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IMPLEMENTASI AKTIVITAS PROGRAM PENINGKATAN GIZI DI POSYANDU DUSUN GONDANG, DESA BATUR, KECAMATAN GETASAN, KABUPATEN SEMARANG Yesstia Pulung Sari; Treesia Sujana; Kristiawan Prasetyo Agung Nugroho
Jurnal Kesehatan Kusuma Husada Vol. 8 No. 2, Juli 2017
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (471.619 KB) | DOI: 10.34035/jk.v8i2.227

Abstract

Latar belakang penelitian adalah permasalahan status gizi pada balita. Pada tahun 2013, kasus gizi di Kabupaten Semarang tercatat sebanyak 1,05% balita dengan gizi buruk dan 6,63% balita dengan gizi kurang. Selain itu, berdasarkan data Kohort tahun 2016 di Dusun Gondang terdapat sebanyak 21,4% balita dengan gizi kurang dan 14,3% balita tidak secara rutin mengikuti program Posyandu. Meskipun Posyandu telah dilaksanakan secara rutin, terdata pada tahun 2014 Posyandu sebanyak 289.685 tersebar di wilayah Indonesia. Padahal adanya program Posyandu memiliki 5 kegiatan utama, salah satunya yaitu mengenai gizi. Penelitian bertujuan untuk mengetahui kebijakan yang mendasari program Posyandu, aktivitas Posyandu dilaksanakan, dan status gizi balita di Dusun Gondang, Desa Getasan. Penelitian menggunakan metode studi kasus dengan beberapa teknik pengumpulan data seperti observasi, wawancara dan pembelajaran terhadap dokumentasi. Data penelitian dideskripsikan, dilanjutkan mentranskrip dan reduksi data. Penelitian dilakukan selama 1 bulan pada Februari 2017 di Dusun Gondang, Desa Getasan. Simpulan penelitian adalah bahwa Program Posyandu di Desa Getasan telah mengikuti kebijakan pemerintah pusat dimana aktivitas Posyandu sudah cukup sesuai dengan ketetuan yang ada dan kondisi balita dengan gizi kurang sebanyak 4 balita di Dusun Gondang. Nutritional problem on children’s age has long become a concern. In 2013, Semarang recorded 1.05% of under-fives children with poor nutritional status and 6.63% of under-fives with malnutrition status. In addition, based on the cohort data in 2016 there were 21.4% of under-fives children who had poor nutrition and 14.3% of children did not regularly come to the Posyandu program, eventhough it had been carried out regularly in Dusun Gondang. It is identifiied that in 2014, there are 289,685 Posyandu which had been carried out nation-wide. Posyandu has 5 main activities, and one of them focused on nutritional problem. The purpose of this study is to understand the underlying policy of Posyandu program, activities which implemented in each program, and nutritional status of under five children in Dusun Gondang, Getasan Village. This study used case study method, which utilizied several data collection techniques, which were: observation, interview and documentation study. This study was held for 1 month started from February, 2017. The collected data then described and reduced. The conclusion which emerged from this study especially describes the Posyandu program in Getasan village which had been carried out according to the central government policy. The implementation of programs in Posyandu has been done according to the current policy, however there were still 4 under five children identified with poor nutritional status.
PERAN TENAGA KESEHATAN DALAM USAHA PENCEGAHAN KESAKITAN DAN KEMATIAN BAYI BARU LAHIR Treesia Sujana; D Dary; Jenlti Dwi Elsa Longi
Jurnal Kesehatan Kusuma Husada Vol. 9 No. 1, Januari 2018
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (202.184 KB) | DOI: 10.34035/jk.v9i1.256

