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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 1,867 Documents
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Hubungan Teknik Mencuci Wajah dengan Keberhasilan Pengobatan Acne Vulgaris di Poli Dermatologi RSUD Dr. H. Abdul Moeloek Provinsi Lampung Fadhillah, Ummul; Yuliana, Dewi; Sujiah, Sujiah
Malahayati Nursing Journal Vol 6, No 12 (2024): Volume 6 Nomor 12 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i12.15349

Abstract

ABSTRACT One of the most common skin problems is acne vuilgaris. The prevalence of acnve vulgaris worldwide in 2022 was approximaitely 80%, in Indonesia aroiund 85%, while in Lampung Province it was around 69.7%. Data from the Dermatology Polyclinic of Dr. H. Abdul Moeloek Regional iGenerval Hospital, Lampung Province in 2022 showied an increase in cases from 274 to 327 patients. Washingv the face using tihe correct technique is the most imiportant factor in supporitiing the success of acne vulgaris treatment. This research was conductevdi with the aim of determining the relationship between face washing technvique and the sucicess of acne vulgaris treatment. The results of the univariate analysis showed that the majority of responidents iperformed face washingi technique propierly (67.1%), and thie majority showevdv success in acne vulgaris treatment i71.4%). The results of the bivariate analysis revealed a relationship between face wasvvhing technique and the success of acnei vulgaris treatment (p-value = 0.001, OR = 7.429). Therefore, iit is reciommended fior healthcare professionais to assist patienvts in understanding the importance of washing the face with the correct techniqiue as part of acnve vulgaris trveatment. Keywords: Face Washing Technique, Treatment Success, Acne Vulgaris  ABSTRAK                                                                  Salah satu perimasalahan kulit yang paling serinig ditemukan adialah acne vulgaris. Prevalensi acne vulgaris di Duinia tahun 2022 sekitar 80%, di Indonesia sekitar 85%, sedangkanv di Provinsi Lampung sekitar 69,7%. iData di Poli Deirmatologi RSUD dr. vH. Abdvul iMoeloek Provinsi Lampung tahun 2022 manunjiukan peningkatan kasus dari 274 menjadi 327 pasiien. Mencuci iwajah meinggunakan tekniik yang bienar merupakan vhal yang paling pevnting untuk dapat mieinunjang keberhasilan pengobatan acne vulgaris. Penelitian dilakukan dengan tujuan dikietahuinyai hubungain teknik miencuci wajah diengan keberhasilain pengobatan acne vulgaris. Hasil analisis univariat diperolehi bavhwa sebagian besar responiden melakukain teknik mevncuci wajah dengain baiki (67,1%i), dan sebagian ibesar menunjukan adanya keberhasilan dalam pengobatan acne vulgaris (71,4%). Hasil analisis biivariat diperoleh advanya hubunvgan teknik mencuci wajah dengain keberhasilan pengobiatan acne vulgaris (ip-value = 0,001, OR= 7,429). Oleh karenia itu, disarankan bagi tenagia kesehatan davpat membantu pasien dalam memahami pentinignya mencuci wajah dengavn teknik yang tepat sebagiai bagian dvari periawatan acnei vulgaris. Kata Kunci: Teknik Mencucii Wajah, Keberhasilan Pengobvatan, Acne Vulgaris
Global Research Trends on Factors Affecting Patient Satisfaction Levels in Hospital Inpatient Wards: A Bibliometric Analysis Afriyanti, Defi; Bakhriansyah, M.; Adhani, Rosihan; Suhartono, Eko; Arifin, Syamsul
Malahayati Nursing Journal Vol 6, No 11 (2024): Volume 6 Nomor 11 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i11.17314

