Interest: Jurnal Ilmu Kesehatan
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Caring-Based Supportive Educative Enhance Prevention Ability Of Diabetic Ulcers In Patients With Type II Diabetes
No full textBackground: Patients with diabetes mellitus are at risk for complications of diabetic foot ulcers. This complication can avoid if people with diabetes mellitus have the proper knowledge of self-care management. This study aimed to determine the effect of self-care management education on preventing foot ulcers in patients with type II diabetes mellitus.
Methods: The design of this study is quasi-experiment. The number of samples was 86 with a simple randomized sample divided into two groups, 43 in the treatment group caring base supportive educative activities, and 43 in the control group distributing leaflets on diabetes. Results from studies were analyzed using the paired t-test and the independent t- test.
Results: These study results are based on independent t-test scores of self-care management in the treatment and control groups after the intervention, namely p = 0.002. The difference in the delta score of self-care management scores in the treatment and control groups after the intervention was p=0.000.
Conclusion: The results showed that self-care management education interventions effectively increased the ability of self-care patients with type II diabetes mellitus to prevent complications of diabetic ulcers. This intervention can be a promotive effort to increase self-care independence in patients with type II diabetes mellitus to avoid complications of diabetic wounds
Model Of Managing Developmental Language Disorder In Central Java
No full textBackground: Language disorder is a neurodevelopmental disorder needing sustainable action. A speech therapist, as a member of the management team, has an obligation to solve a problem. In order to develop an intervention model for developmental language disorder, clinician perception is required.
Methods: The research was conducted using a survey approach. The survey was conducted online through Google Forms, and the analysis was done using the statistical descriptive method. To see the inter-variable correlation, Spearman’s rank correlational test was used.
Results: Descriptive statistics show varying data between one variable and another. Some points that become part of the majority’s perception are the frequency of intervention (3 times per week), the duration of the intervention (31–45 minutes), the informal assessment, and the multidisciplinary model. Assessment, ethnocultural, collaboration, and intervention variables all have an inter-variable relationship. The value of the assessment-to-intervention variable relation is p = 0.001, with r = 0.544. The value of the ethnocultural–to–intervention variable relation is p = 0.002, with r = 0.515. The value of the collaboration-to-intervention variable relation is p = 0.021, with r = 0.401.
Conclusion: Further investigation using other research designs is required to reveal the need for language disorder intervention in Central Java. Descriptive data show that the management of language disorder in Central Java needs some requirements to be met
Formulation Of Topical Self-Nanoemulsifying Drug Delivery Systems (SNEDDS) Of Vitamin D3
No full textBackground: In the last few decades, there has been a significant increase in customers’ interest in skin care, including anti-aging. One of the skin care substances, vitamin D3, has a positive impact on the skin, such as the keratinocyte differentiation effect to maintain the skin barrier and the hydration effect to keep the skin moist. Vitamin D3 has a high lipophilicity, so it is considered ideal to formulate in the self-nano emulsifying drug delivery system (SNEDDS). The higher solubility of vitamin D3 in the SNEDDS oil component could improve its penetration through the skin. The SNEDDS is a primary dosage form that can be entrapped in semisolid base dosage forms, such as cream, lotion, or gel. SNEDDS vitamin D3 needs to be optimized to obtain the appropriate composition of the components: oil, surfactant, and co-surfactant.
Methods: The D-Optimal Mixture method using Design Expert 10 software had been chosen as an optimization tool for SNEDDS vitamin D3.
Results: The composition of the optimum formula was obtained as follows: 1.0351 g Miglyol 812 N; 3.0637 g Tween 80 and 0.9011 g PEG 400. The optimum formula has a particle size of 32.62 nm ± 1.80 nm and a polydispersity index of 0.31 ± 0.03.
Conclusion: The release test was carried out with the help of a Franz diffusion cell instrument, a cellophane membrane, and phosphate-buffered saline pH 7.4 containing 0.5% Tween 80. The cumulative amount of vitamin D3 released per minute (Flux) was 0.10 µg/min
Community Models As Partners Effective To Increase The Quality Of Life Of Hypertension Patients
No full textBackground: Quality of life is still the main problem determining hypertensive patients\u27 recovery, where it is found that the quality of life is still low. Community models as partners in intervention strategies are urgently needed to increase the quality of life.
Methods: The design of this study was quasi-experimental. The population is 60 people with hypertension with simple random sampling. The total sample is 60 people divided into two groups: the treatment group, 30 people given caring-based supportive educative intervention, and 30 people in the control group given pamphlets about hypertension.
