Direktori Jurnal Elektronik Universitas Imelda Medan
Not a member yet
1151 research outputs found
Sort by
PEMBERDAYAAN KADER KESEHATAN DALAM PEMANTAUAN STUNTING DI KELURAHAN JABUNGAN BANYUMANIK KOTA SEMARANG
Get PDFStunting merupakan salah satu masalah kesehatan utama di Indonesia, termasuk di Kota Semarang. Pemantauan terhadap pertumbuhan dan perkembangan anak balita sangat penting untuk mencegah terjadinya stunting. Dalam rangka meningkatkan pemantauan stunting di Kelurahan Jabungan, Kecamatan Banyumanik, Kota Semarang, pemberdayaan kader Kesehatan menjadi strategi yang efektif. Pengabdian Masyarakat ini bertujuan untuk memberdayakan kader Kesehatan dalam pemantauan stunting melalui pelatihan dan pendampingan. Metode yang dilakukan melalui pendidikan kesehatan dan pelatihan kepada kader kesehatan. Hasil kegiatan ini terbukti efektif dalam meningkatkan kapasitas kader dalam memantau dan mendeteksi stunting pada anak balita. Program ini berhasil meningkatkan cakupan pemantauan dan kesadaran Masyarakat mengenai pentingnya pencegahan stunting
Implementasi Standar Interoperabilitas HL7-FHIR Pada Pertukaran Rekam Kesehatan Elektronik di Puskesmas
Get PDFBackground: The electronic system used in the implementation of the Electronic Health Record (RKE) must have compatibility and/or interoperability capabilities. In RKE interoperability in Health Facilities must use a health data interoperability service platform managed by the Ministry of Health, namely Health Level Seven International-Fast Healthcare Interoperability Resources (HL7-FHIR). The use of the HL7-FHIR is an example of Apple connecting the Apple Health App to the RKE and Apple Watch. The biggest interoperability challenges of RKE are information stored in different databases which have different formats and data types that are not compatible with each other, making it difficult for different systems to interpret correctly, and there is no interoperability platform. This research was conducted with the aim of analyzing the application of HL7-FHIR on RKE interoperability at SIMPUS so that it is expected to facilitate the implementation of interoperability between health service information systems in Indonesia. Method: This type of research is descriptive qualitative with an action research design. Data collection was carried out using interviews and FGDs with 3 members of the Development Team, as well as document studies. Results: FHIR Resources used as needed in this study were 8 resources and 97 data elements. However, it requires the addition of 16% data elements in the HL7-FHIR data elements. Conclusion: In general, the HL7-FHIR standard can represent the RKE model for interoperability on SIMPUS.Latar belakang: Sistem elektronik yang digunakan dalam penyelenggaraan Rekam Kesehatan Elektronik (RKE) harus memiliki kemampuan kompatibilitas dan/atau interoperabilitas. Dalam interoperabilitas RKE pada Fasilitas Kesehatan harus menggunakan platform layanan interoperabilitas data kesehatan yang dikelola oleh Kementerian Kesehatan yaitu Health Level Seven International-Fast Healthcare Interoperability Resources (HL7-FHIR). Penggunaan HL7-FHIR salah satu contohnya pada Apple yang menghubungkan Apple Health App ke RKE dan Apple Watch. Tantangan interoperabilitas RKE terbesar adalah informasi yang disimpan dalam basis data yang berbeda serta memiliki berbagai format dan tipe data yang tidak kompatibel satu sama lain, sehingga mempersulit sistem yang berbeda untuk menginterpretasikan dengan benar, selain itu tidak adanya platform interoperabilitas. Penelitian ini dilakukan bertujuan untuk menganalisis penerapan HL7- FHIR pada interoperabilitas RKE pada SIMPUS sehingga diharapkan dapat mempermudah implementasi interoperabilitas antara sistem informasi pelayanan kesehatan di Indonesia. Metode: Jenis penelitian ini adalah deskriptif kualitatif dengan desain action research. Pengumpulan data dilakukan dengan metode wawancara dan FGD ke 3 orang Tim Pengembang, serta studi dokumen. Hasil: FHIR Resources yang digunakan sesuai kebutuhan pada penelitian ini sebanyak 8 Resource, dan 97 elemen data. Namun, memerlukan penambahan data elemen pada HL7-FHIR sebesar 16% elemen data. Kesimpulan: Secara umum, standar HL7-FHIR dapat merepresentasikan model RKE untuk interoperabilitas pada SIMPUS
