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Uji Aktivitas Antibakteri Kombinasi Minyak Atsiri Biji Ketumbar (Coriandrum sativum L.) dan Gentamisin terhadap Staphylococcus epidermidis
Gentamicin is one of the antibiotics from the aminoglycoside group used for the treatment of infections. Gentamicin has side effect such as permanent ototoxicity and reversible nephrotoxicity. It was necessary to reduce these effects by combining antibiotic with natural ingredients, one of those is coriander seeds essential oil. Combination therapy is done to reduce the potential side effects, and increase antibacterial efficacy. Antibacterial activity test were conducted to measure the MIC values of gentamicin, essential oils of coriander seeds, and combination of both. Based on the antibacterial activity test, MIC value of gentamicin was 4 µg/mL, coriander seed essential oil was 50 µg/mL and MIC combination of gentamicin and essential oil of coriander seeds were 0.5 µg/mL and 50 µg/mL. The FIC Index value obtained was 1.125 meaning that the combination effect was indifferent. Indifferent combination effect means the use of a combination of coriander seeds essential oil and gentamicin as antibacterial was not better than the single use.
Keywords: coriander, essential oil, antibacterial, FIC Index, S. epidermidis
 
Hubungan Pelaksanaan Peran Keluarga dengan Kejadian Stunting pada Balita di Kecamatan Arjasa, Jember
A family has an important role to meet the nutritional intake of toddlers since a family has a full decision to nurture and take care of the toddlers. However, the case of stunting in Jember Regency still has a higher case compared to other regencies. The objective of this research was to analyze the relationship between the implementation of family role and the case of stunting in toddlers in Arjasa Subdistrict, Jember regency. The research also used a cross sectional research design with cluster random sampling technique. The data collection was conducted by providing a FAD (Family Assessment Device) questionnaire used to identify the family roles, while the height was measured by length board and microtoise. The chi-square test was employed to analyze between the variables of family role and stunting case. According to the analysis result of 117 respondents, there were 7.7%, 99% and 7.7% for each category of good, moderate and less in the family role, whereas for the stunting case, there were 76.1% having stunting and 23.9% not stunting. The findings of this research indicated that there was a relationship between the implementation of family role and the stunting case (χ2 = 9.78; p-value = 0.002), in which the implementation of family role in the good category had 7.81 times for a chance of stunting (OR = 7.81; 95% CI = 1.81-33.762). at last, this research showed the importance of improving the family role by involving the family to meet the daily nutritional intake of toddlers so as the stunting case can diminish.
 
Pengukuran Kualitas Hidup Pasien Hipertensi di Puskesmas Perumnas I Kota Pontianak yang Menggunakan Antihipertensi melalui EQ5D Questionnaire dan VAS
Hypertension can result a decrease in the quality of life of patients, so that an optimal type of antihypertensive therapy is needed. This study aimed to determine the differences in the quality of life of hypertension patients who use monotherapy drugs and a combination of hypertension in the Perumnas I Pontianak. The study design was observational cross-sectional with a purposive sampling technique, using convertion index of the European Quality of Life 5 Dimensions (EQ5D) Questionnaire and median values of Visual Analog Scale (VAS). As many as 25 out of 102 patients (24.5%) did not have problem in all five dimensions both monotherapy and a combination with the highest index of EQ5D 1,000. The problematic dimensions were in the dimensions of pain / discomfort (45.1%), walking/moving (35.3%), anxiety/depression (29.4%), usual activities (13.7%), and personal care (2.9%). The quality of life which was measured by VAS has a median value of 70 and there was no difference in quality of life between patients receiving antihypertensive monotherapy and combination
Hubungan Dukungan Sosial Keluarga dengan Perilaku Perawatan Diri pada Klien Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas Kaliwates, Jember