Abstract

ABSTRACT Research on patient satisfaction in hospital inpatient rooms is one of the main focuses in efforts to improve the quality of health services. Understanding the factors that influence patient satisfaction is crucial for policy makers and healthcare practitioners. Although various studies have been conducted, the global map of this research trend is still not clearly depicted. This study aims to fill this gap by conducting a bibliometric analysis of the literature related to patient satisfaction in hospitals, using a visualization approach to provide deeper insights into the dynamics of research in this area. The method used involved data collection of scholarly articles from 2014 to 2024 using Google Scholar's Publish or Perish application. A total of 50 articles were selected based on relevance to keywords such as Patient Satisfaction, Inpatient Room, Satisfaction Factors, Hospital, and Health Services. This data was then analyzed using VOSviewer to visualize the relationship between various elements in the literature through network visualization, overlay visualization, and density visualization. This approach mapped research trends, identified key clusters, and showed collaboration patterns and dominant topics. The results show that service quality and patient satisfaction are the main focus in the literature. Research clusters showed significant attention to basic aspects of healthcare such as hospital care and facilities, while demographic aspects and specific determinants were less explored. Citation analysis showed that articles providing comprehensive reviews or practical models received more attention. In addition, the density visualization revealed the dominance of quality of care aspects, but also showed the potential for further research on topics such as technological innovation and the impact of health policy. The conclusions of this study show that although much research has been conducted, there are still significant research gaps that can be further explored. This study maps global trends in patient satisfaction studies, and provides guidance for researchers to focus on less explored areas, thereby contributing to the improvement of healthcare quality in hospitals. Keywords: Patient Satisfaction, Service Quality, Hospital, Bibliometric Analysis.
Faktor-Faktor yang Mempengaruhi Kemampuan Perawat dalam Proses Penyapihan Ventilator di Ruang Pediatric Intensive Care Unit Fadhilah, Fadhilah; Erika, Erika; Zukhra, Ririn Muthia
Malahayati Nursing Journal Vol 7, No 1 (2025): Volume 7 Nomor 1 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i1.16397

Abstract

ABSTRACT Intensive room nurses must have the ability to process ventilator weaning because it can affect the incidence of prolonged ventilator use.  This study aims to determine what factors influence the ability of nurses in the ventilator weaning process in the pediatric intensive care unit. This research used quantitative-correlative description methods with a total sampling of 31 nurses in the Pediatric Intensive Care Unit at Arifin Achmad Regional Hospital. The instrument used in this research was a questionnaire on the characteristics, knowledge, attitudes, and abilities of nurses in the ventilator weaning process, which had been tested for validity and reliability. Data analysis using chi-square. There was a significant influence between age (p = 0.002), length of work (p = 0.001), and training (p = 0.000) on nurses' ability in the ventilator weaning process. There was no influence between the level of education, knowledge, and attitudes and nurses' abilities in the ventilator weaning process (p = 0.552, 0.226, and 0.376).Factors that can influence the ability of nurses in the ventilator weaning process are age, length of work, and training. Keyword: Nursing Ability, Pediatric Intensive Care Unit, Ventilator Weaning  ABSTRAK Perawat ruang intensif harus memiliki kemampuan dalam proses penyapihan ventilator karena dapat berpengaruh pada kejadian prolonged ventilator.  Penelitian ini bertujuan untuk mengetahui faktor-faktor apa saja yang mempengaruhi kemampuan perawat dalam proses penyapihan ventilator di ruang Pediatric Intensive Care Unit.  Penelitian ini menggunakan metode kuantitatif-deskripsi korelasi dengan total sampling berjumlah 31 perawat di ruang Pediatric Intensive Care Unit RSUD Arifin Achmad. Instrumen yang digunakan dalam penelitian ini berupa kuesioner karakteristik perawat, pengetahuan, sikap, dan kemampuan perawat dalam proses penyapihan ventilator yang sudah dilakukan uji validitas dan reliabilitas. Analisis data menggunakan Chi-Square. Terdapat pengaruh yang signifikan antara usia (p = 0,002), lama kerja (p = 0,001), dan pelatihan (p = 0,000) dengan kemampuan perawat dalam proses penyapihan ventilator. Tidak terdapat pengaruh antara tingkat pendidikan, pengetahuan, dan sikap dengan kemampuan perawat dalam proses penyapihan ventilator (p = 0,552, 0,226, dan 0,376). Faktor-faktor yang dapat mempengaruhi kemampuan perawat dalam proses penyapihan ventilator yaitu usia, lama kerja, dan pelatihan. Kata Kunci: Kemampuan Perawat, Pediatric Intensive Care Unit, Penyapihan  Ventilator
The Relationship Between Intrinsic, Extrinsic Factors, and Socio Economic Status With the Level of Pneumonia Among Toddlers at Paal V Health Center, Jambi City Sari, Dela Lupita; Sari, Rumita Ena; Hubaybah, Hubaybah
Malahayati Nursing Journal Vol 6, No 12 (2024): Volume 6 Nomor 12 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i12.15237

