Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
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Body Alteration of Patients with Tuberculosis who Get Medication at the Public Health Centre
Get PDFPatient with tuberculosis who already experience 6 months of treatment may felt body alteration. The study aimed to illustrate the body alteration of Tuberculosis patients who got medication at the Public Health Centre. The design of the study used cross sectional. The sample was 141 tuberculosis patients who got medication at the Public Health Centre in Blitar which was selected by simple random sampling. The variables were height, weight, urine color, feeling of bored related to the medication and willingness to stop taking the medication routinely. The data was collected at the patient's home on August - November 2018. The data was collected by instruments of height gauge, weights, and interview form. The data was analyzed descriptively. The results showed that most of the changes were in the physical such as the weight loss, the red urine, and nausea. The patient’s nausea caused a decrease in intake and had an impact on the patient's weight that went down. It is important for nurses in Public Health Centre to provide medical services and information through health education before the first medication
The Effectiveness of Family Support on Pregnancy related to Anxiety at Kepanjenkidul Primary Care in Blitar
Get PDFPregnancy Related Anxiety (PRA) is an anxiety felt by pregnant woman related to pregnancy. PRA is different from the general anxiety felt during pregnancy, and contributing to a greater risk of preterm birth. According to the survey at Kepanjenkidul Primary Care in Blitar City, there were 7 cases of preterm birth during 2017-2018. Family support could reduce the risk of PRA. Family support could make pregnant women calmer and relaxed during pregnancy. The purpose of this study was to determine the effectiveness of family support on the level of PRA at Kepanjenkidul Primary Care in Blitar. The study design was cross sectional, involved 50 respondents, chosen by accidental sampling. The data collected by PRAQ-R2 questionnaire used to measure PRA levels while social support questionnaire used to measure the support of family. The data was analyzed with Kendall’s Tau. The results of the study showed that there was an effect of family support with anxiety levels by p value of 0.0001 <α 0.05. The study concluded there was an effect of family support on the level of pregnancy related to anxiety. The family supports could decrease the risk of pregnancy related to anxiety
Utilization of Maternity Waiting Home (MWH) to Improve Access to Health Services: Systematic Literature Review
Get PDFMaternity waiting home (MWH) is a home built in the compound or near to health facilities that provides standard medical and emergency obstetric care services. MWH is considered to be a key strategy to "bridge the geographical gap" in obstetric care between rural areas with poor access to equipped facilities, and urban areas where the services are available. This study aimed to systematically review the utilization of MWH to improve access to health service. The method of finding articles in this study was in the period 2014 to 2018, free full text, human species, and scholarly journals which were then identified using an electronic database from Pubmed, Proquest and Onesearch. Three articles were carried out with thematic analysis to identify the main points. Factors associated with the utilization of MWH included (1) Distance; (2) Complication during pregnancy; and (3) Income. Barrier in the utilization of MWH were (1) Inadequate number of room and postpartum bed; (2) Lack of water and sanitation facilities; and (3) Unavailable electricity. Partnership between health workers in rural facilities, stronger role of stakeholders, and a broader health system, were expected to increase the utilization of MWH
Edukasi Berpengaruh terhadap Pemberian Stimulasi Perkembangan Anak Usia 12-24 Bulan oleh Ibu di Posyandu Desa Tambakrejo Kabupaten Puworejo
