cover
Contact Name
Hamid Mukhlis
Contact Email
me@hamidmukhlis.id
Phone
+6281325790254
Journal Mail Official
me@hamidmukhlis.id
Editorial Address
Jalan A. Yani 1A Tambahrejo Gadingrejo Kab. Pringsewu Kode Pos: 35372, Phone: 0729 7081587
Location
Kab. pringsewu,
Lampung
INDONESIA
Jurnal Aisyah : Jurnal Ilmu Kesehatan
ISSN : 25024825     EISSN : 25029495     DOI : 10.30604/jika
Core Subject : Health,
Jurnal Aisyah: Jurnal Ilmu Kesehatan (JIKA), with registered number ISSN 2502-4825 (Print) and ISSN 2502-9495 (Online), is an international peer-reviewed journal published two times a year (June and December) by Universitas Aisyah Pringsewu (UAP) Lampung. JIKA is intended to be the journal for publishing articles reporting the results of research on Health Science field especially Nursing and Midwifery, as well as with their development through interdisciplinary and multidisciplinary approach. The submission process of the manuscript is open throughout the year. All submitted manuscripts will go through the blind peer review and editorial review before being granted with acceptance for publication.
Articles 48 Documents
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Teenage Pregnancy in Indonesia: Determinants and Outcomes Rati Purnama Sari; Verra Widhi Astuti
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (687.106 KB) | DOI: 10.30604/jika.v7i3.1258

Abstract

This review aims to identify determinants and outcomes associated with teenage pregnancy in Indonesia.  A search in PubMed, ScienceDirect, and google scholar databases in the last ten years (2011 to 2021) was conducted. The keywords were "teenage pregnancy" OR "adolescent pregnancy" AND "Indonesia". Journal criticism used CASP. Sixteen articles met the inclusion criteria. The most related determinants to teenage pregnancy were early marriage, economic status, educational level, knowledge, and access to information. Teenage pregnancies have a high risk of maternal and neonatal consequences such as anemia, preeclampsia, preterm birth, and low birth weight. Outcome problems of teenage pregnancy in Indonesia show a similar impact to the impacts revealed in studies in other countries. Women who have teenage pregnancies need support in getting access to adequate antenatal care to avoid the risk of complications for both mother and fetus. Effective education could be one of the efforts to raise the legal age of marriage. Collaboration of the stakeholders and policymakers is needed to prevent teenage pregnancy, especially in groups that tend to be at risk. Abstrak: Review ini bertujuan untuk mengidentifikasi determinan dan outcome yang berhubungan dengan kehamilan remaja di Indonesia. Dilakukan pencarian pada database PubMed, ScienceDirect, dan google scholar dalam sepuluh tahun terakhir (2011-2021). Kata kuci yang digunakan adalah “teenage pregnancy” OR “adolescent pregnancy” AND “Indonesia”. Pembahasan jurnal menggunakan CASP. Sebanyak 16 artikel memenuhi kriteria inklusi. Determinan yang paling terkait dengan kehamilan remaja adalah pernikahan dini, status ekonomi, level pendidikan, pengetahuan dan akses informasi. Kehamilan remaja berisiko tinggi terhadap maternal dan neonatal seperti anemia, preeclampsia, kelahiran premature, dan berat bayi lahir rendah. Permasalahan outcome dari kehamilan remaja di Indonesia menunjukkan dampak yang serupa dengan studi dari negara lainnya. Wanita yang menjalani kehamilan remaja membutuhkan dukungan untuk memperoleh akses antenatal care yang adekuat untuk mencegah risiko komplikasi pada ibu dan janin. Edukasi yang efektif bisa menjadi salah satu upaya meningkatkan usia pernikahan. Kolaborasi stakeholder dan pembuat pebijakan dibutuhkan untuk mencegah kehamilan remaja, khususunya pada kelompok berisiko.
Filtration Method with Three Media Combinations to Improve Rainwater Quality as A Drinking Water Qori Nur Annisa; Prayudhy Yushananta; Bambang Murwanto
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (943.369 KB) | DOI: 10.30604/jika.v7i3.1235

