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Proceedings of the International Conference on Applied Science and Health
Published by Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)
ISSN : 25794434     EISSN : -     DOI : -
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology Nursing Public Health
Proceedings of the International Conference on Applied Science and Health is a conference collection of technical papers freely accessible to scholars over the world. Articles featured vary areas of efforts to develop health and well-being for better society such as factors of illness, epidemiology, health promotion, health policy, nutrition, environmental health and safety, nursing and midwifery, and other sciences related to health development.
Arjuna Subject : -
Articles 951 Documents
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FAMILIY'S SUPPORT AND ITS EFFECT IN INCREASING THE ELDERLY VISITATION TO POSYANDU Wenty Ika Ariani; Nina Rahmadiliyani; Widyawati Widyawati
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Introduction: Along with global tendency of increasing life expectancy, the number of elderly in Indonesia also tends to increase. To monitor the well-being of the elderly, both from the mental and the physical standpoints, the government-run integrated health service posts (Posyandu) hold a special program for the senior citizens. Aims: To analyze the association between families support and elderly visitation in Danau Panggang Health Center. Methods: This study used analytic survey with cross sectional design. The population were 378 elderly age 59 years old and older in Danau Panggang Health Center in 2015, and with Taro Yamane, the chosen sample was 194 elderly. The chi-square test was used for statistical analyses. Results: The study showed most of the respondents (56.7%) do not support and a majority of elderly do not actively participate (57.2%). Hypothesis test results showed that there is a correlation between family support and elderly participation to Posyandu with p-value = 0.000 < (α = 0.05). Conclusion: Family supports can increase elderly visitation to Posyandu. Participating in Posyandu activities and following the health officers’ directions prove beneficial to improve health conditions among the elderly. This research is expected to be an input for Posyandu to enhance its elderly program by optimizing the performance and presence of cadres in each activity.
CORRELATION BETWEEN CORONARY HEART DISEASE (CHD) AND PERIPHERAL ARTERY DISEASE (PAD) Galih Pria Pambayun
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Peripheral Artery Disease (PAP) is a disease of the blood vessels. Peripheral Artery Disease (PAP) occurs due to the formation of atherosclerosis which causes the reduction of blood flow to the extremities. Peripheral arterial disease (PAP) is also common in patients with coronary heart disease (CHD) because in patients with coronary heart disease (PJK) has a pathophysiology of atherosclerosis similar to atherosclerosis occurring in peripheral artery disease (PAP). Aims: This study aims to determine the relationship between Coronary Heart Disease (CHD) with Peripheral Artery Disease (PAP) at Sultan Agung Islamic Hospital. Methods: The study was an analytic observational study with cross sectional design and was conducted at Sultan Agung Semarang Islamic Hospital in November-December 2014. Diagnosis of Peripheral Artery Disease (PAP) was known by using primary data that was by measuring Ankle Brachial Index (ABI). Results: The results showed that 42% of patients with Coronary Artery Disease (CHD) had Peripheral Artery Disease (PAP) and 10% of patients with Coronary Artery Disease (PAP) did not have Peripheral Artery Disease (PAP). Forty pecent of Non-Coronary Heart patients did not have Arterial Disease Peripheral (PAP), and 8% of patients with Non Coronary Heart Disease Peripheral Artery (PAP) Conclusion: This study showed that patient with Coronary Heart Disease (CHD) most likely will develop Peripheral Artery Disease (PAD).
