Indonesian Health Issue
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Hubungan Antara Karakteristik Wanita Penjaja Seks (WPS) dengan Tingkat Pengetahuan Tentang Infeksi Menular Seksual (IMS)
Full text linkBackground: Phenomenon of Sexual Transmitted Disease (STIs) become higher in Indonesia. Female Sex Workers (FSW) have bigger risk to get STIs because of their jobs. Mostly, STIs are asymptomatic and when it becomes symptomatic then it needs long time to be exposed. Good understanding about STIs is important for FSW in an effort to prevent transmission of STIs to themselves and customers. Aim: The aim of the research was to determine the relationship between characteristics of FSW and the level of knowledge about STIs. Method: This research was quantitative analysis . The research sample consisted of all FSW in the localization, Jember Regency and was conducted during August 2024. The data source used was primary data obtained from interviews and filling out questionnaires. The data was analyzed by Spearman Rank test with the SPSS application . Result: There is a relationship between duration of service of FSWs and the level of knowledge about STIs (p-value 0.04<0.05). This research examines four FSW characteristics: length of service, marital status, age, and final educational attainment. Only duration of service has a correlation with STIs knowledge out of the four traits. Productive age range, peer relationship and easier access to social media is becoming strong reasons
Hubungan Perilaku Sleep Hygiene dengan Kejadian Insomnia pada Lansia
Full text linkBackground: Aging in the elderly is accompanied by various physiological changes, including sleep disturbances such as insomnia, which can reduce quality of life. One non-pharmacological intervention that can be used to reduce insomnia is the application of sleep hygiene behavior. Purpose: To determine the relationship between sleep hygiene behavior and the incidence of insomnia in the elderly. Methods: This study employed a quantitative correlational design with a cross-sectional approach, conducted in May 2025. A sample of 67 elderly individuals was selected using purposive sampling from a total population of 80. Data were collected using the Sleep Hygiene Index (SHI) and a modified version of the Sleep Condition Indicator (SCI), both of which were tested for validity and reliability. Data were analyzed using the Spearman Rank test with the assistance of SPSS at a significance level of α < 0.05. Results: Most respondents had moderate sleep hygiene behavior (41.8%), and more than half experienced insomnia (52.2%). Statistical tests showed a significant and strong relationship between sleep hygiene behavior and the incidence of insomnia, with a p-value of 0.000 and a correlation coefficient r = 0.643. The positive correlation indicates that the worse the sleep hygiene behavior, the higher the risk of insomnia. Conclusion: These findings suggest that sleep hygiene is an effective non-pharmacological strategy in preventing or reducing the incidence of insomnia. The results of this study are expected to serve as a reference and guideline for Tresna Werdha in designing programs aimed at improving sleep quality among the elderly
Pengosongan Payudara dengan Pompa ASI Meningkatkan Produksi ASI Ibu Bekerja
Full text linkBackground: Breastfeeding mothers often face a lack of milk production due to factors like changes in diet when returning to work and not breastfeeding or pumping frequently. In a previous study conducted at Arjasa Public Health Center, 100% of respondents reported inadequate milk production. Purpose : This study aims to analyze the effect of breast emptying using a breast pump on milk production in the Arjasa area. Methods: This study used a posttest-only control group design with 34 respondents, 17 in the control group and 17 people in the treatment group. Data were collected through a questionnaire and analyzed using the independent t-test statistical technique. Results: Independent t-test showed that the p-value was 0.001 < α = 0.05, leading to H0 rejection and Ha acceptance. This indicates that breast emptying using a breast pump affects breast milk production in working mothers in the Arjasa Community Health Center area. Conclusion: Breast emptying using a breast pump increases milk production. This increases prolactin hormone levels, the more milk emptied, the more milk produced. Thus, educating and supporting breastfeeding mothers in using a breast pump properly and the benefits of breast emptying is crucial for optimizing milk production
Gambaran Faktor Non-Obstetri Pada Persalinan Prematur di RSUP Prof. Dr. I.G.N.G Ngoerah Denpasar
