Jurnal Kesehatan
Jurnal Kesehatan published by Politeknik Kesehatan Tanjungkarang with professional organizations (PTGI, PATELKI, PERSAGI, PPNI, IBI, HAKLI, PAFI, PPGI). It contains writings drawn from research and non-research, critical analytical studies in health areas. This journal was first published in April 2010 in print. Since 2015, Jurnal Kesehatan has been published in print and online.
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<![CDATA[Evaluasi Pemantauan Intrapartum pada Persalinan dengan BBLR di RSUD Gunung Jati Kota Cirebon ]]>
<![CDATA[Lisnawati Lisnawati]]>
<![CDATA[ Jurnal Kesehatan Vol 8, No 2 (2017): Jurnal Kesehatan ]]>
Publisher : <![CDATA[Politeknik Kesehatan Tanjung Karang ]]>
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DOI: 10.26630/jk.v8i2.471
<![CDATA[Low Birth Weight (LBW) is neonates with birth weight less than 2,500 grams (up to 2,499 grams) without looking the duration of pregnancy. LBW is one cause of infant mortality rate in Indonesia. Increasing the knowledge, attitudes, and skills of midwives are the strategy to reduce infant mortality rate. The number of spontaneous labor with preterm gestation by midwives is the main reason to increase the skills of the LBW. This study was aimed to evaluate the skills of midwives in the management of labor with low birth weight in intrapartum monitoring. The methods were a quantitative and qualitative study with cross sectional approach. The quantitative was to evaluate the skills of midwives in intrapartum monitoring (active phase of the first stage), it is using checklists to 20 midwives in the delivery room who had received at least 1 case of labor with LBW. Research also conducted qualitatively by interviewing midwives in the delivery room and hospital managers. The results of this study showed that the midwives were not competent in the intrapartum monitoring of LBW. The average value of midwives skills in action intrapartum monitoring is 70.3% (the highest value is 81,25% and the lowest is 62,25%). The midwives know that labor with LBW is not authorized by midwives, all this time management labor with low birth weight is through a doctor's advice, but the midwives were not competent and not confident in providing care in the management of labor with LBW. This study showed that the skills of midwives in the intrapartum monitoring of LBW are not good enough to be able to reduce mortality due to LBW. ]]>
<![CDATA[Relaksasi Progresif terhadap Intensitas Nyeri Post Operasi BPH (Benigna Prostat Hyperplasia) ]]>
<![CDATA[Aprina Aprina]]>;
<![CDATA[Noven Ilham Yowanda]]>;
<![CDATA[Sunarsih Sunarsih]]>
<![CDATA[ Jurnal Kesehatan Vol 8, No 2 (2017): Jurnal Kesehatan ]]>
Publisher : <![CDATA[Politeknik Kesehatan Tanjung Karang ]]>
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DOI: 10.26630/jk.v8i2.505
<![CDATA[Pain is one of the most common complaints in patients after experiencing a surgery. Surgery is a biphasic event against the human body that implies pain management. In post-surgery patients feel severe pain and 75% of patients have unpleasant experiences due to inadequate pain management.Based on the results of activity reports in Dr. Hi. Abdul Moeloek Public Hospital in Lampung Province in July-December 2016 obtained data operation BPH as many as 51 inhabitants. The objective of this research was to find out the effect of progressive relaxation to an intensity of pain for BPH (Benigna Prostate Hyperplasia) post-surgery patient. This was a quasi-experiment research by using one group pretest and posttest design. 20 respondent samples were taken by using accidental sampling. Data were collected by using observation sheet and analyzed by using univariate and bivariate analyses with Wilcoxon sign test. The results showed that the mean value of pain before the progressive relaxation therapy equal to 5.20 with standard deviation 0.834. While the mean value of pain scale after it was 3.60 with standard deviation 0.681. Analysis with Wilcoxon sign test derived p-value 0.000 (ρ-value 0.000 < α 0.05), and the conclusion there was a significant effect the mean value of pain in the post-surgery patient’s BPH (Benigna Prostate Hyperplasia) after progressive relaxation therapy. The researcher expects that the progressive relaxation therapy can be used by more operational methods. ]]>
<![CDATA[Efek Metode Non Farmakologik terhadap Intensitas Nyeri Ibu Bersalin Kala I ]]>
<![CDATA[Marwati Biswan]]>;
<![CDATA[Henny Novita]]>;
<![CDATA[Masita Masita]]>
<![CDATA[ Jurnal Kesehatan Vol 8, No 2 (2017): Jurnal Kesehatan ]]>
Publisher : <![CDATA[Politeknik Kesehatan Tanjung Karang ]]>
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DOI: 10.26630/jk.v8i2.487
