Jurnal Kesehatan Primer
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Hubungan Pengetahuan, Paritas, Pekerjaan Ibu dengan Keteraturan Kunjungan Ibu Hamil untuk ANC selama Masa Pandemi Covid- 19
Abstract:
Introduction: ANC is an examination of pregnancy to optimize the physical and mental health of pregnant women, to reduce maternal and child mortality, during the pandemic, although many factors can affect it, including knowledge, parity and maternal occupation. The purpose of this study was to determine the effect of these factors on the regularity of ANC visits to pregnant women in the Covid-19 pandemic era and to determine the most influential factors. Methods: This research was conducted in the Mandala Public Health Center with 91 pregnant women as respondents, or the total population, when analyzing the data could be processed into 83 people. The statistical test used is Chi Square, to determine the most influential factors using logistic regression test with the assumption that the data is normally distributed. Results: The results showed that the relationship between knowledge and regularity of doing ANC was obtained p value = 0.412, which means that there is no significant relationship. The relationship between parity and regularity in conducting ANC obtained a significant value of p value = 0.015, which means that there is a significant relationship between respondents\u27 parity and regularity in conducting ANC. The relationship between work and regularity of doing ANC obtained a significant value of p value = 0.826 which means there is no significant relationship. Conclusion: The regularity of visits by pregnant women to perform ANC is not related to knowledge parity and maternal occupation. This research is expected to be an input to develop a work program in increasing ANC coverage during a pandemic in order to minimize the incidence of maternal and infant mortality.
Abstrak:
Pendahuluan: ANC merupakan pemeriksaan atas kehamilan untuk mengoptimalkan kesehatan fisik dan mental ibu hamil, untuk menekan angka kematian ibu dan anak, masa masa pandemic meskipun banyak factor yang dapat mempengaruhinya diantaranya pengetahuan, paritas dan pekerjaan ibu. Tujuan dari penelitian ini untuk mengetahui pengaruh factor-faktor tersebut terhadap keteraturan kunjungan ANC pada ibu hamil di era pandemic covid-19 serta mengetahui factor yang paling berpengaruh. Metode: Penelitian ini dilakukan di wilayah kerja Puskesmas Mandala dengan responden 91 ibu hamil, atau total populasi, saat melakukan analisis data data yang dapat diolah menjadi 83 orang. Uji statistic yang digunakan menggunakan Chi Square, untuk mengetahui factor yang paling berpengaruh menggunakan uji regresi logistic dengan asumsi data terdistribusi normal. Hasil: Hasil penelitian diperoleh hubungan pengetahuan dengan keteraturan melakukan ANC diperoleh nilai p value = 0.412 artinya tidak ada hubungan yang signfikan. Hubungan paritas dengan keteraturan melakukan ANC diperoleh nilai signifikan p value = 0.015 artinya ada hubungan yang signifikan antara paritas responden dengan keteraturan melakukan ANC. Hubungan pekerjaan dengan keteraturan melakukan ANC diperoleh nilai signifikan p value = 0.826 berarti tidak ada hubungan yang signifikan. Kesimpulan: Keteraturan kunjungan ibu hamil melakukan ANC tiak berhubungan dengan pengetahuan, paritas dan pekerjaan ibu. Penelitian ini diharapkan sebagai masukan untuk menyusun program kerja dalam meningkatkan cakupan ANC pada masa pandemic guna meminimalisir kejadian kematian ibu dan bayi
Influence of family caregiver education level with their expressed emotion in caring for the elderly: (Study at the Surabaya community health center)
Objective: The higher the level of education of a person, the wider the horizons of his thinking, so it is very helpful when a person grapples with stressful life events and develops coping skills to deal with stress. The stress faced by the caregiver will affect and increase expressed emotion. Caregivers with high expressed emotion are at risk of causing family members of person they cared for to experience stress.
Methods: This is an observational analytic study with a cross-sectional design. A total of 56 family caregiver at Surabaya Community Health Centre participated in this study. The measuring instrument used is a sociodemographic questionnaire and a Family Questionnaire (FQ) assessing expressed emotion.
