Nurfanida Librianty
Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Pertahanan Republik Indonesia

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

Utilisation and associated factors in public health centres in urban areas, Banten-Indonesia Priyo Sasmito; Sri Sumartini; Ahmadi Ahmadi; Nunuk Sri Purwanti; Nurfanida Librianty; Ultra Madani; Kurnia Arik Nugroho; Sri Wahyuni Gayatri
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 10 (2024): Volume 7 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i10.504

Abstract

Background: Public Health Centers (PHCs) in urban areas face various challenges, including competition from numerous other health facilities. Purpose: To analyze the internal factors influencing the utilization of a PHC in Serang City, Banten. Method: The study is analytical observational research with a cross-sectional design. The population includes individuals aged 14 and older residing within the PHC service area. Data on age, education level, employment, insurance ownership, availability of health workers, accessibility, and perception of illness were collected. The outcome measured was the utilization of PHC services, and data were analyzed descriptively. Results: A total of 96 respondents participated in the study. Most respondents were male (49/51.0%), aged 14-44 (59/61.5%), had a senior high school education and higher (37/38.5%), worked in the formal sector (56/58.3%), had national insurance (78/81.3%), and held a positive perception of illness (86/89.6%). Additionally, the majority found PHC access easy (78/81.3%) and believed that the necessary health workers were available (78/81.3%). Statistical analysis revealed that education (p-value 0.00), employment (p-value 0.00), insurance ownership (p-value 0.00), availability of health workers (p-value 0.00), accessibility (p-value 0.00), and perception of illness (p-value 0.00) were all significantly related to PHC utilization. Conclusion: To improve the development of more effective health policies, further studies are needed regarding the mechanisms behind the influence of these factors.
Venom-induced consumption coagulation in a hematotoxin snake bite in East Java, Indonesia: A case report Priyo Sasmito; Leli Mulyatiindo; Janno Berty Bradly Bernadus; Nisa Arifani; Novia Dwi Astuti; Fika Indah Prasetya; Nurfanida Librianty; Nandar Wirawan
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 11 (2025): Volume 7 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i11.668

Abstract

Background: Located in Southeast Asia, Indonesia is one of the countries with the highest incidence of fatal snakebites in the world. Difficulty in identifying snake species and limited availability of antivenom often pose challenges in treating snakebites. Purpose: To illustrate a case of consumption coagulation caused by a hematotoxin-containing snake venom. Method: A case study study describes a snakebite incident managed in the Emergency Department (ED) of a secondary general hospital in Tulungagung, East Java. A 53-year-old male patient presented with pain, swelling, and bleeding in his left thumb, after being bitten by a yellow-brown Bandotan snake, approximately two hours prior to arrival. Results: The patient was given antivenom therapy according to the guidelines. Patients were also given antitetanus, antibiotics, platelet transfusions and fresh frozen plasma (FFP), supportive therapy, and strict monitoring. in the surgical high care unit (HCU). The patient showed improvement on the fifth day and was discharged on the tenth day. Conclusion: The use of local polyvalent antivenom combined with antibiotics, antitetanus therapy, platelets, and FFP transfusion has shown promising results in the management of toxin-induced coagulopathy. Suggestion: Further studies are needed to evaluate the effectiveness of therapy in different age groups, including children, adults, and the elderly. In addition, this study only focused on therapeutic management and did not assess the impact of treatment on organ dysfunction caused by post-treatment lesions.