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Faktor yang Berpengaruh pada Perilaku Seksual Remaja di Perkotaan dan Pedesaan Suarni, Lisa; Fitarina, Fitarina; Aliyanto, Warjidin
Jurnal Kesehatan Vol 11, No 3 (2020): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v11i3.2345

Abstract

The effect of free sex on reproductive health is very real, namely the transmission of sexually transmitted infections (STIs) with all its consequences, a pregnancy outside of marriage and consequently an increase in the incidence of abortion, the psychological pressure to depression. It can be seen that the increasing incidence of STIs, abortion, and depression rates in society is increasing. The research objective was to determine the factors related to Adolescent Sexual Behavior in North Lampung. This study used an explanatory research design with a cross-sectional approach. A sample of 500 people, with a proportion of 250 samples from urban and 250 rural adolescents. The variables related to adolescent sexual behavior in rural areas were the variable of religiosity with a p-value of 0,00, knowledge with a p-value of 0,00, sexual attitudes with a p-value of 0,00, sexual activity with a p-value of 0.06, social support. with a p-value of 0,00 and in urban areas the related variables were self-esteem with a p-value of 0,10, religiosity with a p-value of 0,00, social activity with a p-value of 0,12, health service attitudes with a p-value 0,00, sexual attitude with a p-value of 0,00, sexual activity with a p-value of 0,00, self-confidence with a p-value of 0,24. Multivariate analysis found that the most dominant factor associated with sexual behavior is sexual attitudes with an OR=28,748. Religiosity, sexual activity, sexual attitudes affect sexual behavior in rural and urban areas. Sexual attitudes are the most dominant factor affecting adolescent sexual behavior in rural and urban areas.
Pengembangan Telehealth “SIPISPeKa” sebagai Solusi Mensukseskan Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) Aliyanto, Warjidin; Suarni, Lisa; Sono, Sono; Hajar, Alex Iskandar
Jurnal Kesehatan Vol 12, No 1 (2021): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v12i1.2553

Abstract

There is a phenomenon in Indonesia that shows that the use of telehealth is not optimal in hypertension management in Indonesian health services which has an impact on cost efficiency both for the government and patients in the community. Based on this, researchers are interested in researching the use of telehealth in PISPK-based homecare services in health services in Indonesia. The purpose of this study was to assess the quality of Telehealth Applications in the Program Indonesia Sehat Pendekatan Keluarga (PISPK). The research design was the development of a telehealth prototype named SIPISPeKa which was by the needs of the Community Health centers in providing health services for families in the category of troubled families in the PISPK assessment. Research respondents are families with the unhealthy category in the Healthy Family Index in Tanjung Aman Village, Kotabumi Selatan District was 147 respondents. Processing and data analysis in this study using univariate analysis using frequency distribution. SIPISPeKa as a telehealth/telehealth media is declared worthy of being assessed from 4 aspects of assessment, namely: telehealth media principles, governance, web-based communication media, and relevance to the PISPK program. Assessors' comments and suggestions for SIPISPeKa include the need to improve the SIPISPeKa application to make it friendlier, easier to use and more able to replace the presence of health workers in families with low IKS scores.
Telehealth “SIPISPeKa_G2” sebagai Tindak Lanjut Program Indonesia Sehat Berbasis Keluarga Suarni, Lisa; Aliyanto, Warjidin; Sono, Sono
Jurnal Kesehatan Vol 14 No 2 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i2.3764

