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ANALISIS TINGKAT STRES DENGAN EVALUASI PENGOBATAN AKHIR TUBERKULOSIS Juati; Joko Sapto Pramono; Tini
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol. 18 No. 1 (2023): Jurnal Ilmiah PANNMED Periode Januari - April 2023
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36911/pannmed.v18i1.1553

Abstract

ABSTRACT The treatment period for patients with tuberculosis (TB) in the intensive and advanced stages is 6-9 months, the long treatment time and close supervision cause psychological stress which can have an impact on treatment outcomes. This study aims to determine the relationship between stress levels and the treatment outcomes of TB patients at RSUD dr. H Soemarno Sosroatmodjo Tanjung Selor, North Kalimantan Province. The design of this research is descriptive correlation with cross sectional approach. Samples were taken as a total sampling of 50 patients diagnosed with tuberculosis and currently undergoing treatment. The statistical test used is the chi square and alternative Kolmogorov-Smirnov test. The results of the study showed that the value of p = 0.00 was less than the value of ? = 0.05, which means that there is a relationship between stress levels and the results of pulmonary TB treatment at RSUD dr. H. Soemarno Sosroatmodjo Tanjung Selor, Tanjung Selor. Conclusion: the long period of treatment for pulmonary TB causes stress in patients as evidenced by the results of research that has a significant relationship between stress levels and the results of pulmonary TB treatment. It is recommended that health workers provide more intensive motivation and assistance so that treatment can be completed without causing stress. Keywords: Treatment evaluation; stress; tuberculosis. ABSTRAK Masa pengobatan penderita tuberculosis (TB) tahap intensif dan lanjutan selama 6 – 9 bulan, waktu pengobatan yang cukup lama dan pengawasan yang ketat menimbulkan stres psikologis yang dapat berdampak pada evaluasi pengobatan. Penelitian ini bertujuan untuk mengetahui hubungan tingkat stres dengan evaluasi pengobatan pasien TB di RSUD dr. H Soemarno Sosroatmodjo, Tanjung Selor, Provinsi Kalimantan Utara. Desain penelitian ini adalah deskriptif korelasional dengan pendekatan cross sectional. Sampel diambil secara total sampling sebanyak 50 pasien yang terdiagnosis tuberculosis dan sedang menjalani pengobatan. Uji statistik yang digunakan adalah chi square dan alternatif uji Kolmogorov-Smirnov. Hasil penelitian didapatkan nilai p = 0,00 lebih kecil dari nilai ?= 0,05 yang berarti terdapat hubungan antara tingkat stres dengan evaluasi pengobatan TB Paru di RSUD dr. H. Soemarno Tanjung Selor. Kesimpulan: lamanya masa pengobatan TB paru menimbulkan stress pada pasien terbukti dari hasil penelitian yang signifikan hubungan antara tingkat stres dengan evaluasi pengobatan TB Paru. Disarankan kepada tenaga Kesehatan memberikan motivasi dan pendampingan yang lebih intensif agar pengobatan selesai tanpa menimbulkan sress. Kata kunci: Evaluasi pengobatan; stres; tuberculosis.
Self Harm in Polytechnic Students of the Ministry of Health of East Kalimantan in 2025 Gajali Rahman; Tini; Lukman Nulhakim
Afiyatun Journal of Health Sciences Vol. 1 No. 1 (2025): December
Publisher : PT. Edukasi Ahmad Kirang

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Abstract

Background: Self-harm behavior is a serious concern among college students who face high academic pressure, dense study loads, and strict time demands. This study aimed to identify and describe factors contributing to self-harm behavior among Nursing and Midwifery students at Poltekkes Kemenkes Kaltim in 2025. Methods: This descriptive study used a qualitative approach with deep interview technique. The sample consisted of 104 respondents selected through purposive sampling. Data collection used questionnaires and observations. Data validity was ensured through observation persistence and triangulation techniques. Results: The study found that 59 respondents (56.7%) had a tendency toward self-harm behavior. The majority were female (47.7%), aged 15-20 years (50.85%), in semester 4 (44%), and with parental income of Rp.1,000,000-Rp.5,000,000 (60.2%). Common behaviors included self-blame, neglecting wounds, reckless driving, and self-hitting. Conclusion: Self-harm behavior among students requires immediate attention. This research contributes to understanding self-harm behavior so that perpetrators can seek psychological treatment before it develops into actual suicide attempts.
Pemberian Sayur Pepaya Muda(Carica Papaya L) Dalam Meningkatkan Produksi Asi Pada Ibu Menyusui Arie Susanti; Tini; Andi Ria Metasari; Ratanto
Mahakam Midwifery Journal (MMJ) Vol. 10 No. 2 (2025): November
Publisher : Politeknik Kesehatan Kementerian Kesehatan Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35963/mmj.v10i2.73

Abstract

Abstract Breast milk (ASI) production was an important factor in infant growth and development. One of interventions to increase breast milk production was the consumption of young papaya (Carica papaya L) vegetables. This study aim to determine the effect of young papaya leaves (Carica papaya L) consumption on breast milk production among breastfeeding mothers in Semajau Mekar Village, Sintang Regency. This study used a pre-experimental design with one-group pretest-posttest design. A total of 16 respondents participated. The research was conducted in April–May 2025 in Semajau Mekar Village, working area of Serangas Public Health Center. Data were analyzed univariately and bivariately to observe the differences in breast milk production before and after the intervention. The average breast milk production before the intervention ranged from 71.06 ± 5.65 ml to 76.06 ± 8.00 ml. After the provision of young papaya vegetables, the average breast milk production increased to 83.94 ± 7.69 ml to 95.75 ± 8.10 ml. Statistical tests showed a significant difference between breast milk production before and after the intervention (p < 0.05). Young papaya vegetables could be used as a simple alternative intervention to help improve the smoothness of breast milk production. Keywords: Breast Milk Production, Young Papaya, Breastfeeding Mothers Abstrak Produksi Air Susu Ibu (ASI) merupakan faktor penting dalam tumbuh kembang bayi. Salah satu intervensi sederhana yang diduga dapat meningkatkan produksi ASI adalah konsumsi sayur pepaya muda (Carica papaya L). Penelitian ini bertujuan untuk mengetahaui prngaruh pemberian sayur pepaya muda (carica papaya L) terhadap produksi ASI pada ibu menyusui di desa semaju mekar, kabupaten sintang. Penelitian ini menggunakan desain pre-experiment dengan rancangan one group pretest-posttest design. Populasi penelitian adalah ibu menyusui dengan bayi usia 0–6 bulan yang memenuhi kriteria inklusi dan eksklusi. Jumlah responden sebanyak 16 orang. Analisis data dilakukan secara univariat dan bivariat untuk melihat perbedaan produksi ASI sebelum dan sesudah intervensi. Hasil penelitian menunjukkan rata-rata produksi ASI sebelum perlakuan berada pada kisaran 71.06 ± 5.65 ml hingga 76.06 ± 8.00 ml. Setelah pemberian sayur pepaya muda, rata-rata produksi ASI meningkat menjadi 83.94 ± 7.69 ml hingga 95.75 ± 8.10 ml. Hasil uji statistik menunjukkan adanya perbedaan yang signifikan antara produksi ASI sebelum dan sesudah perlakuan (p < 0.05). Pemberian sayur pepaya muda (Carica papaya L) berpengaruh signifikan terhadap peningkatan produksi ASI pada ibu menyusui, sehingga dapat dijadikan alternatif intervensi sederhana untuk membantu meningkatkan kelancaran ASI. Kata Kunci: Produksi ASI, Pepaya Muda, Ibu Menyusui