Institut Kesehatan Medistra Lubuk Pakam Open Journal System
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Association Between Maternal Anemia and the Incidence of Postpartum Hemorrhage: A Study at Dr. H. Koesnadi General Hospital, Bondowoso
Full text linkPostpartum hemorrhage (PPH) constitutes a critical obstetric emergency arising subsequent to either vaginal birth or cesarean delivery. Its defining characteristic is a quantifiable blood loss surpassing a volume of 500 milliliters. PPH underscores its significance as a major factor influencing both the prevalence of maternal illness and the rates of maternal death in Indonesia and globally. This study aimed to examine the effect of anemia in pregnant women on the PPH incidence at dr. H. Koesnadi General Hospital, Bondowoso, in 2018. The design used a retrospective study with a cross-sectional. The population consisted of 57 postpartum mothers, with 46 respondents as samples determined using Slovin's formula. Probability sampling technique was employed, specifically simple random sampling. Data acquisition was conducted utilizing a standardized checklist, and subsequent statistical analysis involved the application of the Chi-Square test, executed via SPSS version 25. The analysis yielded a statistically significant result, with a p-value of 0.001 (p<0.05), leading to the rejection of the null hypothesis. Consequently, the findings indicate a significant association between the presence of anemia and the PPH occurrence. In anemic pregnant women, reduced oxygen supply leads to fatigue and inadequate uterine muscle contractions, resulting in postpartum hemorrhage
The Impact of the Implementation of the Posbindu PTM Program on the Coverage of Early Detection of Non-Communicable Diseases
Full text linkBackground: Non-Communicable Diseases (NCDs) are the leading cause of death globally, including in Indonesia, which is experiencing an increasing prevalence of hypertension and diabetes. To address this challenge, the Indonesian government developed the Posbindu PTM program as an early detection effort for NCD risk factors at the community level. However, the effectiveness of the program implementation still faces various challenges in the field. Objective: This study aims to analyze the impact of the Posbindu PTM program implementation on the coverage of early detection of Non-Communicable Diseases in the working area of Merek Health Center, Karo District. Methods: This research employed a quantitative approach with a cross-sectional analytic design. Data were collected from 422 respondents who were active participants of Posbindu PTM using structured questionnaires, observations, and document reviews. Data were analyzed through univariate, bivariate (using Chi-Square tests), and multivariate analysis (using logistic regression). Results: The majority of respondents were female (60.2%) and aged 45–59 years (35.1%). The Posbindu activities were conducted ?3 times per year (68.2%), facilities and infrastructure were adequate (71.3%), cadres' competence was good (64.9%), and health workers’ involvement was high (59.5%). Coverage of blood pressure checks reached 74.4%, Body Mass Index (BMI) measurement 68.0%, random blood sugar checks 62.8%, and education on NCD risk factors 71.1%. A significant relationship was found between the program implementation and early detection coverage. Conclusion: The implementation of the Posbindu PTM program at Merek Health Center was fairly optimal and positively influenced the improvement of early NCD detection coverage. This program plays an important role in empowering communities to prevent and control NCDs through regular screening and health education
A Case Study Application of Active and Passive Warming to the Patient with Tongue Reconstruction and Frenuloplasty in PACU at the Central Operation Theatre in Hasanuddin University Hospital
No full textIntroduction: Postoperative hypothermia that occurs in infants may cause several complications. The aspect of thermoregulation management, such as the active and passive warming in patients during the perioperative period, is essential to prevent postoperative complications. Therefore, this study aims to know the application of active and passive warming to patients with tongue reconstruction and frenuloplasty in the Post Anaesthesia Care Unit at the Central Operation Theatre in Hasanuddin University Hospital. Method: A descriptive case study using a single case design method to determine the effectiveness of hypothermia risk management using active and passive warming methods on a patient undergoing tongue reconstruction and frenuloplasty. Data was collected by conducting observations, implementation, and documentation on patients. Results: An active warming method using air-forced equipment with a temperature setting of 38°C was given, and a passive warming method was provided by giving cotton clothes and blankets to the patient. The initial body temperature measurement was 35.5°C. During the evaluation, 30 minutes after the intervention, there was an increase in body temperature to 36°C. During the review, 60 minutes after the intervention, the body temperature rose to 36.6°C; in the last evaluation, 90 minutes after the intervention, the body temperature was increased to 37°C. The patient left the PACU with a body temperature of 37°C. Conclusion: Prevention of hypothermia in postoperative patients is essential, and methods of preventing hypothermia can be used as active warming and passive warming methods
A case study Evaluation of the Application of Infection Prevention Bundles in Reducing Infection Risk Factors in Total Thyroidectomy Patients at IBS RSP Hasanuddin University of Makassar
