Scientific Journals of Fort De Kock University
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IMPLEMENTASI PERATURAN MENTERI KESEHATAN NO 20 TAHUN 2019 TENTANG PENYELENGGARAAN PELAYANAN TELEMEDICINE ANTAR FASILITAS PELAYANAN KESEHATAN (STUDI DI RS HERMINA PADANG)
Get PDFThe Covid-19 pandemic has made regulations regarding physical distancing. Alternative efforts are needed to provide health facilities by providing services to the community without having to go to the hospital, otherwise known as telemedicine. Therefore, the formulation of the problem is: 1) How is the implementation of the Regulation of the Minister of Health of the Republic of Indonesia Number 20 of 2019 concerning the Implementation of Telemedicine Services at Hermina Hospital, 2) What are the obstacles in implementing the Regulation of the Minister of Health of the Republic of Indonesia Number 20 of 2019 concerning the Implementation of Telemedicine Services in Hospitals Hermina, 3) What are the efforts in implementing the Regulation of the Minister of Health of the Republic of Indonesia Number 20 of 2019 concerning the Implementation of Telemedicine Services. The research used sociological juridical method. The data used are primary data, obtained from interviews. Secondary data obtained from document study. The data collected was processed and analyzed by qualitative analysis methods. The result is that the Minister of Health Regulation Number 20 of 2019 has not been implemented properly. The obstacle is that not all doctors/specialists who provide telemedicine services and applications are not yet optimal. The effort is making a decree for doctors and working together to get an official telemedicine application
HUBUNGAN KUNJUNGAN POSYANDU DENGAN KEJADIAN STUNTING PADA BALITA USIA 12-59 BULAN DI NAGARI BALINGKA KABUPATEN AGAM
Get PDFStunting adalah kondisi gagal tumbuh anak balita yang diakibatkan kekurangan gizi kronis sehingga anak terlalu pendek untuk usianya. Salah satu peyebab stunting adalah terbatasnya layanan kesehatan. Tujuan penelitian ini adalah diketahuinya Hubungan Kunjungan Posyandu Dengan Kejadian Stunting Pada Balita Usia 12-59 Bulan Di Nagari Balingka Kabupaten Agam 2023. Jenis penelitian ini dilakukan dengan pendekatan kuantitatif dengan desain analitik kolerasi. Responden berjumlah 84 orang. Teknik pengambilan sampel yang digunakan adalah simple random sampling yaitu pengambilan sampel dimana setiap orang dalam populasi mempunyai kesempatan peluang yang sama untuk dipilih menjadi anggota sampel. Hasil penelitian dari 84 responden yang diteliti diperoleh sebagian besar kunjungan posyandu yaitu ≥ 8 kali sebanyak 35 orang (41.6%) balita yang tidak stunting dan sebanyak 16 orang (19.03%) balita yang stunting. Sebagian kecil kunjungan posyandu yaitu < 8 kali sebanyak 20 orang (23.9%) balita yang tidak stunting dan sebanyak 13 orang (15.47%) balita yang stunting. Hasil analisis data dengan menggunakan Chi- Square yaitu, P Value 0.271 (>0.05) bahwa tidak ada hubungan yang signifikan antara Kunjungan Posyandu Dengan Kejadian Stunting Pada Balita Usia 12-59 Bulan Di Nagari Balingka Kabupaten Agam Tahun 2023. Kesimpulan dari variable yaitu tidak ada hubungan antara kunjungan posyandu dengan kejadian stunting pada balita usia 12-59 bulan.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN DALAM PENGENDALIAN DIABETES MELLITUS DI PUSKESMAS MAPADDEGAT
Get PDF ABSTRACT Diabetes Mellitus is a chronic metabolic disease where diabetics cannot produce sufficient amounts of insulin or the body is unable to use insulin effectively. The acute complications of DM are diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic status (SHH). The aim of the research is to determine the factors associated with compliance in controlling diabetes mellitus at the Mapaddegat Health Center in 2023. This type of research is analytical descriptive which was carried out at the Mapaddegat Health Center in July-August 2023, with a total sample size of 56 people. Data were analyzed using univariate and bivariate data with SPSS Chi Square to see the relationship between each variable. The results of the univariate analysis showed that most (55.4%) of the respondents had poor eating patterns, more than half (51.8%) of the respondents were irregular in taking medication, more than half (55.4%) of the respondents were not compliant in controlling diabetes mellitus. . The