Abstract

The high rate of population growth and industrialization impact increasing the need for clean water. Meanwhile, the quantity and quality of water are decreasing due to the exploitation of groundwater and industrial and domestic pollution. The utilization of rainwater is an alternative to sustainable water resources, but pollutants greatly influence its quality in the air. This study aims to improve the quality of rainwater as a source of drinking water by using the filtration method. The study used a completely randomized design with two replications. Three media were used (silica, zeolite, and activated carbon), and three thickness levels for each medium. Raw water is rainwater collected from the roofs of people's houses in industrial areas located by the sea, with the characteristics of dense population and heavy traffic. The water quality parameters observed were hardness, nitrite, nitrate, and sulfate. Water quality measurements were carried out before and after the experiment. The research has significantly proven that the combination of three media (silica, zeolite, and activated carbon) can improve the quality of rainwater on the parameters of hardness, nitrite, nitrate, and sulfate. The combination of the three media can reduce the value of hardness (37.9%), nitrite (73.18%), nitrate (61.32%), and sulfate (54.65%). The combination of thickness that is effective in reducing the values of the four parameters is 20 cm (silica), 40 cm (zeolite), and 40 cm (activated carbon). Overall, the parameters are in accordance with regulations. The filtration method with a combination of silica, zeolite, and activated carbon media effectively improve the chemical quality of rainwater so that it is suitable for consumption. However, the disinfection process needs to be carried out to eliminate microorganisms. Further research is needed to determine the saturation level of the filter media. Abstrak: Tingginya laju pertumbuhan penduduk dan industrialisasi berdampak pada meningkatnya kebutuhan akan air bersih. Sementara itu, kuantitas dan kualitas air semakin menurun akibat eksploitasi air tanah dan pencemaran industri dan domestik. Pemanfaatan air hujan merupakan salah satu alternatif sumber daya air yang berkelanjutan, namun kualitasnya sangat dipengaruhi polutan di udara. Penelitian ini bertujuan untuk meningkatkan kualitas air hujan sebagai sumber air minum dengan menggunakan metode filtrasi. Penelitian menggunakan rancangan acak lengkap faktorial dengan dua ulangan. Tiga media yang digunakan (silika, zeolit, dan karbon aktif), dan tiga tingkat ketebalan untuk setiap media. Air baku adalah air hujan yang ditampung dari atap rumah-rumah penduduk di kawasan industri yang terletak di tepi laut, dengan karakteristik padat penduduk dan padat lalu lintas. Parameter kualitas air yang diamati adalah kesadahan, nitrit, nitrat, dan sulfat. Pengukuran kualitas air dilakukan sebelum dan sesudah percobaan. Penelitian telah membuktikan bahwa kombinasi tiga media (silika, zeolit, dan karbon aktif) dapat meningkatkan kualitas air hujan pada parameter kesadahan, nitrit, nitrat, dan sulfat. Kombinasi ketiga media tersebut dapat menurunkan nilai kesadahan (37,9%), nitrit (73,18%), nitrat (61,32%), dan sulfat (54,65%). Kombinasi ketebalan yang efektif menurunkan nilai keempat parameter tersebut adalah 20 cm (silika), 40 cm (zeolit), dan 40 cm (karbon aktif). Secara keseluruhan, nilai parameter sesuai dengan regulasi. Metode filtrasi dengan kombinasi media silika, zeolit, dan karbon aktif efektif meningkatkan kualitas kimiawi air hujan sehingga layak untuk dikonsumsi. Namun, proses desinfeksi perlu dilakukan untuk menghilangkan mikroorganisme. Diperlukan penelitian lebih lanjut untuk mengetahui tingkat kejenuhan media filter.
The Influence of Work Period and Work Location of Workers with Understanding of Corporate Life Saving Rules (CLSR) at Oil and Gas Fuel Terminal Companies in Indonesia Clint Devan Yogama; Desti Azhari; I Made Dwi Darmaputra
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (661.515 KB) | DOI: 10.30604/jika.v7i3.1095