Get PDFPemberian stimulasi merupakan hal penting yang dibutuhan anak dalam masa pertumbuhan dan perkembangannya. Pemantauan pertumbuhan dan perkembangan anak yang dilaksanakan secara tepat dan terarah menjamin tumbuh kembang anak lebih optimal yang menjadikan anak berkualitas, cerdas, bertanggung jawab dan berdaya guna bagi nusa dan bangsa. Tujuan penelitian ini adalah melihat pengaruh edukasi terhadap pemberian stimulasi pada anak usia 12-24 bulan oleh ibu. Penelitian ini menggunakan quasi eksperimen dengan non-equivalent control group design. Sampel penelitian adalah ibu yang memiliki balita usia 12-24 bulan di Posyandu Desa Tambakrejo dengan jumlah sampel 20 responden untuk masing-masing kelompok intervensi dan kelompok kontrol. Instrumen dalam penelitian ini menggunakan SAP dan booklet untuk panduan pemberian edukasi stimulasi dan kuesioner terstruktur untuk data pemberian stimulasi oleh ibu. Analisis menggunakan uji Independen T-Test. Hasil penelitian ini menyatakan bahwa terdapat perbedaan yang signifikan pada perilaku pemberian stimulasi sebelum dan setelah diberikan intervensi edukasi stimulasi pada ibu. Peran kader berpengaruh terhadap pemberian stimulasi oleh ibu kepada anak, sehingga perlu pembinaan untuk kader tentang pemberian stimulasi perkembangan anak yang baik dan terarah melalui pelatihan-pelatihan. Provision of stimulation is an important thing that is needed by children in their growth and development. Monitoring the growth and development of children carried out correctly and directed to ensure the development of children is more optimal that makes children of quality, intelligent, responsible and efficient for the homeland and the nation. The purpose of this study is to look at the effect of education on the provision of stimulation in children aged 12-24 months by mothers. This research method uses quasi-experimental with non-equivalent control group design. The study sample was mothers who have children aged 12-24 months in Posyandu Tambakrejo Village with a sample of 20 respondents for each intervention and control groups. The instruments in this study used SAP, booklet and structured questionnaires. The analysis uses the Independent T-Test. The results of this study stated that there were significant differences in the behavior of stimulation before and after the stimulation education intervention was given to the mother. The role of cadres influences the provision of stimulation by the mother to the child, so there is a need for coaching for cadres about providing stimulation of good and directed through training
Faktor Risiko Kejadian Gastritis di Wilayah Kerja Puskesmas Bantilang Tahun 2019
Get PDFGastritis merupakan penyakit urutan pertama terbanyak di wilayah kerja Puskesmas Bantilang di tahun 2017-2018. Faktor yang memicu terjadinya gastritis diantaranya : pola makan, sosial ekonomi, riwayat gastritis keluarga, konsumsi alkohol, stress, dan obat-obatan. Tujuan penelitian mengetahui faktor risiko antara pola makan, sosial ekonomi, stress, dan kebiasaan mengkonsumsi minuman beralkohol terhadap kejadian gastritis. Desain penelitian observasional analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini sebanyak 893 orang, menggunakan rumus slovin dan teknik porposive sampling sehingga diperoleh sampel sebanyak 163 orang. Hasil Penelitian dengan analisa chi-square (α=0,05) didapatkan pola makan (P=1,000; OR=1,006), konsumsi alkohol (P=1,000; OR=0,991), Stress (P=0,448; OR=0,986), sosial ekonomi (P=0,390; OR=1,000). Hal ini menunjukkan tidak terdapat hubungan antara 4 variabel independen dengan kejadian gastritis (P>0,005). Terdapat risiko untuk menderita penyakit gastritis meskipun kurang bermakna. Perlunya Pengoptimalan pelaksanaan program di Dinas terkait untuk membangun sikap masyarakat berprilaku hidup sehat melalui penyuluhan penyakit gastritis dan sosialisasi pencegahan terjadinya penyakit gastritis.  Gastritis is the number one disease in the working area of Bantilang Public Health Center in 2017-2018. Factors that trigger gastritis include : diet, socio economic, family gastritis history, alcohol consumption, stress, and drugs. The purpose of the research was to find out the risk factors between diet, socio economic, stress, and habits of consuming alcoholic beverages against gastritis. The research used analytic observational research design with cross sectional approach. The population was 893 people, taken by using the Slovin formula. Purposive sampling technique were used to obtain the sample of 163 people. Research results with chi-square analysis (α=0,05) found a diet (P=1,000; OR=1,006), alcohol consumption (P=1,000; OR=0,991), stress (P=0,448; OR=0,986), social economy (P=0,390; OR=1,000) meant there was no correlation between 4 independent variables with the incidence of gastritis (P>0,005). There was a risk of suffering from gastritis even though less significant. It is needed to optimize the implementation of the programs in the health center to build community attitudes towards healthy living through counseling for gastritis and promoting the prevention of gastritis.Â