ANALISIS PENGETAHUAN IBU TENTANG METODE BERMAIN AKTIF DAN MEDIA BERMAIN SEDERHANA SEBAGAI EVALUASI KINERJA KADER POSYANDU DI DESA PAGONGAN
Get PDFAlong with the development of technology, children prefer to spend time playing alone using game media called gadgets. Children who play with gadgets for 30 minutes increase their risk of being late in movement and speech by 49%. Cadres as implementers of posyandu activities have a large role in monitoring the growth and development of toddlers. Efforts that can be made by cadres as the spearhead of Posyandu are by disseminating knowledge about health, one of which is about children's growth and development. Cadres perform well in carrying out their duties as cadres. This is necessary to obtain accuracy in measurements and identify growth deviations, so that management can be carried out as early as possible to prevent stunting. This research aims to determine the knowledge of mothers of toddlers in stimulating development using active play methods and simple play media through evaluating the performance of posyandu cadres. The population in this study were mothers of toddlers in Pagongan Village who attended regular meetings at Posyandu. The instrument used in this research was a questionnaire containing the characteristics of respondents, knowledge of mothers of toddlers and measuring cadre performance. Quantitative data analysis uses descriptive analysis. The results obtained by mothers about active play methods and simple play media were less than 51 people (63.75%) and the majority of mothers assessed that the performance of cadres was still less active in conveying this information, namely 49 people (61.25%). The suggestion is that there needs to be a maximum role for cadres at the posyandu in providing information to mothers, as well as motivating mothers to continue bringing their children to the posyandu regularly
PENGARUH AKTIVITAS MONTESSORI TERHADAP KEMAMPUAN KOGNITIF KLIEN PSIKOGERIATRI DENGAN SCHIZOFRENIA KRONIS
Get PDFElderly individuals who have been exposed to psychosis (schizophrenia) since youth or adulthood will experience severe cognitive function decline, such as memory deficits, executive function, and attention. Other cognitive functions are also affected, including language function, intelligence, and orientation. Montessori activities are activities that are tailored to the interests and skills of clients and can be applied to stimulate or prevent cognitive decline in the elderly. This study aims to determine the effect of Montessori activities on the cognitive abilities of chronic schizophrenic psychogeriatric clients. The research design is a quasi-experimental study with a non-randomized control group pre-post test design. Data collection used the MMSE (Mini Mental State Examination) questionnaire or Folstein test twice, before and after the intervention. The sample size was 30 people, divided into 15 people in the experimental group and 15 people in the control group. The research was conducted at the Laras Jiwo Psychiatric Rehabilitation Center in the Magelang Regency area from September to November 2022. The results showed that Montessori activities did not significantly affect the improvement of cognitive abilities (MMSE score), as evidenced by the Mann-Whitney test results with the difference coefficient of the posttest between the experimental and control groups obtained a z-value of -1.579 and a p-value of 0.114 (p>0.05). However, the difference coefficient between pre and post in the experimental group showed a significant difference with a z-value of -3.436 and a p-value of 0.001 (p<0.05), thus it can be concluded that Montessori activities still have an effect on improving MMSE in the experimental group.Lansia yang telah terpapar psikosis (schizophrenia) sejak muda atau sejak usia dewasa akan mengalami kemunduran fungsi kognitif yang parah yaituu defisit memori, fungsii eksekutif, atensi. Gangguan fungsi kognitif yang lain juga mengalami gangguan yaitu fungsi berbahasa, inteligensia dan orientasi. Aktivitas Montessori merupakan aktivitas yang menyesuaikan dengan ketertarikan dan keterampilan dari klien yang bisa diterapkan dalam