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Online Affirmation and Peer Support are Effective for Reducing Medical Personnel Stress in Dealing with Covid-19 Patients Saleha, Nurmukaromatis; Delfina, Rina; Nurlaili, Nurlaili; Ardiansyah, Fourni; Nafratilova, Mercy
Unnes Journal of Public Health Vol 10 No 2 (2021): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v10i2.42861

The Covid-19 outbreak has psychological impacts on frontline medical personnel at risk of infection. Therefore, this study aimed to evaluate the effect of online affirmations and peer support on medical personnel stress level in dealing with Covid-19 patients, as well as social support and spiritual intelligence's influence. It was a quasi-experiment with pre- and post-test administered to 25 and 30 medical personnel as the intervention and control groups, respectively. The intervention was carried out on WhatsApp group for 4 weeks. The stress level pair T-test results showed p = 0.000 in the intervention group and p = 0.238 in the control, while the independent T-test results showed p = 0.009. Social support did not affect medical personnelâ€™s stress (p=0.978), but the effect of spiritual intelligence was significant (p=0.000). According to the results of multiple regression test conducted using the Enter method, the coefficient value (R2) = 0.584. This intervention was effective in helping medical personnel to manage stress. Hence, hospital managers need to carry out stress management training to maintain medical personnelâ€™s mental health.

PERILAKU KONSUMSI MAKANAN DAN MINUMAN MANIS PADA ANAK USIA SEKOLAH DASAR DI KOTA BENGKULU Nafratilova, Mercy; Wijaya, Andra Saferi
Mitra Raflesia (Journal of Health Science) Vol 16, No 2 (2024)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/mitraraflesia.v16i2.422

ABSTRAKLatar Belakang: Kasus Diabetes Melitus (DM) pada anak mengalami peningkatan 70 kali lipat dalam 13 tahun terakhir. Peningkatan ini dihubungkan dengan peningkatan jumlah anak yang mengalami obesitas dan kebiasaan mengkonsumsi makanan dan minuman manis. Penelitian ini bertujuan untuk mengetahui kebiasaan anak sekolah dasar dalam mengkonsumsi makanan dan minuman manis di Kota Bengkulu. Metode : Jenis penelitian ini adalah deskriptif kuantitatif dengan metode survey. Populasi adalah anak sekolah dasar di Kota Bengkulu, teknik pengambilan sampel purposive sampling, dengan jumlah sampel 112 orang anak usia 9-12 tahun. Instrumen penelitian menggunakan kuisioner yang berisi pertanyaan mengenai frekuensi, jenis makanan dan minuman manis yang dikonsumsi anak. Data diolah dengan program computer, disajikan secara univariat dalam bentuk tabel dan narasi. Hasil : Hasil penelitian diperoleh frekuensi konsumsi makan dan minuman manis anak sekolah dasar yaitu setiap hari (36,6%), 2-3 kali/minggu (48,2%), dan 1 kali/minggu (15,2%). Jenis makanan manis yang sering dikonsumsi yaitu donat, permen, coklat, es krim, biskuit, jelly, roti, pancake, dan pie. Sedangkan jenis minuman manis yang banyak dikonsumsi oleh anak adalah es teh manis kemasan, minuman boba, minuman berenergi, jus kemasan, pop ice, dan es cappuccino. Simpulan : Peran orangtua dan guru disekolah penting dalam memonitor dan menjaga asupan makanan dan minuman manis pada anak tidak melebihi batas yang direkomendasikan. Anak juga perlu dibekali pengetahuan mengenai perilaku konsumsi makanan dan minuman manis yang benar. Kata kunci: anak sekolah dasar, makanan dan minuman manis, DM tipe 2, obesitasABSTRACTBackground : Cases of Diabetes Mellitus (DM) in children have increased 70 times more in the last 13 years. This increase is associated with an increase in the number of children who are obese and the habit of consuming sweet foods and drinks. This study aims to determine the habits of elementary school children in consuming sweet foods and drinks in Bengkulu City. Methods : This type of research is descriptive quantitative with a survey method. The population is elementary school children in Bengkulu City, the sampling technique used is purposive sampling with a sample size of 112 children aged 9-12 years. The research instrument uses a questionnaire containing questions about the frequency, type of sweet foods and drinks consumed by children. Data is processed with a computer program, presented univariately in the form of tables and narratives. Results : The results of the study obtained the frequency of consumption of sweet foods and drinks by elementary school children, namely every day (36.6%), 2-3 times / week (48.2%), and 1 time / week (15.2%). The types of sweet foods that are often consumed are donuts, candy, chocolate, ice cream, biscuits, jelly, bread, pancakes, and pies. Meanwhile, the types of sweet drinks that are widely consumed by children are packaged sweet iced tea, boba drinks, energy drinks, packaged juices, pop ice, and iced cappuccino. Conclusion : The role of parents and teachers at school is important in monitoring and maintaining the intake of sweet foods and drinks in children does not exceed the recommended limits. Children also need to be equipped with knowledge about the correct behavior of consuming sweet foods and drinks. Keywords : elementary school children, sweet foods and drinks, DM type 2, obesity

