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Manuju : Malahayati Nursing Journal
Published by Universitas Malahayati
ISSN : 26552728     EISSN : 26554712     DOI : 10.3324
Core Subject : Health,
Health Professions Nursing Public Health
MANUJU : Malahayati Nursing Journal merupakan jurnal yang memiliki fokus utama pada hasil penelitian dan ilmu-ilmu di bidang kesehatan yang dikembangkan dengan pendekatan interdispliner dan multidisiplin. Proses penerimaan naskah selalu terbuka setiap waktu, naskah yang sudah disubmit oleh penulis akan direview oleh reviewer yang ahli dalam bidang keperawatan dan kesehatan
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 30 Documents
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Search results for , issue "Vol 5, No 5 (2023): Volume 5 Nomor 5 2023" : 30 Documents clear
Hubungan Tingkat Pendidikan dan Pendapatan Orangtua dengan Praktik Pemberian Makan pada Balita dalam Upaya Pencegahan Stunting Nuraulia Aghnia Armansyah; Laili Rahayuwati; Witdiawati Witdiawati
Malahayati Nursing Journal Vol 5, No 5 (2023): Volume 5 Nomor 5 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i5.8541

Abstract

ABSTRACT Stunting is a chronic malnutrition problem that occurs because of inadequate intake of micro and/or macro nutrients due to inappropriate child feeding practices. Inappropriate child feeding practice can be influenced by individual and household level factors including parent’s education and parental income. This study aims to determine the relationship between the parent’s education level and parental income with the practice of feeding toddler to prevent stunting. This research is a correlative descriptive study with a cross-sectional approach. The population in this study are families with toddlers who live in Sukamulya Village, Bandung Regency. The sample of the study was 76 people chosen by total sampling. The results showed that most of the respondents (81.6%) had secondary education and had low income (56.6%), but the level of child feeding practices was in the poor category (56.6%). It can be concluded that there is no correlation between education level and parental income with child feeding practices (p>0.05). However, the implementation of appropriate child feeding practices should be improved and applied through health education and empowering community groups to prevent stunting.  Keywords: Child Feeding Practices, Stunting Prevention, Education Level, Parental Income  ABSTRAK Stunting adalah masalah kurang gizi kronis yang salah satunya disebabkan karena rendahnya pemenuhan zat gizi mikro dan/atau makro akibat praktik pemberian makan anak yang tidak tepat. Ketidakoptimalan praktik pemberian makan anak dapat dipengaruhi oleh faktor kepentingan tingkat individu dan rumah tangga meliputi pendidikan dan pendapatan orangtua. Penelitian ini bertujuan untuk mengetahui hubungan tingkat pendidikan dan pendapatan orangtua dengan praktik pemberian makan pada balita dalam upaya pencegahan stunting. Penelitian ini merupakan penelitian deskriptif korelatif dengan pendekatan cross-sectional. Populasi dalam penelitian ini adalah keluarga dengan balita yang tinggal di Desa Sukamulya, Kabupaten Bandung. Sampel penelitian diambil dengan metode total sampling sebanyak 76 orang. Hasil penelitian menunjukkan sebagian besar responden (81,6%) berpendidikan menengah dan berpendapatan rendah (56,6%), namun tingkat praktik pemberian makan anak berada pada kategori kurang baik (56,6%). Dapat disimpulkan bahwa tidak ada hubungan antara tingkat pendidikan dan pendapatan orangtua terhadap praktik pemberian makan anak (p>0,05). Meskipun begitu, pelaksanaan praktik pemberian makan anak yang tepat harus tetap ditingkatkan baik melalui pendidikan kesehatan maupun pemberdayaan kelompok masyarakat sebagai upaya dalam mencegah kejadian stunting. Kata Kunci: Praktik Pemberian Makan Anak, Pencegahan Stunting, Tingkat Pendapatan, Tingkat Pendidikan.
Self-Care and Unpleasant Symptoms in Indonesian Postpartum Mothers with Twin Babies: a Case Report Lina Ayu Marcelina; Imami Nur Rachmawati; Wiwit Kurniawati
Malahayati Nursing Journal Vol 5, No 5 (2023): Volume 5 Nomor 5 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i5.9140