No full textBackground: Surgical area infections (IDOs) are a form of Healthcare Associated Infections (HAIs) that often occur, especially in complex surgical procedures such as total thyroidectomy, which has a high risk of infection due to the long duration of surgery and involvement of vital structures. Prevention of IDO can be done through the implementation of infection prevention bundles, including the administration of prophylactic antibiotics, pre and perioperative antiseptics, as well as blood temperature and glucose control. The purpose of the study is to evaluate the application of infection prevention bundles in reducing the risk of infection in patients undergoing total thyroidectomy with a diagnosis of bilateral thyroid cancer at the Central Surgical Installation of Hasanuddin University Hospital, Makassar. Methods: This study used a descriptive case study design with a single case design method on Mrs. M's patients through three phases: pre-operative, intra-operative, and post-operative. The implementation of the infection prevention bundle includes the administration of prophylactic antibiotics, sterility techniques, blood sugar control, body temperature monitoring, and systematic wound care. Results: The total risk score of perioperative infection was 14 out of 30, indicating a moderate-high risk. However, the implementation of infection prevention bundles has proven to be effective in preventing infection. Evaluation of wound healing using the Southampton Wound Assessment Scale showed that the patient's wound was in a normal healing condition with no signs of infection until the fifth postoperative day. The patient was discharged on the fifth day with good general condition, normal swallowing function, and closed wounds without complications. Conclusions and suggestions: Consistent application infection prevention bundles can lower the risk of surgical area infection, accelerate wound healing, and shorten the duration of hospitalization. This study recommends the management of pre-operative risk factors such as hypertension control and patient education about postoperative wound care for sustainable healing. of This case study examines the application of infection risk factors in total thyroidectomy patients. The risk score for perioperative infection is 14 out of 30, which indicates a moderate-high risk. However the implementation infection prevention bundles has proven to be effective in preventing infection. The administration of prophylactic antibiotics, sterility techniques, blood sugar control, body temperature monitoring, and systematics wound care
The Relationship Between Breastfeeding Mother Diet and The Frequency of Exclusive Breastfeeding in Infants
Full text linkThe maternal diet during breastfeeding was related to breast milk production and indirectly affected the nutritional status of infants. During the breastfeeding period, maternal nutritional needs increased, making it important to maintain a balanced food intake. The amount and type of food consumed influenced the volume and quality of breast milk. This study aimed to analyze the relationship between maternal diet and the frequency of exclusive breastfeeding in infants in the Pegajahan Health Center work area. The method used was quantitative research with a cross-sectional study approach. The population in this study consisted of 165 mothers who had babies aged 0-6 months, with a sample of 61 mothers selected through purposive sampling techniques. The independent variable in this study was the diet of breastfeeding mothers, while the dependent variable was the frequency of exclusive breastfeeding. Data collection was carried out through interviews and questionnaires, with hypothesis analysis using the chi-square statistical test. The results showed that the majority of mothers were in the age range of 20-30 years (65.57%), had a final education in high school (42.62%), and most of them worked (81.96%). Most mothers had a diet classified as frequent (77.04%), and the frequency of breastfeeding was more than eight times a day (78.68%). Bivariate analysis showed a significant relationship between maternal diet and the frequency of exclusive breastfeeding, with a p-value = 0.000. This study concluded that there was a significant relationship between maternal diet and the frequency of exclusive breastfeeding in mothers at the Pegajahan Health Center, Serdang Bedagai Regency. Consistent efforts by healthcare professionals are essential in delivering nutritional counseling to breastfeeding mothers
Assisting Pregnant Women in Reducing Anxiety and Lower Back Painwith Progressive Muscle Relaxation
Full text linkAnxiety in pregnancy often occurs due to psychological changes and physical changes that cause discomfort, causing the mother to become anxious. One of the physical changes that occurs rapidly during pregnancy is the increasing gestational age, causing the pregnant woman to experience physiological lordosis to lower back pain. Assistance during pregnancy by introducing, demonstrating and monitoring the process of implementing progressive muscle relaxation will make pregnant women more confident in overcoming anxiety and lower back pain during pregnancy so that the mother is able to empower herself during pregnancy. The purpose of this service is to provide assistance to pregnant women with progressive muscle relaxation actions in reducing anxiety and lower back pain during pregnancy. This activity is carried out using the lecture method, question and answer, demonstration, and activity evaluation. The assistance activity was carried out 4 times. The implementation procedure includes socialization, training, lectures, question and answer, demonstration, and activity evaluation. The results of the assistance activity increased knowledge from 16.6% to 75% after assistance. The skills of pregnant women also increased in practicing progressive muscle relaxation by 66.66% after assistance. Assistance efforts can be carried out with a longer duration of time and with innovative method updates such as the use of digital media. This activity is effective to be implemented for pregnant women as a form of self-empowerment during pregnancy.. should be minimum
Healthy Lifestyle Education for Prevention of Pulmonary TB at Sialang Health Center