Abstract

Knowledge is something that is owned by employees as a condition to be able to complete work, therefore better knowledge will lead to increased performance. In this study, the author uses a research design for education, dissemination and information to workers in the field by applying corporate life saving rules with periodic intervention using a cross-sectional study, namely the measurement of data on independent variables (location of work and years of service). and bound (knowledge of corporate life saving rules) only once at a time. The results of the study stated that there was a relationship between tenure and work location on the knowledge of corporate life saving rules (CLSR) workers with a P-value less than 0.05, so that it was concluded that there was a relationship between tenure and understanding of corporate life saving rules (CLSR) with The results show that workers with 1-5 years of service have a better level of understanding than workers with 6-10 years of service. Apart from working period, there is also a relationship between work location and understanding of corporate life saving rules (CLSR). Workers who work at the work site (site) have a better level of understanding than office workers. Overall, the level of understanding of workers on corporate life saving rules (CLSR) at fuel oil and gas terminal companies in Indonesia with a "good" level of understanding reached 50.3%, while workers who needed "improvement" in understanding reached 49.7%. These results indicate the need for education, dissemination and information through further periodic interventions to all workers, both in field locations and in offices. Abstrak: Pengetahuan merupakan sesuatu yang dimiliki oleh karyawan sebagai syarat untuk dapat menyelesaikan pekerjaan, oleh karena itu pengetahuan yang semakin baik akan menyebabkan peningkatan kinerja. Dalam penelitian ini, penulis menggunakan desain penelitian edukasi, diseminasi dan informasi kepada pekerja di lapangan dengan penerapan corporate life saving rules dengan intervensi secara berkala dengan menggunakan studi potong lintang (cross sectional study) yaitu pada pengukuran data variabel bebas (lokasi kerja dan masa kerja) dan terikat (pengetahuan corporate life saving rules) hanya satu kali dalam satu waktu. Hasil penelitian menyatakan bahwasanya ada hubungan antara masa kerja dan lokasi kerja terhadap pengetahuan pekerja corporate life saving rules (CLSR) dengan nilai P-value0,05, sehingga didapatkan kesimpulan terdapat hubungan antara masa kerja dengan pemahaman corporate life saving rules (CLSR) dengan hasil bahwa pekerja dengan masa kerja 1-5 tahun memiliki tingkat pemahaman yang lebih baik daripada pekerja yang memiliki masa kerja 6-10 tahun. Selain masa kerja, juga terdapat hubungan antara lokasi kerja dengan pemahaman corporate life saving rules (CLSR). Pekerja yang bekerja di lokasi kerja (site) memiliki tingkat pemahaman yang lebih baik dibandingkan dengan pekerja kantor (office). Secara keseluruhan, tingkat pemahaman pekerja terhadap corporate life saving rules (CLSR)  di perusahaan terminal bahan bakar minyak dan gas di indonesia dengan tingkat pemahaman “baik” mencapai 50.3%, sedangkan pekerja yang membutuhkan “peningkatan” pemahaman mencapai 49,7%. Hasil tersebut menunjukkan perlunya edukasi, diseminasi dan informasi melalui intervensi berkala lebih lanjut kepada seluruh pekerja baik di lokasi lapangan maupun di perkantoran.
Skin Barrier using Aloe Vera and Olive Oil on Prevention of Incontinence Associated Dermatitis in Immobility Patients Ira Maulani Lubis; Kiking Ritarwan; Asrizal Asrizal
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (613.887 KB) | DOI: 10.30604/jika.v7i3.1081

