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THE EFFECT OF ELECTRIC BREAST PUMP IN INCREASING BREASTMILK PRODUCTION
Background: Breastfeeding for 2 years has been recommended by WHO and CDC, so that breastfeeding has become an integral part that determines the quality of human resources in the future as well as solutions for social, environmental and the economic problems faced by every nation around the world. This study was conducted as a preliminary study, the first step in the production of portable electric breast pumping equipment. One of the innovations in modifying electric breast pumping equipment that is more useful effective and efficient in various activities. Breast pumping equipment is a step in the transformational breastfeeding process because it can improve breastfeeding sustainability in the activity performed.
Aims: To observe the effect of electric breast milk pump to the effectiveness and satisfaction in breast milk production in breastfeeding women in Semarang 2017.
Methods: Preliminary study results were tested by statistical analysis test of independent sample T-Test and chi-square. Independent variable in this study is electric breast pump and dependent variables are effectiveness and satisfaction. This study was carried out by testing the electric breast milk Spectra 9+. The data were collected from 10 respondents.
Results: The analysis test results showed the significance value P> 0.05 which meant that there was no significant difference between the effectiveness and satisfaction of breast milk production by using the electric breast pump.
Conclusion: The electric breast pumping equipment have no effectiveness and satisfaction in milk production. Modification of electric breast milk pumping equipment should be expected to improve the use by postpartum women to breastfeed in various activities
ASSOCIATION OF FAMILY'S SUPPORT, ATTITUDE AND BEHAVIOR TO QUALITY OF LIFE OF PATIENT WITH DIABETES MELLITUS TYPE II
Background: As diabetes mellitus has become the global burden of disease, regional center Endocrinology Society of West Kalimantan found the prevalence of DM was quite high, at 11%. Lack of support, attitudes and family roles to patients with Diabetes Mellitus type II were found as the determinant factors of low quality life of patients with DM type II.
Aims: to assess the association of family's support, attitudes and behaviors with the quality of life of patients with diabetes mellitus type II
Methods: This research was a quantitative research using correlation analytic method and cross sectional approach that emphasizes time measurement / observation of independent and dependent variable data, only once at one time. In 11-day sampling, thirty (30) patients with diabetes mellitus type II were selected from total 282 patients who visited Kitamura Pontianak Clinic, Indonesia, using a non-probability sampling (non-random sample) with consecutive sampling method. A questionnaire was employed in order to assess the level of family's support, attitude, and behavior to quality of life of the participated patients.
Results: From total 30 selected patients, only 26.7% had good support from their family. Moreover, the majority notified their family orchestrating less attitude and behavior toward Diabetes Mellitus type II, respectively, at the percentage of 40% and 46.7%. In the other hand, only 6 patients claimed their family having either good attitude or good behavior. It is not surprising notice only 20 respondents claimed they had good quality of life, while 36.7% declared having enough quality of life, and the majority (43.3%)experienced less quality of life responding to their health. Using Rank Spearmen test, the data suggests that there were significantly positive association between family's support, attitude, and behavior toward respondents' life quality, with significant value less than 0.05.
Conclusions: Finding revealed among the participated patients with Diabetes Mellitus type II at Kitamura Pontianak Clinic, Indonesia, their family orchestrate low support, attitude, and behavior toward the disease. The results suggest the important role of family to the health, comfort, and happiness among the patients. Family should be active in finding information about Diabetes Mellitus, certainly in controlling blood sugar
THE EFFECT OF GUIDED IMAGERY RELAXATION TOWARDS PAIN LEVEL OF POST-SURGICAL CAESAREAN SECTION PATIENTS IN GENERAL HOSPITAL MUHAMMADIYAH SITI AMINAH BUMIAYU, INDONESIA
Background: Pain is one of the diagnostic study found in the post-surgical phases, including sectio caesaria. Sectio caesaria surgery causes tissue and cell damage that result in the release of painful substances such as bradykinin, lactic acid and prostaglandins. These substances cause nociceptor impulses and lower the pain threshold, causing the sensitivity of pain receptors. One of the interventions that can be done to relief the pain is through the use of guided imagery relaxation techniques. This method was one of the nonpharmacological treatments to lessen the pain by using words and positive imagination.