menstimulasi maupun mencegah kemunduran fungsi kognitif lansia. Penelitian ini bertujuan untuk mengetahui pengaruh aktivitas montessori terhadap kemampuan kognitif klien psikogeriatri dengan schizophrenia kronis. Desain penelitian ini adalah penelitian eksperimen kuasi dengan rancangan non randomized control group pre-post test desain. Pengambilan data menggunakan kuesioner MMSE (Mini Mental State Examination) atau tes Folstein sebanyak 2 kali pada pre dan posttest. Jumlah sampel 30 orang terbagi menjadi 15 orang kelompok eksperimen dan 15 orang kontrol. Penelitian dilakukan di Panti Rehabilitasi Psikiatrik Rumah Singgah Laras Jiwo di wilayah Kabupaten Magelang pada bulan September hingga November tahun 2022. Hasil penelitian menunjukkan bahwa aktivitas montessori tidak berpengaruh secara signifikan terhadap peningkatan kemampuan kognitif (skor MMSE), dibuktikan dengan hasil uji mann whitney dengan besarnya koefisien beda posttest antara kelompok eksperimen dengan kontrol diperoleh nilai z sebesar -1.579 dan p-value sebesar 0.114 (p>0.05). Namun demikian koefisien beda pre dan post kelompok eksperimen menunjukkan perbedaan signifikan dengan nilai z sebesar-3.436 dan p-value sebesar 0.001 (p<0.05), sehingga bisa disimpulkan aktivitas Montessori tetap memberikan pengaruh terhadap peningkatan MMSE pada kelompok eksperimen
PENERAPAN PRINSIP 12 BENAR DALAM PEMBERIAN OBAT: STUDI FENOMENOLOGI PENGALAMAN PRAKTEK KLINIS MAHASISWA KEPERAWATAN DI UNIVERSITAS A
Get PDFBackground: Every nursing student will of course undergo clinical practice in their education process. One of the demands in clinical practice is that applying the 12 correct principles in medication administration can prevent errors in administering medication and maintain the professionalism of nurses. However, there are still many students who have not applied the 12 principles of correct medication administration so the risk of errors in medication administration is greater. Objective: The aim of this research is to explain how the clinical practice experiences of Indonesian Adventist University nursing students in applying the 12 principles of correct medication administration. Method: This research is a qualitative research with a phenomenological study of students' experiences in applying the 12 correct principles of medication administration when carrying out clinical practice. Research data was collected through focused discussions consisting of 2 groups consisting of 8 UNAI nursing students each who were selected using convenience sampling, where the students involved are nursing students who have participated in clinical practice at least twice. Research data stored in recorded form will then be transcribed and grouped into appropriate themes. Results: From this research, research results were obtained in the form of students' experiences of making mistakes, the challenges faced by students, the benefits of applying the 12 correct principles and how students overcome the challenges they experience. Conclusion: The application of the 12 correct principles in the clinical practice of UNAI nursing students helps students develop skills and knowledge and increases the self-confidence of UNAI nursing students. Suggestion: Future researchers are expected to be able to research more deeply into students' clinical practice experiences, especially in applying the 12 correct principles of drug administration with a more specific scope.Latar Belakang: Setiap mahasiswa keperawatan tentunya akan menjalani praktek klinikal dalam proses pendidikannya. Salah satu tuntutan dalam praktek klinikal yaitu penerapkan prinsip 12 benar dalam pemberian obat dapat mencegah terjadinya kesalahan dalam pemberian obat dan menjaga profesionalitas perawat. Namun masih banyak mahasiswa yang belum menerapkan prinsip 12 benar pemberian obat sehingga resiko terjadinya kesalahan dalam pemberian obat lebih besar. Tujuan: Tujuan penelitian ini adalah untuk menjelaskan bagaimana pengalaman praktek klinikal mahasiswa-mahasiswi keperawatan Universitas Advent Indonesia dalam penerapan prinsip 12 benar pemberian obat. Metode: Penelitian ini merupakan penelitian kualitatif dengan studi fenomenologi tentang pengalaman mahasiswa dalam menerapkan prinsip 12 