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Pelatihan RJP dan Kegawat Daruratan Lainnya di Puskesmas Nipah Sherliyana Sherliyana; Dany Karmila; Sukandriani Utami
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 7 (2024): Volume 7 No 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i7.15671

Abstract

ABSTRAK Resusitasi Jantung Paru (RJP) yaitu sekumpulan intervensi yang bertujuan untuk mengembalikan dan mempertahankan fungsi vital organ pada korban henti jantung dan henti nafas. Intervensi ini terdiri dari pemberian kompresi dada dan bantuan nafas yang bertujuan untuk mengembalikan sirkulasi darah dengan cepat saat terjadi henti jantung. Pemberian RJP dengan cepat dan baik dalam waktu 1-2 menit dapat meningkatkan survival rate sampai lebih dari 60% pada pasien henti jantung. Tujuan kegiatan pengabdian ini untuk meningkatkan pengetahuan dan ketrampilan pada staf dan tenaga kesehatan di Puskesmas Nipah. Metode yang digunakan pada pengabdian ini adalah melakukan edukasi dan pelatihan secara simulasi dengan manekin serta melakukan pre dan post test. Analisis data dengan Microsoft office. Hasil kegiatan pengabdian menunjukkan pekerjaan peserta terbanyak yakni perawat (9 orang), pendidikan terbanyak adalah D3 (17 orang) serta lama berkerja terbanyak 1-5 tahun (11 orang) dan terjadi peningkatan pengetahuan peserta setelah diberikan edukasi RJP dan pelatihan kegawatdaruratan dengan metode simulasi menggunakan manekin. Kata Kunci: Resusitasi Jantung Paru (RJP), Kegawatdaruratan, Tenaga Kesehatan ABSTRACT Cardiopulmonary Resuscitation (CPR) is a collection of interventions that aim to restore and maintain the function of vital organs in victims of cardiac arrest and respiratory arrest. This intervention consists of giving chest compressions and blood assistance which aims to restore circulation quickly when cardiac arrest occurs. Providing CPR quickly and well within 1-2 minutes can increase the survival rate to more than 60% in cardiac arrest patients. The aim of this service activity is to increase the knowledge and skills of staff and health workers at the Nipah Community Health Center. The method used in this service is conducting education and training through simulations with mannequins and conducting pre and post tests. Data analysis with Microsoft office. The results of the service activities showed that the highest number of participants were nurses (9 people), the most education was D3 (17 people) and the most years of work was 1-5 years (11 people) and there was an increase in participants' knowledge after being given CPR education and emergency training using the simulation method. mannequin.  Keywords: Cardiopulmonary Resuscitation (CPR), Emergency, Health Workers
Hubungan Aktivitas Fisik, Kualitas Tidur, Pola Makan, dan Obesitas dengan Kejadian Hipertensi pada Usia Produktif di Kelurahan Turida Wilayah Kerja Puskesmas Cakranegara Kota Mataram Muliana, Sigarni; Utami, Sukandriani; Leonaviri, Mirzaulin
Jurnal Ilmiah Wahana Pendidikan Vol 10 No 20 (2024): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.14483435

