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Jurnal Kesehatan

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Published by Poltekkes Kemenkes Tanjung Karang

ISSN : 20867751 EISSN : 25485695 DOI : -

Core Subject : Health,

Health Professions Public Health

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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Articles 749 Documents

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Papilloma dan Karsinoma Sinonasal Rizki Hanriko; Muhartono Muhartono
Jurnal Kesehatan Vol 8, No 1 (2017): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Sinonasal papilloma is rare, only 0.5-4% of sinonasal tumors with aetiopathogenesis has not known yet. Sinonasal carcinoma is a rare malignancy, and the most common types are squamous cell carcinoma (SCC). Malignant transformation of papilloma is very low, which inverted type were reported about 2-27%, with the development of papilloma into carcinoma was approximately 63 months (6 months-13 years). Prior study showed the malignant transformation in 11% of recurrences inverted papilloma, which were 7%syncronous and 3.6% metachronous SCC. The unilateral inverted papilloma with sinonasal squamous cell carcinoma were usually occured in the elderly. Some factors to consider in malignant transformation of papilloma were recurrence, atypical features and HPV. Smoker, large tumor and lesion in the frontal sinus area were had a tendency to recurrence. Malignancy were associated with bone invasion, bilateral inverted papilloma, squamous cell hyperplasia, presence of three types of epithelial cells (squamous metaplasia, squamous mature and cylindrical cell), heavy hyperkeratosis, mitotic index ≥2/HPF, the absence of polyps inflammation, the number of plasma cells, low of eosinophils and neutrophils absent.

Analisis Hubungan Anemia pada Kehamilan dengan Kejadian Abortus di RSUD Demang Sepulau Raya Kabupaten Lampung Tengah Fahrul Irayani
Jurnal Kesehatan Vol 6, No 2 (2015): JURNAL KESEHATAN
Publisher : Politeknik Kesehatan Tanjung Karang

Menurut World Health Organozation sekitar 800 wanita setiap hari meninggal dunia akibat komplikasi pada kehamilan dan persalinan. Pada tahun 2010, Angka Kematian Ibu akibat komplikasi kehamilan dan persalinan di dunia mencapai 287.000. Rasio kematian ibu di negara berkembang adalah 240/100.000 kelahiran hidup. Angka kematian ibu tahun 2012 359/100.000 kelahiran hidup. Di Provinsi Lampung tahun 2011 adalah 146 kasus. Penyebab kematian ibu di Indonesia adalah perdarahan (28%). Perdarahan yang menyebabkan kematian ibu yang saat ini yang banyak ditemui adalah abortus. Berdasarkan hasil pra survey di RSUD Demang Sepulau Raya pada tahun 2011 sebesar 59,12% pada tahun 2012 meningkat menjadi 61,93%. Tujuan umum penelitian ini adalah untuk mengetahui hubungan antara anemia pada kehamilan dengan kejadian abortus di RSUD Demang Sepulau Raya Tahun 2013. Jenis penelitian kuantitatif dengan rancangan analitik observasional dengan pendekatan atau desain studi kasus kontrol. Populasi dalam penelitian adalah seluruh ibu bersalin dalam kurun waktu tahun 2013. Penarikan sampel kelompok kasus dan kontrol adalah dengan systematic random sampling dengan perbandingan 86 kasus dan 86 kontrol. Analisa bivariat menggunakan uji chi-square, analisa multivariat dengan regresilogistik ganda. Variabel yang berhubungan dengan kejadian abortus adalah anemia dengan p-value: 0,000 OR: (3,317), usia dengan p-value: 0,048 OR: (2,781), paritas dengan p-value: 0,040 OR: (3,048), riwayat abortus dengan p-value: 0,036 OR: (5,526). Analisa multivariate didapatkan anemia kemungkinan berisiko 2,881 kali lebih besar untuk mengalami abortus dibandingkan ibu hamil yang tidak anemia setelah dikontrol variabel usia dan riwayat abortus. Saran diperlukan pelaksanaan antenatal yang sesuai dengan standar pelayanan ANC. Kata Kunci: Abortus, Anemia, Kehamilan

Resilience Of Efficacy Perawat Berbasis Tingkat Stres dan Kepuasan Kerja Nian Afrian Nuari
Jurnal Kesehatan Vol 8, No 3 (2017): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