SENSITIVITY OF ANTIBIOTIC IN DIABETIC ULCER BACTERIA AND ITS MANAGEMENT IN INDONESIA. A LITERATURE REVIEW Umi Margi Rahayu; Anis Laela Megasari
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Introduction: Diabetic ulcer is one of the complications of Diabetes Mellitus (DM) which is characterized by an open wound on the skin layer up into the dermis. One of the inhibitors of wound healing process is infection. The bacteria that present in the ulcer are a combination of aerobic and anaerobic bacteria. Treatment of infection is closely related to the use of antibiotics. Methods: The method used in this paper is literature review and was conducted from 2010 – 2016. The research articles were reviewed from electronic databases including Science Direct, CINAHL, Pub Med, Pro Quest, and from relevant textbooks. The keywords used include diabetic ulcer, antibiotic, management ulcer, and wound care. Results: The entry of bacteria into the early occurrence of diabetic ulcers and high glucose levels become trategic places of bacterial development. The most common types of bacteria found in diabetic ulcers, Staphylococcus sp, Streptococcus sp, Pseudomonas sp, and E.Coli, are still sensitive to antibiotic class of balaktam (Imepenam and Meropenam) whereas antibiotics that are resistant to these bacteria are amoxicillin and penicillin. Provision of antibiotic therapy should still be combined with wound care with a dressing that has antimicrobial properties, given the many types of bacteria found in diabetic ulcers with different types and sensitivity patterns to antibiotics. Conclusions: Many cases in diabetic ulcer are infection and many types of bacteria are resistant to antibiotic. Prevention of resistance can be done with the selection of specific antibiotics, the combination of aerobic and anaerobic antibiotics, and the regularity of antibiotics including the timeliness and dose. Management of diabetic ulcers should be carried out comprehensively, not just focusing on antibiotics, but also with wound care, given the many types of bacteria found in diabetic ulcers with different types and sensitivity patterns to antibiotics.
FACTORS RELATED TO ABORTION INCIDENCE IN PREGNANT WOMEN AT BHAYANGKARA HOSPITAL, DEPOK, INDONESIA Bovi Elfitriani; Noer Desmie
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Introduction: WHO estimates that the incidence rate of abortion case worldwide is 15%. The incidence rate in developed countries such as USA is 10-20%, compared to developing nations such as Zimbabwe where it reaches 28%. In Southeast Asia, an estimate of 4.2 million abortions occur every year. In Indonesia, the national rate of abortion incidence reaches up to 18-19%, while West Java province reported that there are 400,000 cases each year. Bhayangkara Brimob Hospital Depok, situated in West Java, recorded 25.1% of abortion incidence rate in 2012. Objectives: To determine the maternal factors associated with the abortion incidence among pregnant women in Bhayangkara Brimob Hospital Depok. Method: This research used secondary data with descriptive research method and cross sectional by using random sampling technique. The total population is 340 people and the sample taken in this study amounted to 77 people with abortion cases. The analysis used is univariate and bivariate. Statistical test analysis through Chi Square test, with ɑ = 0.05 and odds ratio. Results: The study revealed that there was a significant relationship between age (P value = 0.016, OR = 5,200), parity (P value = 0.044, OR = 4,167), occupation (P value = 0.009, OR = 5,750), anaemia (P value = 0.013, OR = 5,556), and no significant association with previous abortion history (P value = 0.942, OR = 0.781). Conclusion: Based on the study, the result of this research will support the information about the factors related to abortion incidence in pregnant women and can further be used as a guidance in abortion prevention.
THE EFFECT OF GUIDED IMAGERY RELAXATION TOWARDS PAIN LEVEL OF POST-SURGICAL CAESAREAN SECTION PATIENTS IN GENERAL HOSPITAL MUHAMMADIYAH SITI AMINAH BUMIAYU, INDONESIA Khusana Rahma
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Pain is one of the diagnostic study found in the post-surgical phases, including sectio caesaria. Sectio caesaria surgery causes tissue and cell damage that result in the release of painful substances such as bradykinin, lactic acid and prostaglandins. These substances cause nociceptor impulses and lower the pain threshold, causing the sensitivity of pain receptors. One of the interventions that can be done to relief the pain is through the use of guided imagery relaxation techniques. This method was one of the nonpharmacological treatments to lessen the pain by using words and positive imagination. Aim: To compare the pain level of the patients with post operation of sectio caesaria, before and after guided imagery relaxation.Methods: The research design was pre-experimental with one pre-test group of 30 patients. The population in this study were post-operative patients of sectio caesaria at Muhammadiyah General Hospital Siti Aminah Bumiayu, where in October 2014 the number of cure patients treated in the Marwah Room were 55 patients. The respondents’ samples were taken from their surgical procedures of sectio caesaria. The sampling technique was purposive sampling. Results: The result showed the difference in level of pain, whereas before guided imagery relaxation the patients had 100% of pain level, and after the treatment it decreased to 90 % of pain level. The analysis of Wilcoxon Signed Rank test of 95% CI (α=0,05) yielded p-value 0,000 < α (0,05). Verbal Descriptor Scale (VDS), the scale used in assessing pain, is the scale of intensity of descriptive pain. The assessment will be more accurate if the clients are able to precisely describe the perceived sensation. The nurse may also provide a glossary of terms to describe the pain to the clients. Conclusion: Guided imagery relaxation had a significant effect towards the levels of post-operative sectio caesaria’s pain. Nurses can apply guided imagery relaxation as an intervention and develop the related standard operational procedure (SOP) to ease the patients’ pain problem.