Abstract

ABSTRACT Postpartum mothers with twin babies are in a critical condition in terms of maternal health because of their need to adapt to the presence of two babies at once. To describe nursing processes in five cases of postpartum mothers with twin babies. We reported nursing processes in five cases of postpartum mothers with twin babies, addressing the nursing care and self-care applied and referring to the theory of unpleasant symptoms. The five mothers presented to two hospitals in Jakarta, Indonesia.  During three days of treatment, the postpartum mothers were able to perform regular self-care without assistance, even though their self-management and time management were not optimal. However, they suffered unpleasant symptoms, including postpartum discomfort, breast engorgement, lack of support from husbands, and anxiety. Interventions were conducted via relaxation techniques, lactation management, and health education related to maternal and infant care for twin babies, together with family involvement and the provision of support from health-care providers and assistants. Time and self-management skills in postpartum mothers with twin babies need to be strengthened. Health-care providers are recommended to facilitate family assistance while the mother is in the hospital postpartum ward and to provide home visits as a form of follow-up. Keywords: Postpartum, Self-Care, Twin Babies, Unpleasant Symptoms 
The Effect of Honey and Zinc Cream as Topical Dressing for Epithelization in Diabetic Foot Ulcer Muhammad Husaini; Asrizal Asrizal; Imam Budi Putra
Malahayati Nursing Journal Vol 5, No 5 (2023): Volume 5 Nomor 5 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i5.6307

Abstract

ABSTRACT Diabetic foot ulcer is a complication that often serves Diabetes Mellitus patients. Currently, wound care has used dressings to keep the wound environment moist, but in general, foot wound care requires high costs, so it is necessary to figure out the alternative wound care that is really effective and cost-effective in wound healing. One type of alternative therapy for topical treatment of diabetic foot ulcers that can be used is topical honey. The aim of this research was to identify the effect of topical honey and zinc cream on epithelization in the treatment process for diabetic foot ulcers. This type of research is inquiries, namely intervention, and control group design. The sample consisted of 60 respondents consisting of 30 wound care groups using topical honey and 30 wound care respondents using zinc cream with the sampling technique, namely consecutive sampling. Honey was used with 87% honey concentration and lipid tissue epithelialization was measured using the Bates Jensen Wound Access Tool (BJWAT). Data analysis used the Mann-Whitney test as an alternative test for the independent t-test. The results showed that there was no significant difference in wound tissue epithelialization between the wound care group with zinc topical cream and honey topical cream (p-value> 0.05). The Conclusions which is based on the results of analytical tests, wound care using topical zinc cream and topical wound care using honey did not have a significant difference in the epithelialization process of diabetic foot ulcers, but clinically the epithelialization process of diabetic foot wounds with topical honey treatment was faster than using zinc cream. It is recommended that topical wound care using honey can be used as an alternative topical in the treatment of diabetic foot ulcers. Keywords: Diabetic Foot, Honey, Ulcer, Zinc Cream
Pelaksanaan Program Kelas Ibu Hamil di Puskesmas Fithri Ratnasari; Irwanto Irwanto
Malahayati Nursing Journal Vol 5, No 5 (2023): Volume 5 Nomor 5 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i5.8477

