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Pengaruh Penggunaan Assesment Resiko HIV/AIDS terhadap Upaya Penata/Perawat Anestesi dalam Pelaksanaan Patient Safety;Universal Precautions Olfah, Yustiana; Mendri, Ni Ketut; Palestin, Bondan
Jurnal Kesehatan Vol 11, No 2 (2018): Jurnal Kesehatan
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jurnal kesehatan.v11i2.7535

Abstract

Latar Belakang : AIDS bukan penyakit, karena AIDS tidak menular. Yang menular adalah HIV yaitu virus yang menyebabkan tubuh mencapai masa AIDS. Virus ini terdapat dalam larutan darah, cairan sperma dan cairan vagina sehingga dapat menular melalui kontak darah/cairan tersebut bersumber dari Ditjen PP dan PL Kemenkes RI yang dilaporkan pada bulan September 2014 secara kumulatif HIV dan AIDS terhitung mulai 1 April 1987 sampai dengan 30 September 2014 total HIV 150.296 dan AIDS 55.799.Pemeriksaan laboratorium HIV/AIDS belum merupakan pemeriksaan rutin sebagai bagian dari persiapan operasi sehingga tentu dengan makin tingginya kejadian HIV/AIDS kalau tidak di deteksi akan sangat membahayakan bagi tim operasi yang kemungkinan besar mengalami paparan langsung dengan cairan tubuh pasien? walaupun telah dilindungi dengan pemakaian alat pelindung diri/APD. Sehingga untuk keamanan penata/perawat anastesi sangat diperlukan cara yang dapat membantu mengkaji resiko HIV/AIDS pada pasien untuk meningkatkan kehati-hatian dalam mencegah penularan dan pelaksanaan patient safety. Berdasarkan hasil studi pendahuluan dengan wawancara pada lima penata anestesi belum ada alat/ instrument selain dengan pemeriksaan laboratorium yang dapat membantu petugas kesehatan khususnya penata anestesi agar mampu mengkaji pasien beresiko atau tidak? terinfeksi HIV/AIDS, Dengan assesment resiko cara ini diharapkan persiapan operasi akan lebih hati hati dan optimal.Tujuan Penelitian? : Mengetahui ?pengaruh ?penggunaan Assesment Resiko terhadap Upaya Penata/Perawat Anestesi? dalam Pelaksanaan Patient Safety ;Universal Precautions di RSUD Provinsi Daerah Istimewa Yogyakarta (DIY).Metode Penelitian : Jenis penelitian Quasi eksperiment dengan rancangan Pre test Post test Design. Sampel penelitian dilakukan secara total sampling. ?Rancangan ini tanpa kelompok pembanding (kontrol) dengan pertimbangan terbatasnya jumlah penata/perawat anastesi yang ada di RSUD Provinsi DIY, pengisian kuesioner dilakukan dua kali. Pertama untuk mengetahui kemampuan penata/perawat anestesi dalam deteksi resiko HIV/AIDS pasien pada saat kunjungan pra nestesi serta upaya pelaksanaan patien safety;universal precautions ?sebelum diberikan Assesment Resiko dan kedua sesudah diberikan pelatihan menggunakan Assesment Resiko. Pengambilan sampel dilakukan secara total sampling dengan kriteria penata/perawat anestesi yang aktif dan bekerja di kamar operasi.? Data hasil pemeriksaan dianalisis secara diskriptif? dan secara analitik dengan bantuan komputer menggunakan uji T test dengan? taraf signifikan 0,05.Hasil Penelitian: Uji statistik bernilai 0,000 terdapat pengaruh penggunaan assesment resiko terhadap upaya penata/perawat anestesi dalam pelaksanaan patient safety; universal precautions di RSU Daerah Provinsi Daerah Istimewa Yogyakarta.
PENGARUH PELATIHAN MENGGUNAKAN MODUL TENTANG KANKER PAYUDARA TERHADAP PENGETAHUAN, MINAT DAN PERILAKU DALAM MELAKUKAN PEMERIKSAAN PAYUDARA SENDIRI (SADARI) PADA WANITA USIA 20-40 TAHUN DI PROPINSI DAERAH ISTIMEWA YOGYAKARTA (DIY) Yustiana Olfah
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2014: PROSIDING KONFERENSI NASIONAL PPNI JAWA TENGAH
Publisher : Universitas Muhammadiyah Semarang