PENERAPAN WEBINAR DALAM UPAYA PENINGKATAN PENGETAHUAN TENTANG MANAJEMEN PASIEN DENGAN SINDROM KORONER AKUT zayu, ade; Kamsiah; Fitria Anuril, Kheli; Nafratilova, Mercy; Susanto, Ari; Saferi Wijaya, Andra
Jurnal Pengabdian Kepada Masyarakat Pusat Unggulan Iptek Penanggulangan Stunting Berbasis Kesehatan Ibu dan Anak Vol 3 No 1 (2024): JPKM PUSTINGKIA JANUARI 2024
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jpustingkia.v3i1.598

Coronary heart disease is the number one killer and its incidence is increasing year by year. Acute Coronary Syndrome has a substantial association with morbidity and mortality and imposes a large financial burden on the healthcare system Diagnostic and therapeutic advances over the past few decades have significantly improved the health outcomes of patients with acute coronary syndrome. Acute coronary syndrome is a multifactorial disease, which is influenced by many factors, such as hypertension, DM and smoking habits. The purpose of this online seminar is to increase participants' knowledge about the definition, risk factors and management of acute coronary syndrome. The method used is to hold a webinar and evaluate knowledge about the management of patients with acute coronary syndrome. The webinar activity was held for 1 day with 4000 registrants. The webinar was attended by 1649 participants who filled in the attendance link. Participants who filled in the pretest link were 721 participants and posttest were 1297 participants. 657 participants filled in both links (Pretest and Posttest). From the results of the pretest and posttest knowledge evaluation, it shows that there is an increase in the average participant knowledge score at the pretest of 29.95%, increasing to 46.91% at the posttest, with Pvalue = 0.000. To increase knowledge can use webinars.

SKRINING PENYAKIT TIDAK MENULAR (PTM) DALAM UPAYA PENINGKATAN KESEHATAN MASYARAKAT RT 03 LEMPUING Wijaya, Andra Saferi; Nafratilova, Mercy; Marita, Zadam; Amante, Fiona; Saputri, Apreni
Jurnal Pengabdian Kepada Masyarakat Pusat Unggulan Iptek Penanggulangan Stunting Berbasis Kesehatan Ibu dan Anak Vol 3 No 2 (2024): JPKM PUSTINGKIA JULI 2024
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jpustingkia.v3i2.714

Non-communicable diseases (NCDs) are one of the health problems that cause many deaths in the world. This non-communicable disease is not transmitted from one individual to another. The public must know how to detect this non-communicable disease early, so efforts are needed to increase public knowledge. The aim of community service through Non-Communicable Disease Screening by Bengkulu Ministry of Health Polytechnic Students in RT 3, Lempuing Village, Ratu Agung District is to provide knowledge, especially to the Elderly Community, about non-communicable diseases and the importance of carrying out regular blood pressure checks and sugar checks. blood and cholesterol to detect non-communicable diseases. Community service activities are carried out for screening and education about PTM to the community in the area. The health examination included measuring blood pressure, instantaneous blood sugar (GDS), cholesterol, height, weight and abdominal circumference for the 45 elderly people who attended. This activity was carried out at a posbindu event using a 5 table system. The results of this service were found from 43 respondents, including 31 people with hypertension, 2 people with diabetes mellitus, 11 people with prediabetes, 11 people with high cholesterol and 12 people with moderate cholesterol.

