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Debby Ratno Kustanto
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Sumatera barat
INDONESIA
Jurnal Kesehatan
ISSN : 20857098     EISSN : 26571366     DOI : -
Jurnal Kesehatan STIKes Prima Nusantara merupakan jurnal ilmiah berkala yang ditujukan untuk mempublikasikan karya ilmiah hasil penelitian, pengembangan, dan studi pustaka dibidang ilmu keperawatan, kebidanan, kesehatan masyarakat dan ilmu kesehatan pada umumnya.
Articles 453 Documents
Teenage Premarital Sexual Activity and The Role of Parents in Minangkabau Dewi Susanti; Erwani Erwani; Aprizal Ponda
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i1.981

Abstract

Background: Premarital sexual behavior (PSP) among adolescents is increasingly binding, and this has an impact on their future. One of the biggest impacts is on adolescent reproductive health. Data shows that every year there is an increase in teenage pregnancies, early marriages, abortions and sexually transmitted diseases. Parents are the first and foremost caregivers for adolescents, and are a strategic opportunity to increase their role in parentingPurpose : This study aims to determine the causes of PSP in Minangkabau adolescents and the role of parents that can be used as an intervention model.Methods: This research is an explorative qualitative research where data collection was conducted using in-depth interviews. Informants were adolescents aged 10-19 years, parents, biological mothers and Subdistrict PIK-R program holdersResults: The results of the study found that the factors causing PSP were the mass media, peers, relationships with parents and shifts in values. The components of the role of parents in preventing PSP based on the causative factors of PSP were found as educators (religious education and sexual education and pornography prevention), role models (fathers as role models, analytical skills and role models for mothers), assistants (friendly attitude towards children, good attitude control towards children), counselor (communication skills, feeling safe and comfortable), communicator (practicing an open attitude, guaranteeing confidentiality and activating rules and supervision)Conclusion: The main causes of premarital sex behavior in Minangkabau adolescents are the influence of mass media, peers, relationships with parents and shifts in values. The efforts that can be made are to strengthen the role of parents as educators, parents as role models, parents as companions, parents as counselors and comunicator.
Risk Characterization of Treatment Histories and Comorbidities Regarding Tuberculosis Treatment Status in West Sumatra Province 2020-2021 Novita Sari; Defriman Djafri; Mery Ramadhani
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 3 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i3.988

Abstract

Background: Tuberculosis (TB) is the leading cause of death among bacterial infectious diseases worldwide, and Indonesia is the second country with the highest TB burden.Objective: The treatment history and comorbidities of TB disease play a significant role in determining the appropriateness of therapy and the duration of treatment for patients. The objective is to identify the factors that influence the incidence of first molar caries.Methods: This study employs an analytic case-control design with a retrospective cohort methodology. 161 RO TB patients and 161 SO TB patients comprised the total sample size. Statistical analysis of this investigation utilizing R and R Studio.Result: In this study, there was a correlation between gender (p-value 0.006 and odds ratio 1.89), contact investigation (p-value 0.001 and odds ratio 0.23), new TB (p-value 0.001 and odds ratio 0.05), TB recurrence (p-value 0.001 and odds ratio 19.0), TB failed treatment (p-value 0.007 and odds ratio 16.4), and pH-saliva (p-value 0.0001 and odds ratio 21.250). In contrast, risk factors such as absenteeism, diabetes, and HIV were not associated with TB treatment status (p-value > 0.05). Age, investigation of contact, and TB recurrence were the predominant factors associated with TB treatment status, as determined by multivariate analysis.Conclusions: Several factors, including gender and treatment history (new TB, Relapsed TB, Failed TB), influence the status of TB treatment in West Sumatra Province. These are important factors that must be considered and asked by TB officers at health facilities before the patient undergoes an examination of suspected samples and information to provide appropriate medical therapy to TB patients in health facilities.
Survival Analysis of Multi-Drug Resistant Tuberculosis Patients in North Sumatra Pesona Dessritina; Dien Gusta Aggraini Nursal; Syafrawati Syafrawati
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 3 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i3.990

Abstract

Background: The severity and ease of spread of MDR-TB have caused this disease to become an epidemic in various countries. WHO has also launched an international program "End TB" which until now has not even reached half of the target. Indonesia is already in the third highest position after India and China with a CFR of 0.11% and North Sumatra Province is already at the 6th highest level in Indonesia and the highest on the island of Sumatra.Purpose : The purpose of this study was to see the survival of MDR-TB patients in North Sumatra Province.Methods: The method in this study used a retrospective cohort design with secondary data on MDR-TB cases for 2020 – 2022. The sample used was total sampling with the condition that it met the sample criteria, namely complete data and treatment results. The analysis was carried out using univariate, Kaplan-Meier, bivariate analysis using the logrank test and multivariate with full model logistic regression.Results: The results obtained from a total of 664 cases (26.81%) died and (73.19%) survived. The variables related to survival in MDR-TB patients were age (p = 0.000 HR (Hazard Ratio) 1.88) and HIV status (p = 0.001 HR 1.40). The dominant variable related to survival is age (p = 0.000 HR 0.64).Conclusion: based on statistical tests, age and HIV status had a significant relationship with survival, while gender, OAT resistance, history of DM, history of treatment and treatment delays had no significant relationship based on statistical tests in this study.
PENGALAMAN PASIEN PERTAMA KALI TERDIAGNOSIS KANKER PARU DITINJAU DARI TEORI THE FIVE STAGES OF GRIEVING Hidayati Hidayati; Febrian Rahmat Suwandi SN; Dina Ediana
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i1.1019

