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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 1,302 Documents
Treatment Preference For Patients With Chronic Obstructive Pulmonary Disease: A Review Agung Rejecky; Erna Rochmawati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (741.429 KB) | DOI: 10.30604/jika.v7iS2.1391

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a chronic illness that requires regular treatment to relieve symptoms and reduce the frequency of relapses and the severity of exacerbations. Treatment options for COPD are pharmacological and non-pharmacological therapies, and patients can prefer the type of treatment. The inhaler is one of the options for pharmacological therapy, where there are several types of inhalers, including metered dose inhalers (MDI), soft mist inhalers (SMI) and dry powder inhalers (DPI). To date, there is no synthesis on the patient's preference of treatment for COPD. The review aimed to synthesize available evidence on patients' preferences for COPD treatment. Three databases, which include PubMed, Ebsco, and Scopus, were searched using terms related to "Patient Preference", "Preference Treatment", "Chronic Obstruction Pulmonary Disease", and "Chronic Airway Obstruction Disease". From the three databases, 2,757 articles were obtained and screened from a title with EndNote to remove duplication. The author and the team discuss the abstract and the full text to decide whether it meets the inclusion criteria. A total of 10 articles were included. We found patients prefer dry powder inhalers, spray inhalers, and relaxation by imagining a beautiful place as an option. The results of the literature review show that there are several preferences for COPD therapy; DPI inhalers are preferred because they are easy to use and have a low error rate. Abstrak: Penyakit Paru Obstruktif Kronik (PPOK) adalah penyakit kronis yang memerlukan pengobatan secara teratur untuk meredakan gejala, mengurangi frekuensi kekambuhan dan tingkat keparahan eksaserbasi. Pilihan pengobatan untuk PPOK adalah terapi farmakologis dan nonfarmakologis, dan pasien dapat memilih jenis pengobatan. Inhaler merupakan salah satu pilihan terapi farmakologi, dimana terdapat beberapa jenis inhaler diantaranya metered dose inhaler (MDI), soft mist inhaler (SMI) dan dry powder inhaler (DPI). Sampai saat ini, tidak ada sintesis pada preferensi pengobatan pasien dengan COPD. Tinjauan ini bertujuan untuk mensintesis bukti yang tersedia tentang preferensi pasien terhadap pengobatan PPOK. Tiga basis data yang meliputi PubMed, Ebsco, dan Scopus dicari menggunakan istilah-istilah yang terkait dengan “Preferensi Pasien”, “Pengobatan Preferensi”, “Penyakit Paru Obstruksi Kronis”, dan “Penyakit Obstruksi Jalan Napas Kronis”. Dari ketiga database tersebut diperoleh 2.757 artikel, dan disaring dari judulnya dengan EndNote untuk menghilangkan duplikasi. Penulis dan tim berdiskusi untuk menentukan abstrak dan teks lengkap untuk memutuskan apakah memenuhi kriteria inklusi. Sebanyak 10 artikel dimasukkan. Kami menemukan pasien lebih memilih inhaler bubuk kering (DPI), inhaler semprot (SMI), dan relaksasi dengan membayangkan tempat yang indah sebagai pilihan. Hasil tinjauan pustaka menunjukkan bahwa terdapat beberapa preferensi untuk terapi PPOK yaitu penggunaan inhaler DPI lebih disukai karena mudah digunakan dan memiliki tingkat kesalahan yang rendah.
The Different Levels of Understanding among Indonesians on Home Care Services for Stroke Patients Chayati, Nur; Guru, Yustina Yantiana
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (619.515 KB) | DOI: 10.30604/jika.v7iS2.1426