Abstract

Kesehatan dan kelangsungan hidup bayi baru lahir sangat penting untuk menjamin optimalitas pertumbuhan dan perkembangan anak-anak. Menurut Profil Kesehatan Kabupaten Semarang 2014, tercatat sebanyak 8,15% per 1000 Kelahiran Hidup (KH) angka kematian bayi baru lahir. Kasus kematian bayi baru lahir mendominasi kasus kematian bayi di Kabupaten Semarang. Tujuan dari penelitian ini adalah mendeskripsikan peran tenaga kesehatan dalam usaha pencegahan kesakitan dan kematian bayi baru lahir di wilayah binaan Puskesmas Getasan. Penelitian ini menggunakan metode kualitatif deskriptif dengan menggunakan teknik pengumpulan data wawancara mendalam. Teknik analisa data dilakukan dengan model Miles and Huberman, yaitu Data Reduction (reduksi data), Data Display (penyajian data) dan Conclusion Drawing/verification. Penelitian ini dilakukan selama 1 bulan pada Mei 2017 di Puskesmas Getasan. Hasil penelitian ini menyimpulkan bahwa peran tenaga kesehatan dalam usaha pencegahan kesakitan dan kematian bayi baru lahir yang terutama adalah sebagai pelaksana program yang telah dicanangkan pemerintah serta lebih berfokus pada layanan bayi neonatal & bayi dengan risiko. Dalam menjalankan perannya tenaga kesehatan melakukan berbagai inisiatif dalam usaha menurunkan angka kematian bayi baru lahir di wilayah binaan Puskesmas Getasan. The health and survival of newborns are important to ensure the optimality of children’s growth and development. Semarang District Health Profile 2014, recorded that there were 8.15% deaths of newborns on every 1000 live births. The death cases of newborns dominated the contribution of infant mortality in Semarang District. The purpose of this research is to describe roles of health workers in the effort to descrease the morbidity and mortality numbers of newborns in Puskesmas Getasan’s target areas. This research used a qualitative descriptive method with in-depth interviews as the data collection method. The data analyzed with the Miles and Huberman model, which emphasized in the data reduction, data display and conclusion drawing/verification. This research was held for a month started from May 2017 at Puskesmas Getasan. The results of this study concluded that the main role of health workers in the effort to descrease the morbidity and mortality numbers of newborns is as implementer of programs that have been declared by the government and more focused on the services especially for neonatal with high risk of illness. However, strategies and initiatives had been done by health workers and resulted in the decrease of the mortality number of newborns in Puskesmas Getasan’s target area.
STRATEGI TENAGA KESEHATAN DALAM MENURUNKAN ANGKA KEJADIAN ISPA PADA BALITA DI WILAYAH BINAAN PUSKESMAS GETASAN D Dary; Treesia Sujana; Josevina Naomi Pajara
Jurnal Kesehatan Kusuma Husada Vol. 9 No. 2, Juli 2018
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (224.363 KB) | DOI: 10.34035/jk.v9i2.273