Abstract

Hipertensi dikatakan menjadi salah satu masalah kesehatan paling berbahaya di seluruh dunia karena merupakan faktor risiko utama penyakit kardiovaskular seperti serangan jantung, gagal jantung, penyakit ginjal, dan stroke, dengan jumlah penderita hipertensi pada tahun 2022 di wilayah kerja Puskesmas Cakranegara sebanyak 1.502 orang. Bila hipertensi tidak diobati, dapat berkembang menjadi gagal jantung kronis, stroke, dan penurunan volume otak, yang menyebabkan penurunan fungsi kognitif dan intelektual pada pasien hipertensi. Pada umumnya, kejadian hipertensi banyak terjadi pada penduduk berusia lanjut, namun tidak menutup kemungkinan penduduk usia produktif juga dapat mengalami penyakit hipertensi. Faktor risiko penyebab terjadinya hipertensi seperti genetik, usia, dan jenis kelamin, kebiasaan merokok, kebiasaan mengkonsumsi alkohol, berat badan berlebih (obesitas), kurangnya aktivitas fisik, pola makan buruk, kualitas tidur buruk, diet serat, dan faktor stres. Tujuan penelitian ini adalah untuk mengetahui adanya hubungan aktivitas fisik, kualitas tidur, pola makan, dan obesitas dengan kejadian hipertensi pada usia produktif di Kelurahan Turida Wilayah Kerja Puskesmas Cakranegara Kota Mataram. Metode yang digunakan yaitu cross sectional study dengan jumlah sampel sebanyak 423 dengan teknik pengambilan sampel yaitu simple random sampling. Uji statistik yang digunakan yaitu uji chi square. Hasil penelitian menunjukkan bahwa 238 responden (56.3%) mengalami hipertensi. Terdapat hubungan antara individu dengan aktivitas fisik dengan hipertensi (p value = 0,000, PR = 4.78). Terdapat hubungan antara individu dengan kualitas tidur dengan hipertensi (p value = 0,000, PR = 5.37). Terdapat hubungan antara individu dengan pola makan dengan hipertensi (p value = 0,000, PR = 6.54). Terdapat hubungan antara individu dengan obesitas dengan hipertensi (p value = 0,000, PR = 5.62). Faktor risiko hipertensi antara lain aktivitas fisik, kualitas tidur, pola makan, dan obesitas yang dapat mempengaruhi kejadian hipertensi.
Multilevel Analysis of Prognostic Factors for Cognitive Function in Post-Stroke Patients Utami, Sukandriani; Rahardjo, Setyo Sri; Murti, Bhisma; Novika, Revi Gama Hatta; Tamtomo, Didik Gunawan
Indonesian Journal of Medicine Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.4.829

Abstract

Background: Stroke is the leading cause of disability and the second leading cause of death worldwide. Post-stroke disability can be in the form of motor, sensory, autonomic, or cognitive impairments. Impaired cognitive function is the leading cause of death and pain in post-stroke patients in the world. Decreased cognitive function is present in more than 70% of post-stroke patients and is associated with disability, independence, and pain. This study aims to analyze the prognosis factors of cognitive function in post-stroke patients.Subjects and Method: This study used a cross-sectional design conducted in 7 hospitals on the island of Lombok from July to August 2024. A total of 200 post-stroke patients were selected using stratified random sampling. The dependent variable in this study was cognitive function examined using the Mini Mental State Examinatio (MMSE) questionnaire. Other independent variables such as age, gender, marital status, pension fund, complications, comorbidities and stroke type were collected using a questionnaire. The data were analyzed using a multilevel double-linear regression model.Results: The prognosis factor of cognitive function in post-stroke patients was age (b=-0.19; CI 95%=-0.29 to -0.10; p=<0.001), marital status (b=-3.80; CI 95%=-6.72 to -0.88; p=0.011), pension fund (b=-5.88; CI 95%= -8.35 to -3.42; p=<0.001), complications (b=-5.37; CI 95%= -7.34 to -3.39; p=<0.001). While sex, comorbidities, and stroke type did not show a significant relationship with the cognitive function of post-stroke patients. Conversely, there was an influence of doctors treating post-stroke patients on cognitive function (ICC=8.76%).Conclusion: Age, marital status, pension funds, and complications are prognostic factors in cognitive function of post-stroke patients. Conversely, there is an influence of doctors who treat post-stroke patients on cognitive function.
Perbandingan antara Efektivitas Kombinasi Tramadol Ketorolac Intravena dengan Tramadol Intravena pada Penangangan Nyeri Fraktur Sherliyanah Sherliyanah; Sukandriani Utami; I Komang Agus Tri Wismantara
Jurnal Penelitian Perawat Profesional Vol 6 No 5 (2024): Oktober 2024, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v6i5.4396

