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Correlation Between Knowledge, Attitudes, and Behavior with Blood Cadmium Levels in the Population of Industrial Area Teuku Heriansyah1, Kumboyono Kumboyono2 , Fibe Yulinda Cesa3 , Titin Andri Wihastuti4 , Shila Wisnas
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i1.13433

Abstract

Objectives: The aim of this analysis is to investigate the correlation between knowledge, attitude, andbehavior with cadmium level in the industrial population. Methods: This research is a non-experimentalstudy with cross-sectional method. The subjects are 108 respondents live in industrial area. Questionnaireswere used for measuring the level of knowledge, attitude, and behavior. Cadmium levels were measured usingAtomic Absorption Spectrophotometry (AAS). Results: The result showed a strong correlation betweenlevels of knowledge factor and cadmium with r = -0,272* in the population of industrial areas. Meanwhile,knowledge have significant correlation with attitude (r = 0.528**). Conclusion: Knowledge factor hasthe significant relationship with cadmium levels in the population of industrial area. The government issuggested to improve the knowledge of the people in the industrial area in order to prevent high levels ofcadmium. Therefore, the negative impact of metal waste exposure on health can be minimized.
TEENAGER CADERIZATION TO RESPOND TO CARDIAC ARREST USING SMARTPHONE APPLICATION "BE ABYSTANDER" Septi Dewi Rachmawati; Shila Wisnasari; Titin Andri Wihastuti; Rismawan Adi Yunanto; Dudella Desnani Firman Yasin
Caring : Jurnal Pengabdian Masyarakat Vol 1, No 2 (2021): CARING Jurnal Pengabdian Masyarakat (Agustus 2021)
Publisher : Caring : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (541.43 KB) | DOI: 10.21776/ub.caringjpm.2021.001.02.5

Abstract

Out-of-Hospital Cardiac Arrest (OHCA) is considered as a global health problem because of its high incidence and low survival rates. Cardiopulmonary Resuscitation (CPR) performed immediately by a bystander for OHCA patients increases the patients’ survival rate. However, the rate of CPR for OHCA patients remains very low due to the lack of willingness to become a bystander. One way to increase the number of CPR bystanders is by providing training on how to perform CPR. Students is considered to be the best bystander candidate because of their high curiosity and ability to memorize complex objects. This community service aims to increase the survival rates of OHCA patients through the youth cadreization responding to cardiac arrest using the Smartphone Application "Be A Bystander". This community service activity includes providing education about cardiac arrest and CPR, training on CPR with the simulation method (roleplay), and training on CPR using the “Be a Bystander” application. The indicators of the success of this community service are an increase in the knowledge, skills, and willingness of participants to become a bystander. Evaluation showed a significant increase in knowledge (p = 0.000), skills (p = 0.000), and willingness (p = 0.000) of participants before and after programs were carried out. After this community services activity, we hope more students are willing to become a competent bystander.
GENERA-Z TANGGUH; GEN-Z OF PRIMAGANDA JOMBANG HIGH SCHOOL EMPOWERMENT TOWARDS HANDLING OF COVID-19 IN THE SCHOOL WITH PREVENTIVE AND 4T (TRACING, TEXTING, TESTING, TREATMENT) EFFORT Akhiyan Hadi Susanto; Rahma Micho Widyanto; Shila Wisnasari; Nurona Azizah; Rustiana Tasya Ariningpraja
Caring : Jurnal Pengabdian Masyarakat Vol 2, No 2 (2022): CARING Jurnal Pengabdian Masyarakat (Agustus 2022)
Publisher : Caring : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.caringjpm.2022.002.02.1

Abstract

The government has started to require limited face-to-face learning starting in July 2021. Until now, cases of Covid-19 transmission are still being reported. Primaganda High School, Jombang is one of the high schools in Jombang within the Pondok Pesantren environment with moderate exposure to Covid-19 transmission. The risk of transmission during face-to-face learning will be quite high, so there is a need for an integrated management of COVID-19 handling based on proper human resource empowerment. The purpose of community service is to increase empowerment through training. The integrated training was provided for 2 months involving 46 students (referred to as “Genera-Z Tangguh”) as initial movers. Empowerment focuses on preventing the transmission of Covid-19 (education and application of health protocols), and 4T (tracing, texting, testing, treatment) by utilizing digital applications. Activity results include, 1) An increase in the knowledge of Tangguh Genera-Z members about the application of health protocols in schools with an average score of 90 (pre-test mean 30), 2) An increase in knowledge of Tangguh Genera-Z members about 4T cases of Covid-19 with an average post-test score of 70 (pre-test mean 30), 3) The establishment of an integrated Covid-19 handling system related to reporting management and handling of related parties at Primaganda High School Jombang. It can be concluded that this activity is one of the important student social activities and needs to be an example for its application in other schools, to prevent the spread of Covid-19 in the school environment.
Nursing Students’ Learning Support, Outcome, and Satisfaction Towards Online Learning Rustiana Tasya Ariningpraja; Shila Wisnasari
Journal of Nursing Science Update (JNSU) Vol. 11 No. 1 (2023): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2023.011.01.3

