Jurnal Kesehatan Kusuma Husada
Not a member yet
418 research outputs found
Sort by
THE RELATIONSHIP BETWEEN LUNG FUNCTION, DISEASE SEVERITY, AND MOTIVATION TO QUIT SMOKING AMONG CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) PATIENTS
Full text linkBackground: Smoking cessation is an important management for Chronic Obstructive Pulmonary Disease (COPD), but many patients continue to smoke due to low motivation. Therefore, further studies exploring the motivation to quit smoking are needed. This study examines the relationship between lung function, disease severity, and motivation to quit in COPD patients.Methods: A correlational cross-sectional study was conducted at a pulmonary hospital in Yogyakarta, Indonesia, in February 2024. One hundred adults with COPD who were current smokers were chosen through random sampling. We used the Richmond Test to measure motivation to quit smoking, the COPD Assessment Test (CAT) questionnaire to assess the severity of COPD, and Peak flow meters to assess lung function by measuring peak expiratory flow (PEF). Descriptive statistics were provided to summarise the characteristics of the participants, and Spearman\u27s rank correlation was used to analyse the relationships between the variables.Results: The average age of the participants was 65 years, the length of time they had been smoking was 23 years, and the number of cigarettes smoked each day was 23. Most respondents showed moderate motivation to quit smoking (70%) and had a diagnosis of severe (60%) COPD. There is a significant correlation between peak expiratory flow and the motivation to quit smoking (p = 0.03) and between the severity of the disease and the motivation to quit smoking (p = 0.04).Conclusion: These findings emphasise the importance of communicating PEF assessment results and disease severity to enhance COPD patients\u27 motivation to quit smoking
Effect Of Pre-Earthquake Disaster TrainingEarth About Wrapsing Splains Against Student/Student Knowledge Level At Sma Negeri 1 Pundong Bantul
Full text linkEarthquakes are one of the natural disasters which in reality cause quite a large impact, especially the number of victims caused. One location that has a fatal risk is school. In fact, school safety needs to be a global priority to face the threat of earthquake disasters. This negative impact is caused by a lack of knowledge and preparedness to anticipate an earthquake disaster. There is a need to increase preparedness to reduce the bad risks that may occur. Therefore, the aim of this research is to determine the effect of pre-earthquake disaster training regarding splint dressing on the level of knowledge of students at SMA N 1 Pundong. The method used in this research was pre-experiment. The research design used was a one-group pretest-posttest design. The research results showed that there was an Asymp.sig value. (2-tailed) 0.000, because the value of 0.000 is smaller than <0.05, it can be concluded that "Ha is accepted" which means there is a difference between the pretest and posttest results, so it can be concluded that there is an influence from the Pre-Earthquake Disaster Training on Wraps Bidai on Knowledge in Students and Students of SMA Negeri 1 Pundong
THE RELATIONSHIP BETWEEN OCCUPATIONAL SAFETY AND HEALTH BEHAVIOR AND WORKPLACE ACCIDENTS IN MICRO, SMALL AND MEDIUM RATTAN BUSINESSES IN GRESIK DISTRICT
Full text linkWork accidents are caused by events in the work environment which are certain to harm various parties and even lead to disability and even the most fatal event, namely death. Work accidents in Gresik Regency Rattan MSME\u27s that appear to dominate are due to a lack of knowledge, attitudes, compliance and Personal Protective Equipment. The aim is to find out how the relationship between Occupational Safety and Health behavior and the incidence of work accidents in Rattan Micro, Small, and Medium Enterprises in Gresik Regency. The study was conducted cross-sectionally and classified as quantitative. The total population involved is 278 workers who worked in 16 semi-finished rattan MSME\u27s. The selected participants were randomized (simple random sampling) and Slovin\u27s formula, resulting in a total of 165 