FACTORS AFFECTING SLEEP DISORDERS OF PATIENTS IN THE INTENSIVE CARE UNIT (ICU) Hadi Hadi
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Introduction: There is a tendency for cardiac patients in the intensive care unit (ICU)’s bed to be more disturbed than when they are still at home. The cause of the sleep disorder among these patients are allegedly caused by many factors, including environmental influences such as noise and lighting and also nursing interventions among other reasons. Objective: To investigate the relationship between sleeping disorders and environmental factors, namely noise and lighting, and nursing interventions. Methods: The design used in this research is descriptive analysis with cross sectional approach. The sampling technique is purposive sampling with the sample size of 30 respondents. The analysis of the data is used to determine the frequency distribution and relationships among variables causes of sleeping disorders among cardiac patients in ICU. Results: The results showed that most respondents’ sleep is disrupted (60.0%) and interrupted once (40.0%) with the details of each sleeping disturbance factor are as follows: from the noise is disturbed (53.3%) and interrupted once (20.0%), from the lighting is disturbed (40.0%) and interrupted once (33.3%), and from nursing interventions is disturbed (43.3%) and interrupted once (10.0%). Conclusion: In providing nursing care, nurses need to pay attention to factors that affect sleeping disorders among heart patients in the ICU.
INCREASING COMPETENCE OF MIDWIFERY STUDENTS IN PERINEAL WOUND SUTURING USING LOW COST MODEL MADE FROM FLANNEL FABRIC Rery Kurniawati Danu Iswantoro; Nani Yuningsih; Ayi Tansah Rohaeti; Melyana Nurul Widyawati
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Competence of postpartum perineum wound suturing should be owned by midwives. However, students are limitedly trained on how to use cotton pads that are less representative in form and material. This results in a lack of student competence in perineum stitching practice. Aims: This study goal is to know the effectiveness of perineum wound suturing model made from flannel in order to increase stitching competence on the students of Midwifery study program of Banten Health Polytechnic. Methods: This research was designed using experimental design with post-test design method. The respondents consisted of 11 treatment group and 14 control group. The research implementation consisted of three stages. First, an introduction to the perineum wound sewing technique. Second, the model group practiced with flannel and cotton. Third, the respondents filled up the questionnaire on level of confidence and competence assessment of both groups of students. Data analysis used Mann Whitney test because the median difference of two independent groups if the dependent variable data scale is ordinal and ratio. Results: The results showed that the mean of perineum wound suturing competence in the model group was higher (83) than in the non-model group (74). The statistical test results obtained p = 0.002 which means that there was a significant difference in the competency of both groups. At the self confidence level of the respondents in performing perineum wound suturing, both groups had the same mean (4) with p = 0.651. At the time of perineum wound suturing, it is known that the model group mean was slightly faster (20 minutes) than the non-model group (22 minutes) with p = 0.978. There were no significant differencesbetween the two variables. Conclusion: The study showed that the test model was better in improving the competence of the perineum wound suturing. Flannel model is also more affordable and can be sutured over and over so it is economical for students. Further study on efficient media is recommended so that duration and confidence would be better.