benar pemberian obat pada saat melakukan praktek klinikal, data penelitian dikumpulkan melalui diskusi terarah yang terdiri dari 2 kelompok beranggotakan masing-masing 8 mahasiwa perawat UNAI yang dipilih menggunakan convience sampling, dimana mahasiswa yang terlibat merupakan mahasiswa perawat yang telah mengikuti praktek klinikal minimal 2 kali. Data hasil penelitian yang disimpan dalam bentuk rekaman kemudian akan ditranskrip dan di kelompokkan kedalam tema-tema yang sesuai. Hasil: Dari penelitian ini didapatkan hasil penelitian berupa pengalaman mahasiswa melakukan kesalahan, tantangan yang dihadapi mahasiswa, manfaat penerapan prinsip 12 benar dan cara mahasiswa mengatasi tantangan yang dialami. Kesimpulan: Penerapan prinsip 12 benar dalam praktik klinikal mahasiswa keperawatan UNAI membantu mahasiswa dalam mengembangkan kemampuan dan pengetahuan serta meningkatkan kepercayaan diri mahasiswa keperawatan UNAI. Saran: Untuk peneliti salanjutnya diharapkan dapat meneliti lebih dalam mengenai pengalaman praktek klinikal mahasiswa khususnya dalam menerapkan pirnisp 12 benar pemberian obat dengan lingkup yang lebih spesifik
UJI EFEKTIVITAS ANTIOKSIDAN DARI KOMBINASI EKSTRAK DAUN STEVIA (Stevia rebaudiana (bertoni) bertoni) DAN DAUN TEH HIJAU (Camellia sinensis (L.) Kuntze) DENGAN MENGGUNAKAN METODE DPPH (1,1- Difenil-2-Pikrilhidrazil)
Get PDFThe stevia plant is known to have various benefits in the pharmaceutical field and is used as a health medicine because of its antioxidant, antifungal and non-carcinogenic effects. Green tea is a plant that contains various antioxidant compounds that are beneficial for health. The aim of this research is to determine whether the combination of stevia leaf extract and green tea leaves is effective as an antioxidant. Ethanol extract of stevia leaves and green tea leaves is made by maceration with 96% ethanol solvent, combination extract has blackish green. The ethanol extract of stevia leaves and green tea leaves was screened for phytochemical compounds. Antioxidant effectiveness was tested using the DPPH (1,1 Diphenyl-2-Picrylhydrazyl) method, with varying concentrations of 10 ppm, 20 ppm, 30 ppm, 40 ppm and 50 ppm. Then Antioxidant activity test by DPPH measured using a UV-Vis spectrophotometer. The results of screening for phytochemical compounds show that stevia leaf extract contains alkaloids, saponins, flavonoids and tannins. Meanwhile, the results of screening for phytochemical compounds in green tea leaf extract contain alkaloids, steroids, saponins, flavonoids and tannins. The research results showed that antioxidant levels in the combination of Stevia leaf extract and green tea leaves with concentrations of 10 ppm, 20 ppm, 30 ppm, 40 ppm, 50 ppm with a ratio of (1:1) had an IC50 analysis result of 10 ppm of 19.90 mg/L, 20 ppm is 12.90 mg/L, 30 ppm is 9.60 mg/L. 40 ppm is 6.80 mg/L. 50 ppm is 6.60 mg/L where a concentration of 50 ppm is classified as a very strong antioxidant. The antioxidant effect of the combination of stevia leaf extract and green tea leaves is still higher than vitamin C. The combination of stevia leaves xtract and green tea leaves has antioxidant effectiveness
HUBUNGAN PENGETAHUAN IBU TENTANG GIZI DENGAN POLA PEMBERIAN MAKAN PADA BALITA DI UPTD PUSKESMAS DAWAN I KLUNGKUNG
Get PDFToddler nutrition is a health problem. Nutritional knowledge can influence toddler feeding patterns so that it can improve toddler nutrition. This study aims to determine the relationship between maternal knowledge about nutrition and feeding patterns for toddlers at the Regional Technical Implementation Unit of the Dawan I Klungkung Community Health Center. This type of quantitative research uses correlation analytical methods with a cross-sectional approach. The research was conducted March 3rd week to April 3rd week of 2024. Samples were taken using the proportional sampling method totaling 97 respondents. The research instrument uses a questionnaire via Google Form. The results of univariate data analysis were that the mother had a good level of knowledge (79%) and appropriate feeding patterns (90,7%) while bivariate analysis using the contingency test obtained a p value <0,05. The conclusion of this research is that there is a relationship between mothers' knowledge about toddler nutrition and toddler feeding patterns. It is hoped that the Dawan I Klungkung Regional Technical Implementation Unit will hold a routine program for posyandu activities related to nutrition education for toddlers