workers as respondents. Data collection was conducted through three main methods, namely direct observation, interviews, and questionnaires. The variables used are OHS behavior which includes OHS knowledge, OHS attitude, OHS compliance and the use of personal protective equipment (independent), while the incidence of work accidents (dependent). Data analysis used 2 statistical test methods, both Chi-square and Fisher\u27s exact test. The results of the study concluded several statements, there is a relationship between knowledge and work accidents (p = 0.008), there is a relationship between attitude, compliance with work accidents (p = 0.000), there is a relationship between Personal Protective Equipment and work accidents (p = 0.004). The dominant factor influencing work accidents is the factor of compliance with work instructions (OR 13.993). Suggestions for improvement are that it is hoped that Gresik Regency Rattan MSME \u27s will impose regular training on work safety procedures to workers in order to increase workers awareness as well as to ensure that PPE is available and used
THE RELATIONSHIP BETWEEN SOCIAL SUPPORT AND ANXIETY IN FACING THE OBJECTIVE STRUCTURED CLINICAL ASSESSMENT (OSCA) EXAM IN UNDERGRADUATE NURSING STUDENTS
Full text linkObjective Structured Clinical Assessment (OSCA) is one of the evaluation methods used in nursing education to assess students\u27 clinical competence. However, the OSCA exam often causes significant anxiety for nursing students due to high academic and professional demands. Anxiety is a common emotional response experienced by individuals in the face of stressful or challenging situations. One way to reduce anxiety is with good social support. Social support is the opinion of others who tell that individuals need affection, attention, valued, respected, and involved. The purpose of this study was to examine the relationship between social support and the level of anxiety experienced by undergraduate nursing students in facing the OSCA exam. The type of research is quantitative with a cross-sectional approach. The study population was nursing students totalling 572 respondents. This research uses the spearman test, and this research was conducted from August to Septembe. Researchers used non-probability sampling with purposive sampling method, the research sample above showed 90 people to become respondents with inclusion criteria (1. Active students of semester II, IV, IV of the Nursing Study Program at Universitas Muhammadiyah Surakarta who took the OSCA exam, 2. Students take the OSCA exam directly on the appointed day, 3. Willing to fill out the research questionnaire). Measurement of social support using the MSPSS (Multidimensional Scale of Perceived Social Support) questionnaire and the HARS (Hamilton Anxiety Rating Scale) questionnaire for anxiety levels. The results showed that the majority of respondents had moderate social support with 35 respondents (38.9%) and severe anxiety 27 respondents (30%). Data analysis using Spearman Test. Spearmen correlation test results obtained a p-value significance of 0.001 <0.05 and a correlation coefficient value of 0.767. The conclusion of the study is that there is a relationship between social support and anxiety levels in nursing undergraduate students when facing OSCA exams
THE RELATIONSHIP BETWEEN STRESS LEVEL, PICKY EATING BEHAVIOR, AND PHYSICAL ACTIVITY ON BODY MASS INDEX AMONG ADOLESCENT GIRLS
Full text linkBackground: Adolescence is a critical period where energy balance affects nutritional status. An imbalance between energy intake and expenditure during this stage can lead to nutritional disorders, including underweight and overweight conditions. This study aimed to analyze the relationship between stress levels, picky eating behaviour, and physical activity with Body Mass Index (BMI) among adolescent girls.Methods: This quantitative study employed a cross-sectional design involving 106 randomly selected high school female students. Data were collected using standardized questionnaires to assess stress levels (DASS-42), picky eating behaviour (modified CEBQ), and physical activity (PAQ-A), along with direct anthropometric measurements to calculate