Jurnal Health Sains (JHS)
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Pengaruh Peran Kepala Unit dan Beban Kerja terhadap Budaya Keselamatan Pasien Melalui Implementasi Handover Perawat-Farmasi
The application of patient safety culture is one of the hospital's efforts in keeping patients from experiencing unexpected events. This study uses a quantitative approach with a causal design research design using a variant-based VB-SEM, PLS (Partial Least Square), aimed at analyzing influences that can improve the cultural values of patient safety in hospitals. The study used a saturated sample of 77 people (room nurse staff and pharmacy). The results of this study showed that there was a positive influence on the role of the head of the unit on the culture of patient safety, the negative influence of workload on patient safety culture, the positive influence of the implementation of nurse-pharmacy handovers on patient safety culture, the positive influence of the role of the head of the unit on the implementation of nurse-pharmacy handovers.positive influence of the role of the head of the unit on the patient safety culture through the implementation of nurse-pharmacy handover as an intervening variable, where the results of tstatistic>ttabel and probability (pvalue) measurements 0,000<0.05, and there is no negative influence of workload on the implementation of nurse-pharmacy handovers, and there is no negative influence of workload on patient safety culture through the implementation of nurse-pharmacy handovers as intervening variables where results are tstatistics<ttabel and probability (pvalue) >0.05. Based on the results of the study, the implications in this study show the influence of the role of the head of the unit on the culture of patient safety through the implementation of handovers as planners, organizing, military, directing and supervision in the implementation of effective and efficient handovers to improve patient safety in hospitalsPenerapan budaya keselamatan pasien merupakan salah satu upaya Rumah Sakit dalam menjaga pasien untuk tidak mengalami kejadian yang tidak diharapkan. Penelitian ini menggunakan pendekatan kuantitatif dengan rancangan penelitian desain kausal menggunakan VB-SEM berbasis varian yakni PLS (Partial Least Square), bertujuan untuk menganalisa pengaruh yang dapat meningkatkan nilai-nilai budaya keselamatan pasien di rumah sakit. Penelitian ini menggunakan sampel jenuh 77 orang (staf perawat ruangan dan farmasi). Hasil penelitian ini menunjukkan terdapat pengaruh positif peran kepala unit terhadap budaya keselamatan pasien, pengaruh negatif beban kerja terhadap budaya keselamatan pasien, pengaruh positif implementasi handover perawat-farmasi terhadap budaya keselamatan pasien, pengaruh positif peran kepala unit terhadap implementasi handover perawat-farmasi, pengaruh positif peran kepala unit terhadap budaya keselamatan pasien melalui implementasi handover perawat-farmasi sebagai variabel intervening, dimana hasil pengukuran tstatistik>ttabel dan probabilitas (pvalue) 0.000<0.05, dan tidak terdapat pengaruh negatif beban kerja terhadap implementasi handover perawat-farmasi, serta tidak terdapat pengaruh negatif beban kerja terhadap budaya keselamatan pasien melalui implementasi handover perawat-farmasi sebagai variabel intervening dimana hasil tstatistik<ttabel dan probabilitas (pvalue) >0.05. Berdasarkan hasil penelitian maka implikasi dalam penelitian ini menunjukkan pengaruh peran kepala unit terhadap budaya keselamatan pasien melalui implementasi handover sebagai perencana, pengorganisasian, ketenagaan, pengarahan dan pengawasan dalam pelaksanaan handover yang efektif dan efisien guna meningkatkan keselamatan pasien di rumah saki
Insidentaloma Tiroid
Thyroid cancer is the most common type of endocrine cancer. Thyroid cancer begins with the formation of nodule in the thyroid gland. Thyroid nodule is frequently discovered incidentally during physical examination and by anatomic or functional imaging (incidentaloma). The aim of thyroid scintigraphy in the evaluation of thyroid nodule is to determine the functional status of the thyroid nodule which will impact its management options. The risk of malignancy is low in a functional thyroid nodule. A 65-year-old woman was admitted with complaints of shortness of breath, difficulty in swallowing, and low voice. On physical examination, a nodule was found in the inferior part of the left thyroid gland with a size of approximately 4 cm. Multiple lymphadenopathies was also palpable in the bilateral jugular and supraclavicular areas. Ultrasound imaging showed an image of thyroiditis, then the