Results: Based on research based on the Wilcoxon test, the quality of life score in the intervention group after the intervention was provided, namely p = 0.000, and based on the Mann-Whitney test, the quality of life score in the control group and treatment group after the intervention was given, namely p = 0.002. The results of this study showed that community as a partner model intervention was effective in improving the quality of life of hypertensive patients.
Conclusion: The community model as a partner model intervention has an effect on the quality of life of hypertensive patients.
Analysis Of Factors Related To Stunting Prevention In Children Aged 2-5 Years
No full textBackground: Nutritional status in Indonesia, especially stunting in toddlers, is still a problem that is influenced by many interrelated factors. This Study aimed to analyze the factors related to prevention of stunting in toddlers.
Methods: This study used a cross-sectional design. The population was 131 mothers who have children aged 2-5 years at Timbulharjo village, Sewon, Bantul with number of samples are 57 people using purposive sampling technique. The independent variables were prior related behavior, education level, socio-economic status, perceived benefits to action and perceived barrier to action. Dependent variable was prevention of stunting. Data were collected using questionnaire and analyzed using logistic regression with a significance level α 0.05.
Results: The vast majority (54.4%) of maternal education is high school (61.4%) with a family income of <1,790,500, most respondents have the benefit of perceived actions insufficient categories (56.1%). High prior related behavior was 1.26 times better at stunting prevention than low prior related behavior. Any change per 1 unit on the previous behavioral variable and a change per 1 unit on the benefit variable of the perceived action, will increase the likelihood of stunting prevention behavior (4.6%).
Conclusion: Factors associated with stunting prevention behavior are prior related behavior and perceived benefit to action. The dominants factor related to stunting prevention behavior is prior related behavior. This research showed that it is able to add information and improve stunting prevention behavior for the community. This can be realized through collaboration with health workers to conduct integrated service program held an activities, training, workshop, and family mentoring related to stunting prevention
Analysis Of Severity Factors In COVID-19 Patients With Comorbid Diabetes Melitus
No full textBackground: Patients infected with the SARS-CoV2/COVID-19 virus and comorbid diabetes mellitus type 2 will experience a worsening of their condition, resulting in increased levels of inflammatory mediators in the blood, including lipopolysaccharide, inflammatory cytokines, and toxic metabolites that cause pulmonary fibrosis. This study aimed to determine the factors associated with the severity of COVID patients with comorbid Diabetes Mellitus Type 2.
Methods: A qualitative study, a cohort with secondary data from April to August 2021, sampling 142 medical records. Independent Variables are Age, Gender, Blood Glucose, Oxygen, Saturation (SPO2), D-Dimer Value, Other Comorbidities.
Results: The results of the selection of bivariate analysis showed that the variables that had no relationship were age (p = 0.262), gender (p = 0.340), and other co-morbidities (p = 0.962), while those having a relationship following the multivariate test were random blood sugar variables (p = 0.031), SPO2 oxygen saturation (p = 0.000), and d-dimer (p = 0.034). The multivariate results using the linear logistic regression test showed that the results of variables related to the severity of COVID-19 and co-morbid diabetes mellitus were blood sugar (p = 0.417), SPO2 (p = 0.095), and D-dimer (p = 0.890), which had no partial effect on the level of severity, but together these three variables equally affect the level of severity.
Conclusion: SAR-CoV2 patients with comorbid Type 2 DM, accompanied by decreased SPO2, increased d-dimer values, increased random blood sugar, with a predictive rate of 93.7%, experienced severe severity
Determinants Of Treatment Adherence In Drug-Sensitive Tuberculosis Patients During The Covid-19 Pandemic
No full textBackground: During the COVID-19 pandemic in Surakarta, there were patients who were absent, failed, and dropped out of treatment. This study aims to analyze factors associated with treatment adherence of drug-sensitive tuberculosis patients (TB-SO) during the COVID-19 pandemic at the Surakarta City Public Health Center.
Methods: This research method combines quantitative research with cross-sectional research. A sample of 105 patients from 10 Public Health Center (Puskesmas) in Surakarta City was obtained using a total population sampling based on inclusion and exclusion criteria. This research was conducted from April to June 2022. The research instrument used was a questionnaire, and the data was analyzed univariate and bivariate with the chi-square.
Results: This study showed that more patients were adherere (79%) than non-adherent (21%). Factors related to treatment adherence were the role of health professionals (p = 0.045) and Treatment Supervisors (Pengawas Menelan Obat/PMO) support (p = 0.035).