Abstract

Infeksi Saluran Pernafasan Akut (ISPA) merupakan radang akut pada saluran pernapasan yang disebabkan oleh agen infeksius sepertin virus, jamur dan bakteri. Menurut Riskesdas 2013, Provinsi Jawa Tengah merupakan salah satu profinsi dengan angka kejadian ISPA paling tinggi dimana Prevalensi ISPA secara umum sebesar 26,6% dan untuk balita diketahui mencapai 31,5%. Tujuan penelitian adalah mendeskripsikan strategi tenaga kesehatan dalam menurunkan angka kejadian ISPA pada anak balita di wilayah binaan Puskesmas Getasan. Penelitian menggunakan metode kualitatif deskriptif dengan menggunakan teknik pengumpulan data wawancara mendalam. Teknik analisa data dilakukan dengan model Miles and Huberman, yaitu Data Reduction (reduksi data), Data Display (penyajian data) dan Conclusion (penarikan kesimpulan). Penelitian dilakukan pada September- oktober 2017 di Puskesmas Getasan, Kecamatan Getasan, Kabupaten Semarang, Jawa Tengah . Hasil dari penelitian ini menyimpulkan bahwa angka kejadian ISPA pada balita di wilayah binaan Puskesmas Getasan tergolong tinggi, penanganan balita ISPA menggunakan pedoman Manajemen Terpadu Balita Sakit (MTBS) dan Manajemen Terpadu Balita Sakit Berbasis Masyarakat (MTBSM) serta dalam menjalankan perannya tenaga kesehatan melakukan berbagai strategi baik secara teknis maupuan inisiatif seperti pemantauan kesehatan balita, penyuluhan dan pemeberian pengobatan tradisional, dan kerjasama lintas sector, sebagai upaya menurunkan angka kejadian ISPA pada balita di wilayah binaan Puskesmas Getasan. Berdasaarkan hasil penelitian juga diketahui bahwa angka kejadian ISPA pada balita di daerah Getasan sudah mengalami penurunan. Acute respiratory infection (ARI) is an acute inflammation in the respiratory tract caused by infectious agents such as virus, fungus, and bacterium. According to Riskesdas (Riset Kesehatan Dasar) 2013, province of Central Java is one of the provinces with the highest rate of ARI case number where the ARI prevalence generally is about 26,6% and for toddlers is about 31,5%. The purpose of this research was to describe the strategy of health workers in decreasing the ARI case number on toddlers in the assisted area of Puskesmas Getasan. This research was using descriptive qualitative method with the data collection technique was through deep interview. The data analysis technique was done through Miles and Huberman, which were data reduction, data display and conclusion. This research was done in September-October 2017 in Puskesmas Getasan, Kecamatan Getasan, Kabupaten Semarang, Jawa Tengah. The result of this study concluded that ARI case number to toddlers in the assisted area of Puskesmas Getasan was high. The treatment to ARI toddlers was using Manajemen Terpadu Balita Sakit and Manajemen Terpadu Balita Sakit Berbasis Masyarakat. Also when doing their responsibility, the health workers did many strategies either technically or initiatively such as monitoring the toddlers’ health, counseling and giving traditional medicine, and cooperating across sectors as the effort to reduce the number of ARI case number on toddlers in the assisted area of Puskesmas Getasan. Based on the study result, the ARI case number on toddlers in the area of Getasan was getting decreased.
PENGALAMAN IBU DALAM MENDAPATKAN DUKUNGAN KELUARGA TERKAIT ANTENATAL CARE K4 DI PUSKESMAS SIDOREJO LOR SALATIGA Elsa Desiyanti Simatupang; Arwyn W Nusawakan; Treesia Sujana
Jurnal Kesehatan Kusuma Husada Vol. 13 No. 1, Januari 2022
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (228.473 KB) | DOI: 10.34035/jk.v13i1.785

