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AKURASI SKOR RISIKO KILLIP SEBAGAI PREDIKTOR PROGNOSIS PASIEN SINDROM KORONER AKUT ST-ELEVATION MYOCARD INFARCTION Roesardhyati, Ratna; Wihastuti, Titin Andri; Nasution, Tina Handayani
Jurnal Kesehatan Mesencephalon Vol 4, No 1 (2018): Jurnal Kesehatan Mesencephalon - April 2018
Publisher : Jurnal Kesehatan Mesencephalon

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (160.622 KB)

Abstract

Abstract : Acute Coronary Syndrome (ACS) with ST-ELevation Myocard Infarction (STEMI) is the leading cause of morbidity and mortality worldwide, especially in developed countries. Many risk factors in ACS patients require long treatment and focused treatment. Stratification of risks plays an important role in assisting prediction of clinical outcomes or as a prognosis in patients with ACS.The prognosis of STEMI patients is indicated by Length of Stay (LOS) which is the number of days of STEMI patient care at ICCU. Currently there is risk score  used as predictors in SKA with STEMI, some of which is Killip. This riset to analyze accuracy of Killip risk score with prognosis (LOS) STEMI patient in ICCU dr. Iskak Tulungagung. The research design used was analytic observational research with retrospective cohort approach. The location of this study was in RSUD dr. Iskak Tulungagung. The number of medical record were 125 taken by using purposive sampling technique. Data was analyzed using Spearman test.The result of Spearman test showed that Killip showed a significant association with STEMI patients LOS in ICCU (p = 0.003) with coefficient correlation r = 0.260.The conclusion in this study was that Killip had a significant relationship with the prognosis (LOS) of STEMI patients in ICCU.  Keyword : ST-Elevation Myocard Infarction, Killip, Length of Stay Abstract : Sindrom Koroner Akut (SKA) dengan ST-Elevation Myocard Infarction (STEMI)merupakan penyebab utama morbiditas dan mortalitas di seluruh dunia, terutama di negara-negara maju. Faktor risiko yang begitu banyak pada pasien SKA membutuhkan perawatan yang lama dan pengobatan yang terfokus. Stratifikasi risiko tersebut berperan penting dalam membantu prediksi luaran klinis atau sebagai prognosis pada pasien SKA. Prognosis pasien STEMI ditunjukkan dengan  Length of Stay (LOS) yang merupakan jumlah hari lama rawat pasien STEMI di ICCU. Saat ini terdapat skor risiko yang digunakan sebagai prediktor pada SKA dengan STEMI, yaituKillip. Tujuan penelitian ini untuk mengalisis akurasi skor risiko Killip dengan prognosis (LOS) pasien STEMI di ICCU RSUD dr. Iskak Tulungagung. Desain penelitian yang digunakan adalah penelitian observasional analitik dengan pendekatan kohort retrospektif. Lokasi penelitian di Intalasi Rekam Medis RSUD dr. Iskak Tulungagung. Jumlah rekam medis sebanyak 125 yang diambil dengan teknik purposive sampling. Analisa data menggunakan uji Spearman. Hasil uji Spearman menunjukkan bahwa Killip menunjukkan hubungan yang signifikan dengan LOS pasien STEMI di ICCU (p=0.003) dengan besar korelasi r=0.260. Kesimpulan dalam penelitian ini adalah skor risiko Killip memiliki hubungan signifikan dengan prognosis (LOS) pasien STEMI di ICCU. Kata Kunci : ST-Elevation Myocard Infarction, Killip, Length of Stay
IDENTIFIKASI FAKTOR YANG MEMPENGARUHI PERTUMBUHAN BALITA PENDEK (STUNTING) Ratna Roesardhyati; Dedi Kurniawan
Jurnal Kesehatan Mesencephalon Vol 6, No 2 (2020): Jurnal Kesehatan Mesencephalon - Oktober 2020
Publisher : Sekolah Tinggi Ilmu Kesehatan Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36053/mesencephalon.v6i2.276