BMI. Multivariate logistic regression analysis was used.Results: Most respondents were aged 18–21 years (67.9%), with high stress levels (73.5%), picky eating behaviour (83%), and physical inactivity (65.1%). Bivariate analysis found significant associations between stress levels (p = 0.012) and picky eating (p = 0.003) with BMI, where both increased the risk of BMI imbalance. Physical activity showed no significant relationship (p = 0.118). Multivariate analysis confirmed significant associations between stress (OR = 3.13, p = 0.012) and picky eating (OR = 5.42, p = 0.003) with BMI, with physical activity serving as a protective factor (OR = 0.29, p = 0.018).Conclusion: This study concludes that stress levels, picky eating behaviour, and physical activity significantly influence the Body Mass Index (BMI) of adolescent girls. High stress levels and picky eating increase the risk of BMI imbalance, while adequate physical activity serves as a protective factor
PENGARUH WAKTU TUNGGU TERHADAP MINAT KUNJUNGAN ULANG YANG DIMEDIASI KEPUASAN PASIEN
Full text linkWaktu tunggu yang lama dalam proses mendapatkan pelayanan bagi pasien di Rumah Sakit dapat menyebabkan ketidakpuasan dan mempengaruhi pasien untuk melakukan kunjungan ulang rawat jalan. Penelitian ini bertujuan untuk mengetahui pengaruh waktu tunggu terhadap kunjungan ulang pasien yang dimoderasi oleh kepuasaan pasien mendapatkan pelayanan. Desain penelitian ini adalah jenis studi survei kuantitatif dengan pendekatan cross-sectional. Studi tersebut dilakukan di RSUD Panglima Sebaya pada bulan November 2023. Metode penelitian menggunakan purposive sampling, dengan memilih subjek yang memenuhi kriteria responden/sampel sebanyak 376 Pasien Rawat Jalan. Analisis data yang digunakan yaitu uji regresi logistic. Hasil penelitian menunjukkan bahwa pengaruh waktu tunggu terhadap kepuasan pasien diperoleh nilai p-value sebesar 0,000 (<0,05), dan pengaruh waktu tunggu terhadap kunjungan ulang pasien nilai p-value sebesar 0,000 (<0,05), serta pengaruh kepuasan pasien terhadap kunjungan ulang diperoleh nilai p-value sebesar 0,000 (<0,05). Kesimpulan dalam penelitian ini yaitu ada pengaruh waktu tunggu terhadap kepuasan pasien, ada pengaruh waktu tunggu terhadap kunjungan ulang pasien dan ada pengaruh kepuasan pasien terhadap kunjungan ulang.
Long waiting times in the process of getting services for patients at the hospital can cause dissatisfaction and influence patients to make outpatient re-visits. This study aims to determine the effect of waiting time on patient revisits moderated by patient satisfaction with service. This research design is a type of quantitative survey study with a cross-sectional approach. The study was conducted at Panglima Sebaya Hospital in November 2023. The research method uses purposive sampling, by selecting subjects who meet the criteria for respondents/samples of 376 outpatients. The data analysis used was logistic regression test. The results showed that the effect of waiting time on patient satisfaction obtained a p-value of 0.000 (<0.05), and the effect of waiting time on patient revisit p-value of 0.000 (<0.05), and the effect of patient satisfaction on revisit obtained a p-value of 0.000 (<0.05). The conclusion in this study is that there is an effect of waiting time on patient satisfaction, there is an effect of waiting time on patient revisits and there is an effect of patient satisfaction on revisits
PENGARUH INTERVENSI MANAJEMEN LAKTASI TERHADAP BOUNDING ATTACHMENT PADA IBU POSTPARTUM FISIOLOGIS DI RUANG PERAWATAN RUMAH SAKIT AMELIA PARE
No full textTingkat partisipasi dan motivasi ibu dalam melakukan proses bounding attachment masih sangat rendah terutama pada ibu primipara. Sehingga bounding attachment belum terlaksana dengan maksimal. Upaya yang dapat dilakukan oleh perawat untuk meningkatkan bounding attachment melalui penerapan manajeman laktasi yang terdiri dari breast care, pijat oksitosin, teknik menyusui dan nutrisi ibu menyusui. Tujuan penelitian ini untuk mengetahui pengaruh intervensi manajemen laktasi terhadap bounding attachment pada ibu postpartum. Desain penelitian ini adalah Quasi eksperimental dengan pendekatan posttest only control group