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INDONESIA
Jurnal Endurance: Kajian Ilmiah Problema Kesehatan
ISSN : -     EISSN : 24776521     DOI : -
Core Subject : Health,
Jurnal Endurance : Kajian Ilmiah Problema Kesehatan Online ISSN : 2477-6521 is a journal published three times a year in February, June and October containing unpublished health disciplines anywhere in the field of health science development and to apply some community-based research results in enhancing community participation and independence for healthy living. Any manuscripts submitted through an online process and reviewed by a fellow partner will determine the manuscripts contained in this journal. Jurnal Endurance published by Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X.
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Articles 203 Documents
Pengaruh Seduhan Zingiber Offcinale (Jahe) Terhadap Penurunan Emesis Gravidarum Rufaridah, Anne; Herien, Yelly; Mofa, Englia
Jurnal Endurance Vol 4, No 1 (2019): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (40.086 KB) | DOI: 10.22216/jen.v4i1.3505

Abstract

Emesis Gravidarum is a many that occur to pregnant woman in Indonesian. Emesis graviadarum can cause disturbed the daily activities of pregnant woman, also can decrease appetite and dehydration. When don’t overcome than the hiperemesis gravidarum, can be resolve with non pharmacology therapy, which one non pharmacology therapy is ginger. Ginger consist gingerol Shogaol, and zingeberen that can be decrease nausea and vomiting to pregnant woman. This research aims to know the effective of steep ginger towards decrease emesis gravidarum on trimester 1 at working area of Lubuk Buaya Padang in years 2017.This research was pre-experiment with one group pretest-posttest design, used purposive sampling technique with number of sample are 12 woman. Tools and methods used to collect data with the observation sheet and interview, this research was done on August 2017. The result of this research shows that means emesis gravidarum before given steep ginger is 3,38with deviation standard is 0,549, while emesis gravidarum means after was given steep ginger is 2,19 with deviation standard 0,401. Based on the result of data analysis with using paired sample t-test get p value 0,000 ( p<0,05 ), so it can be conclude that there is effective of steep ginger to decrease emesis gravidarum on first trimester. So, it is expected to health workers to giving the information towards pregnant woman that was experiencing nausea and vomiting that consuming ginger with appropriate dose and the correct way to decrease nausea and vomiting that was suffered by pregnant woman Emesis gravidarum merupakan kasus yang banyak terjadi pada ibu hamil di Indonesia. Emesis gravidarum menyebabkan terganggunya aktivitas, menurunkan nafsu makan dan terjadinya dehidrasi, apabila tidak diatasi maka akan berdampak menjadi hiperemesis gravidarum. Emesis gravidarum bisa diatasi dengan terapi non farmakologi, salah satunya yaitu jahe. Jahe mengandung gingerol, shogaol dan zingeberen yang bisa menurunkan mual dan muntah pada ibu hamil. Penelitian ini bertujuan untuk mengetahui efektivitas seduhan jahe terhadap penurunan emesis gravidarum pada trimester pertama diwilayah kerja puskesmas Lubuk Buaya Padang Tahun 2017. Jenis penelitian ini adalah pra eksperimen dengan desain penelitian one group pretest-posttest ,menggunakan teknik purposive sampling dengan jumlah sampel 12 orang. Alat dan cara yang digunakan untuk mengumpulkan data yaitu dengan lembar observasi dan wawancara, dengan waktu penelitian dilakukan pada bulan Agustus 2017. Hasil penelitian menunjukan bahwa rata-rata emesis gravidarum sebelum diberikan seduhan jahe adalah 3,38 dengan standar deviasi 0,549, sedangkan rata-rata emesis gravidarum setelah diberikan seduhan jahe adalah 2,19 dengan standar deviasi 0,401. Dari hasil analisa data dengan menggunakan paired sample t-test didapat pvalue 0,000 (p < 0,05), dapat disimpulkan bahwa ada efektivitas seduhan jahe terhadap penurunan emesis gravidarum pada trimester pertama. Diharapkan pada tenaga kesehatan untuk bisa memberi informasi kepada ibu hamil yang mengalami mual muntah bahwa bisa mengkonsumsi jahe dengan dosis yang tepat dan cara yang benar untuk menurunkan mual muntah yang diderita ibu hamil.
Gambaran Penggunaan Gentamisin Pasien Pediatri di Bangsal Anak Rumah Sakit Bhayangkara Bengkulu Rikomah, Setya Enti; Andriyani, Nerry; Yuniarti, Mersi
Jurnal Endurance Vol 4, No 1 (2019): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.04 KB) | DOI: 10.22216/jen.v4i1.3211