Abstract

Stunting pada balita sejak golden periods anak perlu menjadi perhatian khusus yang nantinya dapat menghambat perkembangan fisik dan mental anak. Balita stunting memiliki risiko mengalami penurunan kemampuan intelektual, produktivitas, dan peningkatan risiko menderita penyakit degeneratif di masa mendatang. Tujuan penelitian untuk mengidentifikasi faktor–faktor yang mempengaruhi stunting. Case Control Study with Comparison Group dengan purposive samplingmerupakan pendekatan yang didunakan pada penelitian ini. Responden dibagi dalam kelompok kasus (n=60) yang merupakan ibu dengan anak stunting dan kelompok kontrol (n=60) yang merupakan ibu dengan anak tidak stunting (normal). Kedua kelompok dilakukan penilaian observasi dan studi dokumentasi yang selanjutnya dianalisa menggunakan uji regresi logistik binear. Hasil penelitian menunjukan bahwa dari analisa statistik lima variabel yaitu tinggi badan ibu, tingkat pendidikan ibu, pemberian ASI eksklusif, berat badan lahir balita dan pemberian MPASI, diketahui bahwa terdapat tiga variabel yang memiliki hubungan signifikan terhadap kejadian stunting: tingkat pendidikan ibu (p= 0,004 OR=10,7), pemberian ASI eksklusif (p= 0,003 OR=7,8) dan berat badan lahir balita (p= 0,028 OR=4,5). Secara statistic, faktor tingkat pendidikan ibu menjadi faktor paling dominan hubungannya dengan kejadian stunting yang secara berurutan disusul oleh faktor pemberian ASI eksklusif dan berat badan lahir balita. Berdasarkan hal tersebut, penting bagi perawat dan tenaga kesehatan lain untuk meningkatkan pengetahuan Ibu tentang pola asuh anak, pemberian ASI ekslusif dan pemenuhan kebutuhan nutrisi Ibu hamil untuk mencegah berat badan lahir balita rendah, sehingga hal tersebut menjadi upaya pencegahan terjadinya stunting. Kata Kunci :stunting, status gizi, ASI eksklusif, tumbuh kembang.
AKURASI SKOR RISIKO KILLIP SEBAGAI PREDIKTOR PROGNOSIS PASIEN SINDROM KORONER AKUT ST-ELEVATION MYOCARD INFARCTION Ratna Roesardhyati; Titin Andri Wihastuti; Tina Handayani Nasution
Jurnal Kesehatan Mesencephalon Vol 4, No 1 (2018): Jurnal Kesehatan Mesencephalon - April 2018
Publisher : Sekolah Tinggi Ilmu Kesehatan Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (160.622 KB) | DOI: 10.36053/mesencephalon.v4i1.60

Abstract

Abstract : Acute Coronary Syndrome (ACS) with ST-ELevation Myocard Infarction (STEMI) is the leading cause of morbidity and mortality worldwide, especially in developed countries. Many risk factors in ACS patients require long treatment and focused treatment. Stratification of risks plays an important role in assisting prediction of clinical outcomes or as a prognosis in patients with ACS.The prognosis of STEMI patients is indicated by Length of Stay (LOS) which is the number of days of STEMI patient care at ICCU. Currently there is risk score  used as predictors in SKA with STEMI, some of which is Killip. This riset to analyze accuracy of Killip risk score with prognosis (LOS) STEMI patient in ICCU dr. Iskak Tulungagung. The research design used was analytic observational research with retrospective cohort approach. The location of this study was in RSUD dr. Iskak Tulungagung. The number of medical record were 125 taken by using purposive sampling technique. Data was analyzed using Spearman test.The result of Spearman test showed that Killip showed a significant association with STEMI patient's LOS in ICCU (p = 0.003) with coefficient correlation r = 0.260.The conclusion in this study was that Killip had a significant relationship with the prognosis (LOS) of STEMI patients in ICCU.  Keyword : ST-Elevation Myocard Infarction, Killip, Length of Stay Abstract : Sindrom Koroner Akut (SKA) dengan ST-Elevation Myocard Infarction (STEMI)merupakan penyebab utama morbiditas dan mortalitas di seluruh dunia, terutama di negara-negara maju. Faktor risiko yang begitu banyak pada pasien SKA membutuhkan perawatan yang lama dan pengobatan yang terfokus. Stratifikasi risiko tersebut berperan penting dalam membantu prediksi luaran klinis atau sebagai prognosis pada pasien SKA. Prognosis pasien STEMI ditunjukkan dengan  Length of Stay (LOS) yang merupakan jumlah hari lama rawat pasien STEMI di ICCU. Saat ini terdapat skor risiko yang digunakan sebagai prediktor pada SKA dengan STEMI, yaituKillip. Tujuan penelitian ini untuk mengalisis akurasi skor risiko Killip dengan prognosis (LOS) pasien STEMI di ICCU RSUD dr. Iskak Tulungagung. Desain penelitian yang digunakan adalah penelitian observasional analitik dengan pendekatan kohort retrospektif. Lokasi penelitian di Intalasi Rekam Medis RSUD dr. Iskak Tulungagung. Jumlah rekam medis sebanyak 125 yang diambil dengan teknik purposive sampling. Analisa data menggunakan uji Spearman. Hasil uji Spearman menunjukkan bahwa Killip menunjukkan hubungan yang signifikan dengan LOS pasien STEMI di ICCU (p=0.003) dengan besar korelasi r=0.260. Kesimpulan dalam penelitian ini adalah skor risiko Killip memiliki hubungan signifikan dengan prognosis (LOS) pasien STEMI di ICCU. Kata Kunci : ST-Elevation Myocard Infarction, Killip, Length of Stay
NON-PHAR THE RELATIONSHIP OF FAMILY SUPPORT WITH COMPLIANCE WITH ANTI-TUBERCULOSIS MEDICINE (OAT) IN TB PATIENTS IN MALANG DISTRICT Anggar Widyahadi; Ratna Roesardhyati
Indonesian Journal of Health Care Management Vol 1, No 2 (2021): Indonesian Journal of Health Care Management
Publisher : STIKes Kepanjen

