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Upaya Peningkatan Gizi Balita Melalui Pelatihan Kader Kesehatan di Desa Cilumba dan Gunungsari Kabupaten Tasikmalaya Cecep Eli Kosasih; Chandra Isabella Hostanida Purba; Aat Sriati
Media Karya Kesehatan Vol 1, No 1 (2018): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (558.159 KB) | DOI: 10.24198/mkk.v1i1.16945

Abstract

Kesehatan masyarakat khususnya balita menjadi prioritas utama dalam pembangunan kesehatan masyarakat. Balita merupakan kelompok usia yang paling rentan dengan gangguan kesehatan terutama masalah gangguan gizi. Balita mengalami gangguan gizi maka akibat yang akan ditimbulkan  antara lain: gizi buruk, gizi kurang, kwashiorkor, marasmus. Angka kekurangan gizi yang dialami anak di bawah lima tahun (balita) di Kabupaten Tasikmalaya hingga saat ini cukup tinggi. Upaya untuk mengatasi masalah gizi,  perlu dukungan berbagai pihak baik dari pusat pelayanan kesehatan maupun dari peran serta masyarakat dalam bentuk peran kader yang tergabung dalam posyandu. Pengelolaan Posyandu di masyarakat perlu mendapatkan perhatian dari berbagai pihak untuk bisa meningkatkan keberlangsungan pelayanan Posyandu.  Untuk meningkatkan keberlangsungan program tersebut dilakukan berberapa langkah salahsatunya adalah program revitalisasi posyandu dalam upaya peningkatan gizi balita.Kegiatan KKNM-PPMD integratif ini dilaksanakan di Desa Cilumba dan Desa Gunung Sari Kec. Cikatomas Kab. Tasikmalaya yang dilaksanakan sejak bulan Juli sampai dengan bulan September 2012. Khalayak sasaran pada program KKNM-PPMD integratif ini adalah seluruh kader dan ibu-ibu yang memiliki balita yang ada di Desa Cilumba dan Desa Gunung Sari dan tergabung di dalam posyandu di masing masing desa. Kegiatan ini meliputi; Melakukan pendataan tentang kondisi kesehatan yang ada di wilayah Desa Cilumba dan Desa Gunung Sari, Melakukan pelatihan revitalisasi posyandu dan penyuluhan tentang masalah kesehatan di wilayah Desa Cilumba dan Desa Gunung Sari.Kegiatan pemberdayaan kader dan revitalisasi posyandu memerlukan dukungan yang efektif baik dari pemerintahan desa maupun dari puskesmas baik material maupun dukungan moral bagi para kader kesehatan dan posyandu yang berada di daerahnya masing-masingKata kunci: gizi balita, revitalisasi posyandu
The Effects of Sundanese Kacapi Suling “Ayun Ambing” Music Therapy to The Level of Anxiety on Chronic Renal Failure Patient Undergoing Hemodialysis Mustopa Saepul Alamsah; Laili Rahayuwati; Chandra Isabella Hostanida Purba
Jurnal Keperawatan Padjadjaran Vol. 6 No. 1 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1467.901 KB) | DOI: 10.24198/jkp.v6i1.390

Abstract

ABSTRACT One of the most common psychological problems found in patients with chronic renal failure (ESRD) undergoing hemodialysis is anxiety. Unresolved anxiety can have a negative impact on physiological and psychological conditions that can aggravate the condition of the disease. Traditional Sundanese music therapy Kacapi Suling "Ayun Ambing" has a slow tempo and soft so that it can be used as a therapy. The purpose of this study was to determine the effect of the music therapy Sunda Kacapi Suling "Ayun Ambing" to the anxiety level of patients undergoing hemodialysis.The design used was a Quasy Experimental, with a pretest-posttest control group design approach, involved 46 patients divided into control groups (23) and intervention groups (23) taken by purposive sampling. The intervention group get given Sundanese Kacapi Suling "Ayun Ambing" of music a week 2 times with time 30 minutes for 2 weeks. Anxiety levels were measured using HARS (Hamilton Anxiety Rating Scale) before and after intervention. The control group received standard interventions provided by the Hospital. Data were analyzed univariate and bivariate with Paired t test, Independent t test and Mann Whitney test.Characteristics of respondents between the intervention group and the homogeneous control did not differ significantly. Differences of average before and after in two groups with the tested paired t test showed no significant difference with p value <0.05 whereas for differences in the average change of scores between the intervention and control group with independent t test showed there was a significant difference with p value 0.05.In conclusion, Sundanese Kacapi Suling "Ayun Ambing" of music intervention has an influence on the anxiety with patient undergoing hemodialysis. An implication of this research was that Sundanese Kacapi Suling Music could be considered and applied as a complementary theraphy to decrease the anxety of client, particularly ESRD undergoing hemodialysis. Sundanese Kacapi Suling "Ayun Ambing" of music intervention can also be used as an intervention alternative in a further research in order to overcome health therapies such as anxiety and pain. Keywords: Chronic Kidney Failure, Hemodialysis, Anxiety, Music Kacapi Suling
Patients’ Needs on Nutritional Counseling and Risk Factor Management Among Myocardial Infarction Patients in Cardiac Rehabilitation Yusshy Kurnia Herliani; Urip Rahayu; Chandra Isabella Hostanida Purba; Hasniatisari Harun
Journal of Nursing Care Vol 2, No 2 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (897.872 KB) | DOI: 10.24198/jnc.v2i2.22082

