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Holistik Jurnal Kesehatan
Published by Universitas Malahayati
ISSN : 19783337     EISSN : 26207478     DOI : 10.33024/hjk
Core Subject : Health,
Nursing
Berisi kumpulan karya ilmiah dari peneliti diberbagai perguruan tinggi di Indonesia, di bidang ilmu kesehatan khususnya bidang ilmu keperawatan yang berdasarkan kepada kebutuhan pasien secara total meliputi: kebutuhan fisik, emosi, sosial, ekonomi dan spiritual. Adapun penelitiannya mencakup 4 aspek pokok, yakni: promotif, preventif, kuratif, dan rehabilitatif.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 624 Documents
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Analisis faktor-faktor yang mempengaruhi kepatuhan mengikuti pedoman perawatan Bundle Ventilator Associated Pneumonia (VAP) Solikin Solikin; Mateus Sakundarno Adi; Septo Pawelas Arso
Holistik Jurnal Kesehatan Vol 15, No 3 (2021)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v15i3.4676

Abstract

Analysis of the factors that influence compliance to follow guideline-based care of Ventilator-Associated Pneumonia (VAP) Bundle among nursesBackground: The base of the Infection Prevention and Control Team's assessment showed that the compliance with the VAP bundle implementation carried out by the nurses in the Intensive Care Unit/ICU) ward Dr. Kariadi Hospital is still low. Based on the results of the preliminary study, shows that several variables that are thought to have an influence on nurses' compliance in implementing the VAP bundle include motivation, availability of facilities, supervision, and nurse stress.Purpose: To analysis of the factors that influence compliance to follow guideline-based care of Ventilator-Associated Pneumonia (VAP) Bundle among nurses.Method: The research design used in this research is descriptive correlational analytic with a cross-sectional research design. The study population was all nurses in the Intensive Care Unit/ICU) ward Dr. Kariadi Hospital. Data was collected using a questionnaire and observation sheet. Processing and data analysis using multiple logistic regression analysis.Results: Finding that: 1) The nurse motivation variable did not have a simultaneous correlation with the compliance with implementing the VAP bundle, 2) The facility availability variable had a coefficient on the compliance with implementing the VAP bundle, 3) the supervision variable of the head of the room had the greatest influence on the compliance with implementing the VAP bundle (OR = 44.4), 4) The nurse work stress variable has no effect on compliance with implementing the VAP bundle, 5) The variable availability of facilities and supervision of the head of the room simultaneously or jointly has an influence on nurse compliance in implementing the VAP bundle to reduce the Associated Ventilator Pneumonia (VAP) in the Intensive Care Unit/ICU) ward Dr. Kariadi HospitalConclusion: There is an effect of the availability of facilities and supervision to simultaneously on compliance with implementing the VAP bundle by nurses to reduce Ventilator-Associated Pneumonia (VAP) in the Intensive Care Unit/ICU) ward Dr. Kariadi Hospital.Keywords: Analysis; Compliance; Guideline-based care; Ventilator-Associated Pneumonia (VAP) Bundle; NursesPendahuluan: Hasil penilaian Tim PPI menunjukkan bahwa kepatuhan pelaksanaan bundle VAP yang dilakukan oleh para perawat di Ruang IRIN RSUP Dr. Kariadi Semarang masih rendah. Berdasarkan hasil studi awal menunjukkan bahwa beberapa variabel yang diduga memiliki pengaruh terkait kepatuhan para perawat dalam pelaksanaan bundle VAP diantaranya adalah motivasi, ketersediaan fasilitas, supervisi kepala ruang, dan stress perawat. Tujuan: Menganalisis pengaruh motivasi, ketersediaan fasilitas, supervisi kepala ruang, dan stress kerja perawat secara bersama-sama terhadap kepatuhan perawat dalam pelaksanaan bundle Ventilator Associated Pneumonia di Ruang IRIN RSUP Dr. Kariadi Semarang.Metode: Desain penelitian yang digunakan dalam penelitian ini adalah deskriptif analitik korelasional dengan rancangan penelitian cross sectional. Populasi penelitian semua perawat di Ruang IRIN RSUP Dr. Kariadi Semarang. Subjek penelitian merupakan semua perawat di Ruang IRIN RSUP Dr. Kariadi Semarang yang. Data dikumpulkan dengan menggunakan kuesioner dan lembar observasi. Pengolahan dan analisis data menggunakan analisis regresi logistik berganda. Hasil: Menunjukkan: 1) Variabel motivasi perawat tidak memiliki korelasi secara simultan terhadap kepatuhan pelaksanaan bundle VAP, 2) Variabel ketersediaan fasilitas mempunyai koefisien terhadap kepatuhan pelaksanaan bundle VAP, 3) Variabel supervisi kepala ruang memiliki pengaruh paling besar terhadap kepatuhan pelaksanaan bundle VAP (OR = 44,4), 4) Variabel stress kerja perawat tidak memiliki pengaruh terhadap kepatuhan pelaksanaan bundle VAP, 5) Variabel ketersediaan fasilitas dan supervisi kepala ruang secara simultan atau bersama-sama mempunyai pengaruh terhadap kepatuhan perawat dalam pelaksanaan bundle VAP dalam upaya penurunan Ventilator Associated Pneumonia (VAP) di Ruang IRIN RSUP Dr. Kariadi Semarang. Simpulan: Ada pengaruh ketersediaan fasilitas dan supervisi kepala ruang secara simultan terhadap kepatuhan pelaksanaan bundle VAP oleh perawat dalam upaya penurunan Ventilator Associated Pneumonia (VAP) di Ruang IRIN RSUP Dr. Kariadi Semarang.
Kekurangan energi kronik dan tinggi badan ibu terhadap kejadian stunting pada balita Andri Yulianto; Resi Hana
Holistik Jurnal Kesehatan Vol 15, No 4 (2021)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v15i4.5715