Abstract

ABSTRACT Health development programs in Indonesia are still prioritized on efforts to improve the health status of mothers and children, especially those who are most vulnerable to health, namely pregnant women, giving birth and babies during the perinatal period. The success of maternal health programs can be assessed through the main indicators of the Maternal Mortality Rate (MMR). The Pregnant Women Class is a means to learn together about health for pregnant women, in the form of face-to-face in groups to increase the knowledge and skills of mothers regarding pregnancy, childbirth, and postpartum. The purpose of this study was to determine the implementation of classes for pregnant women in the UPTD Pasirkaliki Public Health Center, Bandung City. This research uses a descriptive method. The data collection instrument was a questionnaire with a sampling technique using purposive sampling. Data analysis used univariate analysis. The results of the research on the implementation of classes for pregnant women were mostly followed by pregnant women aged 20-35 years (75%), the most gestational age was 8 months (53.57%), high school education (39.28%), most of the respondents worked as a housewife (42.85%), and the implementation of the class for pregnant women is included in the good category (92.85%). The conclusion of the class program for pregnant women provides an opportunity for pregnant women to exchange information and learn from each other, so it is expected to be a continuously scheduled program as an optimization of mother's preparation for childbirth. Keywords: MMR, Pregnant Women Class, Implementation.  ABSTRAK Program pembangunan kesehatan di Indonesia dewasa ini masih diprioritaskan pada upaya peningkatan derajat kesehatan Ibu dan anak, terutama pada kelompok yang paling rentan kesehatan yaitu ibu hamil, bersalin dan bayi pada masa perinatal. Keberhasilan program kesehatan ibu dapat dinilai melalui indikator utama Angka Kematian Ibu (AKI). Kelas Ibu Hamil merupakan sarana untuk belajar bersama tentang kesehatan bagi ibu hamil, dalam bentuk tatap muka dalam kelompok untuk meningkatkan pengetahuan dan keterampilan ibu-ibu mengenai kehamilan, persalinan, dan nifas. Tujuan penelitian ini untuk mengetahui pelaksanaan kelas ibu hamil di Wilayah Kerja UPTD Puskesmas Pasirkaliki Kota Bandung. Penelitian ini menggunakan metode deskriptif. Instrumen pengumpulan data adalah kuesioner dengan teknik pengambilan sampel menggunakan purposive sampling. Analisa data menggunakan analisis univariat. Hasil penelitian pelaksanaan kelas ibu hamil paling banyak diikuti oleh ibu hamil yang berusia 20- 35 tahun (75%), usia kehamilan paling banyak berusia 8 bulan (53,57%), pendidikan SMA (39,28%), sebagian besar responden bekerja sebagai Ibu Rumah Tangga (42,85 %), dan pelaksanaan kelas ibu hamil termasuk dalam kategori baik yaitu 92,85%. Kesimpulan program kelas ibu hamil memberikan kesempatan pada ibu hamil untuk saling bertukar informasin dan saling belajar satu sama lain, sehingga diharapkan menjadi program yang terus terjadwal sebagai optimalisasi persiapan ibu dalam persalinan.  Kata Kunci: AKI, Kelas Ibu Hamil, Pelaksanaan. 
Efek Infusa Daun Kunyit terhadap Kematian Larva Nyamuk Aedes Aegypti Instar III Rahma Triyana; Heru Herbianto; Muhammad Ivan; Melya Susanti; Prima Adelin; Yuni Handayani; Ruhsyahadati Ruhsyahadati; Rifkind Malik
Malahayati Nursing Journal Vol 5, No 5 (2023): Volume 5 Nomor 5 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i5.9972