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Antenatal Care atau kunjungan antenatal adalah pemeriksaan kesehatan ibu hamil selama masa kehamilan untuk mencegah terjadinya komplikasi yang dapat membahayakan ibu dan janin. Kualitas Pelayanan antanetal care terhadap ibu hamil perlu perhatian kusus sehingga dapat memenuhi standar pelayanan demi tercapainya tujuan kesehatan sesuai dengan target renstra kemenkes tahun 2017. Kunjungan antenatal oleh ibu hamil dipengaruhi oleh beberapa faktor salah satunya faktor keluarga. Dukungan keluarga menjadi salah satu dampak yang dapat mempengaruhi frekuansi dalam pemeriksaan antenatal care. adalah untuk mengetahui pengalaman ibu dalam mendapatkan dukungan keluarga terkait Antenatal care K4 di Puskesmas Sidorejo Lor Kota Salatiga. penelitian ini menggunakan jenis penelitian kualitatif dengan metode deskriptif. Teknik pengumpulan data yang digunakan oleh peneliti adalah wawancara mendalam (Deep Interview). sampel ibu dengan anak usia 0-1 tahun pada masa kehamilan tidak mencapai K4 pemeriksaan antenatal care. Pengetahuan ibu, dukungan keluarga dan ekonomi keluarga sangat mempengaruhi ibu dalam melakukan pemeriksaan antenatal care K4. Dukungan keluarga menjadi salah satu masalah, yang dapat mempengaruhi ibu untuk melakukan pemeriksaan antenatal care. Perhatian suami sangat penting untuk memotivasi ibu dalam menjaga kesehatan, serta melakukan pemeriksaan kandungan, dan perhatian suami juga dapat membuat ibu bahagia. Ekonomi keluarga yang rendah juga menjadi salah satu penyebab ibu tidak rutin melakukan pemeriksaan antenatal care. Keadaan sosial ekonomi sangat mempengaruhi kehamilan ibu karena berhubungan dengan pemenuhan kebutuhan-kebutuhan ibu selama kehamilan, kurangnya pengetahuan ibu dan keluarga mengenai pentingnya antenatal care, serta dukungan keluarga dari segi ekonomi dalam mendukukung kesehatan ibu dan janin, mengakibatkan ibu hamil tidak melakukan pemeriksaan antenatal care secara rutin. Antenatal care or antenatal visits are health checks of pregnant women during pregnancy to prevent complications that can harm the mother and fetus. The quality of antenatal care services for pregnant women needs special attention that way; they can meet service standards to achieve health goals following the 2017 Ministry of Health strategic plan targets. Antenatal visits by pregnant women are affected by several factors, one of which is family factors. Family support is one of the impacts that can affect the frequency of antenatal care checks. The purpose of the study was to determine the experience of mothers in getting family support related to K4 Antenatal care at the Sidorejo Lor Health Center, Salatiga City. Research Methods this research uses qualitative research with descriptive methods. The data collection technique used by the researcher is the in-depth interview (Deep Interview). Sample Mothers with children aged 0-1 years during pregnancy did not reach K4 for antenatal care examinations. Research Results Mother's knowledge, family support, and the family economy will affect mothers conducting antenatal care K4 examinations. Family support is one of the problems, which can influence mothers to carry out antenatal care checks. The husband's attention is very important to motivate the mothers in maintaining health, as well as conducting an obstetrical examination, and the husband's attention can also make them happy.The low family economy is also one of the reasons why mothers do not routinely carry out antenatal care checks. Socio-economic conditions will affect the mother's pregnancy because it is related to meeting the needs of the mother during pregnancy, the lack of knowledge of mothers and families about the importance of antenatal care, as well as family support from an economic perspective in supporting maternal and fetal health, resulting in pregnant women not doing antenatal care checks routinely.
Village Government's Strategy in Implementing the Maternal and Child Health Revolution Policies Rifatolistia Tampubolon; Arwyn Weynand Nusawakan; Treesia Sujana; Kanako Shinkawa; Gloria Ndoen; Kristiani Desimina Tauho
Indonesian Journal of Global Health Research Vol 5 No 1 (2023): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (273.436 KB) | DOI: 10.37287/ijghr.v5i1.1638

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Maternal health in Timor Tengah Selatan (TTS), East Nusa Tenggara Province, Indonesia, remains an unsolved health problem. It needs women's participation in maternal health care and social role and supports to solve the problem. This research aims to identify the role of village leaders and family decision-making concerning the increased utilization of maternal health services. Objective: This case study was conducted in Binaus Village, Mollo Tengah Sub-district, TTS, East Nusa Tenggara, by six village officials. This is qualitative research that employed a case study. The analysis units in the research were village officials and family heads by employing in-depth interviews and thirty-four family heads by employing Focus Group Discussion (FGD). The data was analyzed by using thematic analysis. There were seven themes revealed, mothers' health is essential for Binaus people, the information source comes from Binaus people themselves, most of the people are obedient to village officials' suggestions and instructions, sanctions granting to improve the use of health facilities and services, the implementation of local government's programs related to mother's and child's health, the existence of transition in decision making, and the preference of health workers use. In the end, the impact of the village leader's support towards maternal health causes a transition in Binaus society in terms of optimizing maternal health services and influencing the decision-making process of families to actively support their maternal mothers actively get better health checkups.
PENGARUH PEMBERIAN PELATIHAN BANTUAN HIDUP DASAR (BHD) TERHADAP PENGETAHUAN DAN TINDAKAN BHD PADA SISWA SMA KARYA PEMBANGUNAN MARGAHAYU Sujana, Treesia; Alfilayli Nikmah, Bella; Ginting, Monika
Jurnal Kesehatan Kusuma Husada Vol. 15 No. 1, Januari 2024
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v15i1.1238