A nurse must be able to balance the various stressors obtained in the work environment because they have to provide professional services to patients. This requires personal factors inherent in the nurse so as to adapt to stressful conditions. Internal factors include the ability to withstand the problem (resilience of efficacy). The purpose of this study was to determine the correlation resilience of efficacy with the level of stress and job satisfaction nurses in RS X. The research method was a correlational study with purposive sampling and sample size of 30 respondents. The instruments were used questionnaires then analyzed with Spearman rho test. Based on the result, the majority (56,7%) respondents have high category resilience of efficacy, the majority (80%) have light work stress and most of them (93,3%) have high job satisfaction. The results of research obtained, resilience of efficacy with nurse work stress level (p=0,039, cc=-0,393), resilience of efficacy with nurse job satisfaction (p-value=0,007, and cc=0,469). This means there was a correlation between the resilience of efficacy with work stress and nurse job satisfaction. It is expected that nurses need to do a good coping strategy for overcoming the problems found. The higher the resilience of efficacy the lower the stress level will be and it will increase the nurse's comfort in working so that it can improve job satisfaction.

Analisis Hubungan Perilaku Caring dengan Kinerja Perawat Pelaksana Menerapkan Prinsip Etik Keperawatan dalam Asuhan Keperawatan di Rumah Sakit Bhayangkara Mappa Oudang Makassar Nurhayati Nurhayati
Jurnal Kesehatan Vol 7, No 2 (2016): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Kinerja perawat menerapkan prinsip etik penting untuk dilakukan mengingat perawat yang dalam melakukan asuhan keperawatan berperilaku tidak etik dapat menimbulkan kerugian bagi klien sebagai penerima asuhan keperawatan yaitu dapat mengalami injury atau bahaya fisik seperti nyeri, kecacatan atau kematian, serta bahaya emosional seperti perasaan tidak berdaya atau terisolasi (CNA, 2004). Faktor yang mempengaruhi kinerja perawat dalam menerapkan prinsip erik dalam asuhan keperawatan adalah perilaku caring perawat. Tujuan penelitian adalah mengidentifikasi hubungan perilaku caring dengan kinerja menerapkan prinsip etik keperawatan di Rumah Sakit Bhayangkara Mappa Oudang Makassar. Desain penelitian deskripsi korelasi dengan rancangan cross sectional. Sampel penelitian seeluruh perawat pelaksana yaitu 100 perawat. Hasil penelitian menunjukkan bahwa perilaku caring (p=0,000), dimensi respectful (p=0,000), dimensi assurance of humanpresence (p=0,000) berhubungan secara signifikan dengan kinerja menerapkan perinsip etik.

STUDI METODE PENURUNAN KADAR HCN PADA BIJI KARET (Hevea brasiliensis) SEBAGAI BAHAN PANGAN ALTERNATIF Sri Wadianingsih; Lily Restusari; Agna Aprilia Vitari
Jurnal Kesehatan Vol 6, No 1 (2015): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Sri Widia Ningsih1, Lily Restusari2, Agna Aprilia Vitari3Jurusan Gizi Poltekkes Kemenkes Riaue-mail: Widianingsih29@gmail.com Abstrak: Studi Metode Penurunan Kadar HCN Pada Biji Karet (Hevea brasiliensis) Sebagai Bahan Pangan Alternatif. Biji karet mempunyai peluang untuk dieksplorasi sebagai bahan pangan alternatif karena kandungan proteinnya yang tinggi. Biji karet mengandung zat anti nutrisi yaitu hidrogen sianida (HCN) sehingga harus diturunkan kadarnya agar aman dikonsumsi. Penelitian ini dilakukan untuk mengetahui metode penurunan kadar HCN pada biji karet dengan menggunakan rancangan acak lengkap (RAL) faktorial. Dua metode yang digunakan dalam penelitian ini antara lain, metode pertama yaitu perendaman biji karet dalam air dengan penambahan arang sekam padi dan NaCl (garam kasar) perbandingan 1:1 dengan konsentrasi 20%, 30% dan 40% dan lama perendaman 12 jam, 24 jam dan 36 jam. Metode kedua dengan penambahan arang aktif dan NaCl p.a (1:1) dengan konsentrsi 20%, 30%, 40% dan lama perendaman 6 jam, 12 jam, 18 jam. Nilai penurunan HCN terbaik dicapai dari metode pertama 135 mg/Kg biji karet, dari 3 perlakuan perendaman 12 jam, 24 jam, 36 jam dengan penambahan arang sekam padi dan garam kasar konsentrasi 40%. Sedangkan nilai penurunan kadar HCN terbaik pada metode kedua adalah 405 mg/Kg biji karet dari perlakuan perendaman 6 jam, 12 jam, 18 jam dengan konsentrasi penambahan arang aktif dan NaCl p.a 40%. Merujuk nilai penurunan HCN yang diperoleh pada metode pertama 135 mg/Kg berat biji karet, maka biji karet pada perlakuan ini aman untuk diolah menjadi bahan makanan dan dikonsumsi sehari-hari karena tidak melebihi ambang batas 1 mg per kilogram berat badan per hari. Kata Kunci: arang aktif, asam sianida, bahan pangan sumber protein, biji karet