Pemberdayaan Kader dan Edukasi Kepada Orangtua dalam Upaya Pencegahan Diabetes Melitus pada Anak Sejak Dini di Wilayah Kerja Puskesmas Lempuing Nafratilova, Mercy; Husni, Husni; Ratnadhiyani, Anditha
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 4 (2025): Volume 8 No 4 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i4.18787

ABSTRAK Penyakit DM tidak hanya terjadi pada kelompok usia dewasa, namun juga ditemui pada anak. Saat ini telah terjadi peningkatan kasus DM pada anak hingga mencapai 70 kali lipat dalam 10 tahun terakhir. Peningkatan kasus ini dipicu oleh berbagai faktor risiko, diantaranya gaya hidup tidak sehat, obesitas dan overweight serta kurangnya aktivitas fisik. Namun pengetahuan anak, orangtua, kader dan masyarakat mengenai DM masih rendah. Hal ini menunjukkan bahwa diperlukan upaya yang bersifat holistik dan terintegrasi dalam memberikan pengetahuan mengenai DM pada masyarakat sebagai bentuk pencegahan sejak dini penyakit DM pada anak. Tujuan dari kegiatan pengabdian masyarakat ini adalah meningkatkan pengetahuan kader dan orang, serta meningkatkan keterampilan kader dalam memberikan edukasi pada masyarakat mengenai DM pada anak wilayah kerja Puskesmas Lempuing Kota Bengkulu. Metode yang digunakan dalam pengabdian masyarakat ini adalah metode ceramah, diskusi dan praktik. Hasil kegiatan pengabdian masyarakat menunjukkan terjadi peningkatan pengetahuan kader sebelum dan setelah dilakukan edukasi sebesar 3,28, terjadi perubahan pengetahuan orangtua sebesar 3,16 poin. Lebih dari 50% kader yang telah mendapat pendampingan, memberikan edukasi pada kelompok masyarakat mengenai DM pada anak dan pencegahnnya. Kegiatanpenyuluhan yang diberikan dapat meningkatkan pengetahuan kader dan orangtua mengenai DM pada anak dan pencegahannya, serta meningkatkan kemampauan kader dalam memberikan edukasi kepada masyarakat disekitar wilayah kerja Puskesmas Lempuing Kota Bengkulu. Diharapkan edukasi mengenai DM pada anak di masyarakat terus dilakukan dengan melibatkan peran serta kader kesehatan secara berkesinambungan dalam edukasi. Kata Kunci: Pemberdayaan Kader, Edukasi, Diabetes Melitus, Anak ABSTRAC Diabetes mellitus (DM) did not only occur in the adult age group but was also found in children. There was a 70-fold increase in DM cases among children in the last 10 years. This rise was triggered by various risk factors, including unhealthy lifestyles, obesity, being overweight, and lack of physical activity. However, knowledge about DM among children, parents, health cadres, and the community remained low. This indicated the need for holistic and integrated efforts to provide knowledge about DM as an early prevention measure for the disease in children. The aim of this community service activity was to improve the knowledge of health cadres and parents and enhance the skills of cadres in educating the community about DM in children in the working area of the Lempuing Community Health Center in Bengkulu City. The methods used in this activity were lectures, discussions, and practical sessions. The results of the community service activity showed an increase in the knowledge of health cadres before and after the education, with a score improvement of 3.28 points, and a knowledge improvement among parents by 3.16 points. More than 50% of the cadres who received training provided education to community groups about DM in children and its prevention. The counseling activities conducted successfully improved the knowledge of cadres and parents regarding DM in children and its prevention, as well as enhanced the cadres' ability to educate the community in the working area of the Lempuing Community Health Center in Bengkulu City. It is hoped that education on DM in children within the community will continue to be carried out by continuous participation of health cadres. Keywords: Cadre Empowerment, Education, Diabetes Mellitus, Children

Terapi musik lullaby dan parental holding pendekatan kombinatif untuk mengurangi nyeri skrining hipotiroid kongenital (SHK) pada neonatus Kusuma, Galuh Jatra; Annisa, Rahma; Nafratilova, Mercy
Holistik Jurnal Kesehatan Vol. 19 No. 6 (2025): Volume 19 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i6.1358

