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Hengki Tranado
Universitas Dehasen Bengkulu
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Hubungan Sanitasi Lingkungan Dengan Kejadian Diare Pada Balita Di Wilayah Kerja Puskesmas Sambirejo Rejang Lebong Tahun 2025 Sutarni Sutarni; Sasteri Yulianti; 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.v5i2.9859

Abstract

World Health Organization (2019) diarrhea is an environmentally-based disease that occurs in almost all geographical areas of the world. Diarrhea is the third leading cause of death in children aged 1-59 months. Globally, the WHO (World Health Organization) states that there are approximately 1.7 billion cases of diarrhea in children each year. More precisely, every year diarrhea kills around 443,832 children aged under 5 and an additional 50,851 children (WHO, 2024). The purpose of this study is to determine a correlation between environmental sanitation and the incidence of diarrhea in toddlers in the Working Area of Sambirejo Health Center, Rejang Lebong in 2025. The research method used was descriptive quantitative research with a cross-sectional approach. The sampling technique used was purposive sampling with a sample size of 72 people. The results of the univariate analysis showed that almost all respondents (38.9%) had an inadequate source of clean water, almost all respondents (29.2%) did not have access to a healthy toilet, almost all respondents (37.5%) had poor waste management, almost all respondents (43.1%) had poor sewage management, and nearly half of the respondents (36.1%) had poor wastewater management. The results of the bivariate analysis showed a correlation between clean water sources (0.000), sanitary toilets (p=0.000), waste management (p=0.002), and wastewater management (p=0.004) with the incidence of diarrhea in toddlers. There is a correlation between environmental sanitation and the incidence of diarrhea in toddlers in the Working Area of Sambirejo Health Center, Rejang Lebong in 2025. The Health Center is expected to enhance its routine environmental health education programs for the community, particularly mothers with infants.
Pengaruh Relaksasi Nafas Dalam Terhadap Penurunan Kecemasan Pasien Pre Operasi Di Instalasi Bedah Rsud Kabupaten Rejang Lebong Tahun 2025 Maria Atvennia; Ice Rakizah Syafrie; 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.v5i2.9905

Abstract

Anxiety is a common psychological problem experienced by patients prior to surgery. High levels of anxiety can affect the patient's physiological condition and potentially worsen the surgical process. Deep breathing relaxation is a simple non-pharmacological intervention that can be used to reduce anxiety. This study aims to determine the effect of deep breathing relaxation on reducing anxiety in Pre-Operative Patients at RSUD Rejang Lebong Regency in 2025. This study used a quasi-experimental design with a one-group pre-test and post-test approach. The population consisted of 20 preoperative patients aged 17-50 years, selected using total sampling. The research instrument used APAIS questionnaire to assess anxiety. The intervention consisted of deep breathing relaxation techniques performed 4 hours before the patient entered the operating room and 1 hour before the patient entered the operating room. The deep breathing relaxation technique was administered for 15 minutes with breaks every 5 minutes. Data analysis was performed univariately for frequency distribution and bivariate using the Wilcoxon signed rank test. The results showed that before the deep breathing intervention, the majority of patients experienced mild anxiety (40%) and severe anxiety (35%). After the intervention, 40% of patients were in the non-anxious category, while severe anxiety decreased to 5% and no patients experienced panic. The Wilcoxon test results showed a Z value of -4.300 with P < 0.001, which means there is a significant difference between the anxiety levels before and after the intervention. The conclusion of this study is that deep breathing relaxation techniques are proven to be effective in reducing anxiety in preoperative patients. Nurses and patients are advised to apply deep breathing relaxation interventions as one of the efforts to reduce anxiety in preoperative patients.
Pengaruh Perubahan Posisi Dalam Mencegah Dekubitus Pada Pasien Tirah Baring Di Rsud Kabupaten Rejang Lebong Tahun 2025 Lara Harnelia Sari; Tuti Rohani; 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.v5i2.9908

Abstract

Decubitus ulcers are system damage caused by prolonged pressure that often occurs in patients on prolonged bed rest. They can increase morbidity and delay healing. Preventive measures can be implemented through nursing interventions such as regular position changes. The purpose of this Research was to determine the effect of position changes on preventing decubitus ulcers in bed rest patients at Rejang Lebong District Hospital in 2025. This research used a quasi-experimental design with a one-group pre-test and post-test approach. The population was all 15 bed rest patients aged 60 years and older who were hospitalized for more than 3 days, using a total sampling technique. The research instrument used the Braden Scale to assess pressure ulcer risk. The intervention, which involved position changes every 2 hours during the day and every 5–6 hours at night for 3 days of treatment. Data were analyzed univariately and bivariately using paired t-tests. The results showed a difference in pressure ulcer risk scores before and after the position change intervention, with the average Braden score increasing after treatment. The statistical test obtained a p-value
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

Abstract

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.
Co-Authors Feny Triyany Ice Rakizah Syafrie Lara Harnelia Sari Maria Atvennia Ravika Ramlis Sasteri Yulianti Sutarni Sutarni Tuti Rohani, Tuti