Aktivitas Daya Hambat Limbah Daging Buah Kopi Robusta ( Coffea robusta L.) Aceh terhadap Bakteri S.aureus dan E.coli Muhammad Ridwan Harahap
Jurnal Kesehatan Vol 9, No 1 (2018): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Coffee fruit flesh is a waste that coffee farmers use as animal feed only, even though has a composition such as carbohydrates, proteins, fiber, minerals, water, protein, caffeine, and polyphenols. These compositions are very useful for cosmetic and pharmaceutical industries. This study was a research on the use of waste of Aceh’s Robusta fruit flesh (Coffea robusta) on the ability to inhibit the bacteria S-aureus and E.coli as the basic ingredients of the cosmetic face mask of halal products. The samples used were from Takengon city. The skin of the coffee beans was peeled, cleaned and extracted with methanol for about 3 x 24 hours. Further concentrated until obtained extract concentrated. The resulting extracts were tested phytochemically. Variations of extracts concentration on water solvents were 1%, 2%, and 3%. The antibacterial activity was tested by the diffusion method which used the disc. The result showed inhibitory zone to E.coli bacteria at 1%, 2%, 3% concentration were 6,5 mm, 7.2 mm and 7.8 mm respectively. While in S.aureus at a concentration of 1%, 2%, 3% were 15.1 mm, 15.3 mm and 15.5 mm respectively. The best variation of the concentration of Robusta coffee fruit flesh extract (Coffea robusta) in this study on the growth of S-aureus and E.coli bacteria was 3%.

PERILAKU PENCEGAHAN HIV/AIDS PADA KELOMPOK WANITA PEKERJA SEKS DAN WARIA Murwanto, Bambang
Jurnal Kesehatan Vol 5, No 1 (2014): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjungkarang

