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Determinan Kejadian Malaria darmawansyah darmawansyah; Julius Habibi; Ravika Ramlis; Wulandari Wulandari
Jurnal Ilmu Kesehatan Masyarakat Vol 8 No 03 (2019): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Sekolah Tinggi Ilmu Kesehatan Indonesia Maju (STIKIM)

Malaria merupakan salah satu penyakit menular yang menyebabkan kematian dan menurunkan produktivitas kerja. WHO menyatakan angka kematian akibat malaria diseluruh dunia diperkirakan 1,5–2,7 juta pertahun. Indonesia merupakan salah satu negara berisiko malaria. Puskesmas padang ulak tanding Kabupaten Rejang Lebong pernah mengalami KLB Malaria. Kegiatan yang sudah dilakukan Puskesmas padang ulak tanding terkait KLB malaria hanya sebatas indentifikasi nyamuk, observasi lingkungan tempat tinggal, dan penyuluhan pada masyarakat. Suatu wilayah yang mengalami KLB tidak cukup dengan identifikasi dan observasi saja, melainkan perlu dilakukan penyelidikan epidemiologi secara mendalam dengan pengkajian determinan kejadian malaria. Tujuan penelitian adalah diketahuinya determinan kejadian malaria didaerah wabah pada Puskesmas padang ulak tanding rejang lebong. Metode penelitian menggunakan desain cross sectional study. Tehnik pengambilan sampel yang digunakan adalah total sampling yaitu semua populasi dijadikan sampel berjumlah 175 orang. Veriabel indenpenden (Breeding palce, Reppelant, PH air, kasa ventilasi, keberadaan kandang ternak, penggunaan kelambu) dan variabel depedenden (Kejadian Malaria). Analisis data yang digunakan adalah analisis univariat untuk mendeskripsikan distribusi frekuensi dan analisis bivariat untuk membuktikan bahwa masing-masing variabel berisiko terhadap kejadian malaria, uji yang dilakukan adalah uji Chi Sguare (ᵡ2). Hasil Penelitian didapatkan adalah ada hubungan yang bermakna antara Breeding palce (p=0,001), Reppelant (p=0,001), PH air (p=0,001), kasa ventilasi (p=0,016), keberadaan kandang ternak (p=1,000), penggunaan kelambu (p=0,090) dengan kejadian malaria di daerah wabah. Diharapkan kepada masyarakat untuk selalu membersihkan genangan air disekitar rumah, menggunakan obat anti nyamuk pada saat beraktivitas diluar rumah malam hari dan menggunakan kasa pada pentilasi rumah sehingga dapat menghidari dari gigitan nyamuk anopheles.

HUBUNGAN POLA ASUH ORANG TUA DENGAN KEJADIAN TEMPER TANTRUM PADA ANAK PRASEKOLAH (USIA 3-6 TAHUN) DI PAUD IT AULADUNA 1 KOTA BENGKULU DEVI RATNA SARI A; RAVIKA RAMLIS; MARLIN SUTRISNA
Journal of Nursing and Public Health Vol 10 No 1 (2022)
Publisher : UNIVED Press, Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jnph.v10i1.2375

Temper tantrum merupakan ganggguan yang dapat terjadi pada anak prasekolah. Di negara maju Northwestern Feinberg dari 1500 orang tua 84% dari anak-anak usia 2-5 tahun meluapkan frustasinya dengan mengamuk dan 8,6% memiliki tantrum sehari-hari. Di Indonesia, 23-83% dari anak-anak usia 2-4 tahun pernah mengalami temper tantrum. Tujuan penelitian ini adalah untuk mengetahui hubungan antara pola asuh orangtua dengan kejadian temper tantrum pada anak usia prasekolah (usia 3-6 tahun) di PAUD IT Auladuna 1 Kota Bengkulu Tahun 2021. Metode yang digunakan adalah desain penelitian deskriptif dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah semua ibu yang mempunyai anak pra sekolah usia 3-6 tahun di PAUD IT Auladuna 1 Kota Bengkulu, jumlah sampel dalam penelitian ini adalah 38 orang dengan teknik total sampling. Penelitian ini menggunakan uji chi-square. Hasil analisa uji univariat didapatkan sebagian besar responden (76,3%) dengan pola asuh orang tua demokratis, sebagian besarresponden (55,3%) dengan temper tantrum. Hasil uji analisa Bivariat didapatkan ada hubungan antara pola asuh orang tua dengan kejadian temper tantrum pada anak prasekolah (usia 3-6 tahun) di PAUD IT Auladuna 1 Kota Bengkulu Tahun 2021 nilai p-value = 0,019 (p-value ≤ 0,05). Diharapkan orang tua dapat menerapkan pola asuh yang baik agar dapat mencegah terjadinya temper tantrum pada anak.

