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Knowledge, Behavior, and Role of Health Cadres in The Early Detection of New Tuberculosis Case in Wonogiri Ratnasari, Nita Yunianti; Marni, Marni; Husna, Putri Halimu
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 2 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i2.20647

Abstract

Tuberculosis (TB) is an infectious disease that remain a serious health problem. Seventy five percent of TB cases in developing countries are found in people of productive age. Delay in case finding and handling will lead to disability and death and hamper TB control program. The objective of this study was to evaluate how far the role of health cadres in detecting new case of TB in Tirtomoyo, Wonogiri. The study design was a cross-sectional and data was collected from February to April 2019. The population of the study was all health cadres in Tirtomoyo numbering 465 cadres from 9 villages. Sample of the study was the cadres in Tirtomoyo who met inclusion criteria set by the researchers with total number of 202 cadres. The sampling technique was purposive sampling, and the inclusion criteria included: active person, in a healthy state, not currently receiving inpatient care in hospital, and agree to participate in the study. Subjects completed the questionnaire consisting of sociodemographic data, knowledge, behavior, and the role of cadre. The data was analyzed using SPSS version 22. The behavior of the health cadres was found to significantly correlate to the role of cadres in early detection of new TB cases with p value of 0.039 (OR 0.121– 0.946). The health cadres play an essential role, and active screening for TB detection was more effective than passive screening. Early diagnosis would affect the success of the TB treatment program.
Penyuluhan Pencegahan Risiko Stunting 1000 Hari Pertama Kehidupan pada Generasi Muda Marni Marni; Nita Yunianti Ratnasari
Indonesian Journal of Community Services Vol 3, No 2 (2021): November 2021
Publisher : Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/ijocs.3.2.116-125

Abstract

Masa pandemi Covid-19 yang sampai saat ini masih berlanjut maka pemerintah membuat kebijakan PSBB /PPKM Mikro. Kebijakan ini menyebabkan masalah pada perubahan sosial ekonomi. Banyak orang miskin mendadak akibat pandemi, sehingga tidak mampu mencukupi nutrisi/gizi yang bisa mengakibatkan terjadinya stunting pada anggota keluarganya, termasuk keluarga yang mempunyai anak bawah dua tahun (baduta) dan ibu hamil, kurangnya pengetahuan dalam memberikan nutrisi yang tepat pada ibu hamil, menyusui dan anak baduta juga bisa menyebabkan stunting. Perlu peran aktif dari petugas kesehatan namun saat ini petugas mempunyai beban berat dalam menghadapi masalah kesehatan covid-19, sehingga perguruan tinggi diharapkan berkontribusi membantu pemerintah dalam mencegah terjadinya stunting. Tujuan kegiatan: meningkatkan pengetahuan generasi muda tentang cara mencegah terjadinya stunting, memotivasi generasi muda agar berkontribusi dengan memberi penyuluhan kepada masyarakat, terutama yang mempunyai keluarga dengan ibu hamil, ibu menyusui dan anak baduta, berperilaku hidup bersih dan sehat dengan tidak merokok,tidak mengkonsumsi narkoba,  tidak melakukan seks bebas sehingga tidak muncul kehamilan yang tidak diharapkan. Metode penyuluhan dalam kegiatan ini adalah dengan ceramah, diskusi dan tanya jawab, memberikan kuesioner sebelum diberi penyuluhan untuk mengetahui pengetahuan generasi muda tentang pencegahan stunting peran generasi muda, dan setelah diberi penyuluhan diberi kuesioner lagi untuk mengetahui peningkatan pengetahuan pada generasi muda tersebut. Hasil: Skor nilai mean pengetahuan sebelum diberikan penyuluhan adalah 49,3, skor setelah diberikan penyuluhan adalah nilai mean 75,2 sehingga terjadi kenaikan skor mean nilai 25,9. Kesimpulan: Penyuluhan kesehatan ini terbukti meningkatkan pengetahuan para generasi muda dalam mencegah terjadinya stunting. Covid-19 pandemic period until now still persists then the government makes policy PSBB / PPKM Micro. This policy causes problems for socio- economic change. Many people are suddenly poor due to the pandemic, so they are unable to fulfill their nutrition / nutrition which can lead to stunting in their family members   including families who have a child under two years (baduta) and the mother was pregnant, the lack of knowledge in giving nutrients are right on mothers pregnant, breastfeeding and child baduta also can cause stunting. Health workers need an active role, but currently officers have a heavy burden in dealing with covid-19 health problems, so universities are expected to contribute to assisting the government in dealing with Covid-19 health problems. The purpose of activities: improving knowledge generation youth about how to prevent the occurrence of stunting, motivate generations of youth in order to contribute to give counseling to the community, especially that having a family with a mother pregnant. Mother breastfeeding and child baduta, behaves live clean and healthy by not smoking, not taking drugs, do not pass up sex -free so it does not appear a pregnancy that was not expected. Methods of counseling in activity this is by lectures, discussions and question and answer, giving a questionnaire before given counseling to know the knowledge of adolescents on the prevention of stunting and the role of the generation of young, and after a given extension by the questionnaire again to determine the increase in knowledge on adolescent that. Results: Scores grades mean knowledge before given counseling is 49.3, scores after a given extension is the value of the mean of 75.2 to happen hike score mean value of   25.9. Conclusion: This health education is proven to increase the knowledge of adolescents in preventing stunting.
Analysis of Respondents’ Characteristics with Tuberculosis and Adherence Using Morisky Medication Adherence Scale Ratnasari, Nita Yunianti; Hastuti, Weni; Soares, Domingos; Carvalho, Joaquim Gregorio de; Ximenes, Jose Dionisio; Gaio, Eduardo C
Jurnal Kesehatan Masyarakat Vol 20, No 2 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i2.50326