results of the bivariate analysis showed a relationship between eating patterns and compliance in controlling diabetes mellitus, pValue = 0.015 (p<0.05) OR 1.971, a relationship between exercise habits and compliance in controlling diabetes mellitus, pValue = 0.007 (p<0.05) OR 2.017 , the relationship between taking medication and compliance with Diabetes Mellitus control pValue = 0,000 (p<0.05) OR 3.879. The conclusion is that there is a relationship between eating patterns, exercise habits, taking medication and compliance with diabetes mellitus control at the Mapaddegat Community Health Center in 2023. It is hoped that health workers and nutritionists can always increase the visit schedule for diabetes mellitus sufferers and also provide consultations about nutrition and diet for diabetes sufferers. mellitus.Keywords : Compliance, Control, Diabetes MellitusABSTRAK Diabetes Mellitus merupakan penyakit metabolik yang berlangsung kronik dimana penderita diabetes tidak bisa memproduksi insulin dalam jumlah yang cukup atau tubuh tidak mampu menggunakan insulin secara efektif. Keadaan komplikasi akut DM adalah ketoasidosis diabetik (KAD) dan Status Hiperglikemi Hiperosmolar (SHH). Tujuan penelitian untuk mengetahui faktor-faktor yang berhubungan dengan kepatuhan dalam pengendalian diabetes mellitus di Puskesmas Mapaddegat Tahun 2023. Jenis penelitian ini adalah deskriptif analitik yang dilaksanakan di Puskesmas Mapaddegat pada bulan Juli-Agustus 2023, dengan jumlah sampel total sampel yaitu 56 orang. Data dianalisis menggunakan data univariat dan bivariat dengan SPSS Chi Square untuk melihat hubungan pada masing-masing variabel. Hasil analisis univariat didapatkan sebagian besar (55,4 %) responden memiliki pola makan buruk, lebih dari separoh (51,8 %) responden tidak teratur dalam minum obat, lebih dari separoh (55,4 %) responden tidak patuh dalam pengendalian diabetes melitus. Hasil analisis bivariat ada hubungan pola makan dengan kepatuhan dalam pengendalian diabetes mellitus pValue = 0, 015 (p<0,05) OR 1,971,hubungan kebiasaan olahraga dengan kepatuhan pengendalian diabetes mellitus pValue = 0, 007 (p<0,05) OR 2,017, hubungan minum obat dengan kepatuhan pengendalian Diabetes Mellitus pValue = 0, 000 (p<0,05) OR 3,879. Kesimpulan ada hubungan pola makan, kebiasaan olahraga, minum obat dengan kepatuhan pengendalian Diabetes Mellitus di Puskesmas Mapaddegat Tahun 2023.Diharapkan kepada petugas kesehatan, ahli gizi agar dapat selalu meningkatkan jadwal kunjungan pada penderita diabetes melitus dan juga memberikan konsultasi tentang gizi dan diet bagi penderita diabetes melitus.Kata Kunci : Kepatuhan, Pengendalian, Diabetes Melitu
EFEKTIFITAS PENGGUNAAN MEDIA LEMBAR BALIK TERHADAP PERUBAHAN PENGETAHUAN KESEHATAN PRAKONSEPSI PADA CALON ISTRI DI KOTA PADANG
Get PDFPelayanan kesehatan prakonsepsi berdampak positif bagi kesehatan ibu dan anak. World Health Organization (WHO) pada tahun 2013 mengemukakan bahwa 4 dari 10 wanita mengalami kehamilan yang tidak direncanakan, sehingga wanita dan pasangannya terlambat mendapatkan intervensi kesehatan esensial saat kehamilan hingga 40%. Berdasarkan profil Dinas Kesehatan Kota Padang tahun 2019, terdapat 51,7% perempuan melakukan pelayanan kesehatan reproduktif dan 31,3% laki-laki melakukan skrining kesehatan masa reproduktif. Hal ini menunjukan masih rendahnya pelaksanaan pelayanan prakonsepsi di kota padang. Tujuan penelitian ini adalah mengetahui efektifitas pengggunaan Media lembar balik terhadap perubahan pengetahuan kesehatan prakonsepsi pada calon pengantin dikota padang.Jenis penelitian ini menggunakan quasy eksperiment dengan desain penelitian rancangan one group pretest-posttest, dengan sampel sebanyak 30 orang calon pengantin.teknik pengambilan sampel secara porposive sampling.Pada penelitian ini terdapat tingkat pengetahuan pretest dengan mean 13,01 pada intervensi dan 11,91 pada kelompok kontrol. Sedangkan hasil posttest pengetahuan kelompok intervensi dengan mean 15,68 dan kelompok kontrol 11,96. Hasil uji wilcoxon terdapat nilai p value pada kelompok intervensi 0,01 dan kelompok kontrol 0,317 variabel pengetahuan memiliki hubungan pada media lembar balik. Dapat disimpulkan bahwa terdapat pengaruh penyuluhan prakonsepsi melalui media lembar balik terhadap pengetahuan calon pengantin sebelum dan sesudah diberikan intervensi. Diharapkan kepada petugas puskesmas untuk lebih meningkatkan penyuluhan dan membuat inovasi terkait kesehatan prakonsepsi