Dampak Penggunaan Gadget dengan Perkembangan Emosional Pada Anak Usia Prasekolah Elsi Rahmadani; Marlin Sutrisna; Ravika Ramlis
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 1 No. 4 (2022): November 2022
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v1i4.1182

Excessive use of gadgets can interfere with child development, especially in preschoolers. The purpose of this study was to determine the correlation between gadget use and emotional development of preschool children at Bentiring Bengkulu Health Center. The method used is an analytical research design with a cross sectional approach. The sample in this study were mothers who had preschool children as many as 63 preschool children using accidental sampling technique. This study uses SPSS with a chi-square bivariate statistical test with a value of =<0.05. The results of the univariate analysis showed that almost half of the respondents 49.2% or 31 respondents had moderate use of gadgets, and more than half of the respondents 61.9% or 39 respondents had normal emotional development. The results of the bivariate analysis showed that there was a correlation between the use of gadgets and the emotional development of preschool children (p = 0.003). The conclusion is that there is a relationship between the use of gadgets and the emotional development of preschool children at Bentiring Bengkulu. The researcher suggests the health center should be more active in conducting counseling or education about child development and the effects of using gadgets on children on a regular basis

PENGARUH TEHNIK GUIDED IMAGERY TERHADAP TINGKAT KECEMASAN PADA PASIEN PRE OPERASI KATARAK DI KLINIK UTAMA MITRA MATA TAHUN 2022 Ravika Ramlis; Defita Juniarti
INJECTION : Nursing Journal Vol 3, No 1 (2023)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (167.747 KB)

ABSTRAK WHO memperkirakan jumlah ada 285 juta orang yang mengalami ganguan penglihatan di dunia,dimana 39 juta mengalami kebutaan dan 246 juta memiliki low vision. Tujuan penelitian untuk mengetahui pengaruh Tehnik Relaksasi guided Imagery Terhadap Tingkat Kecemasan Pasien Pre Operasi Katarak Di Klinik Utama Mitra Mata Kota Bengkulu Tahun 2022.Metode dalam penelitian ini bersifat kuantitatif, menggunakan penelitian quasy eksperiman dengan pendekatan pre post test one group design. Sampel dalam penelitian berjumlah 18 responden yang dipilih sesuai dengan kriteria inklusi dan eksklusi. Penelitian ini menggunakan uji statistik chi-square. Hasil penelitian ini didapatkan nilai mean kecemasan sebelum diberikan intervensi adalah 18, dan mean setelah intervensi adalah 12. Didapatkan mean kecemasan pre-post adalah 6,000 dengan standar deviasinya adalah 1,495. Hasil uji statistic Paired T Test didapat nilai ρ value = 0,000< α = 0,05, H0 ditolak maka Ha diterima artinya ada perbedaan rata-rata sebelum dan sesudah pemberian Tehnik Relaksasi Guided Imagery Terhadap Tingkat Kecemasan Pada Pasien Pre Operasi Katarak di Klinik Utama Mitra Mata Bengkulu Tahun 2022.Guide imagery dapat menurunkan kecemasan pada pasien katarak pre operasi. Kata Kunci : Kecemasan, Guide Imagery, KatarakABSTRACTWHO estimates that there are 285 million people with visual impairments in the world, of which 39 million are blind and 246 million have low vision. The aim of this study was to determine the effect of the Guided Imagery Relaxation Technique on the Anxiety Level of Pre-Cataract Surgery Patients at Mitra Mata Main Clinic, Bengkulu City in 2022.The method in this study is quantitative, using a quasy-experimental study with a pre-post test one group design approach. The sample in the study was 18 respondents who were selected according to the inclusion and exclusion criteria. This study used the chi-square statistical test.The results of this study showed that the mean value of anxiety before the intervention was given was 18, and the mean after the intervention was 12. It was found that the mean pre-post anxiety was 6,000 with a standard deviation of 1,495. The results of the Paired T Test statistical test obtained ρ value = 0.000 < α = 0.05, H0 was rejected, so Ha was accepted, meaning that there is an average difference before and after administration of the Guided Imagery Relaxation Technique on Anxiety Levels in Pre-Cataract Patients at Mitra Utama Clinic Bengkulu Eyes in 2022.Guide imagery can reduce anxiety in preoperative cataract patients. Keywords: Anxiety, Guide Imagery, Cataracts