Full text linkPremature birth is a birth event at a gestational age of <37 weeks which contributes to increasing the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). The cause of premature labor is not yet known with certainty, but it is suspected that there are several factors that influence it, one of which is non-obstetric disease. This study aims to determine the description of non-obstetric factors in premature labor at RSUP Prof. Dr. I.G.N.G Ngoerah. This type of research is quantitative descriptive. The research was carried out in November- Desember 2024 with a sample size of 144 respondents using a total sampling technique. Data collection uses secondary data. The results of data analysis obtained from 144 cases of non-obstetric premature births showed 116 cases of non-communicable diseases and 28 cases of infectious diseases. The highest data on non-obstetric premature births were in the non-obstetric non-communicable disease factor of hypertension as many as 49 respondents (42.2%) and the non-obstetric infectious disease factor of STI as many as 16 respondents (57.1%). Pregnant women are expected to undergo routine antenatal check-ups in accordance with the advice of health workers so that non-obstetric risk factors can be identified early to prevent more serious complications for mother and baby
Perubahan Perilaku Ibu Hamil Trimester III dalam Mengonsumsi Tablet Fe Berdasarkan Stage of Change
Full text linkBackground: Compliance with taking Fe tablets is the behavior of pregnant women who obey the instructions or rules given by health workers during pregnancy. Many pregnant women do not comply with the recommendations for consuming Fe tablets given by health workers. This behavior occurs due to factors such as knowledge, education, and side effects of tablets, so that the purpose of giving them is not achieved. According to data from the Jember District Health Service in 2023, coverage of pregnant women who received Fe3 tablets (pregnant women up to the third trimester received 90 blood supplement tablets) was 83.13% and had decreased compared to 2022, which was 88.9%. The preliminary study results showed that 7 out of 10 pregnant women in the third trimester in the Sukowono Health Center Working Area still did not regularly consume Fe tablets. The purpose of the study was to determine changes in the behavior of third trimester pregnant women in taking Fe tablets based on the stage of change. Method:The research design uses pre-experimental research with one group pre and posttest. The population used all pregnant women in the third trimester, as many as 60 people. The sampling technique was proportionate random sampling of 38 respondents. Data collection uses a questionnaire. Results: Data analysis using the Wilcoxon test. The research results showed that the majority of pregnant women before the intervention were in the contemplation stage, and after the intervention, in the action stage. There is a change in the behavior of third-trimester pregnant women in consuming Fe tablets based on the stage of change, with a p-value = 0.000 < 0.05. Conclusion: The behavior of pregnant women in consuming Fe tablets will increasingly become an action and lead to maintenance, so efforts need to be made to make pregnant women aware of regular consumption through providing education and assistance by health workers or families
Evaluasi Metadata Rekam Medis Elektronik Rawat Jalan
Full text linkBackground: In today's digital era, electronic medical records (EMR) play an important role in improving the quality of health services. Objective: This study focuses on the evaluation of outpatient electronic medical record metadata at Puskesmas Bantul II, Yogyakarta, with the aim of ensuring the compliance of metadata with the regulations of the Ministry of Health of the Republic of Indonesia, KEPMENKES HK.01.07/MENKES/1423/2022. Method: This study uses a qualitative method with a case study approach to gain an in-depth understanding of the process and challenges in managing and evaluating EMR metadata at Puskesmas Bantul II. Results: The results of the study showed several metadata discrepancies that require continuous adjustment and evaluation. This study aims to identify variables and metadata in SIMPUS, calculate the percentage of conformity of variables and metadata, and reveal the factors causing the discrepancies. Conclusion: It is expected that the results of this study can improve the efficiency and effectiveness of health services at Puskesmas Bantul II and ensure compliance with data security standards and patient privacy
Pengaruh Penggunaan Alat Peraga ROMA “Rompi Mamae” Terhadap Keterampilan Sadari dalam Mencegah Kanker Payudara pada Kader Kesehatan