Abstract

ABSTRACT The Aedes mosquito causes nearly 390 million people to be infected each year. Handling of dengue can be carried out by eradicating Aedes aegypti mosquito larvae through the application of insecticides and Turmeric which has the potential as a natural larvicide. The aim of this study was to determine the effect of turmeric leaf infusion on the mortality of Aedes aegypti mosquito larvae. The scope of this study covers the field of parasitology, especially the entomology section. This study was conducted in February 2020 - March 2020 at the Biomedical Laboratory of Baiturahmah University. The type of research used was experimental through the Post Test Only Control Group Design method. The affordable population in this study were 3rd instar larvae of Aedes aegypti obtained from colonization results at the Health Entomology Laboratory, Faculty of Veterinary Medicine, Bogor Agricultural University (f.140), the total sample required was 420 larvae, data analysis used the kruskall-wallis test and probit test. Based on the research results, after giving 1%, 2%, 4%, 8% and 16% concentration of turmeric leaf infusion in 1, 2, 3, 4 and 24 hours there was no mortality of Aedes Aegypti larvae or 0%, after giving the leaf infusion concentration turmeric by 30% in 1, 2, 3 and 24 hours, the mortality of Aedes Aegypti larvae is 2.5%, after giving the concentration of turmeric leaf infusion of 50% in 1, 2, 3 and 24 hours, the mortality of Aedes Aegypti larvae is 1, 25%, after giving the concentration of turmeric leaf infusion of 60% within 1, 2, 3 and 24 hours, the mortality of Aedes Aegypti larvae is 6.25%, after giving the concentration of turmeric leaf infusion of 100% within 1, 2, 3 and 24 The mortality of Aedes Aegypti larvae is 8.5%, after giving a 100% concentration of turmeric leaf infusion  within 1, 2, 3 and 24 hours, the mortality of Aedes Aegypti larvae is 17.5%, there is a comparison of the effectiveness of larvicides between turmeric leaf infusion and larvicide commercial (abate). sig 0.003 <0.05 and the average mortality rate of Aedes aegypti larvae at all concentrations of turmeric leaves (100%, 80%, 60%, 50% and 30%) had a significant difference with positive control (abate) (p <0, 05) and the probit results show that the LC50 value of the larvicide infusion of turmeric leaves is 169.281 with intervals of 125.889 and 1822.476 and the LC99 value of the larvicide infusion of turmeric leaves is 573.233 with an interval of 252.901 to 673585.866 and a very potent concentration of killing Aedes aegypti larvae is 100% with an average lethal rate of Aedes aegypti mosquito larvae, namely 3.5. There is a comparison of larvicide effectiveness between turmeric leaf infusion and commercial larvicide (abate). sig 0,000 <0.05. Keywords: Aedes Aegypti Larvae, Turmeric Leaf Infusion, LC 50, LC 99  ABSTRAK Nyamuk Aedes mengakibatkan nyaris 390 juta orang terinfeksi tiap tahunnya, Penanganan DBD mampu dilaksanakan melalui cara membasmi larva nyamuk Aedes aegypti melalui pemberian insektisida dan Kunyit yang berpotensi sebagai larvasida alami.Tujuan penelitian untuk mengetahui efek infusa daun kunyit terhadap kematian larva nyamuk Aedes aegypti. Penelitian ini mencakup bidang ilmu Parasitologi khususnya bagian Entomologi. Penelitian dilaksanakan pada februari – maret 2020 di Laboratorium Biomedik Universitas Baiturahmah Padang. Jenis penelitian yang digunakan ialah Eksperimental melalui metode Post Test Only Control Grup Design. Populasi terjangkau penelitian ini adalah larva Aedes aegypti instar III yang di dapat dari hasil kolonisasi di Laboratorium Entomologi Kesehatan Fakultas Kedokteran Hewan Institut Pertanian Bogor (f.140), total sampel yang dibutuhkan adalah 420 ekor larva, analisa data menggunakan uji kruskall-wallis dan uji probit. Berdasarkan hasil penelitian, setelah pemberian konsentrasi infusa daun kunyit sebesar 1%, 2%, 4%, 8% dan 16% dalam waktu 1, 2,  3, 4 dan 24 jam tidak ada mortalitas larva Aedes Aegypti atau 0%, setelah pemberian konsentrasi infusa daun kunyit sebesar 30% dalam waktu 1, 2, 3 dan 24 jam mortalitas larva Aedes Aegypti adalah 2,5%, setelah pemberian konsentrasi infusa daun kunyit sebesar 50% dalam waktu 1, 2, 3 dan 24 jam mortalitas larva Aedes Aegypti adalah 1,25%, setelah pemberian konsentrasi infusa daun kunyit sebesar 60% dalam waktu 1, 2, 3 dan 24 jam mortalitas larva Aedes Aegypti adalah 6,25%, setelah pemberian konsentrasi infusa daun kunyit sebesar 100% dalam waktu 1, 2, 3 dan 24 jam mortalitas larva Aedes Aegypti adalah 8,5%, setelah pemberian konsentrasi infusa daun kunyit sebesar 100% dalam waktu 1, 2, 3 dan 24 jam mortalitas larva Aedes Aegypti adalah 17,5%, dan rata-rata kematian larva Aedes aegypti pada seluruh konsentrasi daun kunyit (100%, 80%, 60%, 50% dan 30%) memiliki perbedaan yang signifikan dengan kontrol positif (abate) (p<0,05) dan hasil probit menunjukkan nilai LC50 dari larvasida infusa daun kunyit adalah 169,281 dengan interval 125,889  dan 1822,476 dan nilai LC99 dari larvasida infusa daun kunyit adalah 573,233 dengan interval 252,901 sampai 673585,866 serta konsentrasi yang amat ampuh mematikan larva nyamuk Aedes aegypti adalah 100% dengan rata-rata mematikan larva nyamuk Aedes aegypti yakni 3,5. Terdapat perbandingan efektivitas larvasida antara infusa daun kunyit dengan larvasida komersil (abate). sig 0,000 < 0,05. Kata Kunci: Larva Aedes Aegypti, Infusa Daun Kunyit, LC 50, LC 99
Pengaruh Senam Prolanis terhadap Penurunan Tekanan Darah Lansia di UPT Puskesmas Jiput R. Mutiaranti; Omega DR Tahun
Malahayati Nursing Journal Vol 5, No 5 (2023): Volume 5 Nomor 5 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i5.8459