Type 2 diabetes mellitus (T2DM) is a metabolic disease that can cause various chronic complications and they can be minimized by self-care. One of the factors that affect self-care in diabetic clients is family social support. The aim of the research was to analyze the correlation between family social support and self care behavior client with T2DM)in the area of Kaliwates public health center, Jember. This research applied an observational analytic design with cross-sectional approach. A total of 84 respondents were enrolled in this study by using purposive sampling technique. The data collection method used the HDFSS (Hensarling Diabetes Family Support Scale) and SDSCA (Summary of Diabetes Self Care Activity) questionnaires, it conducted on January 7th-22nd 2019. The data analysis used Spearman correlation test with a significance level of 0.05.The result showed that median of the family social support was 86 with a minimum value of 69 and a maximum value of 106, whereas the mean value of self-care behaviour was 2,27 days with a standard deviation of 0.45 days. There was a significant positive correlation between family sosial support and self-care behaviour (p value: 0.001; r; +0.378), meaning that the higher the level of family social support the better the self-care behaviour. This study suggests the importance of assessing family social support to improve self-care in clients with type 2 diabetes mellitus
Hubungan Spiritualitas dengan Stres pada Penderita Hipertensi di Poli Jantung RSU dr. H. Koesnadi-Bondowoso
Stress becomes one of the factors causing hypertension. The correlation of stress and hypertension occurs through sympathetic nerve activities, which can gradually increase blood pressure. Spirituality is one of coping to deal with stress. Someone who has a high spiritual level is believed that his belief and relationship with God are better. This study analyzed the correlation between spirituality and stress in hypertension patients at the Cardiology unit of dr. H. Koesnadi Hospital-Bondowoso. The variables were Spirituality and Stress. The research design was observational analytic with a cross-sectional approach with 84 respondents obtained using consecutive sampling technique. The data collection was carried out by giving the Daily Spiritual Experience Scale (DSES) and Perceived Stress Scale (PSS) questionnaire on August 14th-28th 2018. The results of analysis using the Spearman correlation test were p value = 0.001 and r = -0,429 (p <0, 05), indicated a significant correlation between spirituality and stress in hypertension patients. A person who has good spirituality can control his chronic disease and help him to manage his conditions patiently, calmly and can determine his life goals. Suggestions for nurses are to be able to provide motivation to patients to accept the disease and improve adherence to the treatment.  
Mutu Pelayanan Voluntary Counseling and Testing (VCT) di Klinik VCT Puskesmas Puger dari Perspektif Provider
Voluntary Counseling and Testing (VCT) is an entry point to help everyone in utilizing services related to HIV-AIDS prevention, care, support and treatment. Puger Primary Health Care is a primary health care located in the work area with the highest number of HIV-AIDS sufferers in Jember Regency, experiencing a decrease in client visits, and there are some management services that are still not in accordance with VCT guidelines. This study aimed to describe the quality of VCT services at the VCT Clinic Puger Primary Health Care from the perspective of provider. This study was descriptive study using questionnaire, documentation study, and observation. The study respondents were 7 VCT clinic officers. The results indicated that in input parameter showed a lack of human resources, insufficient funding, lack of availability and material conditions that meet the VCT guidelines. In planning indicators related to the human resources, improvements of infrastructure facilities had not been written in the POA, the job description was sufficient based on duties and competences of staff and there were coordination, supervision and evaluation. In the dimensions of technical competence, access to services, efficiency, human relations, continuity and safety of VCT clinics in good categories, but sufficient and less categories for dimensions of effectiveness and comfort dimensions
Hubungan antara Komunikasi Orang tua terhadap Anak dengan Temper Tantrum Anak di TK Nurul Hidayah
Age 4 to 6 years is a stage referred to as pre-school age, it is a golden period of child development, related to his social and emotional development, children begin to learn to manage their emotions. The thing which is often occur in pre-school age children is disobedience and tantrum behavior (temper tantrum). Child's emotional development is influenced by changes in interaction and communication patterns in the family. Communication between parents and children is very important, as a medium for bridging fellow family members. The aim of this study was to determine the correlation between parent’s communication to children with child’s tempered tantrum. This study was quantitative with cross-sectional approach. The sample was parents (mother/father) of children who studied at the Nurul Hidayah Kindergarten. There were 58 respondents which was choosed by Stratified Random sampling technique. The results showed that the percentage of parent’s communication to children in the medium category was 31 respondents (53.4%), and children in the risk category of tempered tantrums were 34 respondents (58.6%). Analysis using the Chi-square test obtained the p value of 0.752 (p> 0.05). The conclusion of study, there was no correlation between parent’s communication to children and child’s tempered tantrum at the Nurul Hidayah Kindergarten, Simpang Empat, Tanah Bumbu in 2018. It was recommended that mothers do mentoring about all things related to child’s tempered tantrum