thyroid scintigraphy and SPECT/CT was done using radiopharmaceutical Tc-99m Pertechnetate which showed an image of a functional nodule that was pressing against the trachea. Histopathological examination using fine needle aspiration biopsy with ultrasound guidance yielded papillary thyroid carcinoma. The risk of malignancy in functional nodule is very low but we should aware of malignancy if the assessment of risk stratification is high. Integrated planar and SPECT/CT of thyroid scintigraphy has an incremental value to predict thyroid cancer in patient who have a high risk of malignancy.Kanker tiroid merupakan kanker endokrin yang paling sering ditemui. Kanker tiroid diawali dengan terbentuknya nodul pada kelenjar tiroid. Nodul tiroid sering ditemukan secara kebetulan pada pemeriksaan fisik dan pada saat pencitraan anatomi maupun fungsional (insidentaloma). Sidik tiroid merupakan modalitas untuk menentukan status fungsional nodul tiroid tersebut. Keganasan tiroid sangat jarang terjadi pada nodul fungsional. Wanita 65 tahun dengan diagnosis suspek kanker paru yang bermetastasis ke tiroid dan hati, mengeluh sesak napas, sulit menelan, dan terjadi perubahan suara. Ditemukan nodul di tiroid kiri dengan ukuran ≤ 4 cm dan teraba adanya limfadenopati bilateral area jugular dan supraclavicular. Citra ultrasonografi menunjukkan gambaran tiroiditis, dari sidik tiroid SPECT/CT dengan menggunakan radiofarmaka Tc-99m Pertechnetate memberikan gambaran nodul fungsional yang sudah mendesak trakea. Dari hasil pemeriksaan FNAB memberikan hasil karsinoma tiroid papiler. Meskipun keganasan pada nodul fungsional sangat kecil namun keganasan tetap perlu dicurigai jika dari penilaian stratifikasi risiko menunjukkan risiko tinggi. Pencitraan sidik tiroid dengan SPECT/CT mempunyai nilai tambah dalam penegakkan diagnosis pada pasien yang memiliki risiko tinggi keganasa
Hubungan Kadar Hemoglobin Ibu Hamil dengan Berat Bayi Lahir (Literature Review)
Lack of hemoglobin (Hb) levels in pregnant women is a health problem that often occurs during pregnancy. A hemoglobin (Hb) level of less than 11 g/dl can indicate that pregnant women suffer from anemia. Anemia in pregnant women can increase the risk of giving birth to babies with low birth weight (LBW), the risk of bleeding before and during delivery, and can even cause death of the mother and baby if the mother has severe anemia. The purpose of this study was to determine the relationship between pregnant women's Hb levels and birth weight. This research was conducted by conducting a literature review from research journals related to the research topic, namely the relationship between Hb levels in pregnant women and birth weight. Based on literature studies from several studies, it can be concluded that low hemoglobin levels in pregnant women can increase the risk of having a low birth weight baby (LBW) because blood flow to the uterus is reduced, thereby blocking the flow of oxygen and nutrients to the placenta and fetus. However, in other studies, it can also be concluded that in addition to lack of hemoglobin levels in pregnant women, there are several other factors that can affect the occurrence of LBW such as severe illness, pregnancy complications, malnutrition, and stress conditions in pregnant womenKekurangan kadar hemoglobin (Hb) pada ibu hamil menjadi permasalahan kesehatan yang banyak terjadi selama kehamilan. Kadar hemoglobin (Hb) yang kurang dari 11 g/dl dapat menggambarkan bahwa ibu hamil menderita anemia. Anemia pada ibu hamil dapat memyebabkan peningkatan resiko melahirkan bayi dengan berat badan lahir rendah (BBLR), risiko perdarahan sebelum dan selama persalinan, bahkan dapat menyebabkan kematian ibu dan bayi jika ibu mengalami anemia berat. Tujuan Penelitian ini untuk mengetahui hubungan kadar Hb ibu hamil dengan berat badan lahir. Penelitian ini dilakukan dengan melakukan kajian literatur yang berasal dari jurnal penelitian yang terkait dengan topik penelitian yaitu hubungan kadar Hb pada ibu hamil dengan berat bayi lahir. Berdasarkan studi literatur dari beberapa penelitian dapat disimpulkan bahwa kadar hemoglobin yang kurang pada ibu hamil dapat menambah risiko mendapatkan bayi berat lahir rendah (BBLR) karena aliran darah ke rahim berkurang, sehingga menghalangi aliran oksigen dan nutrisi ke plasenta dan janin. Tetapi pada penelitian lain juga dapat disimpulkan bahwa selain kekurangan kadar hemoglobin pada ibu hamil, ada beberapa faktor lainnya yang dapat mempengaruhi terjadinya BBLR seperti sakit berat, komplikasi kehamilan, kurang gizi, dan keadaan stress pada ibu hamil