Aim: To compare the pain level of the patients with post operation of sectio caesaria, before and after guided imagery relaxation.Methods: The research design was pre-experimental with one pre-test group of 30 patients. The population in this study were post-operative patients of sectio caesaria at Muhammadiyah General Hospital Siti Aminah Bumiayu, where in October 2014 the number of cure patients treated in the Marwah Room were 55 patients. The respondents' samples were taken from their surgical procedures of sectio caesaria. The sampling technique was purposive sampling.
Results: The result showed the difference in level of pain, whereas before guided imagery relaxation the patients had 100% of pain level, and after the treatment it decreased to 90 % of pain level. The analysis of Wilcoxon Signed Rank test of 95% CI (α=0,05) yielded p-value 0,000 < α (0,05). Verbal Descriptor Scale (VDS), the scale used in assessing pain, is the scale of intensity of descriptive pain. The assessment will be more accurate if the clients are able to precisely describe the perceived sensation. The nurse may also provide a glossary of terms to describe the pain to the clients.
Conclusion: Guided imagery relaxation had a significant effect towards the levels of post-operative sectio caesaria's pain. Nurses can apply guided imagery relaxation as an intervention and develop the related standard operational procedure (SOP) to ease the patients' pain problem
THE EFFECT OF HEALTH EDUCATION IN SURGERY PREPARATION TO ANXIETY LEVEL OF PATIENTS WITH PRE HERNIORRHAPHY IN RAA SOEWONDO HOSPITAL PATI
Background: RAA Soewondo Hospital Pati treated herniorrhaphy patients around 454 patients every year. The results of the preliminary study a study of 10 patients undergoing surgery herniorrhaphy through interviews revealed that most patients do not understand the circumstances that will be experienced, still worried by the operation, and yet ready to undergo surgery.
Aims: The purpose of this study was to determine the effect of health education on surgery preparation to anxiety level of patient's with pre herniorrhaphy in RAA Soewondo hospital Pati.
Method: This study used quasi-experimental design, One Group with Pretest and Posttest. Thirty patients were selected by accidental sampling with variables health education and level of anxiety patient pre herniorrhaphy. HARS (Hamilton Rating Scale For Anxiety) was employed as instrument for data analysis.
Result: Twenty two respondents experienced moderate anxiety before health education. After health education, only 17 respondents experienced mild anxiety. Wilcoxon test obtained the mean difference of anxiety level before and after health education is 0.49 with a difference of standard deviation 0.077 and p-value 0.001 which mean there is a significant difference of anxiety level before and after health education.
Conclusion: There is the influence of health education on the preparation procedure of surgery on the patient's anxiety level pre herniorrhaphy in hospitals RAA SoewondoPati. To reduce anxiety in patients with pre herniorrhaphy, expected that the comprehensive health education in patients with pre herniorrhaphy
CORRELATION BETWEEN DIETARY PATTERN OF PATIENTS WITH TYPE 2 DIABETES MELLITUS AND BLOOD SUGAR LEVEL
Background: Diabetes mellitus (DM) is one of the degenerative diseases that require careful management. The complication of diabetes mellitus may attack all the limbs due to uncontrolled blood sugar levels in diabetic patients. Diet is the most important nutritional management in people with diabetes mellitus to maintain blood sugar after meals and during fasting to avoid the risk of complications of type 2 diabetes mellitus.
Methods: This study was a cross sectional design involved 74 respondents drawn from 282 population of patients type 2 diabetes mellitus in Kitamura Pontinak Clinic in January to November 2014.
Results: Of 74 respondents, 58 respondents or (78.4%) were males and 16 respondents or (21.6%) were females. Most of the respondents in this study were under regular diet, whereas the irregular ones were due to economic factors, and the inability to adhere to diet. The results of chi square statistic test showed there is a correlation between dietary diet pattern on blood sugar decrease with the significant level of p = 0.000.