Determinan Kejadian Malaria darmawansyah darmawansyah; Julius Habibi; Ravika Ramlis; Wulandari Wulandari
Jurnal Ilmu Kesehatan Masyarakat Vol 8 No 03 (2019): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v8i03.370

Malaria merupakan salah satu penyakit menular yang menyebabkan kematian dan menurunkan produktivitas kerja. WHO menyatakan angka kematian akibat malaria diseluruh dunia diperkirakan 1,5–2,7 juta pertahun. Indonesia merupakan salah satu negara berisiko malaria. Puskesmas padang ulak tanding Kabupaten Rejang Lebong pernah mengalami KLB Malaria. Kegiatan yang sudah dilakukan Puskesmas padang ulak tanding terkait KLB malaria hanya sebatas indentifikasi nyamuk, observasi lingkungan tempat tinggal, dan penyuluhan pada masyarakat. Suatu wilayah yang mengalami KLB tidak cukup dengan identifikasi dan observasi saja, melainkan perlu dilakukan penyelidikan epidemiologi secara mendalam dengan pengkajian determinan kejadian malaria. Tujuan penelitian adalah diketahuinya determinan kejadian malaria didaerah wabah pada Puskesmas padang ulak tanding rejang lebong. Metode penelitian menggunakan desain cross sectional study. Tehnik pengambilan sampel yang digunakan adalah total sampling yaitu semua populasi dijadikan sampel berjumlah 175 orang. Veriabel indenpenden (Breeding palce, Reppelant, PH air, kasa ventilasi, keberadaan kandang ternak, penggunaan kelambu) dan variabel depedenden (Kejadian Malaria). Analisis data yang digunakan adalah analisis univariat untuk mendeskripsikan distribusi frekuensi dan analisis bivariat untuk membuktikan bahwa masing-masing variabel berisiko terhadap kejadian malaria, uji yang dilakukan adalah uji Chi Sguare (ᵡ2). Hasil Penelitian didapatkan adalah ada hubungan yang bermakna antara Breeding palce (p=0,001), Reppelant (p=0,001), PH air (p=0,001), kasa ventilasi (p=0,016), keberadaan kandang ternak (p=1,000), penggunaan kelambu (p=0,090) dengan kejadian malaria di daerah wabah. Diharapkan kepada masyarakat untuk selalu membersihkan genangan air disekitar rumah, menggunakan obat anti nyamuk pada saat beraktivitas diluar rumah malam hari dan menggunakan kasa pada pentilasi rumah sehingga dapat menghidari dari gigitan nyamuk anopheles.

