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Evaluating the Usability of the AKUDia Mobile App for Blood Sugar Monitoring: A Feasibility Study
A variety of ultra-invasive portable blood sugar test kits have been available on the market; these kits require drawing blood from capillaries, which can still be painful and uncomfortable and even enhance the risk of infection. To develop a non-invasive blood sugar meter that is painless and comfortable to use, innovation is required. AKUDia, a mobile application for monitoring blood sugar, was developed as a smart wearable device to help older adults with diabetes stay healthy. This study aimed to measure the usability of the AKUDia application using a usage questionnaire. In terms of a feasibility study, this was quantitative. USE Questionnaire contains a list of questions encompassing 30 questions divided into four dimensions: Usefulness, Ease to use, Ease of learning, and Satisfaction. 50 respondents were recruited for this study, meeting the inclusion criteria of DM patients who had completed a week-long training program on using the AKUDia application. Samples were selected by simple random sampling, and descriptive and univariate data analyses were performed. The AKUDia feasibility test results demonstrated a usability value of 83%, which was classified as very feasible; an ease of use value of 74 percent, which was classified as feasible; an ease of learning value of 83%, which was classified as very feasible; and a satisfaction aspect of 71% at the feasible level. The average usability value of the four categories (usability, ease of use, ease of learning, and satisfaction), which was obtained at 78 percent, indicates that the AKUDia application\u27s usability is at a practicable level. The usability of the AKUDia application is feasible. Governments should support the use and implementation of this innovation in addition to healthcare professionals like doctors and nurses. Information technology systems have the potential to serve as an instrument for illness prevention, treatment, and rehabilitation in addition to promoting health. Future studies should be enhanced to investigate, through experimental research, how the AKUDia application supports nursing care and health management for individuals with diabetes mellitus and the general population
Effectiveness of Aloe Vera-Based Topical Therapy Products on Breastfeeding Mothers with Milk Scratches in Hamparan Perak Village
In Indonesia, a study revealed that approximately 86.4% of breastfeeding mothers encounter nipple issues such as blisters, dryness, and pain. The World Health Organization (WHO) emphasizes that chafed nipples contribute to substantial pain, discomfort, and diminished milk production among nursing mothers, thereby posing a hindrance to exclusive breastfeeding initiatives. This study aims to investigate the effectiveness of an aloe vera-based topical therapy product in reducing nipple chafing in breastfeeding mothers in Hamparan Perak District. Conducted as an experimental study with a pre-test and post-test control group design, the research transpired in Hamparan Perak village. The study enlisted breastfeeding mothers experiencing sore nipples, with 20 individuals in the intervention group receiving aloe vera-based topical therapy in gel form, and 20 individuals in the control group receiving a placebo. The assessment of effectiveness centered on measuring blister occurrence and nipple pain scores both before and after the intervention, employing the Mann-Whitney test for data analysis. Bivariate analysis utilizing the Mann-Whitney U-test yielded a significant P-value of 0.001. Consequently, it can be inferred that aloe vera gel demonstrably influences nipple pain, with aloe vera gel proving to be 5,537 times more effective in pain reduction. Future research could incorporate objective measures, such as clinical assessments or laboratory analyses, to validate the reported outcomes
Effectiveness of Online Mindfulness-Based Intervention on Depression in Pregnancy
The high prevalence of depression in developed and developing countries requires a relevant intervention to suppress its incidence. Mindfulness-based intervention is given online as a new complementary intervention that can help reduce symptoms of depression. This study aimed to determine the effectiveness of online mindfulness-based interventions in reducing depressive symptoms in pregnancy. This research method used a randomized control trial, with 66 participants consisting of the mindfulness-based Intervention (MBI) group of 33 participants and the control group of 33 participants. The MBI intervention was provided for eight weeks online. The study uses simple random sampling. Depression was assessed using DASS 42. Data were tested using the Mann-Whitney U Test and t-test and processed with SPSS version 23. The results showed that there was a significant decrease in depression levels in the online MBI group after being given intervention compared to the control group (7.55 ± 2.181 vs 11.00 ± 2.345) p=0.000. Mindfulness-based intervention online can reduce depressive symptoms in pregnant women, so that the intervention becomes a feasible, cheap and easy intervention for pregnant women in improving mental health. In the future, this research can develop other types of complementary interventions to improve maternal and fetal health