Knowledge and attitude of Mothers about Stunting in Banjar Pengukuh Peguyangan Kangin Village Denpasar
Get PDFChildhood is a crucial period in the process of human growth and development. According to the Center for Data and Information of the Ministry of Health of the Republic of Indonesia (2018) stated the occurrence of a short toddler or commonly referred to as stunting is one of the nutritional problems experienced by toddlers in the world today. One of the determinants of the incidence of stunting in children under five years was the knowledge and attitude of the mother. The purpose of this research was to find out the description of the knowledge and attitudes of mothers with toddlers about Stunting in Banjar Pengukuh Peguyangan Kangin Village, Denpasar. The design of this study was cross-sectional. The sampling technique used nonprobability sampling with a purposive sampling approach, and the total sample was 68. In this study, the data analysis technique used the Univariate Analysis. Based on the analysis of the data obtained that the majority of respondents lacked knowledge of 44 people (64.7%) and had the right attitude, 66 people (97.1%). Suggestions for public health centre (puskesmas) to play an active role for disseminating stunting in schools and villages that will help reduce stunting indirectly
Pemberian Feedback pada Home Learning CPR untuk Meningkatkan Kemampuan Bystander CPR
Get PDFPenyakit kardiovaskuler masih menjadi penyebab kematian tertinggi di negara maju maupun negara berkembang, hal ini dikarenakan risiko Sudden Cardiac Arrest pada orang dengan penyakit jantung sangat tinggi. Peran bystander CPR pada pasien henti jantung sangat penting, oleh karena itu kemampuan dan jumlah bystander perlu ditingkatkan. Penelitian ini bertujuan untuk mengetahui efektifitas feedback pada metode Home Learning CPR untuk meningkatkan kemampuan bystander CPR. Metode penelitian komparatif, dengan responden pengunjung Car Free Day di Kota Tulungagung sebanyak 47 responden periode September-Oktober 2018 dengan teknik Accidental sampling. CPR dipelajari secara mandiri oleh responden menggunakan video dan guidebook dirumah, dipertemuan selanjutnya dilakukan evaluasi kemampuan responden melakukan Hands-only CPR pada phantom. Hasil penelitian didapatkan adanya perbedaan pada kemampuan responden dalam melakukan Hands-only CPR menggunakan metode Home Learning dan kemampuan responden melakukan Hands-only CPR pada phantom setelah mendapatkan feedback dari peneliti. Uji Wilcoxon didapatkan p-value : 0,000; α : 0,05. Metode Home Learning CPR belum sesuai digunakan untuk pelatihan Hands-only CPR di Kota Tulungagung karena berbagai faktor yang mempengaruhi proses pembelajaran. Metode demonstrasi dan praktik lebih tepat digunakan untuk pelatihan CPR. Cardiovascular disease was the highest cause of death in developed country, because the risk of Sudden Cardiac Arrest in people with heart disease was very high. Bystander CPR role was very important to patient with Sudden Cardiac Arrest, therefore the ability and number of bystander CPR need to be increased. This study aims to determine the effectiveness of feedback on Home Learning CPR method to increase the competence of bystander CPR. Method was used comparative, sample was 47 respondents in Tulungagung Car Free Day on September-October 2018 by Accidental sampling. Video and guidebook was used to learn Hands-only CPR at home, then evaluated by doing Hands-only CPR on Adult CPR Mannequin with feedbcak from researcher. The result showed there was a difference on respondents abilities doing Hands-only CPR after Home Learning CPR, and respondents abilities doing Hands-only CPR on Adult CPR mannequin and getting feedback from researcher. Wilcoxon signed rank test showed p-value : 0,000; α : 0,05. It was conclude that Home Learning CPR method was unconvenient to use in Hands-only CPR training in Tulungagung. Demonstration and practice method are more appropriate for CPR Training
Community Attitudes Towards People with Mental Disorders (ODGJ) in terms of information sources and experiences of meeting ODGJ in RW 9 Kelurahan Tanggung, Blitar City