Abstract

Background: Incontinence Associated Dermatitis is an inflammation of the skin that occurs when urine or feces comes in contact with the perineum.  The use of a skin barrier that contains moisturizers can prevent skin inflammation.  The mechanism of action of moisturizers is found in aloe vera and olive oil, as well as accelerating wound healing, anti-inflammatory, and antimicrobial. Objective: To identify the effect of skin barrier aloe vera and olive oil on the prevention of Incontinence Associated Dermatitis in immobility patients. Methods: The study was a Quasi-Experiment post-test-only comparison group design.  The population was newly admitted immobility patients without Incontinence Associated Dermatitis. A sample of 66 people was divided into the control group and the intervention group, sampling using purposive sampling, analyzed using the Mann Whitney and Kruskal Wallis tests. Results: The results showed that there were differences in the values of the three groups, namely the aloe vera, olive oil, and control groups (p = 0.003), with the highest control mean value. Conclusion: This study revealed that immobility patients who were not given the skin barrier using aloe vera or olive oil experienced the most Incontinence Associated Dermatitis. Abstrak: Latar belakang: Incontinence Associated Dermatitis adalah peradangan kulit yang terjadi ketika urin atau tinja kontak dengan perineum. Penggunaan skin barrier yang mengandung pelembab dapat mencegah peradangan kulit. Mekanisme kerja pelembab terdapat pada aloe vera dan olive oil, sekaligus dapat mempercepat penyembuhan luka, antiinflamasi, dan antimikroba. Tujuan penelitian: Untuk mengidentifikasi pengaruh skin barrier aloe vera dan olive oil terhadap pencegahan Incontinence Associated Dermatitis pasien imobilitas. Metode: Jenis penelitian adalah quasi-eksperiment dengan post-test only comparison group design. Populasi adalah pasien imobilitas yang baru masuk tanpa incontinence associated dermatitis. Sampel sebanyak 66 orang dibagi dalam kelompok kontrol dan kelompok intervensi, pengambilan sampel menggunakan purposive sampling, dianalisa menggunakan uji Mann Whitney dan Kruskal Wallis. Hasil: Menunjukkan terdapat perbedaan nilai ketiga kelompok, yaitu kelompok aloe vera, olive oil dan kontrol (p=0,003), dengan nilai rata-rata kontrol paling tinggi. Kesimpulan: Penelitian ini mengungkapkan bahwa pasien imobilitas yang tidak diberikan skin barrier aloe vera maupun olive oil paling banyak mengalami incontinence associated dermatitis.
Comparison of Anti-Salmonella Typhi IgM Examination Results with SD Bioline and Tubex TF. Methods Herlinawati Herlinawati; Resna Hermawati; I Gede Angga Adyana
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (592.202 KB) | DOI: 10.30604/jika.v7i3.1481

Abstract

Salmonella typhi is a gram-negative bacterium that is an intracellular facultative pathogen, which enters the human body and causes an acute systemic infectious disease called typhoid fever. Among the laboratory tests used to detect the presence of anti-Salmonella typhi IgM in serum are SD Bioline and Tubex TF. This study aims to determinecomparison of the results of the anti-Salmonella typhi IgM examination with the SD Bioline and Tubex TF methods. Analytical observation with cross-sectional design. This research was conducted in RSUD DR. Soedjono Selong. The time of the study was January-April 2022. The sample of this study was patients who underwent typhoid fever examination who were hospitalized at RSUD DR. Soedjono Selong as many as 60 people. This research uses the methodconsecutive sampling,Anti-Salmonella typhi IgM was examined with the SD Bioline kit using the immunochromatography method and the TUBEX TF kit using the Inhibition Magnetic Binding Immunoassay (IMBI) method. Data analysis was performed using SPSS, namely univariate test, and bivariate test with Chi-square. There were 26 (43.3%) male and 34 (56.7%) female patients. The youngest is 2 years old and the oldest is 64 years old with an average age of 25 years ± 19 years. Of the total 60 patients examined with SD Bioline, 5 (8.3%) were positive and 55 (91.7%) were negative. Meanwhile, examination with TUBEX TF found 3 (5%) positive people and 57 (95%) negative people. And there was a significant comparison between the results of the SD Bioline and Tubex TF examination with a value (p = 0.000) and a low level of conformity was obtained with a Kappa value of 0.000. A comparison of the results of the IgM anti-Salmonella typhi examination was obtained using the SD Bioline and Tubex TF . methodswith a very low degree of conformity.
Online Nurse: Incorporating Islamic Spiritual Mindfulness to Decrease Anxiety during Online Learning among Nursing Students Agus Santoso; Meidiana Dwidiyanti; Diyan Yuli Wijayanti; Sarah Ulliya; Badrul Munif; Evi Karota; Dudut Tanjung
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (640.281 KB) | DOI: 10.30604/jika.v7i3.1278