Full text linkPulmonary Tuberculosis is a contagious infectious disease caused by the bacteria Mycobacterium tuberculosis and attacks the lungs. Pulmonary TB is spread through phlegm droplets that come out when the sufferer coughs, sneezes, or talks. This disease is characterized by the main symptoms of a cough with phlegm that lasts for more than two weeks, sometimes accompanied by blood, fever, night sweats, weight loss, and weakness. Pulmonary TB is a serious public health problem because of its high transmission rate and can cause serious complications if not treated properly. Prevention and control of Pulmonary TB can be done through early detection, regular and complete treatment, and the implementation of clean and healthy living behaviors. Educational activities on healthy living behavior for the prevention of Pulmonary Tuberculosis were carried out at the Sialang Health Center, involving families and Pulmonary TB sufferers. The implementation of the activity used lecture methods, discussions, and the provision of educational media on the prevention of Pulmonary Tuberculosis. From the results of the activity, there was an increase in public knowledge about the prevention of Pulmonary Tuberculosis, namely from 55% before education to 85% after education. This increase was also accompanied by improvements in the attitudes and behavior of participants, such as being more active in using masks when coughing, maintaining home ventilation, maintaining personal hygiene, and seeking health services earlier if symptoms suspected of Pulmonary Tuberculosis appear. Participants also showed a better understanding of symptoms, transmission methods, and the importance of maintaining healthy living behavior in the family and community environment. This proves that education that is carried out in a structured and interactive manner can be an effective means of increasing public awareness and knowledge. Thus, education is an important and inexpensive approach that can improve the quality of life and create a healthy, independent, and prosperous society
Enhancing Awareness of Healthy Lifestyles to Prevent Obesity in Women of Reproductive Age: A Study at Perbarakan Village
Full text linkCurrently, nutritional problems remain a significant public health concern in Indonesia. Economic conditions and increased food consumption levels among the population have contributed to the rising prevalence of obesity. Obesity is a nutritional disorder characterized by excessive fat accumulation in the body. This condition leads to abnormal fat distribution, resulting in decreased muscle mass, quality, and strength. The development of obesity is influenced by poor lifestyle habits, genetic predisposition, and hormonal imbalances. This community service program (PkM) aimed to educate the public on strategies to reduce the risk of obesity by promoting the adoption of healthy lifestyles. The intervention specifically targeted women of reproductive age (WRA), encouraging them to improve their lifestyle practices to prevent obesity-related complications. The program was delivered through lectures, active discussions, and practical field sessions, with a total of 30 participants.During the activity, the PkM team provided health education materials, facilitated interactive question-and-answer sessions, and conducted hands-on training. As a result, there was a significant increase in both knowledge and practical skills among participants. The findings showed a 30-point (51.4%) increase in participants’ knowledge, and 97% of them expressed a strong commitment to adopting healthier behaviors. Moreover, 97% of participants reported high satisfaction with the program, citing the usefulness of the content, engaging materials, and effective delivery methods.This PkM initiative demonstrated its effectiveness in enhancing knowledge and shaping positive attitudes among women of reproductive age regarding healthy lifestyle practices to prevent obesity
Early Mobilization Education for Families of Postoperative Lower Extremity Fracture Patients to Support Independence in Daily Activities
Full text linkThe incidence of lower extremity fractures is significantly high in healthcare facilities, particularly among elderly patients and those suffering from injuries caused by accidents. Post-surgical patients often experience difficulty performing daily activities such as walking and changing positions. Early mobilization has been shown to facilitate faster physical recovery and reduce the risk of various complications. This community engagement program aimed to enhance the knowledge and skills of patients' families in supporting proper and safe early mobilization. The program employed a participatory educational approach to train family caregivers in early mobilization techniques. The activity began with a pre-test and concluded with a post-test to measure participants' knowledge improvement. Participants were selected through purposive sampling based on inclusion criteria, resulting in a total of 30 participants. The results indicated a 37.8 point increase (72.3%) in participants’ knowledge and a 93% improvement in their practical skills, with most classified as highly capable or adequately capable in performing basic mobilization procedures. Additionally, participants expressed high satisfaction with the educational intervention, with an average satisfaction score of 4.5, reflecting excellence in material clarity, content relevance, media quality, facilitator competence, and overall program benefit. In conclusion, this community service program successfully improved participants’ knowledge by 72.3%, skills by 93%, and satisfaction with the educational activities by a mean score of 4.5
Evaluation of Creatinine Levels as an Indicator of Kidney Function in Diabetes Mellitus Patients at RSU Haji Medan
Full text linkType 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder that can lead to serious complications, including impaired kidney function. Serum creatinine is one of the key parameters used to evaluate renal function in diabetic patients, as its concentration remains relatively stable and is not significantly influenced by protein intake. This study aimed to assess the profile of serum creatinine levels in patients with T2DM at RSU Haji Medan as an early indicator of potential renal complications. A descriptive study with a cross-sectional design was conducted. The study involved a total of 25 hospitalized T2DM patients who underwent serum creatinine testing. All available medical records were included as the sample. Out of 25 patients, 15 (60%) showed creatinine levels within the normal range, while 10 patients (40%) had elevated creatinine levels. The mean creatinine concentration was 2.42 mg/dL in male patients and 0.85 mg/dL in female patients. The findings indicate that a portion of T2DM patients have already experienced reduced kidney function. Regular monitoring of serum creatinine is essential for early detection and prevention of diabetic kidney complications