Spatial Analysis of the Occurrence of Multi-Drug Resistance (MDR) Escherichia coli in Pet Dogs in Kupang City
Antibiotic resistance is an important health problem and a threat to public health. Dogs as pets can be both spreaders and reservoirs of antibiotic-resistant bacteria. Based on spatial analysis, this study aims to determine the distribution pattern of multi-drug resistance (MDR) Escherichia coli found in pet dogs in Kupang City. The spatial analysis method is based on the convex hull technique, elementary analysis of disease, and the Nearest Neighbour Index (NNI). Information on antibiotic-resistant E. coli has been obtained from the laboratory analysis results, and secondary data was obtained for spatial analysis. The results of this study have shown that the distribution pattern of the incidence of MDR E. coli in the City of Kupang in 2020 is a clustered pattern with the Nearest Neighbor Index (NNI) value of 0.783, which is higher than the NNI AMR E. coli in the City of Kupang of 0.763. The incidence of MDR E. coli that has occurred in domesticated dogs takes place with a prevalence rate of 35% in an area of 5079 Ha. These results have shown that the incidence of MDR E. coli has spread to several areas in Kupang City and is a threat to public health. It requires appropriate prevention and control measures by implementing good hygiene and sanitation in the relationship between humans and their pets
Neutrophil-lymphocyte Ratio and Platelet-lymphocyte Ratio as Early Sign Plasma Leakage Process in Dengue Infection
Dengue hemorrhagic fever remains a global health concern, especially in tropical and subtropical regions, such as Indonesia. Plasma leakage is the main symptom of Dengue infection which be seen through a hemoconcentration. NLR and PLR are cost-effective and easily measurable indexes that help to predict signs of infection. This study aims to analyze the correlation of NLR and PLR as early sign on hemoconcentration in Dengue infection. This study was an analytical observational method with a cross-sectional design. The study was conducted at the inpatient infectious disease wards of Dr. Moewardi General Hospital and Sebelas Maret University Hospital. The data was statistically analyzed using bivariate and multivariate analysis. There were seventy subject which of male was more than female. The result of bivariate analysis showed a statistically significant correlation for NLR (p = 0,008; r = 0,314) and non-significant for PLR (p = 0,150; r = 0,174). Both NLR and PLR were positively correlated with hemoconcentration. The effect of NLR on hemoconcentration was significant. There was a positive correlation significant between NLR and hemoconcentration in Dengue infection
Improving Students\u27 Knowledge of Breakfast Energy and Protein Consumption through E-Booklet Media
Malnutrition remains an important health issue in Indonesia, especially among undernourished children. The current nutrition intervention program, Family Nutrition Awareness, emphasizes the importance of breakfast in combating malnutrition. The purpose of this study was to determine the differences in maternal knowledge, energy, and protein consumption of students before and after counseling on breakfast using e-booklet media. This study used a pre-experimental type with a one-group pretest-posttest design. Maternal knowledge was assessed through a questionnaire, and energy and protein consumption was measured using a food recall form. The statistical analysis used was the paired T-test for normally distributed data and the Wilcoxon test for non-normally distributed data. The results showed significant differences in maternal knowledge and children\u27s energy and protein intake before and after the e-booklet-based educational intervention (p=0.002 and p=0.000). This shows the effectiveness of e-booklets as a nutrition education media, which has the potential to positively influence maternal knowledge and improve children\u27s breakfast habits. In conclusion, there is a difference in nutritional knowledge, energy, and protein consumption before and after counseling on breakfast using e-booklets. This study emphasizes the importance of innovative and accessible educational tools in combating malnutrition in Indonesia
The Relationship between the Knowledge of Third Trimester Pregnant Women and the Implementation of Early Breastfeeding Initiation