Abstract

Online learning in nursing education has been carried out for a long time by several educational institutions worldwide. However, online learning in Indonesia has been forced to take place since the Coronavirus Disease 2019 pandemic was announced. This study aims to determine how students perceive learning support and how it relates to learning outcomes and student satisfaction in online learning that has been implemented for the even semester of 2021. This study involved 160 respondents willing to participate in filling out statements related to online learning support, Grade Point Average (GPA), and satisfaction. The data were analyzed using the Pearson test. The results showed a positive correlation between support for nursing student satisfaction during online learning (p<0.05). However, this study's support did not correlate with learning outcomes (p>0.05). Most nursing students perceive instructional, lecturer, peer, and technical support positively. A detailed explanation of why the results of this study are important and discussed in the article. In conclusion, educational institutions must periodically evaluate students' perceptions of learning support, which is not only limited to online learning but also blended learning which is likely to be applied. In addition, satisfaction can also help assess how to provide an overview of students' views as regular customers at nursing education institutions.
PEMBERIAN EDUKASI KESEHATAN UNTUK MENINGKATKAN PENGETAHUAN DAN PERAN KELUARGA DALAM MANAJEMEN PENGOBATAN LANSIA DENGAN DIABETES MELLITUS Shila Wisnasari; Rustiana Tasya Ariningpraja; Akhiyan Hadi Susanto
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 3 (2023): Juni
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i3.14886

Abstract

Abstrak: Angka kejadian diabetes mellitus (DM) pada lansia terus meningkat dari tahun ke tahun. Manajemen pengobatan menjadi kunci utama pencegahan komplikasi dan peningkatan kualitas hidup lansia dengan DM. Namun, lansia dengan DM seringkali mengalami kesulitan dalam menerapkan perilaku kesehatan untuk mengontrol glukosa darah secara konsisten akibat kurangnya pengetahuan dan komitmen pasien. Salah satu upaya yang dapat dilakukan yaitu dengan melibatkan keluarga dalam manajemen pengobatan. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan dan peran keluarga dalam manajemen pengobatan lansia dengan DM. Kegiatan pengabdian kepada masyarakat ini dilakukan pada 21 lansia dengan DM di wilayah RW 10 Desa Genengan Kecamatan Pakisaji Kabupaten Malang. Kegiatan yang dilakukan meliputi pemeriksaan kesehatan gratis, pemberian edukasi menggunakan leaflet, dan pendampingan lansia dan keluarga dalam manajemen pengobatan DM. Keberhasilan kegiatan pengabdian kepada masyarakat ditunjukkan dengan peningkatan skor pengetahuan dan peran keluarga setelah pemberian edukasi. Hasil evaluasi menunjukkan adanya peningkatan pengetahuan keluarga mengenai manajemen pengobatan DM sebesar 77,75% dan peran keluarga dalam manajemen pengobatan lansia dengan DM sebesar 125,03% dibandingkan dengan sebelum pemberian edukasi. Selain itu, keluarga berkomitmen untuk berperan aktif dalam manajemen pengobatan dan peningkatan kualitas hidup lansia dengan DM.Abstract: The incidence of diabetes mellitus (DM) in older people continues to increase yearly. Treatment management is the primary key to preventing complications and improving the quality of life of older people with DM. However, due to a lack of knowledge and commitment, they often need help implementing health behaviors to control blood glucose consistently. One effort that can be made is to involve the family in treatment management. This community service activity aims to increase the knowledge and role of the family in the treatment management of older people with DM. This community service activity was conducted for 21 older people with DM in the RW 10 area of Genengan Village, Pakisaji District, Malang Regency. Activities include free health checks, providing education using leaflets, and assisting older people and families in managing DM. Increased knowledge scores and family roles after providing education indicate the success of this community service activities. The evaluation results showed an increase in family knowledge regarding DM treatment management by 77.75% and the role of the family in managing the treatment of elderly with DM by 125.03% compared to before the provision of education. In addition, the family is committed to playing an active role in treatment management and improving the quality of life for older people with DM.
Beban Kerja Mental Berhubungan dengan Keluhan Gangguan Muskuloskeletal pada Perawat di Rumah Sakit Rahmawati, Ike Nesdia; Pawestri, Frilian Niken; Putra, Kuswantoro Rusca; Ahsan; Wisnasari, Shila
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 12 No 1 (2024): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jdk.v12i1.630

