Husada Mahakam: Journal of Health
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Edukasi dan Suplementasi Tablet Fe Meningkatkan Kadar Hemoglobin Ibu Hamil Anemia
Full text linkAnemia in pregnant women is a health problem that occurs during pregnancy. Anemia due to iron deficiency in pregnancy has an impact on the risk of a mother having a miscarriage, low birth weight babies (LBW), bleeding during childbirth and can cause death for the mother and baby. This study aims to determine educational interventions and Fe tablet supplementation on hemoglobin levels of anemic pregnant women in the working areas of the Trauma Center Health Center, Harapan Baru Health Center, and Mangkupalas Health Center, Samarinda City. The design used in this study was a quasi-experimental study with a pretest posttest with a control group. The sample consisted of 17 people divided into 9 people in the intervention group and 8 people in the control group. The intervention group received education using the counseling method using flipchart media and Fe tablet supplementation, while the control group received education without the counseling method using leaflet media and Fe tablet supplementation for 30 days. Data analysis used paired t test and independent t test. The results showed that most of the respondents in the intervention group before education had good knowledge criteria, namely 8 people (88.9%), while after education had good knowledge criteria, namely 9 people (100%). Most of the respondents in the intervention group after counseling experienced an increase in Hb > 1g/dl as many as 5 people. There was no significant difference in the increase in Hb levels in the intervention and control groups after the educational intervention and Fe tablet supplementation (p=0.077).
Keywords: Anemia of Pregnant Women, Education, Fe Tablet SupplementationAnemia pada ibu hamil merupakan masalah kesehatan yang terjadi selama masa kehamilan. Anemia akibat kekurangan zat besi dalam kehamilan berdampak pada risiko ibu mengalami keguguran, bayi berat lahir rendah (BBLR), perdarahan saat persalinan dan dapat menyebabkan kematian ibu dan bayinya. Penelitian ini bertujuan untuk mengetahui intervensi edukasi dan suplementasi tablet Fe terhadap kadar hemoglobin ibu hamil anemia di wilayah kerja Puskesmas Trauma Center, Puskesmas Harapan Baru, dan Puskesmas Mangkupalas Kota Samarinda. Desain yang digunakan dalam penelitian ini adalah quasi experimental study dengan pretest posttest with control group. Sampel berjumlah 17 orang yang terbagi menjadi 9 orang kelompok intervensi dan 8 orang kelompok kontrol. Kelompok intervensi mendapatkan edukasi dengan metode penyuluhan menggunakan media lembar balik dan suplementasi tablet Fe, sedangkan kelompok kontrol mendapatkan edukasi tanpa metode penyuluhan menggunakan media leaflet dan suplementasi tablet Fe selama 30 hari. Analisis data menggunakan paired t test dan independent t test. Hasil penelitian menunjukkan bahwa sebagian besar responden pada kelompok intervensi sebelum edukasi memiliki kriteria pengetahuan baik yaitu sebanyak 8 orang (88,9%), sedangkan sesudah pendidikan memiliki kriteria pengetahuan baik yaitu sebanyak 9 orang (100%). Sebagian besar responden kelompok intervensi setelah penyuluhan mengalami peningkatan Hb > 1g/dl sebanyak 5 orang. Tidak terdapat perbedaan bermakna peningkatan kadar Hb pada kelompok intervensi dan kontrol setelah intervensi edukasi dan suplementasi tablet Fe (p=0,077).