Perbedaan Derajat Keparahan Penyakit Berdasarkan Skor Psoriasis Area and Severity Index (PASI) Terhadap Profil Lipid pada Psoriasis Vulgaris
Psoriasis vulgaris is a chronic systemic autoimmune disease that affects skin, joint, nail and other organ with clinical manifestation well-defined erythematous plaques with thick silvery scales. Psoriasis vulgaris is associated with dyslipidemia include elevated level of total cholesterol, LDL and triglyceride serum and decreased HDL serum levels. Psoriasis Area and Severity Index (PASI) is an examination to assess the severity of psoriasis vulgaris and mostly used in clinical practice and research. Purpose: To determine differences in disease severity based on PASI scores on lipid profiles in psoriasis vulgaris patients. Methods: This research is an observational analytic study with cross sectional research design conducted at Dr. Moewardi General Hospital Surakarta from February to March 2022. The total number of subjects was 25 patients with psoriasis vulgaris. All data were analyzed using SPSS version 21 application (IBM Corp. Chicago, USA). Bivariate analysis with parametric independent T test and Mann-Whitney test were used to determine the differences of total cholesterol, LDL, triglyceride and HDL serum level between PASI <10 and PASI ≥10 with p<0,05 considered significant. Results: Patients with PASI <10 had mean value of total cholesterol levels 187,53±26,39, LDL levels 128,24±28,37, triglyceride levels 115,88±61,74 and HDL levels 46,29±11,98 while in patients with PASI ≥10 had value of total cholesterol levels 218,75±34,92 (p=0,020), LDL levels 145,63±35,76 (p=0,201), triglyceride levels 201,88±158,04 (p=0,215) and HDL levels 44,13±11,36 (p=0,672). There is a significant difference between the severity of the disease based on the PASI score on total serum cholesterol levels in psoriasis vulgaris patients. Conclusion: There was a significant difference between PASI score <10 and PASI score ≥10 on total serum cholesterol levels in patients with psoriasis vulgaris.Psoriasis vulgaris dikaitkan dengan komplikasi dislipidemia yaitu kadar kolesterol total, LDL dan trigliserida serum yang meningkat serta kadar HDL serum yang menurun. psoriasis area and severity index (PASI) merupakan pemeriksaan untuk menilai derajat keparahan psoriasis vulgaris yang paling sering digunakan baik pada praktik klinis maupun penelitian. Mengetahui perbedaan derajat keparahan penyakit berdasarkan skor PASI terhadap profil lipid pada pasien psoriasis vulgaris. Penelitian ini merupakan penelitian analitik observasional dengan rancangan penelitian cross sectional yang dilakukan di RSUD Dr. Moewardi Surakarta dari bulan Februari hingga Maret 2022. Jumlah total subjek adalah 25 pasien dengan psoriasis vulgaris. Data kemudian dianalisis menggunakan aplikasi SPSS versi 21 (IBM Corp. Chicago, USA). Analisis bivariat dengan uji parametrik uji t independent dan uji Mann-Whitney digunakan untuk menentukan perbedaan kadar kolesterol total, LDL, trigliserida dan HDL serum antara skor PASI <10 dengan skor PASI ≥10 dengan p<0,05 dianggap signifikan secara statistik. Pasien psoriasis vulgaris dengan skor PASI <10 memiliki kadar kolesterol total dengan nilai rerata 187,53±26,39, kadar LDL dengan nilai rerata 128,24±28,37, kadar trigliserida dengan nilai rerata 115,88±61,74 dan kadar HDL dengan nilai rerata 46,29±11,98 sedangkan pada pasien dengan skor PASI ≥10 didapatkan kadar kolesterol total dengan nilai rerata 218,75±34,92 (p=0,020), kadar LDL dengan nilai rerata 145,63±35,76 (p=0,201), kadar trigliserida dengan nilai rerata 201,88±158,04 (p=0,215) dan kadar HDL dengan nilai rerata 44,13±11,36 (p=0,672). Terdapat perbedaan yang signifikan antara derajat keparahan penyakit berdasarkan skor PASI terhadap kadar kolesterol total serum pada pasien psoriasis vulgaris. Terdapat perbedaan yang signifikan antara skor PASI <10 dengan skor PASI ≥10 terhadap kadar kolesterol total serum pada pasien dengan psoriasi vulgaris
HUBUNGAN STATUS GIZI BALITA DAN PERKEMBANGAN ANAK BALITA DI KELURAHAN LILIBA KECAMATAN OEBOBO