Abstract

ABSTRACT Pneumonia is the most significant trigger of infections leading to death in children globally. Every year, an estimated 921,000 children under the age of 5 die due to pneumonia. This study aims to determine the relationship between intrinsic, extrinsic, and socioeconomic factors with the level of pneumonia in toddlers at the Paal V Community Health Center in Jambi City. This study uses an analytical quantitative research method, with a cross-sectional study design. The respondents in this study were 87 toddlers (aged 0-59 months). Data analysis was conducted using chi-square statistical analysis. The research results show the p-value of intrinsic factors, namely age PR 0.447 (p=0.339), gender PR 0.747 (p=0.668), Exclusive Breastfeeding PR 4.474 (p=0.000), low birth weight PR 2.364 (p=0.064), nutritional status PR 5.250 (p=0.000), history of Vitamin A supplementation PR = 3.897 (p=0.002), history of ARI PR 3.687 (p=0.003), history of asthma PR 5.647 (p=0.008), history of tuberculosis TB 2.514 (p=0.033). Extrinsic factors such as household crowding density PR 5.778 (p=0.000), smoking behavior indoors PR 0.763 (p=0.11). Socioeconomic factors such as mother's education PR 3.055 (p=0.025), mother's occupation PR 0.753 (p=0.036), and household income PR 2.703 (p=0.04). There is a relationship between Exclusive Breastfeeding, nutritional status, history of Vitamin A supplementation, history of ARI, history of asthma, history of Tuberculosis, household crowding density, mother's education, mother's occupation, and household income with the level of pneumonia in toddlers in Jambi City in 2023. Meanwhile, there is no relationship between age, gender, history of low birth weight, and indoor smoking behavior with the level of pneumonia in toddlers in Jambi City in 2023. Keywords: Pneumonia, Toddlers, Intrinsic, Extrinsic, Socioeconomic
Global Research Trends on Factors Affecting Tuberculosis (TB) Adherence and Dropout: A Bibliometric Study Risnawati, Risnawati; Adhani, Rosihan; Isa, Mohamad; Kania, Nia; Febriana, Silvia Kristanti Tri
Malahayati Nursing Journal Vol 6, No 11 (2024): Volume 6 Nomor 11 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i11.17235

Abstract

ABSTRACT Tuberculosis (TB) remains one of the significant global health challenges, especially in resource-limited countries. Adherence to TB treatment is key to successful therapy and preventing the emergence of drug resistance. However, dropout rates or discontinuation of treatment before completion remains a major problem that needs to be addressed. This study aims to analyze global trends in research focusing on factors affecting TB treatment adherence and dropout through a bibliometric approach. Using the Publish or Perish application, relevant scientific articles with keywords such as treatment adherence, tuberculosis, treatment dropout, and influencing factors were searched from 2017 to 2024. A total of 50 articles from Google Scholar were further analyzed to identify by publication year, country, publisher, citation, and article type. The data was then processed using VOSviewer to visualize the relationship between keywords and research trends through Network Visualization, Overlay Visualization, and Density Visualization. The results of the analysis showed that Indonesia is the country with the highest number of publications, demonstrating a great commitment in addressing the TB challenge. Articles published in reputable journals, especially those adopting systematic and meta-analysis approaches, show great impact with a high number of citations. Bibliometric visualizations reveal that the focus of research lies on factors such as treatment, adherence, health workers, and access. In addition, family and community support was also found to be an important element in ensuring treatment adherence. In conclusion, this study emphasizes the need for a comprehensive and collaborative approach in improving TB treatment adherence and preventing dropouts. Further research in this area is needed to address existing gaps and develop more effective strategies in the fight against TB. Keywords: Treatment Adherence, Tuberculosis, Dropout, Influencing Factors, Health Worker
Penerapan Model Pembelajaran Savi (Somatic, Auditory, Visualization, Intellectually) terhadap Kemampuan Mengenal Penanganan Cedera Metode Rice pada Siswa Sekolah Dasar Putri, Amanda Junikha Sintia; Rahmad, Muhamad Nur; Setiyawan, Setiyawan
Malahayati Nursing Journal Vol 7, No 2 (2025): Volume 7 Nomor 2 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i2.17070