Abstract

Chronic energy deficiency and maternal height on the incidence of stunting in toddlersBackground: Factors that influence stunting according to WHO in 2013 include family factors such as maternal malnutrition (before pregnancy, pregnancy and breastfeeding, breastfeeding), maternal height status, teenage pregnancy, infection, birth babies (IUGR and Premature), short babies / LBW and Hypertension.Purpose:The objective of this research was to find out the correlation of maternal nutrition status and health condition to children under five stunting in Kota public health center working area in Pesawaran district in 2019. Method: This was a research by using survey case control approach. Research subjects were 4,310 parents reported in Maternal and Child and Nutiriton Report. There were 256 children under five (8-59 months) reported with stunting to be measured with anthropometry. 172 respondents were taken by using systematic random sampling. Secondary data were collected by using observation sheets. Data were analyzed by using chi square test. Results: Bivariate analysis result showed that there were correlations of maternal nutrition status and health condition (p-value 0.013; OR=2.289) and body height (p-value 0.002; OR=2.76) to stunting case. The researcher recommends mothers with shorter heights to consume nutritional supplements to fulfill energy, protein, fat, and other macro and micro nutrition to prevent and mitigate stunting, so that genetic factors can be mitigated with good nutritional intake. Conclusion: All independent variables are associated with the incidence of stunting.Keywords: Chronic Energy Deficiency; Mother's Height; Toddler; StuntingPendahuluan: Faktor yang mempengaruhi stunting menurut WHO tahun 2013 salah satunya faktor keluarga yaitu faktor ibu kekurangan nutrisi (saat sebelum hamil, hamil dan menyusui, masa menyusui),  status tinggi badan ibu, kehamilan remaja, infeksi, bayi lahir (IUGR dan Premature), bayi  pendek/BBLR dan Hipertensi. (Lamid, 2015).Tujuan: Untuk mengetahui hubungan KEK dan tinggi badan ibu terhadap kejadian stunting pada balita di wilayah kerja UPT Puskesmas Kota Dalam Kabupaten Pesawaran tahun 2019.Metode:Desain penelitian menggunakan survey case control.. Subjek penelitian ini adalah orang tua yang memiliki balita yang tercatat dilaporan Gizi dan KIA dengan populasi sebanyak terdapat 4.310 bayi balita usia 8 – 59  bulan yang diukur antropometri dengan angka stunting sebanyak 256 bayi balita usia 8 – 59  bulan dan sampel sebanyak didapatkan 172 bayi balita dengan teknik sampling systematic random sampling. Jenis data menggunakan data sekunder dengan menggunakan lembar observasi. Analisa data menggunakanchy square.Hasil: Di dapatkan uji statistik bivariat didapatkan ρ – value KEK = 0,013 dan OR = 2,289 dan ρ – value tinggi badan = 0, 002 dan OR = 2,76.Simpulan: Seluruh variabel independen berhubungan dengan kejadian stunting. 
Tingkat aktivitas fisik pada anak dengan gangguan spektrum autisme : A narrative review Ikeu Nurhidayah; Milah Kamilah; Gusgus Ghraha Ramdhanie
Holistik Jurnal Kesehatan Vol 15, No 4 (2021)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v15i4.5233