Latar belakang: Status gizi anak disebabkan oleh beberapa faktor. Secara umum dipengaruhi oleh dua faktor yakni asupan makanan dan kesehatan. Konsumsi pangan meliputi zat gizi dalam makanan, baik yang di makan dalam keluarga maupun makanan olahan, daya beli keluarga dan kebiasaan makan, persediaan makanan di rumah, kemiskinan, kurang pendidikan, kurang ketrampilan dan krisis ekonomi. karena kekurangan nutrisi pada masa ini akan menyebabkan kerusakan yang permanen dan bisa berdampak pada perkembangan otak. Tujuan Penelitian: untuk mengetahui status gizi pada masa balita dan pengetahuan orangtua dalam memberikan makanan bergizi pada anaknya, Metode Penelitian: Penelitian ini menggunakan metode kuantitatif dengan desain Cross Sectional Study (studi potong lintang). Hasil Penelitian: dari penelitian ini data karateristik responden diambil berdasarkan umur balita, jenis kelamin balita, pendidikan dan pekerjaan ibu balita.Status gizi balita di Kelurahan Liliba 13 orang balita yang perkembangan meragukan berada pada status gizi lebih 2 orang (2,4%), gizi baik 8 orang (9,8%).Latar belakang: Status gizi anak disebabkan oleh beberapa faktor. Secara umum dipengaruhi oleh dua faktor yakni asupan makanan dan kesehatan. Konsumsi pangan meliputi zat gizi dalam makanan, baik yang di makan dalam keluarga maupun makanan olahan, daya beli keluarga dan kebiasaan makan, persediaan makanan di rumah, kemiskinan, kurang pendidikan, kurang ketrampilan dan krisis ekonomi. karena kekurangan nutrisi pada masa ini akan menyebabkan kerusakan yang permanen dan bisa berdampak pada perkembangan otak. Tujuan Penelitian: untuk mengetahui status gizi pada masa balita dan pengetahuan orangtua dalam memberikan makanan bergizi pada anaknya, Metode Penelitian: Penelitian ini menggunakan metode kuantitatif dengan desain Cross Sectional Study (studi potong lintang). Hasil Penelitian: dari penelitian ini data karateristik responden diambil berdasarkan umur balita, jenis kelamin balita, pendidikan dan pekerjaan ibu balita.Status gizi balita di Kelurahan Liliba 13 orang balita yang perkembangan meragukan berada pada status gizi lebih 2 orang (2,4%), gizi baik 8 orang (9,8%)
THE EFFECT OF WORKING TIME AND NURSE ANXIETY LEVEL ON PATIENT SAFETY WITH EMOTIONAL INTELLIGENCE AS A MEDIATION VARIABLE AT DR SITANALA HOSPITAL
This study aims to determine the effect of working period and the level of anxiety of nurses on patient safety during the Covid-19 pandemic with the emotional intelligence of nurses as a mediating variable at RSUP DR Sitanala. The research methodology uses a quantitative approach and the analytical method used is the three box method and Path Analysis. Sampling technique using a total sampling of 190 respondents. The results of the study showed: the nurse's tenure has an influence on the emotional intelligence of nurses; nurses' anxiety level has an influence on nurses' emotional intelligence; nurses' tenure has an influence on patient safety; nurses' anxiety level has an influence on patient safety; nurses' emotional intelligence has an influence on patient safety; emotional intelligence variable is not a mediating variable between tenure and patient safety; emotional intelligence variable is not a mediating variable between the level of anxiety and patient safety. The findings of this study are that emotional intelligence is not a mediating variable between tenure and patient safety and emotional intelligence is not a mediating variable between anxiety levels and patient safety. Variable working period and level of anxiety have a significant effect on patient safety. The managerial implication of this research is an increase in religious activities to form emotional bonds in nurses so that they behave calmly and patiently, increase insight by strengthening training programs and refreshment of knowledge so that the application of patient safety goals can be handled properly and sustainably.This study aims to determine the effect of working period and the level of anxiety of nurses on patient safety during the Covid-19 pandemic with the emotional intelligence of nurses as a mediating variable at RSUP DR Sitanala. The research methodology uses a quantitative approach and the analytical method used is the three box method and Path Analysis. Sampling technique using a total sampling of 190 respondents. The results of the study showed: the nurse's tenure has an influence on the emotional intelligence of nurses; nurses' anxiety level has an influence on nurses' emotional intelligence; nurses' tenure has an influence on patient safety; nurses' anxiety level has an influence on patient safety; nurses' emotional intelligence has an influence on patient safety; emotional intelligence variable is not a mediating variable between tenure and patient safety; emotional intelligence variable is not a mediating variable between the level of anxiety and patient safety. The findings of this study are that emotional intelligence is not a mediating variable between tenure and patient safety and emotional intelligence is not a mediating variable between anxiety levels and patient safety. Variable working period and level of anxiety have a significant effect on patient safety. The managerial implication of this research is an increase in religious activities to form emotional bonds in nurses so that they behave calmly and patiently, increase insight by strengthening training programs and refreshment of knowledge so that the application of patient safety goals can be handled properly and sustainably
