Bina Generasi - Jurnal Kesehatan
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EVALUASI PELAKSANAAN PROGRAM KEBIJAKAN PELAYANAN OBSTETRI NEONATAL EMERGENSI KOMPREHENSIF (PONEK) DI RSUD MAJENE KABUPATEN MAJENE
Get PDFBackground Maternal and infant mortality rates are still a major regional government's homework, especially for major health workers. In accordance with December 2016 data, the infant mortality rate is 62 people and the mother is 8 people. Maternal mortality cases in Majene Regency in 2018 experienced a significant increase. The amount reaches up to 50 percent. The purpose of this study was to evaluate the implementation of the policy program of the compherensive emergency neonatal obstetric sarvices (CENOS) at Majene General Hospital based on inputs, processes and outputs. MethodeThe research was descriptive in character with the phenomenological approach using triangulation techniques. The total samples comprised 18 person as the informants. The data collection used the techniques of observation, interviews, and documentation. The data were analyzed using qualitative analysis. The research results revealed that at the input stage the availability of the health workers was still inadequate according to the standard number of CENOS force-only 16 of the 29 were available. As for the facilities, the rooms, beds, and WC were still inadequate. Besides, same of the CENOS technical equipments, such as the minimum pipes, injection instruments, and electric pumps were not yet available. Even the opportunities for the CENOS workers to join the CENOS training were still minimum. However, at the process stage, the emergency services carried out to the mother and baby were less than 30 minutes. Also, the CENOS implementation had always used the manual of the CENOS SOP of Majene Local General Hospital as reference. As for the constraints faced in implementing the CENOS SOP were the lacks of the supporting facilities of CENOS program. At the output stage, it was found that MMR and IMR had decreased, though there were still some of the community members preferred to give birth with the shamans rather than in hospitals. The conclusion of this study shows that the CENOS services in the hospital are not optimal due to the constraints of PONEK skills and facilitie
ANALISIS PENGARUH FAKTOR-FAKTOR BEBAN KERJA TERHADAP KINERJA TENAGA KESEHATAN PADA MASA PANDEMI COVID-19 DI WILAYAH KERJA PUSKESMAS SALOTUNGO KABUPATEN SOPPENG
Get PDFPuskesmas is a Community Health Center that organizes public health efforts and first-level individual efforts. To improve the performance of health workers so that they can provide maximum service, of course it is influenced by the workload they feel. The aim of this research is to analyze the influence of Workload on the Performance of Health Workers During the Covid-19 Pandemic in the Working Area of the Salotungo Health Center, Soppeng Regency. This research uses a design. Observational Cross Sectional Study with a sampling technique using the total sampling method with a total sample of 73 respondents. Based on the research results, it was found that motivation with ρ 0.001 and work environment with ρ 0.010 had an effect on the performance of health workers during the Covid-19 pandemic in the Salotungo Community Health Center work area. Soppeng Regency, while age with ρ 0.084, gender with ρ 0.243, perception with ρ 0.200, task load with ρ 0.547 and work organization with ρ 0.624 have no influence. Based on multivariate analysis, motivation is the most influential variable
KORELASI HbA1c DAN GULA DARAH PUASA TERHADAP RASIO TG/HDL-K PASIEN DIABETES MELLITUS TIPE 2 BERETNIS JAWA
Get PDFBackground : Most of the causes of death in type 2 Diabetes Mellitus (T2DM) are coronary heart disease (CHD) with dyslipidemia as one of its risk factors. The best marker for early detection of dyslipidemia is the ratio of triglycerides to high-density lipoprotein cholesterol (TG/HDL-C). In T2DM patients, glycemic control in the form of Fasting Blood Sugar (GDP) and HbA1c can be done to avoid the risk of CHD. This study aims to identify the correlation of Hba1c and GDP with the ratio of TG/HDL-K in T2DM patients with Javanese ethnicity.Methods : This research was a cross sectional study involving 107 respondents from several health centers in Semarang City with consecutive sampling method. GDP, HbA1c, and TG/HDL-K ratio were obtained from medical records. Spearman correlation statistical test was used with a significance value of p <0.05. Results: The average HbA1c (7.86 ±1.97%), GDP (160.36± 76.82gr/dL), and the TG/HDL-K ratio (3.50± 2.22) exceeded the normal number. There was a weak significant correlation between GDP and the TG/HDL-K ratio (p=0.020; r=0.224) and there was no correlation between HbA1c and the TG/HDL-K ratio (p=0.549; r=0.059) in T2DM patients with Javanese ethnicity.Conclusion: The GDP of Javanese T2DM patients is weakly correlated with the TG/HDL-K ratio but not with HbA1c. Glycemic control is needed as an early marker of CHD risk in T2DM.