Bambang Murwanto1)1) Jurusan Kesehatan Lingkungan Poltekkes Kemenkes Tanjungkarangbamurwanto@yahoo.co.idAbstract:HIV/AIDSBehaviours of Shamales (Transgenders) and Famale Sex Wokers Around in Kalianda.The growing number of cases of HIV / AIDS each year , both national, provincial and district/city level . In Kabupaten Lampung Selatan, on 2005 amounted to only 4 people and on 2013 to be 44 The Man With HIV/AIDS (ODHA) . The geographical position of South Lampung district is southeast tip of Sumatra island and makes migration into the gate of the island of Sumatra to Java provides an opportunity occurs of disease transmission, including HIV/AIDS. Improvement of HIV / AIDS or transmission and chain termination coaching them through high-risk groups . The coaching has been done through the Komisi Penanggulangan AIDS (KPA) Lampung Selatan, Women groups including Famale Sex Workers (Wanita Pekerja Seks/WPS)) and behave Shemale (Transgender) in the prevention of HIV/AIDS.The aim this study is the behavior sex workers (Wanita Pekerja Seks/WPS) and behave Shemale that has been coaching by the Komisi Penanggulangan AIDS (KPA) Lampung Selatan. This research method is qualitative with approach Verivikatif-Descriptive, the group interviewed Female Sex Workers (FSW) and Transgender, with FGD Techniques and Triangulation and Depth Interviews , with triangulation of sources such as VCT Clinic , KPA and South Lampung Hospital Kalianda. The results of this study are behavioral prevention of HIV/AIDS among Female Sex Workers (FSW) and Transgender around Kalianda City. Even though their knowledge and attitude is not good. However, several other variables that describe as a predictor of such seriousness, vulnerability, anxiety, benefits and barriers to behavior that illustrate the positive (good) on the prevention of HIV/AIDS. Keywords : HIV/AIDS ,WPS , Shemale. Abstrak: Perilaku Pencegahan HIV/AIDS pada Kelompok Wanita Pekerja Seks (WPS) dan Waria di Kalianda.Meningkatnya jumlah kasus penyakit HIV/AIDS setiap tahun, baik secara nasional, provinsi maupun tingkat kabupaten/kota. Di Kabupaten Lampung Selatan tahun 2005 hanya berjumlah 4 orang, tahun 2013 menjadi 44 Orang dengan HIV/AIDS (ODHA). Letak geografis Kabupaten Lampung Selatan diujung tenggara pulau Sumatra menjadi pintu gerbang pulau migrasi pulau Sumatra ke pulau Jawa memberi peluang terjadi penularan penyakit termasuk HIV/AIDS. Upaya penanggulangan penyakit HIV/AIDS atau pemutusan mata rantai penularan diantaranya melalui pembinaan kelompok-kelompok resiko tinggi. Pembinaan yang telah dilakukan tersebut melalui KPA Lampung Selatan diantaranya kelompok Wanita Pekerja Seks (WPS) dan Waria dalam berperilaku terhadap pencegahan penyakit HIV/AIDS.Tujuan penelitain, mengetahui perilaku WPS danWaria yang telah di bina oleh KPA Lampung Selatan terhadap penyakit HIV/AIDS.Metode penelitian kualitatif dengan pendekatan Deskriptif Verivikatif, yaitu mewawancarai kelompok Wanita Pekerja Seks (WPS) dan Waria, dengan teknik FGD dan triangulasi melalaui wawancara mendalam, dengan melalui trianggulasi sumber-sumber seperti dari Klinik VCT, KPA dan Dinas Kesehatan Lampung Selatan.Hasil penelitian, perilaku pencegahan HIV/AIDS pada kelompok WPS dan Waria di Kalianda dan sekiratnya sangat baik, walaupun pengetahun dan sikap mereka kurang baik. Namun beberapa variabel lain yang menggambarkan sebagai prediktor seperti keseriusan, kerentanan, kecemasan, manfaat dan hambatan-hambatan menggambarkan ke arah perilaku positif (baik) terhadap pencegahan penyakit HIV/AIDS.Kata Kunci : Pencegahan,HIV/AIDS, WPS, Waria

Kekuatan dan Kesulitan Remaja Disabilitas di Yayasan Pendidikan Anak Cacat (YPAC) Jakarta dan Surakarta Lestari, Tri Riana; Adyas, Atikah; Rachmawati, Elsye; Ardesa, Yopi Harwinanda; Pasaribu, Ester Syeftty
Jurnal Kesehatan Vol 9, No 2 (2018): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjungkarang

Children with disability face the barriers due to their incapacity and various obstacles from their society. How to cope with the barriers that came from themselves due to physical imperfection, emotional instability, and obstacles from the environment will affect to their mental health. The Medical assessment to find out the strengths and difficulties of teenagers are intended to take early intervention and an effort to improve the mental and personality development of teenagers with disabilities. This research was conducted to find out about the description of disabled adolescence’s characteristic profile on strength and weakness that related to adolescence mentality at school for the disabled. The cross-sectional study was conducted at YPAC Jakarta and Surakarta in the period of June-October 2017. This research was conducted with 100 respondents from YPAC, 20 people from Jakarta and 80 people from Surakarta. The qualification of the respondents were adolescences with a range of age 11-18 years old, adolescents with limb and or vision disability that capable to communicate, and agree to be respondents. The study results showed that there were 27% children whose 11-12 years old, 24% whose 13-14 years old, 28% whose 15-16 years old, 21% whose 17-18 years old. The respondents were males 58% and females 42%. This research has successfully explained that Most of the difficulty level of adolescents with disabilities found in YPAC Jakarta and Surakarta were normal level (79%), and most of the level of strength were also normal level (89%). Suggestions for all parties related to disability adolescents as an effort to maintain mental health and not late to intervene.