Conclusion: There was a correlation between dietary pattern and blood sugar decrease. The result of the gamma correlation test showed that the magnitude of the correlation between dietary pattern and blood sugar decrease was in moderate level with γ = 0.974
The International Conference on Applied Science and Health (ICASH): Promoting future health: Excellence, relevance and cost benefit
Not required
Accepted 31 October 201
The design of radiology viewing box using charger system and potentiometer
Background: In the process of work to gain the maximum results, a radiologist needs a viewing box tool to read radiographs. Therefore, the authors want to develop a viewing box tool, which in general the work if this tool resembles the factory manufactured tool. The viewing tool box made can adjust the intensity of the light produced. It uses batteries as a charger system, so that the viewing box can be used anywhere, especially areas that have not been reached by electricity.Aims: This study aimed to create a viewing box tool by using a potentiometer system and charger system.Methods: This study used applied research method by creating and using the design of viewing box tool by using a potentiometer and charger system. Using a Lux meter, the tool's feasibility and the quality of potentiometer system were assessed by 15 respondents consisting of five radiologists and 10 radiographers who should fulfill the questionnaire form.Results: The results of the questionnaire showed that 100% radiologist gave an A (excellent) and expressed that the viewing box tool created could be used properly and 90% radiographers provided an A (excellent) and expressed that the viewing box tool created could be used properly, while 10% radiographer gave a value of B (moderate).Conclusion: The proposed viewing box tool could be used properly and obtained optimal results as a tool in reading radiographs. Potentiometer system contained in the viewing box was very helpful in reading radiographs.
Keywords: Viewing box, Radiology, Potentiometer, Charger
Submitted: 3 May 2017, Accepted: 22 June 2017
DOI: https://doi.org/10.35898/ghmj-119
Engaging schools in diagnosis and treatment of malaria: Evidence of sustained impact on morbidity and behavior
Background: In low and middle income countries (LMICs) teachers send home children found sick in class devolving subsequent care to parents; where malaria is endemic, morbidity is high as the most parents fail to access WHO-endorsed rapid diagnostic testing (RDT and prompt treatment with artemisinin combination therapy (ACT). Consequently malaria is the principal reason a child misses school; so, we trained teachers to use RDT to evaluate all sick pupils and give ACT promptly to those positive.Aims: Pre, intra and post intervention evaluation of impact of using the WHO Health Promoting School (HPS) model to empower teachers to provide RDT and ACT and engage and inform pupils about malaria in 4 schools in rural Uganda.Methods: Documenting duration of absence from school as a surrogate measure for morbidity and change in children's knowledge and reported behaviors regarding malaria. Pre-intervention (year 1) baseline evaluation of days of absence and children's malaria knowledge/behavior; Intervention (year 2) trained teachers administered RDT in all sick children and treated those positive with ADT; Post-intervention (end of year 3) after schools independently continued RDT/ACT and education on malaria.Results: Pre-intervention <1:5 pupils had basic knowledge about malaria (caused by mosquitos; can be prevented; requires rapid diagnosis and prompt medication). In year 1: 953 of 1764 pupils were sent home due to illness. Mean duration of absence was 6.5 (SD 3.17) school days. In year 2: 1066 of 1774 pupils were sick, all had RDT, 765/1066 (68%) tested positive and received ACT; their duration of absence fell to 0.59 (SD 0.64) school days (p<0.001). By year 2 all children knew the signs and symptoms of malaria and had essential epidemiological knowledge. Twelve months post intervention the universality of this knowledge had been sustained and the whole-school focus on malaria continued. Children reported better health, more consistent attendance and improved academic achievement, and had become proactive in prevention strategies; 6% fewer tested positive for malaria; and key health knowledge was being passed to new pupils.Conclusion: Teacher administered RDT/ACT reduced child morbidity from malaria significantly; essential knowledge was generated and new health practices acquired that changed behaviors. Our WHO HPS model is applicable to other LMICs where malaria is endemic and morbidity high.
The design of radiology viewing box using charger system and potentiometer
Background: In the process of work to gain the maximum results, a radiologist needs a viewing box tool to read radiographs. Therefore, the authors want to develop a viewing box tool, which in general the work if this tool resembles the factory manufactured tool. The viewing tool box made can adjust the intensity of the light produced.Objective: to create a viewing box tool by using a potentiometer system.Methods: This study used applied research method by creating and using the design of viewing box tool by using a potentiometer system and testing the viewing box tool created by using a Lux meter and 15 respondents consisting of five radiologists and 10 radiographers who should fulfill the questionnaire form.Results: The mean of viewing box illumination reached 220 lux. The results of the questionnaire showed that 100% radiologist gave an A (excellent) and expressed that the viewing box tool created could be used properly and 90% radiographers provided an A (excellent) and expressed that the viewing box tool created could be used properly, while 10% radiographer gave a value of B (moderate).Conclusion: viewing box tool created could be used properly and obtained optimal results as a tool in reading radiographs. Potentiometer system contained in the viewing box was very helpful in reading radiographs because it allowed to adjust the light intensity according to user needs.Keywords : Viewing box, Potentiometer Bibliography : 1980-201