There was a significant association of giving ASI (OR = 0,269), nutrition parenting (OR = 3.63%), a history of infectious diseases (OR 3.868) from stunting occurrence. There is no significant relationship between families’ income, mothers’ education level, quantity of families, Posyandu service utilization with the event of stunting. The dominant factor cause of stunting is parenting nutrition.It is important to increase education about nutrition to mothers by health workers so that awareness of mothers to improve the nutritional of toddlers is concerned about how to provide good parenting that can detect early occurrence of stunting in toddlers.Keywords: Stunting, giving breastfeeding, parenting, level of education, a history of infectious diseases, utilization of health service
HUBUNGAN PENGETAHUAN DAN SIKAP PERAWAT DENGAN TINDAKAN PENCEGAHAN INFEKSI DI RUANG ICU RUMAH SAKIT
Pengetahuan dan sikap Perawat dalam penggunaan alat pelindung diri pada saat melaksanakan tindakan keperawatan akan mengurangi resiko terjadinya pemularan infeksi di rumah sakit. Penelitian ini bertujuan untuk melihat hubungan pengetahuan dan sikap perawat tentang APD dengan tindakan pencegahan infeksi di ruang Intencif Care Unit (ICU). Metode penelitian ini yaitu penelitian observasional analitik, dengan desain cross sectional. Populasi dalam penelitian ini 23 Orang perawat ICU sebagai responden dengan menggunakan tehnik total sampling. Instrumen penelitian menggunakan kuesioner yang berisi pernyataan tentang pengetahuan, sikap dan tindakan pencegahan infeksi. Teknik analisis data yang digunakan adalah teknik analisis univariat dan bivariat (Chi Square). Pengujian Hipotesis dilakukan pada taraf signifikansi 0,05 atau 95%. Hasil penelitian ini menunjukan variabel yang memiliki hubungan dengan tindakan pencegahan infeksi pengetahuan ρ= 0,024 < α = 0,05 dan sikap ρ=0,026<α=0,05). dengan demikian dapat disimpulkan bahwa terdapat hubungan pengetahuan dan sikap perawat dengan tindakan pencegahan infeksi di ruang ICU. Oleh karena itu disarankan kepada manajemen rumah sakit agar meningkatkan pengetahuan dan sikap perawat ICU tentang manfaat APD dengan meningkatkan pengetahuan dan sikap perawat tentang APD melalui pendidikan dan pelatihan bagi perawat secara berkelanjutan. Kata Kunci : pengetahuan, sikap, dan tindakan pencegahan infeks
EFEKTIVITAS MOBILISASI DINI DALAM PEMULIHAN LUKA PASIEN POST OPERASI SECTIO CAESAREA DI RUANG FLAMBOYAN RUMAH SAKIT IBU KARTINI KISARAN
Sectio caesarea is surgical operation for giving birth an embryo by opening abdominal wall and uterus wall. However, we need to remember that another having surgery is someone need a carefull supervision relating with the dangerous ruptura uteri. The purpose of this research is to identify early mobilization effective illustration to help the discovering of patients’ injured after sectio caesarea surgery in flamboyan room Ibu Kartini hospital KisaranThe research design is descriptive by using observasional research by using accidental. The populations in this research are patients coming while doing post sectio caesarea observation in ibu kartini hospital kisaran. By using accidental sample in order to get respondents for 20 mothers.Based on the result of the research from early mobilization effective in discovering on the injured of caesarea sectio operation post patient get the result 13,55 (90,33 %). So the conclusion is a good mother in doing eraly mobilization. The conclusion is a mother has a good category in doing early mobilization in discovering the operation injured
PEMANFAATAN TEPUNG TALAS DAN FORMULA TEMPE SEBAGAI BAHAN PEMBUAT COOKIES
Intake of nutritious foods is very important for pre schools in order to grow and develop optimally. One of the food sources of energy (non starch food) is the tuber of taro bogor. Bulbs taro bogor used as food industry materials can be processed into flour taro and made into various processed products such as dry bread, meatballs, and others. While as a source of vegetable protein from beans are soybeans that have been consumed by the community, among others, tempe, soy sauce, and others. Community service method used is education, training of cookie making based on taro flour and tempe formula, early detection and early intervention deviation of child growth and mentoring. This community service aims to empower the mother of pre school age in utilizing taro flour and tempe formula in order to develop food diversity and increase the appropriate knowledge and improve the nutritional status of children. This community service is done at Posyandu Klinik Bersalin Mawar Babar Sari and Posyandu Anggrek 1 Klinik Bersalin Marinta Ulina in Desa Baru, Pancur Batu ,Deli Serdang. The result of this dedication to the community is that mothers are able to make taro flour, tempe formula and process it into cookies well and increase the nutritional status of children. It is therefore advisable for the mother to be diligent in making cookies and making it an additional food for pre schools.Keywords: Cookies, Flour Taro, Formula Tempe, Nutritional Status, Pre schoo
