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All Journal Manuju : Malahayati Nursing Journal Inovasi Kesehatan Global Vitamin: Jurnal Ilmu Kesehatan Umum
Zikra Ihtasya Annabila
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Health Professions Medicine & Pharmacology Nursing Public Health

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Studi Deskriptif Pasien Multi Drug Resisten Tuberculosis di Rsu Cut Mutia Kabupaten Aceh Utara Tahun 2019-2022 Cut Khairunnisa; Muhammad Sayuti; Refi Syifa Ghinanda; Zikra Ihtasya Annabila
Malahayati Nursing Journal Vol 5, No 2 (2023): Volume 5 Nomor 2 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i2.7928

Abstract

ABSTRACT Tuberculosis is an infectious disease that is still a global health problem. The long period of treatment for tuberculosis results in patients not completing treatment until completion, giving the wrong drug, both the wrong dose and type of drug, poor drug quality, and lack of drug supply which are the causes of multi-drug resistant tuberculosis (MDR TB) cases. MDR-TB is a type of tuberculosis that is resistant to the two most powerful tuberculosis drugs, namely Isoniazid and Rifampicin. The Ministry of Health of the Republic of Indonesia in 2021 stated that there were 7921 confirmed cases and 4590 enrolled cases of MDR/RR TB. This study aims to analyze the characteristics and determinants associated with MDR TB patients undergoing treatment. This study used a retrospective descriptive study design, total sampling was carried out on MDR TB patients undergoing treatment at RSU Cut Mutia in the period 2019 to 2022 as many as 40 samples. The results of the study found that the average age of MDRTB patients was 45.5 years. The most gender was male at 70%, with normal nutritional status at 65% with a history of previous treatment failure of 65%. As many as 75% of MDRTB patients do not have comorbid diseases, and the guideline for the use of long-term OAT is the most dominant, which is 65%. Keywords: MDR-TB, Characteristics, Determinant Factors  ABSTRAK Tuberkulosis merupakan penyakit infeksi yang masih menjadi permasalahan kesehatan dunia. Lamanya periode pengobatan tuberkulosis mengakibatkan penderita tidak menyelesaikan pengobatan sampai selesai, pemberian obat yang salah, baik kesalahan dosis maupun  jenis obat, kualitas obat yang buruk serta persediaan obat yang kurang menjadi penyebab timbulnya kasus multi drug resisten tuberkulosis (MDR TB). TB-MDR merupakan jenis tuberculosis yang kebal terhadap dua obat tuberculosis paling kuat yaitu Isoniazid dan Rifampisin. Kementerian Kesehatan Republik Indonesia tahun 2021 menyatakan terdapat 7921 kasus terkonfirmasi dan 4590 kasus enroll TB MDR/RR. Penelitian ini bertujuan untuk menganalisis karakteristik dan factor determinan yang berhubungan selama penderita MDR TB menjalani pengobatan. Penelitian ini menggunakan desain studi deskriptif retrospective, pengambilan sampel dilakukan secara total sampling pada pasien MDR TB yang menjalani pengobatan di RSU Cut Mutia dalam rentang waktu 2019 hingga 2022 sebanyak 40 sampel. Hasil penelitian dijumpai usia rata-rata penderita MDRTB 45,5 tahun. Jenis kelamin terbanyak adalah laki-laki sebesar 70%, status gizi normal 65% dengan riwayat gagal pengobatan sebelumnya sebesar 65%. Sebanyak 75% penderita MDRTB tidak memiliki penyakit komorbid, serta panduan penggunaan OAT jangka panjang paling dominan yaitu sebanyak 65%. Kata Kunci: MDR-TB, Karakteristik, Faktor Determinan
Pelaksanaan Informed Consent Dalam Pelayanan Medik Adi Rizka; Cut Khairunnisa; Zikra Ihtasya Annabila; Santri Windiani
Malahayati Nursing Journal Vol 5, No 4 (2023): Volume 5 Nomor 4 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i4.8033