Abstract

Kondisi kegawat daruratan henti jantung dapat terjadi dimana saja termasuk di lingkungan sekolah. Besaran masalah ini terlihat dari angka kematian akibat penyakit jantung dimana di Indonesia terdapat 251 kematian akibat penyakit jantung pada setiap 100.000 penduduk di tahun 2019. Pelatihan Bantuan Hidup Dasar (BHD) di lingkungan sekolah dirasakan penting untuk memberikan pengetahuan dan ketrampilan BHD pada siswa SMA. Tujuan studi ini adalah mengidentifikasi apakah pelatihan BHD memberikan pengaruh terhadap pengetahuan dan tindakan BHD pada siswa SMA Karya Pembangunan Margahayu. Quasi experiment dengan pretest-postest with One Grup Design dipergunakan dalam studi ini. Teknik purposive sampling kemudian mendapatkan 50 sample. Uji statistik Wilcoxon dipergunakan dalam analisa data. Setelah pelatihan BHD, didapatkan bahwa 42 siswa (84.0%) memiliki pengetahuan baik dan 20 siswa ditemukan memiliki kemampuan cukup dalam tindakan BHD (36.0%). Uji statistik Wilcoxon diperoleh p-value 0,000 ˂ 0,05 yang memperlihatkan bahwa terdapat pengaruh pelatihan BHD terhadap meningkatnya pengetahuan dan tindakan BHD pada siswa SMA Karya Pembangunan Margahayu. Simpulan dari penelitian adalah bahwa pelatihan BHD memiliki pengaruh terhadap pengetahuan dan tindakan BHD pada siswa. Diharapkan dengan memiliki ketrampilan BHD, siswa dapat menghadapi kondisi kegawat daruratan yang dapat terjadi disekitar mereka termasuk di lingkungan sekolah dan masyarakat. Basic Life Support (BLS) training for high school students is important to increase knowledge and skills in BLS. The need of BLS training can be seen from the number of deaths from heart disease in Indonesia, where there were 251 deaths caused by heart disease in every 100,000 citizens in 2019. BLS training is considered to be important in increasing BLS knowledge and skills towards High School students. The purpose of this study is to identified whether there is an influence of BLS training towards knowledge and skills in students of Margahayu High School of Development. This research design uses quasi-experiments with pretest-postest with One Group Design. Purposive sampling techniques was used to collect 50 samples. Wilcoxon statistical test is chosen to analised the data. After the BHD training, it was found that 42 students (84.0%) had good knowledge and 20 students were found to have sufficient skills in BLS (36.0%). Furthermore, Wilcoxons statistical tests identified the p-value of 0,000( ˂ 0,05) which shows the influence of giving BLS training on the improvement of BLS knowledge and skills in students of Margahayu Karya Development High School. It is concluded from this study that BLS training can affect students BLS knowledge and psichomotor. It is expected that by having the BLS skills, students will be able to cope with the emergency situation that might occur surround them, including at school and the community.
Hubungan Penggunaan Media Sosial dengan Tingkat Harga Diri pada Remaja di RW 05 Kelurahan Pelindung Hewan Kecamatan Astana Anyar Kota Bandung Qodariyah, Sri Dewi Tirta; Maryani, Lidya; Sujana, Treesia
Jurnal Ilmiah Ners Indonesia Vol 5 No 2 (2024): November 2024
Publisher : Program Studi Keperawatan Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jini.v5i2.36906