Background: Congenital hypothyroidism (CH) is a hormonal disorder in newborns that can lead to delayed mental and physical development if not detected early. One important procedure for detecting CH is the heel prick method, which involves taking a blood sample from the baby's heel. However, this procedure is invasive and can be painful, negatively impacting the baby's physiological and psychological well-being. Effective and atraumatic pain management in newborns is crucial, including non-pharmacological interventions such as lullaby music therapy and parental holding. Purpose: To determine the effect of lullaby music therapy and parental holding, a combined approach, on reducing pain during neonatal congenital hypothyroidism (CH) screening. Method: This quantitative study used a quasi-experimental approach with a post-test-only control group design. The study was conducted at the PBM Bengkulu City from March to May 2025. The study population was newborns undergoing invasive congenital hypothyroidism screening. The sample was selected using a purposive sampling technique, resulting in 38 infants. The intervention group received lullaby music and parental carrying, while the control group received 10 minutes of swaddling. The FLACC scale was used as the instrument. Data were analyzed using univariate and bivariate Wilcoxon tests. Results: The mean pain score during congenital hyperthyroidism screening in the intervention group was 3.05 with a mean SD of 0.970 and a 95% CI of 2.58–3.52 (mild pain category), while the mean pain score during congenital hyperthyroidism screening in the control group was 6.68 with a mean SD of 1.204 and a 95% CI of 6.10–7.26 (moderate pain category). The Mann-Whitney test showed a p-value of 0.000 for the effect of lullaby music and parental carrying on pain during the heel prick procedure. Conclusion: The combination of lullaby music and parental carrying significantly reduced pain scores during the CHC procedure in infants during blood sampling. Providing lullabies and parent carrying as non-pharmacological therapies to reduce pain in infants is an effective approach for parents. Suggestion: This finding also serves as a basis for further research evaluating the effectiveness of providing lullabies and parent carrying in reducing pain during heel punctures or other invasive procedures. Keywords: Combination Approach; Congenital Hypothyroidism (CHP) Screening; Lullaby Music Therapy; Neonate; Pain; Parent Holding. Pendahuluan: Hipotiroid kongenital (HK) merupakan gangguan hormonal pada bayi baru lahir yang dapat menyebabkan keterlambatan perkembangan mental dan fisik apabila tidak dideteksi sejak dini. Salah satu prosedur penting untuk mendeteksi HK adalah dengan metode heel stick, yaitu pengambilan sampel darah dari tumit bayi. Namun, tindakan ini bersifat invasif dan dapat menimbulkan nyeri, yang berdampak negatif pada kondisi fisiologis dan psikologis bayi. Penanganan nyeri pada bayi baru lahir penting dilakukan secara efektif dan atraumatik, salah satunya melalui intervensi non farmakologis seperti terapi musik lullaby dan parental holding. Tujuan: Untuk mengetahui pengaruh terapi musik lullaby dan parental holding pendekatan kombinatif untuk mengurangi nyeri skrining hipotiroid kongenital (SHK) pada neonatus. Metode: Penelitian kuantitatif dengan pendekatan quasi eksperimen menggunakan rancangan post test only control group design. Penelitian dilaksanakan di PBM Kota Bengkulu pada bulan Maret-Mei 2025. Populasi dalam penelitian ini adalah bayi baru lahir yang akan di lakukan skrining hipotiroid kongenital tindakan invasif. Pemilihan sampel menggunakan teknik perposive sampling, mendapatkan sejumlah 38 bayi. Kelompok intervensi menerima perlakuan metode musik lullaby dan metode parental holding, sedangkan kelompok kontrol menerima perlakuan metode pembedongan dalam rentang 10 menit. Instrumen yang digunakan adalah skala FLACC, Analisis data menggunakan univariat dan bivariat (uji Wilcoxon). Hasil: Skor rata-rata nyeri pada skrining hipertiroid kongenital pada kelompok intervensi sebesar 3.05 dengan SD=0.970 dan CI 95% = 2.58 – 3.52 (kategori nyeri ringan), sedangkan skor rata-rata nyeri pada skrining hipertiroid kongenital pada kelompok kontrol sebesar 6.68 dengan SD=1.204 dan CI 95% = 6.10 – 7.26 (kategori nyeri sedang). Berdasarkan uji Mann Whitney pengaruh metode musik lullaby dan parental holding terhadap nyeri saat tindakan heel stick mendapatkan p-value sebesar 0.000. Simpulan: Memberikan perlakuan kombinasi musik lullaby dan parental holding memiliki pengaruh dalam menurunkan skor nyeri tindakan SHK pada bayi saat pengambilan sampel darah. Pemberian musik lullaby dan parental holding sebagai terapi non farmakologis dalam menurunkan nyeri pada bayi merupakan tindakan efektif yang bisa dilakukan oleh orangtua. Saran: Hal ini juga menjadi landasan bagi penelitian di masa mendatang dalam mengevaluasi efektivitas pemberian musik lullaby dan parental holding untuk mengurangi nyeri selama prosedur tindakan invansif heel stick atau lainnya. Kata Kunci: Neonatus; Nyeri; Parental Holding; Pendekatan Kombinatif; Skrining Hipotiroid Kongenital (SHK); Terapi Musik Lullaby.