FAKTOR-FAKTOR YANG MEMPENGARUHI PEMBERIAN ASI EKSKLUSIF PADA BAYI DI KELURAHAN PAYA PASIR KECAMATAN MEDAN MARELAN TAHUN 2023
No full textBackground : _ Exclusive breastfeeding is breast milk given to baby since born for 6 ( six ) months , without food companion except vitamins and immunizations . Objective : Study This aim For know influencing factors _ Mother providing exclusive breast milk to babies in Paya Pasir Village Medan Marelan District 2023. Method : Type of research used da`lam study This is observational analytic with cross sectional approach . Population in study This is all over mother who has baby as well as follow present For follow immunization as well as counseling in Paya Pasir Village Medan Marelan District In 2023 there will be 30 people. Withdrawal sample taken in a way Total Sampling. Testing hypothesis with Chi Square test. Results: From the results study show there is influence significant on the variable knowledge (P=0.003), support husband (P=0.000), officer health (P=0.000), efficacy self (P=0.001), social economics (P=0.000). Conclusion: In research This that There is influence significant knowledge, support husband, officer health, efficacy self and social economy to exclusive breastfeeding for babies. _ Suggestion
: Study recommend to officer health For give counseling about exclusive breastfeeding _ to mother who has babies in Paya Pasir Village Medan Marelan District
PENGARUH TERAPI SYUKUR DALAM MENINGKATKAN KUALITAS HIDUP PASIEN TERINFEKSI HIV
Get PDFBackground: Quality of life remains an important concern for people living with HIV/AIDS (PLHIV). The challenges experienced have a major impact on their well-being, including psychological aspects. This study aims to evaluate the effectiveness of gratitude therapy on the quality of life of PLHIV. Methods: This study is a pre-experiment with a total of 30 subjects at RSPI Prof. Dr Sulianti Saroso. The sample selection method is purposive sampling with inclusion criteria of adult ODHIV (age >18 years) and actively visiting RSPI Prof. Dr. Sulianti Saroso to take antiretroviral (ARV) drugs every month, while the exclusion criteria are pregnant women. Subjects will undergo gratitude therapy for six weeks. Gratitude therapy was measured with gratitude inventory instrument and quality of life with WHOQOL-HIV BREF instrument. Significant changes in average quality of life scores before and after gratitude therapy with Wilcoxon test. Results: The majority of participants were male (70%) with a median (IQR) age of 39.6 (26-52) years. After subjects received gratitude therapy, there was a significant improvement in quality of life, with a mean difference of 4.00 (95% CI: 3.00-5.65; SE 0.693; p-value <0.001) and an effect size measured by biserial rank correlation of 1.00. Conclusion: The findings of this study indicate that gratitude therapy has a significant and positive impact on improving the quality of life of PLWHA. Gratitude is a necessity in fostering a positive outlook on life. Gratitude therapy can be a standardised form of service in hospitals. Future research with qualitative studies to determine the magnitude of its effect on the psychology of PLHIV.Latar Belakang: Kualitas hidup masih menjadi perhatian penting pada Orang dengan HIV/AIDS (ODHIV). Tantangan yang dialami berdampak besar pada kesejahteraan hidup mereka, termasuk aspek psikologis. Penelitian ini bertujuan untuk mengevaluasi efektivitas terapi syukur (gratitude) terhadap kualitas hidup ODHIV. Metode: Penelitian ini merupakan pre-eksperimen dengan jumlah subyek sebanyak 30 ODHIV di RSPI Prof. Dr. Sulianti Saroso. Metode pemilihan sample yaitu purposive sampling dengan kriteria inklusi ODHIV dewasa (usia >18 tahun) dan aktif berkunjung ke RSPI Prof. Dr. Sulianti Saroso untuk pengambilan obat antiretroviral (ARV) setiap bulannya, sedangkan kriteria eksklusi adalah ibu hamil. Subyek akan menjalani terapi syukur selama enam minggu. Terapi syukur diukur dengan instrumen