Abstract

Treating patients after a stroke requires long-term home care, but it is not accessible by all Indonesians. Therefore, this study examined stroke patients' understanding of home care and its factors. A comparative design with a survey approach was employed, and the respondents were from Western (n=193) and Eastern Indonesia (n=193). The data were analyzed using the Pearson Chi-square test with a significant level of 5% and three categories of knowledge level. Indonesians have a good understanding 67.3% on home care. Furthermore, Western Indonesians were more well-informed compared to Eastern Indonesians. However, a significant relationship between the level of understanding in these two regions was associated with education, gender, and exposure to information about home care (p less than 0.05). This inequality influenced their knowledge about home care services (p=0.000) since the information is not well-distributed. These findings imply that the distribution of information about home care is not evenly shared throughout Indonesia. This is against the contention that home care is a significant health service to reach remote communities. It is suggested that the available media can be used to socialize home care services to the Eastern Indonesian region. Abstrak: Pengobatan pasien pasca stroke memerlukan waktu perawatan di rumah yang cukup lama, namun tidak semua penduduk Indonesia mampu melakukannya. Untuk itulah, penelitian ini bertujuan untuk menganalisis pemahaman pasien stroke terhadap konsep home care dan faktor-faktor yang mempengaruhinya. Penelitian merupakan studi komparatif dengan pendekatan survey, dengan responden dari penduduk Indonesia Barat (n=193 responden) dan Indonesia Timur (n=193 responden). Data dianalisis dengan Pearson Chi-Square dengan tingkat signifikansi 5% dan dikelompokkan dalam tiga kategori tingkat pengetahuan. Hasil menunjukkan bahwa sebanyak 67,3% penduduk Indonesia pemahamannya terhadap home care adalah baik. Lebih jauh lagi, penduduk Indonesia Barat terbukti lebih paham tentang home care dibanding Indonesia Timur. Pengetahuan tentang home care berkorelasi secara signifikan dengan tingkat pendidikan, jenis kelamin, dan paparan informasi tentang home care (p kurang dari 0,05). Perbedaan tingkat pengetahuan antara dua wilayah Indonesia ini (p=0,000) terjadi karena informasi tidak tersampaikan dengan baik. Penelitian ini berimplikasi bahwa distribusi informasi tentang home care belum diberikan kepada seluruh warga Indonesia. Hal ini sangat berdampak signifikan mengingat home care adalah jenis pelayanan kesehatan yang mampu menjangkau wilayah terpencil. Disarankan bahwa keberadaan media dapat digunakan untuk mensosialisasikan tentang layanan home care bagi wilayah Indonesia Timur.
Nurse Perception and Patient Satisfaction Toward About Hospital Sharia Standard Implementation at Inpatient Departement of Klaten Islamic Public Hospital Sari, Hajar Fatma; Aini, Qurratul; Sundari, Sri; Sumarwanto, Edi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S1 (2022): Suplement 1
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (737.189 KB) | DOI: 10.30604/jika.v7iS1.1371

Abstract

The DSN MUI Sharia Hospital Standard is the first official Sharia Hospital standard in the world. Klaten Islamic Public Hospital has implemented the Syariah Hospital standard from National Sharia Board-Indonesian Council of Ulama (DSN-MUI) since 2019. The implementation of these standards was expected to have a good impact on patients and nurses. This study aims to determine the perceptions of nurses on the implementation of sharia standards and the relationship between the implementation of Islamic hospital standards and the level of patient satisfaction with sharia standards. This research used quantitative method. The study design was cross-sectional with purposive sampling that included 78 nurses and 263 patients. The inclusion criterion for nurses was to work in an inpatient ward with a minimum service period of 2 years. Exclusion criteria was nurses in isolation wards and intensive rooms. The inclusion criteria for patients were inpatients with a Muslim religion with a minimum length of stay of 2x24 hours, and the exclusion criteria were limited communication with the patient. The data were collected using the nurse's perception questionnaire, the patient implementation questionnaire and the patient satisfaction questionnaire which was tested for validity using the Pearson correlation formula, the reliability test used the Cronbach alpha formula. 10.5% of the nurses had a fairly good perception and 89.5% had a good perception of the implementation of the Sharia Hospital standards, and there were no significant differences between the various characteristics of the respondents (gender, age, education, workplace, length of work, position). 0.3% of patients stated that the implementation of sharia standards was still lacking, 5.5% said it was sufficient and 94.2% said it was good. 8.8% of patients are quite satisfied and 91.2% of patients are satisfied with sharia services at the Klaten Islamic General Hospital, there is no difference in satisfaction scores on various characteristics of patient respondents (gender, age, education, place of care, person in charge of costs, choice of coming, pathway admission to hospitalization, history of treatment, prayer habits, knowledge of Sharia Hospital). There is a significant relationship between the implementation of sharia services and patient satisfaction with a moderate level of strength. Most of the inpatient nurses have a good level of perception of the implementation of sharia standards at the Klaten Islamic Public Hospital, there is no difference in the level of perception among the demographic characteristics of nurses. Most of the patients considered the implementation of the Sharia Hospital standard had been done well and were satisfied with the service. There is a significant relationship between the implementation of sharia services and patient care with moderate strength. There is no difference in the level of satisfaction in all demographic characteristics of the patients. It shows that the implementation of sharia hospital standard is acceptable by inpatient nurses and patients at Klaten Islamic Public Hospital.
Nurse’s Perspective in the Implementation of Family Centered Care in PICU NICU Mariyam, Mariyam; Utami, Minarti Dyan; Samiasih, Amin; Alfiyanti, Dera; Hidayati, Eni
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (667.296 KB) | DOI: 10.30604/jika.v7iS2.1414