Abstract

ABSTRACT Injuries have significant impacts on the global burden of disease, especially among children. Injuries related to play and sports are among the most common causes of injuries to children worldwide. Home and school environments are primary locations where such injuries frequently occur in children. Education aimed at enhancing students’ understanding of conditions that may endanger their health is crucial. One of the first aid methods for minor injuries that can be taught to elementary school students is the RICE (Rest, Ice, Compression, Elevation) method. This method effectively addresses pain and swelling from sprains, bruises, contusions, and strains. Implementing an engaging and enjoyable health education model is necessary for effectiveness with children. The SAVI (Somatic, Auditory, Visualization, Intellectually) learning model is one approach that can be implemented. This model combines physical movement, cognitive activities, and the use of all senses, that significantly impacts learning outcomes. The purpose of this research is to determine the effect of implementing the SAVI Learning Model on elementary school students' ability to recognize injury management using the RICE method. This research employed a quantitative method with a pre-experimental one-group pretest-posttest design without a control group. The samples were selected through probability sampling using a simple random sampling technique, totaling 48 respondents. Data were analyzed using the Wilcoxon signed rank test, with results showing a p-value of 0.000 (< 0.05). Based on this finding, it was concluded that implementing the SAVI learning model significantly improved elementary school students’ ability to recognize injury management using the RICE method. Keywords: Injury, SAVI Learning Model, RICE Method, Elementary School  ABSTRAK Cedera memberikan dampak signifikan terhadap beban penyakit global, khususnya pada anak-anak. Cedera yang terjadi akibat permainan dan olahraga merupakan salah satu penyebab cedera yang paling umum di kalangan anak-anak di seluruh dunia. Lingkungan rumah dan sekolah merupakan dua tempat teratas di mana cedera sering terjadi pada anak. Edukasi untuk meningkatkan pemahaman anak tentang kondisi yang dapat membahayakan kesehatan mereka penting dilakukan. Salah satu pertolongan pertama cedera ringan yang bisa diajarkan kepada anak sekolah dasar adalah metode RICE (Rest, Ice, Compression, Elevation). Metode ini efektif dalam mengatasi rasa sakit dan pembengkakan akibat keseleo, memar, lebam, dan terkilir. Diperlukan model pendidikan kesehatan yang menarik dan menyenangkan agar lebih efektif bagi anak-anak. Model pembelajaran SAVI (Somatic, Auditory, Visualization, Intellectually) merupakan sebuah pendekatan yang bisa diimplementasikan. Model ini menyatukan gerakan fisik, aktivitas kognitif, dan pemanfaatan seluruh indera, yang berdampak besar pada hasil pembelajaran. Bertujuan untuk mengidentifikasi adanya pengaruh penerapan Model Pembelajaran SAVI terhadap kemampuan mengenal penanganan cedera menggunakan Metode RICE pada siswa sekolah dasar. Metode yang digunakan yakni kuantitatif dengan rancangan pre-eksperimental one group pretest-posttest tanpa kelompok kontrol. Pemilihan sampel dilakukan melalui probability sampling dengan teknik simple random sampling, melibatkan 48 partisipan. Data diolah menggunakan Wilcoxon Signed Rank Test, dan menghasilkan p-value sebesar 0,000 (< 0,05). Hasil analisis menunjukkan adanya pengaruh signifikan penerapan model pembelajaran SAVI terhadap kemampuan mengenal penanganan cedera menggunakan metode RICE pada siswa sekolah dasar. Kata Kunci: Cedera, Model Pembelajaran SAVI, Metode RICE, Sekolah Dasar
Hubungan Tingkat Pengetahuan dan Persepsi Perawat tentang Early Warning Score di Rumah Sakit Siloam Bekasi Timur Triutama, Adi Tiya; Sahrudi, Sahrudi
Malahayati Nursing Journal Vol 6, No 12 (2024): Volume 6 Nomor 12 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i12.14452

