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Hamid Mukhlis
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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 1,304 Documents
Correlation between Milk Chocolate Consumption Habit and Chronotype with Gingivitis in Children with Mixed Tooth Period Fahmi, Muhammad Izzul Widad; Cilmiaty, Risya; Nurwati, Ida
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (637.387 KB) | DOI: 10.30604/jika.v8i2.1759

Abstract

Children in the mixed dentition period are prone to oral health problems. This can be caused by the frequent consumption of milk chocolate and the child's chronotype being the night type. This study aims to determine the relationship between milk chocolate consumption habits and chronotype with gingivitis in children with mixed dentition. The study used a survey method with a cross-sectional approach. The population of this study were Madrasah Ibtidaiyah (MI) students in the Situbondo district aged 6-12 years with 100 students from 9 MI subjects. Determination of schools using multistage random sampling and selecting subjects using proportional random sampling. The questionnaires used were the Children Chronotype and Semi-Quantitative Food Frequency Questionnaire. Gingival index examination is performed by a dentist. Data analysis used the Pearson statistical test at a significant level a= 0.05. The results showed that 49% of children had a moderate gingival index and 5.8% had a severe gingival index. As many as 23% of children often consume milk chocolate and 13% of children are included in the evening chronotype category. Statistical test results showed a positive correlation between milk chocolate consumption habits and gingivitis (p-value 0.021) and a positive relationship between chronotype and gingivitis (p-value 0.015). In conclusion, there is a correlation between milk chocolate consumption habits and gingivitis and there is a relationship between chronotype and gingivitis in mixed dentition children. Abstrak: Anak yang memasuki periode gigi bercampur rentan mengalami masalah kesehatan rongga mulut. Hal ini dapat disebabkan karena seringnya konsumsi cokelat susu dan beralihnya kronotipe anak menjadi tipe malam. Penelitian ini bertujuan untuk mengetahui keterkaitan antara kebiasaan konsumsi cokelat susu dan kronotipe dengan gingivitis pada anak periode gigi bercampur. Penelitian menggunakan metode survei dengan pendekatan cross sectional. Populasi penelitian ini adalah siswa Madrasah Ibtidaiyah (MI) di kabupaten Situbondo yang berusia 6-12 tahun dengan subjek sebanyak 100 siswa dari 9 MI. Penentuan sekolah menggunakan multistage random sampling dan pemilihan subjek menggunakan proportional random sampling. Kuesioner yang digunakan adalah Children Chronotype Questionare dan Semi Quantitative Food Frequency Questionare. Pemeriksaan indeks gingiva dilakukan oleh dokter gigi. Analisis data menggunakan uji statistik Pearson pada taraf signifikan a= 0,05. Hasil penelitian menunjukan bahwa 49% anak memiliki indeks gingiva sedang dan 5,8% parah. Sebanyak 23% anak sering mengkonsumsi cokelat susu dan sebanyak 13% anak termasuk kategori kronotipe malam. Hasil uji statistik menunjukkan bahwa ada korelasi positif antara kebiasaan konsumsi cokelat susu dengan gingivitis (p-value 0,021) dan ada hubungan positif kronotipe dengan gingivitis (p-value 0,015). Kesimpulannya terdapat korelasi antara kebiasaan konsumsi cokelat susu dengan gingivitis dan ada hubungan antara kronotipe dengan gingivitis pada anak periode gigi bercampur.
Predictors of Stress Level Toward COVID-19 Delta Variant Among Healthcare Workers Asri Noor; Ermi Girsang; Ali Napiah Nasution; Tan Suyono; Putranto Manalu
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (642.336 KB) | DOI: 10.30604/jika.v8i2.1792