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Abstract

Background:Breast cancer is a malignant tumor from the breast glands, lymph channels and supporting breast tissue and can cause death in women. Breast cancer is one of the abnormalities in the breast that is often feared. Statistics show that more women worldwide develop breast cancer than any other type of cancer risk factors were related to the incidence of breast cancer and has been widely accepted by the cancer specialist (oncologist) in the world, namely age, unmarried, age of first birth, age of menarche,age of menopause, history of illness, family history, oral contraceptives (Hawari, 2004). Various ways of preventing the risk of breast cancer, by providing training modules along with leaflets about breast cancer and how early detection by breast self-examination.Objective:Knowing the influence of training using the modules on breast cancer knowledge, interests and behavior in performing breast self-examination (BSE) in women aged 20-40 years in DIYMethods:Quasi-experimental research is "Pre test Post test with Control Design". Sample studies conducted accidental sampling. Design is no comparison group (control), training modules provided with two modules consisting of knowledge about breast cancer and realized modules. The first observation to determine the knowledge, interests and behavior before and after training using the modules is given to the treatment group and the comparison using leaflets. Test hypotheses using t-test, ANOVA andgeneral linear model with degrees of significance p <0.05 means that there is a significant effect between the two variables, then H1 is accepted. The statistical test is to be used with SPSS for Windows.Results:The results of this study indicated that knowledge and interest in the treatment group and the comparison p> 0.05. While the behavior of the treatment group and the comparison p <0.05.Conclusion:There is a training effect on breast cancer using the module behavior in performing breast self- examination (BSE) in women aged 20-40 years in the province of DIY knowledge and interest in and to no effect.
GAMBARAN SIKAP ORANG TUA TENTANG PENCEGAHAN KEKERASAN SEKSUAL PADA ANAK USIA PRASEKOLAH DI DUSUN PRINGWULUNG CONDONGCATUR SLEMAN YOGYAKARTA Irchama Budi Darmawan; Budhy Ermawan; Yustiana Olfah
Caring : Jurnal Keperawatan Vol. 6 No. 1 (2017): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Sexual abuse is one type of violence involving children in sexual activity where children are not capable of giving consent against such activities. The development of sexual in preschool-aged children strengthen the sense of gender identity and began to distinguish the behavior of the appropriate gender. Parents who became the role model for a child, the role of parents is important in teaching, educating children in an early stage. Child sexual abuse can occur due to the attitude of parents that reflects the support of the occurrence of child sexual abuse. The purpose of this research is to determine the attitude of parents about the prevention of sexual abuse on children a preschool. This research is descriptive research with survey method in the year 2017. The population of this research is 51 parents who have preschool child in Pringwulung Condongcatur. The samples are taken use cluster sampling technique. The data taken by questionnaire. Analysis of the data using frequency distribution and presented in the form of a table. The results showed 33 respondents (64.7%) have a positive cognitive components, 35 respondents (68.6%) have a positive affective components, 30 respondents (58.8%) have a positive konatif components. The description of the attitude of parents about the prevention of sexual abuse on child a preschool have a positive attitude as much as 29 respondents (56.9%). Based on the result of the research can be concluded that the attitude of parents about sexual abuse on child a preschool in Pringwulung most of the positive (supportive).
The impact of behavior change communication on healthy living movement-related knowledge and behavior among adolescents: A mixed-methods study Siswati, Tri; Widiyanto, Santo Yoseph Didik; Olfah, Yustiana; Setyowati, Setyowati; Paramashanti, Bunga Astria
Public Health of Indonesia Vol. 9 No. 1 (2023): January - March
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v9i1.654