Conclusion: The role of health workers and the support provided by the PMO to patients related to adherence to treatment for TB-SO patients Therefore, it is expected that health professionals need to keep a good relationship with patients through personal counseling and need to provide socialization to PMOs
Differences In Pregnancy Care Service Visits Before And During Covid 19 Pandemic In Midwifery Independent Practice: Another article available on "How Technology Can Improve Future Health Outcomes for Women with Complicated Pregnancies" https://www.providertech.com/how-tech-can-improve_outcomes_for_women/
No full textBackground: Pandemic COVID-19 has prompted the government to implement a social distancing policy. This also applies to pregnant mother to come to health workers unless there are signs of pregnancy. This study aims to know the influence of pregnancy services before and after the COVID-19 pandemic.
Methods: This is Mixed Method study with the sample was a midwife who carried out the Midwifery Independent Practice or “Praktek Madiri Bidan” (PMB) in Sragen Regency, Central Java Province. In-depth interviews were conducted with 10 informants. Statistical test using Paired T test, qualitative data using transcription and categorization
Results: The average number of visits to maternity care at PMB was 117.0 (21.83) visits per month in the two months prior to the COVID-19 pandemic, only 67,6 (7,63) monthly visits for two months during COVID 19 pandemic. Obtained ρ value 0,000 which means there is a difference in Pregnancy Care Service Visits before and during the COVID 19 pandemic at PMB Sragen Regency, Central Java. There are two themes in the results of the qualitative study, namely the anxiety of midwives in providing midwifery services during the COVID-19 pandemic and the Protocol for Pregnancy Care Services during the COVID-19 Pandemic.
Conclusions: There are differences in pregnancy services during the COVID-19 pandemic. The government is expected to be able to socialize technical guidelines for pregnant women in accessing services on pregnancy and prevention of COVID-19
The Effectiveness Of Video And E-Booklet Media In Health Education On Improving The Knowledge Of Pregnant Women About The Pregnancy Danger Signs At Jetis 1 Public Health Center Of Bantul Regency
No full textBackground: Danger signs of pregnancy before causing complications can be detected early independently through learning media such as videos and e-booklets. The purpose of this study was to determine the effectiveness of video and e-booklet media in improving the knowledge of pregnant women about the danger signs of pregnancy
Methods: This study was conducted in December 2020-January 2021 at Jetis 1 Public Health Center, Bantul Regency and used the type of quasi-experimental research and pretest-posttest with control group design. The research subjects were pregnant women in the first, second and third trimesters as many as 24 people for each group. Sampling was collected using purposive sampling technique on respondents with the criteria of being willing to follow the research rules, there is no trouble in seeing/speaking/hearing, being capable to read and write. Respondents who resigned during the study, did not complete the questionnaire until the end and worked as health workers were not taken as research respondents. The measuring instrument used is a questionnaire that has been tested for validity and reliability. The data analysis used Wilcoxon test and Mann Whitney test
Results: The results of the analysis show that the two media have an effect on increasing the knowledge of pregnant women with p-value 0,000 for videos and p-value 0,000 for e-booklet
Conclusion: Video is more effective than e-booklet in improving the knowledge of pregnant women (p-value 0,031). Thus the video made by researchers can be used to provide health education about the danger signs of pregnanc
Factors Related To Schizoprenia Patients’ Ability In Performing Self-Treatment
No full textBackground: Schizophrenia is one of mental disorder occurring and raising number of problems. One of which is the ability in performing self-treatment. This phenomenon suggests that there be declination of motivation in performing self-treatment.
Methods: The research purposed to know the factors related to schizophrenia patient’s ability in performing self-treatment. This research used descriptive correlation with cross-sectional approach. The samples taking were done by random sampling with 155 persons with schizophrenia as samples. The bivariate examination used Spearmen test.
Results: The result of the research suggested that p value = 0,771; 0,959; 0,473; 0,500; 0,818; 0,837; 0,956 for each variable; sex, age, hallucination, delusion, violence behavior risk, the length of treatment, and the length of getting mental disorder with ability in performing self-treatment. It indicates that there is not any relationship between one variable with another. Meanwhile, variable in social isolation disturbance in body image and frequency related to how many times getting treatment with the ability in performing self-treatment. Each variable was found that p value were at 0,001; 0,001; 0,002 (p value <0, 0005).
Conclusion: Those values indicate that there is relation between one variable to another. Further nursing intervention is needed to improve the ability of schizophrenia patients to perform self-car