Kata Kunci: Anemia Ibu Hamil, Edukasi, Suplementasi Tablet F
EFEK HIPNOSIS DALAM MENGURANGI NYERI LUKA AKUT PASCA OPERASI
Full text linkLatar Belakang: Pasca operasi terjadi luka pada kulit sampai ke otot sehingga terjadi rangsangan pada nosireseptor dan menimbulkan nyeri akut akibat luka operasi. Nyeri yang di alami bersifat individual kerena merupakan pengalaman sensorik dan emosional kurang menyenangkan akibat kerusakan jaringan. Hipnoterapi adalah metode terapi menggunakan sugesti hipnosis, yang membuat orang merasa rileks dan pikiran bawah sadarnya aktif. Tujuan: penelitian ini untuk mengetahui efek hipnosis dalam mengurangi nyeri luka akut pasca operasi. Metode: Metode dalam penelitian ini quasi eksperiment dengan rancangan penelitian pre test and post test nonequivalent control group, terdiri dua kelompok tanpa randomisasi yaitu satu kelompok intervensi yang dilakukan hipnosis dan kelompok kontrol yang dilakukan perawatan sesuai standar rumah sakit. Pengambilan sampel dengan teknik consecutive sampling dengan sampel masing masing 16 responden. Skala nyeri di ukur dengan menggunakan Skala nyeri numerik rating scale (NRS). Analisa univariat nilai rata-rata dan bivariat menggunakan uji wilcoxon. Hasil: Kelompok kontrol nilai p = 0,034, mean pengukuran awal 5,25 dan pengukuran ke dua 5,62. Pada kelompok kasus didapat nilai p = 0,000 < 0,05 dengan mean pengukuran awal 6,31 turun menjadi 1,69 ini berarti hipnosis memberi efek mengurani nyeri pada nyeri akut pasca operasi. Kesimpulan: Hipnosis memberikan efek menurunkan tingkat nyeri pada klien yang mengalami nyeri luka akut pasca operas
FACTORS RELATED TO PATIENT SAFETY CULTURE IN THE INPATIENT PRIMARY HEALTH CARE
Full text linkThe culture of patient safety in health services has not been optimally implemented and is an important factor causing patient safety incidents. The purpose of this study was to analyze the relationship between individual factors, leadership, management, and work environment with patient safety culture at the Inpatient Health Center in Samarinda. Analytic observational with cross sectional design. Data were collected using a questionnaire. The research subjects were 79 respondents who were health workers spread over six inpatient health centers in the city of Samarinda. Data were analyzed univariately, bivariately with chi square test and multivariate with multiple logistic regression test. Respondents with a weak patient safety culture were 51.9% and a strong patient safety culture was 48.1%. In individual variables, management and leadership, and work environment, each p-value is 0.001, meaning that there is a significant relationship between individual factors, management, leadership and work environment with patient safety culture. Work environment variable is the most dominant variable related to patient safety culture with p-value = 0.001 (OR = 10.453). There is a significant relationship between individual factors, management, leadership and work environment with patient safety culture. The work environment is the dominant factor that is most closely related to patient safety culture.Introduction: Patient safety culture is one of the factors that influence the occurrence of safety incidents in a health facility. In its application there are several factors related to patient safety culture. This study aims to determine the relationship between individual, leadership, management, and environmental factors with patient safety culture at the Inpatient Health Center in Samarinda.
Methods: This study used an analytic observational method with a cross sectional design. Data were collected using a questionnaire. The research subjects were 79 respondents who were health workers spread over 6 inpatient health centers in the city of Samarinda. Data were analyzed univariate, bivariate with chi square test and multivariate with multiple logistic regression test.
Results: 51.9% of respondents who have a weak patient safety culture and 48.1% of respondents have a strong patient safety culture. On the individual variables, management and leadership, as well as the work environment, each obtained a p-value of 0.001 which means that there is a significant relationship between individual factors, management and leadership, as well as the work environment and patient safety culture. Work environment variable is the most dominant variable related to patient safety culture with p-value = 0.001 (OR = 10.453).
Conclusion: The work environment factor is the dominant factor that is most closely related to patient safety culture. A pleasant work environment will produce a positive relationship to performance and goal achievement.
Suggestion: Primary health care must be able to create a good work environment, increase commitment and existing potential and Primary health care can improve several facilities and infrastructure in the work environment so as to create a more conducive work environment
Keywords: Individual Factors, Leadership, Management, Work Environment, Patient Safety Culture
 
KARAKTERISTIK DAN PEMERIKSAAN RAPID TES ANTIBODI COVID-19 PADA IBU HAMIL DI PUSKESMAS WILAYAH MARTAPURA
Full text linkWuhan, China was the place where the first cases of Covid-19 were found, and 118 pregnant women with COVID-19 were identified from 50 hospitals throughout the city of Wuhan from December 2019 – March 2020. The purpose of this study was to find out the description of the Covid-19 examination in pregnant women at Puskesmas Martapura City. A descriptive survey is conducted using a cross-sectional design. All pregnant women in their third trimester who had a rapid test for Covid-19 antibodies performed at the Puskesmas Martapura City and samples taken utilizing a full sampling approach were included in this study. The study's conclusions were mostly based on their age (20-35 years) 14 individuals (70%), senior high school 12 people (60%), housewives 18 people (90%), and knowledge level (100%). The results showed that 131 people were reactive and 957 were non-reactive in the antibody rapid test examination for pregnant women in their third trimester from June 2020 to March 2021. According to the findings, 12.04% of pregnant women in their third trimester are reactive, whereas 87.96% are non-reactive. Suggestions to the public on how to better understand clinical symptoms, mechanisms of transmission, and Covid-19 prevention efforts in order to encourage good lifestyle choices. This research can be continued by observing the severity of Covid-19 symptoms in pregnant women who are infected and the effect of pregnant women infected with Covid-19 on babies born.
