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JURNAL MEDIA KESEHATAN

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Published by Politeknik Kesehatan Kemenkes Bengkulu

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Core Subject : Health,

Health Professions

JURNAL MEDIA KESEHATAN is a scientific journal containing writings that are based on the results of research in the fields of Nursing, Midwifery, Nutrition, Health Analyst, Environmental Health, Health Promotion and Pharmacy. The Health Media Journal managed by Politeknik Kesehatan Kemenkes Bengkulu in collaboration with the Indonesian National Nurses Association (PPNI) Bengkulu Province, Indonesian Midwives Association (IBI) Bengkulu Province, Indonesian Nutritionists Association (Persagi) Bengkulu Proviinsi. This journal was published by Politeknik Kesehatan Kemenkes Bengkulu.

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PENGARUH NESTING TERHADAP PERUBAHAN FISIOLOGIS BAYI PREMATUR DI RUANG PERINATOLOGI RSUD DR. M. YUNUS BENGKULU Eliyanti, Yeni; Noeraini, Nasaratri Hasta
JURNAL MEDIA KESEHATAN Vol 13 No 2 (2020): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 13 No 2 Desember 2020
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jmk.v13i2.574

Latar Belakang : Prematuritas merupakan penyebab kematian kedua pada balita setelah pneumonia dan merupakan penyebab utama kematian neonatal. Tiga puluh lima persen kematian neonatal di dunia disebabkan oleh komplikasi kelahiran prematur. Salah satu bentuk intervensi keperawatan selain metode kanguru yang dapat dilakukan pada BBLR adalah nesting. Nesting digunakan untuk memberikan posisi yang tepat pada neonatus. Intervensi keperawatan tersebut menggunakan alat berbentuk seperti kondisi rahim ibu yang terbuat dari bahan yang halus yang berisi potongan kain seperti dacron. Panjang alat ini sekitar 121-132 cm dan dapat disesuaikan dengan panjang tubuh bayi. Alat ini diletakkan sebagai pelindung posisi bayi, sehingga berada dalam posisi ekstensi dan menjaga perubahan posisi bayi yang diakibatkan karena gravitasi. Masalah penelitian : masih banyaknya bayi premature yang keadaan fisiologisnya tidak stabil di Ruang Perinatologi RSUD dr. M. Yunus Bengkulu. Tujuan: Mengetahui pengaruh nesting terhadap perubahan fisiologis bayi premature di Ruang perinatology RSUD DR. M. Yunus Bengkulu. Metode Penelitian : Rancangan penelitian yang digunakan adalah quasi eksperiment dengan rancangan non equidment control group design dengan satu kelompok intervensi dan satu kelompok kontrol. Hasil Penelitian : Hasil penelitian di dapatkan Rata-rata saturasi oksigen pada kelompok kontrol adalah 96,22 sedangkan pada kelompok intervensi didapatkan rata-rata saturasi oksigen adalah 98,17 di Ruang Perinatologi RSUD dr. M. Yunus Bengkulu. Rata-rata frekuensi nafas pada kelompok kontrol adalah 85,44 edangkan pada kelompok intervensi didapatkan rata-rata frekuensi nafas adalah 97,61 di Ruang Perinatologi RSUD dr. M. Yunus Bengkulu. Rata-rata frekuensi nadi pada kelompok kontrol adalah 97,44 sedangkan pada kelompok intervensi didapatkan rata-rata frekuensi nadi adalah 110,50 di Ruang Perinatologi RSUD dr. M. Yunus Bengkulu. Ada pengaruh nesting terhadap saturasi oksigen pada bayi prematur di Ruang Perinatologi RSUD DR. M. Yunus Bengkulu dengan p value 0,007. Ada pengaruh nesting terhadap frekuensi nafas pada bayi prematur di Ruang Perinatologi RSUD DR. M. Yunus Bengkulu dengan p value 0,003 dan ada pengaruh nesting terhadap frekuensi nadi pada bayi prematur di Ruang Perinatologi RSUD DR. M. Yunus Bengkulu dengan p value 0,047. Simpulan : Ada pengaruh nesting terhadap saturasi oksigen pada bayi prematur di Ruang Perinatologi RSUD DR. M. Yunus Bengkulu dengan p value 0,007. Ada pengaruh nesting terhadap frekuensi nafas pada bayi prematur di Ruang Perinatologi RSUD DR. M. Yunus Bengkulu dengan p value 0,003 dan ada pengaruh nesting terhadap frekuensi nadi pada bayi prematur di Ruang Perinatologi RSUD DR. M. Yunus Bengkulu dengan p value 0,047.