Full text linkBackground: Breast cancer remains a significant global health concern. According to the World Health Organization (WHO), by 2050, the number of new breast cancer cases is projected to increase by 38%, with a 68% rise in mortality, reaching an estimated 3.2 million new cases and 1.1 million deaths annually. In Indonesia, breast cancer is the most common type of cancer, with an incidence rate of 40.3 per 100,000 women and a mortality rate of 16.6 per 100,000 women. Alarmingly, approximately 70% of cases are diagnosed at an advanced stage due to low awareness of early detection. Data show that 90% of Indonesian women have never performed breast self-examination (BSE). This situation is exacerbated in regions such as Lenek Lauq Village, East Lombok Regency, where many health cadres lack sufficient skills in performing BSE. To address this issue, an innovative educational tool called "Rompi Mamae" (ROMA) was developed. Purpose: This study aimed to determine the effect of using ROMA on improving BSE skills among community health cadres. Methods: A quasi-experimental design with a nonequivalent control group design was employed. A total of 48 health cadres were selected and divided into two groups: an intervention group (trained using ROMA) and a control group (provided with standard leaflets). Results: The findings revealed a significant improvement in BSE skills in the intervention group, with a mean post-test score of 31.65 compared to 17.35 in the control group (p = 0.000). Conclusion: ROMA has proven to be an effective and innovative educational medium for enhancing BSE skills among health cadres, with the potential to support broader efforts in early breast cancer detection within the community
The Effect of Motivation, Supervision, and Patient Safety Training on the Implementation of Patient Safety Culture in Hospitals
Full text linkBackground:The implementation of patient safety culture by nurses reflects their performance behavior and is influenced by nurses’ motivation. With good motivation, nurses are expected to effectively apply patient safety culture. Nursing supervision activities are carried out in accordance with hospital nursing management guidelines.Objective:This study aimed to determine the effect of motivation, supervision, and training on the implementation of patient safety culture in hospitals.Methods:This study adopted a quantitative research approach with a cross-sectional design. The population consisted of all nurses working in inpatient units at Dr. R. Soedjono Selong Regional General Hospital, totaling 415 nurses. A sample of 204 nurses was selected for the study. Data analysis was conducted using path analysis to examine the proposed model, and the relationships among constructs were assessed by evaluating the path coefficients.Results:Motivation (p-value = 0.003 < 0.005), supervision (p-value = 0.000 < 0.005), and nurse training (p-value = 0.001 < 0.005) had a positive and significant effect on the implementation of patient safety culture in hospitals. Conclusion:Nurses’ motivation, supervision, and training have a positive and significant effect on the implementation of patient safety culture in hospitals
Pengaruh Murottal Al-Qur’an Terhadap Stres Dalam Mengerjakan Karya Tulis Ilmiah Mahasiswa
Full text linkLatar belakang: Stres adalah emosi yang biasa kita rasakan ketika berada di bawah tekanan, kewalahan, atau kesulitan menghadapi suatu situasi. Ketegangan psikologis, fisiologis, serta ketegangan fisik yang muncul saat berhadapan dengan lingkungan yang sulit untuk berdaptasi disebut sebagai stres. Stres akut dapat menyebabkan gangguan kecemasan, sedangkan stres kronis dapat menyebabkan penyakit fisik.
. Metode: Desain penelitian ini menggunakan pre eksprimental. Adapun pendekatannya adalah One Group Pretest and Posttest Desain. Penggunaan desain diatas berdasarkan tujuan yang telah ditetapkan. Sampel penelitiannya yakni Mahasiswa Prodi D.III Keperawatan Mataram Jurusan Keperawatan di Poltekkes Kemenkes Mataram yang mengalami stress. Hasil: Berdasarkan hasil penelitian terapi murottal Al-qur’an memiliki skor rata-rata (Mean) sebesar 22,18 dengan nilai minimal sebesar 5 dan nilai maksimal sebesar 38. Adapun setelah diberikan terapi murottal al-qur’an skor rata-rata sebesar 15,13 dengan nilai minimal sebesar 3 dan nilai maksimal 27. Dengan demikian berdasarkan nilai p (probability) menunjukkan bahwa p value (0,000) < α (0,05) sehingga H0 ditolak, artinya ada pengaruh terapi murottal Al-qur’an terhadap stres dalam mengerjakan Karya Tulis Ilmiah mahasiswa Program Studi D.III Keperawatan Mataram Jurusan Keperawatan Poltekkes Kemenkes Mataram.Kesimpulan: Ada pengaruh terapi murottal al-qur’an terhadap stress dalam mengerjakan Karya Tulis Ilmiah Mahasiswa Prodi DIII Keperawatan Jurusan Keperawatan Poltekkes Kemenkes Mataram
Background: This research design uses pre-experimental. The approach is One Group Pretest and Posttest Design. The use of the design above is based on the objectives that have been set. The research samples were students from the Mataram D.III Nursing Study Program, Department of Nursing at the Mataram Ministry of Health Polytechnic who experienced stress. Results: Based on research results, Al-Qur'an murottal therapy has an average score (Mean) of 22.18 with a minimum score of 5 and a maximum score of 38. Meanwhile, after being given Al-Qur'an murottal therapy, the average score was 15.13 with a minimum value of 3 and a maximum value of 27. Thus, based on the p value (probability), it shows that p value (0.000) < α (0.05) so that H0 is rejected, meaning that there is an influence of Al-Qur'an murottal therapy on stress in doing scientific writing for students of the Mataram D.III Nursing Study Program, Nursing Department, Health Polytechnic, Ministry of Health, Mataram. Conclusion: There is an influence of Al-Qur'an murottal therapy on stress in doing scientific writing for DIII Nursing Study Program students, Nursing Department, Health Polytechnic, Ministry of Health, Matara