Abstract

Gentamicin is one of the 10 most widely used drugs in pediatric patients. Gentamicin is an antibiotic class of aminoglycosides used in severe infections caused by aerobic negative bacteria, especially bactericidal activity against pseudomonas aeroginosa and enterobacter species. The purpose of this study was to find out the percentage characteristics of patients receiving gentamicin drugs based on sex, disease diagnosis, route of administration, and age. This study is an observational study to determine the use of gentamicin in pediatrics. This research is a descriptive study, with a purposive sampling approach by retrospectively retrieving data based on medical records and primary data from direct interviews with patients and families of patients using gentamicin drugs in the pediatric ward of Bengkulu III TK Bhayangkara Hospital. This study connects the independent variables, namely the level of use of gentamicin drugs in pediatrics and dependent variables which include the patient's gender, route of administration of drugs, dosage, dosage form, age, and diagnosis of the disease. The measurement results in this study were in the form of a percentage (%). The results of the study on the use of gentamicin in the respondents found as many as 30 respondents with the highest age characteristics namely male sex 66.67% and women 33.33% with the diagnosis of the most diseases GEA (Gastrointestinal) 43.34%, the highest drug delivery route is injection 86.67%, with the highest patient age, ie Babies (1 Month-1 Yr) 43.34%.Gentamisin termasuk 10 besar obat yang paling banyak digunakan pada pasien anak. Gentamisin merupakan antibiotika golongan aminoglikosida yang digunakan pada infeksi berat yang disebabkan oleh bakteri negatif aerob terutama aktivitas bakterisidal terhadap pseudomonas aeroginosa dan spesies enterobacter. Tujuan dari penelitian ini mengetahui persentase karakteristik jumlah pasien yang mendapat obat gentamisin berdasarkan jenis kelamin, diagnosa penyakit, rute pemberian obat, dan umur. Penelitian ini termasuk jenis penelitian observasional untuk mengetahui penggunaan gentamisin pada pediatri. Penelitian ini  merupakan penelitian deskriptif, dengan pendekatan secara purposive sampling dengan melakukan pengambilan data secara retrospektif yang didasarkan dari rekam medik  dan data primer dari wawancara langsung ke pasien maupun keluarga pasien yang menggunakan obat gentamisin di bangsal anak Rumah Sakit Bhayangkara TK III Polda Bengkulu. Penelitian ini menghubungkan variabel independent yaitu tingkat penggunaan obat gentamisin pada pediatri dan variabel dependent yaitu meliputi jenis kelamin pasien, rute pemberian obat, dosis, bentuk sediaan, umur, dan diagnosa penyakit. Hasil  ukur dalam  penelitian ini berupa persentase (%). Hasil penelitian tentang penggunaan gentamisin pada responden didapatkan  sebanyak 30 responden dengan karakteristik umur tertinggi yaitu jenis kelamin laki-laki 66,67% dan perempuan 33.33% dengan diagnosa penyakit yang paling banyak GEA (Gastrointestinal) 43,34 %, rute pemberian obat tertinggi yaitu injeksi 86,67 %, dengan umur pasien yang tertinggi yaitu Bayi (1 Bln-1 Thn) 43,34%.
Uji Kontaminan Koliform Susu Kedelai yang dijual di Pasar Bawah Kota Bukittinggi Hilmarni, Hilmarni; Satriani, Rini; Rosi, Devahimer Harsep
Jurnal Endurance Vol 4, No 1 (2019): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (169.495 KB) | DOI: 10.22216/jen.v4i1.2807