PROFIL PENGGUNAAN ALAT KB PADA PASANGAN USIA SUBUR DI WILAYAH KERJA PUSKESMAS KAMANG TAHUN 2022
Get PDFThe population growth rate continues to rise annually, with the count reaching 271,066,366 individuals in 2020 and escalating further to 273,879,750 people in 2021. Government initiatives to manage this growth involve reducing birth rates through family planning programs. Active in 2021, Kamang KB Community Health Center attended to 2,728 out of 4,534 Potential Couples of Reproductive Age (PUS). This study aims to delineate the profile of family planning acceptors within the operational domain of Kamang Community Health Center in 2022. Employing a descriptive design, the research transpired in March - April 2023. The study population includes all family planning acceptors within Kamang Community Health Center's operational region, amounting to 2,728 individuals. By employing the Slovin formula, the sample size was determined as 348 people using the Incidental Sampling technique. Univariate analysis is applied for data analysis. The results reveal that within the health center's operational domain, family planning acceptors comprise 56% of individuals in the reproductive age group. Moreover, 76.7% of them are multipara, 81.89% are not engaged in employment, 74.13% belong to a higher socioeconomic stratum, and 71.8% employ injectable contraception. Other methods include pill contraception (7.5%), condom usage (8.6%), intrauterine device (IUD) usage (0.57%), implant usage (7.18%), and natural methods (4.3%). The majority (75.9%) reported no side effects, while 30.46% experienced them. Furthermore, 99.4% received support from their husbands. In conclusion, this study indicates that factors like age, parity, occupation, socio-economic status, side effects, and husband's support do not significantly influence contraceptive choices. It is recommended that mothers enhance their understanding of family planning to bolster motivation and foster greater interest in its adoption. Keywords : Contraception, Parity, Socioeconomic, Contraception History, Husband's Suppor
HUBUNGAN STATUS IMUNISASI, STATUS GIZI, DAN PRILAKU MEROKOK DENGAN KEJADIAN ISPA PADA BALITA UMUR 1–3 TAHUN
Get PDFARI is the most common disease suffered by children and all children can experience it. This can be caused the immune system of children is more vulnerable than adults. The number of toddlers at Air Bangis Community Health Center suffering from ARI is 7,226 people in 2021. The purpose of the study was to determine the correlation between Immunization Status, Nutritional Status and Smoking Behavior with the incidence of ARI in Toddlers Age 1 – 3 Years in the Working Area of Air Bangis Community Health Center, Pasaman Barat Regency in 2022. This study was Analytical Descriptive with Cross Sectional design. In this study, the sample was taken using the Stratified Random Sampling method with a total sample of 66 people. This research was conducted in August 2022 in the Working Area of Air Bangis Community Health Center, Pasaman Barat Regency. Data processing was done by using a computer to determine the correlation among variables. From the results of the study, it was found that respondents had incomplete immunizations (53.0%), immunization status with normal weight (69.0%), smoking behavior did not pay attention to surroundings (62.1%), ARI incidence (63.6%). The results of the bivariate analysis showed that the immunization status p-value = 0.030, OR = 3.600, Nutritional Status p-value = 0.036, OR = 4.760, smoking behavior p-value = 0.000, OR = 10.321 on the incidence of ARI in children under five. From the results of the study, it can be concluded that there is a significant correlation between immunization status, nutritional status, and smoking behavior on the incidence of ARI in children under five. It is recommended that parents can provide complete immunizations, provide healthy and nutritious food, and not smoke in the house.Keywords: ARI, Immunization, Nutritional Status, Smokin
Effect of Structured Nursing Intervention on Knowledge and Treatment Adherance Among Patients With End Stage Renal Disease in Kano Metropolis