Abstract

ABSTRAK Hipertensi atau tekanan darah tinggi merupakan suatu keadaan dimana terjadinya peningkatan tekanan darah yang tidak normal dalam pembuluh darah arteri dan terjadi secara terus menerus (Muriyati and Yahya, 2018). Hipertensi merupakan salah satu Penyakit Tidak Menular (PTM) yang menjadi masalah kesehatan penting di seluruh dunia karena distribusinya yang tinggi dan terus meningkat.Penelitian ini bertujuan untuk mengetahui pengaruh senam prolanis yang dilaksanakan di UPT Puskesmas Jiput terhadap penurunan tekanan darah lansia. Metode penelitian ini merupakan penelitian eksperimental. Penelitian ini menggunakan desain penelitian eksperimental, yaitu suatu cara untuk mencari hubungan sebab akibat antara dua faktor yang sengaja ditimbulkan oleh peneliti dengan mengeliminasi atau mengurangi faktor-faktor lain yang mengganggu.Hasil penelitian menunjukan bahwa hasil uji t dependent (paired t test) menunjukan ada perbedaan rata-rata pre dan posttest pada tekanan sistolik sebesar 15.17 mmHg t hitung (15.167) > t tabel (9.279) dan pv (0,000) < α (0.05). Diharapkan dapat memanfaatkan senam prolanis sebagai salah satu aktivitas fisik untuk mengatasi angka kejadian hipertensi agar tidak meningkat pada tahun berikutnya, dan senam prolanis dapat diikuti oleh penderita hipertensi yang tidak terdaftar di klub prolanis. Dan penelitian ini dapat bermanfaat bagi semua mahasiswa yang membacanya, agar dapat mengetahui bahwa selain pengobatan medis yang ada, senam prolanis bisa mengatasi penyakit hipertensi. Kata Kunci:  Prolanis, Tekanan Darah, Hipertensi  ABSTRACT Hypertension or high blood pressure is a condition where there is an abnormal increase in blood pressure in the arteries and occurs continuously (Muriyati and Yahya, 2018). Hypertension is one of the Non-Communicable Diseases (PTM) which is an important health problem throughout the world because of its high distribution and continues to increase. This study aims to determine the effect of prolanis exercise carried out at the UPT Puskesmas Jiput on reducing blood pressure in the elderly. This research method is an experimental research. This study uses an experimental research design, which is a way to look for a causal relationship between two factors that are intentionally caused by researchers by eliminating or reducing other disturbing factors. The results of the study show that the results of the dependent t test (paired t test) show that there is a difference the pre and posttest averages on systolic pressure were 15.17 mmHg t count (15.167) > ttable (9.279) and pv (0.000) < α (0.05). It is hoped that prolanis exercise can be utilized as a physical activity to overcome the incidence of hypertension so that it does not increase in the following year, and prolanis exercise can be participated in by hypertension sufferers who are not registered at the prolanis club. And this research can be useful for all students who read it, so they can know that in addition to existing medical treatments, Prolanis exercises can overcome hypertension. Keywords: Prolanis, Blood Pressure, Hypertension
Hubungan Pola Asuh Orang Tua terhadap Kejadian Stunting pada Balita Nurul Azmi Fauziyah; Udin Rosidin; Dadang Purnama; Wiwi Mardiah; Raini Diah Susanti; Laili Rahayuwati
Malahayati Nursing Journal Vol 5, No 5 (2023): Volume 5 Nomor 5 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i5.8554