Abstract

ABSTRACT Informed consent is a rule that every medical action must obtain the consent of the patient or the patient's family. However, before the approval is given, the doctor has the obligation to provide comprehensive information about the patient's illness, the type of medical action to be carried out, the chances of recovery, the risks of medical action, and the costs required to carry out the treatment. In addition, doctors must also provide opportunities for patients to have a second opinion with another doctor and provide alternative treatments other than what the doctor has suggested. After the doctor provides this information, the patient can decide to accept or reject the medical treatment suggested by the doctor. Informed consent is an embodiment of caution in carrying out medical procedures so that doctors and patients already have an overview of the success or failure of medical action before surgery or medical treatment is carried out. Another benefit, in the aspect of law enforcement, informed consent can be used as evidence in court if there is a lawsuit from either the doctor or the patient, or the patient's family. Keywords: Services, Informed Consent, Medical Services  ABSTRAK Informed consent merupakan suatu aturan dimana setiap tindakan medik harus mendapatkan persetujuan dari pasien atau keluarga pasien. Namun, sebelum persetujuan itu diberikan, dokter mempunyai kewajiban untuk memberikan informasi secara menyeluruh tentang penyakit yang diderita pasien, jenis tindakan medik yang akan dijalankan, peluang kesembuhan, resiko tindakan medik dan biaya yang dibutuhkan dalam menjalankan perawatan tersebut. Selain itu, dokter juga harus memberikan peluang kepada pasien untuk melakukan second opinion dengan dokter lain dan memberikan alternatif pengobatan selain daripada yang sudah disarankan dokter bersangkutan. Setelah dokter memberikan informasi tersebut, pasien dapat memutuskan menerima atau menolak tindakan medik yang disarankan dokter tersebut. Informed consent merupakan perwujudan daripada sikap kehati-hatian dalam menjalankan tindakan medik sehingga dokter dengan pasien sudah mempunyai gambaran keberhasilan atau kegagalan daripada tindakan medik sebelum operasi atau rawatan medik dilakukan. Manfaat lainnya, dalam aspek penegakkan hukum, informed consent dapat dijadikan alat bukti di pengadilan sekiranya ada tuntutan hukum baik dari pihak dokter maupun pasien atau keluarga pasien. Kata Kunci: Pelayanan, Informed Concent, Pelayanan Medik
Pengaruh Penggunaan Gadget terhadap Perkembangan Anak Usia Pra Sekolah di Kecamatan Banda Sakti Lhokseumawe Zikra Ihtasya Annabila; Mauliza Mauliza; Cut Sidrah Nadira
Inovasi Kesehatan Global Vol. 2 No. 4 (2025): November: Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i4.2358

Abstract

Developmental deviations in children under five years of age are estimated to affect approximately 5-10% of this population, with inappropriate stimulation, particularly from electronic devices such as gadgets, being a significant contributing factor. Early exposure to these technologies can lead to decreased physical activity, adversely impacting the overall development of children, including their gross and fine motor skills, language acquisition, socialization, and independence. The objective of this study was to evaluate the effect of gadget usage on the developmental outcomes of preschool children in the Banda Sakti District of Lhokseumawe, utilizing an observational analytic research method with a cross-sectional design to collect both primary and secondary data. The results indicated varying levels of gadget usage among respondents: 40 individuals (42%) fell into the high usage category, 31 individuals (32%) were classified as moderate users, and 25 individuals (26%) were categorized as low users. Among those with low gadget usage, 6 respondents (24%) displayed questionable developmental outcomes, while in the moderate and high usage categories, 22 respondents (71.1%) and 22 respondents (55%) respectively exhibited similar concerns. This study reveals that a significant number of children are facing developmental disorders, with 21 respondents (37.5%) experiencing challenges related to socialization and independence, and 17 respondents (30.4%) demonstrating speech and language difficulties. Notably, a substantial proportion of preschool children (52 respondents or 54.2%) were identified as having high levels of gadget usage, and the study established a significant correlation between the intensity of gadget use and the occurrence of developmental disorders in preschool children within the Banda Sakti District of Lhokseumawe.
Studi Kasus Anak Usia 10 Bulan dengan Gizi Kurang di Desa Kuala Keureuto Barat Puskesmas Tanah Pasir Tahun 2025 Mumtaz Alvira; Zahrawanda Ashfarina Muslim; Zikra Ihtasya Annabila; Muhammad Daniyal; Jarita Jarita; Noviana Zara
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 4 (2025): October : Vitamin : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i4.1742

Abstract

Malnutrition is a condition in which the body does not receive enough essential nutrients, such as protein, vitamins, calories, and minerals, which causes various health problems, especially wasting and stunting, making it a serious concern in children. According to the Basic Health Research, the prevalence of malnourished children in Indonesia remained stable at 17.8% between 2016 and 2017 but decreased to 13.8% in 2018. This case study focuses on a 23-month-old girl from Kuala Keureuto Village, who was observed for three weeks through home visits in 2025. The diagnosis of malnutrition was made in accordance with national guidelines outlined in the Indonesian Minister of Health Regulation No. 2 of 2020, regarding child anthropometric standards. Anthropometric measurements showed that the child's height was 78.3 cm and her weight was 8.8 kg. Based on these measurements, her nutritional status was assessed as follows: A height/age Z-score between -2 and -3 SD indicates stunting, a weight/age Z-score between -2 and -3 SD indicates underweight, while a weight/age Z-score below -2 SD and a BMI/age Z-score below -2 SD are considered well-nourished. After confirming the diagnosis, the patient received nutrition education, supplemental feeding, appetite-stimulating supplements, and growth monitoring. In addition, analyses were conducted to identify factors influencing her condition, concluding that the malnutrition observed in this 23-month-old patient was influenced by parenting behavior, parental knowledge, medical history, incomplete immunizations, and environmental factors.
Co-Authors Adi Rizka Cut Khairunnisa Cut Sidrah Nadira Jarita Jarita Mauliza Mauliza Muhammad Daniyal Muhammad Sayuti Mumtaz Alvira Noviana Zara Refi Syifa Ghinanda Santri Windiani Zahrawanda Ashfarina Muslim