Abstract

Physical activity of children with autism spectrum disorders: A narrative review Background: Autism spectrum disorder is a developmental disorder characterized by impaired communication, social interaction, and repetitive behavior. ASD children experience limitations in performing daily activities. Physical activity can reduce the symptoms and skills deficiencies that are present in ASD.Purpose: The literature review was to conduct a study of the level of physical activity with ASD children.Method: The narrative review, articles were collected through the CINAHL, Pubmed, Researchgate, and Garuda Ristek Dikti databases. The keywords used are children with autism OR autism spectrum disorder AND physical activity. The criteria for the articles collected are full text articles, in English and Indonesian, published in 2011-2020 and the type of study used is non-experimental quantitative articles.Results: The literature study got 8 articles which found that low level of physical activity with ASD children. ASD children engage in low physical activity, are physically inactive and spend little time doing physical activity.Conclusion: Physical activity in ASD girls was significantly lower than in boys. This literature study can be used as information for health workers in providing information on the importance of physical activity in children with ASD and the need for further research on programs and interventions for physical activity in children with ASD to get enough daily physical activity to reduce the disorders that exist in children with ASD.Keywords: Children; Autism; Physical activityPendahuluan: Gangguan spektrum autisme merupakan gangguan perkembangan yang ditandai dengan gangguan komunikasi, interaksi sosial, dan perilaku repetitif. Anak-anak GSA mengalami keterbatasan dalam melakukan aktivitas sehari-hari. Aktivitas fisik dapat menurunkan gejala dan kekurangan keterampilan yang ada pada GSA.Tujuan: Studi literatur ini memiliki tujuan untuk melakukan kajian tingkat aktivitas fisik dengan anak GSA. Metode: Metode yang digunakan dalam studi literatur ini adalah narrative review. Artikel dikumpulkan melalui database CINAHL, Pubmed, dan Researchgate. Kata kunci yang  digunakan yaitu children with autism OR autism spectrum disorder AND physical activity. Kriteria artikel yang dikumpulkan yaitu artikel fulltext, berbahasa Inggris dan Indonesia, dipublikasikan tahun 2011-2020 dan jenis studi yang digunakan artikel kuantitatif non eksperimental.Hasil: Hasil studi literatur mendapatkan sebanyak 8 artikel yang menemukan bahwa rendahnya tingkat aktivitas fisik dengan anak GSA. Anak-anak GSA terlibat dalam aktivitas fisik yang rendah, tidak aktif secara fisik dan sedikit waktu yang dihabiskan dalam melakukan aktivitas fisik.Simpulan: Aktivitas fisik pada anak perempuan GSA secara signifikan lebih rendah daripada anak laki-laki. Studi literatur ini dapat dijadikan sebagai informasi tenaga kesehatan dalam memberikan informasi pentingnya aktivitas fisik pada anak dengan GSA serta diperlukannya penelitian lebih lanjut mengenai program dan intervensi aktivitas fisik pada anak-anak dengan GSA untuk mendapatkan aktivitas fisik harian yang cukup untuk mengurangi gangguan yang ada pada anak-anak GSA. 
Efektivitas pijat kaki dan aromaterapi lavender mengurangi gangguan insomnia pada lansia Clara Santa Maria Yanti Tumanggor; Rika Yulenda Sari; Djunizar Djamaludin
Holistik Jurnal Kesehatan Vol 15, No 3 (2021)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v15i3.4152

Abstract

The effectiveness of foot massage and lavender aromaterapy towards the treatment of insomnia in elderlyBackground : Elderly people with insomnia tend to be easily stressed and depressed. When other people are asleep, they are not sleepy, their eyes cannot be closed all night, and sometimes they can make frustrations to force themselves to sleep. Causing various things that interfere with the activity of the next day, such as difficulty concentrating, loss of mood, lack of enthusiasm, and the occurrence of emotional disturbances that are difficult to control.Purpose: To find out alternative therapies using the method (foot massage and lavender essential oil) in the treaty of insomnia in the elderlyMethod: A quasi pre and post-experimental design with intervention and control groups. The samples were taken using purposive sampling with 48 participants. The research instrument used SOP massage and aromatherapy and insomnia IRS questionnaire.Results: The effectiveness of foot massage and lavender aromatherapy on reducing insomnia in the elderly at Tresna Werdha nursing home, Natar with p-value = 0.060.Conclusion : The evidence in effectiveness of alternative therapies using the method (foot massage and lavender essential oil) in the treaty of insomnia in the elderly. I recommend it for caring in the elderly at nursing homes, which is to improve sleep quality in the elderly by providing foot massage therapy and lavender aromatherapy.Keywords : Foot massage; Essential oil lavender; Aromatherapy, InsomniaPendahuluan : Lansia dengan insomnia cenderung mudah stress  dan depresi. Pada saat orang lain sudah tidur, merekatidak mengantuk, mata tidak dapat terpejam sepanjang malam, dan terkadang dapat membuat frustasi untuk memaksakan diri untuk tidur.Sehingga menyebabkan berbagai hal yangmenganggu aktivitas esok harinya, seperti sulit untuk berkonsentrasi, hilang mood, kurang bersemangat,dan terjadinya gangguan emosi yang sulitdikendalikan.Tujuan :Diketahui Perbedaan Efektifitas Pijat Kaki Dan Aromaterapi LavenderMetode :Design penelitian menggunakan desain quasi ekperimen pre dan post dengan kelompok intervensi yang berbeda. Sampel diambil menggunakan purposive sampling dengan jumlah 48 partisipan. Yang dibagi 2 kelompok masing-masing 24 pada kelompok terapi pijat kaki dan aromaterapi lavender. Sebelum diberikan IRS dilakukan pemeriksaaan MMSE. Untuk mengetahui gangguan kesehatan mental dan dijadikan partisipan. Instrument penelitian ini  ada 11 pertanyaan IRS menggunakan SOP pijat dan aromaterapi lavender.Hasil :Terdapat perbedaan efektifitas pijat kaki dan aromaterapi lavender terhadap penurunan insomnia pada lansia di Panti TresnaWerdha Daerah Natar Tahun 2019 dengan (p value = 0.060).Simpulan :Disarankan bagi pelayanan di posyandu lansia dan panti jompo, yaitu untuk meningkatkan kualitas tidur pada lansia dengan memberikan terapi pijat kaki dan aromaterapi lavender.
Analisis faktor-faktor kesiapan bidan dalam pertolongan persalinan di era pandemi Covid-19 Ida Listiana; Frida Kasumawati; Junaida Rahmi
Holistik Jurnal Kesehatan Vol 15, No 4 (2021)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v15i4.5495

