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Journal : Medica Majapahit

PENGUATAN RANTAI SURVIVAL PASIEN STEMI Anndy Prastya
MEDICA MAJAPAHIT Vol 9 No 1 (2017): Medika Majapahit
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

STEMI merupakan rusaknya bagian otot jantung secara permanen akibat trombus arteri koroner. Strategi pengobatan STEMI sangat berkaitan dengan masa awitan (time onset) dan memerlukan pendekatan yang berbeda di masing-masing pusat pelayanan kardiovaskular demi mendapatkan tatalaksana yang tepat, cepat dan agresif. Di Indonesia menurut data Depkes RI tahun 2008 angka kematian mencapai 25% akibat serangan jantung. Sementara itu pada tahun 2008 terdapat 2446 kasus, tahun 2009 terdapat 3862 kasus, dan pada tahun 2010 terdapat 2529 kasus yang didiagnosa  Acute Coronary Syndrome (ACS). Literatur review ini bertujuan untuk identifikasi masalah dalam STEMI chain survival dapat memberikan perbaikan penatalaksanan sehingga mendapatkan hasil yang optimal untuk mengurangi angka morbiditas dan mortalitas STEMI. Metode yang digunakan dalam tinjauan literatur ini adalah dengan mengumpulkan dan menganalisis artikel-artikel mengenai ST elevation myiocardinal infrarction (STEMI). Artikel dikumpulkan melalui text book, database elektronik CINAHL, Nursing Reference Center, dan ScienceDirect dengan menggunakan kata kunci STEMI, STEMI chain of survival, dan keperawatan. Kriteria artikel yang digunakan adalah yang memiliki teks lengkap dan diterbitkan dalam kurun waktu antara tahun 2005-2016. Tujuan utama tatalaksana IMA adalah mendiagnosis secara cepat, menghilangkan nyeri dada, menilai dan mengimplementasikan strategi reperfusi yang mungkin dilakukan, memberi antitrombotik dan anti platelet, memberi obat penunjang. Terdapat beberapa pedoman (guideline) dalam tatalaksana IMA dengan elevasi ST yaitu dari ACC/AHA tahun 2013 dan ESC tahun 2012 yang meliputi Early symptom recognition & call for help, EMS evaluation & treatment, Emergency department evaluation & treatment, dan Reperfusion therapy. Namun dalam pelaksanaannya tidak selalu berjalan dengan baik permasalahan seperti pengetahuan masyarakat tentang tanda dan gejala, cara mencari pertolongan dan lokasi yang tidak terjangkau dengan baik atau bahkan belum adanya sistem EMS menjadi kendala dalam pelaksanaan penanganan pasien STEMI. Solusi seperti penyebaran informasi dapat dilakukan secara langsung dengan penyuluhan maupun tidak langsung menggunakan media cetak (Koran, leaflet, dan poster) atau menggunakan media elektronik (TV, internet dan simulasi aplikasi). Mencegah angka Mortalitas dan morbiditas pada STEMI berfokus pada waktu dan ketepatan sesuai dengan penatalaksanaan STEMI Chain of Survival yang meliputi early symptom recognition & call for help, EMS evalution & treatmetment, Emergency departement evalutione& treatmetment, Reperfusion therapy
PENGARUH AKTIVITAS FISIK (JALAN KAKI) TERHADAP KADAR GULA DARAH PENDERITA DIABETES MELITUS TIPE 2 USIA PRODUKTIF DI PUSKESMAS KESAMBEN KULON Kartiningrum, Eka Diah; Vettaria Sulita Utama; Anndy Prastya
MEDICA MAJAPAHIT Vol 15 No 1 (2023): Medica Majapahit
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/mm.v15i1.905