Abstract

Latar Belakang Kanker paru termasuk kedalam salah satu kanker yang mengancam jiwa dan terus meningkat pada sebagian populasi dunia. Penyakit ini masih termasuk kepada masalah kesehatan dengan risiko angka kematian tertinggi dibandingkan penyakit lain.Tujuan penelitian ini untuk mengetahui pengalaman pasien ketika terdiagnosa kanker paru ditinjau dari teori The Five Stage Of Grieving. Penelitian ini bersifat Retrospektif dengan pendekatan Phenomenologhi metode Kualitatif. Teknik penngambilan sampel pada penelitian ini Snow Ball Sampling. Jumlah partisipan 8 orang. Hasil penelitian ini dijabarkan kepada 5 fase Denail, Anger, Bargaining, Deppresion and Acceptance. Dengan memperoleh 3 tema Respon pertama kali, dampak fisiologis dan Psikologis dan harapan akan menjalani kehidupan setelah terdiagnosa kanker. Simpulan penelitian ini terjadi beberapa respon yang dialami oleh pasien ketika mengetahui akan kondisi penyakitnya, akan tetapi tenaga kesehatan dapat memahami langkah-langkah penanganan asuhan keperawatan yang akan diberikan kepada pasien. Pasien diharapkan bisa memahami kondisinya serta dapat menjalani proses penyakit untuk keberlangsungan hidup dan kualitas kehidupannya.
Determinants of Personal Hygiene Behavior in the Elderly at the Tresna Werdha Social Service Technical Implementing Unit Jember Rosyta Dwi Untika Putri; Isa Ma’rufi; Dewi Rokhmah Rokhmah
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 2 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i2.1022

Abstract

Background: There was an increase in the number of elderly people by 8.1% in 2019 compared to 2018 (Indonesian Ministry of Health, 2019).  The increasing number of elderly people in Indonesia will cause health and welfare problems, especially related to personal hygienePurpose: This study aims to analyze the determinants of personal hygiene behavior in the elderly at UPT PSTW Jember by utilizing the ABCD concept (Asset Based Community Development which is also reviewed from the behavior of the elderly and assets owned by UPT Tresna Werdha Jember Social ServicesMethod: The design of this study was analytic observational with a population of 140 elderly people and a sample size of 58 elderly people taken using systematic smpling techniquesResult: The results showed that knowledge, attitudes, social assets, facilities and infrastructure and health information / training had an influence on personal hygiene behavior in the elderly at UPT PSTW Jember. The Odds Ratio value of 13.074 means that social assets have the opportunity to influence personal hygiene behavior 13.074 times compared to the variables of knowledge and infrastructureConclusion: The dominant factor that has the most influence on the personal hygiene behavior of the elderly at UPT PSTW Jember is social assets.
Palliative Care Implementation in the Intensive Care Unit Zamharira Zamharira; Yanny Trisyani; Etika Emaliyawati Emaliyawati
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 2 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i2.1023

Abstract

Introduction, Palliative care is a treatment approach whose goal is to improve and optimize the quality of life of patients with serious, incurable illnesses, including ICU patients. The purpose of this study is to see an overview of the implementation of palliative care in the Intensive Care Unit (ICU).Method. This literature review was conducted by using PRISMA guidance, a literature survey through electronic databases namely CINAHL, Science Direct and Pubmed using the keywords ‘palliative care’, ‘intensive care unit’, and; ‘critical care’.Result, there were 6628 articles have been identified, there were 4070 duplicates. There were 2,508 articles that were not related to the title. A total of 50 article titles were available to be analyzed worthly and 10 articles were found that matched the criteria, full text, using Indonesian and English, and publications in the range of year in 2013-2023 period.Conclusion, Palliative care in the ICU has received support from major intensive care organizations such as the American Association of Critical Care Nurses (2017). Despite much support, the quality of palliative care in the ICU has shown little or almost no improvement over time (Ganz & Sapir, 2019). Until now there has been no research that describes the overall implementation of palliative care in the ICU, including in Indonesia. There are still found the obstacles in the implementation of palliative care in the ICU that have not been resolved, so, further research is expected on the implementation of palliative care in the ICU, especially in Indonesia.
Barriers to Implementing the Code Blue System in Hospitals Anis Imtichan; Cecep Eli Kosasih; Etika Emaliyawati
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 2 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i2.1024