Abstract

New variants have increased the number of COVID-19 patient cases again and impacted the mental health conditions of health workers on duty at the hospital. This study aims to analyze the relationship between risk factors such as age, gender, resilience, and self-efficacy with the level of stress experienced by health workers. This study used a cross-sectional design and was conducted in December 2021 involving 113 health workers of Royal Prima Medan Hospital. The Spearman Rank test was used to analyze the relationship between the predictors and the stress level of health workers (p= 0.05). The analysis showed that the majority of health workers experienced mild stress (67.30%). Rank Spearman test results showed that age (p=0.049; r=0.185), gender (p=0.016; r=0.227), resilience (p=0.000; r= -0.557), and self-efficacy (p=0.000; r=0.343) were significantly associated with the level of stress experienced by health workers. Management needs to pay attention to workload, a safe work environment, and provide training so that health workers can manage and minimize the risk of work stress while providing health services to COVID-19 patients.Abstrak: Kemunculan varian baru enyebabkan peningkatan kembali jumlah kasus pasien COVID-19 dan berdampak pada kondisi mental petugas kesehatan yang bertugas pada rumah sakit. Studi ini bertujuan untuk menganalisis hubungan faktor risiko seperti umur, jenis kelamin, resiliensi, dan self efficacy dengan tingkat stres yang dialami petugas. Studi ini menggunakan desain cross-sectional dan dilaksanakan pada bulan Desember 2021 dengan melibatkan sebanyak 113 tenaga kesehatan Rumah Sakit Royal Prima Medan. Uji Rank Spearman digunakan untuk menganalisis hubungan antara pediktor dengan tingkat stres tenaga kesehatan (p= 0,05). Dari hasil analisis menunjukkan mayoritas tenaga kesehatan mengalami stres ringan (67,30%). Hasil uji Rank Spearman menunjukkan bahwa usia (p=0,049; r=0,185), jenis kelamin (p=0,016; r=0,227), resiliensi (p=0,000; r= -0,557), dan self efficacy (p=0,000; r=0,343) berhubungan signifikan dengan tingkat stres yang dialami tenaga kesehatan. Pihak manajemen perlu memerhatikan beban kerja, lingkungan kerja yang aman, dan memberikan pelatihan agar petugas kesehatan mampu mengelola dan meminimalisir resiko stres kerja selama memberikan pelayanan kesehatan pada pasien COVID-19.
Determinants of Violence Against Children in Indonesia: A Literature Review Dwi Octa Amalia
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (724.936 KB) | DOI: 10.30604/jika.v8i2.1951

Abstract

 Violence against children is a public health issue that has implications on a child's health and well-being throughout their lifetime. To prevent violence, it is important to understand the factors associated with violence against children. This literature review aims to determine these factors in Indonesia. A total of 1,025 articles published between 2018-2022 were screened from Garuda, Google Scholar, and DOAJ databases. After applying specific criteria and objectives, 16 articles were selected for this review. This review highlights that there are individual, interpersonal, community, and institutional factors that contribute to violence against children. The individual factors that contribute to violence against children include children's knowledge and attitudes, while interpersonal factors such as parental characteristics and the quality of parent-child relationships. Parental characteristics including education, occupation, socio-economic status, and knowledge, as well as the parent-child relationship in terms of parenting and family environment. Community factor is described through the influence of social media. Institutional factors in schools include the traditional bullying practices, the lack of standard operating procedures, and the social environment. It is essential to consider these factors when developing strategies to prevent violence against children in Indonesia. Abstrak: Kekerasan terhadap anak merupakan masalah kesehatan masyarakat yang memiliki dampak kesehatan pada kesehatan dan kesejahteraan anak di sepanjang hidupnya. Pemahaman mengenai determinan kekerasan anak diperlukan agar dapat dilakukan berbagai upaya pencegahan terjadinya kekerasan pada anak. Literature review ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kekerasan terhadap anak di Indonesia. Penelusuran artikel melalui database Garuda, Google Scholar, dan DOAJ. Dari 1.025 artikel yang terbit pada tahun 2018-2022, 16 artikel dipilih berdasarkan kriteria dan tujuan kajian. Determinan kekerasan terhadap anak terdiri dari faktor individu, interpersonal, komunitas, dan kelembagaan. Faktor individu meliputi pengetahuan dan sikap anak. Faktor interpersonal meliputi karakteristik orang tua, hubungan anak dengan orang tua dan teman sebaya. Karakteristik orang tua mencakup pendidikan, pekerjaan, status sosio-ekonomi, dan pengetahuan orang tua, serta hubungan anak dan orang tua melalui pola asuh dan lingkungan keluarga. Faktor komunitas digambarkan melalui pengaruh media sosial. Faktor kelembagaan meliputi tradisi bullying, ketidaktersediaan standar operasional prosedur, dan lingkungan sosial di sekolah. Faktor-faktor tersebut perlu dipertimbangkan dalam pengembangan strategi pencegahan kekerasan terhadap anak di Indonesia. 
Service culture assessment focusing on the use value of medical records and health information in hajj general hospital Makassar city Indonesia Muhammad Thabran Talib
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (653.433 KB) | DOI: 10.30604/jika.v8i2.1875