PENGARUH KOMPRES PANAS TERHADAP PENURUNAN NYERI HAID PADA MAHASISWA AKPER KESDAM I/BB MEDAN
Nyeri haid merupakan nyeri yang dialami pada saat haid yang diikuti dengan perubahan mental maupun fisik yang terjadi pada hari pertama atau kedua masa haidnya. Pada kebanyakan wanita yaitu 80% wanita muda dibawah 25 tahun mengalami nyeri haid, namun hal tersebut hanya merupakan gejala primer yang biasa tanpa implikasi yang serius dan mudah diatasi (Declan,1997). Dan sering bertambahnya usia pada wanita mengakibatkan nyeri cenderung untuk menurun dan akhirnya hilang sama sekali setelah melahirkan (Smeltzer,2001).Desaian penelitian yang digunakan dalam penelitian ini adalah quasi eksperimen yaitu eksperimen yang mengontrol situasi penelitian menggunakan rancangan tertentu dan atau penunjukan subyek secara nir-acak untuk mendapatkan salah satu dari berbagai tingkat faktor penelitian. Populasi dalam penelitian ini adalah mahasiswa Akper Kesdam I/BB Medan Tk II dan III yang berumur 20 tahun dengan siklus yang teratur dan mengalami nyeri haid. Penelitian ini menggunakan sampel 74 mahasiswa dengan pembagian 37 kelompok untuk intervensi dan 37 untuk kelompok pembanding yang tidak dilakukan tindakan kompres panas. Waktu penelitian dilakukan selama 2 bulan mulai dari bulan September sampai dengan Okober 2010 sesuai dengan siklus haid masing-masing responden. Hasil penelitian diperoleh rata-rata skala nyeri pada kelompok yang mendapat intervensi kompres panas adalah 0,92 dengan standar deviasi 0,547, sedangkan untuk kelompok pembanding yang tidak mendapat pelakuan kompres panas, rata-ratanya adalah 2,24 dengan standar deviasi 0,495. Hasil uji statistic t-test independen didapatkan nilai p value 0,000, berarti pada alpa 5% terlihat ada perbedaan yang sihnifikan rata-rata kelompok intervensi dengan kelompok pembanding setelah mendapat intervensi kompres panas. Dapat disimpulkan ada perbedaan bermakna antara rata-rata intensitas nyeri haid pada kelompok intervensi dan kelompok pembanding dengan p value responden yang didapat setelah dilakukan penelitian kebanyakan beragama Islam dan bersuku Batak . Setelah dilakukan kompres panas responden mengalami perubahan fisik rasa sakit berkurang , haid lancar dan dapat beraktifitas seperti biasa. Penelitian ini diharapkan dapat digunakan sebagai data dasar bagi penelitian selanjutnya dan dapat dijadikan sebagai sumber pengetahuan dan strategi bagi perawat dalam memberikan asuhan keperawatan yang lebih komprehensif pada pasien yang berkaitan dengan penatalaksanaan nyeri haid.Kata kunci : Kompres panas terhadap penurunan nyeri hai
GAMBARAN PENGETAHUAN MAHASISWA KEPERAWATAN TENTANG PENULARAN INFEKSI NOSOKOMIAL DI RUMAH SAKIT PTPN II BANGKATAN BINJAI TAHUN 2017
Nosocomial infection is an infection that appears as long as a person is hospitalized and begins to show a symptom as long as someone is being treated or after being treated and showing symptoms after 72 hours the patient is in the hospital. Infeki nosocomial is still the main cause of high morbidity and mortality in the world. This infection causes 1.4 million deaths every day around the world (WHO, 2015). In Indonesia the prevalence of nosocomial infections is quite high at 6% - 16% with an average of 9.8% of nosocomial infections that occur due to surgical wound infections (ILO). Based on the survey that the researchers did, the incidence of nosocomial infections showed a prevalence rate of around 1.5% of cases that occurred at PT Departure II Bangkat Binjai Hospital. The purpose of this study was to find out the description of Nursing Students 'knowledge about the transmission of nosocomial infections in PTPN II Hospital Binjai Departure in 2017. The specific objective of this study was to identify nursing students' knowledge about contacting nosocomial infections directly, through common vehicle, by air and inhalation, or through vectors at PTPN II Hospital Binjai Departure in 2017. The reason is the availability of samples expected by researchers and for time and cost efficiency. Based on the results of research conducted by the researcher, it can be seen that the description of the level of knowledge of nursing students about the transmission of nosocomial infections in PTPN II Bangkat Binjai hospital is mostly well-informed based on direct contact transmission of 15 people (75%), through common vehicles of 10 people ( 50%), airborne and inhalation transmission as many as 14 people (70%) and vector-borne transmission as many as 14 people (70%). Suggestions for hospitals and health workers should be able to improve the quality of health by making better health surveillance to reduce the number of nosocomial infections.Keywords: Knowledge Overview, Nosocomial Infectio