Abstract

Evaluation of coliform contamination from homemade soy milk sold in Bukittinggi city has been determined. Soy milk can be consumed to dietary nutritional of protein, because soy bean cantains high protein and fat. Soy milk from product of homemade process are done conventionally, so sanitation and hygiene processing be ignored. The presence of coliform and other pathogenic bacteria in bevearage can be cause some serious desease to human. One of the common contaminats present in drinks or food are coliform bacteria. The aim of this research to know coliform bacteria and presence or absence of Escherichia coli  in soy milk using Most Probable Number / MPN methode. Research covering presumtif test, comfirmatif test of coliform and Escherichia coli identification. Based on the results of the three samples soy milk containing coliform bacteria respectively 23, 21 and 43 MPN/ ml and Escherichia coli contamination respectively 10,  4 and 10 MPN / ml. So from this study can be concluded all the samples has been polluted, and  not fulfill the requirements of  SNI No.7388:2009.Telah dilakukan uji kontaminan koliform terhadap susu kedelai hasil olahan rumah tangga yang dijual di Pasar Bawah Bukittinggi. Susu kedelai dapat dikonsumsi untuk memenuhi kebutuhan gizi, karena kedelai mengandung protein  dan lemak. Pengolahan Susu kedelai hasil olahan rumah tangga dilakukan secara konvensional sehingga sanitasi dan kebersihan pengolahan kurang diperhatikan. Keberadaan koliform dan bakteri penyebab penyakit dalam susu kedelai dapat menyebabkan penyakit pada manusia. Salah satu bakteri koliform yaitu Escherichia coli, dimana bakteri ini merupakan indikator terjadinya kontaminasi mikroorganisme penyebab penyakit pada minuman atau makanan. Penelitian ini bertujuan untuk mengetahui adanya cemaran bakteri koliform dan mengidentifikasi adanya Escherichia coli pada susu kedelai dengan cara Most Probable Number/Angka Paling Mungkin.  Penelitian meliputi uji presumtif bakteri koliform, uji komfirmatif koliform dan identifikasi Escherichia coli. Berdasarkan hasil penelitian menunjukkan bahwa ke 3 sampel susu kedelai yang diuji mengandung cemaran bakteri koliform 23, 21, dan 43 MPN/ml dan cemaran bakteri Escherichia coli sebanyak 10, 4 dan 10 MPN/ml. Maka dari penelitian ini dapat disimpulkan semua sampel tercemar Escherichia coli sesuai dengan persyaratan yang telah ditetapkan dalam SNI no. 7388 tahun 2009.
Pengaruh Edukasi Kesehatan dengan Self Instructional Module Terhadap Pengetahuan Tentang Diabetes Melitus Oktorina, Rola; Sitorus, Ratna; Sukmarini, Lestari
Jurnal Endurance Vol 4, No 1 (2019): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1477.12 KB) | DOI: 10.22216/jen.v4i1.2995