Early Initiation of Breastfeeding has an important role in the success of exclusive breastfeeding. Early Initiation of Breastfeeding is also one solution to reduce the risk of bleeding among postpartum women. An increase in knowledge and understanding of pregnant women about Early Initiation of Breastfeeding may support the successful implementation of Early Initiation of Breastfeeding. This study aims to determine the effect of knowledge of pregnant women in the third trimester on the implementation of Early Initiation of Breastfeeding. This was an analytical observational study with a cross-sectional design. The study was conducted in June-July 2019. The samples consisted of 30 respondents selected by purposive sampling based on certain inclusion criteria. Data were analyzed using the chi-square test to determine the effect of knowledge of pregnant women in the third trimester on the implementation of early initiation of breastfeeding. The results showed that the majority of respondents had good knowledge and performed early initiation of breastfeeding as many as 27 people (90%). Furthermore, 3 people (10%) had poor knowledge and did not perform early initiation of breastfeeding. It was obtained a p-value of 0.000 <0.05. Such findings revealed that knowledge of pregnant women was one of the factors that can support the successful implementation of Early Initiation of Breastfeeding. It is expected that healthcare workers and related parties can increase the provision of information about the importance of early initiation of breastfeeding, so as to increase knowledge as well as creating better implementation of early initiation of breastfeeding
Behavior of Providing Additional Recovery Food to Increase Weight of Malnourished Toddlers Aged 24-59 Months at Magetan District Health Center
The percentage of under-five malnutrition problems in Indonesia was 17.8%, with 3.8% and 14% of under-five cases being malnutrition. The Magetan Health Service reports that as of 2021, there were 332 cases of undernourished toddlers; however, the Panekan Health Center reported 116 cases of undernourished toddlers in 2020 based on weight/body length data. The undernourished toddlers was defined as those who were between the ages of 24 and 59 months. This kind of study employs secondary data sources, an analytical approach, a quasi-experimental design, and a non-equivalent control group design. This study included 73 toddlers as subjects: 31 toddlers who did not receive any nutrition, 42 toddlers who did receive nutrition, and malnourished toddlers aged 24-59 months. Data collection uses data collection sheets. The Independent and Paired t-tests are the analysis methods employed. The average difference in body weight between the two groups was found to be 0.594 with a range of 0.0324 kilograms – 1.156 kilograms. The study\u27s results were obtained using the Paired t-test with a p-value = 0.000 with a significance level of 0.05 and the independent t-test with a p-value = 0.038 with a significance level of 0.05. The study concludes that supplementary feeding has an impact on the weight of undernourished toddlers at the Panekan Health Center who are between the ages of 24 and 59 months. It is hoped that by continuing to supplement food, the recovery program may decrease the number of undernourished children under five.Masalah gizi balita di Indonesia mencapai 17,8%, terdiri dari gizi buruk 3,8% dan gizi buruk 14%. Menurut Dinas Kesehatan Magetan, dari data tahun 2021 jumlah kasus balita gizi buruk sebanyak 332 balita, sedangkan di Puskesmas Panekan berdasarkan hasil pendataan berat badan/panjang badan tahun 2020 ditemukan kasus balita gizi buruk sebanyak 116 kasus. . terhadap berat badan balita gizi kurang usia 24-59 bulan di Puskesmas Panekan. Jenis penelitian ini adalah penelitian analitik dengan sumber data sekunder, dengan desain penelitian quasy eksperimen dengan desain non-equivalent control group design. Subyek dalam penelitian ini adalah balita gizi buruk usia 24-59 bulan, 31 balita yang tidak mendapat dan 42 balita yang mendapat sehingga total 73 balita. Pengumpulan data menggunakan lembar pengumpulan data. Teknik analisis yang digunakan adalah Paired t-test dan Independent t-test. Hasil penelitian menggunakan Paired t-test dengan p value = 0,000 dengan taraf signifikansi 0,05, dan menggunakan Independent t-test dengan p value = 0,038 dengan taraf signifikansi 0,05 dan didapatkan rata-rata selisih berat badan antara kedua kelompok adalah 0,594 dengan kisaran lisis antara 0,0324 kg – 1,156 kg. Kesimpulan dari penelitian ini adalah ada pengaruh pemberian makanan tambahan terhadap berat badan balita gizi kurang usia 24-59 bulan di Puskesmas Panekan. Program suplementasi makanan pemulihan diharapkan dapat terus menekan jumlah balita gizi buruk.