Abstract

Background: Behavior change communication (BCC) is a validated health communication technique for influencing changes in knowledge and behaviors. Objective: This study aimed to investigate the impact of BCC on the knowledge and practice of the Healthy Living Movement (HLM) or called Gerakan Masyarakat Hidup Sehat (Germas). Methods: This was a mixed-methods study. A single group pre-posttest design was conducted in Yogyakarta and Central Java, Indonesia, from May to October 2019. Participants are all first-year students from selected schools, as many as 713 persons. The intervention was the BCC strategy, while the outcomes were knowledge and behavior. The BCC intervention was carried out through several stages, from need assessment, designing an educational intervention, the intervention with pre-and post-test, evaluation, and networking. Specifically, the educational intervention was conducted 60 minutes weekly for three weeks. The contents of HLM included a balanced diet, physical activity, and the relationship between health and academic achievement. The knowledge and practice scores were measured using a structured questionnaire before and after the BCC intervention. STATA 13 was used to calculate the mean difference (MD) using a t-test. To evaluate the BCC intervention, qualitative in-depth interviews were used, and data were analyzed thematically. Results: BCC intervention significantly increased knowledge and behavior on a balanced diet, physical activity, and the relationship between health and academic achievement (p <0.05). Internal social norms were carried out through the HLM campaign and declarations, as well as assigning HLM ambassadors, while advocacy by establishing networking between universities, schools, and public health centers strengthened the sustainability program. Conclusion: BCC intervention improves knowledge and behavior among adolescents. Moreover, the environment is crucial to support and maintaining the program.
Faktor-Faktor Yang Mempengaruhi Tingkat Nyeri Tenggorokan Pasca Operasi Dengan Penggunaan Endoracheal Tube Pada Pasien Bedah Saraf Amelia, Khusnul; Olfah, Yustiana; Donsu, Jenita Doli Tine
Jurnal Riset Kesehatan Nasional Vol. 8 No. 2 (2024)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37294/jrkn.v8i2.607

Abstract

Latar Belakang : Nyeri tenggorokan pasca operasi dapat mempengaruhi beberapa aspek yaitu nyeri, gatal di tenggorokan dan rasa nyeri untuk menelan. Tindakan intubasi dapat menyebabkan komplikasi berupa nyeri tenggorokan. Tujuan : untuk mengetahui faktor-faktor yang mempengaruhi tingkat nyeri tenggorokan pasca operasi terhadap penggunaan endotracheal tube pada pasien bedah saraf di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Metode : Penelitian ini dilakukan pada bulanebruari sampai Maret 2024 dengan pengambilan sampel menggunakan teknik konsekutif sampling sebanyak 80 responden pasien bedah saraf. Nyeri pasien diukur menggunakan NRS. Analisis data menggunakan Chi Square dan Regresi Logistik.  Jenis penelitian ini adalah penelitian kuantitatif dengan desain observasional menggunakan desain cross-sectional. Hasil : Hasil penelitian didapatkan bahwa hasil uji Chi Square diperoleh nilai signifikansi pada umur (p=0.027), jenis kelamin (p=0.048), durasi penggunaan ETT (p=0.007), ukuran endotracheal tube (ETTp=0.001), dan tekanan manset (p=0.000). Hasil uji Logistic Reggretion tekanan manset mempunyai OR tertinggi yaitu 6,565 (0,000), disusul variabel lain yaitu usia (OR 0,064; p = 0,027), jenis kelamin (OR 4,021; p = 0,048), durasi ETT. penggunaan (OR 1,956; p = 0,007 ), ukuran ETT dan (OR 2,455; p = 0,001). Kesimpulan dan saran : secara keseluruhan usia, Jenis kelamin, lama penggunaan ETT, ukuran ETT, tekanan cuff dapat mempengaruhi tingkat nyeri tenggorokan pasca operasi pada penggunaan selang endotrakeal pada pasien bedah saraf.   Kata kunci : Sakit Tenggorokan, Intubasi Endotrakea, Pasca Operasi
Kampanye Aksi Bergizi pada Remaja di Kabupaten Sleman Siswati, Tri; Olfah, Yustiana; Setiyobroto, Idi; Ramayulis, Rita; Waris, Lukman; Prayogi, Agus Sarwo
JURNAL INOVASI DAN PENGABDIAN MASYARAKAT INDONESIA Vol 2 No 4 (2023): Oktober
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jipmi.v2i4.192