Abstract

Number of diabetes mellitus cases have been increasing every year. Diabetes mellitus patient needs to get information about diabetes mellitus at least after the diagnose were given. Nurse as an educator could give education for diabetes mellitus patient, so that there will be an upgrade of knowledge diabetes mellitus patient. Verbal education need an additional tool such as a modul, in purpose patient can re-evaluate the material that they already get. The purpose of this research is to test the impact of education using self instructional module to level of knowledge about diabetes mellitus  to diabetes mellitus patient type 2. This research using quasi experimental with one group pretest postest design with 29 person  samples in total with diabetes mellitus  type 2 diagnosis. Data collection using questionaire. Statistic analysis using wilcoxon. Research result shows that there are differences of knowledge before and after education by self instructional module (p= 0,000; α=0,05) before and after education by self instructional module. Hopefully this research can be use as health education media in an attempt to upgrade the knowledge of diabetes mellitus patient type 2.Pasien diabetes melitus perlu mendapatkan informasi tentang diabetes melitus minimal setelah ditegakan diagnosa. Perawat sebagai edukator bisa memberikan edukasi terhadap pasien diabetes melitus agar terjadinya peningkatan pengetahuan pasien diabetes. Penyampaian edukasi melalui lisan perlu ditambahkan dengan modul, agar pasien dapat meninjau kembali materi yang telah diterima. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi dengan menggunakan self instructional module terhadap tingkat pengetahuan tentang diabetes melitus pada pasien diabetes melitus tipe 2. Penelitian ini menggunakan desain quasi experimental dengan one group pretest postest dengan jumlah sampel 29 orang dengan diagnosa diabetes melitus tipe 2, pengumpulan data menggunakan kuesioner. Analisis statistik menggunakan wilcoxon test. Hasil penelitian menunjukkan bahwa terdapat perbedaan pengetahuan (p< 0,001; α<0,05) sebelum dan sesudah edukasi dengan self instructional module. Penelitian ini diharapkan dapat digunakan sebagai media edukasi kesehatan dalam upaya peningkatan pengetahuan pada pasien diabetes melitus tipe 2.
Instrumen Kepuasan Pasien Terhadap Pelayanan Keperawatan : Literature Review Badrin, Nina Nisrina; Rachmawaty, Rini; Kadar, Kusrini
Jurnal Endurance Vol 4, No 1 (2019): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (299.579 KB) | DOI: 10.22216/jen.v4i1.3674

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Patient satisfaction is one of indicator to assess the quality of health services. Measurement of patient satisfaction with nursing services is needed as an evaluation material for nursing management to ensure and improve the quality of nursing services. Several instruments of patient satisfaction with nursing services have been developed. The purpose of this Literature Review is to identify instruments of patient satisfaction with nursing services. This literature review examines the results of development and psychometric testing research of patient satisfaction instruments through article search in PubMed and Google scholar databases with keywords : patient satisfaction, nursing care, instrument, development, tools, psychometric, validity and reliability. We reviewed 20 articles. There are 7 instruments for assessing patient satisfaction with nursing services, namely the questionnaire SERVQUAL, HCAHPS, RPSS, GNCS, NSNS, PSNCQQ and PPHEN. Patient satisfaction instruments consist of several dimensions including individual assessment, communication, staff response, technical competence, interpersonal competence, health education, facilities, hospital environment, comfort, information on return, collaboration and coordination when patients are discharged from the hospital. Based on this literature review it can be concluded that there are several instruments and dimensions that can be used to assess patient satisfaction. But, it is necessary the development of patient satisfaction instruments by involving the perspective of the service provider and incorporating the dimensions of caring as the essence of nursing services. Kepuasan pasien merupakan salah satu indikator untuk menilai kualitas pelayanan kesehatan. Pengukuran  kepuasan pasien terhadap pelayanan keperawatan diperlukan sebagai bahan evaluasi bagi manajemen keperawatan untuk menjamin dan meningkatkan kualitas pelayanan keperawatan. Beberapa instrumen kepuasan pasien terhadap pelayanan keperawatan telah dikembangkan. Tujuan Literature Review ini untuk mengidentifikasi instrumen kepuasan pasien terhadap pelayanan keperawatan. Literature review ini menelaah hasil penelitian pengembangan dan uji psikometrik instrumen kepuasan pasien melalui pencarian artikel di database PubMed dan Google scholar dengan kata kunci : patient satisfaction, nursing care, instrument, development, tool, psychometric, validity dan reliability. Kami melakukan review terhadap 20 artikel. Ada 7 instrumen penilaian kepuasan pasien terhadap pelayanan keperawatan yaitu kuesioner SERVQUAL, HCAHPS, RPSS, GNCS, NSNS, PSNCQQ dan PPHEN. Instrumen kepuasan pasien terdiri dari beberapa dimensi termasuk penilaian individu, komunikasi, tanggapan staf, kompetensi teknis, kompetensi interpersonal, pendidikan kesehatan, fasilitas, lingkungan rumah sakit, kenyamanan, informasi kepulangan, kolaborasi dan koordinasi ketika pasien keluar dari rumah sakit. Berdasarkan literature review ini dapat disimpulkan bahwa untuk menilai kepuasan pasien terhadap terdapat beberapa instrumen dan dimensi yang dapat digunakan. Namun perlu pengembangan instrumen kepuasan pasien dengan melibatkan perspektif dari pemberi pelayanan dan memasukkan dimensi caring sebagai esensi dari pelayanan keperawatan.
Analisis Kejadian Hipertensi Berdasarkan Golongan Darah Murni, Murni; Mayenti, Fitra
Jurnal Endurance Vol 4, No 1 (2019): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (182.465 KB) | DOI: 10.22216/jen.v4i1.3643