Hubungan Usia, Pengambilan Keputusan KB dan Sumber Informasi KB dengan Penggunaan Metode Kontasepsi Jangka Panjang Pada Wanita Usia Subur Pascasalin Di Indonesia (Analisis Data SDKI 2017)
The low use of long-term contraceptive methods, especially in postpartum mothers, is caused by various factors. Postpartum family planning is a family planning service that is given after giving birth for up to 6 weeks, carried out in health care facilities carried out by professional health workers, namely specialist doctors, general practitioners and midwives. Efforts to improve family planning services, especially postpartum, are considered the right strategy because the coverage of ANC services and delivery coverage by health workers is quite high. Policies regarding family planning lead to the use of long-term contraceptive methods. This study discusses the relationship between age, family planning decision making and family planning information with the use of long-term contraceptive methods in postpartum women in Indonesia by analyzing secondary data from the 2017 IDHS. This study is a quantitative study. Cross sectional research design, with univariate and bivariate analysis. The sample in this study were women of childbearing age postpartum in Indonesia. The results of the study were that most of the respondents used the Non long-term contraceptive methods method, namely 80.2%. Most of the respondents are 15-34 years old; most of the respondents make decisions on the use of shared family planning and most of the respondents get family planning information from non-health workers. There is a relationship between age, family planning decision makers and sources of family planning information and the use of long-term contraceptive methods in postpartum mothers in Indonesia. The need for postpartum family planning counseling that involves the husband using easy-to-understand media. Increased knowledge about family planning in postpartum mothers through IEC is expected to be better so that it will affect the increase in the number of postpartum long-term contraceptive methods useRendahnya penggunaan metode kontrasepsi jangka panjang terutama pada ibu pascasalin disebabkan oleh berbagai macam faktor. KB pascasalin adalah pelayanan KB yang diberikan setelah melahirkan sampai 6 minggu, dilaksanakan di fasilitas pelayanan kesehatan yang dilakukan oleh tenaga kesehatan professional yaitu dokter spesialis, dokter umum dan bidan. Upaya peningkatan pelayanan KB khususnya pascasalin dinilai merupakan strategi yang tepat karena cakupan layanan ANC dan cakupan persalinan oleh tenaga kesehatan cukup tinggi. Kebijakan mengenai KB mengarah pada penggunaan metode kontrasepsi jangka panjang. Penelitian ini membahas hubungan usia, pengambilan keputusan KB dan infomasi KB dengan penggunaan MKJP pada wanita pascasalin di Indonesia dengan menganalisis data sekunder SDKI 2017. Penelitian ini adalah penelitian kuantitatif Desain penelitian cross sectional, dengan analisis univariat dan bivariate. Sampel dalam penelitian ini adalah wanita usia subur pascasalin di Indonesia Hasil penelitian yaitu sebagian besar responden menggunakan metode Non MKJP yaitu 80,2%. Sebagian besar responden berusia 15-34 tahun; sebagian besar responden melakukan keputusan penggunaan KB bersama dan sebagian besar responden mendapatkan informasi KB dari bukan tenaga kesehatan. Terdapat hubungan antara usia, pengambil keputusan KB dan sumber informasi KB dengan penggunaan MKJP pada ibu pascasalin di Indonesia. Perlunya konseling KB pascasalin yang melibatkan suami dengan menggunakan media yang mudah dimengerti. Peningkatan pengetahuan mengenai KB pada ibu pascasalin melalui KIE diharapkan menjadi lebih baik sehingga akan mempengaruhi peningkatan jumlah penggunaan MKJP pascasalin
IMPLEMENTASI FRAMEWORK PADA PEMERIKSAAN ANTIBODI COVID 19 DI UNIT PELAKSANA TEKNIS LABORATORIUM KESEHATAN KOTA BANDUNG