Abstract

Background: In 2019, nearly 80 million women gave birth in health institutions globally. Pregnant women with comorbidities have a higher risk of serious illness, morbidity and mortality compared to the general population, the potential impact of the COVID-19 pandemic on mortality due to reduced access to maternal and infant health services. Midwives as the front line in MCH, family planning and reproductive health services, during the pandemic there were midwives independent practices that experienced closure of 9296 midwives, as many as 974 midwives. Every health service activity, including delivery assistance during the COVID-19 pandemic, midwives must provide services in accordance with health protocols, one of which is a place for delivery assistance. There are several factors that have a relationship with the readiness of midwives in providing care during childbirth, namely ability, experience, learning, rewards/reward, resources/equipment, attitude in service and perception of workload.Purpose: To determine the relationship between the factors of readiness of midwives in delivery assistance starting from the level of knowledge, attitudes, perceptions and sources of information. Method: The research design used is explanatory research. Population: all midwives who have a license to practice independent midwives in the South Tangerang City area, totaling at least 30 people using themethod purposive sampling. Data analysis was performed using a correlation test which measures the closeness of the relationship between two variables (correlation coefficient) using Chi Square.Results: There is a relationship between the level of knowledge and delivery assistance during the pandemic (p-value = 0.028 ), the perception of the midwife (p-value = 0.019), the attitude of the midwife (p-value = 0.09), there is no relationship between the source of information on the midwife with delivery assistance (p-value = 0.204),Conclusion: There is a relationship between the level of knowledge, attitudes, and perceptions of midwives on delivery assistance, but there is no relationship between information sources and delivery assistance during a pandemic. One of the causes is that health workers are not optimal in providing information about site selection and birth attendants during a pandemic.Keywords   : Midwife staff ; Service; Covid-19; PandemicPendahuluan: Pada tahun 2019, hampir 80 juta perempuan melahirkan di institusi kesehatan secara global. ibu hamil dengan komorbid memiliki risiko lebih tinggi untuk terjadinya penyakit berat, morbiditas dan mortalitas dibandingkan dengan populasi umum, potensi dampak pandemi COVID-19 terhadap kematian akibat berkurangnya akses ke layanan kesehatan ibu dan bayi. Bidan sebagai garda terdepan dalam pelayanan KIA, KB dan kesehatan reproduksi, di masa pandemi terdapat praktik mandiri bidan yang mengalami tutup dari 9296 bidan, sebanyak 974 bidan. setiap kegiatan pelayanan kesehatan termasuk dalam pertolongan persalinan selama pandemik covid-19 bidan harus memberikan pelayanan sesuai dengan protocol kesehatan, salah satunya adala Tempat pertolongan persalinan. Ada beberapa faktor yang mempunyai hubungan dengan kesiapan bidan dalam memberikan asuhan pada masa persalinan yaitu kemampuan, pengalaman, pembelajaran, penghargaan/imbalan, sumberdaya/peralatan, sikap dalam pelayanan dan persepsi tehadap beban kerja.Tujuan: Mengetahui hubungan faktor kesiapan bidan dalam pertolongan persalinan mulai dari tingkat pengetahuan, sikap, persepsi dan sumber informasi. Metode: Desain penelitian yang digunakan adalah explanatory research, Populasi: seluruh bidan yang memiliki ijin Praktik Bidan Mandiri di wilayah Kota Tangerang Selatan, berjumlah minimal 30 orang dengan menggunakan metode Purposive Sampling. Analisa data dilakukan dengan menggunakan uji korelasi yang mengukur keeratan hubungan antara dua variabel (koefisien korelasi) dengan menggunakan Chi Square.Hasil: Terdapat hubungan  tingkat pengetahuan dengan pertologan persalinan selama masa pandemic (p-value = 0,028 ), persepsi bidan (p-value = 0,019), sikap bidan  (p-value = 0,09 ), tidak terdapat hubungan antara sumber informasi bidan dengan pertologan persalinan  (p-value = 0,204),Simpulan: Terdapat hubungan tingkat pengetahuan, sikap, dan persepsi bidan terhadap pertolongan persalinan, tetapi tidak ada hubungan sumber informasi dengan pertolongan persalinan selama masa pandemic salah satu penyebabnya belum optimalnya tenaga kesehatan dalam memberikan informasi tentang pemilihan tempat dan penolong persalinan selama pandemic.
Studi literatur: Efektivitas pemberian ekstrak kayu manis terhadap kadar glukosa darah pada penderita diabetes mellitus tipe II Praty Milindasari; Juniah Juniah
Holistik Jurnal Kesehatan Vol 15, No 4 (2021)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v15i4.5583