Abstract

ABSTRAK Early Warning Score merupakan sebuah sistem peringatan dini yang sangat penting untuk antisipasi pasien yang ada di Rumah Sakit sebelum mengalami perburukan dan mengancam jiwa sehingga situasi tersebut dapat diantisipasi dengan penilaian sitem ini. Metode di dalam penelitian ini mengunakan analisis korelasi antara tingkat pengetahuan dan persepsi responden tentang Early Warning Score. Responden dalam penelitian ini semua perawat yang bersinggungan langsung dengan pasien. Hasil dari penelitian ini ditunjukan dengan p value 0,001 yang artinya p value <0,05 dengan kesimpulan bahwa ada hubungan antara tingkat pengetahuan dan persepsi responden tentang early warning score. Kata Kunci: Pengetahuan, Persepsi, Early Warning Score  ABSTRACT  The Early Warning Score is an early warning system that is very important for anticipating patients in the hospital before they experience a worsening or life-threatening situation so that this situation can be anticipated with this system assessment. The method in this research uses correlation analysis between the level of knowledge and respondents' perceptions about the Early Warning Score. The respondents in this study were all nurses who had direct contact with patients. The results of this research are shown with a p value of 0.001, which means a p value <0.05 with the conclusion that there is a relationship between the level of knowledge and respondents' perceptions about the early warning score. Keywords: Knowledge, Perception, Early Warning Score
Efektifitas Pendidikan Kesehatan Menggunakan Media Lembar Balik terhadap Pengetahuan dan Sikap dalam Pemilihan Jajanan Sehat Pada Anak SDN 05 Wanasari Kabupaten Bekasi Amirga, Muhamad; Mulyanto, Tatag
Malahayati Nursing Journal Vol 6, No 11 (2024): Volume 6 Nomor 11 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i11.14281