Abstract

Kurangnya uji klinis acak terkontrol untuk memeriksa efektivitas kombinasi tramadol-ketorolak dengan tramadol saja adalah alasan mengapa terapi tersebut belum dimasukkan ke dalam praktek klinis rutik. Tujuan dari penelitian ini adalah untuk membandingkan efektivitas kombinasi tramadol ketorolac intravena dengan tramadol intravena pada penangangan nyeri fraktur. Penelitian ini merupakan uji klinis acak terkontrol (RCT) dengan desain double-blind untuk membandingkan efektivitas analgesia intravena antara ketorolac, kombinasi tramadol-ketorolac, dan tramadol. Subjek terdiri dari 60 pasien dewasa di RSUD Kota Mataram, Januari-November 2023, dengan kriteria nyeri VAS ≥ 5. Teknik pengumpulan data menggunakan consecutive random sampling dan dianalisis menggunakan SPSS 17.0. Uji normalitas dilakukan dengan Shapiro-Wilk, dan perbandingan antar kelompok dianalisis menggunakan uji T dengan standar nilai p<0,05. Hasil analisis univariat penelitian ini menunjukkan mayoritas subjek berusia 46-55 tahun (43.3%), perempuan (66.7%), dengan BMI normal (68.3%) dan diagnosis fraktur tertutup (80%). Terdapat perbedaan signifikan dalam penurunan nilai VAS sebelum dan sesudah pemberian ketorolac, kombinasi tramadol-ketorolac, serta tramadol intravena. Penurunan VAS paling tinggi terlihat pada tramadol 2mg/kgBB IV. Uji statistik menunjukkan perbedaan bermakna antara ketorolac 1mg/kgBB vs kombinasi tramadol-ketorolac, ketorolac 1mg/kgBB vs tramadol 2mg/kgBB, dan kombinasi tramadol-ketorolac vs tramadol 2mg/kgBB (p<0,05). Pemberian tramadol 2mg/kgBB intravena lebih efektif menurunkan nyeri dibandingkan ketorolac atau kombinasi tramadol-ketorolac pada pasien fraktur.
Effects of Hypertension, Diabetes Mellitus, and Gender on Post Stroke Cognitive Impairment: Meta-Analysis Utami, Sukandriani; Wicaksono, Emirza Nur; Choirunnisa, Amalia; Veibiani, Nindita Arum; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.07

Abstract

Background: Post-stroke cognitive impairment is a serious problem that is often faced by indivi-duals who have experienced a stroke. This study aims to determine and estimate the effects of hypertension, diabetes mellitus, and gender on post-stroke cognitive impairment through meta-analysis of primary research conducted by previous researchers.Subjects and Method: This was a meta-analysis study using the PICO model which includes; P: post-stroke patients. I: hypertension, diabetes mellitus, and women. C: normotensive, without diabetes mellitus, and men. O: post-stroke cognitive impairment. A systematic search for primary studies was carried out in the PubMed database which was published from 2014 to 2023. The keywords used to search for primary studies were "Hypertension" AND "Diabetes Mellitus" AND "Post Stroke Cognitive Impairment". The inclusion criteria for the articles searched were primary studies with cross-sectional and cohort studies from 2014-2023 and reporting aOR values. Primary studies were selected using the PRISMA diagram and relevant primary studies were analyzed using Review Manager 5.3.Results: There were 18 primary studies with cross-sectional and cohort study designs. The total sample obtained through a systematic review and meta-analysis was 9,103 post-stroke patients from France, China, Singapore, the Netherlands, Egypt, Ethiopia, and Uganda. The results of the analysis showed that hypertension increased the risk 1.56 times (aOR= 1.56; 95% CI= 1.11 to 2.19; p= 0.010) and diabetes mellitus increased the risk 1.58 times (aOR= 1.58; 95% CI= 1.23 to 2.05; p< 0.001) post-stroke cognitive impairment compared to people without hypertension and diabetes. Meanwhile, the female gender increases the risk of post-stroke cognitive impairment by 1.28 times (aOR= 1.28; 95% CI=1.16 to 1.42; p<0.001). The data is statistically significant.Conclusion: hypertension, diabetes mellitus, and female gender increase the risk of post-stroke cognitive impairment. Keywords: Hypertension, diabetes mellitus, women, post-stroke cognitive disorders
Knowledge and Practice Managing of Liquid Organic Fertilizer from Waste in Tourism Village Bonjeruk, Central Lombok, West Nusa Tenggara Arjita, I Putu Dedy; Rozikin, Rozikin; Karmila, Dany; Utami, Sukandriani; Anulus, Ayu; Pratiwi, Made Rika Anastasia
Journal of Health Promotion and Behavior Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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