 
The “HeForshe” Approach Model to The Elimination of Violence Against Women and Children
The pandemic causes the risk of gender-based violence to increase, one of which is domestic violence. It is because many women as mothers are workers, so they also have to do waiting office tasks, as well as do household work which is frequently burdened by women. Based on data from the Online Information System for the Protection of Women and Children (understood as Sistem Informasi Online Perlindungan Perempuan dan Anak/SIMFONI PPA) in October 2022, 19,613 cases of violence occurred, with details of 3,164 male victims and 17,960 victims, specifically for NTT (East Nusa Tenggara) Province as many as 895 cases of violence. Percentage of Women Victims of Violence by Type of Violence in the Province of NTT of abuse 44.03%, humiliation 65.01%, harassment 7.12%, neglect 12.71%, and others 13.02%. Perpetrators 68.85% are parents and victims of violence against women 1.91% in rural areas and 2.23 in urban areas. The Research Objective is to identify the \u27HeForShe\u27\u27 Approach Model to the Involvement of Men in the Elimination of Violence against Women and Children in Kupang City and Kupang Regency, NTT Province in 2022. The research Method is a Mixed Method, Qualitative with Phenomenological Method and Quantitative Descriptive Survey Method. The population in the study were informants encompassing married men and women aged <55 years with the sample criteria being wife/husband status, and living together for more than 1 year. Female and male aged 18 years and unmarried, living with their parents. Religious leaders, midwives, teachers, and local government. Purposive sampling. Collecting data was performed by in-depth interviews and FGD in groups of 10-15 people, analysis was carried out descriptively, and a way ANOVA test to compare the three models. Research Results: From the 3 proposed models, it was discovered that 65 percent of respondents agreed with model 2, and the results of the one-way ANOVA test were obtained the p-value is 0.002 or smaller than alpha 5%, Conclusion: One model was obtained, namely the Network Coordination Model for the Office of Health, Education and Local Government in Empowering Youth in Primary Health Units and schools in Action to Prevent Violence against Women and Children. Recommended as one of the HeForShe models that is more appropriate to apply in the case of the Approach to the Elimination of Violence Against Women and Children by involving teenagers.
Analysis of Nurse Care Behavior and Patient Satisfaction in X Hospital
The service that most affects patient satisfaction is nursing services. Whether or not patients are satisfied with health services is an indicator and one of the determining factors for the good and bad quality of professional nursing care. For this reason, this study aims to analyze nurses\u27 caring behavior and patient satisfaction at the X Hospital. This type of research is quantitative with a cross sectional approach. The sample selection technique used purposive sampling and calculations were carried out using the slovin formula so that a sample of 119 patient respondents was found, both BPJS patients and general patients. Data collection was carried out in October-December 2022. The analysis used in this study included the chi square test, as well as multivariate analysis using ANOVA. The processing of this research data uses the help of SPSS software. The results showed that the patient age was a variable that was not related to the Principles of Nursing Care Caring Behavior, Leadership and Management of Caring Behavior, and Inpatient Satisfaction of X Hospital. While the variables related to the Principles of Nursing Care Caring Behavior, Leadership and Management of Nursing Care Caring Behavior, and Inpatient Satisfaction of X Hospital are variables of patient gender, patient education level, patient payment type is expected that there will be an increase in Caring leadership attitude between nurses to improve a good work environment between nurses. For hospitals, management improvement is needed to evaluate the provision of health services to BPJS patients and general patients.