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Abstract

Tuberculosis is a major health problem in the community. Tuberculosis is ranked first as the cause of death due to infectious diseases. Therefore, compliance is required to take medication for the healing process so that it can break the chain of transmission. The purpose of this study was to determine the relationship of family support with adherence to taking anti-tuberculosis drugs (OAT) in TB patients.The design of this study used a correlational method with a cross sectional approach on 61 respondents with a purposive sampling technique in three health centers under the Malang District Health Office in February 2019. Data collection used a family support questionnaire and medication compliance questionnaire. Data analysis used univariate analysis and spearman test in bivariate analysis.The results of the percentage of respondents who have good support 82%, enough support 10%, and support less 8%. The percentage of respondents who obeyed was 89%, and did not comply with 11%. The Spearman test results obtained p value <0.001 which is smaller than 0.05 and r value (coefficient correlation) 0.784.The statistical calculation that has been done has a meaningful meaning or there is a relationship between the family support variable and the medication compliance variable. So it is recommended to involve families in the TB treatment process.
“WHAT DOES THE BARRIERS OF BEING A LAYPERSON IN COMMUNITY AND MENTAL HEALTH MEAN?” A PHENOMENOLOGICAL APPROACH Dedi Kurniawan; Galuh Kumalasari; Frastiqa Fahrany; Hardiyanto Hardiyanto; Ratna Roesardhyati
Indonesian Journal of Health Care Management Vol 2, No 1 (2021): Indonesian Journal of Health Care Management
Publisher : STIKes Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36053/ijohcm.v2i1.13

Abstract

The treatment of mental health problems has changed over from hospitalbased to community-based psychiatric services. They focused not only on medication but also emphasized more on prevention and promotion. This strategy was carried out not only by health workers but also by laypersons from community empowerment. Laypersons have experienced difficult conditions and problems, such as the possibility of experiencing role conflict, fatigue, physic, and verbal abuse. Those a challenge and pressure that often affects laypersons as a pioneer of the mental health community. The purpose of this study was to explore the barriers of laypersons in the mental health community in Malang, Indonesia. The research design used was qualitative with an interpretive phenomenological approach. The data collecting using indepth interviews with semi-structured interview guides involving twelve laypersons who participated in this study. Laypersons were interviewed individually and asked this single question: What does the barriers experience of being a layperson of community mental health empowerment mean? Participant's descriptions were analyzed using Interpretive Phenomenology Analysis (IPA). Six categories emerged from data analysis: (i) moral and material community support; (ii) limited facilities and infrastructure; (iii) sense of belonging; (iv) feel exploited; (v) sense of purpose and (vi) tough. The findings suggest that each individual has unique barriers’ experiences of being laypersons in the community. In conclusion, the layperson's lack of motivation and sense of responsibility was a big barrier to improving mental health services in the community, it's tougher when they have less support from all community sectors.
Pemberdayaan Ibu Tentang Pemberian Makan Bayi dan Anak Stunting Usia 6- 24 Bulan di Wilayah Kerja Puskesmas Wagir Kabupaten Malang Apriyani Puji Hastuti; Hanim Mufarokha; Ratna Roesardhyati
AMMA : Jurnal Pengabdian Masyarakat Vol. 2 No. 3 (2023): AMMA : Jurnal Pengabdian Masyarakat
Publisher : CV. Multi Kreasi Media