DIVERSITAS GOLONGAN DARAH SISTEM ABO BERDASARKAN RIWAYAT DEMAM BERDARAH DENGUE PADA MAHASISWA DI PADANG HARAPAN KOTA BENGKULU Irawan, Putra Adi; Krisyanella, Krisyanella
JURNAL MEDIA KESEHATAN Vol 13 No 2 (2020): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 13 No 2 Desember 2020
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jmk.v13i2.575

Abstract Background: Diversity of blood groups based on certain diseases such as dengue is still a concern by a number of researchers. Dengue hemorrhagic fever is still a national health problem. Indonesia is one of the countries that has relatively high dengue cases. Bengkulu Province was previously ranked 26th with a 17.53 morbidity rate in 2017, rising to 3rd place with a morbidity rate of 72.28 per 100,000 population in 2018. Data for the last two (2) years shows that Bengkulu City is one of the areas with the most cases of DHF. Data on the diversity of blood groups in the ABO system based on a history of dengue fever in Padang Harapan, Bengkulu City is still very lacking. There is no definite data either in the relevant Office or Regional and Provincial Hospitals, while cases of Dengue Fever occurs at a rate that fluctuates every year Methods: This study was a non-experimental study with an analytic observational design using a cross-sectional approach. Respondents were students in Padang Harapan, Bengkulu City who were selected based on the inclusion and exclusion criteria of 391 people using purposive sampling technique with an age range of 17-25 years. The study took place from March to November 2020. Blood group data and history of dengue fever were collected using google form and confirmed by laboratory examination. Results: The diversity of blood groups in ABO system students was dominated by blood groups A (32.5%), O (31.2%), B (25.6%), and AB (10.7%). As much as 9.7% of students in Padang Harapan (n = 391) have experienced dengue fever. The diversity of blood groups of students who had dengue fever (n = 38) was dominated by blood type A (44.7%), B (28.9%), O (18.4%), and AB (7.9%). Conclusion: There is a significant relationship (P=0.032) between blood groups and a history of DHF.

PENGARUH RANGE OF MOTION (ROM) AKTIF DAN PASIF TERHADAP RENTANG GERAK PADA LANSIA YANG MENGALAMI ARTITIS REMATOID DI KOTA BENGKULU Andrianti, Septi; Marlena, Feny; Septiawan, Azhari
JURNAL MEDIA KESEHATAN Vol 13 No 2 (2020): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 13 No 2 Desember 2020
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jmk.v13i2.576