Results: Statistical analysis generated a significant p-value of 0.000 with alpha of 0.05, thus the p-value ≤ 0.05. It indicated a significant association between education level with the expressed emotion of caregiver.
Conclusion: The education level of the family of caregiver will affect their expressed emotion
Faktor Risiko Kejadi TB Paru
Background: Pulmonary Tuberculosis (TB) remains a major public health issue worldwide, including in Indonesia, with a continuously increasing incidence rate. Objective: This study aims to analyze the risk factors influencing the occurrence of pulmonary TB through a literature review approach. Method: The research accessed two databases, Google Scholar and PubMed. The search results yielded 8,350 articles from Google Scholar and 6,390 articles from PubMed. After screening and selection, 6 relevant journals from Google Scholar and 1 journal from PubMed were included for analysis. Results: The results indicate that the most significant risk factors for the occurrence of pulmonary TB are: 1) overcrowding, 2) low levels of education and knowledge, 3) inadequate lighting, and 4) poor nutritional status. These findings underscore the importance of prevention efforts involving both government and community participation, especially in addressing the risk factors that exacerbate the spread of TB in Indonesia.
 
Hubungan Antara Aktifitas Fisik Dengan Kejadian Hipertensi Pada Usia Dewasa Di Puskesmas Kedu Kabupaten Temanggung
Introduction: Hypertension is still a contributor to the highest cause of death due to non communicable disease. Many factors cause hypertension to be recognized and controlled. The purpose of this research is to know the relationship between physical activity and incidence of hypertension. Method: This research is a correlational descriptive study with a cross sectional approach. The population in this study is an adult age patient who visits Puskesmas Kedu in Kabupaten Temanggung. Samples amounting to 80 respondents were taken with sampling techniques accidental sampling. To determine the incidence of hypertension used data medical record of medical diagnosis while to measure the physical activity used International Physical Activity Questionnaire (IPAQ). Data analysis is conducted using Chi Square test (α 0.05). Result: Results showed that there is a relationship between physical activity with the incidence of hypertension in the Puskesmas Kedu Kabupaten Temanggung (p value = 0.001). Conclusion: The conclusion on this study is at the age of adulthood with a small physical activity is more at risk of experiencing hypertension than those with heavy physical activity.
Pendahuluan: Hipertensi masih merupakan penyumbang penyebab tertinggi kematian akibat penyakit tidak menular. Banyak sekali faktor penyebab hipertensi yang harus dikenali dan dikendalikan. Tujuan penelitian ini adalah untuk mengetahui hubungan antara aktifitas fisik dengan kejadian hipertensi. Metode: Penelitian ini adalah penelitian deskriptif korelasional dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah pasien usia dewasa yang berkunjung di Puskesmas Kedu Kabupaten Temanggung. Sampel berjumlah 80 responden diambil dengan teknik sampling accidental sampling. Untuk menentukan kejadian hipertensi digunakan data medical record dari diagnosa medis sedangkan untuk mengukur aktifitas fisik digunakan International Physical Activity Questionnaire (IPAQ). Analisa data dilakukan dengan menggunakan uji Chi Square (α 0,05). Hasil: Hasil penelitian menunjukkan bahwa ada hubungan antara aktivitas fisik dengan kejadian hipertensi di Puskesmas Kedu Kabupaten Temanggung (p value =0,001). Kesimpulan: Kesimpulan pada penelitian ini adalah pada usia dewasa dengan aktifitas fisik yang ringan lebih beresiko mengalami hipertensi dibandingkan dengan yang mempunyai aktifitas fisik yang berat
Efektifitas Bilateral Packing Pada Pemasangan Laryngeal Mask Airway Klasik Pada Pasien Dengan General Anesthesia Inhalasi
Introduction: The anesthesiologist found the problem in classic LMA and they modified with bilateral packing, but there is no study to see the risk factor for failure in classic LMA and LMA with bilateral packing. The purpose of this study was to identify the effectiveness of bilateral packing on classic LMA use in patients with general inhalation anesthesia at Kasih Ibu Hospital Denpasar. Method: this research is a case control with a retrospective approach which is an analytical survey study with a purposive sampling technique. The variable observed in this study was the risk of leakage, biting, regardless of classic LMA installation compared to classic LMA with bilateral packing. The data used in this study are secondary data based on observations in as many as 46 cases of patients with classic LMA with bilateral packing and classic LMA listed in the medical record. Data analysis was performed with a comparative test of group data fitted with bilateral packing and the classic LMA group with the Mann-Whitney test. Results: of the analysis showed that bilateral packing was significantly effective because there was no leakage, biting, regardless event compared to the use of classic LMA (p <0.005). Conclusion: This researcher stated that the installation of LMA with bilateral packing method is very effective to prevent failures, such as leakage, biting, regardless.