Hubungan Tingkat Pengetahuan Dan Gaya Hidup Pada Kejadian Gagal Ginjal Kronik Di Rsud Dr M Yunus Bengkulu Fikrah Mardatillah Hasanah; Tita Septi Handayani; Ravika Ramlis
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 2 (2026): April
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i2.9893

Kidney failure is a form of pathophysiology with various aetiologies that results in decreased kidney function, which can lead to chronic kidney failure (CKF). According to the World Health Organisation (WHO), the increase in the number of patients with kidney failure has become a global health problem, with 850,000 deaths each year. According to the 2018 Riskesdas survey, there has been an increase from 2% to 3.8%. The purpose of this study was to determine the relationship between knowledge levels and lifestyle in cases of chronic kidney failure at Dr. M Yunus Bengkulu Regional General Hospital. This study used an analytical survey with a case-control approach. Purposive sampling was used with 48 respondents, consisting of 24 cases and 24 controls. Data collection was conducted using a questionnaire. Based on the univariate results, it was found that 66.7% of the case group had a good level of knowledge, while 83.3% of the control group did. In terms of lifestyle, 87.5% of the case group respondents had an unhealthy lifestyle, while 91.7% of the control group respondents had a healthy lifestyle. Bivariate analysis of the chi-square statistical test results obtained a p-value of 0.317>a=0.005, meaning that there was no significant relationship between the level of knowledge and the incidence of chronic renal failure at Dr M Yunus Bengkulu Regional General Hospital. while the results of the chi-square statistical test obtained a p-value of 0.000 < α = 0.005, meaning that there is a significant relationship between lifestyle and the incidence of chronic kidney failure at Dr M Yunus General Hospital in Bengkulu.

Hubungan Pengetahuan Dan Sikap Ibu Hamil Tentang Ketuban Pecah Dini Dengan Perilaku Pencegahan Ketuban Pecah Dini Di Wilayah Kerja Uptd Puskesmas Tanjung Harapan Klara Vamiga Permata Mahardika; Berlian Kando Sianipar; Ravika Ramlis
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 2 (2026): April
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i2.10542

Premature rupture of the membranes (PROM) is the rupture of the amniotic sac before labor. This study aims to determine the correlation between pregnant women's knowledge and attitudes about premature rupture of membranes and their preventive behavior in the Working Area of UPTD Tanjung Harapan Health Center. This quantitative, cross-sectional study was conducted in Tanjung Harapan Health Center, Ulok Kupai Sub-District, North Bengkulu Regency, from July 1 to 30, 2025, with a sample size of 43 respondents. Data collection used a research questionnaire. The results showed that respondents with sufficient knowledge had good behavior (51.16%), while those with low knowledge were evenly distributed between those with good and poor behavior (2.33% each). Respondents with positive attitudes tended to have good behavior (41.86%), while respondents with negative attitudes had good behavior (25.58%). A P-value of 0.035 indicates a statistically significant correlation between knowledge and attitudes toward behavior (since P < 0.05). The researchers recommend that Health Centers implement guidance, coaching, and counseling programs regarding the relationship between knowledge and attitudes of pregnant women and behaviors related to premature rupture of membranes.

Hubungan Pengetahuan Ibu Dengan Kelengkapan Imunisasi Lanjutan Dpt-Hb-Hib Dan Campak Rubela Pada Baduta Di Wilayah Kerja Puskesmas Jembatan Kecil Kota Bengkulu Tahun 2026 Feny Triyany; Ravika Ramlis; Hengki Tranado
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 2 (2026): April
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i2.10829

In 2024, the DPT-HB-Hib booster immunization coverage was 75.88% and the Measles/MR2 booster immunization coverage was 81.62%, with 76% of children receiving complete booster immunizations. Compared to the government's target of 100% booster immunization coverage for children under five, this achievement remains relatively low, falling short of the national target. The purpose of this study was to examine the relationship between maternal knowledge and the completeness of DPT-HB-Hib and Measles-Rubella booster immunizations among children under five in the Jembatan Kecil Community Health Center (Puskesmas) working area in Bengkulu City in 2026. The research method used was descriptive research with a cross-sectional approach. The sampling technique used purposive sampling with a population of 380 toddlers calculated using the Slovin formula, resulting in a sample size of 80 toddlers in the Jembatan Kecil Community Health Center Work Area, Bengkulu City, in 2026. Univariate analysis results showed that almost half of the respondents (45%) had sufficient knowledge, and the majority (63.7%) had completed the DPT-HB-Hib booster immunization. Bivariate analysis results showed a relationship between maternal knowledge and the completeness of the DPT-HB-Hib booster immunization and measles-rubella booster immunization in toddlers, with a p-value of 0.000. It can be concluded that maternal knowledge is associated with the completeness of the DPT-HB-Hib booster immunization and measles-rubella booster immunization in toddlers in the Jembatan Kecil Community Health Center Work Area, Bengkulu City, in 2026. The results of this study are expected to improve education and monitoring of booster immunizations to optimize DPT-HB-Hib and measles-rubella booster immunization coverage in toddlers.