Abstract

Health workers as one of the main components in providing health services to the community have a very important role because they are directly related to the quality of service. The purpose of this study was to determine the results of a service culture assessment that focuses on the use value of Medical Records and Health Information. The method used in this study was quantitative analysis, this study used a cross-sectional approach, from January to March 2022, with the inclusion criteria being Professional Caring Providers, a sample of 132 respondents consisting of 42 doctors and 90 nurses. The results of the study show that 84.54% of the caregivers have successfully implemented a culture of service. In the discussion, the new Professional Caring Provider implements a service culture that focuses on the use value of patient medical records, namely the lowest value is 15 and is not optimal. The non-optimal patient-focused service culture may be due to the fact that professional care givers have not received training, patients have waited a long time for service delivery, professional collaboration has not existed and the need to improve communication. Skills. A patient-focused service culture can work well if Caregiving Professionals are able to build trust from their patients with effective communication, empathy, and caring. Suggestion, it is necessary to increase socialization related to the implementation of instilling value for medical records to all parties involved in the patient information service process. Abstrak: Tenaga Kesehatan sebagai salah satu komponen utama dalam memberikan pelayanan kesehatan kepada masyarakat memiliki peran yang sangat penting karena berhubungan langsung dengan mutu pelayanan. Tujuan penelitian ini untuk mengetahui hasil penilaian budaya pelayanan yang menitikberatkan pada nilai guna Rekam Medis dan Informasi Kesehatan. Metode yang digunakan dalam penelitian ini adalah dengan analisis kuantitatif, penelitian ini menggunakan pendekatan cross-sectional, dari bulan Januari sampai Maret 2022, dengan kriteria inklusi adalah Professional Caring Provider, sampel sebanyak 132 responden yang terdiri dari 42 dokter dan 90 perawat. Hasil penelitian menunjukkan bahwa budaya pelayanan telah berhasil dilaksanakan oleh 84,54% Tenaga Pengasuh. Dalam pembahasannya, Professional Caring Provider yang baru menerapkan budaya pelayanan yang menitikberatkan pada nilai guna rekam medis pasien yaitu nilai terendah adalah 15 dan belum optimal. Budaya layanan yang berfokus pada pasien yang tidak optimal mungkin disebabkan oleh fakta bahwa pemberi perawatan profesional belum mendapatkan pelatihan, pasien telah menunggu lama untuk pemberian layanan, kolaborasi profesional belum terjalin dan kebutuhan untuk meningkatkan komunikasi keterampilan. Budaya pelayanan yang berfokus pada pasien dapat bekerja dengan baik jika Caregiving Professionals mampu membangun kepercayaan dari pasiennya dengan komunikasi, empati, dan kepedulian yang efektif. Saran, Perlu peningkatan sosialisasi terkait pelaksanaan penanaman nilai guna rekam medis kepada semua pihak yang terlibat dalam proses pelayanan informasi pasien.
Intervention Reduce anxiety in CHF patients (Congestive Heart Failure): Systematic Literature Review Aurellia Firstania; Azizah Khoiriyati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (682.569 KB) | DOI: 10.30604/jika.v8i2.1786