Abstract

Effect of cinnamon extract on blood glucose level in patients with type II diabetes mellitus:  A literature reviewBackground: The increase in cases of type II diabetes mellitus is currently quite concerning. Type II diabetes mellitus undergoes an event of uncontrolled insulin resistance, glucose. In addition to the price of drugs that tend to be expensive, diabetes drugs are currently still not fully provide solutions for people with diabetes mellitus, which makes people start to switch to other alternatives. Herbal medicine is currently very rapid among the community.Purpose:  To review the effectiveness of cinnamon extract to blood glucose levels in patients with type II diabetes mellitus.Method: Literature review is conducted based on issues, methodologies, and equations of results. The research used amounted to 5 using experimental quasi design. Searches for article data sources are conducted through the Perpusnas e-resources database, and Google scholar to retrieve relevant articles.Results: The effect of cinnamon extract in patients with diabetes mellitus got a total of 178 participants with type II diabetes mellitus obtained cinnamon extract effective in reducing blood glucose levels.Conclusion: Patients with type II diabetes mellitus aged 36-66 years old are the effective ageKeywords : Diabetes mellitus type II; Cinnamon; Blood Glucose Level. Pendahuluan: Peningkatan pada kasus diabetes mellitus tipe II saat ini cukup memprihatinkan. Diabetes mellitus tipe II mengalami peristiwa resistensi insulin, glukosa yang tidak terkontrol. Selain harga obat yang cenderung mahal, obat-obat diabetes saat ini masih belum sepenuhnya memberi solusi bagi penderita diabetes mellitus, hal tersebut yang membuat masyarakat mulai beralih ke alternatif lain. Pengobatan herbal saat ini sangat pesat di kalangan masyarakat.Tujuan: Untuk mereview efektifitas pemberian ekstrak kayu manis terhadap kadar glukosa darah pada penderita diabetes mellitus tipe II.Metode: Literature review dilakukan berdasarkan issue, metodologi, dan persamaan hasil. Penelitian yang digunakan berjumlah 5 dengan menggunakan design quasi eksperiment. Pencarian sumber data artikel dilakukan melalui database e-resources Perpusnas, dan Google scholar untuk mengambil artikel yang relevan.Hasil: Pengaruh pemberian ekstrak kayu manis pada penderita diabetes mellitus dengan total partisipan sebanyak 178 didapatkan ekstrak kayu manis efektif dalam penurunan kadar glukosa darah.Simpulan: Penderita diabetes mellitus tipe II rentang usia 36 - 66 tahun merupakan usia yang efektif 
Analisis determinan infeksi menular seksual ibu rumah tangga Silvia Ari Agustina; Liberty Barokah
Holistik Jurnal Kesehatan Vol 15, No 3 (2021)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v15i3.2328