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Abstract

The community is expected to be able to play a role as actors in health development in maintaining, maintaining and improving their own health status and playing an active role in realizing public health. This hope is realized if it can empower communities and families, especially mothers in terms of feeding infants and children. This is very important because the mother in carrying out her role in the family provides food with sufficient nutrition for children as an ingredient in the process of growth and development. The problems found in the field are very complex related to toddlers. This is due to the availability of affordable access to nutritious food and the absence of easy early detection/screening tools to detect children who are experiencing malnutrition. The role of cadres in posyandu activities has not been maximized in terms of weighing weight, TB in posyandu activities and the role of cadres in providing supplementary food which is done every 2 weeks by the Puskesmas is not consumed by children but consumed by other family members. Families are expected to be able to prepare their children thoroughly so that children will have good adaptability in their environment. The role of the family in parenting has an important role, providing stimulation through games is a good thing to improve children's gross motor skills, fine motor skills, social independence and language. This family empowerment activity is an effort to increase promotive and preventive efforts to strengthen the quality of childcare with the target of family services, in addition to counseling and education in terms of strengthening the quality of care so that access can be utilized by all families in Indonesia. Solutions offered Seminars and training on infant and child feeding education and training on responsive feeding, Anthropometric measurements as a tool for measuring growth in children. The purpose of this community service activity is to increase the knowledge, willingness and skills of partners in terms of knowledge and skills regarding infants and children.
Family Empowerment to Fullfillment Nutrition in Stunted Children Apriyani Puji Hastuti; Dina Nurpita Suprawoto; Ratna Roesardhyati; Ardhiles Wahyu Kurniawan; Domingos Soares; Rif'atul Fani
Babali Nursing Research Vol 5 No 1 (2024): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.51337

Abstract

Background: This research aims to analyze family empowerment in efforts to fulfill nutritional requirements for children aged 6-24 months who are stunted. Method: The method used was a quasi-experiment with a pre-post test control group design approach to 72 mothers in each group. Result: The results of the research show that there is a difference in mothers' ability to fulfill nutrition in terms of complementary feeding and responsive feeding after being given family empowerment interventions in families with stunted children aged 6-24 months, namely food preparation and processing (p=0.000), complementary feeding (p= 0.000), responsive feeding (p=0.000). Conclusion: So it is hoped that family empowerment is an effort to strengthen its role in handling and accelerating the reduction in stunting incidents.
Penerapan Model Promosi Kesehatan Terhadap Kemampuan Ibu Dalam Pemenuhan Zat Gizi Pada Anak Stunting Hastuti, Apriyani Puji; Suprawoto, Dina Nurpita; Roesardhyati, Ratna; Fani, Rif'atul
Journal of Islamic Medicine Vol 7, No 2 (2023): JOURNAL OF ISLAMIC MEDICINE EDISI SEPTEMBER 2023
Publisher : Faculty of Medicine and Health Science, Universitas Islam Negeri Maulana Malik Ibrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18860/jim.v7i2.23205