Keywords: Covid-19, Antibody rapid test, Pregnant womanCoronavirus Disease 2019 (Covid-19) adalah penyakit jenis baru yang belum pernah diidentifikasi sebelumnya pada manusia. Wuhan, Tiongkok merupakan tempat ditemukannya kasus pertama Covid-19, National Health Commission of China mengidentifikasi sebanyak 118 wanita hamil dengan Covid-19 dari 50 Rumah Sakit di seluruh kota Wuhan dari 8 Desember 2019 – 20 Maret 2020. Tujuan dari penelitian ini adalah untuk mengetahui gambaran pemeriksaan Covid-19 pada ibu hamil di Puskesmas Kota Martapura. Penelitian bersifat survey deskriptif dengan rancangan cross sectional. Populasi pada penelitian ini adalah seluruh ibu hamil trimester akhir yang melakukan pemeriksaan rapid tes antibodi Covid-19 di Puskesmas Kota Martapura dan sampel diambil dengan teknik total sampling. Hasil penelitian karakteristik 20 responden yang terbanyak berdasarkan usia 20 – 35 tahun 14 orang (70%), pendidikan terakhir yaitu SMA 12 orang (60%), pekerjaan yaitu ibu rumah tangga 18 orang (90%) dan tingkat pengetahuan didapatkan hasil yang baik (100%). Hasil penelitian menunjukkan bahwa pemeriksaan rapid test antibodi pada ibu hamil trimester akhir di Puskesmas Martapura pada bulan Juni 2020 – Maret 2021 yang dinyatakan reaktif sebanyak 131 orang dan non-reaktif sebanyak 957 orang. Kesimpulan penelitian yaitu persentase ibu hamil trimester akhir yang reaktif sebesar 12,04% dan non reaktif sebesar 87,96%. Penelitian ini dapat dilanjutkan dengan mengobservasi tingkat derajat keparahan gejala Covid-19 pada ibu hamil yang terinfeksi dan pengaruh ibu hamil yang terinfeksi Covid-19 pada bayi yang dilahirkan.
Kata Kunci: Covid-19, Rapid tes antibodi, Ibu hami
PROMOSI KESEHATAN PROMOSI KESEHATAN MELALUI MEDIA SOSIAL INSTAGRAM SEBAGAI SARANA EDUKASI
Full text linkAbstract
How to present and convey information can be through various media, but to determine which media is more effective, one that touches or deals directly with the community is Instagram. Instagram social media shows that creatively packaged photo communication is an important factor in attracting attention. The Instagram social media application that contains photos/images and can be shared is proven to have a strong correlation in influencing interest. This study aims to see the effect of health promotion through social media Instagram as a means of education. In connection with this, the researcher wanted to see if Instagram showed any influence in health promotion through social media.. The efforts made by researchers recommend that Instagram be used as a medium for discussion and education, as well as a medium for influencing and making policies.
Keywords: Promotion, Social Media Instagram, EducationAbstrak
Cara menyajikan dan menyampaikan informasi bisa melalui berbagai media akan tetapi untuk menentukan media mana yang lebih efektif ialah yang menyentuh atau berhubungan langsung dengan masyarakat salah satunya instagram. media sosial Instagram menunjukkan bahwa komunikasi foto yang dikemas secara kreatif menjadi salah satu faktor yang cukup penting dalam menarik perhatian. Aplikasi media sosial Instagram yang berisi foto/gambar dan bisa dibagikan terbukti memiliki korelasi yang kuat dalam memengaruhi minat. Penelitian ini bertujuan untuk melihat pengaruh promosi kesehatan melalui media sosial instagram sebagai sarana edukasi. Sehubungan dengan itu peneliti ingin melihat apakah instagram menunjukkan adanya pengaruh dalam promosi kesehatan melalui media sosial. Adapun upaya yang dilakukan peneliti merekomendasikan instagram difungsikan sebagai media diskusi dan mendidik, juga sebagai media dalam mempengaruhi dan membuat kebijakan.