Abstract

Background: Psychological problems in CHF patients result from a combination of behavioural influences and interaction with physiologic responses that, if not managed appropriately clinical symptoms may worsen and the risk of hospitalization may increase. People with congestive heart failure (CHF) often experience physical pain and anxiety. Anxiety is associated with an increased risk of death in people with CHF. Objective: This study aims to determine interventions that can be used to reduce patient anxiety. This review was carried out because previously no one had reviewed interventions to reduce stress in CHF patients.  Method: Use systematic literature retrieval methods by tracking library resources through journal databases the Pubmed, ProQuest, Science Direct, Scopus and Google Scholar in 2013-2022. Inclusion criteria in this review are: English journals, journals and journals researching CHF patients who experience anxiety; the research design is a quasi-experimental, randomized controlled trial, actual experimental and intervention study. Result: Based on the study, obtained seven journals for review and several interventions could reduce anxiety in patients with CHF, namely back massage intervention, schema therapy, tai chi cardiac rehabilitation program, breathing training, walking with controlled breathing, back massage therapy, and cognitive behavioural therapy. Conclusion: This review concludes that all interventions are significant for anxiety in CHF Patients. Abstrak: Latar Belakang: Masalah psikologis pada pasien CHF merupakan akibat kombinasi dari pengaruh perilaku dan interaksi dengan respon fisiologis, yang jika tidak ditangani dengan baik akan berkontribusi pada perburukan gejala klinis dan memiliki risiko rawat inap yang lebih tinggi. Pasien yang menderita gagal jantung kongestif (CHF) sering merasakan penderitaan fisik dan kecemasan. Kecemasan dikaitkan dengan peningkatan risiko kematian pada pasien dengan CHF. Tujuan: Penelitian ini bertujuan untuk mengetahui intervensi yang dapat digunakan untuk mengurangi kecemasan pada pasien. Review ini dilakukan karena sebelumnya belum ada yang melakukan review tentang intervensi untuk menurunkan kecemasan pada pasien CHF. Metode: Pencarian literatur yang sistematis digunakan sebagai metode dengan penelusuran sumber pustaka melalui databased jurnal Pubmed, ProQuest, Science Direct, Scopus dan Google Scholar tahun 2013-2022. Kriteria inklusi dalam review ini adalah jurnal berbahasa Inggris, jurnal dan jurnal yang meneliti pasien CHF yang mengalami kecemasan, desain penelitian yaitu quasi eksperimental, randomized controlled trial, true experimental dan intervention study. Hasil: Berdasarkan telaah didapatkan 7 jurnal untuk di review dan beberapa intervensi yang dapat mengurangi kecemasan pada pasien dengan CHF yaitu back massage intervention, schema therapy, tai chi cardiac rehabilitation program, breathing training, walking with controlled breathing, back massage therapy, cognitive behavioral therapy. Kesimpulan: Kesimpulan dari tinjauan ini adalah bahwa semua intervensi untuk kecemasan pada pasien CHF bermakna.
The correlations of interpersonal communication pharmacists with compliance medication in patientof diabetes mellitus type 2 Meylinda Widyasari; Rina Herowati; Samuel Budi H
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (629.408 KB) | DOI: 10.30604/jika.v8i2.1995