Abstract

Background: One of the factor that increases the risk of hypertension is ABO blood type. Non-O blood groups have higher vWF levels than blood type O, which can increase the risk of arterial and venous thrombosis. Purpose: The aim of this research is to determine the relationship of blood groups to the incidence of hypertension. Methods: Research is quantitative analitic with cross sectional approach. The study population was elderly who visited Puskesmas Harapan Raya Pekanbaru. The sample was 104 respondents. Sampling technique with purposive sampling. Data analysis using Chi-Square test statistic. Results: Result of research got that blood type Non-O respondent suffer most hypertension amount to 46 people (67,0%). The results showed that there was a significant relationship between blood type with incidence of hypertension with p value < 0,05 (p = 0,005). Conclusion: Blood type O has the lowest vWf level compared to the Non-O blood group, resulting in low coagubility and no blood deposits in the blood vessel wall. Blood type O has a lower risk of hypertension than blood types Non-O (A, B, and AB).Latar Belakang: Salah satu faktor yang meningkatkan risiko kejadian hipertensi adalah tipe golongan darah ABO. Golongan darah Non-O memiliki kadar vWF lebih tinggi dibandingkan golongan darah O sehingga dapat meningkatkan risiko terjadinya trombosis arteri dan vena. Tujuan Penelitian: Penelitian ini bertujuan untuk mengetahui hubungan golongan darah terhadap kejadian hipertensi. Metode Penelitian: Penelitian bersifat analitik kuantitatif dengan pendekatan cross sectional. Populasi penelitian adalah lansia yang berkunjung ke Puskesmas Harapan Raya Pekanbaru. Sampel penelitian berjumlah 104 responden. Teknik pengambilan sampel yang digunakan adalah purposive sampling. Analisis data menggunakan uji chi-square. Hasil Penelitian: Hasil penelitian didapatkan bahwa responden bergolongan darah Non-O terbanyak menderita hipertensi berjumlah 46 orang (67,0%). Hasil penelitian menunjukkan ada hubungan yang signifikan antara golongan darah dengan kejadian hipertensi dengan nilai p < 0,05 (p = 0,005). Kesimpulan: Golongan darah O memiliki kadar vWf paling rendah dibandingkan golongan darah Non-O, sehingga mengakibatkan koagubilitas rendah dan tidak terdapat endapan darah pada dinding pembuluh darah. Golongan darah O memiliki risiko rendah terhadap kejadian hipertensi dibandingkan golongan darah Non-O (A, B, dan AB).
Community Willingness to Participate in A Mosquito Breeding Site Eradication Program: A Study in Bandung, West Java, Indonesia Faridah, Lia; Nuriyah, Eva; Ekawardhani, Savira; Fauzah, Nisa; Sukandar, Hadyana; Agoes, Ridad
Jurnal Endurance Vol 4, No 1 (2019): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (383.584 KB) | DOI: 10.22216/jen.v4i1.3917