CORRELATION BETWEEN PARITY AND PLACENTAL RETENTION INCIDENCE AT DR. SOEWANDHIE HOSPITAL, SURABAYA, INDONESIA Diana Mufidati; Umdatus Soleha
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Backgroud: The incidence rate of placental retention at Dr. Soewandhie Hospital Surabaya in January – April 2014 with the total labor involving 669 mothers, 28 laboring mothers (4.19%) experience placental retention. It can cause postpartum hemorrhage which becomes the leading cause to death. Aims: The purpose of this study was to find out the correlation between parity and the incidence of placental retention at Dr. Soewandhie Hospital Surabaya, Indonesia. Methods: The design of study was analytic-cross sectional. The population involved all laboring mothers in April 2014, totally 205 laboring mothers, in which 136 laboring mothers were taken as the samples by simple random technique. The data was secondary data from labor registration book. Then, the data was analyzed using Chi-Square .05. Results: The result of study showed that, 14.2% of the primiparous experienced placental retention, whilst multiparous and grand multiparous have higher proportion, reached to 42.9%. By the statistical analysis, we found that the correlation between parity and incidence of placental retention among the laboring mothers at Dr. Soewandhie Hospital Surabaya, Indonesia, was significant (p value = 0,008). Conclusion: It can be concluded that the more parity, the higher the risk of placental retention. It shows in urgency at Dr. Soewandhie Hospital Surabaya to provide counseling and education about the ideal number of children and increasing acceptance of family planning.
ANALYSIS OF PREDISPOSITION FACTORS ON PREMATURE RUPTURE MEMBRANES IN POSTPARTUM MOTHERS Asri Daniyati; Pramita Putri
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Early rupture of membranes is one of the most common pregnancy complications. The incidence of premature rupture of membranes ranges from 5-10% of cases. Preterm premature rupture of membrane occurs in 1% of all pregnancies, 70% of cases of premature rupture of the membranes occur in term pregnancy. In West Nusa Tenggara, 45% of maternal deaths occurred due to bleeding, 14% due to preeclampsia, 1% of prolonged labour (old or stalled openings), 4% infections and 36% of other cases. Aims: The purpose of this study is to analyse some predisposition factors of premature rupture membranes in Maternity Room of General Hospital of West Nusa Tenggara Province in 2012. Methods: This study is observational analytic with cross-sectional design. The population in this study were all maternal mothers at West Nusa Tenggara Provincial Hospital in January - December 2012 with 1027 births and the sample used were 576 samples consisting of 288 case samples and 288 control samples, using systematic random sampling technique. Results: From the result, the age group of 20-35 years old as much as 154 samples (53.5%). The most parity 220 sample (76 .4%), in work mother of 149 samples (51.7%). The result of multivariate analysis using logistic regression showed that age is the most dominant influence which cause the incidence of early rupture of membrane (wald = 20.209) Conclusion: Multivariate analysis showed that there was one variable that proved to have an effect on the incidence of premature rupture of membrane, i.e. mother age with p = 0,000 with OR = 3.441 mean maternal mother with age <20 and> 35 had 3.44 times risk of premature rupture of membranes. Therefore, it is imperative that women are educated in the risk factors and the signs and symptoms of premature rupture of membranes so that in case of membrane breaks, they can seek for immediate treatment.
PERINEAL MASSAGE: PREVENTING PERINEAL EPISIOTOMY AND PERINEAL LACERATION DURING CHILDBIRTH Shinta Wurdiana Rhomadona; Minarni Hardianti
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Backgrounds: Approximately 4-5% of maternal deaths in Indonesia is caused by trauma in the birth canal, of which perineal laceration and episiotomy are the most common occurrence. Generally, as much as 80- 90% of episiotomies are performed on first-time mothers (primipara). Episiotomy can be prevented by perineal massage from 34 weeks gestation. Aims: To reveal a picture of episiotomy implementation in primiparous mothers who received perineal massage at BPM (Independent Clinic of Midwifery) Istiqomah in Sidotopo, Surabaya . Methods: This research used descriptive method. The population were primiparous mothers who received perineal massage. The sample of 20 mothers were chosen by consecutive sampling technique. This research used perineal massage as the independent variable and episiotomy and perineal laceration as the dependent variables, and was measured using the observation sheet during childbirth. The data was then processed by using a frequency distribution table. Results: The results showed that out of 20 respondents who received perineal massage, only four had done an episiotomy during childbirth. Each of these four women had complicated condition - three of whom had fetal distress and one had an exhausted childbirth process. Conclusion: The main benefit of performing perineal massage during episiotomy procedure is to relax the muscles surrounding the perineum and make them more elastic.

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