Abstract

Determinant analysis of sexually transmitted infections in married womenBackground: Sexual health issues are increasingly becoming a worldwide concern, among others related to sexual behavior that affects the transmission of sexually transmitted infections (STIs). The rate of increase in Sexually Transmitted Infections sufferers in Indonesia is quite high compared to the scale of the population.Purpose: To analyze risk factors for sexually transmitted infections in married womenMethod: The subjects of this study were married women, with a total sample of 101, including a deep interview with 2 couples ( wives, and Husbands), Community Health Center staff serving sexually transmitted infections, and 1 Non-Governmental Organization. The sampling technique uses quota sampling. This type of research is a mixed-method with a sequential explanatory strategy and uses a cross-sectional study approach. Quantitative data collection techniques using closed questionnaires and for qualitative data with in-depth interviews. Analysis was used to determine risk factors for sexually transmitted infections using binomial logistic regression. The validity and reliability of qualitative data using triangulation of sources and methods.Results: There is a positive relationship between the incidence of STIs with the husband's work (OR: 10.07; 95% CI: 0.02-0.25; p: 0.000), family income (OR: 0.14; 95% CI: 0.04 -0.47; p: 0.001), condom use (OR: 3.25; 95% CI: 0.90-11.71; p: 0.001), and genital hygiene (OR: 8.25; 95% CI: 1,55-43,91; p: 0,013). Women as victims of unsafe husband's sexual behavior cause STI cases in married women to be high.Conclusion: Almost all IMS risk factors are positively related to IMS incidents, and husband employment has the greatest impact on IMS incidents in married women.Keywords: Sexually Transmitted Infections (STIs); behavior; risk factors; Married womenPendahuluan: Isu kesehatan seksual semakin menjadi perhatian dunia, antara lain terkait dengan perilaku seksual yang berdampak pada penularan penyakit Infeksi Menular Seksual (IMS). Angka peningkatan penderita Infeksi Menular Seksual di Indonesia cukup tinggi dibandingkan dengan skala penduduk.Tujuan: Menganalisis faktor risiko Infeksi Menular Seksual pada Ibu Rumah TanggaMetode: Subyek penelitian ini adalah Ibu Rumah Tangga, dengan total sampel 101, termasuk 2 Ibu Rumah Tangga, 2 Suami, petugas Puskesmas yang melayani penapisan Infeksi Menular Seksual dan 1 Lembaga Swadaya Masyarakat. Teknik sampling menggunakan quota sampling. Jenis penelitian ini mixed methodology dengan strategieksplanatoris sekuensialdan menggunakan pendekatan cross sectional study.Teknik pengambilan data kuantitatif dengan menggunaan kuesioner tertutup dan untuk data kualitatif dengan wawancara mendalam. Analisis yang digunakan untuk mengetahui faktor risiko IMS dengan menggunakan regresi logistik binomial. Validitas dan reliabilitas data kualitatif menggunakan triangulasi sumber dan metode.Hasil: Terdapat hubungan yang positif antara kejadian IMS dengan pekerjaan suami (OR:10,07; CI 95%:0,02-0,25; p:0,000), pendapatan keluarga (OR:0,14; CI 95%:0,04-0,47; p:0,001), penggunaan kondom (OR:3,25;  CI  95%:0,90-11,71;  p:0,001),  dan  higiene  genital  (OR:8,25;  CI  95%:1,55-43,91;  p:0,013).Perempuan sebagai korban dari perilaku seksual suami yang tidak aman menyebabkan kasus IMS pada ibu Rumah Tangga tinggi.Simpulan: Hampir semua faktor risiko IMS berhubungan positif dengan kejadian IMS, dan pekerjaan suami yang mempunyai pengaruh terbesar terhadap kejadian IMS pada Ibu Rumah Tangga 
Analisis tingkat kepuasan pasien lanjut usia di poliklinik rumah sakit Pertamina Bintang Amin Lampung Dian Purnama Oktera; Wayan Aryawati; Nurul Aryastuti
Holistik Jurnal Kesehatan Vol 15, No 4 (2021)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v15i4.5427

Abstract

Background: In the next few decades, the number of elderly people in Indonesia will be more, this impacts the dependence of the elderly on the help of others and long-term care. The hospital as a health service provider is one of the health facilities most visited by the elderly, so evaluation is needed as an effort to improve the facilities provided, one of which is by measuring the level of satisfaction in the elderly.Purpose: To identify the level of satisfaction of the elderly at the Pertamina Bintang Amin Hospital Polyclinic LampungMethod: An observational analytic method with a cross-sectional approach. The subjects of this study were outpatients aged 60 years as many as 250 respondents. The sampling technique used was accidental sampling. The research instrument is a questionnaire. The data analysis technique used the chi-square test and multiple logistic regression.Results: Shows that there is a partial relationship between the type of work (p value = 0.007), education (p value = 0.001), timeliness of service (p-value = 0.000), service accuracy (p-value = 0.000), friendliness of the staff (p-value = 0.000) value = 0.000), the speed of the registration counter clerk (p-value = 0.001), and the comfort of the waiting room (p-value = 0.000) with elderly patient satisfaction, but there is no relationship between gender (p-value = 0.809), age ( p-value = 0.363), method of payment (p-value = 0.793), and availability of toilets (p-value = 0.207), as well as the speed variable at the registration counter were the most dominantly influencing elderly patient satisfaction with p-value = 0.000; OR = 11.08 ; 95% CI: 4.47 – 27.45.Keywords: Polyclinic; Satisfaction Level; ElderlyPendahuluan: Beberapa dekade kedepan  usia lansia di Indonesia jumlahnya akan lebih banyak, hal ini berdampak pada ketergantungan lansia akan bantuan orang lain dan perawatan jangka panjang. Adapun Rumah Sakit sebagai penyedia layanan kesehatan merupakan salah satu fasilitas kesehatan yang paling banyak dikunjungi oleh lansia, sehingga diperlukan evaluasi sebagai upaya perbaikan terhadap fasilitas yang diberikan, yang salah satunya adalah dengan melakukan pengukuran tingkat kepuasan pada pasien lansia.Tujuan: Mengetahui tingkat kepuasan lansia di Poliklinik RS Pertamina Bintang Amin LampungMetode: Penelitian analitik observasional dengan pendekatan cross sectional. Subjek penelitian ini adalah pasien rawat jalan yang berusia ≥ 60 tahun sebanyak 250 responden. Teknik pengambilan sampel menganggunakan accidental sampling. Instrumen penelitian adalah kuesioner. Teknik analisa data menggunakan uji chi-square dan regresi logistik berganda.Hasil: Menunjukkan bahwa ada hubungan secara parsial antara jenis pekerjaan (p value = 0,007), pendidikan (p value = 0,001), ketepatan waktu pelayanan (p-value = 0,000), akurasi pelayanan (p-value = 0,000), keramahan petugas (p-value = 0,000), kecepatan petugas loket pendaftaran (p-value = 0,001), dan kenyamanan ruang tunggu (p-value = 0,000) dengan kepuasan pasien lansia, tetapi tidak ada hubungan antara jenis kelamin (p-value = 0,809), usia (p-value = 0,363), cara bayar (p-value =0,793), dan ketersediaan toilet (p-value = 0,207), serta variabel kecepatan petugas loket pendaftaran merupakan yang paling dominan mempengaruhi kepuasan pasien lanjut usia dengan p-value = 0.000 ; OR = 11,08 ; 95% CI: 4,47 – 27,45.
Pengetahuan dan sikap dengan kepatuhan protokol kesehatan 5 M di masa Pandemi Covid-19 Muhammad Ricko Gunawan; Rilyani Rilyani; Triyono Triyono
Holistik Jurnal Kesehatan Vol 15, No 3 (2021)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v15i3.5407