Pendahuluan: Hingga saat ini masih ditemukan adanya masalah dalam pemasangan LMA klasik sehingga dilakukan modifikasi yaitu dengan pemasangan bilateral packing, namun belum dilakukan kajian yang lebih mendalam untuk melihat faktor resiko kegagalan. Tujuan penelitian ini untuk mengidetifikasi efektivitas pemasangan bilateral packing pada penggunaan LMA klasik pada pasien dengan general anesthesia inhalasi di rumah sakit Kasih Ibu Denpasar. Metode: penelitian ini yaitu case control dengan pendekatan retrospektif yang merupakan suatu penelitian survei analitik dengan teknik purposive sampling. Variabel yang diamati dalam penelitian ini yaitu resiko kebocoran, tergigit, terlepas pada pemasangan LMA klasik dibandingkan dengan LMA klasik dengan bilateral packing. Data yang digunakan dalam penelitian ini merupakan data sekunder berdasarkan hasil pengamatan pada sebanyak masing-masing 46 kasus pasien dengan pemasangan LMA klasik dengan bilateral packing dan LMA klasik yang tertera pada rekam medis. Analisa data dilakukan dengan uji komparatif terhadap data kelompok yang dipasang bilateral packing dan kelompok LMA klasik dengan uji Mann-Whitney. Hasil: analisis menunjukkan bahwa pemasangan bilateral packing secara signifikan lebih efektif karena tidak ada kejadian kebocoran, tergigit, dan terlepas (p<0,005) dibandingkan dengan penggunaan LMA Klasik. Kesimpulan: Peneliti ini bahwa pemasangan LMA dengan metode bilateral packing sangat efektif yang dilakukan untuk mencegah kegagalan antara lain terlepas, bocor dan tergigit
Hubungan Pengaturan Emosi Positif Antara Citra Tubuh Dan Kualitas Hidup Pada Wanita Masa Menopause
Background: Post menopausal women feel that they are old, unhealthy, and no longer beautiful and this affects their body image. In some women, menopause symptoms may severely impair quality of life. The objective is is there a correlation between positive emotional management between body image and quality of life in menopausal women. Methods: This study was conducted using an analytic observational method with a cross-sectional design. The population is 68 elderly female members of the Aprilia Posyandu in the Kenjeran Community Health Center. The sample is menopausal women. The data in this study were analyzed using ordinal regression for the correlation between positive emotional management, body image and quality of life. Result: p> 0.05 positive emotional management with body image. Statistical test p <0.05 for the correlation of positive emotional management with quality of life. Conclusion: there is a correlation between positive emotional management and quality of life and there is no relationship between positive emotional management and body image.