Abstract

Tuberculosis (TB), an infectious disease caused by Mycobacterium tuberculosis, results in approximately 10 million new cases and 1.5 million deaths annually worldwide. This research method is an observational analytical study using a cross sectional design. The target population of this study were all patients with Pulmonary TB who completed the intensive stage of treatment and participated in the DOTS program at selected health centers during the three months, namely patients diagnosed with Tuberculosis and registered as outpatients at the Hospital Nacional Guido Valadares ( HNGV) Dili, Klibur Domin Tibar, Liquiça and at the Hospital Sentru Saúde Bairro Pite, Dili, Timor-Leste. The inclusion criteria in this study involved tuberculosis patients who were receiving anti-tuberculosis drug therapy for at least four weeks since the initial stage of treatment, aged more or equal to 17 years and able to understand oral and written instructions. Data collection took place between September and November 2023, involving a sample of 69 respondents. These results provide an overview of respondent characteristics that are significant in analyzing treatment adherence in patients with pulmonary TB. Tuberculosis is a contagious disease caused by infection with the Mycobacterium tuberculosis germ, usually affecting not only the lungs but also other organs.
TINGKAT PENGETAHUAN DAN PERSEPSI MASYARAKAT TENTANG TUBERKULOSIS: STUDI DESKRIPTIF KADER KESEHATAN Ratnasari, Nita Yunianti; Ambarwati, Retno; Sucipto, Sucipto
coba Vol 13 No 1 (2024): November 2024
Publisher : Akademi Keperawatan Dharma Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32831/jik.v13i1.770