<![CDATA[Pain is one of the processes during the labor, the pain during the labor is able to increase the blood pressure, the fetal heart rate also increased and the focus of mothers during the childbirth is disturbed. According to data research shown that 60% primipara describes the pain caused by huge contraction, 30% about medium. In multipara, 45% feel a huge pain, 30% is medium and the lower about 25%. The purpose of this research is to understand the effectivity of the proper way to the non-pharmacological pain management for the phase 1. This research used a quasi-experimental design with the pre-post test without control group design methods. The population used in this research is maternal with phase 1 on an active postpartum. The gaining of a sample using a quota sampling technic consists of 60 maternal who were divided into two groups of 30 respondents per each. The results obtained in this research given the average degree of pain after the relaxation techniques and massage. (The group I) is 5, 47 with the result of p=0.001. The average degree of pain result after having a warm and cold compress for (the group II) is 6,60 ± 1,003 with the result of p=0.000. The conclusions of the research are there are effects in an adduction of deep breathing relaxation technique such of: the back massage, cold and warm compresses toward the decreasing of pain for phase 1 active labor. The deep breath relaxation method and back massage are more effective than cold and warm compresses in relieving pain intensity for the maternal.]]>
<![CDATA[Determinan Perilaku Penggunaan Kontrasepsi Pasca Persalinan di Wilayah Kerja Puskesmas Merdeka Kota Bogor ]]>
<![CDATA[Agustina Agustina]]>;
<![CDATA[Nawati Nawati]]>
<![CDATA[ Jurnal Kesehatan Vol 8, No 2 (2017): Jurnal Kesehatan ]]>
Publisher : <![CDATA[Politeknik Kesehatan Tanjung Karang ]]>
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DOI: 10.26630/jk.v8i2.414
<![CDATA[Contraceptive use by women of reproductive age nationwide showed decreased from 61.4% (2007) to 55.86% (in 2010). In West Java amounted 59.8%. Unmet need in Indonesia is 14% and in West Java is 11.1%. Achievement of the family planning program active participant in Bogor reached 78.61% and the achievement of a new family planning program postpartum still low at 49.53% (BPMPM, Bogor 2013). The Purpose of research is to find out the determinant behavioral of contraceptive use post-natal in health center Bogor 2014.This research is quantitative with the design "Cross Sectional" study sample group of mothers aged 15-49 are married, have babies ages 6 weeks to 12 months is 111 respondents. The sampling technique is purposive sampling. The results of the bivariate analysis showed there is relation antenatal/ Ante Natal Care contraceptive use with p=0.031 and the value of OR=0.2 (95% CI=0.44 to 0.9). This means that mothers during their pregnancy ≥4 times have a great opportunity for not using contraception post partum was 0.2 times. Suggested to the health nurse at the health center in order to improve quality of care through counseling activities on family planning and counseling about contraception postpartum starting from pregnancy and continues into the postpartum period.]]>
<![CDATA[Risiko Fotoreaktivasi terhadap Kualitas Mikrobiologi Air Minum Isi Ulang ]]>
<![CDATA[Yushananta, Prayudhy]]>;
<![CDATA[Ahyanti, Mei]]>
<![CDATA[ Jurnal Kesehatan Vol 8, No 2 (2017): Jurnal Kesehatan ]]>
Publisher : <![CDATA[Politeknik Kesehatan Tanjungkarang ]]>
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DOI: 10.26630/jk.v8i2.482
<![CDATA[Photoreactivation is a direct process of repairing a damaged DNA with the help of ultraviolet in the range of 320-370 nm. Research is designed to acknowledge the effect of time exposure and UV vis ray’s intensity to numbers of Coliforms and E.coli. The results prove the effect of UV exposure time on the increase of coliform which is 60,2% (p-value=0,0001). The increase of coliform happens after 180th minutes of exposure. But, in this research there is no effect of UV’s intensity towards both numbers of coliform (p-value = 0,152) and E.Coli (p-value=0,578). Besides buying a refilled mineral water from a water depot whose disinfecting with UV ray and ozone combined, closing the gallon of mineral water since the first day being used to avoid being exposed by UV vis ray from the sun is a must-do to avoid photoreactivation process.]]>
<![CDATA[Perbedaan Pengaruh Terapi Psikoreligius dengan Terapi Musik Klasik terhadap Kecemasan Pasien Pre Operatif di RSUD dr. H. Abdul Moeloek Provinsi Lampung ]]>
<![CDATA[El Rahmayati]]>;
<![CDATA[Ririn Sri Handayani]]>