Abstract

ABSTRACT Stunting caused by several interrelated factors. The risk factors for stunting consist of direct and indirect factors. One of the indirect risk factors is parenting. Parenting plays an important role in minimizing the two main factors that cause stunting, infection and poor food intake. Based on researchers initial observations, according to Sukamulya Village cadres, parenting patterns in Sukamulya Village was quite good. However, the prevalence of toddler stunting reaches 35.9%. The purpose of this study is to determine the relationship between parenting patterns and the incidence of stunting in toddlers. This study uses a correlational quantitative design with a cross-sectional approach. The population of this research is 96 people in Sukamulya Village who have toddlers and the sampling selected by total sampling technique. Data were analyzed univariate and bivariate using Chi-Square test. The results showed that 22 of 96 or 22.9% parents had bad parenting and 31 of 96 or 32.3% toddlers is stunting. The results of the correlation test between the two variables showed a p-value=0.043. There is a relationship between parenting patterns and the incidence of stunting in toddlers. Researchers recommend to make parenting pattern a point of concern in resolvinng stunting. Keywords: Parenting, Stunting, Toddlers  ABSTRAK Stunting disebabkan oleh faktor-faktor yang saling berhubungan. Faktor risiko stunting terdiri dari faktor risiko langsung dan tidak langsung. Salah satu faktor risiko tidak langsung stunting adalah pola asuh. Pola asuh berperan penting dalam meminimalisir dua faktor utama yang menyebabkan stunting, yakni infeksi dan asupan makanan yang buruk. Berdasarkan pengamatan awal, menurut kader Desa Sukamulya, pola asuh yang diberikan oleh orangtua di Desa Sukamulya tergolong cukup baik. Namun, angka prevalensi balita stuntingnya mencapai 35.9%. Penelitian ini bertujuan untuk mengetahui hubungan pola asuh orangtua terhadap kejadian stunting pada balita. Penelitian ini menggunakan desain kuantitatif korelasional dengan pendekatan cross-sectional. Populasi dari penelitian ini adalah 96 masyarakat Desa Sukamulya yang memiliki balita dan sampel diambil dengan teknik total sampling. Analisa data dilakukan secara univariat dan bivariat menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa 22 dari 96 atau sebanyak 22,9% orangtua memiliki pola asuh yang buruk dan 31 dari 96 atau 32,3% balita mengalami stunting. Hasil uji korelasi antar kedua variabel menunjukkan nilai p value 0,043. Terdapat hubungan antara pola asuh orangtua dengan kejadian stunting pada balita. Peneliti memberikan rekomendasi untuk menjadikan pola asuh sebagai salah satu titik perhatian dalam penanggulangan stunting. Kata Kunci: Pola Asuh, Stunting, Balita
A Case Study in the Development of Fibrinolytic Therapy in a Community Hospital in Indonesia Handrian Purawijaya; Isabella Anjelin
Malahayati Nursing Journal Vol 5, No 5 (2023): Volume 5 Nomor 5 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i5.8458