Abstract

Implementation of Family Centered Care (FCC)  in pediatric critical care has many obstacles and challenges, so the role of nurses as facilitators and enforcers of rules is difficult in implementing FCC. The purpose of this study was to determine the perspective of nurses in the application of FCC in the NICU PICU . The study was conducted in January-February 2022 in PICU NICU at Dr Kariadi Hospital Semarang with a quantitative descriptive design method and a consecutive sampling technique of 52 samples. The results showed that the nurse's perspective in the implementation of FCC in NICU PICU was 90.4% good. The element of sharing information with parents is 100% good, the element of hearing a parental voice is good 98%, the element of making decisions with parents is good 96%, the element of individual communication is good 94%, and the element of negotiating roles is good 63%. FCC in critical care children prioritizes partnerships between parents and health workers, where the role of parents can be negotiated in the implementation of FCC according to the clinical condition of the child and the characteristics of the parents. Nurses are expected to improve skills during resuscitation so that the implementation of FCC in the role negotiation elements can be carried out properly. Abstrak: Implementasi Family Centered  Care (FCC) dalam keperawatan kritis anak mempunyai banyak hambatan dan tantangan, sehingga peran perawat sebagai fasilitator dan penegak aturan kesulitan dalam pengimplementasian FCC. Tujuan dari penelitian ini adalah untuk mengetahui perspektif perawat dalam penerapan FCC di PICU NICU. Penelitian dilakukan pada bulan Januari-Februari 2022 di PICU NICU RSUP Dr Kariadi Semarang dengan metode kuantitatif, desain deskriptif dan teknik consecutive sampling sebanyak 52 sampel. Hasil penelitian menunjukkan  bahwa perspektif perawat dalam penerapan FCC di PICU NICU adalah baik 90,4 %.  Elemen berbagi informasi dengan orang tua baik 100%, elemen mendengar keluhan dan menjawab pertanyaan orang tua baik 98%, elemen membuat keputusan dengan orang tua baik 96%, elemen komunikasi individual baik 94%, dan elemen negosiasi peran baik 63%. Family Centered  Care (FCC) dalam keperawatan anak  kritis mengedepankan kemitraan antara orang tua dan petugas kesehatan,  dimana peran orang tua dapat dinegosiasikan dalam pengimplementasian FCC sesuai dengan kondisi klinis anak dan karakteristik orang tua. Perawat diharapkan dapat meningkatkan keterampilan saat tindakan resusitasi sehingga pengimplementasian FCC pada elemen negosiasi peran dapat terlaksana dengan baik.
Controlling the risk of covid-19 transmission among hospital healthcare workers in Bima Ilmidin, Ilmidin; Sarasnita, Nina
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (689.178 KB) | DOI: 10.30604/jika.v7iS2.1563