Permasalahan: Lansia mengalami kemunduran pada system musculoskeletal, penyakit artritis rematoid merupakan penyakit yang menyerang persendian pada lansia, akibat dari penyakit tersebut lansia mengalami nyeri sehingga lansia takut melakukan pergerakan yang akan mengakibatkan terjai kekauan dan menurunan pada rentang gerak. Salah satu intervensi yang dapat dilakukan untuk mengurangi kekakuan dan meningkatkan rentang gerak dilakukan Rang of Motion (ROM) baik secara aktif maupun pasif. Bengkulu memiliki angka kejadian artritis rematoid yang cukup signifkan dimana setiap tahunya mengalami peningkatan. Kejadian artritis rematoid di Kota Bengkulu pada tahun 2016 sebanyak 1.239 kasus dan pada tahun 2017 sebanyak 1.487 kasus meningkat pada tahun 2018 sebanyak 1.872 kasus. Tujuan Penelitian: untuk mengetahui pengaruh latihan range of motion (ROM) yang dilakukan secara aktif dan pasif terhadap rentang gerak pada lansia yang mengalami artritis rematoid di Kota Bengkulu. Metode Penelitian: Penelitian ini dengan Quasy experimental dengan menggunakan rancangan three group with countrol design yaitu kelompok yang diberikan ROM aktif, kelompok yang diberikan ROM pasif dan kelompok kontrol. Sampel penelitian yaitu lansia yang mengalami keterbatasan rentang gerak pada lutut sebanyak 60 lansia dengan teknik consecutive sampling. Hasil: Hasil penelitian yaitu terdapat pengaruh range of motion yang dilakukan cara aktif, pasif terhadap rentang gerak pada lansia yang mengalami artritis rematoid di Kota Bengkulu dengan p vaue < 0,005. Kesimpulan:range of motion yang dilakukan secara teratur seminggu 3 kali selama 4 minggu dapat meningkatkan derajad rentang gerak pada penderita artritis rematoid.

PENGGUNAAN HANDUK, KEBIASAAN MENGGIGIT KUKU JARI TANGAN TERHADAP KEJADIAN INFEKSI SOIL TRANSMITTED HELMINTH (STH) PADA ANAK PANTI ASUHAN DI JAYAPURA Hartati, Risda; Simega, Novianti Yoyo; Imbi, Meidy J.; Sahli, Indra Taufik; Asrianto, Asrianto
JURNAL MEDIA KESEHATAN Vol 14 No 1 (2021): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 14 No 1 Juni 2021
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jmk.v14i1.580

Problem: Helminthiasis is generally caused by the group of Soil Transmitted Helminth (STH) worms, namely Ascaris lumbricoides, Trichuris trichiura and hookworm. Worms have an impact on health problems such as diarrhea, malnutrition and anemia. Risk factors for helminthic infection including poor personal hygiene care, nail biting habits, the habit of not wearing footwear, contact with soil media, will increase the transmission of eggs that inhabit the intestines. The Aim Of The Research: To determine the prevalence of helminthiasis and risk factors for STH intestinal worms in children living in an orphanage in Jayapura. Research Method: Fecal samples were collected from orphanage children (n= 63) using saturated salt solution to detect the presence of STH worm eggs between months August-October 2020. The Results: The prevalence of STH worm infection in orphanages in Jayapura was 12.69% in the highest age group, 6-11 years old with Ascaris lumbricoides, Trichuris trichiura and hookworm infections. The dominant risk factors represented among the most infected children include sharing of towels, the habit of biting fingernails and the habit of not wearing footwear while playing were very significant factors for the incidence of STH worm infection (p<0.05). Conclusion: The prevalence of STH worm infection in orphanage children in Jayapura was 12.69% in the highest age group 6-11 years with the most dominant risk factors are the habit of not wearint footwear while playing, the habit of biting fingernails and sharing towel together.

GAMBARAN PEMANJANGAN INTERVAL QTC PADA TERAPI JANGKA PENDEK PASIEN TB MDR Mansur, Mifta; Suprapti, Budi; Hidayati, Movita; Fatmawati, Umi
JURNAL MEDIA KESEHATAN Vol 14 No 1 (2021): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 14 No 1 Juni 2021
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jmk.v14i1.581

Problems:Indonesia is one of 30 countries with a high burden of MDR-TB, with an estimated 23,000 (range, 16,000-31,000) cases, with a percentage of 8.8% (range, 6.2-12) for every 100,000 population. One of the challenges in MDR TB treatment is the high rate of side effects. In may 2016, WHO issued a recommendation the use of a standardized 9-11 months short-term therapy regimen. The side effect that can occure in this treatment combination is the prolongation of the QTc interval due to the administration of moxifloxacin (Mfx) and clofazimine (Cfz). The aim of the research: to determine the incidence of QTc interval prolongation in MDR-TB patients receiving short-term therapy regimen. Research method:This research is an observational study with retrospective data collection. Sampling was done by total sampling, obtained 51 subjects entered the exclusion criteria and there were 74 subjects who met the inclusion criteria. The results:there has been QTc interval prolongation with an average 31.31 ± 43.471 ms from the baseline, the longest QTc interval value is 756 ms with a mean of 468,54±33,565 ms, 52 (70,3%) subjects experienced QTc interval prolongation. Conclusions: There was QTc interval prolongation in MDR-TB patients with short-term therapy regimen.