Pengaruh cuddle therapeutic side sitting position dan breastfeeding terhadap nyeri imunisasi bayi usia 0-12 bulan Saputri, Apreni; Annisa, Rahma; Wijaya, Andra Saferi; Septiyanti, Septiyanti; Nafratilova, Mercy
Holistik Jurnal Kesehatan Vol. 19 No. 6 (2025): Volume 19 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i6.1359

Background: Immunization is one way to increase children's immunity to prevent diseases, especially infectious diseases. Immunization through injections can experience a direct effect, namely pain. Immunization injections, if not properly managed, can cause injuries that cause pain short-term and long-term effects on babies. One of the non-pharmacological pain managements that can be done is cuddle therapeutic side sitting position and breastfeeding. Purpose: To determine the effect of therapeutic side-sitting and breastfeeding on immunization pain scores in infants aged 0-12 months. Method: Quasi-experimental research with post-test only control group method, conducted at Sawah Lebar Community Health Center, Bengkulu City in March-April 2025. The independent variables are cuddle therapeutic side sitting position and breastfeeding while the dependent variable is immunization pain in infants. The sampling technique using total sampling obtained a total sample of 46 respondents who were divided into intervention and control groups, with inclusion and exclusion criteria. Data analysis used univariate in the form of frequency distribution and bivariate using the Mann Whitney test. Results: Mann-Whitney test showed p=0.000, meaning that there was a difference in the average pain score between the intervention group and the control group. It can be concluded that cuddle therapeutic side-sitting position and breastfeeding have a significant effect on pain scores in infants during immunization. Conclusion: Mann-Whitney test showed p=0.000, meaning that there was a difference in the average pain score between the intervention group and the control group. It can be concluded that cuddle therapeutic side-sitting position and breastfeeding have a significant effect on pain scores in infants during immunization. Keywords: Breastfeeding; Cuddle Therapeutic; Immunization Pain; Infant; Side Sitting Position. Pendahuluan: Imunisasi adalah salah satu cara untuk meningkatkan kekebalan tubuh anak-anak guna mencegah penyakit, terutama penyakit menular. Imunisasi melalui suntikan dapat menimbulkan efek langsung, yaitu rasa sakit. Suntikan imunisasi, jika tidak dikelola dengan baik, dapat menyebabkan cedera yang menimbulkan rasa sakit serta efek jangka pendek dan jangka panjang pada bayi. Salah satu metode pengelolaan rasa sakit non-farmakologis yang dapat dilakukan adalah posisi duduk menyamping dengan pelukan terapeutik dan menyusui. Tujuan: Untuk mengetahui pengaruh cuddle therapeutic side sitting position dan breastfeeding terhadap nyeri imunisasi bayi usia 0-12 bulan. Hasil: Uji Mann-Whitney menunjukkan p-value sebesar 0.000, artinya ada perbedaan rata-rata skor nyeri antara kelompok intervensi dan kontrol, sehingga cuddle therapeutic side-sitting position dan breastfeeding berpengaruh signifikan terhadap skor nyeri pada bayi saat imunisasi. Metode: Penelitian quasi eksperimental dengan metode post-test only control group, dilaksanakan di Puskesmas Sawah Lebar, Kota Bengkulu pada bulan Maret-April 2025. Variabel independen dalam penelitian ini adalah cuddle therapeutic side sitting position dan breastfeeding, sedangkan variabel dependen adalah nyeri imunisasi pada bayi. Teknik pengambilan sampel menggunakan total sampling dan didapatkan jumlah sampel sebanyak 46 partisipan, terbagi ke dalam kelompok intervensi dan kontrol sesuai kriteria inklusi dan eksklusi. Analisis data yang digunakan univariat dalam bentuk distribusi frekuensi dan bivariat menggunakan uji Mann Whitney. Simpulan: Posisi cuddle therapeutic side sitting memberikan rasa aman, stabilitas, dan kedekatan fisik antara bayi dan orang tua, sehingga dapat menenangkan bayi dan menurunkan respon nyeri. Kata Kunci: Bayi; Breastfeeding; Cuddle Therapeutic; Nyeri Imunisasi; Side Sitting Position.

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