<![CDATA[ Jurnal Kesehatan Vol 8, No 2 (2017): Jurnal Kesehatan ]]>
Publisher : <![CDATA[Politeknik Kesehatan Tanjung Karang ]]>
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DOI: 10.26630/jk.v8i2.472
<![CDATA[The surgical procedure for most patients triggers anxiety and fear. Approximately 60-80% of patients who will undergo surgery experience anxiety that needs to be intervened in the category of moderate to severe anxiety (Efendy, 2005 in Faradisi, 2012). This study aims to determine the effect of psycho-religious therapy and classical music therapy on pre operative patient anxiety in RSUDAM Lampung Province in 2016. This research type is quasi-experiment research with non-equivalent control group design. This research was conducted at RSUDAM Lampung Province in September- November 2016 in three surgical wards: the gelatik room (orthopedic surgery), the kutilang room (male general surgery) and the rose room (female general surgery). The population taken were all pre operative patients within the study period. The sampling technique uses a purposive method and the sample size is 80 people divided into 2 groups ie the group which is given the classical music intervention and the group that is given psycho-religious therapy with religious music and murrotal Al Quran surah Arrahman. The data were collected using a survey of Zung Self Anxiety Rating Scale (ZSARS) instruments before and after treatment. Bivariate analysis was performed using independent t-test statistic test by setting Alpha value 0,05 and 95% CI. The results of this study conclude that there are differences of psycho-religious therapy and classical music therapy on pre operative patient's anxiety at RSUDAM Lampung Province 2016 (p-value 0,030) with a decrease of ZSARS score in patients treated with psycho-religious therapy 2,250. Researchers suggested that psycho-religious therapy performed on pre operative patients at RSUDAM Lampung Province and entered into one form of intervention to decrease preoperative anxiety.]]>
<![CDATA[Determinan Persalinan Prematur di RSUD Dr. Abdul Moeloek ]]>
<![CDATA[Eliza Eliza]]>;
<![CDATA[Dina Dwi Nuryani]]>;
<![CDATA[Rosmiyati Rosmiyati]]>
<![CDATA[ Jurnal Kesehatan Vol 8, No 2 (2017): Jurnal Kesehatan ]]>
Publisher : <![CDATA[Politeknik Kesehatan Tanjung Karang ]]>
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DOI: 10.26630/jk.v8i2.491
<![CDATA[Infant mortality in Indonesia around 56% occurs in the very early period of a neonatal period or newborn. Most of the neonatal deaths occur at the age of 0-6 days (78.5%) and prematurity is the major cause of neonatal death. Based on perinatology room report of Dr. H. Abdul Moeloek hospital in 2015, there were 77 premature births from 391 labors. This number then increased to 84 premature labor from 402 labors by 2016. The objective of this research was to identify the determinants that influenced premature labor in a hospital. H. Abdul Moeloek 2012-2016. This was a quantitative research, design of analytic research was through case control research method. The population was whole pregnant mothers who had premature labor in Dr. H. Abdul Moeloek hospital 2012-2016. The sample was 62 cases and 62 controls to become 138 people. The analysis was through chi-square test. Multivariate analysis used regression logistic. The result showed that there was a significant correlation between mothers’ age (p-value=0,048), parity (p-value=0,000), pregnancy complication (p-value=0,000), KPD (p-value=0,005) and mothers’ education level (p-value = 0,011). The result of the multivariate analysis showed that the most dominant factor towards premature labor was pregnancy complication (p-value=0,000). The importance of pregnant mothers to make an antenatal care visit in accordance with government program so that abnormalities or complication in pregnancy can be earlier detected.]]>
<![CDATA[Efektifitas Metode ABC (Activity Based Costing) Dalam Analisis Perencanaan Obat JKN di Puskesmas Dagangan Kabupaten Madiun ]]>
<![CDATA[Edy Bachrun]]>
<![CDATA[ Jurnal Kesehatan Vol 8, No 2 (2017): Jurnal Kesehatan ]]>
Publisher : <![CDATA[Politeknik Kesehatan Tanjung Karang ]]>
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DOI: 10.26630/jk.v8i2.493