Abstract

ABSTRACT In developing countries, diarrhea is still a disease with high morbidity and mortality to date, therefore this disease is still considered a health problem that cannot be overcome in Indonesia (Ministry of Health of the Republic of Indonesia, 2019). According to Riskesdas 2018, diarrhea cases in Indonesia are still the second highest contributor to morbidity rates among children under five after ISPA (Acute Respiratory Infection) as an infectious disease (Ministry of Health of the Republic of Indonesia, 2019). Diarrhea became an Extraordinary Event (KLB) which occurred in 2017 in Indonesia 21 times, spread across 12 provinces and districts with a total of 1725 sufferers and 34 deaths (CFR 1.97%) (Indonesian Ministry of Health, 2019). Analyzing the Effectiveness of Health Education Using Flip Sheet Media on Knowledge and Attitudes in Choosing Healthy Snacks in Children at SDN 05 Wanasari, Bekasi Regency.Pre-experimental research with a one group pre-post test research design with a sample of 30 people. The research results showed that health education using flip sheets was effective in increasing students' knowledge about choosing healthy snacks from 30% to 77%. In addition, students' negative attitudes towards choosing healthy snacks decreased from 87% to 33%, while positive attitudes increased to 67%. With a significance of 0.000, it can be concluded that health education using flip-sheet media is effective in improving the knowledge and attitudes of students at SDN 05 Wanasari, Bekasi Regency. This research found a significant effect of health education using flip-sheet media to be effective in increasing the knowledge and attitudes of students at SDN 05 Wanasari, Bekasi Regency with a significance of 0.000. It is hoped that these results can increase students' understanding of the importance of knowledge about the food they consume. Keywords: Flip Sheet Media, Knowledge, Attitudes.  ABSTRAK Di negara berkembang, diare masih menjadi penyakit dengan tingkat morbiditas dan mortalitas yang tinggi hingga saat ini, oleh karena itu penyakit ini masih dianggap sebagai masalah kesehatan yang belum dapat diatasi di Indonesia (Kementerian Kesehatan Republik Indonesia, 2019). Menurut Riskesdas 2018, kasus diare di Indonesia masih menjadi kontributor kedua tertinggi terhadap tingkat morbiditas di antara anak-anak di bawah lima tahun setelah ISPA (Infeksi Saluran Pernapasan Akut) sebagai penyakit menular (Kementerian Kesehatan Republik Indonesia, 2019). Diare menjadi Kejadian Luar Biasa (KLB) yang terjadi pada tahun 2017 di Indonesia sebanyak 21 kali, tersebar di 12 provinsi dan kabupaten dengan total 1725 penderita dan 34 kematian (CFR 1.97%) (Kementerian Kesehatan Indonesia, 2019). Menganalisa Efektivitas Pendidikan Kesehatan Menggunakan Media Lembar Balik terhadap Pengetahuan dan Sikap dalam Memilih Camilan Sehat pada Anak-anak di SDN 05 Wanasari, Kabupaten Bekasi. Penelitian pra-eksperimental dengan desain penelitian pre-post test satu kelompok dengan sampel 30 orang. Hasil penelitian menunjukkan bahwa pendidikan kesehatan menggunakan lembar balik efektif dalam meningkatkan pengetahuan siswa tentang memilih camilan sehat dari 30% menjadi 77%. Selain itu, sikap negatif siswa terhadap memilih camilan sehat menurun dari 87% menjadi 33%, sementara sikap positif meningkat menjadi 67%. Dengan signifikansi 0.000, dapat disimpulkan bahwa pendidikan kesehatan menggunakan media lembar balik efektif dalam meningkatkan pengetahuan dan sikap siswa di SDN 05 Wanasari, Kabupaten Bekasi. Penelitian ini menemukan efek signifikan dari pendidikan kesehatan menggunakan media lembar balik untuk efektif meningkatkan pengetahuan dan sikap siswa di SDN 05 Wanasari, Kabupaten Bekasi dengan signifikansi 0.000. Diharapkan hasil ini dapat meningkatkan pemahaman siswa tentang pentingnya pengetahuan mengenai makanan yang mereka konsumsi. Kata Kunci: Media Lembar Balik, Pengetahuan, Sikap
Model Pengelolaan Sampah Pemukiman di Kelurahan Kenali Besar Kecamatan Alam Barajo Kota Jambi Putri, Fitria Eka; Azhary, Muhammad Rifqi; Hubaybah, Hubaybah; Rahmat, Andree Aulia
Malahayati Nursing Journal Vol 7, No 2 (2025): Volume 7 Nomor 2 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i2.18072