Abstract

ABSTRACT Coronary heart disease (CHD) is one of the leading causes of mortality in Indonesia aside from stroke. To reduce the mortality rate, a highly time-dependent, adequate therapy is needed for patients with electrocardiographic features of ST-Elevation Myocardial Infarction (STEMI). The gold standard for reperfusion therapy is thirty minutes for fibrinolytics and ninety minutes for primary PCI. For a community hospital, conducting the reperfusion therapy can be a challenge due to various factors, including human resources, standard operating procedures, and the infrastructure needed. However, to refer the patient to a tertiary hospital often requires time longer than ninety minutes. Therefore, community hospitals should be able to act as the front line of the healthcare system by facilitating fibrinolytic therapy to reduce the mortality rate of CHD in Indonesia. Development of fibrinolytics treatment in community hospitals can be done by creating an expert-reviewed SOP, providing competent human resources, and equipping the hospital with the necessary infrastructure for the service. These are all done in order to keep up with the "golden period" of STEMI patients with a thirty-minute door-to-needle timeframe and reduce the mortality rate caused by ACS in Indonesia. Keywords: Community Hospital, CHD, STEMI, Fibrinolytics.  ABSTRAK Penyakit jantung koroner (PJK) merupakan salah satu penyebab utama kematian di Indonesia selain stroke. Untuk mengurangi angka kematian, terapi yang sangat tergantung waktu dan memadai diperlukan untuk pasien dengan fitur elektrokardiografi ST-Elevation Myocardial Infarction (STEMI). Standar emas untuk terapi reperfusi adalah tiga puluh menit untuk fibrinolitik dan sembilan puluh menit untuk PCI primer. Untuk rumah sakit komunitas, melakukan terapi reperfusi dapat menjadi tantangan karena berbagai faktor, termasuk sumber daya manusia, prosedur operasi standar, dan infrastruktur yang dibutuhkan. Namun, untuk merujuk pasien ke rumah sakit tersier seringkali membutuhkan waktu lebih dari sembilan puluh menit. Oleh karena itu, rumah sakit komunitas harus mampu berperan sebagai garda terdepan dalam sistem pelayanan kesehatan dengan memfasilitasi terapi fibrinolitik untuk menurunkan angka kematian PJK di Indonesia. Pengembangan pengobatan fibrinolitik di rumah sakit komunitas dapat dilakukan dengan membuat SOP yang ditinjau oleh ahli, menyediakan sumber daya manusia yang kompeten, dan melengkapi rumah sakit dengan infrastruktur yang diperlukan untuk pelayanan. Ini semua dilakukan untuk mengimbangi “masa emas” pasien STEMI dengan timeframe door-to-needle tiga puluh menit dan menekan angka kematian akibat SKA di Indonesia. Kata Kunci: RS Komunitas, PJK, STEMI, Fibrinolitik.
Analisis Implementasi Strategi Dots (Directly Observed Treatment Short-Course) sebagai Pengendalian Tuberkulosis: Systematic Review Rizka Dwiyovita; Martha Irene Kartasurya; Nurjazuli Nurjazuli
Malahayati Nursing Journal Vol 5, No 5 (2023): Volume 5 Nomor 5 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i5.9462

Abstract

ABSTRACT Indonesia is one of the countries with the highest burden of TB in the world. The DOTS strategy has been applied to control TB disease, but the implementation of the DOTS strategy has not been optimal due to the obstacles that have arisen. To analyze the implementation of DOTS strategy as tuberculosis control. This research is a systematic literature review using indexed articles on Google Scholar, Science Direct, Pub Med, and Garuda. Articles were selected using PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses). Analysis of article quality using the Critical Appraisal Skills Program (CASP). Eight articles were obtained that were in accordance with the research, indicating that the implementation of the DOTS strategy as tuberculosis control on political commitment in terms of funding, case detection, drug taking supervisor (PMO), as well as recording and reporting has not run optimally, while the drug distribution has been going well. Implementation of the DOTS strategy can run optimally by increasing cross-sectoral collaboration in tuberculosis control. Keywords: Directly Observed Treatment Short-Course Strategy, Qualitative, Tuberculosis Control.  ABSTRAK Indonesia menjadi salah satu negara yang memiliki beban tertinggi TB di Dunia. Telah diterapkan strategi DOTS untuk penanggulangan penyakit TB, akan tetapi implementasi strategi DOTS belum optimal disebabkan oleh adanya hambatan yang muncul. Untuk menganalisis implementasi strategi DOTS sebagai pengendalian tuberkulosis. Penelitian ini merupakan kajian pustaka sistematik dengan menggunakan artikel terindeks pada Google Scholar, Science Direct, Pub Med, dan Garuda. Artikel yang dipilih menggunakan PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses). Analisis kualitas artikel menggunakan Critical Appraisal Skills Program (CASP). Diperoleh delapan artikel yang sesuai dengan penelitian, menunjukkan bahwa implementasi strategi DOTS sebagai pengendalian tuberkulosis pada komitmen politik dalam hal pendanaan, deteksi kasus, pengawas minum obat (PMO), serta pencatatan dan pelaporan belum berjalan optimal, sedangkan pada pendistribusian obat sudah berjalan baik. Implementasi strategi DOTS dapat berjalan optimal dengan meningkatkan kerjasama di lintas sektor dalam pengendalian tuberkulosis. Kata Kunci: Directly Observed Treatment Short-Course Strategy, Kualitatif, Pengendalian Tuberkulosis.
Hubungan Sikap Perawat dengan Kinerja Perawat di Ruang Rawat Inap Kelas III Rumah Sakit Pertamina Bintang Amin Bandar Lampung Yosi Adelta; M. Arifki Zainaro; Triyoso Triyoso
Malahayati Nursing Journal Vol 5, No 5 (2023): Volume 5 Nomor 5 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i5.7655