Pengaruh Pelayanan Reproduksi Terpadu terhadap Skrining Kanker Payudara pada Akseptor KB Hormonal
Full text linkLatar Belakang: Pada tahun 2022, jumlah kasus baru kanker payudara mencapai 66.271 kasus (16,2%), data SADANIS di Kabupaten Lombok Barat tahun 2023 sebanyak 11.245 WUS dan curiga kanker sebanyak 14 kasus. Etiologi penyakit kanker payudara berhubungan dengan keadaan hormonal, salah satunya terdapat pada alat kontrasepsi hormonal sehingga diperlukan suatu inovasi pelayanan yaitu Pelayanan Kesehatan Reproduksi Terpadu Pelayanan Keluarga Berencana.Tujuan: mengetahui Pengaruh Pelayanan Kesehatan Reproduksi Terpadu pada Akseptor KB Hormonal terhadap Skrining Kanker Payudara di wilayah kerja Puskesmas Labuapi. Metode: Penelitian ini menggunakan rancangan penelitian yaitu Quasi Experimental dengan desain Non-Equivalent Control Group Design. Sampel yang diambil sebanyak 44 sampel, dibagi menjadi 2 kelompok kasus dan kontrol. Teknik pengambilan sampel menggunakan purposive sampling. Uji analisis yang digunakan yaitu Chi Square. Hasil: analisa post test dengan uji statistik Chi Square, pada pengetauan diperoleh nilai signifikansi 0,038, analisa sikap diperoleh nilai signifikansi 0,022, analisis kesediaan diperoleh nilai signifikansi 0,038. Hasil analisis ketiga kategori diperoleh nilai signifikansi < 0,05 sehingga ada pengaruh Pelayanan Kesehatan Reproduksi Terpadu Pada Akseptor KB Hormonal terhadap Pengetahuan, Sikap, dan Kesediaan Skrining Kanker Payudara. Kesimpulan: terdapat Pengaruh Pelayanan Kesehatan Reproduksi Terpadu pada Akseptor KB Hormonal terhadap skrining kanker payudara
ABSTRACT
Background: In 2022, the number of new cases of breast cancer reached 66,271 cases (16.2%), SADANIS data in West Lombok Regency in 2023 is 11,245 WUS and suspected of cancer as many as 14 cases. The etiology of breast cancer is related to hormonal conditions, one of which is found in hormonal contraceptives. The problem solving is an integrated service innovation namely Reproductive Health Services combined with Family Planning Services. Purpose: To determine the effect of integrated reproductive health services on hormonal contraceptive acceptors on breast cancer screening in the Labuapi health center working area. Methods: The research design used Quasi Experimental with a Non-Equivalent Control Group Design. The samples were 44 hormonal birth control acceptors who were divided into 2 groups, case and control. The sampling technique uses purposive sampling and the analytics uses non parametrik Chi Squre. Results: the post test results, in the knowledge obtained a significance value of 0.038, the attitude obtained a significance value of 0.022, and the willingness obtained a significance value of 0.038. The three categories obtained a significance value of < 0.05 so conclude there was an effect of Integrated Reproductive Health Services on Hormonal Birth Control Acceptors on knowledge, attitudes and willingness to carry out breast cancer screening. Conclusion: There is an influence of Integrated Reproductive Health Services on Hormonal Birth Control Acceptors on breast cancer screening
Background: In 2022, the number of new cases of breast cancer reached 66,271 cases (16.2%), SADANIS data in West Lombok Regency in 2023 is 11,245 WUS and suspected of cancer as many as 14 cases. The etiology of breast cancer is related to hormonal conditions, one of which is found in hormonal contraceptives. The problem solving is an integrated service innovation namely Reproductive Health Services combined with Family Planning Services. Purpose: To determine the effect of integrated reproductive health services on hormonal contraceptive acceptors on breast cancer screening in the Labuapi health center working area. Methods: The research design used Quasi Experimental with a Non-Equivalent Control Group Design. The samples were 44 hormonal birth control acceptors who were divided into 2 groups, case and control. The sampling technique uses purposive sampling and the analytics uses non parametrik Chi Squre. Results: the post test results, in the knowledge obtained a significance value of 0.038, the attitude obtained a significance value of 0.022, and the willingness obtained a significance value of 0.038. The three categories obtained a significance value of < 0.05 so conclude there was an effect of Integrated Reproductive Health Services on Hormonal Birth Control Acceptors on knowledge, attitudes and willingness to carry out breast cancer screening. Conclusion: There is an influence of Integrated Reproductive Health Services on Hormonal Birth Control Acceptors on breast cancer screening