Abstract

Introduction: The Blue Code system is one of the emergency procedure codes that should be activated immediately if a person is found and the condition of cardiac respiratory arrest. Success in the treatment of cardiac arrest depends on SDM, means and facilities that are supported by the code blue system.Purpose: The research is aimed at identifying barriers to the implementation of the Code Blue system in hospitals. The researchMethod: used is scoping review in documented using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), as well as PRISMA flow diagrams for detailed quantity of literature identified.Result: The research finds that there are still limitations in the implementation of the code blue system, which is an obstacle to the handling of code blue in hospitals.Conclusion: Based on the scopeing review research carried out, found obstacles to the implementation of the code blue system, including SDM both lack of SDM and which also contains team improvement in performing resuscitation starting from identification of patients with pulmonary heart failure, activation of code blue systems, response code blue team, implementation by the team, evaluation and documentation, means and insufficient prasarana, which in the end correlates in response team code blue in dealing with cardiac arrest.
Neutrophil Lymphocyte Ratio of Ischemic Stroke Based on Region of Lesion Michelle Tandiono; Rizki Edmi Edison; Suhartomi Suhartomi
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 3 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i3.1026

Abstract

Background: Ischemic stroke is a type of stroke that occurs when blood arteries get blocked as a result of embolic or thrombotic events. Brain imaging tools, particularly CT Scans, are the gold standard for diagnosing stroke. Blood tests were also performed, focusing on neutrophils and lymphocytes in particular. The prognosis for stroke can be determined by the neutrophil lymphocyte ratio (NLR). However, based on CT Scan imaging, it is currently unknown how the NLR and brain region of ischemic stroke are related.  Purpose : This study investigates the correlation between  CT scan images in ischemic stroke patients with Neutrophil Lymphocyte Ratio (NLR).Methods: It is a cross-sectional design study with observational method, this study involved 36 patients that were selected based on inclusive and exclusive criteria. Data was collected from medical records in Royal Prima Hospital and analyzed with Mann-Whitney Test.Results: The result shows that CT scan images in ischemic stroke patients does not have a significant correlation to NLR, with p value > 0,05.Conclusion:This study reveals that there is no significant correlation between CT scan images in patients with ischemic stroke and NLR. There may be other factors that influence the NLR such as age, stress level, obesity and medication. Further research needs to be conducted to study those other factors. 
Low Birth Weight with Stunting: A Literature Review Rahmi Octaferina; Aria Gusti; Masrizal Masrizal
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 2 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i1.1027

Abstract

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PENGARUH PERAWATAN METODE KANGURU TERHADAP FREKUENSI MENYUSU BAYI BERAT BADAN LAHIR RENDAH Mutia Felina; Nofila Husniati
Jurnal Kesehatan - STIKes Prima Nusantara Vol 10 No 2 (2019): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v10i2.1028

Abstract

Bayi berat badan lahir rendah (BBLR) adalah bayi baru lahir yang berat badan lahirnya kurang dari 2500 gram.Bayi BBLR masih merupakan masalah di dunia karena merupakan penyebab kesakitan dan kematian pada masa bayi baru lahir.Terinspirasi dari metode kanguru dalam membesarkan anaknya, sekarang banyak rumah sakit yang menerapkan perawatan metode kanguru (PMK) untuk menangani bayi BBLR.Tujuan penelitian ini adalah untuk mengetahui pengaruh perawatan metode kanguru terhadap frekuensi menyusu pada bayi BBLR. PMK dilakukan dengan cara meletakkan bayi diantara payudara ibu atau dada ayahnya. Penelitian ini merupakan penelitian kuantitaf dengan desain pre – eksperimen “one group pretest posttest”. Populasi dalam penelitian ini adalah seluruh bayi BBLR yang di rawat di ruangan Perinatologi RSUD Dr. Adnaan WD Payakumbuh.Teknik pengambilan sampel yaitu accidental sampling dengan jumlah sampel 6 responden berdasarkan waktu penelitian.Teknik pengumpulan data adalah lembar observasi frekuensi menyusui bayi BBLR, kemudian data diolah dengan uji Paired T-Test. Hasil penelitian ini menunjukan bahwa rata-rata frekuensi menyusu bayi berat badan lahir rendah sebelum diberikan PMK yaitu 4 kali dan sesudah diberikan PMK menjadi 7 kali dalam 24 jam. Ada pengaruh dari perawatan metode kanguru terhadap peningkatan frekuensi menyusui dengan hasil uji Paired T Test menunjukan p value = 0,006. Disarankan kepada tenaga kesehatan agar dapat menggunakan perawatan metode kanguru untuk meningkatkan frekuensi menyusui pada bayi BBLR.

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