Abstract

Background: Online learning during the COVID-19 pandemic has significantly impacted the physical and psychological health of most college students in Indonesia, especially nursing students. The major psychological impacts that students experience may include increased stress levels and anxiety. Islamic spiritual mindfulness through Online Nurse application is an exercise for emotional regulation with spiritual approach that is carried out online for students to control the situation and choose to accept so that they can reduce their anxiety or stress related to online learning during the COVID-19 pandemic. Objective: This study aimed to determine the effect of Islamic spiritual mindfulness through Online Nurse on reducing anxiety in students undertaking online learning. Methods: This study used a pre-post test quasi-experimental design with a control group. The samples were students undertaking online learning, consisting of 40 students from Qomarul Huda Badaruddin University (UNIQHBA) as the intervention group and 40 students from North Sumatra University (USU) as the control group. Results: There was an effect of Online Nurse on decreasing anxiety levels among students with a p-value of 0.000. Conclusion: Online Nurse can be applied to decrease anxiety among students in certain triggering situations, such as COVID-19 and online learning. Islamic spiritual mindfulness is needed in reducing anxiety. Abstrak: Latar Belakang: Pembelajaran daring di masa pandemi COVID-19 berdampak signifikan terhadap kesehatan fisik dan psikis sebagian besar mahasiswa di Indonesia, khususnya pada mahasiswa keperawatan. Dampak psikologis utama yang dialami mahasiswa adalah meningkatnya tingkat stres dan kecemasan. Mindfulness Spiritual Islam (MSI) melalui Online Nurse merupakan latihan pengaturan emosi melalui aspek spiritual yang dilakukan melalui program online bagi mahasiswa untuk dapat mengendalikan keadaan dan memilih untuk menerima, sehingga dapat mengurangi kecemasan atau stres yang dialami selama menjalani pembelajaran daring di masa pandemi COVID-19. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh MSI melalui Online Nurse terhadap penurunan kecemasan pada mahasiswa yang sedang melakukan pembelajaran online. Metode: Metode penelitian ini adalah penelitian eksperimen semu dengan pre-test post-test control group. Sampel penelitian adalah siswa yang mengikuti pembelajaran online, meliputi kelompok intervensi yang terdiri yang dari 40 siswa dari Universitas Qomarul Huda Badaruddin (UNIQHBA), dan kelompok kontrol yang terdiri dari 40 siswa dari Universitas Sumatera Utara (USU). Hasil: Ada pengaruh MSI melalui Online Nurse terhadap tingkat kecemasan dengan nilai p=0,000. Kesimpulan: Online nurse bisa dipakai untuk menurunkan kecemasan mahasiswa pada saat mengalami situasi tertentu yang memicu kecemasan, misalnya COVID-19 dan kuliah daring. Untuk menurunkan tingkat kecemasan mahasiswa, intervensi MSI mungkin diperlukan.
Analysis of Factors Related to Triage Competence with Online Learning Methods to Students at Hafshawaty Genggong University Moh Husyn Ainul Yaqin; Yulian Wiji Utami; Dina Dewi Sartika Lestari Ismail
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (649.999 KB) | DOI: 10.30604/jika.v7i3.1037