Abstract

Latar Belakang: Tuberkulosis merupakan penyakit infeksius yang mudah menular dimana jumlah kasus baru dan kematian akibat penyakit ini terus meningkat setiap tahunnya. Usaha pengendalian penyakit tuberkulosis terus dilakukan oleh pemerintah dengan melibatkan berbagai kalangan baik swasta maupun masyarakat secara keseluruhan. Upaya kesehatan yang diperankan oleh kader memiliki makna yang sangat penting dalam hubungannya dengan kegiatan promosi kesehatan misalnya penyuluhan. Tujuan penelitian ini adalah mengetahui gambaran tingkat pengetahuan dan persepsi kader kesehatan tentang penyakit tuberculosis di Kecamatan Kalijambe, Sragen. Metode: Design yang digunakan dalam penelitian ini adalah deskriptif dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh kader kesehatan yang ada di wilayah kecamatan Kalijambe Kabupaten Sragen. Teknik pengambilan sampel adalah dengan metode purposive sampling yaitu seluruh responden yang memenuhi syarat inklusi dan eksklusi yang telah ditetapkan peneliti. Adapun kriteria inklusi adalah kader posyandu yang memiliki akses untuk membuka kuesioner dalam bentuk google form. Kecamatan Kalijambe terdiri dari 14 desa sehingga jumlah data yang masuk sebanyak 44 kader. Hasil: Tingkat pengetahuan kader kesehatan tentang penyakit tuberkulosis di wilayah kecamatan Kalijambe diperoleh hasil termasuk kategori sedang sampai tinggi, sementara terkait persepsi berada pada level sedang atau menengah. Kesimpulan: Meskipun kader telah dibekali dengan pengetahuan seputar penyakit namun secara berkala perlu dilakukan evaluasi terkait pengetahuan dan pemahaman penyakit tersebut, hal ini bertujuan agar kader tidak memiliki persepsi yang salah dengan suatu penyakit. Kata Kunci: : kader kesehatan; pengetahuan; persepsi; tuberkulosis
Early Detection of Psychiatric Disorders and Counseling Service Rules: A Cross Sectional Study on University Students Hastuti, Weni; Ratnasari, Nita Yunianti; Hidayah, Nur; Suyanti, Suyanti
Psikopedagogia Vol. 13 No. 1: June 2024
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/psikopedagogia.v13i2.28778

Abstract

Mental health become a crucial aspect in an individual's life, especially among students who are experiencing a dynamic developmental phase. The prevalence of mental health in Indonesia had reached 18,5%. It means that out of 1.000 residents are at least 185 people experiencing mental health disorders or in every household, and there is a family member suffering from mental health disorders. Several studies have shown that university students tend to experience high levels of stress and psychological distress that can negatively impact their mental well-being. Based on the above description, this study aims to determine and analyze the mental health status of university students using the SRQ 29 questionnaire. This type of research is quantitative research. The design used descriptive analytic with a cross sectional approach. This is a type of research in which the measurement of variables is carried out only once at a time. The study population involved all students on the campus of Institut Teknologi Sains dan Kesehatan (ITS) PKU Muhammadiyah Surakarta, and the sampling technique used a total sample where all those registered as FIK students in the 2023/2024 academic year and were required to be respondents in this study. The research instrument was used to measure mental emotional disorder variables and determine mental health status uses the Self-Report Questionnaire-29 (SRQ-29) from WHO. The questionnaire was given to students using Google form media. Inform consent was carried out before data collection, by explaining the purpose of the research. There is correlation between age and gender with the incidence of neurological symptoms and psychotic disorders.
Edukasi tentang Shivering sebagai Komplikasi Anestesi dan Cara Penanganannya untuk Pasien dan Keluarga Dwi Handoyo; Nita Yunianti Ratnasari; Heni Purwaningsih
Faedah : Jurnal Hasil Kegiatan Pengabdian Masyarakat Indonesia Vol. 2 No. 1 (2024): Jurnal Hasil Kegiatan Pengabdian Masyarakat Indonesia
Publisher : FKIP, Universitas Palangka Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/faedah.v2i1.1350