Abstract

Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) telah dimulai tahun 2015, yang diharapkan pencapaiannya tahun 2019. Program ini merupakan program pendataan indeks setiap keluarga dengan 12 indikator dan selanjutnya dilakukan intervensi bagi keluarga bermasalah sesuai dengan indikator permasalahannya. Persoalan yang muncul dari program ini adalah capaian pendataan yang masih kurang dari target dan adanya ketimpangan cakupan pendataan dan pemberian intervensi pada pelaksanaan PIS-PK mulai dari awal perencanaan hingga pelaksanaan. Oleh karenanya aplikasi Telehealth SIPISPeKa_G2 merupakan salah satu solusi untuk memperkecil ketimpangan tersebut. Aplikasi SIPISPeKa_G2 merupakan aplikasi berbasis android yang dirancang untuk pendataan indeks keluarga sehat (IKS) secara mandiri (Self Assesment) dan merupakan media komunikasi tindak lanjut terhadap permasalahan hasil pendataan bagi keluarga yang bermasalah. Desain penelitian adalah quasi eksperiman, uji coba SIPISPeKa_2. Pengambilan sampel dengan metode non probability sampling, sebagai kriteria inklusi adalah Keluarga dengan nilai IKS rendah, dan dapat mengoperasikan android, besar sampel 132. Analisis data untuk menilai kelayakan aplikasi telehealth dan dengan menggunakan T-Test Sampel Dependent. Hasil analisis univariat menyatakan bahwa SIPISPeKa_G2 layak digunakan, dan hasil analisis bivariat menunjukkan bahwa tidak ada perbedaan nilai IKS antara yang menggunakan SIPISPeKa_G2 dengan hasil survey langsung. Hal ini membuktikan bahwa SIPISPeKa_G2 dapat menjadi alternatif self assessment IKS dan sebagai media komunikasi untuk tindak lanjut intervensi bagi keluarga dengan IKS rendah.
Implementation of Minimum Antenatal Care Service Standards in North Lampung Regency Suarni, Lisa; Kodri, Kodri; Aliyanto, Warjidin; Primadila, Hasti; Wahyudi, Fajar Desma
Jurnal Kesehatan Vol 15 No 1 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i1.4440

Abstract

Maternal Mortality Rate (MMR) in North Lampung is high. Coverage of antenatal care visits in 2021 (88.7%) has yet to reach the target (100%), even though the number of midwives and integrated health post (Posyandu) services increases every year. The Minimum Service Standard report also indicates that the budget for maternal care services is around 17% of the total budget allocation. This study aims to provide an overview of the implementation of the 10 Antenatal Care (ANC) services in North Lampung. The research design employs a quantitative method with a documentation study using Maternal and Child Health (MCH) books and questionnaires to measure midwives' knowledge in North Lampung. The sample size was determined using the open-source calculator SSPropor (OpenEpi, version 3), resulting in 595 collected samples for this study. Data were analyzed using univariate and bivariate analyses. None (0%) of the pregnant women received all 10 ANC services. Almost all pregnant women (>90%) received blood pressure examinations, counseling, and referral services. Meanwhile, the ANC service received least frequently (<50%) was the provision of Iron and Folic Acid (IFA) tablets. There is a significant difference in the mean coverage based on the three clusters, and there is a weak relationship between Midwives' Knowledge and the implementation of 10 ANC services. Recommendations: There is a need for programs to comprehensively improve knowledge about ANC standards among health workers and volunteers. Discipline in recording needs to be enhanced. Further qualitative studies are required to gain a broader perspective.
Aplikasi Proses Pembelajaran Mahasiswa Keperawatan Berbasis Android Aristoteles, Aristoteles; Kusuma, Abie Perdana; Irawati, Anie Rose; Sakethi, Dwi; Suarni, Lisa
Sains, Aplikasi, Komputasi dan Teknologi Informasi Vol 5, No 1 (2023): Sains, Aplikasi, Komputasi dan Teknologi Informasi
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/jsakti.v5i1.10362

Abstract

Perawat adalah tenaga profesional yang dalam memberikan pelayanan medis menggunakan proses ilmiah yang disebut keperawatan. Dalam keperawatan, pemecahan masalah menggunakan proses keperawatan yang merupakan metode berfikir kritis, selama ini perawat harus menganalisis data-data yang ditemukan pada pasien untuk mendiagnosis, menentukan rencana luaran dan intervensi dengan tepat. Mahasiswa yang merupakan calon perawat dengan keahliannya harus mampu menerapkan proses keperawatan dalam kinerja asuhan keperawatan sesuai dengan standar keperawatan yang ada, tentunya dengan adanya pengawasan oleh ahli pengajar keperawatan untuk menghasilkan tenaga perawat yang lebih baik dalam upaya meningkatkan kualitas pelayanan medis. Penelitian ini bertujuan untuk mengembangkan aplikasi android dengan bantuan expert system sebagai alat bantu diagnosa keperawatan, yang membantu mahasiswa keperawatan dalam mempelajari proses keperawatan dan membantu dosen dalam pemantauan proses keperawatan yang dilakukan oleh mahasiswa calon perawat. Sistem pakar menggunakan metode forward chaining, dan pembangunan aplikasi menerapkan metode waterfall. Hasil dari penelitian merupakan aplikasi berbasis android yang diuji menggunakan metode blackbox testing.
IDENTIFIKASI DIAGNOSE KEPERAWATAN DENGAN PENDEKATAN (THE SIX STEPS OF DIAGNOSTIC REASONING METHOD) NOC DAN NIC DI AREA KEPERAWATAN MATERNITAS Suarni, Lisa
Jurnal Kesehatan Metro Sai Wawai Vol. 9 No. 1 (2016): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkm.v9i1.1754