Abstract

Adolescents' use of social media allows them to communicate and share information or content to gain validation and recognition from peers through likes, comments, and number of followers. Social praise and support can boost their self-esteem. Teens also often compare themselves to peers or famous figures on social media. Seeing seemingly better or more successful lifestyles can lead to discomfort, dissatisfaction, and decreased self-esteem. This study aims to determine the relationship between social media use and self-esteem in adolescents in RW 05 Pelindung Hewan Village, Astana Anyar District, Bandung City. This type of research is quantitative and has a cross-sectional design. The sample in this study was 116 respondents using a total sampling technique with the criteria of adolescents aged 16-22. Research instruments used the Bergen Social Media Addiction Scale (BSMAS) and the Rosenberg Self-Esteem Scale (RSES). The results showed that most respondents used warning social media (60%), and most had low self-esteem (55%). The Chi-Square test results showed a p-value of=0.011. Because the Asymptotic Significance (2-sided) value of 0.011 <0.05, it can be concluded that there is a relationship between the use of social media and the level of self-esteem in adolescents in RW 05 Animal Protector Village, Astana Anyar District, Bandung City. Urban health cadres are expected to organize digital literacy training for adolescents, including using social media wisely, recognizing fake news, and understanding its impact on self-esteem. Abstrak Penggunaan media sosial oleh remaja memungkinkan mereka untuk berkomunikasi dan berbagi informasi atau konten untuk mendapatkan validasi dan pengakuan dari teman sebaya melalui likes, komentar, dan jumlah pengikut. Pujian dan dukungan sosial dapat meningkatkan harga diri mereka. Remaja juga sering membandingkan diri mereka dengan teman sebaya atau tokoh-tokoh terkenal di media sosial. Melihat gaya hidup yang tampaknya lebih baik atau lebih sukses dapat menyebabkan perasaan tidak nyaman, ketidakpuasan, dan penurunan harga diri. Penelitian ini bertujuan untuk mengetahui hubungan penggunaan media sosial dengan tingkat harga diri pada remaja di RW 05 Kelurahan Pelindung Hewan Kecamatan Astana Anyar Kota Bandung. Jenis penelitian ini kuantitatif dengan desain cross sectional. Sampel dalam penelitian ini sebanyak 116 responden menggunakan teknik total sampling dengan kriteria remaja berusia 16-22 tahun. Instrumen Penelitian menggunakan Bergen Social Media Addiction Scale (BSMAS) dan Rosenberg Self-Esteem Scale (RSES). Hasil penelitian menunjukkan bahwa sebagian besar responden termasuk dalam penggunaan media sosial peringatan (60%) dan sebagian besar responden termasuk dalam tingkat harga diri rendah (55%).  Hasil uji Chi-Square menunjukkan nilai p-value=0,011. Karena nilai Asymptotiv Significance (2-sided) 0,011 < 0,05, maka dapat disimpulkan bahwa ada hubungan penggunaan media sosial dengan tingkat harga diri pada remaja di RW 05 Kelurahan Pelindung Hewan Kecamatan Astana Anyar Kota Bandung. Diharapkan kader kesehatan kelurahan agar dapat menyelenggarakan pelatihan literasi digital untuk remaja yang mencakup penggunaan media sosial secara bijaksana, mengenali berita palsu, dan memahami dampaknya pada harga diri. Kata Kunci:  Penggunaan Media Sosial, Remaja, Tingkat Harga Diri  
SEXUAL ABUSE AND RISK OF CHRONIC ILLNESS: A LITERATURE REVIEW Sujana, Treesia
Journal of Maternity Care and Reproductive Health Vol 7, No 4 (2024): Journal of Maternity Care Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v7i4.12303

Abstract

Sexual violence is a traumatic event that often has a long-term impact on physical and mental condition. The existing research primarily focuses on the prevalence and general impacts of sexual violence however, there appears to be a paucity of research investigating the specific long-term effects of sexual violence on women. The aim of this literature review is to described the relation between sexual abuse and the risk of Chronic Illness. This study employs a thematic literature review methodology utilizing the Onwegbuzie & Frels Seven Step model, which is particularly suitable for qualitative research literature reviews; however, it is sufficiently flexible to be applied to other research paradigms. In this study, literature was selected incorporating both qualitative and quantitative studies. Journal articles were identified and selected through the EBSCO and SCOPUS web bases. Twenty papers were then selected according to the following criteria: study conducted on the topic of sexual violence and its effects on chronic illness and health. Due to the thematic methodology employed, articles were subjected to critical appraisal, with particular emphasis on the study's objectives and findings. Three major themes were concluded from the study: the tendency to develop high-risk behaviors; the occurrence of trauma and stress; and the presence of conditions with somatic and physical symptoms that lead to chronic disease. The themes resulting from this study show a link between sexual violence and its relationship with behavioral and lifestyle changes that ultimately have a physical impact.
Sepsis protocol adherence and emergency department overcrowding: An observational study Arifani, Nisa; Mulyati, Leli; Sasmito, Priyo; Sujana, Treesia; Gayatri, Sri Wahyuni; Astuti, Novia Dwi; Librianty, Nurfanida; Lie, Sukirman; Deviana, Elina; Ihsan , Farly
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.870