inventori gratitude dan kualitas hidup dengan instrumen WHOQOL-HIV BREF. Perubahan rata-rata nilai kualitas hidup yang signifikan sebelum dan sesudah terapi syukur dengan uji Wilcoxon. Hasil: Mayoritas subyek adalah laki-laki (70%) dengan median (IQR) usia 39,6 (26-52) tahun. Setelah subyek mendapatkan terapi syukur, ada peningkatan yang signifikan dalam kualitas hidup, dengan perbedaan rata-rata 4,00 (95% CI: 3,00-5,65; SE 0,693; p-value <0,001) dan ukuran efek yang diukur dengan korelasi rank biserial adalah 1,00. Kesimpulan: Temuan dari penelitian ini menunjukkan bahwa terapi syukur memiliki dampak yang signifikan dan positif terhadap peningkatan kualitas hidup ODHIV. Rasa syukur menjadi kebutuhan dalam menumbuhkan pandangan hidup yang positif. Terapi syukur bisa menjadi bentuk layanan standar di rumah sakit. Penelitian berikutnya dengan studi kualitatif untuk mengetahui besar pengaruhnya terhadap kejiwaan ODHIV
HUBUNGAN PENGETAHUAN ORANG TUA DENGAN PERAWATAN LUKA SIRKUMSISI PADA ANAK USIA SEKOLAH 10 – 12 TAHUN
Get PDFCircumcision (circumcision) is a minor surgical procedure that is generally performed on children. Circumcision is the act of cutting the foreskin on a boy's vital organ, namely the skin that covers the head of the penis. The aim of the study was to determine the relationship between parental knowledge and wound care in school-aged children 10-12 years after circumcision. This type of research is qualitative description with a cross tabulation approach. The total population is all children who underwent circumcision (50 respondents) with samples taken using a random sampling system. From the results of the research in univariate analysis, it was obtained: Frequency distribution of the level of knowledge of the majority of parents in the Sufficient category = 27 (54.0%); Frequency distribution of wound care in school-aged children 10-12 years after circumcision, the majority in the Good care category = 34 (68.0%); Frequency distribution of the relationship between parental knowledge level and wound care in school-aged children 10-12 years after circumcision. The majority of parental knowledge levels are in the Fair category and wound care is in the Good category = 31 (62.0%). The results of the bivariate analysis research show that there is a significant relationship p value = 0.01 < ? = 0.05 (significance value 95%; H0 is rejected and Ha is accepted). It is assumed that "There is a correlation (relationship) between parental knowledge and wound care in school-aged children 10-12 years after circumcision". It is hoped that parents can increase knowledge about injuries in school-aged children 10 - 12 years after undergoing circumcision.Sirkumsisi (sunat) merupakan tindakan bedah kecil yang umumnya dilakukan pada anak-anak. Sirkumsisi merupakan tindakan memotong kulup pada alat vital anak laki-laki, yaitu kulit yang menutupi kepala penis. Tujuan penelitian adalah untuk mengetahui engetahuan orangtua dengan perawatan luka pada anak usia sekolah 10-12 tahun setelah sirkumsisi. Jenis penelitian deskripsi kualitatif dengan pendekatan tabulasi silang. Jumlah populasi adalah seluruh anak yang melakukan sirkumsisi (50 responden) dengan pengambilan sampel menggunakan sistem random sampling. Dari hasil penelitian pada analisis univariat diperoleh : Distribusi frekuensi tingkat pengetahuan orangtua mayoritas pada kategori Cukup = 27 (54,0%); Distribusi frekuensi perawatan luka pada anak usia sekolah 10-12 tahun setelah sirkumsisi, mayoritas pada kategori perawatan Baik = 34 (68,0%); Distribusi frekuensi hubungan tingkat pengetahuan orangtua dengan perawatan luka pada anak usia sekolah 10-12 tahun setelah sirkumsisi mayoritas tingkat pengetahuan orangtua kategori Cukup dan perawatan luka dalam kategori Baik = 31 (62,0%). Hasil penelitian analisis bivariat menunjukkan adanya hubungan yang signifikan p value = 0,01 < ? = 0,05 (nilai kemaknaan 95%; H0 ditolak dan Ha diterima). Di asumsikan bahwa “Adanya korelasi (hubungan) antara pengetahuan orangtua dengan perawatan luka pada anak usia sekolah 10-12 tahun setelah sirkumsisi”. Diharapkan bagi orangtua dapat meningkatkan pengetahuan tentang luka pada anak usia sekolah 10 – 12 tahun setelah melakukan sirkumsisi (sunat)