Get PDFNegative knowledge and experience of people with mental disorder (ODGJ) tend to form negative attitude. Many residents still discriminate, such as social isolation. This research aimed to determine people’s attitude towards ODGJ in terms of meeting experienced and the sources of information they get. This research was observational analytic with cross sectional approach. The population of this research was all households in RW 9 Kelurahan Tanggung Blitar City of 199 households, with a sample size of 120 households taken by purposive sampling technique. Attitude data were collected using the Community Attitudes toward Mentally III (CAMI III) questionnaire and analyzed using the Spearman rho correlation test. The results of the analysis showed that attitudes of towards ODGJ in terms of sources of information they have obtained with p value 0,890, and attitudes of households with experience meeting ODGJ with p value 0,470, p value>0.05 which meant that there was no correlation between attitudes and information sources experience meeting ODGJ in RW 9 Kelurahan Tanggung Blitar City. Based on these results, it is necessary to carry out promotional activities in mental health services to form a positive attitude towards people with ODGJ
Hubungan Pelayanan Lansia Berbasis Kekerabatan dengan Lansia Tangguh di Desa Toyomarto Kecamatan Singosari Kabupaten Malang
Get PDFUsia harapan hidup periode 2015-2020 menjadi 73,2 tahun sehingga mempengaruhi estimasi proporsi penduduk lansia. Jumlah Lansia Indonesia akan mencapai 28,8 juta orang atau 11,34 persen pada tahun 2020. Sebaran penduduk lansia tahun 2017 di Indonesia, pada urutan ketiga tertinggi ditempati oleh Jawa Timur yaitu 2,9 juta (12,25%) lebih dari 10% sehingga Jawa Timur bisa dikategorikan sebagai provinsi dengan penduduk tua (aging population) dengan jumlah lansia di Malang diperkirakan pada tahun 2020 sebesar 371.977 (Badan Pusat Statistik, 2015). Berdasarkan studi pendahuluan di Desa Toyomarto Pebruari 2018 diperoleh 320 lansia potensial. Sesuai hasil wawancara dengan 10 lansia potensial diperoleh data 70% masih aktif bekerja, 40% aktif dalam kegiatan kemasyarakatan dan 100% mandiri dalam pemenuhan kebutuhan sehari-hari, 70% mendapat dukungan keluarga sebagian dari dimensi (fisik, emosional, lingkungan, intelektual, profesional vokasional, sosial kemasyarakatan dan spiritual. Penelitian ini merupakan penelitian cross sectional. Populasi dalam penelitian ini adalah seluruh lansia potensial yang tinggal di Desa Toyomarto Kecamatan Ardimulyo sejumlah 320 orang. Sedangkan sampel dalam penelitian adalah sebagian lansia yang tinggal di Desa Toyomarto Kecamatan Singosari Kabupaten Malang sebesar 30 responden. Tehnik pengambilan sampel yang digunakan adalah simple random sampling. Analisis yang digunakan dalam penelitian ini adalah uji korelasi gamma diperoleh nilai p=0,000 yang menunjukkan bahwa hubungan pelayanan lansia berbasis kekerabatan dengan lansia tangguh bermakna. Dukungan keluarga dalam membina lansia belum optimal sehingga perlu mendapatkan perhatian agar kualitas dukungan menjadi baik. Perlunya peningkatan kualitas pembinaan oleh keluarga/kerabat dalam memberikan pelayanan kepada lansia dapat dilaksanakan dengan cara menjalin kerjasama lintas program maupun sektor agar terwujudnya lansia tangguh akan semakin nyata dan berlanjut hingga pemanfaatan keterlibatan lansia tangguh dalam mengisi pembangunan kesehatan khususnya kesehatan keluarga dan masyarakat. The life expectancy in 2015-2020 was 73.2 years, thus affecting the estimated proportion of the elderly population. The number of elderly in Indonesia will reach 28.8 million people or 11.34 percent by 2020. The distribution of the elderly population in 2017 in Indonesia, East Java  was the third highest by 2.9 million (12.25%), more than 10%, categorized as a province with an aging population (aging population) with the number of elderly in Malang estimated in 371,977 on 2020 (Badan Pusat Statistik, 2015). Based on preliminary studies in Toyomarto Village, February 2018, there were 320 potential elderly people. Based on the interview of 10 potential elderly, 70% were still actively working, 40% were active in community activities, 100% were independent in fulfilling their daily needs, 70% have family support in some part of dimensions (physical, emotional, environmental, intellectual, vocational