Abstract

Despite many efforts to prevent dengue, vector control still promising specially through integrated vector management. This effort requires community participation. Therefore, it is crucial to understand the factors that are associated with the willingness of communities in high prevalence areas to participate in mosquito breeding eradication program. This study explored factors associated with the willingness of community members in Bandung to participate in the mosquito breeding eradication program initiated by Indonesian's government, called One House One Larvae Monitor. A community-based cross-sectional study was carried randomly at sub-district level in Bandung from January-November 2018. Interviews using a set of validated questionnaires were conducted to collect data on demography, socioeconomic status, knowledge, attitude and practice regarding implementation of the program. Among 210 participants, the proportion of low-to-middle knowledge, attitude, and practice (KAP) index is more prevalent. Yet, for attaining high-score on KAP, there are three main predictors observed; by being female, at least had attend undergraduate level of education, and being an entrepreneur. A good score in the attitude section does not necessarily translate to good score in the practice section. The results reflect the need for better tools for changing the behavior of society, and it should not be limited to enhancement of society’s knowledge.
Faktor-Faktor yang Mempengaruhi Keputusan Pasien Memilih Jasa Pelayanan Kesehatan Rita, Nova; Afconneri, Yudistira
Jurnal Endurance Vol 4, No 1 (2019): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (257.876 KB) | DOI: 10.22216/jen.v4i1.3332

Abstract

Demand for health services in indonesia has declined, many are less satisfied with the health services provided by the hospital. Several influential factors such as: quality of service and the marketing mix. If the perceived service meet sorexceeds the expectations of the patient, the patient will be satisfied and remain willing to establish long-term relationships with hospital as well as being loyal to the hospital. From 6 patients who were interviewed, 3 patients said they wanted to choose another hospital if requiring hospitalization in the future. The purpose ofthis study was to determine the relationship ofservice quality and loyalty marketing mixwiththe patient consideration related to satisfaction of hospital services at hasanuddin hospital south Bengkulu. The type of this research was descriptive analytic reserach. The population were patients who were treated in hasanuddin general hospital in the year 2014, where the samples were taken by using the inclusion criteria (worth studying criteria) as many as 171 people. Data were collected by using question naires and interviews. Data analysis was performed by using univariate and bivariatechi square at α 5%.this research has been conducted in may-june 2014, with the results: the majority(49.1%) of respondents believe that service quality was not good, small proportion(18.7%) of respondents believethat the marketing mixwas not good, a minority of respondents (35.1%) were less well argued about loyalty, a minority of respondents (33.9%) did not choose hasanuddin hospital care if needed hospitalized health services again. There was no significant relationship between the quality of health care with the patients choice related to health care (p =0.516), there was no significant relationship between marketing mix with patients decision in choosing health services (p =1.000), there was no significant relationship between patient loyalty with patients decision in choosing health services (p =0.697). Permintaan pelayanan kesehatan di indonesia semakin menurun, banyak kurang puas dengan pelayanan kesehatan yang diberikan oleh rumah sakit. Faktor  berpengaruh : kualitas pelayanan dan bauran pemasaran. Dari 6 pasien diwawancara, 3 pasien mengatakan ingin memilih rumah sakit lain jika memerlukan jasa rawat inap lagi. Tujuan penelitian :untuk mengetahui hubungan kualitas pelayanan, bauran pemasaran dan loyalitas dengan keputusan pasien memilih jasa pelayanan kesehatan .jenis penelitian yaitu deskriptif analitik. Populasi adalah pasien yang dirawat di rsud hasanuddin damrah tahun 2014, sampel 171 orang.teknik pengumpulan data menggunakan kuesioner dan wawancara. Analisis data dilakukan secara univariat dan bivariat dengan chi square pada 5%. Penelitian dilaksanankan bulan mei-juni 2014 dengan hasil separuh (49,i%) responden berpendapat kualitas pelayanan adalah kurang baik, sebagian kecil (18,7%) responden berpendapat bauran pemasaran adalah kurang baik, sebagian kecil (35,1%) responden berpendapat loyalitas pasien adalah kurang baik, sebagian kecil (33,9%) responden tidak memilih rsud hasanuddin damrah jika membutuhkan pelayanan kesehatan rawat inap kembali. Tidak terdapat hubungan signifikan antara kualitas pelayanan dengan keputusan pasien memilih jasa pelayanan kesehatan  (p= 0,516), tidak terdapat hubungan signifikan antara bauran pemasaran dengan keputusan pasien memilih jasa pelayanan kesehatan (p = 1,000), tidak terdapat hubungan signifikan loyalitas pasien dengan keputusan pasien memilih jasa pelayanan kesehatan (p= 0,697).
DESCRIPTION OF PARENTS-ADOLESCENT CONFLICT Apriyeni, Emira; Machmud, Rizanda; Sarfika, Rika
Jurnal Endurance Vol 4, No 1 (2019): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (20.048 KB) | DOI: 10.22216/jen.v4i1.3008