Abstract

The needs of nursing care for Myocardial Infarction (MI) patients who performing Cardiac Rehabilitation (CR) Program have been investigated previously. Despite, nutritional counseling and risk factors management were reported as the most needs of MI patients who performed CR Program, information related to the MI patients’ needs on nutritional counseling and risk factor management are very limited. Moreover, the relationship between patients’ needs on nutritional counseling and risk factor management are not clear yet. To investigate patients’ needs on nutritional counseling and risk factor management among MI patients and its relationships those factors. This was quantitative approach with descriptive correlational and convenience sampling was used for this study. The participants included 38 MI patients admitted to the Cardiac Rehabilitation Unit. Data collection employed from questionnaires that were filled in by the respondents using a retrospective technique at the end of cardiac rehabilitation program.  Data were analyzed using descriptive and correlational statistics. The study signified that MI patients required cardiac rehabilitation towards risk factors management and nutritional counseling from nurses (92.1%).The finding also indicated that there is a statistically positive relationship between nutritional counseling needs and risk factor management (r = 0.503, p <0.01). Patients’ needs on nutritional counseling and risk factor management among MI patients are correlated positively. Therefore, the information regarding nutrition and risk factor management for MI patients should be provided simultaneously to complement each other.
Knowledge and Perception of Parents Towards Diet in Children With Autism Ade Rosi; Chandra Isabella Hostanida Purba; Sri Hartati Pratiwi
Journal of Nursing Care Vol 2, No 2 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (258.54 KB) | DOI: 10.24198/jnc.v2i2.18198

Abstract

Gluten Free Casein Free (GFCF) is a diet recommendation to reduce hyperactivity in children with autism. Lack of adherence and knowledge can lead to improper dietary application which will result in remaining health problems and hyperactive behavior of autistic children. The purpose of this study is to examine knowledge and perception of parents towards GFCF diet in children with autism. This descriptive-quantitative study used a total sampling technique to 57 parents of autistic children in 3 Bandung District Extraordinary Schools. Data was obtained through questionnaire with validity ranging from 0.315-0.912 and reliability of 0.788 and 0.932. Data was analyzed using frequency and percentage in descriptive statistics. Results showed that some parents lacked of knowledge (n = 28), and 67% of subjects (n = 38) had a positive perception of GFCF diet. Positive perception includes perception of benefits, perception of susceptibility, perception of self efficacy, and perception of severity. In the perception of barrier, some subjects had negative perception. Based on the results, several parents had positive perception of GFCF diet, although the parental knowledge related to this diet was in the low category. That is likely because of parents have not received sufficient information related to GFCF diet. Therefore, health workers especially community nurses are expected to collaborate with nutritionists in making regular visits in order to provide parents of autistic children with health education related to GFCF diet in extraordinary schools.
DIFFERENCE OF BOWEL SOUND RETURN TIME AMONG POST-LAPARATOMY SURGERY PATIENTS AFTER CHEWING GUM Warisya Miftah Amanda; Chandra Isabella Hostanida Purba; Ristina Mirwanti
Belitung Nursing Journal Vol. 5 No. 5 (2019): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (378.464 KB) | DOI: 10.33546/bnj.826