Abstract

During the Covid-19 pandemic, offline learning was shifted to online learning. one of the applications is Zoom Meeting, which is easy to use. The zoom application combines in displaying material in power points learning and feedback communications. One of the challenges in online learning is triage learning such as the Australian triage scale (ATS), ATS itself is a type of triage with five categories. ATS material is a learning achievement that must be mastered by students, but not much research has been done on online learning methods with ATS material. The method used in this study is an observational analytic method using a cross-sectional approach, the researcher takes data from several variables that exist at the same time. There are three factor namely technological factors, student characteristics factors and teacher characteristics. Results: The results of the study several influential factors were obtained namely, technology factors with a p-value of 0.013, student characteristics factors with a p-value of 0.029, and student characteristics factors of 0.003. Teacher characteristics factor with a p-value of 0.029. The three factors have a relationship with students' triage competence with the online method. Conclusion: The three factors have a significant relationship, but there is no most significant factor yet. Abstrak: Di masa pandemi Covid-19, pembelajaran offline digeser menjadi pembelajaran online. salah satu aplikasinya adalah Zoom Meeting yang mudah digunakan. Aplikasi zoom menggabungkan dalam menampilkan materi dalam pembelajaran power point dan komunikasi umpan balik. Salah satu tantangan dalam pembelajaran online adalah pembelajaran triase seperti Australian triage scale (ATS), ATS sendiri merupakan jenis triase dengan lima kategori. Materi ATS merupakan prestasi belajar yang harus dikuasai oleh siswa, namun belum banyak penelitian yang dilakukan terhadap metode pembelajaran online dengan materi ATS. Metode yang digunakan dalam penelitian ini adalah metode observasional analitik dengan menggunakan pendekatan cross sectional, peneliti mengambil data dari beberapa variabel yang ada dalam waktu yang bersamaan. Ada tiga faktor yaitu faktor teknologi, faktor karakteristik siswa dan karakteristik guru. Hasil: Hasil penelitian diperoleh beberapa faktor yang berpengaruh yaitu, faktor teknologi dengan nilai p 0,013, faktor karakteristik siswa dengan nilai p 0,029, faktor karakteristik siswa 0,003. Faktor karakteristik guru dengan p-value 0,029. Ketiga faktor tersebut memiliki hubungan dengan kompetensi triase siswa dengan metode online. Kesimpulan: Ketiga faktor tersebut memiliki hubungan yang signifikan, namun belum ada faktor yang paling signifikan.
Clinical Pathway Implementation in ACS STEMI Patients Wiedya Kristianti Angeline; Martina Martina; Ermi Girsang; Ali Napiah Nasution
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (628.809 KB) | DOI: 10.30604/jika.v7i3.1229