Get PDFBackground: Chronic Renal Failure is a progressive irreversible deterioration in renal function in which the body’s power to maintain metabolic, fluid, and electrolyte balance fails, resulting in uremia which contributes to the patient's dependence upon hemodialysis for the maintenance of the internal milieu and to avoid uremia. Patients with end-stage renal disease (ESRD) are characterized by low levels of physical activity and a continuous decline in physical function. The main aim of the study was to assess the effect of structured nursing intervention on treatment adherence among patients with end-stage renal disease in Kano Metropolis. Methods: This study utilized a two-group pretest-post-test quasi-experimental design. Patients receiving dialysis care at Muhammadu Abdullahi Wase Teaching Hospital and Abubakar Imam Urology Hospital were purposively selected as experimental and control groups respectively. A total of 422 participants were estimated and selected for the study and equally shared among the two groups, i.e. 211 for the control and 211 for the experimental group. All statistical data were analyzed and described using simple frequencies, Chi-square, T-test and regressions. Results: Regarding treatment adherence, the pre-intervention mean score was 52.9 and 50.00, and the post-intervention score was 73.2 and 54.6 in the intervention and control groups, respectively. The effectiveness of the intervention was tested using unpaired t-test which was found to be significantly effective (p<0.005). Conclusion: Based on the findings of the study, the structured nursing intervention was effective in improving the level of knowledge regarding the disease and treatment adherence (p<0.005) among patients with end-stage renal disease in the Kano metropolis. It is therefore recommended that the nephrology nurses, hospital administrators, and the general public join hands to make the services accessible and affordable to these patients to maintain their normal life activities through good adherence to the treatment regimen
Pengaruh Terapi Neiguan dan Aromaterapi Citrus Terhadap Puqe Scale Emesis Gravidarum Trimester 1 Pada Ibu Primigravida dan Multigravida
Get PDFBackground:Nausela and vomiting (elmelsis gravidarum) during thel first trimelstelr of prelgnancy is a common condition elxpelrielnceld by prelgnant womeln. Selvelral non-pharmacological thelrapiels arel availablel to relducel elmelsis gravidarum, including Neliguan acuprelssurel thelrapy and citrus aromathelrapy. Purpose: This aim of this relselarch is to deltelrminel thel elffelct of Neliguan thelrapy and citrus aromathelrapy on thel PUQEL Scalel of elmelsis gravidarum in first-trimelstelr prelgnant womeln. Methods: Thel study elmployeld a quasi-elxpelrimelntal melthod with a onel-group preltelst-posttelst delsign. It was conducteld from August to Selptelmbelr 2024. Thel study population includeld all first-trimelstelr prelgnant womeln in Bungo District, with a total samplel of 32 participants. Data analysis useld thel delpelndelnt T-telst. Thel instrumelnt useld was thel PUQEL (Prelgnancy-Uniquel Quantification of ELmelsis and Nausela) scalel. Results: Thel study relsults showeld that most relspondelnts welrel 29.94 yelars old (95% CI: 28.79-31.09), with 71.9% beling multigravida. Statistical analysis using thel delpelndelnt T-telst on thel posttelst relsults for thel intelrvelntion group (thosel relceliving Neliguan thelrapy and citrus aromathelrapy) showeld a p-valuel of 0.0005. Conclusion: Thelrel was a significant diffelrelncel in thel avelragel PUQEL Scalel of ELmelsis Gravidarum beltweleln primigravida and multigravida womeln in thel intelrvelntion group. This thelrapy is elxpelcteld to bel an elffelctivel non-pharmacological altelrnativel for managing elmelsis gravidarum in prelgnancy.Background: Nausela and vomiting (elmelsis gravidarum) during thel first trimelstelr of prelgnancy is a common condition elxpelrielnceld by prelgnant womeln. Selvelral non-pharmacological thelrapiels arel availablel to relducel e
Deskripsi Tingkat Pengetahuan Guru dan Orang Tua Tentang Bullying Pada Anak Usia Prasekolah