KUALITAS HIDUP PENDERITA KANKER PAYUDARA ( CA MAMAE ) DI POLI ONKOLOGI RSU DR. PIRNGADI MEDAN
Periode setelah penentuan diagnosa seseorang menderita kanker payudara adalah saat- saat yang menakutkan bagi kebanyakan perempuan. Vonis menderita kanker payudara, memyebabkan pikiran mereka tertuju kepada kematian, dan hal inilah salah satu yang memicu depresi sehingga mempengaruhi kualitas hidup penderita kanker payudara. Tujuan penelitian ini untuk menganalisis kualitas hidup penderita kanker payudara. Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi. Penelitian dilakukan di RSUD dr. Pirnagdi Medan. Informan dalam penelitian ini sebanyak 8 orang (4 informan utama, 4 informan pendukung). Analisis data dilakukan secara kualitatif dengan menyusun secara sistematis data yang diperoleh dari hasil wawancara. Hasil penelitian menunjukkan bahwa kesehatan fisik penderita kanker payudara menurun karena merasakan nyeri, berdenyut denyut pada daerah payudara, mengalami kebas, kehilangan payudara setelah dilakukan operasi atau pengangkatan. Beban psikologis semakin berat dirasakan penderita kanker payudarasetelah divonis kanker payudara. Perasaan sedih, cemas, takut, kecewa, marah pada Tuhan, putus asa, hilang percaya diri, malu, stress dan depresi menyebabkan pasien ingin bunuh diri. Hubungan sosial dengan masyarakat sekitar tetap dijaga dengan baik oleh penderita kanker payudara dengan tetap mengikuti kegiatan–kegiatan dimasyarakat. Lingkungan yang tidak nyaman kurang memberikan rasa aman bagi penderita kanker payudara semakin meningkatkan stress penderita. Kekurangan finansial untuk biaya pengobatan menambah beban bagi penderita kanker payudara. Dukungan sosial diperoleh penderita kanker payudaradari orang orang terdekatnya seperti adik, anak dan suami. Dukungan orang-orang terdekat membuat penderita menjadi lebih kuatmenjalani hidup dan mempunyai harapan yang lebih baikpada masa yang akan datang. Disarankan kepada keluarga (suami, anak, adik, dan lain-lain) tetap memberi dukungan dalam bentuk apapun yang nantinya dapat membuat penderita kanker payudara tersebut merasa kuat dan kualitas hidup meningkat.Kata kunci : Kualitas hidup, Kanker payudar
PERBEDAAN KECEMASAN PADA PASIEN YANG AKAN MENJALANI OPERASI BESAR SEDANG DAN KECIL
This study aims to look at the differences in anxiety in patients undergoing major surgery, medium, and small at the Hospital of Putri Hijau Medan. In line with the existing theory, to test the validity and reliability on the test the validity of measuring instruments, it turns out that valit 46 grain and based on the degree of reliability is equal to 0969. Measuring instrument used in this study had a high level of reliability (very reliable). To be able to analyze the data of this study tested the assumption that the distribution normality test and homogeneity test group. Based on the test normality distribution calculation kosmogorov-Smirnov shows research data analyzed has a distribution that is normally indicated by coefficient KS of 0.122 with P> 0.05 (P = 0089) three groups were used in this study is homogeneous with a coefficient of homogeneity of 2,724 with P > 0.05 (P = 0.077). Calculation of data analysis used in this research is the statistical analysis ANOVA one lane. Turns showed no differences were very signivikan anxiety among patients who will face major surgery, medium, and small, which is indicated by coefficient F = 17 385 with P <0:01 (P = 0:00). It turned out that patients undergoing major surgery experience exyety at 103.73 100.07 Medium,skall amounting to 996.20Keywords: Difference anxious small medium and large operation
PENGGUNAAN POWER POINT DAN LEAFLEAT TERHADAP PENINGKATAN PENGETAHUAN SISWA KELAS IX TENTANG P3K DI SMP TUNAS KARYA BATANG KUIS TAHUN 2017
Emergency conditions can occur anywhere, anytime and it is the duty of health workers to handle the problem. Death occurs usually because of the inability of health workers to deal with patients in the golden period. This effort must begin by correctly identifying the condition of the accident patient.This study aims to determine the effect of using power point and Leafleat on the knowledge of class IX students at SMP Tunas Karya Batang Kuis. The type of this research is Quasi experiment two group pretest-posttest. The total population in this study was first class IX First Class Middle School students in accidents (Firs Aid) of 110 people. The results of the research carried out statistically showed that power point and leafleat media influenced the increase in knowledge of class IX students on first aid (P3K). It is recommended for students to increase knowledge about first aid in accidents (Firs Aid) in helping victims who need emergency assistance immediately and are ready to use in urgent situations. To the leadership of the Foundation to take wisdom in health education, to increase the knowledge of students to hold first aid training on accidents (Firs Aid) and form the Youth Red Cross