Abstract

Gangguan muskuloskeletal merupakan tantangan signifikan dalam kesehatan dan keselamatan kerja bagi profesional kesehatan, khususnya perawat, yang berdampak pada kesejahteraan fisik mereka serta kualitas pelayanan yang mereka berikan. Penelitian ini bertujuan untuk menganalisis hubungan antara beban kerja mental dan keluhan muskuloskeletal paada perawat di Rumah Sakit Panti Waluya Sawahan, Malang. Penelitian ini menggunakan desain cross-sectional dengan jumlah sampel sebanyak 108 responden. Instrumen yang digunakan adalah kuesioner Nordic Body Map (NBM) dan NASA-TLX yang kemudian dianalisis menggunakan uji Spearman’s Rank. Hasil penelitian menunjukkan bahwa 49 responden (45,4%) merasakan beban kerja tinggi dan 60 responden (55,6%) melaporkan tingkat keluhan muskuloskeletal sedang, terutama di area punggung. Terdapat hubungan antara dua variabel dengan nilai p 0,000 (<0,05) dan nilai r 0,473 di mana semakin tinggi beban kerja, semakin tinggi keluhan muskuloskeletal yang dirasakan. Oleh karena itu, saat menjalankan pekerjaan, perawat harus menjaga daya tahan dan meningkatkan pengetahuan mereka tentang prinsip ergonomi.
Desinfeksi Nebulizer yang Terkontaminasi Klebsiella Pneumoniae untuk Pencegahan Ventilator-Associated Pneumonia (VAP) Ariningpraja, Rustiana Tasya; Wisnasari, Shila; Lestari, Retno; Perkasa, Wendi Genta; Suwondo, Rifka Anindita
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i2.10738

Abstract

This study aims to evaluate the effectiveness of nebulizer disinfection contaminated with Klebsiella pneumoniae using one of the materials widely used in hospitals, chlorhexidine. The research method used in vitro experiments. K. pneumoniae was isolated from hospital samples and then multiplied for 24 hours. The nebulizer jet was then intentionally contaminated with K. pneumoniae and disinfected using chlorhexidine solution at various concentrations. The effectiveness of the disinfection process was then assessed using culture and calculated based on the number of colonies formed after the disinfection process. The results showed that chlorhexidine was effective in significantly reducing the number of K. pneumoniae colonies, especially at a concentration of 2.5%. The use of chlorhexidine as a routine disinfectant in pneumatic nebulizers could be an effective strategy in the prevention of VAP, thus improving safety in critically ill patients. This study supports the use of chlorhexidine as part of a disinfection protocol to reduce the incidence of VAP caused by K. pneumoniae. In conclusion, chlorhexidine is effective in reducing the number of K. pneumoniae colonies so that it can be a disinfectant to prevent Ventilator-Associated Pneumonia (VAP). Keywords : Disinfectant, Jet Nebulizer, Klebsiella pneumoniae, Ventilator-Associated Pneumonia
Evaluating the Effectiveness of Chlorhexidine in Reducing Methicillin-Resistant Staphylococcus Aureus (MRSA) Contamination in Nebulizer Equipment Wisnasari, Shila; Ariningpraja, Rustiana Tasya; Lestari, Retno; Ahsan, Ahsan; Effendy, Nuraeni
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.6313