Abstract

COVID-19 has deeply disturbed the world with the confirmation of 318.6 million positive cases worldwide. There have been 14.1 thousand deaths and 4.2 million confirmed positives in Indonesia; the most common cluster of death cases is healthcare workers (HCw), totaling 2066 cases. This type of research is qualitative research with an exploratory descriptive design. The number of participants in this study is 12 people. The findings of this study revealed that there was excessive transmission in HCw, and one of the hospitals was temporarily closed because more than 20 HCw tested positive for COVID-19. In the psychology sub-category, there is still a level of stress felt by HCW dealing with COVID-19, and there is still a lack of special attention given to the anxiety and stress levels of these patients by hospitals. In the preventive care sub-category, the problem is that some hospitals still do not have OSH experts, so the risk assessment process and occupational health services are not carried out. As for the sub-category of medical device availability, further studies are still needed regarding the health system, especially in the availability of health devices in dealing with pandemics and other health-related disasters. Abstrak: Covid-19 sudah sangat meresahkan dunia dengan konfirmasi kasus 318,6 juta orang positif diseruh dunia. Di Indonesia terdapat 14,1 ribu meninggal dan 4,2 juta terkonfirmasi positif, kasus meninggal yang mendominasi adalah klaster tenaga kesehatan dengan jumlah 2066. Jenis penelitian ini adalah penelitian kualitatif dengan rancangan deskriptif eksploratif, jumlah narasumber dalam penelitian ini adalah 12 orang. Hasil penelitian ini menemukan adanya penularan berlebihan pada tenaga kesehatan, bahkan ada salah satu rumah sakit yang tutup sementara karena lebih dari 20 tenaga kesehatan terkonfirmasi positif covid-19. Pada sub kategori psikologi masih terdapat tingkat stress yang dirasakan oleh tenaga kesehatan yang menangani covid-19 dan masih kurangnya perhatian khusus pada kecemasan dan tingkat stress tenaga kesehatan oleh rumah sakit. Pada sub kategori preventif, masalahnya ada pada beberapa rumah sakit yang masih belum memiliki tenaga ahli K3, sehingga proses penilaian risiko dan serveilans kesehatan kerja tidak dijalankan. Sedangkan untuk sub kategori ketersediaan peralatan medis masih perlu kajian lebih lanjut dalam hal sistem kesehatan, terutama dalam ketersediaan perlatan kesehatan dalam menangani pandemi dan bencana lain terkait kesehatan.
Analysis of Factors Related to Family Alertness in Handling the COVID-19 Pandemic Effects at the “Kampung Tangguh” of Blitar City Wahyu Nur Indahsah; 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 (671.791 KB) | DOI: 10.30604/jika.v7i3.940

Abstract

The COVID-19 pandemic is a non-natural disaster impacting various life sectors, including the economy, social, health, and education sectors. The family has a critical role in the alertness phase in the pandemic disaster management in society. The alertness realization to handle COVID-19 pandemic impacts is creating tough village to actualize public participation and empowerment, particularly all family members at the village level, followed by alertness development to self-maintain health. The study was performed at Blitar City, involving householder (KK) in the tough village environment. The study involved seven villages in the tough village areas of Sananwetan District, i.e., Sananwetan, Bendogerit, Gedog, Karang Tengah, Plosokerep, Rembang, and Klampok Villages. The Sananwetan District was selected since it has the highest COVID-19 transmission case at Blitar City. The study aimed to condition factors related to family alertness in handling COVID-19 pandemic effects in tough village of Blitar City. The study used the cross-sectional survey design with 110 KK as respondents, utilizing the stratified random sampling method. Data analysis used was logistic regression to discover the most dominant factor affecting family alertness in handling COVID-19 pandemic effects. Data analysis results show that the social capital factor had the most dominant relationship with family alertness, with the highest beta value of 5.917. Based on this result, it can be concluded that social capital is the most dominant factor related to family alertness in encountering COVID-19 pandemic effects in tough village of Blitar City. Abstrak: Pandemi COVID-19 merupakan bencana non alam yang berdampak pada berbagai sektor kehidupan, baik sektor perekonomian, sosial, kesehatan dan pendidikan. Keluarga memiliki peran penting dalam fase kesiapsiagaan dalam menejemen bencana akibat pandemi dalam lingkungan masyarakat. Wujud upaya kesiapsiagaan menghadapi dampak pandemi COVID-19 adalah dibentuknya kampung tangguh untuk mewujudkan peran serta dan pemberdayaan masyarakat, khususnya semua anggota keluarga di tingkat desa, disertai pengembangan kesiapsiagaan untuk memelihara kesehatan secara mandiri. Penelitian ini dilakukan di Kota Blitar dan melibatkan kepala keluarga (KK) di lingkungan kampung tangguh. Pada penelitian ini akan melibatkan 7 kelurahan yang ada pada wilayah kampung tangguh Kecamatan Sananwetan, yaitu Kelurahan Sananwetan, Bendogerit, Gedog, Karang Tengah, Plosokerep, Rembang, dan Klampok. Kampung tangguh Kecamatan Sananwetan dipilih karena merupakan wilayah yang memiliki kasus penyebaran COVID-19 paling tinggi di Kota Blitar. Tujuan dalam penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kesiapsiagaan keluarga dalam menghadapi dampak pandemi COVID-19 di kampung tangguh Kota Blitar. Jenis penelitian ini menggunakan desain survey cross sectional dengan jumlah responden sebanyak 110 KK dengan tehnik pengambilan sampling menggunakan stratified random sampling. Analisa data yang digunakan adalah Regresi Logistik untuk mengetahui faktor yang paling dominan berhubungan dengan kesiapsiagaan keluarga menghadapi dampak pandemi COVID-19. Hasil analisa data menunjukkan faktor modal sosial paling dominan hubungannya dengan kesiapsiagaan keluarga dengan nilai beta paling besar yaitu 5.917. Berdasarkan hasil analisa tersebut dapat ditarik kesimpulan bahwa modal sosial merupakan faktor yang paling berhubungan dengan kesiapsiagaan keluarga dalam menghadapi dampak pandemi COVID-19 di Kampung Tangguh Kota Blitar.
The Effectiveness of the 'Create' Trigger Model to Improve Open Defecation Free Behavior Heru Subaris Kasjono; Khambali Khambali; Krisdiyanta Krisdiyanta; Agus Kharmayana Rubaya; Prayudhy Yushananta
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 (632.933 KB) | DOI: 10.30604/jika.v7i3.961