Abstract

Shivering is one of the complications that often occurs after anesthesia due to impaired body thermoregulation. This condition can cause discomfort, increase oxygen consumption, and prolong the patient's recovery period. Education about shivering is very important for patients and families so that they understand the causes, risks, and how to handle it. This education program is carried out using a counseling method that involves educational media in the form of leaflets and demonstrations of effective handling techniques, such as the use of warm blankets, giving warm fluids, and relaxation techniques. Evaluation is carried out by measuring the level of understanding of patients and families before and after education, through a prepared questionnaire. The evaluation results showed a significant increase in understanding about shivering and how to handle it, both in theory and practice. This increase shows that the education provided is effective in increasing the readiness of patients and families in dealing with post-anesthesia shivering. This program is expected to reduce the negative impact of shivering and accelerate the patient's recovery process.
PENGARUH COGNITIVE BEHAVIOR THERAPY TERHADAP SELF-MANAGEMENT HIPERTENSI: THE EFFECT OF COGNITIVE BEHAVIOR THERAPY ON SELF-MANAGEMENT HYPERTENSION Anthia Faisan Nur Amini; Ratnasari, Nita Yunianti; Sri Handayani; Weni Hastuti
Intan Husada : Jurnal Ilmiah Keperawatan Vol. 13 No. 02 (2025): Vol. 13 No.2 , Juli 2025
Publisher : Politeknik Insan Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52236/ih.v13i2.795

Abstract

Latar belakang : Hipertensi, yang umum dikenal sebagai tekanan darah tinggi, adalah kondisi ketika tekanan darah seseorang melebihi ambang batas normal, yaitu tekanan sistolik di atas 140 mmHg dan diastolik di atas 90 mmHg. Diperkirakan, angka penderita hipertensi akan meningkat sebesar 29,2% pada tahun 2025. Berdasarkan data Riset Kesehatan Dasar (Riskesdas) tahun 2018, prevalensi hipertensi di Indonesia pada penduduk berusia 18 tahun ke atas yang diukur tekanan darahnya mencapai 34,11%. Tujuan : mengetahui pengaruh Cognitive Behavior Therapy terhadap self management hipertensi di keluarga wilayah Desa Jatiroto, Batuwarno, Wonogiri. Metode Penelitian : Penelitian ini menerapkan metode kuantitatif dengan desain one group pre-post test design. Teknik pengambilan sampel yang digunakan adalah purposive sampling, sehingga diperoleh 34 responden. Instrumen yang digunakan dalam penelitian meliputi sphygmomanometer serta lembar observasi untuk menilai self-management sebelum dan sesudah intervensi Cognitive Behavior Therapy (CBT). Hasil : Tingkat self management hipertensi keluarga sebelum diberikan Cognitive Behavior Theraphy yaitu responden dengan self management yang cukup sebanyak 5 orang (14,7%), dan respondenn dengan self management kurang sebanyak 29 orang (85,3%). Sedangkan, self management hipertensi sesudah diberikan Cognitive Behavior Theraphy responden dengan self management hipertensi di keluarga yaitu 3 orang (8,8%) memiliki skor baik, sedangkan responden dengan self management yang cukup sebanyak 31 orang (91,2%). Kesimpulan : Terdapat pengaruh antara pemberian Cognitive Behavior Theraphy terhadap self management hipertensi keluarga. Kata Kunci : Self Management Hipertensi, Cognitive Behavior Therapy
Manajemen penatalaksanaan luka ulkus diabetik melalui edukasi pencegahan infeksi pada pasien Diabetes Mellitus: Management of diabetic ulcer wound through infection prevention education for Diabetes Mellitus patients Enikmawati, Anik; Handayani, Sri; Sarifah, Siti; Ratnasari, Nita Yunianti
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 11 No. 3 (2025): JiKep | Oktober 2025
Publisher : UPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v11i3.2057