Abstract

Latar belakang: Remaja merupakan salah satu kelompok rentan gizi.  Untuk meningkatkan derajat kesehatan remaja, perlu dilakukan upaya edukasi, salah satunya melalui kampanye aksi bergizi. Tujuan: Kegiatan ini bertujuan untuk meningkatkan pengetahuan remaja tentang anemia dan gizi seimbang serta meningkatkan cakupan konsumsi tablet Fe. Metode: Kegiatan pengabdian masyarakat ini dilakukan di SMPN Gamping, Sleman pada bulan Juli 2023. Jumlah partisipan adalah semua siswa baru sebanyak 192 orang. Aksi bergizi dilakukan melalui kampanye dengan memberikan edukasi tentang gizi seimbang dan anemia, minum tablet Fe, penandatanganan deklarasi aksi bergizi dan komitmen untuk hidup sehat. Hasil: Sebagian besar partisipan adalah perempuan (53,1%), umur 13 tahun (57,3%). Berkaitan dengan kebiasaan hidup sehat, sebagian besar kadang-kadang sarapan (40,6%) dan pergi ke sekolah dengan moda transportasi pasif berupa kendaraan bermotor (motor/mobil).  Setelah mengikuti edukasi pengetahuan remaja tentang gizi seimbang dan anemia mengalami peningkatan masing masing 21% dan 19% dengan kategori nilai baik (>76). Kesimpulan: Kampanye aksi bergizi efektif untuk meningkatkan pengetahuan remaja tentang anemia dan gizi seimbang, sehingga kampanye aksi bergizi merupakan salah satu alternatif upaya meningkatkan derajat kesehatan remaja. Kata kunci:  aksi bergizi, anemia, hidup sehat, kampanye, remaja ________________________________________________________________________________ Abstract Background: Nutritionally, adolescents are one of the most vulnerable populations.  To enhance adolescent health, it is necessary to engage in educational efforts, one of which is the implementation of nutritious action campaigns. Objective: This activity aims to increase adolescent knowledge about anemia and balanced nutrition and increase the coverage of Fe tablet consumption. Method: his community service activity will be carried out at SMPN Gamping, Sleman, in July 2023. The number of participants was all new students—as many as 192 people. Nutritious action is carried out through campaigns by providing education on balanced nutrition and anemia, taking Fe tablets, and signing a declaration of nutritious action and commitment to healthy living. Result: Most of the participants were women (53.1%) and 13 years old (57.3%). With regard to healthy living habits, most people sometimes eat breakfast (40.6%) and go to school with passive transportation modes in the form of motor vehicles (motorbikes or cars). After participating in education, adolescents' knowledge about balanced nutrition and anemia increased by 21% and 19%, respectively, with good value categories (>76). Conclusion: Nutritious action campaigns are effective in increasing adolescent knowledge about anemia and balanced nutrition, so nutritious action campaigns are one alternative effort to improve adolescent health. Keywords: aksi bergizi, anemia, healty life tyle, campaign, adolescent
How Adolescents Perceive Stunting And Anemia: A Qualitative Study In Stunting Locus Area In Yogyakarta Indonesia Siswati, Tri; Kasdjono, Heru Subaris; Olfah, Yustiana; Paramashanti, Bunga Astria
Jurnal Aspirasi Vol 13, No 2 (2022)
Publisher : Pusat Analisis Keparlemenan Badan Keahlian Sekretariat Jenderal DPR RI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46807/aspirasi.v13i2.3097