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) is a significant healthcare-associated pathogen, capable of spreading through contaminated aerosols generated by medical equipment such as nebulizers. The increasing prevalence of MRSA infections, coupled with challenges in effective disinfection, highlights the urgency of identifying optimal disinfection methods. This study aims to assess the effectiveness of chlorhexidine in reducing MRSA contamination in nebulizer equipment, focusing on determining the optimal concentration for disinfecting nebulizers to minimize airborne transmission. This study employed an in vitro experimental design. The study population consisted of MRSA isolates obtained from clinical sputum specimens. The samples included nebulizer equipment inoculated with MRSA suspensions standardized to 10⁷ CFU/mL. Disinfection was carried out using chlorhexidine at concentrations of 2.5%, 4%, and 5%, each diluted in 70% alcohol. Control groups were rinsed with sterile saline and 70% alcohol. Post-disinfection, the nebulizer surfaces were swabbed and cultured on Mueller-Hinton agar to quantify colony-forming units (CFUs). Data were analyzed using paired t-tests and one-way ANOVA followed by Tukey’s post-hoc test, with a significance level set at p 0.05. The results show that chlorhexidine 2.5% reduced bacterial counts to an average of 1 CFU/plate, and 4% chlorhexidine reduced it to 49 CFU/plate. Chlorhexidine 5% resulted in an average of 1,430.6625 CFU/plate. Statistical analysis revealed significant reductions with 2.5% and 4% chlorhexidine compared to controls (p0.01), whereas 5% Chlorhexidine did not show a significant difference. These findings suggest that lower concentrations of chlorhexidine may be sufficient for effective disinfection in nebulizer equipment, addressing the risk of MRSA spread through airborne particles.
Manajemen Perawatan Pasien Hipertensi Kelompok Usia Dewasa-Very Old Berbasis Family Centered Nursing Di Masa Transisi Endemi Covid-19 Susanto, Akhiyan Hadi; Utami, Yulian Wiji; Wisnasari, Shila; Rivaldi, Hengky; Santoso, Adi
ABDIMASKU : JURNAL PENGABDIAN MASYARAKAT Vol 7, No 1 (2024): JANUARI 2024
Publisher : LPPM UNIVERSITAS DIAN NUSWANTORO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62411/ja.v7i1.1365

Abstract

In the current covid-19 endemic, degenerative diseases still have a high prevalence and morbidity rate, one of which is hypertension. The high prevalence of hypertension can be caused by many factors such as improper lifestyle management that can be prevented by adopting a healthy lifestyle. Adults and elderly with hypertension are encouraged to receive non-pharmacological treatments to minimize risk factors for cardiovascular and other systemic and degenerative diseases. Families have an important role in providing information about hypertension and the risk of complications for patients. Families also have a role in providing appropriate care, especially during the period towards endemic covid-19. Counseling was conducted on patients and their families in Sumberejo Village, Poncokusumo District, Malang Regency. The activity was carried out with an initial examination and counseling consisting of 2 main topics: 1) what is hypertension and 2) hypertension care management by family at home. The results showed an increase in knowledge related to physical activity, high blood control, and the role of the family at home with a score of 70 and joint exercises were routinely carried out every 2 weeks. For the sustainability of the program, coordination was carried out with relevant stakeholders.
PROGRAM PERSONAL HYGIENE BERFOKUS PEMERIKSAAN DAN PERAWATAN KESEHATAN MATA, TELINGA DAN MULUT DI SD NEGERI KARANG WIDORO 1, KEC. DAU, KAB. MALANG Hadi Susanto, Akhiyan; Wiji Utami, Yulian; Wisnasari, Shila; Sahadewo Pintarto, Muhammad; Anindita Suwondo, Rifka
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 8, No 6 (2025): MARTABE : JURNAL PENGABDIAN KEPADA MASYARAKAT
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v8i6.2454-2459

Abstract

Personal hygiene merupakan tindakan merawat diri sendiri, dan mengacu pada kegiatan menjaga kebersihan tubuh untuk meningkatkan kesehatan dan kesejahteraan secara keseluruhan. Beberapa masalah kesehatan terjadi pada anak usia sekolah meliputi kesehatan mata, telinga, gigi dan mulut. Hal ini sangat mempengaruhi tumbuh kembang anak khususnya dalam proses belajar. SD Negeri 1 Karangwidoro merupakan salah satu satuan pendidikan dengan jenjang SD di Kab. Malang. Masalah yang dihadapi oleh mitra mencakup rendahnya tingkat kebersihan gigi dan mulut kalangan siswa/i di sekolah. Melalui program Pengabdian kepada Masyarakat ini, mitra akan diperkenalkan, diperiksa, diberikan pelatihan dan pendampingan untuk meningkatkan personal hygiene yang baik dan sesuai. Pemeriksaan dilakukan untuk menilai kebersihan mata, visus, color sense, kebersihan telinga serta kebersihan gigi dan mulut. Berdasarkan hasil pemeriksaan personal hygiene, ditemukan bahwa permasalahan utama yang dialami mitra adalah gigi berlubang (80%) dan adanya plak gigi (56%). Kegiatan selanjutnya adalah memberikan penyuluhan kepada siswa dan Unit Kesehatan Sekolah (UKS).Â