Abstract

ABSTRACT Performance is very important for research, good and bad nurse services in serving patients can be seen from their performance. Performance is the result or level of success of a person as a whole during a certain period to carry out a task compared to various possibilities, such as work standards, targets or targets or performance that has been determined in advance and has been mutually agreed upon. In addition to motivation, there are also other factors that can affect the performance of nurses, namely the attitude of nurses at work. Attitude is a positive or negative feeling and psychological state that is often prepared, studied, and regulated through experience, which has a specific influence on a person's response to people, situations, and objects. To know the relationship between attitudes of nurses with the performance of nurses in the Class III Inpatient Room at Pertamina Bintang Amin Hospital in 2022. This type of research uses quantitative, analytical survey research design with a cross sectional approach, the population and sample are nurses at Pertamina Bintang Hospital as many as 38 respondents, sampling technique using purposive sampling, data analysis using univariate and bivariate using chi square. Seen by 38 respondents, nurses who have a good attitude are 17 respondents (44.7%) with good nurse performance as many as 15 respondents (39.5%) and nurses' performance is not good as many as 2 respondents (5.3%), while the attitude of nurses is not good. 21 respondents (55.3%) poor nurses with good nurse performance as many as 4 respondents (10.5%) and poor nurse performance as many as 17 respondents (44.7%). Most of the nurses ' attitudes were in the poor category. The results of data analysis using the chi square test showed that the p-value had a relationship between the attitude of nurses and the performance of nurses in the class III inpatient room at Pertamina Bintang Amin Hospital in 2022. Keywords: Nurse Attitude, Nurse Performance  ABSTRAK Kinerja sangat penting untuk dilakukan penelitian, baik buruk nya pelayanan perawat dalam melayani pasien dapat dilihat dari kinerjanya. Kinerja merupakan hasil atau tingkat keberhasilan seseorang secara keseluruhan selama periode tertentu untuk melaksanakan tugas dibandingkan dengan berbagai kemungkinan, seperti standar kerja , target atau sasaran atau kinerja yang telah ditentukan terlebih dahulu dan telah disepakati bersama . Selain motivasi terdapat juga faktor lain yang dapat mempengaruhi kinerja perawat, yaitu sikap perawat dalam bekerja. Sikap merupakan suatu perasaan positif atau negatif serta keadaan psikis yang sering disiapkan, dipelajari, dan diatur melalui pengalaman, yang memberikan pengaruh spesifik terhadap respon seseorang terhadap orang, situasi, dan objek. Diketahui hubungan sikap perawat dengan kinerja perawat di Ruang Rawat Inap Kelas III Rumah Sakit Pertamina Bintang Amin Tahun 2022. Jenis penelitian menggunakan kuantitatif, rancangan penelitian survey analitik dengan pendekatan cross sectional, Populasi dan sampel adalah perawat di Rumah Sakit Pertamina Bintang Amin sebanyak 38 responden, teknik sampling menggunakan purposive sampling, analisa data menggunakan univariat dan bivariat menggunakan chi square. Dilihat 38 responden, perawat yang memiliki sikap baik sebanyak 17 responden (44,7%) dengan kinerja perawat baik sebanyak 15 responden (39,5%) dan kinerja perawat kurang baik sebanyak 2 responden (5,3%), sedangkan sikap perawat kurang baik sebanyak 21 responden (55,3%) dengan kinerja perawat baik sebanyak 4 responden (10,5%) dan kinerja perawat kurang baik sebanyak 17 responden (44,7%) . Sebagian besar sikap perawat dengan kategori kurang baik. Hasil analisa data menggunakan uji chi square didapat nilai p-value ada hubungan sikap perawat dengan kinerja perawat di ruang rawat inap kelas III Rumah Sakit Pertamina Bintang Amin. Kata Kunci: Sikap Perawat, Kinerja Perawat

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