Pendahuluan: Wanita menopause merasa menjadi tua, tidak sehat, dan tidak cantik lagi dan hal ini berpengaruh terhadap citra tubuh wanita. Pada beberapa wanita, gejala-gejala menopause mungkin sangat mengganggu kualitas hidup. Tujuan yaitu adakah hubungan pengaturan emosi positif antara citra tubuh dan kualitas hidup pada wanita masa menopause. Metode: Penelitian ini akan dilakukan dengan metode observasional analitik dengan rancangan berupa cross-sectional. Populasi yaitu anggota wanita Posyandu Lansia Aprilia di wilayah kerja Puskesmas Kenjeran sebanyak 68 lansia
Evaluasi Managemen Nutrisi Pada Balita
Introduction: Complex nutrition is needed to support the growth and development of toddlers. Sufficient preparation must be done by the mother, as long as the toddler enters the process of growth and development so as to provide nutrition that is appropriate for the toddler during a period of growth and development. Nutrition Management for toddlers is very important. This study aims to find a picture of how nutrition management during the growth and development of toddlers, especially those carried out by mothers of toddlers. Method: this research uses a descriptive design with a survey approach. The population of all toddlers in RW 3, Dukuh Mencek, Sukorambi Jember sub-district was 43 mothers of toddlers with a large sample of 30 people. The study was conducted at posyandu in the village of Hamlet checking as many as 5 posyandu, data collection instruments using a questionnaire with a Likert scale. Results: this study was presented with a central tendency analysis in the form of the mean. Nutrition management for toddlers with a good category is 6 with a percentage of 20%, enough categories is 20 with a percentage of 66% while those with a less category are 4 people with a percentage of 14%. Conclusion: research shows that evaluation of nutrition management by toddlers by mothers is very important even though the results are in the quite dominant category. Evaluation of nutrition management in infancy by mothers contributes greatly to the toddler\u27s growth and development stage. Increased knowledge in mothers of children under five and the application of nutrition management in Cathelya\u27s community must be further promoted by health workers and cadres in charge.
Pendahuluan: Nutrisi kompleks dibutuhkan untuk menunjang pertumbuhan dan perkembangan Balita, oleh karena itu Manajemen Nutrisi bagi balita ini sangatlah penting. Penelitian ini bertujuan untuk mengetahui gambaran bagaimana manajemen nutrisi pada masa pertumbuhan dan perkembangan Balita khususnya yang dilakukan oleh ibu balita. Metode: penelitian ini menggunakan desain deskriptif dengan pendekatan survey. Populasinya semua balita di RW 3 desa Dukuh Mencek kecamatan Sukorambi Jember sejumlah 43 ibu balita dengan besar sampel 30 orang. Penelitian dilakukan di posyandu yang ada di desa Dukuh mencek sebanyak 5 posyandu, instrumen pengumpulan data menggunakan kuesioner dengan skala likert. Hasil: penelitian ini disajikan dengan analisis tendensi sentral dalam bentuk mean. Manajemen nutrisi balita dengan kategori baik sejumlah 6 dengan pesentase 20%, kategori cukup sebanyak 20 dengan persentase 66 % sedangkan yang dengan kategori kurang sejumlah 4 orang persentasenya 14%. Kesimpulan: hasil penelitian menunjukkan bahwa evaluasi manajemen nutrisi balita oleh ibu sangat penting walaupun hasilnya dalam kategori cukup lebih mendominasi. Evaluasi manajemen nutrisi pada masa balita oleh ibu berkontribusi tinggi pada tahap tumbuh kembang balita. Peningkatan pengetahuan pada ibu balita dan aplikasi manajemen nutrisi diposyandu Cathelya harus lebih disosialisasikan lagi oleh tenaga kesehatan dan kader yang bertugas
Faktor-Faktor Yang Mempengaruhi Remaja Putri Dalam Menghadapi Menarche di SMP Negeri 1 Nggaha Ori Angu Kabupaten Sumba Timur
Introduction: Adolescent girls\u27 knowledge about menarche can be influenced by several factors including knowledge, information, and the role of parents. Low knowledge, limited access to information and the role of parents in guiding young women about menarche have an impact on the disruption of a sustainable psychological condition that is very disturbing adolescent studies. Objective: to identify the factors that influence young women in dealing with menarche. Method: this study used a descriptive method with the instrument used was a questionnaire. Results: The knowledge of teenage girls of SMP Negeri 1 NGGOA about menarche is in the poor category of 14 people (41.17%). Knowledge of young women in terms of information is in the category of less that as many as 14 respondents (41.20%), knowledge of young women about menarche in terms of the role of parents in the category of as much as 15 respondents (44.11%), Conclusion: Factors - factors affecting young women in dealing with menarche are knowledge, information and the role of parents. The next researcher is expected to conduct a review using different data collection methods and techniques to obtain a comparison of research results from different methods.