Abstract

ABSTRACT Waste remains a complex problem as it impacts various aspects, including environmental and health issues. Communities that still dispose of waste improperly and let it decompose create unpleasant odors and can become transmission media for vector animals and pests such as flies that carry disease agents like microorganisms, bacteria, and parasites causing diarrhea and intestinal worms. Data from the National Waste Management Information System shows that the amount of waste generated in Jambi Province in 2022 was 352,484.44 tons/year or 965.71 tons/day. Jambi City has become the district/city with the highest amount of waste generation among other districts/cities, amounting to 159,688.01 tons/year or 437.50 tons/day. This study aims to analyze and explore in-depth information about waste management, community participation, supporting and inhibiting factors, and waste management models that can be implemented in the community. This research is qualitative with a case study approach. Conducted from May to November 2024, the informants in this study were local community members in Kenali Besar sub-district, consisting of 25 community members and RT (Neighborhood Unit) heads representing each RT in the sub-district. Residential waste management in Kenali Besar Sub-district, Alam Barajo District, Jambi City is still inadequate, with no processing and sorting systems in place, no official temporary waste disposal sites (TPS), waste containment limited to plastic bags and cardboard boxes, and waste management regulations and programs not functioning as intended. Given the importance of improving residential waste management as a preventive measure against various environmentally-induced diseases, the researchers recommend implementing waste management using a modified Four-D Model (4-D Models), which is expected to address residential waste management issues in Kenali Besar Sub-district, Alam Barajo District, Jambi City. Keywords: Waste, Four-D Model, Temporary Waste Disposal Site, Waste Management  ABSTRAK Sampah masih menjadi permasalahan yang kompleks karena berdampak pada banyak pihak diantaranya masalah lingkungan dan kesehatan. Masyarakat yang masih membuang sampah sembarangan dan dibiarkan membusuk akan menimbulkan bau tidak sedap dapat menjadi media transmisi tempat hidup hewan vektor dan hama seperti lalat yang membawa agent penyakit seperti mikroorganisme, bakteri, dan parasit yang menyebabkan penyakit diare dan cacingan. Data dari Sistem Informasi Pengelolaan Sampah Nasional, menunjukkan jumlah sampah yang dihasilkan di Provinsi Jambi pada tahun 2022 yaitu 352,484.44 ton/tahun atau 965.71 ton/hari. Kota Jambi menjadi Kabupaten/Kota dengan jumlah timbulan sampah terbanyak diantara Kabupaten/Kota yang lain, yaitu sebesar 159,688.01 ton/tahun atau 437.50 ton/hari. Tujuan penelitian ini adalah untuk menganalisis dan menggali informasi lebih dalam mengenai pengelolaan sampah, partisipasi masyarakat, faktor pendukung dan penghambat dan model pengelolaan sampah yang bisa diterapkan dimasyarakat. Jenis penelitian ini adalah Kualitatif dengan pendekatan studi kasus. Dilakukan pada bulan Mei s/d November 2024, Informan pada penelitian ini adalah masyarakat sekitar di kelurahan Kenali Besar yang terdiri dari 25 orang masyarakat dan Ketua RT perwakilan masing-masing RT yang ada di kelurahan tersebut. Pengelolaan sampah pemukiman di Kelurahan Kenali Besar Kecamatan Alam Barajo Kota Jambi masih belum baik dengan belum adanya pengolahan dan pemilahan, belum adanya TPS resmi, pewadahan hanya menggunakan plastik dan kardus serta regulasi dan program pengelolaan sampah yang belum berjalan sebagaimana mestinya. Pentingnya meningkatkan pengelolaan sampah pemukiman sebagai upaya preventif dari berbagai penyakit yang ditimbulkan oleh lingkungan, maka peneliti mekomendasikan penerapan pengelolaan sampah dengan Model pengelolaan sampah dibuat dengan model 4-D (Four-D Models) yang dimodifikasi yang diharapkan mampu mengatasi permasalahan pengelolaan sampah pemukiman di Kelurahan Kenali BEsar Kecamatan Alam Barajo Kota Jambi Kata Kunci: Sampah, Model 4-D, TPS, Pengelolaan Sampah
Pengaruh Kombinasi Contrast Bath dengan Elevasi Kaki 30o terhadap Derajat Pitting Edema pada Pasien Chf di Ruang Jantung Terpadu RSUD Dr. H. Abdul Moeloek Provinsi Lampung Riki, Narda; Erwin, Tubagus; Andora, Novika
Malahayati Nursing Journal Vol 7, No 1 (2025): Volume 7 Nomor 1 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i1.15408