<![CDATA[Drug expenditure absorbs most of the health care budget. PHC was responsible for ensuring the used of available resources optimally aimed at achieving efficiency in cost control. Based on LPLPO at Dagangan health care 2015 showed an average supply of drugs JKN in primar health care Dagangan has excess stock that is as much as 93.18% (41) types of drugs than 100% (44) types of drugs. The purpose of this research was to determine the application of the ABC method in planning analysis of drugs in Dagangan health care Dagangan Madiun city. The design of this research was descriptive categorical, with a retrospective approach. Primary data obtained from interview with Head of Health Centre and Head of Installation Pharmacy in Primary Health Care Dagangan while the secondary data obtained from LPLPO. The results showed that Dagangan health care use consumption method to planning the drug. By using the ABC analysis showed a group of JKN drugs that include into group A as many as 8 types of drugs (18,2%). Group B as many as 30 types of drugs (68,2%). And group C as much as 6 types of drugs (13,6%). Based on these results, Dagangan health care need to apply ABC analysis method to determine the priority drugs that need to be held, and there should be education and training for pharmacy personnel to increase knowledge about effective methods of drug design and efficient use of the budget.]]>
<![CDATA[Faktor Perilaku Cuci Tangan Pakai Sabun (CTPS) di SMP ]]>
<![CDATA[Bambang Murwanto]]>
<![CDATA[ Jurnal Kesehatan Vol 8, No 2 (2017): Jurnal Kesehatan ]]>
Publisher : <![CDATA[Politeknik Kesehatan Tanjung Karang ]]>
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DOI: 10.26630/jk.v8i2.445
<![CDATA[Riskesdas (2013), Diarrhea is the number one cause of death in infants (31.4%), children under five (25.2). Whereas in all age groups is a cause number four, or 13.2%. Various factors affect the disease Diarrhoea among the factors of health behavior, especially the behavior of Handwashing with Soap that has been campaigned, both from the national level. As well as health offices District/City through PHC, especially in schools, including junior high school. The problem is to what extent the role of behavior Handwashing with Soap and the factors associated with it in school children. The purpose of this study was to determine the role of factors related to the behavior Handwashing with Soap, in junior high schools. This research method was quantitative observational with a cross sectional approach, with research time the months of April to July 2016. The study population was all students of SMP Negeri 1 Penengahan, South Lampung, 2016. Samples were taken by a proportional random sampling of 156 junior high school students. Subjects were children of class VII and Class VIII. The results of the study are of most variables are good (> 50%), except for the variable perception and the Role of Health who are poor (<50%), and the only variable values, Role of Teachers and the Role of Friends Schools that have a relationship significant overall Handwashing Behavior and Role of School Friend variable most dominant relationship.]]>
<![CDATA[Implementasi Deteksi Dini Kanker Payudara dan Kanker Leher Rahim dengan Menggunakan Metode CBE dan IVA di Kabupaten Lampung Selatan ]]>
<![CDATA[Sudarmi Sudarmi]]>;
<![CDATA[Nurchairina Nurchairina]]>
<![CDATA[ Jurnal Kesehatan Vol 8, No 2 (2017): Jurnal Kesehatan ]]>
Publisher : <![CDATA[Politeknik Kesehatan Tanjung Karang ]]>
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DOI: 10.26630/jk.v8i2.483
<![CDATA[Breast cancer and cervical cancer are the highest female cancers in Indonesia. Both of these cancers become one of the main problems in health. From 2007 Up to 2014, the program has been running at 1,986 Puskesmas in 304 districts/ cities located in 34 provinces in Indonesia, including southern Lampung regency. The purpose of this study was to evaluate the implementation of prevention / early detection program of breast cancer and cervical cancer. The research method used is descriptive qualitative, research time July to December 2016. Technique of collecting data using documentation study, interview, observation, and active participation, using protocol research, Data analysis is done by testing the prevalence of data, classify data according to sub focus and Research question, merging of data in matrix or table form and triangulation strategy to describe the result of analysis and research findings. The results of the implementation of early detection of breast cancer and cancers of the womb of Rahim 2016, CBE Implementation 75% according to SOP, Implementation of IVA 86.3% according to SOP and from target 28.138 (20%) WUS only reached 14.821 (52.67%), and found lesions White (Accetowhite) 357 (2.49%) and CBE positive 198 (1.34%). Recommendations addressed to the Health Department, head of Puskesmas and cancer detection operators in the process of cancer detection are expected in accordance with Standard Operating Procedures (SOP) so that the expected program objectives can be achieved.]]>