Determinan yang Berhubungan dengan Pemberian MP-ASI Dini pada Bayi Usia 0-6 Bulan Oktova, Rafika
Jurnal Kesehatan Vol 8, No 1 (2017): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjungkarang

SDKI (2012) said the distribution of MP-ASI early age in Indonesia: 0-1 months of 49,3%, at the age 2-3 month of 51%, and age 4-5 months of 73%. If complementary feeding given at the age of under six months, digestive system of infants have not having enzymes to digest food, digestion and kidney worked havier, can lead cough, diarrhea, colic, and allergic.The lowest percentage of the scope breastfeeding exclusive was at Puskesmas Rumbai Pesisir, about 37,27 %. This study was to know factors that deals with the provision of premature complementary feeding on children aged 6-0 months in the work area of Puskesmas Rumbai Pesisir Pekanbaru. This study was analytic design cross sectional. Population were all the mother who have a baby aged 6-0 months, total population were 1135 people, and 92 as total sample. Data were analyzed by test chi-square (α<0,05). Results were obtained the majority of respondents knowledgeable good 67 people (72,8%), educated low as many as 68 people (73,9%), does not work as many as 69 people (75%) and family income high 53 people (57,6%). Statistical tests chi-square revealed that there were relation between knowledge and education with the premature complementary feeding. And there was no related between work and family income with give premature complementary feeding. Expected health workers can cooperate with healthcare and community figures in providing information or tutoring directed regarding the provision of complementary feeding time.

Hubungan Sosial Budaya dengan Pemilihan Metode Kontrasepsi Hasanuddin Assalis
Jurnal Kesehatan Vol 6, No 2 (2015): JURNAL KESEHATAN
Publisher : Politeknik Kesehatan Tanjung Karang

Survei wanita KB aktif di Kabupaten Lampung Selatan tahun 2012 menunjukkan kontrasepsi yang dipakai responden pasangan usia subur (PUS) terbanyak suntik 57.000 (39,77%), dan berikutnya pil sebesar 50.999 (35,57%), Implant sebesar 18.553 (12,93%), Intra Uterine Devices (IUD) sebesar 10.593 (7,39%), Kondom sebesar 2.791 (1,95%), Metode Operasi Wanita (MOW) sebesar 1.757 (1,23%), dan Metode Operasi Pria (MOP) sebesar 1.698 (1,18%) (Dinkes Propinsi Lampung, 2013). Tujuan penelitian diketahui hubungan sosial budaya dengan pemilihan metode kontrasepsi di Wilayah Kerja Puskesmas Branti Natar Lampung Selatan tahun 2015. Desain penelitian analitik dengan pendekatan Cross-sectional. Populasi akseptor KB berjumlah 163 responden. Tehnik sampling Simple Random Sampling sebanyak 116 orang. Analisa data digunakan untuk menguji hubungan dua variabel kategori digunakan uji statistik Chi-square. Hasil penelitian sebagian besar responden memiliki sosial budaya yang tidak mendukung yaitu sebanyak 60 responden (51,7%), sebagian besar responden menggunakan metode kontrasepsi yaitu sebanyak 67 responden (57,8%). Ada hubungan sosial budaya dengan pemilihan metode kontrasepsi di Wilayah Kerja Puskesmas Branti Natar Lampung Selatan tahun 2015 (p-value=0,002 dan OR=3,574). Saran bagi Puskesmas Branti Natar Lampung Selatan perlu mengintensifkan lagi penyuluhan tentang penggunaan metode kontrasepsi di Wilayah Kerja Puskesmas Branti Natar Lampung Selatan, misalnya dengan mengaktifkan kembali pelatihan kader tentang metode kontrasepsi, penyuluhan melalui posyandu dan lain-lain. Perlu dibuat strategi-strategi penyuluhan yang efektif, sehingga menjadi tepat sasaran, terutama untuk masyarakat yang tidak dapat mengikuti penyuluhan secara langsung dikarenakan kesibukannya sehari-hari, seperti penyebaran leaflet alat kontrasepsi, penyiaran di media massa dan lain-lain. Kata Kunci: Sosial Budaya, Pemilihan Metode Kontrasepsi

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