Abstract

Background: Garbage is a major issue in many countries throughout the world, including Indonesia. Every year, the amount of waste produced rises in tandem with population growth. As a result, it is vital to manage liquid fertilizer made from household waste, which will aid in the reduction of community problems. The general public still has little knowledge of how liquid fertilizer is made from household garbage. This study aimed to increase community understanding and practice through training and help in the processing of household trash into liquid organic fertilizer in the tourist village of Bonjeruk, Central Lombok, West Nusa Tenggara.Subjects and Method: This was a cross-sectional study conducted in the tourist village of Bonjeruk, Central Lombok, West Nusa Tenggara, from March to December 2021. A total of 27 subjects were selected in this study. The variables in this study were knowledge and behavior. The training in management household waste into organic liquid fertilizer was carried out for 4 months. The stages of intervention were as follows: 1) Education and simulation of sorting organic and non-organic waste; 2) Separating vegetable and fruit waste from rice, meat, and bone residue. Vegetable and fruit waste was transferred into composer barrels; 3) Spraying diluted bio-activator every time they enter organic waste; 4) Filling cans continuously with garbage; 5) Every 14th day, the liquid fertilizer can be harvested; 6) Liquid fertilizer can be used after being left for 14 days outside the composer barrel by dilution. The data were collected by questionnaire and analyzed descriptively.Results: After 4 months of training, the community was able to process liquid fertilizer from the use of compost barrel and natural bio-activators from household waste. Community knowledge related to liquid fertilizer after training (Mean= 91.48; SD= 11.12) was higher than before training (Mean= 85.56; SD= 12.57). Household waste management practice after training (Mean= 94.07; SD= 11.94) was better than before training (Mean= 45.93; SD= 22.32).Conclusion: Community knowledge and practice increase after going through training in processing household waste into liquid organic fertilizer in the tourist village of Bonjeruk, Central Lombok, West Nusa Tenggara.Keywords: organic liquid fertilizer, tourist village, household waste. Correspondence:Rozikin. Faculty of Medicine, Universitas Islam Al-Azhar. Jl. Unizar No.20, Turida, Kec. Sandubaya (83232), Kota Mataram, West Nusa Tenggara. Email: rozikin@mail.ugm.ac.id. Mobile: +62 878-2000-7449.Journal of Health Promotion and Behavior (2022), 07(04): 335-339DOI: https://doi.org/10.26911/thejhpb.2022.07.04.06
HUBUNGAN DIABETES MELITUS TIPE 2, HIPERKOLESTEROLEMIA, DAN FIBRILASI ATRIUM DENGAN KEJADIAN STROKE Febrian, Haikal Youris; Setiarini, Rohmania; Utami, Sukandriani; Luh Kadek Trisna Lestari
Jurnal Medikes (Media Informasi Kesehatan) Vol. 12 No. 1 (2025)
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

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

Abstract

Non-communicable diseases (NCDs), including stroke, are a major health issue in developing countries and a cause of premature death and disability. Stroke disease data in NTB Province increased from 2013 to 2018 with a prevalence of 4.5% to 8%. Stroke risk factors consist of non-modifiable factors such as age, genetics, race or ethnicity, and modifiable factors such as hypertension, diabetes mellitus, smoking behavior, obesity, and heart disease. The study aims to determine the relationship between type 2 diabetes mellitus, hypercholesterolemia, and atrial fibrillation with the incidence of stroke at the NTB Provincial Hospital. This research is an observational analytical quantitative study using a cross-sectional research design. The sampling technique used was simple random sampling with the Slovin's formula. The study sample was patients who had been diagnosed with stroke in the neurology polyclinic at the NTB Provincial Hospital in 2023 through CT scan examination results with an age of 15-80 years, as many as 97 samples. We analyzed the obtained data using the chi-square correlation test. The results showed that of the 97 respondents, most of them experienced non-hemorrhagic stroke as many as 51 people (52.6%). There was a significant relationship between type 2 diabetes mellitus and the incidence of stroke (p = 0.012). There was no significant relationship between hypercholesterolemia and the incidence of stroke (p = 0.216). There was no significant relationship between atrial fibrillation and the incidence of stroke (p = 0.082). Type 2 diabetes mellitus is one of the factors that influences the incidence of stroke at the NTB Provincial Hospital
Risk Factor Acute Coronary Syndrome (ACS): A Systematic Review Utami, Sukandriani; Biantara, I Made Putra; Arisarasmitha, I Gusti Ayu Kadek; Putri, Nurul Amiliana
Journal of Language and Health Vol 6 No 2 (2025): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v6i2.6802