Abstract

AbstractConflicts with parents has increased in adolescence. Conflict that tends to increase will have an impact on adolescent behavior problems. This study aims to describe parents-adolescent conflicts. The research desaign was descriptive with population is the students of Public Junior High School in Padang City with sample 388 sample using purposive sampling technique. This study used the Conflict Behavior Questionnaire questionnaire. The results obtained 44.1% of adolescents experiencing conflict with parents. It is recommended to nurses give health education on conflict management and assertive behavior to minimize sustained conflict.  
Hubungan Asupan Vitamin B12 dan Asam Folat dengan Fungsi Kognitif Lansia Setyowati, Endang; Iman Santosa, Noegroho; Kridawati, Atik
Jurnal Endurance Vol 4, No 1 (2019): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (112.878 KB) | DOI: 10.22216/jen.v4i1.2256

Abstract

This study used an analytic survey method with a cross sectional approach. The number of respondents in this study was 64 respondents. Data collection of vitamin B6, vitamin B12 and folic acid was measured by using a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) and the cognitive function was measured using the Mini Mental State Examination (MMSE). Statistical analysis used Chi-Square and logistic regression risk factors. Elderly with impaired cognitive function was (70.3%). The test results using Chi-Square showed a significant value of vitamin vitamin B12 intake p = value 0,011 OR = 5,139. While the folic acid variable (p value 1.000), gender (p value 1.000), age (p value 0.342), education (p value 1.000) and domicile (p value 0.420) had no significant relation with cognitive function of the elderly. Based on logistic regression risk factors analysis there was a relation between the intake of vitamin B12 and Folic Acid after being controlled with age and education of the elderly. Most of the elderly suffered from impaired cognitive function. This was caused by low intake of vitamin B12 and folic acid. Besides the majority of elderly had low education which leads to lack of knowledge on the importance of vitamin B12 and folic acid, therefore the intake was low.Tujuan penelitian ini adalah untuk mengetahui hubungan antara asupan vitamin B12 dan asam folat dengan fungsi kognitif lansia. Metode penelitian menggunakan metode survei analitik dengan pendekatan cross sectional. Jumlah responden penelitian sebanyak 64. Pengambilan data vitamin B6, vitamin B12 dan asam folat diukur dengan menggunakan Semi Quantitative Food Frequency Questionaires (SQ-FFQ) dan fungsi kognitif diukur dengan menggunakan Mini Mental Examination (MMSE). Analisis statistik yang digunakan adalah Chi- Square dan regresi logistik faktor risiko. Lansia dengan gangguan fungsi kognitif sebesar (70,3%). Hasil uji dengan menggunakan Chi-Square menunjukkan nilai yang signifikan adalah asupan vitamin B12  p = value 0,011 dengan OR  = 5,139. Sedangkan pada variabel asam folat (p value 0,718), jenis kelamin (p value 1,000), umur (p value 0,342), pendidikan (p value 1,000) dan tempat tinggal (p value 0,420) tidak memiliki hubungan yang signifikan dengan fungsi kognitif lansia. Berdasarkan uji regresi logistik faktor risiko terdapat hubungan yang signifikan asupan vitamin B12 dan asam folat setelah dikontrol umur dan pendidikan lansia. Sebagian besar lansia mengalami gangguan fungsi kognitif. Hal ini disebabkan oleh rendahnya asupan B12 dan asam folat. Disamping itu pendidikan lansia mayoritas rendah berakibat rendahnya pengetahuan tentang pentingnya B12 dan asam folat sehingga asupannyapun rendah.