Abstract

Drug compliance is often associated with interpersonal relationships. Good interpersonal relationships depend on how interpersonal communication is established. This study aims to identify the relationship between interpersonal communication of pharmacists and drug compliance of Type 2 Diabetes Mellitus (DM) outpatients and identify the most dominant interpersonal and communication factors influencing drug compliance and its external factors. The samples of this study were patients who met the inclusion criteria. Data were obtained from questionnaires, observations, and medical records. The data were tested for validity and reliability using univariate analysis, bivariate analysis using chi-square, and multivariate analysis using multiple logistic regression. The results of the study showed characteristics that affect drug compliance are DM drugs used and the number of drugs received. The results of bivariate analysis p-value less than 0.05 mean there was a relationship between the interpersonal communication of pharmacists (openness, empathy, supportive behavior, positive behavior, and equality) and drug compliance of Type 2 DM outpatients at RSUD Jaraga Sasameh. The most dominant interpersonal communication factor was positive behavior with an exp (B) value of 16.013. External factors affecting were supporting facilities, and time. Abstrak: Kepatuhan minum obat seringkali dikaitkan dengan hubungan interpersonal. Hubungan  interpersonal yang baik tergantung bagaimana sebuah komunikasi interpersonal dibangun. Penelitian ini bertujuan untuk mengetahui hubungan komunikasi interpersonal apoteker dengan kepatuhan minum obat pasien DM Tipe 2 rawat jalan, mengetahui faktor komunikasi interpersonal paling dominan dan faktor eksternal yang mempengaruhi kepatuhan minum obat. Sampel adalah pasien yang memenuhi kriteria inklusi. Data diperoleh dari pengisian kuesioner oleh pasien, observasi dan rekam medik. Kuesioner sebelum digunakan untuk pengambilan data di uji validitas dan reliabilitas. Data yang diperoleh dari kuesioner kemudian dianalisis univariat, bivariat menggunakan chi square dan  multivariat menggunakan regresi logistik berganda. Hasil penelitian menujukkan karakteristik yang mempengaruhi kepatuhan minum obat yaitu obat DM yang digunakan dan jumlah item obat yang diterima. Hasil menganalisis bivariat angka p kurang dari 0,05 maknanya ada relasi diantara komunikasi interpersonal apoteker (keterbukaan, empati, tingkah laku suportif, tingkah laku positif serta kesetaraan) dengan ketaatan minum obat pasien DM Tipe 2 rawat jalan pada RSUD Jaraga Sasameh. Hasil analisis multivariat faktor komunikasi interpersonal paling dominan adalah perilaku positif dengan nilai exp (B) sebesar 16,013. Faktor eksternal yang mempengaruhi adalah sarana penunjang, dan waktu.
Economic, Social, and Cultural Contexts of Early Marriage in Bengkulu Province Danur Azissah Roesliana Sojais; Jipri Suyanto; Handi Rustandi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (640.449 KB) | DOI: 10.30604/jika.v8i2.2047

Abstract

Background: Bengkulu Province is one of the provinces with the highest proportion of early marriages in Indonesia, and it is known that women are vulnerable to domestic violence, pregnancy complications, death during childbirth, and psychological risks, which can have a negative impact on the mother and fetus, both during pregnancy and the child's old age.Objective: This study aims to investigate the determinants associated with early marriage in Bengkulu Province. Method: This study used a cross-sectional study using an online questionnaire as the research tool. The target respondents in this study were mothers who married in Bengkulu Province. The data obtained were analyzed using regression techniques (bivariate and multivariate) to see the indicators associated with early marriage. Results: Factors significantly associated with early marriage were the father's education (AOR: 6.47; 95%CI: 4.67-9.003; P: 0.001), living conditions (AOR: 2.84; 95%CI: 1.75-4.6; P: 0.001), family support (AOR: 2.67; 95%CI: 1.65-4.33; p-value: 0.000), and community perspective (AOR: 2.28; 95%CI: 1.4-3.71; p-value: 0.001). Conclusion: Culture born from a community perspective, family support accompanied by living conditions influenced by the economy, and a father's education greatly affect the incidence of early marriage itself. A program that can raise public awareness of the negative impact of early marriage is needed.
Media booklet improve the attitude and practice of breast self-examination as early detection of breast cancer in female students Sumiyati Sumiyati; Anita Widiastuti; Puji Hastuti; Septerina Purwandani Winarso; Hesti Kurniasih
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (615.714 KB) | DOI: 10.30604/jika.v8i2.1942