Abstract

Diabetes mellitus is a metabolic disease caused by the increasing level of glucose in the blood, this happens as an impact of a disorder either in insulin secretion or insulin performance, or both. Walking as a physical activity played an important role in blood sugar level control and reducing urine resistance towards sugar for type 2 diabetes mellitus patients at productive age. The purpose of this study is to determine the impact of walking as physical activity on the blood sugar level of type 2 diabetes mellitus patients at productive age. The research used quasi- experimental design, one group pretest-posttest type, with Isaac and Michael formula for sampling technique. The total sample was 33 people. This reseach was conducted in March 2021. The result of this research showed that the average blood sugar level of the patients before walking treatment was 224,79mg/dl, and theiraverage blood sugar level after the treatment dropped to 165,42mg/dl. This study used a t – test significance level of 5%, and the result showed that t-count was 66.654 greather than t -table which was 1,69092, therefore the value of significance was less than 0,05. It means that there was an impact of walking on blood sugar level of type 2 diabetes mellitus patients at productive age in Kesamben Kulon Health Center. The conclusion was that walking activity can be used to reduce blood sugar level of type 2 diabetes mellitus patients at productive age.
PENGARUH PENDIDIKAN KESEHATAN TERHADAP PENGETAHUAN DAN SIKAP SISWA TENTANG ISOLASI MANDIRI COVID-19 DI SMPN 1 BANGSAL MOJOKERTO Margaretha Luaq; Anndy Prastya; Dwi Helynarti Syurandhari
MEDICA MAJAPAHIT Vol 15 No 1 (2023): Medica Majapahit
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/mm.v15i1.909

Abstract

Covid-19 self-isolation is an effort made to prevent the transmission and spread of covid-19, by staying at home accompanied by monitoring health conditions and continuing to carry out health protocols, and keeping a distance from other family members. This study aims to determine the effect of health education on students' knowledge and attitudes about COVID-19 self-isolation at SMPN 1 Bangsal Mojokerto 2022. The research design used a pre-experimental design with a one-group pre-test post-test design approach. The sampling technique used is stratified random sampling with a total sample of 55 students of SMPN 1 Bangsal Mojokerto. The measuring instrument used is a pre-post test questionnaire. This research was conducted in May 2022. The results showed that almost half of the knowledge pre-test was in the sufficient category (45.5%) while the post-test results showed that most of them were in the sufficient category (74.5%). The pre-test on attitudes showed more than half in the moderate category (52.5%), then the post-test results showed almost all in the good category (78.2%). Based on the calculation of the Wilcoxon statistical test with p-value = 0.000 <a that is 0.05, H0 is rejected. Ha is accepted, so there is a significant influence on the Pre-Post test of students' knowledge and attitudes about COVID-19 self-isolation. The more information received, the more students' knowledge and attitudes about COVID-19 self-isolation will increase. Thus, it is recommended for schools to always cooperate with health workers to provide counseling about COVID-19 self-isolation.
PENGETAHUAN DAN SIKAP SISWA KELAS 7 TENTANG PEMANTAUAN JENTIK PASCA PELATIHAN DI SMP NEGERI 2 PRIGEN Nur Aini; Dwiharini Puspitaningsih; Anndy Prastya
MEDICA MAJAPAHIT Vol 15 No 2 (2023): MEDICA MAJAPAHIT
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/mm.v15i2.1000

Abstract

Improving the knowledge and attitudes of 7th grade junior high school students can be done by providing training on the courage to monitor larvae.This study aims to find out the impact of an online larva monitoring training on the knowledge and attitude of seventh graders at junior high school is 2 Prigen. In this study using a pre-experimental design in the form of one group pretest and posttest. This study was conducted in June 2021 with a population of 180 junior high school grade 7 students and was taken with the Proportional Random Sampling technique as many as 45 samples. Instruments were used in the form of multiple-choice and rating scales. The statistical test used is the Wilcoxon Test. The results showed that there was an increase in average knowledge and attitude scores, with the average before online Larva monitoring training being 8.20 and 27.38. Meanwhile, the average after online larva monitoring training was 11.22 and 31.44. By Wilcoxon test, there were significant results with the same p-value of 0.000 less than the significant value of 0.05. Based on these results, it can be concluded that there is an influence of online larva monitoring training on the knowledge and attitude of grade 7 students at SMP Negeri 2 Prigen. Puskesmas Bulukandang can provide training on larva monitoring online as an alternative program so that mosquito nest eradication can still be carried out as a prevention activity of DHF events originating from the school environment