Abstract

Background: Health promotion regarding the provision of nutrition to children who experience stunting is closely related to the role of mothers in using their knowledge, belief and abilities in improving nutrition and fulfilling adequate nutrition in children. Objective: to analyze the ability of mothers to fulfill nutrition in children aged 6-24 months who are stunted. Method: the research design used a quasy-experiment with a pre-test post-test control group design approach with a sample size of 114 mothers with stunted children who were taken using a random technique with cluster sampling. The independent variable in this study is health promotion based on the health promotion model and the dependent variable is the mother's ability to fulfill nutrition in children aged 6-24 months who are stunted. The research instrument used a questionnaire for each variable. Data analysis in this study is the Wilcoxon Signed Rank Test and Mann Whitney. Result The ability of mothers to fulfill nutrition in children aged 6-24 months who experience stunting with indicators of continuity of breastfeeding 74.636.85 (p-value = 0.000), food preparation and processing 95.105.35 (p-value = 0.000), complementary feeding 87.316.89 (p-value=0.000) and responsive feeding 87.927.27 (p-value=0.000) and there is a difference between the treatment group and the control group regarding the mother's ability to fulfillment of nutrition in stunted children with a p-value of 0.000 Conclusion: there is a significant difference in the ability of mothers to fulfill nutrition in stunted children
AN OVERVIEW VAPE USE IN TERMS OF LIFESTYLE IN TEENAGER Mokhtar Jamil; Ratna Roesardhyati; Ana Masrurotul Jannah; Tien Aminah; Maulana Arif Murtadho
Indonesian Journal Of Empirical Nursing Sciences Vol 1 No 2 (2024): IJENS September (2024)
Publisher : Program Studi Keperawatan, Fakultas Ilmu Kesehatan, ITSK RS dr Soepraoen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/ijens.v1i2.17

Abstract

The number of teenage vape users in Indonesia is currently increasing. Vape is indeed a modern lifestyle among the people. The development of lifestyle can be feared because it can make a person consume goods that are not concerned with the function of these goods but only to fulfill their desires. The purpose of this study was to describe the factors underlying the use of vape in terms of the lifestyle of students at SMPN 1 Kepanjen. The research design is descriptive. The population of this study was all 40 students of SMPN 1 Kepanjen who used vape. The sampling technique used is total sampling. The variables studied are the factors underlying the use of vape in terms of lifestyle. The research results were analyzed using univariate analysis. The research instrument used a questionnaire in the form of a google form. This research was conducted on 7 – 27 July 2023. The results of the study showed that most of them had a background of 16 people (60%), almost half of them did not have a background of 14 people (40%). From these results it can be concluded that age, gender, weekly allowance, have you ever received information about vape, sources of information, intensity of using vape, duration of using vape Based on this research, it is hoped that it can increase the role of educational institutions, especially regarding vape use by providing counseling to students about the dangers of vape use and as a self- evaluation of students about vape use so that it can encourage students to seek positive coping mechanisms by carrying out positive activities to reduce smoking. vaping use.
Smart Health Village berbasis Web sebagai Media Informasi Kejadian Bencana Hastuti, Apriyani Puji; Roesardhyati, Ratna; Kurniawan, Ardhiles Wahyu; Ambarika, Rahmania; Pradini, Risqy Siwi
Yumary: Jurnal Pengabdian kepada Masyarakat Vol. 4 No. 3 (2024): Maret
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/yumary.v4i3.2679

Abstract

Purpose: The aim of community services was to socialize and inform Balakarcana officers to report information about disaster events. Disaster-prone areas have the potential for natural disasters such as earthquakes, mountain eruptions, and landslides caused by activity or movement from the bottom of the earth. Understanding the potential for natural disasters in each region is an anticipatory step toward minimizing the number of victims of natural disasters. Precise and accurate information is required for disaster management. The community also experiences difficulties in receiving information and submitting reports on the village conditions. In this community service activity, a web-based smart health village application was developed so that it could be accessed by all residents of the local area. Methodology: The method of implementing this activity consists of the design stage, application creation, system design, outreach and training, and trial reporting of information on disaster events based on the smart health village concept in the Poncokusumo Region, Malang Regency, from July to October 2023. Results: This service is an application system for reporting information on disaster events to increase community preparedness for disasters. This web-based application system allows the community (users), admins (task force), and verifiers (village officials) to access anywhere and at any time, thereby increasing the capability and quality of human resources in disaster preparedness and disaster-prone areas. Limitations: People who do not have Internet access experience difficulties in receiving information and submitting reports regarding village conditions. Contribution: Utilization of web-based information systems to make it easier for village officials to validate disaster events and as an effort to improve disaster preparedness.