Pendahuluan: Pengetahuan remaja putri tentang menarche dapat dipengaruhi oleh beberapa faktor antara lain pengetahuan, informasi, dan peran orang tua. Pengetahuan yang redah, akses informasi yang terbatas dan peran orang tua yang kurang dalam membimbing remaja putri mengenai menarche berdampak pada terganggunya kondisi psikis yang berkelanjutan sangat mengganggu studi remaja tersebut. Tujuan penelitian ini untuk mengidentifikasi faktor – faktor yang mempengaruhi remaja putri dalam menghadapi menarche. Metode: Penelitian ini menggunakan metode deskriptif dengan Instrumen yang digunakan adalah kuesioner. Hasil: Pengetahuan remaja putri SMP Negeri 1 NGGOA tentang menarche berada pada kategori kurang yaitu sebanyak 14 orang (41,17%). pengetahuan remaja putri dari segi informasi berada pada kategori kurang yaitu sebanyak 14 orang responden (41.20%), pengetahuan remaja putri tentang menarche dari segi peranan orang tua berada pada kategori kurang yaitu sebanyak 15 orang responden (44,11%). Kesimpulan: Faktor – faktor yang mempengaruhi remaja putri dalam menghadapi menarche adalah pengetahuan, Informasi dan peranan Orang Tua. Bagi peneliti selanjutnya diharapkan melakukan pengkajian kembali menggunakan metode dan teknik pengambilan data yang berbeda sehingga diperoleh perbandingan hasil penelitian dari metode yang berbeda
Hubungan Pengetahuan Dan Budaya Dengan Tindakan Pemanfaatan Kelor Di Kabupaten Sumba Timur
Background: Moringa leaves are a fairly good alternative in meeting the nutritional needs of underweight toddlers, pregnant women with anemia and in daily life and can be used as a business with high economic value. The purpose of this study is correlation between of knowladge and cultural with intervention of using Moringa as a food ingredient for improving family nutrition. Method: Cross-sectional design analytic study. Sample are 399 family from Lewa and Pandawai sub-districts. The dependent variable of this study is the intervention of using Moringa and the independent variables study are knowledge and culture of Moringa. The instrument used is a questionnaire. The statistic analisis of study is chi squere. Results: Bivariate analysis is good knowledge related 18 times to Moringa utilization measures (PR = 18,389; 95% CI = 9,722-34,784; p-value <0,001), good culture relates 5 times to Moringa utilization measures (PR = 4,698; 95% CI = 2,631-8,391; p-value <0,001). Conclusion : There is a significant relationship between knowledge and culture with the use of Moringa utilization measures.