Abstract

Background: A surgical procedure using general anaesthesia in laparotomy surgery results in reduced bowel sound. A large number of patients who experience a delay in returning bowel sound after laparotomy surgery become the reason to give proper intervention in order to increase bowel sound return time. One of the non-pharmacological interventions that can be used is chewing gum. Objective: The purpose of this study is to identify the difference of bowel sound return time between groups of intervention and control after being given chewing gum intervention among post-laparotomy surgery patients. Methods: This quasi-experimental study used post-test only control group design. Thirty respondents were selected by purposive sampling technique. Data were collected through observation by calculating the bowel sound return time among post laparotomy surgery patients in the intervention group (n=15) and control group (n=15), and were analyzed using the Mann Whitney test. The intervention group was asked to chew the gum once for 30 minutes, and bowel sound was measured every 30 minutes for 120 minutes. Results: The results showed that bowel sound return time in the intervention group was 90 minutes and the control group was 150 minutes, and p-value was 0.005. Conclusion: There was a difference in the return time of bowel sound between the intervention and control groups. Therefore, the intervention of chewing gum could become one of the non- pharmacological interventions that can be considered in increasing the bowel sound return time among post-laparotomy surgery patients.
In-House Training Perawat Terkait Perawatan Integratif di Area Keperawatan Medikal Bedah Nursiswati Nursiswati; Bambang Aditya Nugraha; Sri Hartati Pratiwi; Hasniatisari Harun; Urip Rahayu; Eka Afrima Sari; Chandra Isabella Hostanida Purba; Titis Kurniawan
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 11 (2023): Volume 6 No 11 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i11.12169

Abstract

ABSTRAK Perawatan integratif dapat meningkatkan kualitas pelayanan keperawatan yang akan berkontribusi kepada peningkatan derajat kesehatan dan kualitas hidup pasien. Penerapan perawatan integratif membutuhkan kemampuan perawat dalam mengelola upaya preventif, promotif dan rehabilitatif secara efektif pada saat memberikan asuhan keperawatan pada area keperawatan medikal bedah (KMB). Pengabdian pada masyarakat ini dilakukan dengan tujuan untuk meningkatkan kapasitas perawat dalam perawatan integratif di area keperawatan medikal bedah. Metoda yang digunakan adalah in-house training berupa ceramah dan tanya jawab interaktif kepada 9 preseptor klinik dan 3 clinical case manager di RSUD Sumedang. Materi yang disampaikan diantaranya adalah Continuity of care pada chronic disease, Protocol follow up care pada area KMB, Transitional care, dan Discharge planning. Evaluasi kegiatan menggunakan analisis pre-posttest. Hasil kegiatan menunjukkan adanya peningkatan poin nilai rata-rata pre-post test (3,09). Nilai rata-rata pre-test sebesar 56 dan post-test sebesar 69,09. Dengan demikian, upaya yang sudah dilakukan bermanfaat dalam meningkatkan kapasitas perawat khususnya pengetahuan dan keterampilan menginisiasi integrative care. Upaya tersebut dapat diulang dengan target sasaran perawat medikal bedah lainnya selain perseptor maupun case manager. Kata Kunci: Keperawatan Medikal Bedah, Kapasitas Perawat, Perawatan Integratif, Preceptor, Case Manager, Pengabdian Masyarakat  ABSTRACT Integrative Care could increase quality nursing services to be contribute to enhance the patient’s health status and quality life. Application of the integrative care requires the ability of nurses to effectively manage preventive, promotive and rehabilitative measurements when providing nursing care in the medical surgical nursing (MSN) area. This community service conducted with the purpose for increasing capacity of the nurses in integrative care in the MSN area. The method used was in -house training through interactive presentation and interactive  discussion to nine clinical preceptors and three clinical case managers at Sumedang District Hospital. The topic presented included Continuity of care in chronic disease, Protocol follow-up care in the MSN area, Transitional care, and Discharge planning. The evaluation and outcome analysis using pre-post test design. The results of the program showed an increase in the average pre-post test score points (3.09). The average pre-test score was 56 and the post-test was 69.09. Thus, this community program that have been made are beneficial in increasing capacity nurse specifically knowledge and skills to initiate the integrative care . The future program is needed with other medical surgical nurses non preceptors and case managers. Keywords: Medical Surgical Nursing, Capacity Nurse, Integrative Care, Preceptor, Case Manager, Community Service
STUDI KASUS: APLIKASI INTERVENSI TERAPI SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE PADA PASIEN WOUND DEHISCENCE POST-OPERASI KOLITIS ULSERATIF DALAM MENGATASI MASALAH KEPERAWATAN GANGGUAN POLA TIDUR Permana, Bayu Rahadian; Purba, Chandra Isabella Hostanida; Nugraha, Bambang Aditya
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 4 (2024): SENTRI : Jurnal Riset Ilmiah, April 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i4.2576