Hubungan Dukungan Keluarga dan Self Management Dengan Kepatuhan Minum Obat Pada Pasien Hipertensi di Wilayah Kerja Puskesmas Pasar Ikan Kota Bengkulu Tahun 2025 A’izzah Al-Hasanah; Ravika Ramlis; Tita Septi Handayani
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 2 (2026): April
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i2.10854

Hypertension is widely known as8a silent killer because it often develops without clear signs or symptoms, causing many individuals to be unaware of their condition. Data from Kementerian Kesehatan Republik Indonesia in 2023 indicate that only about 54.4% of patients with hypertension adhere to medication therapy as recommended by healthcare professionals. In8addition, based on8the report8of8the Survei Kesehatan8Indonesia, the prevalence8of hypertension in8Indonesia in 2023 reached 29.2%. This8study aims to analyze the8relationship8between8family support8and self management ability with medication adherence among hypertensive patients in the working area of Puskesmas Pasar Ikan Kota Bengkulu, Kota Bengkulu. This8study employed a8quantitative approach with8a cross-sectional8design. The sample8consisted of 76 respondents8diagnosed with hypertension, selected8using an accidental8sampling technique. Data8were collected through8questionnaires covering family8support, self management, and medication adherenceThe8results of the univariate8analysis showed that8most respondents8had good family support, relatively optimal self management ability, and high levels of medication adherence. The8bivariate analysis8using the8Chi-Square test8indicated a8significant relationship between8family support8and medication adherence (p-value = 0.000). Furthermore, a8significant8relationship was also found8between self-management and medication adherence among hypertensive8patients (p-value = 0.000). The findings of this study8are expected to8serve as a8basis for healthcare providers to8enhance educational programs that involve family participation and strengthen patients’ self management skills, thereby improving treatment adherence and minimizing the risk of hypertension-related complications.

Hubungan Pengetahuan Ibu Dengan Perilaku Pencegahan Pneumonia Pada Balita Di RSUD Harapan Dan Doa Kota Bengkulu Tahun 2026 Dayang Pertiwi; Ravika Ramlis; Meri Epriana Susanti
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 2 (2026): April
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i2.10888

Globally, there are more than 1,400 cases of pneumonia per 100,000 children, or equivalent to 1 case in every 71 children per year. The highest incidence rates are recorded in South Asia (2,500 cases per 100,000 children) and West and Central Africa (1,620 cases per 100,000 children). Meanwhile, in Indonesia, based on the 2023 Indonesian Health Survey, the number of toddlers with pneumonia reached 86,364 cases. The purpose of this study was to determine the relationship between mothers' knowledge and pneumonia prevention behaviours in toddlers at the Harapan dan Doa Regional General Hospital in Bengkulu City in 2026.The research method used was descriptive research with a cross-sectional approach. The sampling technique used was purposive sampling with a sample size of 62 mothers of infants at Harapan and Doa Regional General Hospital in Bengkulu City in 2026.The results of the univariate analysis showed that most of the respondents (53.2%) had adequate knowledge and most of the respondents (66.1%) had good pneumonia prevention behaviour in infants. The results of the bivariate chi-square test analysis showed a relationship between mothers' knowledge and preventive behaviour against pneumonia in toddlers at the Harapan dan Doa Regional General Hospital in Bengkulu City in 2026 (p-value 0.000). There is a relationship between mothers' knowledge and preventive behaviour against pneumonia in toddlers at the Harapan dan Doa Regional General Hospital in Bengkulu City in 2026.The researchers recommend that hospitals use this information as additional material to improve and develop information about pneumonia.

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