Abstract

Although strongly associated with child mortality, many households still do not have safe sanitation facilities. Community-Based Total Sanitation (CLTS) promotes the construction of latrines to eradicate open defecation. However, several factors have been reported to hinder the process of effective behavior change and sustainability. This study analyzes the effectiveness of the CREATE model in improving ODF behavior compared to the classical. The trial was conducted in three villages in three districts. Sixty households were involved from each village (N=180), divided into the CREATE group and the classical model as a control. Data were analyzed with a Chi-square test followed by Crude OR. The results showed that most CREATE groups' education was a maximum of elementary school graduates (48.9%) and worked as own-account workers (56.7%). The classical group dominantly graduated from junior high school (52.2%), and 31.1% did not work. Overall (N=180), the application of the CREATE model showed a significant effect on changes in ODF behavior (p-value less than 0.01), with a probability 4.7 (2.5 - 8.9) times greater. Research has proven that the CREATE model can change ODF behavior better than the classical model. Investigation of the psychosocial determinants of CLTS in both models was suggested in a longitudinal design. Abstrak: Meskipun sangat terkait dengan kematian anak, banyak rumah tangga yang masih belum memiliki fasilitas sanitasi yang aman. Sanitasi Total Berbasis Masyarakat (CLTS) mempromosikan pembangunan jamban untuk memberantas buang air besar sembarangan (ODF). Namun, beberapa faktor telah dilaporkan menghambat proses perubahan perilaku yang efektif dan keberlanjutannya. Penelitian ini menganalisa efektivitas model CREATE untuk meningkatkan perilaku ODF dibandingkan dengan model klasik. Uji coba dilakukan di tiga desa dari tiga kecamatan. Enam puluh rumah tangga yang terlibat dari setiap desa (N=180), dibagi menjadi kelompok CREATE dan model klasik sebagai kontrol. Data dianalisis dengan uji Chi-square dilanjutkan dengan Crude OR. Hasil penelitian menunjukkan bahwa sebagian besar pendidikan kelompok CREATE maksimal lulusan SD (48,9%) dan bekerja sebagai wiraswasta (56,7%). Kelompok klasik dominan tamat SMP (52,2%), dan 31,1% ditemukan tidak bekerja. Secara keseluruhan (N=180), penerapan model CREATE menunjukkan pengaruh yang signifikan terhadap perubahan perilaku ODF (p-value kurang dari 0,01), dengan probabilitas 4,7 (2,5 - 8,9) kali lebih besar. Penelitian telah membuktikan bahwa model CREATE dapat mengubah perilaku ODF lebih baik daripada model klasik. Investigasi determinan psikososial CLTS pada kedua model disarankan dalam desain longitudinal.
Accuracy of ESI triage, qSOFA Score And Their Combinations As Predictor of Sepsis Prognosis Nikma Alfi Rosida; Teguh Wahdju Sardjono; Laily Yuliatun
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 (761.023 KB) | DOI: 10.30604/jika.v7i3.1041