Latar Belakang: Daun kelor merupakan alternatif yang cukup baik dalam pemenuhan kebutuhan gizi balita kurus, ibu hamil dengan anemia maupun dalam kehidupan sehari-hari serta dapat dijadikan usaha yang bernilai ekonomis tinggi. Tujuan penelitian untuk melihat hubungan pengetahuan dan budaya dengan tindakan pemanfaatan kelor di Kabupaten Sumba Timur. Metode: Studi analitik desain crosssectional. Jumlah sampel 399 kepala keluarga dari Kecamatan Lewa dan Pandawai. Variabel terikat penelitian ini adalah tindakan pemanfaatan kelor dan variabel bebas yang diteliti adalah pengetahuan dan budaya. Instrumen yang digunakan yaitu kuesioner. Analisis statistik yang digunakan adalah chi squere. Hasil: Hasil analisa statistik menunjukkan terdapat hubungan antara pengetahuan dengan tindakan pemanfaatan daun kelor (PR=18,389;95%CI=9,722-34,784; p-value <0,001) dan terdapat hubungan budaya dengan tindakan pemanfaatan kelor (PR=4,698;95%CI=2,631-8,391; p-value <0,001). Kesimpulan : Terdapat hubungan yang cukup signifikan antara pengetahuan dan budaya dengan tindakan pemanfaatan daun kelor
Pengaruh Penyuluhan Kesehatan Dalam Menurunkan Tingkat Stress Penderita Hipertensi Di Puskesmas Onekore
Introduction: Hypertension is a disorder of the circulatory system that is commonly found in the community, which causes heart disease and can lead to mortality. One of the triggers for hypertension is the stress experienced through activation of the sympathetic nervous system resulting in an intermittent increase in blood pressure. Stress in patients with hypertension is caused by lifestyle, including the patient\u27s ignorance of hypertension. Objective: To determine the effect of health education on hypertension on the stress level of hypertension sufferers at the Onekore Health Center. Method: This research is an analytical survey with a quasi-experimental design. The population was 51 hypertensive patients at the Onekore Health Center, the sampling technique used was total sampling. Actions given were health education about hypertension, using a stress level questionnaire with the HARS (Hamilton Anxiety Rating Scale) criteria and blood pressure was measured using a mercury type spygnomanometer. Data analysis used descriptive analysis with the Wilcoxon test. Results: The results showed that before being given health education about hypertension, most respondents (27 people = 52.94%) experienced mild stress, after being given health education about hypertension, most respondents (26 people = 50.98%) experienced mild stress. The Wilcoxon statistical test results obtained a significance value of 0.000 (p <0.05). Conclusion: There is an effect of health education about hypertension on the stress level of hypertension sufferers at Onekore Health Center. For people with hypertension and their families to always carry out health control in health care facilities to get treatment and detailed health information about hypertension.
Pendahuluan: Hipertensi merupakan gangguan pada sistem peredaran darah yang menyebabkan penyakit jantung dan mengakibatkan kematian. Salah satu faktor pemicu terjadinya hipertensi adalah stress yang dialami melalui aktivasi sistem saraf simpatis mengakibatkan naiknya tekanan darah secara intermiten. Stres pada penderita hipertensi diakibatkan karena gaya hidup termasuk ketidaktahuan penderita tentang hipertensi. Tujuan: Untuk mengetahui pengaruh penyuluhan kesehatan tentang hipertensi terhadap tingkat stres penderita hipertensi di Puskesmas Onekore. Metode: Jenis penelitian ini adalah survey analitik dengan desain kuasi eksperimen. Populasi berjumlah 51 penderita hipertensi di Puskesmas Onekore, teknik sampling menggunakan total sampling. Tindakan yang diberikan berupa penyuluhan kesehatan tentang hipertensi, menggunakan kuisioner tingkatan stres kriteria HARS (Hamilton Anxiety Rating Scale) dan tekanan darah diukur menggunakan spygnomanometer type mercury. Analisis data menggunakan analisis deskriptif dengan uji Wilcoxon. Hasil: Hasil penelitian menunjukkan bahwa sebelum diberikan penyuluhan kesehatan tentang hipertensi, sebagian besar responden (27 orang = 52,94%) mengalami stres ringan, setelah diberikan penyuluhan kesehatan tentang hipertensi, sebagian besar responden (26 orang = 50,98%) mengalami stres ringan. Hasil Uji statistik Wilcoxon diperoleh nilai significancy 0,000 (p < 0,05). Kesimpulan: Ada pengaruh penyuluhan kesehatan tentang hipertensi terhadap tingkat stress penderita hipertensi di Puskesmas Onekore. Bagi penderita hipertensi dan keluarganya untuk selalu melakukan kontrol kesehatan di fasilitas layanan kesehatan untuk memperoleh pengobatan dan detail informasi kesehatan tentang penyakit hipertensi