 
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN PERNIKAHAN DINI DI WILAYAH KERJA PUSKESMAS KAJUARA KABUPATEN BONE
Get PDFEarly marriage is marriage for teenagers under the age of 20 who should not be ready for marriage. Early marriage in the era of globalization now occurs in urban areas and does not deny that it is more prevalent in rural areas. Teenagers who marry young tend to be more difficult when it comes to adjusting and tend to be jealous of their friends and environment. This indicates that young married teenage couples will find emotional distress between them. Early marriage that occurs under the age of 19 years in a state of mental immaturity of a teenager will affect the acceptance of pregnancy in fact, minors cannot understand about sex and what its purpose is. This study aims to analyze the factors associated with early marriage in the working area of the Kajuara Health Center, Bone district. The type of research used is analytical observational research with a cross sectional study approach with the intention of knowing the relationship between one variable and another. This research has been carried out from July to August 2023. The population in this study was all married couples who married underage in the working area of the Kajuara Kbaupaten Bone Health Center as many as 40 respondents. The sampling technique is purposive sampling. The results of this study show that there is a mass media relationship, with early marriage obtained pvalue = 0.020. There is a relationship between education and early marriage pvalue = 0.000. There is a relationship between social environment and early marriage pvalue = 0.025.. It is hoped that the results of this study can be suggested to local health workers should further increase socialization to Kelurahan or Village in order to increase counseling on reproductive health in adolescents related to early marriag
PENGARUH KONSELING CALON PENGANTIN TERHADAP KEPATUHAN IBU DALAM MELAKUKAN PEMERIKSAAN KEHAMILAN SESUAI STANDAR DI PUSKESMAS BANGGAE I MAJENE
Get PDFInterventions in reducing maternal mortality rates and infant mortality rates are not only carried out on pregnant women but must begin before pregnancy, namely on the prospective bride and groom by providing communication, information, education and reproductive health counseling as well as examinations for future bride and groom. Pre-marital counseling is a process of providing assistance by a professional to prospective husband and wife before carrying out marriage and providing provisions and instructions so that they can form a happy household life. The results of an initial study at Banggae 1 community Health centers on January-December 2022, 180 future bride and groom were counseled. Where among them who checked the pregnancy according to standards (KI) as many as 102 people, while the rest were not according to standards. This shows that there are still many future bride and groom who do not have standardized pregnancy checks. Based on these problems, the researcher is interested in examining how the influence of counseling of future bride and groom on mother's compliance in standardized prenatal checks. The purpose study is to determine the effect of counseling prospective brides on mother's compliance in standardized prenatal checks at Banggae 1 community Health centers. This study is quantitative method with a cross sectional study approach. It will be carried out in May 2023 with a population of 119 pregnant women who visited to Banggae 1 Majene Community Health Centers on January-April 2023 and sample of 54 people. The results showed that out of 54 respondents, 10 were in the category of respondents who did not receive counseling, while those who received counseling were 44 respondents. The conclusion is that there is an influence of prospective bride and groom counseling on mother's compliance in carrying out standard pregnancy checks at Banggae 1 Majene community Health centers
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN STUNTING DI WILAYAH KERJA PUSKESMAS BAJO BARAT
Get PDFBackground: Stunting is a nutritional problem experienced by toddlers with a height characteristic that is less than the height index of toddlers 2-5 years. Stunting can have an impact on children's health and intelligence. Objective: To see the factors related to stunting in toddlers aged 24-59 months in the Bajo Barat region. Methods: Using an analytical survey with a cross sectional study approach. The population is 83 with a sample of 45. Probability sampling is used as a sampling technique and Slovin's formula is used to determine sample size.. Collecting data by distributing questionnaires. The data was processed using SPSS version 25 and analyzed by univariate and bivariate with chi-square statistical test and presented in the form of frequency distribution table and analysis. Results: Bivariate analysis found the relationship between exclusive breastfeeding and stunting cases (ρ-Value = 0.003), education level with the incidence of Stunting ( -Value = 0.003 ) and Family Income with the incidence of Stunting ( -Value = 0.000). Conclusion: There is a relationship between exclusive breastfeeding, education level and family income with the incidence of stunting in toddlers aged 24-59 months in the Puskesmas Bajo Barat work are
PREDIKSI PENYAKIT CARDIOVASKULER DAN PEMBULUH DARAH BERDASARKAN CARTA PREDIKTION DI KECAMATAN BANGGAE