Abstract

Pasien yang mengalami ulkus diabetik rentan terhadap infeksi dan perlu memahami bagaimana mencegah infeksi dan menjaga perawatan yang tepat untuk menghindari komplikasi yang lebih serius. Melalui pemberian edukasi manajemen pencegahan infeksi ulkus kepada pasien, diharapkan tingkat pengetahuan pasien dapat meningkat, yang pada gilirannya mampu meningkatkan kemampuan mereka dalam merawat ulkus diabetik sendiri dan mengurangi risiko infeksi. Menganalisis pengaruh edukasi manajemen pencegahan infeksi ulkus terhadap tingkat pengetahuan pada pasien diabetes mellitus dengan ulkus diabetik. Jenis penelitian ini adalah metode penelitian pra-eksperimen dengan rancangan one-group pre-post test design, pengambilan sampel menggunakan teknik accidental sampling dengan sampel 30 pasien ulkus DM yang dirawat inap di RS PKU Muhammadiyah Karanganyar, data diperoleh dengan menggunakan kuesioner yang diisi oleh pasien kemudian dianalisa dengan menggunakan uji wilcoxon. Terdapat pengaruh edukasi manajemen pencegahan infeksi terhadap tingkat pengetahuan pasien DM dengan ulkus diabetik di RS PKU Muhammadiyah Karanganyar.  Pemberian edukasi manajemen pencegahan infeksi dapat meningkatkan pengetahuan pasien tentang ulkus diabetik.
The Efforts of Stunting Prevention Through Increasing Maternal Knowledge: a Cross Sectional Study in Pemalang, Central Java Anik Enikmawati; Ratnasari, Nita Yunianti; Wijayanti; Sri Handayani
Journal of Ners and Midwifery Vol 11 No 1 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i1.ART.p015-022

Abstract

Stunting refers to a condition characterized by short or very short stature based on the length/height for age, below -2 Standard Deviation (SD) on the WHO growth curve. This condition typically appears from chronic malnutrition, which is often linked to low socioeconomic status, inadequate nutritional intake, maternal health issues, a pattern of recurrent illness, and inappropriate feeding practices during infancy and early childhood. Stunting becomes a serious health problem and requires immediate treatment. In this case, the Indonesian government has made several efforts to improve the reduction of stunting as stated in the 2018 national plan. The World Health Organization (WHO) estimates that 22,2% or 149,2 million children under 5 years old will be stunted by 2020. This research is quantitative type with a cross sectional approach. The independent variable in this study involved mothers' knowledge about stunting as well as being the population, while the dependent variable was the prevention efforts in toddlers. The sampling technique employed probability sampling, namely by stratified random sampling. Inclusion criteria in this study were: a) Mothers and children under five, who live in the RW 01 area of Banyumudal Village, Moga District, Pemalang Regency; b) Mothers who have children under five years old; c) Understand Indonesian; d) Physically and mentally healthy, and e) Willing to be a respondent. The results of the Chi Square test with an error degree of α = 0,05 obtained a p value = 0,001 < α = 0,05. It means that there is a correlation between maternal knowledge about stunting and efforts to prevent it in toddlers in RW 01 Banyumudal Village, Moga District, Pemalang Regency. Stunting will affect long-term brain development, which in turn affects cognitive ability and school performance
Rancang Bangun Compact Automatic Tissue Processor dengan Arduino & Kontrol Suhu Realtime Tegar Pandu Atmojo; Eko Nugroho; Setyo Adi Nugroho; Nita Yunianti Ratnasari
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 4 No. 2 (2024): Juli: Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v4i2.6022

Abstract

Automatic tissue processor is a tool used in pathological examinations. Processing complex tissue can be quite troublesome for operators if done manually, considering that the tissue processing stage requires precision and precise timing. To reduce time inaccuracies which can cause tissue sample results to be less than optimal, an Automatic Tissue Processor tool was created. However, the existing Automatic Tissue Processor tools are usually designed with a large shape so that reagent consumption during tissue processing is also large, this is an obstacle in some small anatomical pathology labs or small hospitals with few patients, besides that real-time temperature monitoring is rare. is in the tool so that the user often does not know what the real-time temperature is, causing control of the quality of the paraffin reagent to be difficult. Starting from this, using the research and development (RND) method, this research designed an automatic tissue processor with 4 Chambers, the last 1 Chamber being The paraffin Chamber is equipped with a Heater and temperature controller, using a DHT-22 temperature sensor. where the Chamber is made with a compact size so as to save on the use of reagents, the temperature in the Chamber is set at a cutoff temperature of 60o C. The research results show that the tool can work well for temperature sensor accuracy which is obtained at a value of 100% with an error rate of 0%, then for The Timer accuracy level was obtained at 99.57% with an error rate of 0.43%..