Kata Kunci: Promosi, Media Sosial Instagram , Edukasi
 
MANAGEMENT OF CHEMOTHERAPY-INDUCED NAUSEA AND VOMITING USING GINGER AROMATHERAPY IN CANCER PATIENTS: CASE STUDY AND LITERATURE REVIEW
No full textBackground: Nausea and vomiting are prevalent symptoms of antineoplastic chemotherapy. More than 50% of patients with cancer have reported that chemotherapy-induced nausea-vomiting (CINV). One of the complementary therapies that can reduce nausea and vomiting in patients undergoing chemotherapy is ginger aromatherapy that able to change the mood, reduce psychological symptoms such as stress and also provide a comfortable feeling that can reduce nausea and vomiting in patients undergoing chemotherapy. Aim: To evaluate the effect of ginger aromatherapy in breast cancer patients undergoing chemotherapy. Methods: case study of 2 respondents with a ginger aromatherapy intervention by giving 5-10 drops of inhaler stick by inhalation for 5-10 minutes and repeated every 30 minutes for 4 times then, evaluate 12 hours later. It is also used review of research journals by Google Scholar, PubMed, Ebscho, and NCBI with the keywords. Results: After intervention before and after giving ginger aromatherapy there was a decrease in nausea and vomiting scores according to the Rhodes Index of Nausea Vomiting and Retching (RINVR). Conclusion: The use of ginger aromatherapy yielded positive results to reduce nausea and vomiting complaints in breast cancer patients undergoing chemotherapy
PENCEGAHAN DBD PADA MASYARAKAT DAYAK DIWILAYAH KELURAHAN PAMPANG SAMARINDA KALIMANTAN TIMUR
Full text linkAbstract
Introduction: Various cultures in East Kalimantan, one of which is the Dayak Kenyah ethnic culture inhabiting the Pampang Cultural Village. Purpose: This study analyzes the prevention of DHF in Pampang Samarinda Utara Village in 2020. Methods: Using a qualitative design with an ethnographic approach, sources of information from 5 main informants, 1 key informant, 1 supporting informant, Milles and Huberman models are used in data analysis with the Opencode 4.03 application. Results: Informants' knowledge about dengue fever is a new disease. The attitude of the informants still holds the culture in their daily life. Informants still depends on nature. Informants' DHF prevention measures, performing dance ceremonies (Mentiang), are still largely dependent on natural products which are used as a source of medicines (Taban). Conclusion: In general, the informants referred to DHF as "Uda-uda bala, Dadem daha bulu, Mayong meko", ate leaves (Tung kayu), such as "Bekai" leaves (natural food flavoring). Suggestion: Pampang Cultural Village to support the ethnic Dayak Kenyah culture, Sei Siring Health Center to conduct regular health education. And researchers who are interested in continuing this research should examine the content of the leaves of "Bekai"
Keywords: Behavior, Prevention of DHF, Dayak Kenyah Culture Pampang Samarinda, East Kalimantan.
Abstrak
Pendahuluan: Beragam budaya di Kalimantan Timur, salah satunya budaya ethnic Dayak Kenyah mendiami Kelurahan Budaya Pampang. Tujuan: penelitian ini menganalisis pencegahan DBD di Kelurahan Pampang Samarinda Utara Tahun 2020. Metode: Menggunakan rancangan kualitatif dengan pendekatan etnografi, sumber informasi dari 5 orang informan utama, 1 orang informan kunci, 1 orang informan pendukung, Model Milles dan Huberman digunakan dalam analisa data dengan aplikasi Opencode 4.03. Hasil: Pengetahuan Informan tentang Demam berdarah merupakan penyakit baru. Sikap Informan masih memegang kebudayaan dalam kehidupan sehari-hari. Kepercayaan Informan masih bergantung dengan alam. Tindakan pencegahan DBD Informan, melakukan upacara tari-tarian (Mentiang), sebagian besar masih tergantung pada hasil alam yang dijadikan sebagai sumber obat-obatan (Taban). Kesimpulan: Umumnya Informan menyebut DBD dengan “Uda-uda bala, dadem dahak bulu, mayong mekoâ€, mengonsumsi dedaunan pohon (Tung kayu),.seperti daun “Bekai†(Penyedap rasa makanan alami). Suggestion: Kelurahan Budaya Pampang agar mendukung kebudayaan Ethnik Dayak Kenyah, Puskesmas Sei Siring agar melakukan edukasi kesehatan secara regular. Dan peneliti yang tertarik melanjutkan penelitian ini agar meneliti kandungan daun “Bekaiâ€
 
Umur, Jenis kelamin, durasi dila