TINGKAT PENGETAHUAN TENTANG MENOPAUSE DENGAN KUALITAS HIDUP WANITA PERIMENOPAUSE DI DESA SAKTI KECAMATAN NUSA PENIDA Ariani, Ni Komang Sri; Raswati Teja, Ni Made Ayu Yulia
JURNAL MEDIA KESEHATAN Vol 14 No 1 (2021): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 14 No 1 Juni 2021
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jmk.v14i1.582

Every complaint experienced by menopausal women can cause decreased quality of life. Quality of life is a unique individual perception of dignity and value in the context of culture and value systems, in which individuals exist and are associated with life goals and individual targets. This situation is a description of satisfaction, a sense of well-being, compared to an ideal state or one that should be achieved and reflected in daily activities. The quality of life for menopausal women decreases because menopausal women are not ready to accept menopause. Objectives: to find out whether there is a relationship between the level of knowledge about menopause and the quality of life of perimenopausal women in Sakti Village, Nusa Penida District. Methods: This research is a descriptive analytic study with a cross sectional approach, a sample of 100 respondents who met the inclusion criteria. Results: Most of the level of knowledge possessed by perimenopausal women in Sakti Nusa Penida Village have a good level of knowledge (54%) about menopause, while the quality of life of perimenopausal women in Sakti Village is good, namely 55%. The results of the cross tabulation of the data show that most of the respondents who have a good level of knowledge, namely 31 (31%) people, have a good quality of life too. Meanwhile, 22 (22%) perimenopausal mothers who had less knowledge had a poor quality of life. Meanwhile, the results of hypothesis testing obtained a sig value of 0.600 (sig> 0.05). This means that there is no significant relationship between the level of knowledge and the quality of life of perimenopausal women in Sakti Village, Nusa Penida District.

PENGGUNAAN METODE PCR – RFLP (POLYMERASE CHAIN REACTION – RESTRICTION FRAGMENT LENGTH POLYMORFISM) DALAM MENDETEKSI JAMUR DERMATOFIT Awaluddin, Awaluddin; Sjahrir, Rizalinda; Ilyas, Farida
JURNAL MEDIA KESEHATAN Vol 14 No 1 (2021): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 14 No 1 Juni 2021
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jmk.v14i1.615

ABSTRAK Dermatofitosis adalah salah satu jamur yang terdiri dari tiga genus : Epidermophyton, Trichophyton dan Microsporum. Penelitian ini bertujuan untuk mengidentifikasi jenis jamur dermatofit dengan metode PCR-RFLP. Penelitian ini merupakan penelitian observasional laboratorium dengan dengan menguji 23 sampel yang diperoleh dari beberapa klinik dan sekolah dasar di Makassar. Hasil penelitian menunjukkan bahwa semua sampel teridentifikasi yakni M. canis 26,1%, Trichophyton rubrum 13,1%,T. mentagrophytes 21,6%, T. tonsurans 8,7%, T. verrucosum 4,2% dan spesies unclassified 26,1%. Kami menyarankan Teknik PCR-RFLP dapat digunakan untuk konfirmasi jenis jamur dermatofit. Kata Kunci : Dermatofitosis, Jamur Dermatofit, PCR – RFLP

TINGKAT KEPATUHAN PENGGUNAAN MASKER DAN HAND SANITIZER MAHASISWA UNIVERSITAS 17 AGUSTUS 1945 JAKARTA SELAMA PANDEMI COVID-19 Kining, Ekajayanti; Ginting, Dina Marsella Br.; Sogandi, Sogandi
JURNAL MEDIA KESEHATAN Vol 14 No 1 (2021): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 14 No 1 Juni 2021
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jmk.v14i1.621