Abstract

The knowledge, attitude, and compliance: Implementation of health protocol policy in Covid-19 prevention Background: The World Health Organization as Public Health Emergency of International Concern, PHEIC) has designated coronavirus Disease–19. The ways to transmit Covid-19 is through hand contact and hand hygiene, the most effective way to prevent nosocomial infections by attitude and knowledge of nurses play an important role in implementing the implementation of hand hygiene in a health facility environment. Since the pandemic the behavior of nurses has changed significantly, nurses' knowledge of the chain of transmission of the Covid-19 disease has increased, one of which is through hand contact.Purpose: To identify the relationship of knowledge, attitude, and compliance: Implementation of health protocol policy in Covid-19 preventionMethod: A quantitative with observation and questioners and uses a Cross-Sectional approach. The design of this study uses a survey and the population in this study were all visitors and employees as many as 120 respondents at the Kemiling Health Center, with total sampling.Results: Based on the results, the average age of the respondents was 41 years with a value (mean) of 34.9±6.28 with 78 (65%) female gender and high school education (58 (48.3%) patient and family respondents 42 (35%). Civil service respondents' occupations 44 (36.7%) information got from television 61 (50.8%) the length of information got by respondents was 15 months with a value (mean) of 13.82±2.52. Respondents' knowledge was poor 73 (60.8%) attitude of respondents did not support 78 (65.0% It concluded that there is a relationship between demographic data and Implementation of health protocol policy in Covid-19 prevention with the Chi-Square statistical test with a p-value = 0.000≤ 0.05. The attitude of respondents at risk is 10,681 times greater for compliance with the 5M Health protocol at Kemiling Health Center Bandar Lampung.Conclusion: There is a significant relationship of knowledge, attitude, and compliance: Implementation of health protocol policy in Covid-19 prevention. Recommendation for Health Center management to do health promotion and straightly health protocols.Keywords: The knowledge; Attitude; Compliance; Implementation; Health protocol policy; Covid-19 prevention.Pendahuluan: Corona Virus Disease – 19  telah ditetapkan oleh WHO (World Health Organization) atau Badan Kesehatan Dunia sebagai Kedaruratan Kesehatan Masyarakat yang Meresahkan Dunia (KMMD).  Penularan Covid-19 salah satunya adalah melalui kontak tangan dan hand hygiene merupakan cara yang paling efektif dalammencegah terjadinya infeksi nosokomial,namun pelaksanaan handhygienebelum mendapatkan respon yang maksimal dari petugas kesehatan. Sikap dan pengetahuan perawat menjadi peran penting dalam menerapkan pelaksanaan hand hygiene di lingkungan fasilitas kesehatan. Sejak pandemi perilaku perawat mengalami perubahan dengan signifikan,  meningkatnya pengetahuan perawat akan rantai penularan penyakit Covid-19 yang salah satunya melalui kontak tangan.Tujuan : Mengetahui adanya hubungan yang mempengaruhi sikap dan pengetahuan terhadap kepatuhan protokol Kesehatan 5M  selama masa pandemi Covid-19 di Puskesmas Rawat Inap tahun 2021.Metode: Penelitian kuantitatif dengan metode observasi analitik dan menggunakan pendekatan Cross Sectional. Rancangan penelitian ini menggunakan survey. Populasi dalam penelitian ini adalah seluruh pengunjung dan pegawai sebanyak 120 responden di Puskesmas Kemiling menggunakan total sampel.Hasil : Didapatkan bahwa rata-rata usia  responden 41 tahun dengan nilai (mean) 34.9±6.28 dengan jenis kelamin perempuan sebanyak  78 (65%) dan Pendidikan SMA (58 (48.3%) responden pasien dan keluarga 42 (35%). Pekerjaan responden PNS 44 (36.7%) informasi yang didapat dari televisi 61(50.8%) lama informasi yang didapat responden 15 bulan dengan nilai (mean) 13.82±2.52. Pengetahuan responden buruk 73 (60.8%) sikap responden tidak mendukung 78 (65.0%). Dapat disimpulkan ada hubungan antara data demografi dengan kepatuhan protocol Kesehatan 5M dengan uji statistik Chi-Square dengan nilai p-value = 0,000≤ α 0,05  sikap responden beresiko 10.681 kali lebih besar terhadap kepatuhan protocol Kesehatan 5M di Puskesmas Kemiling Bandar Lampung.Simpulan :Ada hubungan yang bermakna antara sikap dan pengetahuan dengan kepatuhan terhadap protokol kesehatan selama masa pandemi Covid-19 di Puskesmas Rawat Inap Kemiling Tahun  2021. Disarankan bagi Puskesmas Rawat Inap Kemiling mengutamakan  program In House Training atau Pelatihan PPI Dasar bagi petugas Kesehatan dan memperketat protocol kesehatan. 
Karakteristik klinis dan lama rawat inap pasien covid-19 dengan kormobid dan tanpa kormobid Erika Martining Wardani; Difran Nobel Bistara; Yurike Septianingrum
Holistik Jurnal Kesehatan Vol 15, No 4 (2021)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v15i4.5761