Abstract

Background: Emergency Department (ED) overcrowding is a persistent global challenge that affects the quality and timeliness of patient care, particularly for sepsis management. Despite established guidelines such as the hour-1 sepsis bundle and national sepsis guideline, adherence remains inconsistent. Purpose: To analyze the relationship between sepsis protocol compliance and emergency unit crowding. Method: A retrospective observational cohort study was conducted, analyzing adult sepsis and septic shock patients triaged as Priority 1. Data on patient demographics, sepsis severity scores, ED occupancy rates, and adherence to sepsis protocols using the Hour-1 sepsis bundle and the National Sepsis Guideline were collected. Statistical analysis was performed using Fisher’s Exact Test to examine associations between ED overcrowding and compliance with sepsis protocols, with a significance threshold of p<0.05. Results: This study included 38 cases with a mean age of 56.6 years and the majority (52.6%) of patients were female. Most cases were diagnosed with septic shock (55.3%) and the average occupancy rate of the emergency department was 80.8%. Serum lactate measurements were performed in 68.4% of cases, blood culture sampling in 21.1%, and broad-spectrum antibiotics were given in 94.7%. Full compliance with both sepsis protocols was only 5.3%. Compliance with fluid resuscitation was high at 97.4%, while compliance with blood culture sampling was low at 5.3% and 7.9%. No significant association was found between protocol compliance and ED crowding (p > 0.05). Conclusion: There was no significant correlation between ED crowding and adherence to sepsis protocols. Strategic and clinical policy interventions are needed to improve adherence to sepsis management guidelines. Suggestion: Future research should investigate additional barriers to sepsis care, such as financial constraints, physician decision-making processes, and variations in adherence across healthcare settings to develop more comprehensive strategies to improve sepsis outcomes worldwide.
Strategi Holistik Edukasi Kesehatan Berbasis Komunitas Gereja dalam Meningkatkan Pengetahuan Lansia tentang Pengelolaan Hipertensi Prasetyaningrum, Widyadari; Sujana, Treesia; Harun, Iriyanti
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 6 No. 3 (2025): Edisi Juli - September
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55338/jpkmn.v6i3.6516

Abstract

Hipertensi merupakan salah satu masalah kesehatan utama pada lansia yang dapat meningkatkan risiko komplikasi kardiovaskular apabila tidak dikelola dengan baik. Gaya hidup tidak sehat seperti pola makan tinggi lemak, kurang aktivitas fisik, serta minimnya dukungan keluarga menjadi faktor risiko yang dominan, terutama pada kelompok lansia dengan obesitas sentral. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran lansia dalam pengelolaan hipertensi melalui edukasi kesehatan berbasis komunitas gereja dengan pendekatan holistik yang meliputi aspek gizi seimbang, aktivitas fisik, dan dukungan keluarga. Kegiatan dilaksanakan di Gereja Kristen Pasundan Awiligar, Kota Bandung, dengan melibatkan 32 lansia yang tergabung dalam kelompok lansia gereja. Metode kegiatan terdiri dari pengkajian awal, edukasi kesahatan, praktik senam lansia, serta pendampingan edukatif dengan melibatkan keluarga. Evaluasi dilakukan melalui pre test dan post test pengetahuan, serta observasi partisipasi lansia. Hasil menunjukkan adanya peningkatan signifikan pengetahuan lansia setelah intervensi (p = 0,000000037), dengan 90,6% peserta mencapai kategori pengetahuan baik pada post test. Kegiatan ini membuktikan bahwa edukasi kesehatan berbasis komunitas gereja efektif dalam meningkatkan pemahaman lansia terkait pencegahan dan pengelolaan hipertensi. Pendekatan holistik yang melibatkan aspek fisik, nutrisi, dan dukungan sosial sangat disarankan untuk diterapkan secara berkelanjutan dalam upaya promotif dan preventif di komunitas lansia.