Abstract

Persepsi merupakan interpretasi unik dari suatu situasi sebagai proses kognitif kompleks yang memengaruhi perilaku seseorang. Penelitian ini bertujuan untuk membahas persepsi remaja tentang stunting dan anemia. Penelitian ini dilakukan di wilayah lokus stunting yang mencakup Kabupaten Kulon Progo dan Gunung Kidul, Yogyakarta, Indonesia pada tahun 2020. Penelitian ini dilakukan dengan metode rapid assessment procedures (RAP) dengan wawancara mendalam. Sebanyak 33 orang terdiri dari 25 siswa SMP baik laki-laki maupun perempuan serta 8 guru, orang tua, dan tokoh masyarakat berpartisipasi dalam penelitian ini. Analisis data dilakukan berdasarkan tema definisi, penyebab, dampak, pencegahan, dan hambatan dalam penanggulangan stunting dan anemia. Berdasarkan hasil wawancara mendalam, beberapa remaja menyatakan bahwa anemia sama dengan tekanan darah rendah. Di antara hambatan untuk mengatasi anemia adalah remaja sering memiliki citra tubuh ingin menjadi lebih ramping, lebih kurus, membatasi makanan bergizi, kurang tidur, dan khawatir berlebihan terhadap tubuhnya. Ada beberapa kendala dalam mencegah dan mengendalikan stunting, antara lain tabu tentang makanan tertentu, persepsi stunting yang keliru, genetik sebagai penyebab utama, dan stigma. Namun, untuk mendorong persepsi ini, diperlukan dukungan serta strategi komunikasi, informasi, dan edukasi sehingga target penurunan stunting dapat tercapai. Tenaga kesehatan perlu merancang strategi komunikasi perubahan perilaku yang tepat untuk menanggulangi anemia dan stunting pada remaja. AbstractPerception is an individual’s unique interpretation of a situation as a result of a complex cognitive process that influences behavior. This study aims to explore adolescents’ perceptions of stunting and anemia. This qualitative study was conducted in Kulon Progo and Gunung Kidul Districts, Yogyakarta, Indonesia, in 2020. The study was carried out by rapid assessment procedures (RAP) using in-depth interviews. A total of 33 informants consists of 25 male and female of junior high school students, and 8 persons, including teachers, parents, and the community involved in this research. We thematically coded the data by definitions, causes, impacts, prevention, and obstacles in tackling stunting and anemia. This finding is that some adolescents state that anemia equals to low blood pressure. The barriers to prevent anemia are body image, lack of nutritious food intake, less sleep, and excessive upset. Meanwhile, stunting is a genetic problem, so if the parents are short, their children must be short too. To achieve the goal of reducing stunting, however, it is required to implement methods for communication, education, and information dissemination. So health professionals must develop suitable behavior change communication strategies.
Optimalisasi Peran Kader melalui Pelatihan Integrasi Layanan Primer di Kabupaten Sleman Siswati, Tri; Tri Lestari , Nugraheni; Ainun Najmi, Ismi Izaz; Olfah, Yustiana; Setiyobroto, Idi; Sarwo Prayogi, Agus
Jurnal Pengabdian Masyarakat Cendikia Jenius Vol. 2 No. 2 (2025): Juni 2025
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/pengabmaskes.v2i2.163