Abstract

This study is to identify the combination of ESI, qSOFA and their combination as a predictor of sepsis prognosis. The research method was a retrospective study design. Out of a total of 2394 MRs of patients during that period, there were only 112 MRs met the inclusion criteria and then included in this study, consisting of 42 survival and 70 un-survival outcomes respectively. Among the un-survival group, there were 41 (58,6%) have ESI 1-2, and 29 (41.4%) ESI 3-5; also 21 (30%) qSOFA more than 2, and 49 (70%) qSOFA less than 2. The sensitivity of ESI to predict the unsurvive outcome was 71.4% and its specificity was 28.6%. Meanwhile, the sensitivity of qSOFA to predict the unsurvive outcome was 30% and its specificity was 85.7%. The use of a combination of both to predict the prognosis was not significantly increased (p more than 0.05). The sensitivity of the combination of ESI and qSOFA to predict the unsurvive outcome was 61.9% and its specificity was 52.9%. So, a low ESI-score seemed to be more relevant to predicting the risk of unsurvival outcome than a high qSOFA, but a low qSOFA is more relevant to predicting the risk of survival outcome than a high ESI-score. The combination of both does not significantly increase the accuracy of the prognosis-predictor. Abstrak: Penelitian ini bertujuan untuk mengidentifikasi kombinasi ESI, qSOFA dan kombinasinya sebagai prediktor prognosis sepsis. Metode penelitian yang digunakan adalah desain penelitian retrospektif untuk membandingkan akurasi ESI dengan qSOFA. Data yang digunakan adalah seluruh rekam medis pasien di RS Sumberglagah Mojokerto, Jawa Timur, Indonesia. Kriteria inklusi adalah rekam medis pasien berusia lebih dari 18 tahun, data lengkap meliputi tekanan darah, HR, RR, SaO2 dan kadar ESI pasien. Dari total 2394 MR pasien selama periode tersebut, hanya 112 MR yang memenuhi kriteria inklusi dan kemudian dimasukkan dalam penelitian ini, terdiri dari 42 hasil survival dan 70 unsurvival. Diantara kelompok unsurvival, ada 41 (58,6%) memiliki ESI 1-2, dan 29 (41,4%) ESI 3-5; juga 21 (30%) qSOFA 2, dan 49 (70%) qSOFA kurang dari 2. Sensitivitas ESI adalah 71,4% dan spesifisitasnya adalah 28,6% untuk memprediksi unsurvive outcome, sedangkan sensitivitas qSOFA adalah 30% dan spesifisitasnya 85,7%. Kombinasi keduanya untuk memprediksi prognosis tidak meningkat secara signifikan (p lebih dari 0,05). Sensitivitas kombinasi ESI dan qSOFA adalah 61,9% dan spesifisitasnya adalah 52,9%. Skor ESI rendah tampaknya lebih relevan untuk memprediksi risiko hasil yang tidak bertahan hidup daripada skor qSOFA tinggi, tetapi skor qSOFA rendah lebih relevan untuk memprediksi risiko hasil kelangsungan hidup daripada skor ESI tinggi. Kombinasi keduanya tidak secara signifikan meningkatkan akurasi prediktor prognosis.
Family Support on Breastfeeding Self-Efficacy Among Pregnant Women Astuti, Yuni; Sustiwi, Hesti
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (739.192 KB) | DOI: 10.30604/jika.v7iS2.1442