Abstract

Studi kasus ini unik karena menunjukkan adanya efek spiritual emotional freedom technique dalam meningkatkan kualitas tidur pasien dengan wound dehiscence. Wound Dehiscence adalah komplikasi yang dapat terjadi pada pasien pasca bedah abdomen. Wound Dehiscence dapat muncul pada 4 – 14 hari pasca operasi dengan rata-rata pada hari ke 7. Angka kejadian wound dehiscence di dunia mencapai angka 0,4%-3,5%. Beberapa literature menunjukan bahwa wound dehiscence memiliki tingkat morbiditas dan mortalitas yang tinggi yaitu 3-35%. Wound dehiscence memiliki beberapa dampak pada pasien, salah satunya yang terjadi pada kasus ini adalah peningkatan stress yang berujung kepada penurunan kualitas tidur. Gangguan pola tidur bisa ditangani dengan terapi farmakologi dan non-farmakologi. Terapi Spiritual Emotional Freedom Technique adalah salah satu teknik non-farmakologi yang menggabungkan sistem energi tubuh (energy medicine) dan terapi spiritualitas dengan tapping di beberapa tititk tubuh tertentu. Terapi ini dapat meningkatkan kualitas tidur karena tapping yang dilakukan dapat menstimulasi peningkatan hipotalamic pituitary adrenal yang menghentikan respon alarm dari system saraf simpatis dan parasimpatis dan berganti menjadi respon relaksasi. Sikap pasrah kepada Allah SWT disertai hati yang ikhlas akan merangsang tubuh kita untuk mengalami relaksasi, pernafasan dan denyut jantung menjadi stabil, memperlancar skulasi darah yang mengalir dan akhirnya menghasilkan kondisi yang rileks dan mudah untuk memulai tidur.
Gambaran tingkat kesadaran diri tentang penyakit kanker pada masyarakat Amalia, Sabrina Nur; Purba, Chandra Isabella Hostanida; Rahayu, Urip
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.832

Abstract

Background: Cancer is a disease that is the leading cause of death on a world scale and by 2022 will reach 19 million cases. Cancer in Indonesia reached 408,661 cases in 2022 with a death rate of 242,988 cases. The most important disease prevention is to foster self-awareness. Self-awareness is the key to change in one's life in carrying out healthier behavior. Purpose: To determine the level of self-awareness about cancer in the community. Method: A quantitative descriptive study was conducted on residents in Jatinangor District to determine the level of self-awareness about cancer. The sampling technique used was proportional random sampling and from 12 villages in Jatinangor District, 3 villages were selected as research locations, namely Sayang Village, Cileles Village, and Cintamulya Village. The sample inclusion criteria were residents who lived locally with age ≥ 18 years. The instrument in this study was the Cancer Awareness Measure (CAM) questionnaire consisting of 6 domains and 47 question items. Data were analyzed using univariate analysis. Results: There were 53.6% of respondents who had low self-awareness of cancer and from the 6 domains, 3 domains including awareness of the most at-risk age, the highest incidence of cancer, and cancer screening programs were in the low self-awareness category. Conclusion: Conclusion: The level of self-awareness of cancer in the community is still relatively low and is often found in respondents with female gender characteristics, age range 26-35 years, unemployed, last education level elementary school, and no history of cancer in the family. Suggestion: Further research can examine the factors that influence the low level of self-awareness of cancer.   Keywords: Cancer; Self-Awareness; Society.   Pendahuluan: Kanker adalah penyakit yang menjadi penyebab utama kematian dalam skala dunia dan pada tahun 2022 mencapai 19 juta kasus. Penyakit kanker di Indonesia mencapai 408.661 kasus pada tahun 2022 dengan angka kematian sebanyak 242.988 kasus. Pencegahan penyakit yang paling penting adalah dengan menumbuhkan kesadaran dalam diri. Kesadaran diri merupakan kunci perubahan dalam hidup seseorang dalam melakukan perilaku lebih sehat. Tujuan: Untuk mengetahui gambaran tingkat kesadaran diri tentang penyakit kanker pada masyarakat. Metode: Penelitian deskriptif kuantitatif yang dilakukan kepada penduduk di Kecamatan Jatinangor untuk mengetahui gambaran tingkat kesadaran diri tentang penyakit kanker. Teknik pengambilan sampel yang digunakan yakni proporsional random sampling dan dari 12 desa di Kecamatan Jatinangor, terpilih 3 desa sebagai lokasi penelitian diantaranya Desa Sayang, Desa Cileles, dan Desa Cintamulya. Kriteria inklusi sampel adalah penduduk yang berdomisili setempat dengan usia ≥ 18 tahun. Instrumen dalam penelitian ini adalah kuesioner Cancer Awareness Measure (CAM) terdiri dari 6 domain dan 47 item pertanyaan. Data dianalisis menggunakan univariate. Hasil: Terdapat sebanyak 53.6% responden memiliki kesadaran diri yang kurang terhadap penyakit kanker dan dari 6 domain, 3 domain diantaranya kesadaran terhadap usia paling berisiko, insidensi kanker terbanyak, dan program skrining kanker berada pada kategori kesadaran diri rendah. Simpulan: Tingkat kesadaran diri terhadap kanker pada masyarakat masih tergolong rendah dan banyak ditemukan pada responden dengan karakteristik berjenis kelamin perempuan, rentang usia 26-35 tahun, tidak bekerja, tingkat pendidikan terakhir sekolah dasar, dan tidak memiliki riwayat kanker dalam keluarga. Saran: Penelitian selanjutnya dapat meneliti terkait faktor-faktor yang memengaruhi rendahnya tingkat kesadaran diri terhadap penyakit kanker.   Kata Kunci: Kanker; Kesadaran Diri; Masyarakat.
Factors Associated with Gastritis Symptoms in High School Adolescents Azizah, Azizah; Purba, Chandra Isabella Hostanida; Sari, Sheizi Prista
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3387