Pengaruh Konseling terhadap Kepatuhan Suplementasi Tablet Besi (Fe) pada Ibu Hamil di Kabupaten Lumajang
The prevalence of iron deficiency anemia in Indonesia is relatively high. However, adherence to iron supplementation among pregnant women is relatively low, even though the supplementation is provided free of charge by the government. Counseling is expected to increase patient adherence. Therefore, the present research was to study the effect of counseling on adherence to iron supplementation among pregnant women. A number of 62 respondents from a primary health center in Lumajang Regency were recruited after they gave informed consent and equally allocated to control and treatment groups based on their area residence. The control group received routine antenatal service, while the treatment group received the additional counseling using a brochure. The average of adherence score, based on Morisky Medication Adherence Scale-8 (MMAS-8), in the treatment group (5.9±1.9) was significantly different (p=0.027) from the control group (5.0±1.2). Counseling with brochure appeared to be effective to improve adherence to iron supplementation for pregnant women.
Keywords: adherence, iron suplementation, pregnancy, pharmacy counselin
Hubungan Mekanisme Koping dengan Kualitas Hidup pada Klien Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas Kaliwates-Jember
Type 2 Diabetes Mellitus (T2DM) is one of the progressive chronic diseases that cause various complications. Complications that are often experienced by T2DM clients such as foot injuries can affect the quality of life. One of the factors influencing the quality of life is a coping mechanism. This study aimed to analyze the relationship between coping mechanisms and the quality of life of clients of T2DM in the working area of ​​Kaliwates Primary Health Center, Jember. The design of this research was analytical with a cross-sectional approach. Respondents in this study were 84 and obtained by a purposive sampling technique. The data collection method used the Cope Inventory and DQOL (Diabetes Quality of Life) questionnaire. The data analysis used Spearman correlation test with a significance level of 0.05. The results of the study showed that the most used coping was emotional-focused coping with an average value was 3.02 and the majority of respondents had a high quality of life of 67 respondents (79.8%). There is no correlation between coping mechanisms and the quality of life of clients of T2DM in the work area of ​​Kaliwates Primary Health Center, Jember (p-value = 0.273). Other factors such as anxiety, depression, physical activity, control of blood sugar, fatigue, and stress need to be assessed to improve the quality of life for clients of T2DM
Hubungan Mode Adaptif Konsep Diri Berbasis Teori Callista Roy dengan Kemampuan Interaksi Sosial Anak Tunagrahita di SLB-C TPA Kabupaten Jember
Self concept is one of adaptive modes based on Callista Roy’s theory which very important formental deficiency influence integrity of mental in practice to had a good social interaction. The kind ofthis research is descriptive analytic by using study cross sectional. Method of collecting samplesusing total sampling and total of samples got are 35 respondents. Data was analyzed by chi-squareand the result of statistical test shows point p=0.000. Ha is accepted if Ho is rejected in which Ho isrejected if the point is p ≤ α, 0,000 ≤ 0,05. The result of the statistic analysis is that there is significantcorrelation between adaptive modes: self concept based on Callista Roy’s theory and socialinteraction abilities to mental retardation children on SLB-C TPA at Jember Regency. OR (26.00),that means the respondents who had a positive self concept have 26.00 possibility to be had a goodsocial interaction abilities. The result of the research is positive self concept with good socialinteraction ability about 80%. Suggests for nursing in community to involve and increase their rolemodel as educator and care giver in attempt to share information by doing a counseling.Keywords: self concept, social interaction, mental retardatio