design. Populasi seluruh ibu postpartum fisiologis sebanyak 30 orang, sampel penelitian sejumlah 28 responden yang di bagi menjadi dua kelompok yaitu 14 kelompok kontrol dan 14 kelompok intervensi diambil dengan teknik Purposive Sampling. Variabel independen dalam penelitian ini adalah intervensi manajemen laktasi dan variabel dependen adalah bounding attachment. Instrumen penelitian menggunakan kuesioner Bounding Attachment. Penelitian ini menggunakan uji independent t-test dengan signifikasi Ï value= 0.001 (< α = 0.05). Hasil penelitian menunjukkan bounding attachment pada kelompok kontrol setengahnya (50%) (14-18) cukup dan (≤13) kurang, sedangkan pada kelompok intervensi seluruhnya (100%) (19-25) baik. Intervensi manajemen laktasi ini membuat ibu akan lebih sering berinteraksi dengan bayinya dimana dalam prosesnya terjadi sentuhan, kontak mata, suara, aroma, entraitment dan bioritme yang merupakan beberapa elemen dari bounding attachment. Oleh karena itu intervensi manajemen laktasi ini dapat membentuk bounding attachment. Intervensi manajemen laktasi ini bisa dimasukkan dan digunakan dalam penatalaksanaan ibu postpartum sehingga dapat membentuk bounding attachment.
The level of maternal participation and motivation in conducting the bounding attachment process is still very low, especially in primiparous mothers, so that bounding attachment has not been maximized. Strategies that can be done by nurses to improve bounding attachment through the application of lactation management which consists of breast care, oxytocin massage, breastfeeding techniques and nutrition for breastfeeding mothers. The purpose of this study was to determine the effect of lactation management intervention on bounding attachment in postpartum mothers. The design of this study was Quasi-experimental with posttest only control group design approach. The population of all physiological postpartum mothers was 30 people, the research sample was 28 respondents who were divided into two groups, namely 14 control groups and 14 intervention groups taken by purposive sampling technique. The independent variable in this study was lactation management intervention and the dependent variable was bounding attachment. The research instrument used Bounding Attachment questionnaire. This study used independent t-test with a significance of Ï value = 0.001 < α = 0.05. The results showed that bounding attachment in the control group was half (50%) (14-18) sufficient and (≤13) deficient, while in the intervention group all (100%) (19-25) were good. There was an effect of lactation management intervention on bounding attachment. This lactation management intervention makes mothers interact with their babies more often
PENGARUH PELATIHAN PENCEGAHAN DAN MITIGASI BENCANA TERHADAP PENGETAHUAN RELAWAN
Full text linkRelawan adalah tindakan kemanusiaan yang nyata dan sangat dibutuhkan. Banyak orang yang tertarik untuk menjadi relawan, baik anak muda yang belum lulus sekolah atau orang dewasa yang sudah sukses. Relawan tidak hanya ditempatkan di daerah bencana atau konflik, tetapi juga di daerah yang tidak memiliki fasilitas pendidikan dan fasilitas. Menjadi Relawan tidak mudah dan harus memiliki kemampuan dasar. Pelatihan diberikan untuk meningkatkan keterampilan dasar. Tujuan penelitian ini adalah untuk mengetahui bagaimana pengetahuan relawan terpengaruh oleh pelatihan pencegahan dan mitigasi bencana. Penelitian ini dilakukan secara kuantitatif dan menggunakan pendekatan quasi-eksperimen dengan pre-test dan post-test. 96 relawan diminta sebagai responden melalui sampling purposive. Data dikumpulkan baik sebelum maupun sesudah pelatihan pencegahan dan mitigasi bencana, yang dilakukan dengan menggunakan kuisioner pengetahuan. Hasil: Analisis data menggunakan uji statistik Mann-Whitney menemukan bahwa skor peningkatan pengetahuan untuk kelompok intervensi sebesar 5.33 dan untuk kelompok kontrol sebesar 3.71. Hasil uji Mann-Whitney didapatkan nilai p<0.001 sehingga ada pengaruh pelatihan pencegahan dan mitigasi bencana terhadap pengetahuan relawan. Kesimpulan: pelatihan ini dibutuhkan dan bermanfaat bagi Relawan sehingga menambah pengetahuan dan ketrampilan tentang pencegahan dan mitigasi bencana.