Examination of antibodies to Severe Acute Respiratory Syndrome using point-of-care immunodiagnostics has a sensitivity and specificity value of less than 95%. This study aims to determine the implementation of the framework for the examination of Covid-19 antibodies in the Technical Implementation Unit of the Bandung City Health Laboratory. Research method: This study uses a descriptive approach, explanatory, cross sectional research time with experimental quantitative methods. From the implementation of the framework for the examination of Covid-19 antibodies, it is well illustrated, indicated by high validity with a value of 0.830 > 0.30 for GB reagent, 0.983 > 0.30 and high reliability with a value of 0.860 > 0.50 for GB reagent, 0.989 > 0, 50 for the four reagents used in the Technical Implementation Unit of the Bandung City Health Laboratory, namely Bio reagent, Zy reagent, Abbt reagent. The results of the Framework Implementation on the Antibody Examination of Covid 19 for 3 reagents are not good and 4 reagents can be said to have good reliability and high reagent reliability Coronavirus Disease 2019 (Covid 19) is caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). SARS-CoV-2 is a new type of coronavirus that has never been previously identified in humans. There are at least two types of coronavirus that are known to cause diseases that can cause severe symptoms such as Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS).Coronavirus Disease 2019 (Covid 19) disebabkan oleh Severe Acute Repiratory Syndrome Coronavirus 2 (SARS-CoV-2). SARS-CoV-2 merupakan coronavirus jenis baru yang belum pernah diidentifikasi sebelumnya pada manusia. Ada setidaknya dua jenis coronavirus yang diketahui menyebabkan penyakit yang dapat menimbulkan gejala berat seperti Middle East Respiratory Syndrome (MERS) dan Severe Acute Respiratory Syndrome (SARS) (Direktorat Jenderal P2P,2020).
Variabel independen disebut sebagai variabel stimulus, predictor, antecendent atau variabel bebas merupakan variabel yang mempengaruhi atau yang menjadi sebab perubahan atau timbulnya variabel dependen (terikat) (Sugiono, Mitha, 2020), variabel independen dalam penelitian ini adalah Lima Reagen Rapid Diagnostic Test Covid 19.
Variabel dependen disebut variabel output, kriteria, konsekuen, atau sebagai variabel terikat merupakan variabel yang dipengaruhi atau yang menjadi akibat, karena adanya variabel bebas (Sugiono, Mitha, 2020). Variabel dependen dalam penelitian ini adalah Hasil pemeriksaan IgG dan IgM SARS CoV-19.
 
Monitoring Baby's Motor Development Through Android-Based Baby GYM Application
Background: The process of growth and development of neonates requires a sensory-motor stimulus, one of which is the ability of parents. In total, neonates still depend on the environment, especially the family as the first environment in their lives. Touch is one of the stimulation sensations in neonates that can be done at birth by parents or family.Baby Gym can stimulate and optimize baby's growth and development from an early age. Neonatal period has four aspects of development, namely, gross motor, fine motor, personal social, and language. Baby Gym can be done by parents or those closest to the baby, but it should be done by the mother, because the baby is used to the touch his mother does.Objective: This study aims to determine the baby's motor development through the baby gym application.Methods: This type of research is a quasi-experimental design with a pretest and posttest design with a control group design. The population taken in this study were mothers who had babies aged 3-12 months at the Puskesmas in the South Tangerang City area. The sample size for this study were 31 respondents in the intervention and control groups, so that the total sample was 62 people. The sampling technique in this study used the purposive sampling method. Data analysis using Wilcoxon and Man Whitney test and multivariate analysis using multivariate multiple logistic regression.Research Results: The Wilcoxon statistical test value showed that there was a significant difference in the average motor development before and after the baby gym application intervention was given to the mother (p value = 0.000). The results of the analysis using Mann Whitney found that there was a significant effect of using the baby gym application on the motor development of infants in the intervention group compared to the control group with p = 0.000 (p < 0.005).Conclusion: there is an effect of using the baby gym application on the baby's motor development. So as to provide recommendations for the use of the Baby gym application to help stimulate the development of the baby and also to establish affection between mother and baby.Latar Belakang: Proses pertumbuhan dan perkembangan neonatus diperlukan stimulus sensorik-motorik yang dipenuhi salah satunya dari kemampuan orang tua. Secara total neonatus masih bergantung pada lingkungan terutama keluarga sebagai lingkungan pertama dalam kehidupannya. Sentuhan merupakan salah satu sensasi stimulasi pada masa neonatus yang dapat dilakukan pada saat lahir yang dilakukan oleh orangtua atau keluarga.