Abstract

Background: Covid-19 infects people with different clinical, from mild to moderate clinical symptoms even recovering without hospitalization. The clinical course of COVID-19 patients with comorbidities influences the prognosis and progression of the disease. Hypertension is the most common co-morbidity of COVID-19 patients with long hospitalizations.Purpose: Of the study was to determine the differences in patient characteristics, clinical and length of stay for COVID-19 patients with and without cormobids.Method: A retrospective study with samples of medical records of inpatients for the period June 1, 2021 – August 31, 2021. The samples were divided into 2 groups, namely kormobid with 30 medical records and without cormobid with 30 medical records. The sample of the comorbid group was selected by simple random; while the non-cormobid group with the matching process. Data were analyzed using t-test and Wilcoxon.Results : The majority of COVID-19 patients with comorbidities are male, aged more than 40 years, work other than medical personnel, while most of the COVID-19 patients without cormobids are male, aged 12-29 years, working as medical personnel. Cormobid with hypertension. Clinically treated COVID-19 patients include cough, fever, headache, runny nose, painful swallowing, anosmia, shortness of breath, nausea, vomiting and diarrhea. The length of hospitalization for patients with comorbidities was 21 days and without comorbidities 14 days. There were clinical differences between patients with comorbid and non-cormobid patients with p value = 0.0000 (p>0.05) and there was a difference in length of hospitalization with p-value = 0.000 (p>0.05).Conclusion : Clinically, patients with covid-19 with comorbidities differ in headache symptoms with a longer treatment duration of 22 days. Intensive care is needed for COVID-19 patients with comorbid hypertension.Keywords: Characteristics; Clinical features; Treatment duration; Covid-19Pendahuluan : Covid-19 menginfeksi orang dengan klinis yang berbeda, dari gejala klinis ringan sampai sedang bahkan sembuh tanpa rawat inap. Klinis pasien covid-19dengan komorbiditas mempengaruhi prognosis dan perkembangan penyakit tersebut. Hipertensi merupakan penyakit penyerta terbanyak pasien covid-19 dengan rawat inap lama.Tujuan: Mengetahui perbedaan karakteristik, klinis pasien dan lama rawat inap pasien covid-19 dengan kormobid dan tanpa kormobid.Metode : Penelitian secara retrospektif dengan sampel rekam medis pasien rawat inap periode 1 Juni 2021 – 31 Agustus 2021. Sampel dibagi menjadi 2 kelompok yaitu kormobid dengan 30 rekam medis dan tanpa kormobid dengan 30 rekam medis. Sampel kelompok kormobid dipilih secara simple random; sedangkan kelompok non kormobid dengan proses matching. Data dianalisis menggunakan t-test dan Wilcoxon.Hasil : Mayoritas pasien covid-19 dengan kormobid berjenis kelamin laki-laki, usia lebih dari 40 tahun, pekerjaan selain tenaga medis sedangkan pasien covid-19 tanpa kormobid sebagian besar laki-laki, usia 12-29 tahun, pekerjaan sebagai tenaga medis. Kormobid yang diderita hipertensi. Klinis pasien covid-19 yang dirawat meliputi batuk, demam, nyeri kepala, pilek, nyeri telan, anosmia, sesak, mual, muntah dan diare. Lama rawat inap pasien dengan komorbid 21 hari dan tanpa komorbid 14 hari. Terdapat perbedaan klinis pasien antara pasien kormobid dan non kormobid dengan nilai p = 0,0000 (p>0,05) dan ada perbedaan lama rawat inap dengan nilai p=0,000 (p>0,05). Simpulan : Klinis pasien covid-19 dengan kormobid berbeda pada gejala nyeri kepala dengan lama perawatan lebih lama yaitu 22 hari. Perlu perawatan intensif pada pasien covid-19 dengan kormobid hipertensi. 

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