Abstract

Acute Coronary Syndrome (ACS) remains the leading cause of morbidity and mortality globally, requiring a deeper understanding of its modifiable risk factors to inform prevention strategies. Objective: This study aims to identify the dominant risk factors contributing to ACS. Method: This systematic review synthesizes evidence from 11 peer-reviewed articles published between 2020 and 2025, sourced from PubMed and Google Scholar. Results: Among the studies evaluated, five major risk factors consistently emerged as significantly associated with ACS incidence: hypertension, smoking, diabetes mellitus, dyslipidemia, and obesity. Hypertension is the most commonly reported factor, demonstrating its important role in endothelial dysfunction and the development of atherosclerotic plaques. Smoking emerges as a strong and modifiable behavior-related risk, exacerbating oxidative stress and inflammation. Diabetes mellitus is associated with accelerated microvascular damage and atherogenesis, while dyslipidemia contributes through an imbalance of LDL and HDL cholesterol levels, promoting plaque formation. Obesity acts as an overarching metabolic disruptor, affecting four other risk factors through pathways involving insulin resistance and systemic inflammation. Conclusions: These findings reinforce the multifactorial etiology of ACS and highlight the urgent need for integrated public health interventions targeting these modifiable risks. Early identification and management of these conditions are critical to reducing the burden of ACS globally.
Hubungan Kualitas Tidur, Jarak Penglihatan, dan Screen Time Dengan Computer Vision Syndrome pada Staf Polda NTB Dewi, Ni Luh Putu Aristia Kartika; Effendi, Raden Gunawan; Utami, Sukandriani; Ruqayyah, Siti
Action Research Literate Vol. 8 No. 12 (2024): Action Research Literate
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/arl.v8i12.2541

Abstract

Era globalisasi saat ini menuntut penggunaan teknologi digital di hampir setiap pekerjaan.Penggunaan perangkat digital selama lebih dari tiga jam perhari mengarah ke risiko kesehatan seperti nyeri pinggang, sakit kepala, dan Computer Vision Syndrome (CVS). Meskipun gejala CVS tidak permanen mempengaruhi individu, tetapi CVS dikatakan sebagai penyebab berbagai efek yang mengganggu produktivitas pekerja dan kualitas hidup sehari-hari. Untuk mengetahui gambaran CVS pada Staf Polda NTB. Penelitian kuantitatif analitik observasional dengan desain penelitian cross sectional study. Teknik pengambilan sampel menggunakan simple random sampling. Penelitian dilakukan di Polda NTB pada tanggal 18 September 2024. Sampel penelitian sebanyak 72 responden staf Polda NTB. Data yang diperoleh dianalisis dengan uji statistik menggunakan metode uji chi-square. Dari total 72 responden, didapatkan sebanyak 38 responden (52,80%) mengalami CVS, 37 responden (51,40%) dengan kualitas tidur yang buruk, 37 responden (51,40%) dengan jarak penglihatan tidak ideal dan 37 responden (51,40%) dengan screen time berat. Hasil analisis bivariat menunjukkan terdapat hubungan antara kualitas tidur yang buruk (p <0,001; PR 31,216; CI 95% 4,508 hingga 216,146), jarak penglihatan tidak ideal (p <0,001; PR 15,135; CI 95% 3,917 hingga 58,484), dan screen time berat (p <0,001; PR 9,775; CI 95% 3,282 hingga 29,109) dengan kejadian CVS di Polda NTB. Faktor yang berhubungan dengan kejadian CVS adalah kualitas tidur, jarak penglihatan dan screen time. Diharapkan instansi Polda NTB dapat menerapkan waktu kerja dengan efisien serta memperhatikan waktu dan kualitas tidur sebagai upaya peningkatan kesehatan, menerapkan jarak dan posisi layar yang tepat serta menerapkan aturan 20-20-20.