professional, social and spiritual). This study aimed to analyze the correlation of kinship-based elderly service (emotional, spiritual, social, physical, environmental, intellectual, vocational professional) and resilient elderly in Toyomarto Village, Singosari District, Malang Regency. The study was a cross sectional study. The population was 320 people of all potential elderly living in Toyomarto Village, Ardimulyo Subdistrict. The sample was the majority of elderly people living in Toyomarto Village, Singosari Subdistrict, Malang Regency for 30 respondents. The sampling technique used simple random sampling. The analysis used gamma correlation test which obtained p value = 0,000 indicated that there was a correlation of elderly-based services and resilient elderly. The need to improve quality of guidance by families / relatives in providing services to elderly can be carried out by establishing cross-program and sector collaboration so that the realization of strong elderly people will become more apparent and continue to utilize involvement of strong elderly people in fulfilling health development, especially family and community health
Pengaruh Program Pembentukan Kepribadian dan Kepemimpinan (P2KK) terhadap Soft Skill Mahasiswa
Get PDFLatar Belakang : Program Pembentukan Kepribadian dan Kepemimpinan (P2KK) merupakan program pembentukan karakter yang bertujuan mengembangkan keterampilan soft skill mahasiswa. Sampai saat ini, evaluasi ketercapaian tujuan program masih belum diteliti. Penelitian ini bertujuan untuk mengetahui pengaruh P2KK terhadap soft skill mahasiswa FIKES Universitas Muhammadiyah Malang (UMM). Metode : Desain penelitian yang digunakan adalah pre-eksperimental one group pre-post test design. Pengambilan sampel pada penelitian ini menggunakan sampling kuota. Jumlah sampel yang digunakan sebanyak 100 mahasiswa FIKES Universitas Muhammadiyah Malang angkatan 2018 yang mengikuti P2KK angkatan 24 dan 25. Pengumpulan data menggunakan kuesioner LEQ (Life Effectiveness Questionnaire) dengan analisa data menggunakan uji wilcoxon.Kegiatan P2KK dilaksanakan selama 6 hari dan selama kegiatan tersebut mahasiswa harus tinggal di asrama. Hasil : Soft skill mahasiswa FIKES Universitas Muhammadiyah Malang sebelum mengikuti P2KK 72% memiliki kategori sedang dengan nilai rata-rata 140 dan soft skill setelah P2KK 76% memiliki kategori sedang dengan nilai rata-rata 15. Berdasarkan hasil analisa data menggunakan uji wilcoxon didapatkan hasil yang signifikan (p=0,00), artinya terdapat perbedaan soft skill sebelum dan setelah P2KK. Diskusi : Terdapat pengaruh P2KK terhadap soft skill mahasiswa FIKES Universitas Muhammadiyah Malang dengan metode pendekatan experiental learning yang dapat meningkatkan soft skill. Pengaruh yang paling signifikan terdapat pada atribut mengontrol emosi. Disarankan pihak UPT. P2KK untuk mengevaluasi metode kegiatan sehingga dapat meningkatkan atribut soft skill yang kurang. Introduction : The Personality Development and Leadership Program (P2KK) is a character-building program to develop student skills to prepare them in the work requirements. The evaluation of the achievement of program objectives has not been studied before. This study aimed to determine the effect of P2KK on soft skills of the Faculty of Health Science (FIKES) students at the University of Muhammadiyah Malang (UMM). Methods : The research design was a pre-experimental one group pre-post test design. The sampling method was quota sampling technique. We included 100 students of Class 2018 of the FIKES UMMwho participated in P2KK in 24 and 25 groups. We collected the Life Effectiveness Questionnaire (LEQ) and the Wilcoxon test was used to analyze the data. Results : Soft skills of the students before taking P2KK 72% had a moderate category with an average value of 140 and soft skills after P2KK 76% had a moderate category with an average value of 15. Based on the results of data analysis using the Wilcoxon test, the result was significant (p = 0.00) indicating that the soft skills before and after P2KK were different. Discussion : P2KK influenced the soft skills of FIKES UMM students by an experiential learning approach that able to improve their soft skills. The most significant influence is on the emotional control attribute. Suggested that the UPT P2KK to evaluate the method of activities so as to increase the attributes of soft skills that are lacking