Abstract

Strengthening the capacity of health cadres is a key element in supporting the transformation of primary health services in Indonesia. This activity aims to improve the knowledge and skills of Posyandu cadres in implementing Primary Service Integration (ILP) at the Sleman Health Center. The training was conducted in Nogotirto Village, Gamping, Sleman Regency, using a practice-based approach, which involved providing training materials, simulations, and evaluations before and after the training. This method is designed to improve cadres' knowledge and skills about primary service integration through hands-on experience in the field. Most of the cadres involved in the training are between 41-50 years old (64%), with a background in the housewife profession (80%), and have experience as cadres for 1-10 years (48%). This characteristic indicates that the trainees have sufficient expertise to understand the needs in the field, although they still need to strengthen the technical and managerial aspects. The training results showed an increase in the knowledge and skills of cadres by 42,1% and 32.1%, respectively. The most significant improvement was seen in the management skills of Posyandu and health services for adults and the elderly, by 35.7% each. However, challenges are still found, especially in simple technology-based recording and reporting, as well as the need to improve skills in every aspect, including Posyandu management, health services for infants and toddlers, school children and adolescents, pregnant and postpartum women, as well as adulthood and the elderly. Cadre capacity is important in improving the overall health status of the community, thereby contributing to the transformation of primary health services in Indonesia. To support the successful implementation of ILP, technical assistance is still needed so that the implementation of the program is in accordance with the guidelines that have been determined by the Ministry of Health.
ASSESSING POSYANDU CADRES’ READINESS IN IMPLEMENTING INTEGRATED PRIMARY HEALTH SERVICES IN YOGYAKARTA, INDONESIA Siswati, Tri; Olfah, Yustiana; Attawet, Jutharat; Nurhidayat, Nurhidayat; Waris, Lukman
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 1 (2025): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i1.2025.44-57

Abstract

Background: The readiness of Posyandu (a community-based health service) cadres’ to implement the Integrated Primary Health Services (Integrasi Layanan Primer/ILP) is vital to advancing preventive and promotive care. Aims: This study aims to evaluate the cadres’ readiness, identify challenges, and propose effective strategies for sustainable implementation. Methods: A mixed-method design from April to June 2024. 113 cadres from Kulon Progo, Sleman, and Yogyakarta City participated in a cross-sectional study. Cadres' readiness was evaluated based on the posyandu cadres’ basic skills training curriculum. Ten informants were interviewed to explore the opportunities, needs, and limitations of the ILP implementation. Descriptive statistics were used for data analysis. Results: Most cadres (63.7%) were aged 41–50 years, 60.2% had completed senior high school, and 72.6% were housewives. The cadres demonstrated high readiness for ILP implementation, with the main needs in the form of improving logistics, funding, training, and community participation. In addition, there was a need to improve the literacy and skills of cadres in providing health services across the life stages, such as immunization, growth and development monitoring, and infant and child feeding. Conclusion: Posyandu cadres are ready to implement the ILP; however, strengthening cadres’ capacity and fostering community collaboration are key strategies for ensuring the sustainability of the program and achieving health transformation. Keywords: cadres, health transformation, integrated primary service, posyandu
Pelaksanaan One Student Saves One Family (Ossof) pada Keluarga dengan Salah Satu Anggota Keluarga Mengalami Hipertensi pada Era Pandemi Covid 19 Olfah, Yustiana; Habsari , Kurniatin Nur; Sari, Anisa Kartika; Siswati, Tri
JOURNAL OF PHILANTHROPY: The Journal of Community Service Vol. 1 No. 1 (2023): Journal of Philanthropy, Januari 2023
Publisher : Samodra Ilmu: Lembaga Penelitian, Penerbitan, dan Jurnal Ilmiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58353/jop.v1i1.56

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Hypertension is a non-communicable disease characterized by an increase in blood pressure above normal limits. The prevalence of hypertension in Indonesia is always increasing from year to year. OSSOF-based Community Service activities aim to provide practical experience for students to learn to deal with health problems in the community. This activity was carried out for the family of Mr. A who is in the village of Guwosari, Pajangan, Bantul, Yogyakarta with hypertension problems in Mrs. A. The method applied is to provide hypertension education and teach hypertension exercises, health consultations, blood pressure checks and monitoring medication adherence. The results of the activity showed that the patient's knowledge about hypertension, complications of the disease, and diet in hypertensive patients increased and the patient was able to do hypertension exercise. In addition, monitoring medication adherence to families increases patient compliance. Patients and family members stated that they would be committed to supporting the care and treatment of Mrs. A . This shows that this activity is able to have a positive impact, especially for the family of Mrs.A.