Baby Gym dapat menstimulasi dan mengoptimalkan tumbuh kembang bayi sejak dini. Masa neonatus memiliki empat aspek perkembangan yaitu, motorik kasar, motorik halus, personal sosial, dan bahasa. Baby Gym dapat dilakukan oleh orangtua ataupun orang terdekat bayi, namun sebaiknya dilakukan oleh ibunya, karena bayi sudah terbiasa dengan sentuhan yang dilakukan ibunya.
Tujuan: Penelitian ini bertujuan untuk mengetahui perkembangan motorik bayi melalui aplikasi baby gym.
Metode: Jenis penelitian ini adalah quasi eksperiment dengan rancangan pretest dan posttest dengan kontrol grup desain. Populasi yang diambil pada penelitian ini adalah ibu yang memiliki bayi berumur 3-12 bulan di Puskesmas wilayah Kota Tangerang Selatan. Besar sampel untuk penelitian ini masing-masing 31 orang responden pada kelompok intervensi dan kontrol sehingga total sampel 62 orang. Teknik pengambilan sampel dalam penelitian ini menggunakan metode Purposive Sampling. Analisis data menggunakan uji wilcoxon dan man whitney dan analisis multivariat menggunakan multivariat multiple regresi logistik.
Hasil Penelitian: Nilai uji statistik wilcoxon menunjukkan bahwa terdapat perbedaan yang bermakna rerata perkembangan motorik sebelum dan sesudah diberikan intervensi aplikasi baby gym pada ibu (p value = 0.000). Hasil analisis menggunakan Mann Whitney didapatkan bahwa terdapat pengaruh yang signifikan penggunaan aplikasi baby gym terhadap perkembangan motorik bayi pada kelompok intervensi dibandingkan dengan kelompok kontrol dengan nilai p = 0.000 (p < 0,005).
Kesimpulan: aBackground: The process of growth and development of neonates requires a sensory-motor stimulus, one of which is the ability of parents. In total, neonates still depend on the environment, especially the family as the first environment in their lives. Touch is one of the stimulation sensations in neonates that can be done at birth by parents or family.Baby Gym can stimulate and optimize baby's growth and development from an early age. Neonatal period has four aspects of development, namely, gross motor, fine motor, personal social, and language. Baby Gym can be done by parents or those closest to the baby, but it should be done by the mother, because the baby is used to the touch his mother does.Objective: This study aims to determine the baby's motor development through the baby gym application.Methods: This type of research is a quasi-experimental design with a pretest and posttest design with a control group design. The population taken in this study were mothers who had babies aged 3-12 months at the Puskesmas in the South Tangerang City area. The sample size for this study were 31 respondents in the intervention and control groups, so that the total sample was 62 people. The sampling technique in this study used the purposive sampling method. Data analysis using Wilcoxon and Man Whitney test and multivariate analysis using multivariate multiple logistic regression.Research Results: The Wilcoxon statistical test value showed that there was a significant difference in the average motor development before and after the baby gym application intervention was given to the mother (p value = 0.000). The results of the analysis using Mann Whitney found that there was a significant effect of using the baby gym application on the motor development of infants in the intervention group compared to the control group with p = 0.000 (p < 0.005).Conclusion: there is an effect of using the baby gym application on the baby's motor development. So as to provide recommendations for the use of the Baby gym application to help stimulate the development of the baby and also to establish affection between mother and baby.da pengaruh penggunaan aplikasi baby gym terhadap perkembangan motorik bayi. Sehingga memberikan rekomendasi untuk pengunaan aplikasi Baby gym untuk membantu merangsang perkembangan bayinya dan juga untuk menjalin kasih sayang antara ibu dan bayi
Pengaruh Kelas Remaja Putri Dan Integrasi Model Aplikasi Android "My Periode Tracker" Untuk Menurunkan Gejala Kecemasan Premenstrual Syndrome