Wearing mask and hand hygiene were the main choices in an effort to reduce the transmission of Covid-19 when doing outdoor activity. Various efforts have been made by the government in disseminating this recommendation to all levels of society including college students. College students as a layer with a high level of education were expected to obey the appeal given, including students of the University of 17 August 1945 Jakarta. This study aimed to determine the compliance college students at the University of 17 August 1945 of wearing mask and hand sanitizer during the Covid-19 pandemic. The method was used descriptive quantitative with a cross-sectional study design. Data collection used an online questionnaire containing closed questions. A total of 309 people participated in this survey and answered the use of masks and hand sanitizers. College students used masks and hand sanitizers during the Covid-19 pandemic. The compliance rate for the use of masks was 68.6% and hand sanitizer 78.3% during the Covid-19 pandemic. Men werw more obedient to using mask 73.6% and hand sanitizer 84.3% compared to women using mask 64.5% and hand sanitizer 73.4%.

Waktu Berjemur Terbaik Untuk Meningkatkan Vitamin D dalam Pencegahan Coronavirus Disease (Covid-19) Joewono, Muliani
JURNAL MEDIA KESEHATAN Vol 14 No 1 (2021): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 14 No 1 Juni 2021
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jmk.v14i1.622

Background: The Coronavirus mostly attacks people with low immune systems and can results in death. Adequate vitamin D can increase immunity. Most of the Indonesian population is deficient in vitamin D. Exposure to sunlight can increase vitamin D however inappropriate and long hours causes many health problems. Aim Of This Paper: is to determine the best sunbathing time to increase vitamin D in the prevention of Coronavirus Disease 2019 (covid-19). Discussion: Optimal sun exposure in various areas, influenced by environmental and human factors. Most of the Indonesian population needs 1 minimal erythemal dose (MED) which can be obtained by sunbathing at 11:00 a.m. to 14:00 p.m. for 37.5 – 64.5 minutes a day but is more risky causing health problems than before 10:00 a.m. According to Perdoski, sunbathe started from 9 to 10 a.m. for 15 minutes a day or until the skin turns pink, 2-3 times a week with at least 22.5 % area of the body exposed is sufficient and safer. Conclusion: sunbathing from 9:00-10:00 a.m., maximum 15 minutes or skin starts pink, 2-3 times a week is sufficient to increase vitamin D and prevent Covid-19. Wearing a hat and sunscreen is still recommended.

POLA PENGGUNAAN DAN KERASIONALAN OBAT TERHADAP LAMA RAWATAN PADA PASIEN MALARIA DI RSUD DR. M. YUNUS BENGKULU Versita, Riana; Almasdy, Dedy; Dahlan, Zaini
JURNAL MEDIA KESEHATAN Vol 14 No 1 (2021): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 14 No 1 Juni 2021
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jmk.v14i1.628

This study was aimed to describe the relationship of drug uses rasionality, disease severity and pattern of drug uses on Malaria at Dr. M. Yunus Bengkulu Hospital. This was in observasional study with cross-sectional using datas of medical record. The result showed 101 of patient datas filled up eligibility criteria as inclusion and exclusion, 23 of them changed diagnosis and 78 datas did not changed diagnosis. Demographic and clinical characteristic test, evaluation of rationality used Gyssen and Drug Related Problem (DRP) and relations between variable used Chi-square and Independent T-Test gave 95% of confidence interval. Relation of socio-demographic characteristic in group of age was 4.314 times impacted than gender and education on changing diagnosis. where moderate severity has longer duration of treatment than mild severity, while in cost of treatment was not significantly (p>0.05). In pattern of drug, single and combination was not significantly (p>0.05) on duration of treatment , in statistically, single drug uses was more effective but should be researched about relapse incidence on malaria patient which use single drug. Rationality of drug relations against duration of treatment was significantly (p<0.05), rational drug has shorter duration than irrational drug of treatment, so more effective and efficient. This study also showed DRP with improper drug selection was 34.26%.

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