Volunteering is a real and much needed humanitarian act. Many people are interested in becoming volunteers, whether young people who have not yet graduated from school or adults who are already successful. Volunteers are not only placed in disaster or conflict areas, but also in areas that do not have educational facilities and facilities. Volunteering is not easy. Volunteers must have basic skills. Training is provided to improve basic skills. The aim of this research is to determine how volunteers\u27 knowledge is affected by disaster prevention and mitigation training. This research was conducted quantitatively and used a quasi-experimental approach with pre-test and post-test. 96 volunteers were asked to act as respondents through purposive sampling. Data was collected both before and after disaster prevention and mitigation training, which was carried out using a knowledge questionnaire. Results: Data analysis using the Mann-Whitney statistical test found that the knowledge increase score for the intervention group was 5.33 and for the control group was 3.71. The results of the Mann-Whitney test showed a p value <0.001, so there was an influence of disaster prevention and mitigation training on volunteers\u27 knowledge. Conclusion: this training is needed and useful for volunteers so that they increase their knowledge and skills regarding disaster prevention and mitigation
MODIFIKASI PERILAKU PERIKSA PAYUDARA SENDIRI MELALUI MEDIA KALENDER SADARI
Full text linkPeriksa Payudara Sendiri (SADARI) merupakan cara termurah dan teraman dalam melakukan deteksi dini kanker payudara. Namun, tidak banyak remaja atau wanita yang rutin melakukan SADARI. Oleh sebab itu, diperlukan sebuah pendekatan baru dimana remaja wanita mampu bertanggungjawab dalam manajemen diri perilaku SADARI secara rutin setiap bulan. Pemberian edukasi berbasis Kalender SADARI yang di-follow up selama tiga bulan diharapkan mampu memodifikasi perilaku remaja wanita dalam melakukan SADARI untuk meningkatkan kulaitas hidup mereka dan sebagai langkah dalam deteksi awal kanker payudara. Penelitian ini menggunakan quasi eksperimen dengan pretest-postest control group design. Jumlah sampel sebanyak 94 responden. Teknik pengambilan sampel menggunakan accidental sampling. Responden dibagi dalam kelompok intervensi (48 siswa) dan kelompok kontrol (46 siswa). Data dikumpulkan menggunakan kuesioner data demografi, kuesioner perilaku SADARI, dan isian praktik SADARI siswi selama 3 bulan pada Kalender SADARI. Hasil penelitian menunjukkan tidak ada perbedaan yang signifikan antara kedua kelompok (p=0.078), namun responden pada kelompok intervensi maupun kelompok kontrol secara konsisten melakukan SADARI selama tiga bulan berturut-turut. Dari hasil penelitian ini diharapkan pihak sekolah dapat memberi program pendidikan bagi siswa tentang pentingnya melakukan SADARI untuk memfasilitasi pencegahan dan deteksi dini kanker payudara melalui kalender SADARI.