psychological changes called Premenstrual Syndrome (PMS). Approximately 75% occurs in women of reproductive age, including adolescent girls. This situation can cause teenagers to experience problems in terms of achievement in school and social relationships with peers or disruption of daily activities if PMS is not handled properly. To reduce PMS symptoms, several strategies can be used, including stress management and complementary therapies such as yoga and breathing exercises that have been developed into a website-based application. This research was conducted by taking data from Al Hidayah Vocational High School students in South Jakarta who were given treatment in the Young Women class and monitoring PMS symptoms using the "Premenstrual Syndrome Tracker" application for the intervention group and the control group who were given counseling. The design of this study used a Quasi Experimental Group with Pretest-Pottest Control Design. In this design, there are two groups, each of which is selected randomly, one group acts as a control and the other group as an intervention group. The treated group is called the intervention group. Then, at the specified time, the intervention group was given treatment. After the treatment was completed, measurements were made for both groups. Comparison of results between the two groups shows the effect of the treatment that has been given. The number of respondents was 60 people, consisting of 30 control groups and 30 intervention groups. The conclusion of the study using this application to reduce the symptoms of premenstrual syndrome showed positive results. The results of the study reflect that young women say that the applications they use are able to empower them and provide knowledge and are more aware and aware of their menstrual cycles, they can also find out about menstrual cycle irregularities and how to overcome physical and psychological discomfort before and during menstruation. can be used as information for health workers.Wanita yang akan menstruasi dapat mengalami perubahan fisik dan psikis yang disebut dengan Premenstrual Syndrome (PMS). Sekitar 75% terjadi pada wanita usia reproduksi termasuk remaja puteri. Keadaan ini dapat menyebabkan remaja mengalami masalah dalam hal prestasi di sekolah dan hubungan sosial dengan teman sebayanya atau gangguan aktivitas sehari-hari apabila PMS tersebut tidak tertangani dengan baik. Untuk mengurangi gejala PMS dapat dilakukan dengan beberapa strategi, diantaranya manajemen stress dan terapi komplementer seperti Yoga dan Latihan pernapasan yang telah dikembangkan kedalam aplikasi berbasis website. Penelitian ini dilakukan dengan mengambil data Siswa SMK Al Hidayah Jakarta Selatan yang diberikan perlakukan kelas Remaja Putri dan pemantauan gejala PMS menggunakan Aplikasi “Premenstrual Syndrome Tracker” untuk kelompok Intervensi dan kelompok kontrol yang diberikan penyuluhan. Rancangan penelitian ini menggunakan Quasi Experimental Group dengan Pretest-Pottest Control Design. Dalam design ini terdapat dua kelompok yang masing-masing dipilih secara random, satu kelompok bertindak sebagai kontrol dan kelompok lain sebagai kelompok intervensi. Kelompok yang diberi perlakuan disebut kelompok intervensi. Kemudian pada kurun waktu yang telah ditentukan kelompok intervensi tersebut diberikan perlakuan. Setelah perlakuan selesai, dilakukan pengukuran terhadap kedua kelompok. Perbandingan hasil antara kedua kelompok menunjukkan efek dari perlakuan yang telah diberikan. Jumlah responden 60 orang, yang terdiri dari 30 kelompok Kontrol dan 30 Kelompok Intervensi. Kesimpulan penelitian penggunaan aplikasi ini untuk menurunkan gejala premenstrual syndrome menunjukan hasil positif. Dari hasil penelitian mencerminkan bahwa para remaja putri mengatakanbahwa aplikasi yang mereka gunakan mampu memberdayakan mereka dan memberikan pengetahuan dan lebih menyadari dan waspada terhadap siklus menstruasi mereka, mereka juga dapat mengetahui ketidakteraturan siklus menstruasi dan cara mengatasi ketidaknyamanan baik fisik maupun psikis sebelum dan saat menstruasi yang nantinya dapat digunakan sebagai informasi untuk tenaga Kesehatan