Abstract

Breast milk has a complete content of nutrients that benefit the baby. The process of breastfeeding is impacted by the mother's self-efficacy. High maternal confidence in breastfeeding increases breastfeeding success. The self-efficacy of the mother can be influenced by family support. The mother's confidence in breastfeeding could increase with support with care and knowledge. The aim of this study is to evaluate the correlation between family support and self-efficacy in breastfeeding. The cross-sectional research design for descriptive studies. 91 pregnant women who were in their third trimester and had no pregnancy complications made up the sample. A family support survey and the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) instrument were both used as research instruments. Using Spearman's rho correlation, analyze the data. According to this study, 71 persons (78%) fall into the "good" category for family support, and 82 (89%) fall into the "high" category for breastfeeding self-efficacy. The analysis's findings showed a relationship between pregnant women's breastfeeding self-efficacy and family support, with a p-value of 0.0001 (p less than 0.05) and with a correlation coefficient of r=0.549. Good family support increases the likelihood that a woman will successfully breastfeed. Family involvement in the practice may increase the mother's confidence in breastfeeding. Abstrak: ASI memiliki kandungan zat gizi lengkap yang bermanfaat bagi bayi. Self-efficacy ibu berpengaruh terhadap proses memnyusui. Kepercayaan ibu yang tinggi terhadap proses menyusui meningkatkan keberhasilan pemberian ASI. Self-efficacy ibu dapat dipengaruhi oleh dukungan keluarga. Dukungan lingkungan sekeitar mampu menambah kepercayaan diri ibu dalam proses pemberian ASI. Studi ini untuk mengetahui dukungan keluarga terhadap breastfeeding self efficacy ibu hamil. Desain penelitian menggunakan pendekatan cross-sectional. Responden penelitian sebanyak 91 yang berada pada trimester ketiga dan tidak memiliki komplikasi kehamilan. Kuesioner yang digunakan dalam penelitian ini BSE-SF untuk mengukur self-efficacy sedangkan dukungan keluarga menggunakan kuesioner dukungan keluarga yang dikembangkan peneliti, Uji analisis menggunakan Spearman’s rho. Hasil studi menunjukkan sebagian besar ibu hamil memiliki dukungan keluarga yang baik (78%), dan self-efficacy yang tinggi (89%). Uji korelasi menunjukkan bahwa dukungan keluarga berhubungan dengan breastfeeding self-efficacy (p value = 0,0001). Ibu hamil dengan dukungan keluarga yang baik maka memiliki breastfeeding self efficacy yang tinggi. Keterlibatan keluarga dalam proses menyusui dapat meningkatkan kepercayaan diri ibu untuk menyusui.
The Factors Affecting Stunting on Toddlers in Coastal Areas Dwining Handayani; Erik Kusuma; Helda Puspitasari; Ayu Dewi Nastiti
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 (719.065 KB) | DOI: 10.30604/jika.v7i3.967

Abstract

Stunting is a physical growth disorder characterized by a decrease in the speed of growth that occurs due to a lack of nutritional intake in children in the first 1000 days of life. The prevalence of stunting in Pasuruan Regency is high, at 22.5%. The area with the highest prevalence of stunting is the coastal area. This study aims to determine the factors that cause stunting in children under five in the coastal area of Pasuruan. The results showed that from the 17 variables analyzed, 6 factors have formed that influence the incidence of stunting in coastal areas, including high parental education factors, history of infectious diseases, economy, breastfeeding, family structure and nutrition of pregnant women. The results showed that from the 17 variables analyzed, 6 factors have formed that influence the incidence of stunting in coastal areas, including high parental education factors, history of infectious diseases, economy, breastfeeding, family structure and nutrition of pregnant women. The results showed that from the 17 variables analyzed, 6 factors have formed that influence the incidence of stunting in coastal areas, including high parental education factors, history of infectious diseases, economy, breastfeeding, family structure and nutrition of pregnant women. An integrated and multi-sectoral program is needed to increase family income, family knowledge related to balanced nutrition and the growth and development of toddlers to reduce the incidence of stunting. Abstrak: Stunting merupakan gangguan pertumbuhan fisik yang ditandai dengan penurunan kecepatan pertumbuhan yang terjadi karena kurangnya asupan gizi pada anak dalam 1000 hari pertama kehidupan. Prevalensi stunting di Kabupaten Pasuruan tergolong tinggi, yaitu 22,5%. Wilayah dengan prevalensi stunting tertinggi adalah wilayah pesisir. Tujuan penelitian ini adalah mengetahui faktor-faktor penyebab stunting pada balita di daerah pesisir Kabupaten Pasuruan. Jenis penelitian ini adalah studi analitik observasional dengan desain case control. Sampel dalam penelitian ini adalah balita stunting berusia 24 - 60 bulan sebanyak 51 orang yang dipilih dengan teknik quota sampling. Penelitian dilaksanakan pada bulan Mei-Agustus 2021. Instrumen yang digunakan adalah kuesioner dan observasi. Analisis data menggunakan uji KMO dan Bartlett's Test. Hasil penelitian menunjukkan dari 17 variabel yang dianalisis terbentuk 6 faktor yang mempengaruhi kejadian stunting di wilayah pesisir antara lain tinggi faktor pendidikan orang tua, riwayat penyakit infeksi, ekonomi, pemberian ASI, struktur keluarga dan nutrisi ibu hamil. Perlu program yang terintegrasi dan multisektoral untuk meningkatkan pendapatan keluarga, pengetahuan keluarga terkait gizi seimbang dan tumbuh kembang balita untuk mengurangi kejadian stunting.

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