Breast Self-Examination (BSE) is the cheapest and safest way to detect breast cancer early. However, not many teenagers or women regularly do BSE. Therefore, a new approach is needed where young women are able to take responsibility for self-management of BSE behavior on a regular basis every month. Providing education based on the BSE Calendar which is followed up for three months is expected to be able to modify the behavior of young women in carrying out BSE to improve their quality of life and as a step in early detection of breast cancer. This research used a quasi-experiment with a pretest-posttest control group design. The total sample was 94 respondents. The sampling technique uses accidental sampling. Respondents were divided into intervention groups (48 students) and control groups (46 students). Data was collected using a demographic data questionnaire, a BSE behavior questionnaire, and filling in female students\u27 BSE practice for 3 months on the BSE Calendar. The results showed that there was no significant difference between the two groups (p=0.078), but respondents in the intervention group and control group consistently performed BSE for three consecutive months. From the results of this research, it is hoped that schools can provide educational programs for students about the importance of doing BSE to facilitate the prevention and early detection of breast cancer through the BSE calendar
Uji Aktivitas Ekstrak Ganoderma lucidum sebagai Imunostimulan pada Tikus Putih (Rattus novergicus) pasca infeksi virus dengue 3 (DEN-3)
Full text linkKejadian Demam Berdarah Dengue sampai saat ini masih menjadi masalah di negara-negara beriklim tropis dan sub tropis seperti Indonesia (Kemenkes RI, 2022). Tatalaksana pengobatan yang bisa dilakukan berupa terapi supportif untuk meningkatkan system imun. Ganoderma lucidum dapat dipakai sebagai imunostimulan karena kandungan polisakaridanya (Khatian dan Aslam, 2018). Penelitian ini menguji aktivitas ekstrak G. lucidum sebagai imunostimulan pada tikus putih pasca infeksi virus Dengue dengan pemeriksaan IgG anti Dengue. Penelitian dilakukan dengan menginfeksikan virus Dengue 3. Jumlah tikus berjumlah 20 ekor yang dibagi menjadi 5 kelompok yaitu 3 kelompok dengan dosis 0,8 g; 1,6 g; 3,2 g/0,2 KgBB, dan 2 kelompok kontrol. Metode sampling darah dilakukan selama 10 hari pasca infeksi dengan pengambilan darah yang pertama (I) pada hari ke-4 pasca infeksi, pengambilan darah kedua (II) hari ke-10 pasca infeksi. Pemeriksaan IgG anti-dengue dilakukan dengan metode ELISA. Pengujian statistik dengan one way anova membuktikan bahwa ada perbedaan signifikan rata-rata titer IgG anti Dengue pada setiap perlakuan dengan p value = 0.001 ( < 0,05), dengan kata lain terdapat perbedaan titer IgG antara kelompok kontrol positive, kontrol negative dan kelompok perlakuan. Perbedaan signifikan juga terlihat antara titer IgG anti Dengue pasca infeksi hari ke-4 dengan hari ke-10 dengan p value = 0.000 ( < 0,05). Hal ini membuktikan bahwa ekstrak G. lucidum efektif sebagai imunostimulan pada infeksi virus Dengue 3 dan dosis ekstrak G. lucidum yang paling efektif adalah 0.8 g/KgBB.
The incidence of Dengue Hemorrhagic Fever is still a problem in countries with tropical and sub-tropical climates such as Indonesia (Kemenkes RI, 2022). The treatment that can be carried out is in the form of supportive therapy to improve the immune system. Ganoderma lucidum can be used as an immunostimulant because of its polysaccharide content (Khatian and Aslam, 2018). This study tested the activity of G. lucidum extract as an immunostimulant in white mice after Dengue virus infection by examining anti-Dengue IgG. The research was carried out by infecting the Dengue 3 virus. There were 20 mice divided into 5 groups, namely 3 groups with a dose of 0.8 g; 1.6g; 3.2 g/0.2 KgBW, and 2 control groups. The blood sampling method is carried out 10 days after infection with the first blood collection (I) on the 4th day post-infection, the second blood collection (II) on the 10th day post-infection. Anti-dengue IgG examination was carried out using the ELISA method. Statistical testing using one way anova proved that there was a significant difference in the average anti-dengue IgG titer for each treatment with p value = 0.001 (<0.05), in other words there was a difference in IgG titer between the positive control group, negative control group and the treatment group. A significant difference was also seen between anti-Dengue IgG titers after infection on day 4 and day 10 with p value = 0.000 (<0.05). This proves that G. lucidum extract is effective as an immunostimulant in Dengue 3 virus infection and the most effective dose of G. lucidum extract is 0.8 g/KgBW