Full text linkOne of the most dangerous diseases in the world is cardiovascular disease. Cardiac arrest is one of the major causes of death in the heart. Cardiopulmonary Resuscitation (CPR) is the first help that can be given. The aim of the research is to determine out the factors influence CPR success. An analytical observational research design with a cross sectional method used in this study. All patients who suffered cardiac arrest and completed CPR in the emergency department were included in this study, with a total of 42 participants. The age component accounted for 66.7 percent of the 60-year-olds, with male sex accounting for 61.9 percent. Prearrest diagnostic was Non-cardiac at 64.3 percent, Initial was Unshockable (asystole/PEA) at 71.4 percent, and the greatest duration of CPR was 1 minute by 81 percent. The chi square and fisher's exact tests revealed that there was no correlation between age (0.578), gender (1,000), and CPR duration (0.151) and CPR success. At Abdul Wahab Sjahranie Hospital Samarinda, there is a correlation between pre-arrest diagnosis (0.003), initial cardiac rhythm (0.041), and reaction time (0.013) and CPR success. Factors related to the success of CPR are pre-arrest diagnosis (0.003), initial heart rhythm (0.041), and response time (0.013)
PENGALAMAN DALAM MENGHADAPI SINDROM PRA MENSTRUASI PADA REMAJA PUTRI
Full text linkPremenstrual syndrome (PMS) includes clinically significant somatic and psychological manifestations during the luteal phase of the menstrual cycle, causing substantial distress and reduced functional capacity. This study aims to determine the experience of young women in dealing with the symptoms of premenstrual syndrome they are experiencing. This study uses a qualitative study with a phenomenological design. The number of samples in this study were 8 participants. The inclusion criteria were families with family members who had recurrent strokes. Data collection uses in-depth interviews. Data analysis uses thematic analysis. This study obtained four themes, namely Theme 1) symptoms of premenstrual syndrome experienced by respondents. Theme 2) actions taken to treat premenstrual syndrome symptoms. Theme 3) Use of non-pharmacological therapies to treat premenstrual syndrome. Theme 4) Factors influencing premenstrual syndrome treatment. each respondent has premenstrual syndrome treatment that is tailored to the symptoms experienced, young women feel the need to be exposed to a more diverse selection of non-pharmacological therapies as well as specific treatment of psychological symptom
PENATALAKSANAAN RADIOGRAFI THORAX PEDIATRIK INDIKASI DENGUE HAEMORRHAGIC FEVER DI RS GRAHA JUANDA
Full text linkThorax examination with Dengue Haemorrhagic Fever (DHF) in pediatrics generally indicates Pleural Effusion in the lungs. In the Radiology Installation of Graha Juanda Hospital, Bekasi, this case only uses AP and RLD projections. This study's purpose is to explain the thorax examination procedure in cases of Dengue Haemorrhagic Fever, the reason for using AP and RLD projections, and when the patient is tilted to the right for 5 minutes. This research is a case study with a qualitative description through direct observation in the field. The data collection method uses primary data with cases of dengue hemorrhagic fever in pediatrics. The author took subjects three years old with a thorax examination in cases of Dengue Haemorrhagic Fever with AP and RLD projections. The results of the study seen in the sample are the presence of Pleural Effusion which is one of the most frequent indications found in cases of Dengue Haemorrhagic Fever. The experiment's results on the radiographic examination appeared to be visible fluid and air boundaries in the patient's lung area.Pemeriksaan thorax dengan kasus Dengue Haemorrhagic Fever (DHF) pada pediatrik umumnya untuk menginformasikan adanya Efusi Pleura pada paru-paru. Di Instalasi Radiologi Rumah Sakit Graha Juanda kasus ini hanya menggunakan proyeksi AP dan RLD saja. Tujuan penelitian ini untuk menjelaskan bagaimana prosedur pemeriksaan thorax pada kasus Dengue Haemorrhagic Fever, alasan menggunakan proyeksi AP dan RLD, dan saat pasien di miringkan ke kanan selama 5 menit. Penelitian ini berupa studi kasus dengan deskriptif kualitatif, melalui pengamatan langsung di lapangan. Metode pengambilan data yaitu menggunakan data primer dengan kasus dengue haemorrhagic fever pada pediatrik, peneliti mengambil subjek 3 tahun dengan pemeriksaan thorax pada kasus Dengue Haemorrhagic Fever proyeksi AP dan RLD. Hasil penelitian yang terlihat pada subjek adalah adanya Efusi Pleura yang merupakan salah satu indikasi yang paling sering ditemukan pada kasus Dengue Haemorrhagic Fever. Hasil ekspertise pada pemeriksaan radiografi tampak batasan cairan dan udara yang terlihat jelas di daerah paru-paru pasien