Get PDFBackground: Bullying is an aggressive behavior that is deliberately carried out by a person or group to hurt physically or emotionally repeatedly. Preschool education is given to build children’s characters who are still difficult to socialize and control emotions. The phenomenon of bullying was found in the environment of preschool children which was considered a normal thing by teachers and parents of students. To determine the level of knowledge of teachers and parents about bullying behavior in preschool children. Methods: This study is a quantitative descriptive study with a cross-sectional approach. Samples were taken from 10 kindergartens in the Banyuraden Village area. The teacher sampling technique used total sampling with 39 samples and parents used simple random sampling with 208 samples. The research instrument used a questionnaire. Results: The results of the study showed that most teachers and parents had a good level of knowledge about bullying in preschool children, but many parents still considered that habituating children's behavior at home did not have an impact on the formation of bullying behavior. Conclusion: Teachers and parents have an important role in avoiding the formation of the character of bullies as early as possible so that knowledge about bullying must be possessed. Researches with different methods can be carried out for more valid result
THE EFFECT OF GLENOHUMERAL JOINT TRANSLATION AND CODMAN PENDULUM EXERCISES ON THE INCREASE OF GLENOHUMERAL JOINT RANGE OF MOTION IN PATIENTS WITH FROZEN SHOULDER
No full textABSTRACT Frozen shoulder is the possibility of inflammation, pain, adhesion, atrophy, and capsule shortening. The attacks are generally unilateral, more in women than men and more often in the age of 40-60 years. This type of research is Quasi Experiments with the One Group Pretest and Postest Design research. The independent research variable is the glenohumeral joint and pendular translation exercise while the dependent variable is the analysis of motion of the joint on the frozen shoulder. The sampling technique used purposive sampling with a sample of this study winning 10 respondents. The results of this study prove the fact-average about joint movements before and after the change intervention. The statistical analysis of this study using the Wilcoxon Signed Rank Test obtained different results of flexion motion before and completed intervention 21.1 and p = 0.0001 (p <0.05), extensions with an average difference of 9.8 and p = 0,0001 (p <0.05). The mean with an average of 19.5 and p = 0,0001 (p <0.05), the acceleration with different means is 19.5 and p = 0.0001 (0.05), the addition with the average difference average 2.82 and p = 0.005 (p <0.05), endorotation with a difference in mean of 2.913 and p = 0.004 (p <0.05), exaggeration with an average difference of 2.842 and p = 0.004 (p <0 , 05).Can help improve joint glenohumeral hearing and pendulum codman exercises effective in increasing the motion distribution of glenohumeral joints in patients with frozen shoulder. Keywords : Frozen Shoulder, Range Of Motion , Glenohumeralis Translation Joint, Codman Pendulum Exercise. ABSTRAKFrozen shoulder adalah terjadinya peradangan, nyeri, perlengketan, atropi dan pemendekan kapsul sendi sehingga terjadi keterbatasan sendi bahu. Serangan umumnya bersifat unilateral, lebih banyak pada wanita dibandingkan laki–laki dan lebih sering terjadi pada usia 40–60 tahun.Jenis penelitian ini adalah Quasi Eksperiment dengan pendekatan One Group Pretest and Postest Desain. Variabel independent penelitian ini adalah translasi glenohumeralis joint dan pendular codman exercise sedangkan variabel dependentnya adalah lingkup gerak sendi pada frozen shoulder. Teknik pengambilan sampel menggunakan purposive sampling dengan sampel penelitian ini berjumlah 10 responden. Hasil penelitian ini menunjukkan bahwa rata-rata lingkup gerak sendi sebelum dan sesudah intervensi mengalami perubahan. Analisis statistic penelitian ini menggunakan Wilcoxon Signed Rank Test yang didapat hasil beda rata-rata gerak fleksi sebelum dan sesudah intervensi 21,1 dan p= 0,0001(p<0,05), ekstensi dengan beda rata-rata 9,8 dan p=0,0001(p<0,05). Abduksi dengan beda rata-rata 19,5 dan p= 0,0001(p<0,05), Abduksi dengan beda rata-rata 19,5 dan p=0,0001(0,05), adduksi dengan beda rata-rata 2,82 dan p= 0,005(p<0,05), endorotasi dengan beda rata-rata 2,913 dan p= 0,004(p<0,05), eksorotasi dengan beda rata-rata 2,842 dan p= 0,004(p<0,05). Dapat disimpulkan bahwa pemberian translasi glenohumeralis joint dan pendulum codman exercise efektif terhadap peningkatan lingkup gerak sendi glenohumeralis pada penderita frozen shoulder.Kata Kunci :Frozen Shoulder, Lingkup Gerak Sendi, Translasi Glenohumeralis Joint, Pendulum Codman Exercise