Abstract

Gastritis is an inflammatory process of the gastric mucosa and submucosa that, if not treated immediately, can lead to very dangerous complications. Adolescents often do not pay attention to their health because they are busy with school activities. This makes adolescents vulnerable to gastritis symptoms. Symptoms of gastritis that often appear include burning in the stomach, decreased appetite, heartburn, nausea, vomiting, bloating, and frequent burping. Factors causing gastritis include diet, age, knowledge, medications, stress, and bacteria. Objective: identify factors associated with gastritis symptoms in adolescents. Method: This study used a descriptive correlation research design using a cross-sectional approach. The population of this study was all first-grade and second-grade students in high school; the sample used totaled 112 students, and the sampling technique used was proportionate stratified random sampling. Data analysis in this study used univariate and bivariate analyses. The form of univariate analysis in this study is in the form of distribution and percentage, while the bivariate analysis uses the Chi-square test. Results: The results showed that adolescents in high school who experienced gastritis symptoms were 48 respondents (42.9%). Correlation test between age and gastritis symptoms obtained p-value 0.000, gender with gastritis symptoms obtained p-value 0.022, diet with gastritis symptoms obtained p-value 0.032, stress with gastritis symptoms obtained p-value 0.003, consumption of NSAID drugs with gastritis symptoms obtained p-value 0.000, and smoking with gastritis symptoms obtained p-value 0.246. Conclusions: Factors associated with gastritis symptoms in adolescents in high school include age, gender, diet, stress, and consumption of NSAIDs. As for smoking, it was not associated with gastritis symptoms in adolescents in high school.
Interventions to Reduce Anxiety in Burn Patients: A Scoping Review Yadi, Deni Alia; Pahria, Tuti; Purba, Chandra Isabella Hostanida
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.4375

Abstract

Anxiety in burn patients is a serious problem that can worsen the patient's condition and slow the healing process. Effective management of anxiety can improve the patient's quality of life and support their recovery. Although various non-pharmacological interventions have been proposed, there is still uncertainty regarding the effectiveness and application of each technique in the context of burn care. Objective: To explore various non-pharmacological interventions used to reduce anxiety in burn patients. The method used is scoping review. Articles were selected from four major databases: CINAHL, PubMed, and Scopus, using keywords namely “burn patients”, “anxiety”, “intervention”, and “burn injury”. Inclusion criteria included studies involving adult patients with burns, original research with RCT or quasi-experimental design, using experimental or quasi-experimental design, and articles published in the last 10 years (2014-2023). Data were extracted using manual tables and analyzed descriptively qualitatively. Based on initial research, we found 453 articles. After selected by authors, Nine articles met the inclusion criteria. The interventions discussed included aromatherapy, Benson relaxation technique, music therapy, Swedish and Shiatsu massage, and transcranial direct current stimulation (tDCS). Findings showed that aromatherapy and Benson relaxation technique were effective in reducing anxiety and improving sleep quality, music therapy reduced anxiety during and after wound care, Swedish and Shiatsu massage increased relaxation, while tDCS significantly reduced pain and anxiety. This study recommends the integration of these techniques into nursing practice to improve the quality of care and patient satisfaction. Further studies are needed to confirm these findings and explore the mechanisms of action of each intervention in more depth.