Abstract

ABSTRACT CHF has a high mortality and morbidity rate in the world, especially in developing countries. The prevalence of CHF in Indonesia in 2022 reached 5%, while in Lampung Province it was 1,2% or about 32,148 residents. Pitting edema is the most common symptom, which is experienced by about 80% of CHF patients. The impact of pitting edema can interfere with the patient's daily activities, discomfort, decrease physical mobility, changes in body posture, and increase the risk of falls in patients. One way to overcome pitting edema is with contrast bath therapy. The study was conducted with the aim of knowing the effect of the combination of contrast bath with 30o leg elevation on the degree of pitting edema in CHF patients.This research method uses a type of quantitative research, a quasi-experimental design with a non-equivalent control group. The population is all CHF patients who experience pitting edema at RSUD Dr. H. Abdul Moeloek Lampung Province, with a sample of 34 respondents and accidental sampling techniques. The independent variable is the combination of contrast bath with 30o leg elevation, while the dependent variable is the degree of pitting edema. Data analysis using independent t-test. The results of the univariate analysis obtained that the average degree of pitting edema in the group during the pretest was 2,41 ± 0.939 and posttest 1,41 ± 1,121. Meanwhile, in the control group during the pretest it was 2,59 ± 0,939 and posttest 2,35 ± 1,115. The results of the bivariate analysis obtained the effect of the combination of contrast bath with 30o leg elevation on the degree of pitting edema in CHF patients (p-value=0,02). Therefore, it is suggested for nurses to be able to integrate the combination of contrast bath with 30o leg elevation in the care protocol for CHF patients with pitting edema. Keywords: Combination of Contrast Bath With 30o Leg Elevation, Degree of Pitting Edema, CHF  ABSTRAK                                                                  CHF memiliki tingkat mortalitas dan morbiditas yang tinggi di Dunia terutama di negara berkembang. Prevalensi CHF  di Indonesia tahun 2022 mencapai angka 5%, sedangkan di Provinsi Lampung sebesar 1,2% atau sekitar 32.148 penduduk. Pitting edema merupakan gejala yang paling sering terjadi, dimana dialami sekitar 80% pasien CHF. Dampak pitting edema dapat mengganggu aktivitas pasien sehari-hari, ketidaknyamanan, menurunkan mobilitas fisik, perubahan postur tubuh, hingga meningkatkan resiko jatuh pada pasien. Salah satu cara untuk mengatasi pitting edema yaitu dengan terapi contrast bath. Penelitian dilakukan dengan tujuan diketahuinya pengaruh kombinasi contrast bath dengan elevasi kaki 30o terhadap derajat pitting edema pada pasien CHF. Metode penelitian ini menggunakan jenis penelitian kuantitatif, rancangan quasi eksperiment design dengan non equivalent control group. Populasi yaitu seluruh pasien CHF yang mengalami pitting edema di RSUD Dr. H. Abdul Moeloek Provinsi Lampung, dengan sampel sebanyak 34 responden serta teknik accidental sampling. Variabel independen yaitu kombinasi contrast bath dengan elevasi kaki 30o, sedangkan variabel dependen yaitu derajat pitting edema. Analisis data menggunakan uji-t independent. Hasil analisis univariat diperoleh bahwa rata-rata derajat pitting edema pada kelompok saat pretest adalah 2,41 ± 0,939 dan posttest 1,41 ± 1,121. Sedangkan pada kelompok kontrol saat pretest adalah 2,59 ± 0,939 dan posttest 2,35 ± 1,115. Hasil analisis bivariat diperoleh adanya pengaruh kombinasi contrast bath dengan elevasi kaki 30o terhadap derajat pitting edema pada pasien CHF (p-value=0,02). Oleh karena itu, disarankan bagi perawat agar dapat mengintegrasikan kombinasi contrast bath dengan elevasi kaki 30o dalam protokol perawatan untuk pasien CHF dengan pitting edema. Kata Kunci: Kombinasi Contrast Bath Dengan Elevasi Kaki 30o, Derajat Pitting Edema, CHF

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