Abstract

Various problem arised in the Implementation of Function and task of nurses in maternity nursing. For example nurses understanding to nursing process to give standardized nursing care, so it can be  measured.  The aim of this study is to identify nursing diagnosis and to identify NOC and NIC in maternity setting. This is survey analitic with descriptif design. This research consists of two stage. The firs stage is conducted to identify nursing diagnoses of six most frequent cases in maternity setting. The process of identify nursing diagnosis is conducted by researcher.  The second stage is conducted by researcher to identify whether the NOC and NIC chosen based on nursing diagnosis in the first stage are applicable or not in maternity setting.   considered NIC is considered choice in maternity setting if it has total score >8 based on three variables with 1-4 likert scale. The Result is with The 6 steps of diagnostic reasoning method at Nursing diagnoses identify on those six cases are: 13 nursing diagnoses of sectiocaesarea, 9 nursing diagnosis on normal delivery, 7 nursing diagnosis on antepartum hemorraghi, 2 nursing diagnosis on postpartum hemorraghi, 7 nursing diagnosis on preeclampsia/eclampsia, 4 nursing diagnosis on Premature Rupture Membran. Be base on nursing diagnoses/potensial complication are identificationed 43 label NOC and  56 label NIC. Conclusion. The most frequent of cases found is Caesarean sections with most nursing diagnoses identified. It is Be base on identification  label NOC and  NIC  in matternity setting. 
Community Readiness in Utilization of Android Application (mHealth) for Increasing Healthy Family Index Aliyanto, Warjidin; Suarni, Lisa; Sono, Sono
Jurnal Kesehatan Vol 16 No 1 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i1.4937

Abstract

SIPISPeKa G-2 was introduced as an innovative mHealth solution to bridge this gap by enabling real-time communication between families and health workers. This study aims to evaluate the effectiveness of the SIPISPeKa G-2 mHealth application in improving the Healthy Family Index (IKS) in the work area of Kotabumi 2 Health Center, North Lampung. The quasi-experimental pre-test and post-test design was carried out on 150 families who were categorized as unhealthy based on 12 IKS indicators. The study was conducted from February to November, with a trial period of 3 months. Sampling using the Multi-Stage method, the results showed a significant increase in the Healthy Family Index (IKS) from an IKS value of 0.64 to 0.79 (p < 0.05). The most widely accessed services were smoking cessation services (29.01%), National Health Insurance 16.41%), and hypertension (16.03%). However, 16.03% of consultations were deemed irrelevant, indicating the need for further education. This study concluded that the mHealth application can effectively improve family health, with recommendations for optimization and broader implementation.
Longitudinal Changes in Health-Related Quality of Life Among Older Adults Undergoing Hemodialysis Wantonoro, Wantonoro; Suarni, Lisa; Novita, Dian; Van Nguyen, Tuan
Jurnal Kesehatan Vol 16 No 2 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i2.5156

Abstract

Chronic kidney disease is a significant public health problem worldwide. Hemodialysis is the most common form of kidney replacement therapy in the world. Hemodialysis therapy is associated with deterioration in health-related quality of life. However, limited studies focused on health-related quality of life subscales among older persons with hemodialysis in the Indonesian population, especially with long-term follow-up. This study aims to explore the six-month longitudinal changes in health-related quality of life subscales among older persons with hemodialysis. This prospective cohort study evaluated 119 older adults undergoing hemodialysis using purposive sampling between March and September 2024 at PKU Yogyakarta Hospital, Indonesia. Outcomes status was evaluated with health-related quality of life at 1-, 3-, and 6-months. The Indonesian version of SF-36 assessed health-related quality of life. Data were analyzed using general estimating equations. In general, the health-related quality of life among older persons with hemodialysis was decreased. The longitudinal changes of eight subscales significantly deteriorated from the first month to the third month and remained consistently worse during the third to the sixth months (p=.001, respectively). Most deterioration was found in role limitation due to physical problem (β=-94.4; p=.001), general health (β=-70.5; p=.001), and vitality (β=-66.9; p=.001). Social function showed the better domain during the 6 months (β=-36.6; p=.001) than other health-related quality of life subscales. Different aspects of health-related quality of life deteriorate differently among older persons with hemodialysis. Specific attention needs to be paid to high-risk Indonesians among older persons with hemodialysis health-related quality of life, especially those who are older.