Abstract

Delay in handling patients with Acute ST-elevation myocardial infarction (STEMI) is the cause of high mortality and the incidence of MACE (Major Adverse Cardiac Event), so efforts are needed to reduce it by handling patients with Acute Coronary Syndrome (ACS) with the implementation of clinical pathways. This study evaluates the application of clinical pathways for ACS STEMI patients based on content and quality and evaluates the effectiveness of clinical pathways based on length of stay, total costs, and outcomes between ACS STEMI patients with clinical pathways and non-clinical pathways. This research uses mixed methods with an exploratory sequential approach. Evaluation of clinical pathways for ACS STEMI patients with a qualitative approach through in-depth interviews using the Integrated Care Pathway Appraisal Tool (ICPAT) questionnaire. Furthermore, a comparative approach is used to determine the effectiveness of clinical pathways based on length of stay, total costs and outcomes (outcomes) between ACS STEMI patients who have and do not have a clinical pathway. The study was conducted from November 2021 to April 2022 at the Cardiology Section of Murni Teguh Hospital, Medan. The results show that the implementation process is of good quality, but the content still needs to be improved. From the test results with the Mann-Whitney U Test, it can be seen that there is an effect of using the application of clinical pathways on length of stay, total costs and outcomes in ACS STEMI patients. It is suggested to the hospital management to determine a strategy to increase the compliance of doctors and nurses to the clinical pathway. Abstrak: Keterlambatan penanganan pasien Acute ST-elevation myocardial infarction (STEMI) menjadi penyebab tingginya mortalitas dan kejadian MACE (Major Adverse Cardiac Event), maka diperlukan upaya dalam menguranginya melalui penanganan pasien Acute Coronary Syndrome (ACS) dengan diberlakukannya clinical pathway. Penelitian ini bertujuan mengevaluasi penerapan clinical pathway pasien ACS STEMI berdasarkan konten dan kualitas serta mengevaluasi efektivitas clinical pathway berdasarkan lama rawat, biaya total dan hasil antara pasien ACS STEMI dengan clinical pathway dan non clinical pathway. Penelitian ini menggunakan mix methods dengan pendekatan exploratory sequential. Evaluasi clinical pathway pasien ACS STEMI dengan pendekatan kualitatif melalui wawancara mendalam menggunakan kuesioner Integrated Care Pathway Appraisal Tool (ICPAT). Selanjutnya pendekatan komparatif digunakan untuk mengetahui efektivitas clinical pathway berdasarkan lama rawat, biaya total dan hasil (outcomes) antara pasien ACS STEMI yang memiliki dan tidak memiliki clinical pathway. Studi dilakukan selama bulan November 2021 hingga April 2022 di Bagian Kardiologi Rumah Sakit Murni Teguh Medan. Hasil penelitian menunjukkan proses implementasi yang dilakukan sudah baik untuk mutu, namun konten masih perlu ditingkatkan. Dari hasil uji dengan Mann Whitney U Test terlihat bahwa ada pengaruh penggunaan penerapan clinical pathway terhadap lama rawat, biaya total dan hasil pada pasien ACS STEMI. Disarankan pada pihak manajemen rumah sakit untuk menentukan strategi dalam meningkatkan kepatuhan dokter dan perawat terhadap clinical pathway.
Experience and Quality of Life of Health Workers Infected with COVID-19 in Gunung Sitoli John Handy Mendrofa; Ermi Girsang; Sri Lestari Ramadhani Nasution; Chrismis Novalinda Ginting
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (628.523 KB) | DOI: 10.30604/jika.v7i3.1074

Abstract

The task of handling and caring for people infected with COVID-19 places the position of health workers in a high-risk group. Health workers not only face physical problems when infected, the mental burden due to fears of infecting family members while doing self-isolation, and the negative stigma that develops in the community. This research is a qualitative descriptive study using a phenomenological study design. The phenomenon studied is about the experience and quality of life of health workers infected with COVID-19 in Gunungsitoli City. The study was conducted from April to May 2021. In collecting data, researchers interviewed 10 health workers consisting of 2 doctors and 8 nurses. The processed data are displayed in narrative text. The results showed that infected health workers experienced stress and physical disorders such as fever, difficulty breathing, tired easily to digestive disorders that hindered physical activity and social interaction with family members. In this study, the role of psychological support from family and co-workers is quite important in improving the health status of patients who are self-isolating. Given the negative stigma toward patients and health workers infected with COVID-19, efforts to overcome the negative stigma require collaboration from the government, mass media, and religious leaders as well as community leaders. Abstrak: Tugas penanganan dan perawatan orang yang terinfeksi COVID-19 menempatkan posisi petugas kesehatan dalam kelompok beresiko tinggi. Petugas kesehatan tidak hanya menghadapi gangguan fisik ketika terinfeksi, beban mental akibat kekhawatiran menulari anggota keluarga saat melakukan isolasi mandiri dan stigma negatif yang berkembang di masyarakat. Penelitian ini merupakan penelitian deskriptif kualitatif dengan menggunakan desain studi fenomenologi. Adapun fenomena yang diteliti adalah mengenai pengalaman dan kualitas hidup tenaga kesehatan yang terinfeksi COVID-19 di Kota Gunungsitoli. Penelitian dilaksanakan pada bulan April hingga Mei 2021. Dalam pengumpulan data, peneliti mewawancarai sebanyak 10 orang tenaga kesehatan yang terdiri dari 2 dokter dan 8 perawat. Data yang telah diolah ditampilkan dalam teks naratif. Hasil penelitian menunjukkan tenaga kesehatan yang terinfeksi mengalami stress dan gangguan fisik seperti demam, susah nafas, mudah lelah hingga gangguan pencernaan menghambat aktivitas fisik dan interaksi sosial dengan anggota keluarga. Dalam studi ini, peran dukungan psikis dari keluarga dan rekan kerja cukup penting dalam perbaikan status kesehatan pasien yang isolasi mandiri. Mengingat stigma negatif terhadap pasien dan tenaga kesehatan yang terinfeksi COVID-19, upaya untuk mengatasi hal tersebut memerlukan kolaborasi pemerintah, media massa dan tokoh agama serta tokoh masyarakat.
Anti-atherogenic Effect of Mulberry Leaf Tea in Atherogenic Index on Rats Dyslipidemia Elvi Susanti; Mohammad Sulchan; Endang Mahati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (660.674 KB) | DOI: 10.30604/jika.v7i3.1013