Get PDFAtherosclerotic cardiovascular disease is a disease caused by plaque buildup on the artery walls, causing functional, anatomical and hemodynamic disorders of the heart and blood vessels. This research was carried out at the Lembang Health Center and the Banggae II Health Center, Majene Regency.Objective : This study was to determine the prevalence of cardiovascular disease in the next 10 years at Lembang Health Center and Banggae II Health Center. Methods: This research is a descriptive study with Non Probability Sampling with Accidental Sampling method. The samples obtained in this study were as many as 80 respondents. Data were analyzed using a computer. Results: The study found that the risk of cardiovascular disease in the next 10 years based on the chart was at most <10% as many as 23 people or 57.5% for Lembang Health Center and 25 people or 62.2% for Bangge II Health Center. And at least 40% as many as 2 people or 5% for Puskesmas Lembang and 3 people or 7.5% for Puskesmas Banggae II. Conclusion: It is hoped that the relevant agencies need to continue to provide health education to the patient's family to maintain and increase the level of knowledge about the importance of avoiding the risk of cardiovascular disease
KORELASI TINGKAT PENGETAHUAN TERHADAP KEMAMPUAN DETEKSI DINI GEJALA STROKE DENGAN SIKAP KELUARGA TERHADAP PENANGANAN PRE HOSPITAL
Get PDFStroke is a real cause of death and disability worldwide. Stroke is the second leading cause of death in the world and the leading cause of severe long-term disability. Between 1990 and 2019, the incidence of stroke increased by 70%. In Indonesia, stroke occupies the first position in the group of degenerative diseases after heart disease and malignancy which are the deadliest diseases in Indonesia. Stroke is one of the most expensive diseases, costing health services Rp 2.56 trillion in 2018. Stroke is a functional brain disorder that appears suddenly with focal and global clinical signs and symptoms, lasts more than 24 hours, and can be fatal. in the absence of any other apparent cause other than vascular. In UPTD RSU Negara, the incidence of stroke increases by the end of 2021 is the case of inpatient care in UPTD RSU Negara as 550 people and outpatient in UPTD RSU Negara as many as 1550 people. The purpose of this study was to determine the knowledge and attitude of the family on the ability of early detection of stroke. This research method using descriptive method of analysis with crossectional approach by using questioner and then processed data using chi squere test. The sample in this research is 40 people. The result of the statistical test in obtaining the result between the knowledge of the family on the ability of early detection in stroke patient P Value = 0,011 (P> α), it can be concluded there is correlation of knowledge to the ability of early detection with value (P = 0.011 OR = 3,927). Based on statistical test result between family attitudes toward the ability of early detection (sign and symptom) got result P value = 0,186 (P <α) this show that there is no relation between family attitude with ability of early detection in stroke patient in UPTD RSU Negara tahun 2022. Suggestions in this study can be used as input for the hospital in order to improve health service and able to increase promotive effort by giving education of stroke attack to the family.
 
HUBUNGAN TINGKAT STRES DENGAN PRESTASI BELAJAR MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS TARUMANAGARA ANGKATAN 2019 DAN 2020
Get PDFStres adalah bagian alami dan penting dari kehidupan, tetapi jika kuat dan berlarut-larut dapat merusak kesehatan. Selain itu, dapat menganggu akitivitas sehari-hari, salah satunya akitivitas belajar. Penelitian ini bertujuan untuk mengetahui prevalensi stres, depresi, dan kecemasan pada mahasiswa Fakultas Kedokteran Universitas Tarumanagara angkatan 2019 dan 2020 dan untuk mengetahui hubungan prestasi akademik antara mahasiswa yang mengalami stres, depresi, dan kecemasan dan tidak mengalami stres, depresi, dan kecemasan di Universitas Tarumanagara Angkatan 2019 dan 2020. Metode yang digunakan dalam penelitian ini adalah desain cross sectional. Sampel pada penelitian ini adalah mahasiswa Fakultas Kedokteran Universitas Tarumanagara angkatan 2019 dan 2020 dengan total sampel sebanyak 200 responden. Pengumpulan data berupa kuesioner dan data yang diperoleh dianalisis menggunakan statistik dengan uji chi-square. Hasil penelitian menunjukkan bahwa prevalensi tingkat stres mahasiswa dalam penelitian ini sebesar 178 orang (89%). Hasil analisis chi-square didapatkan nilai p (0,120) yang menunjukkan bahwa tidak terdapat hubungan antara tingkat stres dengan prestasi belajar mahasiswa
THE RELATIONSHIP BETWEEN SMOKING BEHAVIOR AND SELF-CONFIDENCE IN ADOLESCENT VOCATIONAL SCHOOL STUDENTS
Get PDFSmoking behavior is a function of both the environment and the individual, which means that smoking behavior is not only caused by internal factors, but also by environmental factors. Furthermore, smoking behavior in adolescents is a symbolic behavior that represents leadership maturity and opposite-sex attractiveness. After China and India, Indonesia has the third-highest number of smokers in the world. When a boy has a positive relationship with adults that makes him feel understood, valued, and wanted, and when he feels supported so that he excels in school, he becomes competent and confident. Similarly, a girl learns to socialize and face the future with confidence and courage as a result of her various attachments. The goal of this study is to determine whether there is a correlation between smoking and self-confidence among vocational students. This research used a cross-sectional, observational, analytic methodology. 13 individuals (19.1%) had a positive smoking behavior status with strong self-confidence, while 36 individuals (52.9%) had a negative smoking behavior status. Based on the chi-square test, the p-value was found to be 0.001: 0.05, indicating a link between smoking behavior and self-confidence. The majority of teenage males' smoking behavior is bad, and the majority of male self-confidence falls into the category of low self-esteem. There is a correlation between vocational students' smoking behavior and their confidence