Abstract

Dyslipidemia is a lipid metabolism disorder characterized by lipid fraction changes in the blood, such as an increase in total cholesterol, LDL, TG and a decrease in HDL, which is strongly associated with atherosclerosis. Mulberry leaves (Morus alba L.) contain quercetin and 1-deoxynojirimycin (DNJ), which help to lower cardiometabolic risk by reducing hyperlipidemia, oxidative stress and atherosclerosis. The objective of this study was to determine the effect of mulberry leaf tea (Morus alba L.) on the atherogenic index (AI) in Sprague Dawley rats with dyslipidemia. This study was true experimental research with a randomized pre and post-test control group design. A total of 30 male Sprague Dawley (SD) rats were randomly divided into five groups. Calculation of AI value: log (TG/HDL-C). Statistical analysis that was used was the paired t-test and one-way ANOVA test. The intervention of mulberry leaf tea with the dosage of 36 mg/100 g BW/day (P1) and 72 mg/100 g BW/day (P2) significantly reduced atherogenic index values. Simvastatin and P2 groups showed that there was no difference in atherogenic index values after the intervention. In conclusion, giving mulberry leaf tea reduced atherogenic index values in SD rats with dyslipidemia. Abstrak: Dislipidemia merupakan kelainan metabolisme lipid yang ditandai dengan perubahan fraksi lipid dalam darah seperti peningkatan kolesterol total, LDL, TG dan penurunan HDL yang berhubungan kuat pada kejadian aterosklerosis. Daun mulberry (Morus alba L.) mengandung kuersetin dan 1-deoxynojirimycin (DNJ) yang berguna dalam menurunkan risiko kardiometabolik dengan menurunkan keadaan hiperlipidemia, stress oksidatif dan aterosklerosis. Tujuan dari penelitian ini untuk mengetahui pengaruh teh daun mulberry (Morus alba L.) terhadap indeks aterogenik plasma (IAP) pada tikus Sprague Dawley dislipidemia. Penelitian ini merupakan penelitian true experimental dengan randomized pre and post test control group design. Sebanyak 30 ekor tikus Sprague Dawley (SD) jantan dirandomisasi menjadi 5 kelompok. Rumus perhitungan nilai IAP : log (TG/HDL-C). Analisis statistik yang digunakan adalah uji paired t-test dan uji one-way ANOVA. Intervensi teh daun mulberry dosis 36 mg/100 g BB/hari (P1) dan 72 mg/100 g BB/hari (P2) secara signifikan menurunkan nilai indeks aterogenik plasma. Pada kelompok S dan kelompok P2 menunjukkan bahwa tidak terdapat perbedaan nilai indeks aterogenik plasma setelah intervensi. Sehingga disimpulkan bahwa pemberian teh daun mulberry terbukti menurunkan nilai indeks aterogenik plasma pada tikus SD dislipidemia.