Abstract

Breast cancer is one of the main causes of death in women in Indonesia. Early detection is very important to reduce mortality from breast cancer. Early detection as an effort to prevent cancer is important. How to prevent cancer by providing education in the treatment of cancer from an early age. Breast Self Examination (Sadari) is an early detection of breast cancer. Early detection of breast cancer needs to be done from a young age. Utilization of breast self-examination media as an important resource to increase public awareness. Lack of knowledge and practice regarding breast self-examination in female students is a problem. Utilization of breast self-examination media as an important resource to increase public awareness. This study aims to determine the effect of booklets on improving the attitude and practice of breast self-examination in female students. The design of this study used a quasi-experimental with a randomized pre-test and post-test control group design. The population of this study was 292 Level I Campus VII students and a sample of 72 respondents used cluster sampling of female students in 3 groups (without media, leaflets and booklets). Data were collected using a questionnaire instrument and observation of breast self-examination practices, with a paired test to determine differences in media use. There were significant differences regarding the knowledge, attitudes and practices of breast self-examination between before and after the booklet media intervention.There is a differencesignificant mean on attitudes and practices towards BSE by giving booklets. It is recommended to use booklet media to improve breast self-examination skills in adolescents. Abstrak: Deteksi dini sangat penting menurunkan angka kematian akibat kanker payudara. Deteksi dini sebagai upaya pencegahan kanker merupakan hal yang penting. Cara pencegahan kanker dengan cara memberikan edukasi dalam penanganan kanker sejak dini. Salah satu deteksi dini kanker payudara dengan Pemeriksaan Payudara Sendiri (Sadari). Kegiatan deteksi dini kanker payudara perlu dilakukan sejak usia remaja. Pemanfaatan media pemeriksaan payudara sendiri sebagai sumber penting untuk meningkatkan kesadaran masyarakat. Kurangnya pengetahuan dan praktik tentang pemeriksaan payudara sendiri pada mahasiswi menjadi permasalahan. Pemanfaatan media pemeriksaan payudara sendiri sebagai sumber penting untuk meningkatkan kesadaran masyarakat. penelitian ini bertujuan untuk mengetahui pengaruh booklet terhadap peningkatan sikap dan dan praktik pemeriksaan payudara sendiri pada mahasiswi. Desain penelitian ini menggunakan quasi eksperiment dengan randomized pre-test and post test control group design. Populasi penelitian ini 292 mahasisiwi Tingkat I Kampus VII dan sampel 72 responden menggunakan cluster sampling mahasisiwi dalam 3 kelompok (tanpa media, leaflet dan booklet).  Pengambilan data menggunakan instrumen kuesioner dan observasi praktik pemeriksaan payudara sendiri, dengan uji paired test untuk mengetahui perbedaan penggunaan media. Terdapat perbedaan yang bermakna tentang pengetahuan, sikap dan praktik pemeriksaan payudara sendiri antara sebelum dan sesudah dilakukan intervensi dengan media booklet. Ada perbedaan mean yang signifikan pada sikap maupun praktik terhadap BSE dengan pemberian booklet. Disarankan pemanfaatan media booklet untuk meningkatkan ketrampilan pemeriksaan payudara sendiri pada remaja.
Antihyperglycemic effect of patikan kebo in the rat models of diabetic Sherly Asri Widyaningrum; Brian Wasita; Adi Magna Patriadi Nuhriawangsa
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (652.006 KB) | DOI: 10.30604/jika.v8i2.1735

Abstract

Diabetes mellitus is a heterogeneous metabolic disorder characterized by increased blood sugar levels due to insulin disorders. Current treatment for diabetes mellitus focuses on controlling and lowering blood glucose. However, long-term treatment for diabetes mellitus can have side effects that cause several medical problems. Medical therapy using natural ingredients as an alternative therapy is currently being considered because of its potential and minimal side effects. Patikan kebo is a natural ingredient containing the flavonoid quercetin group. However, the antihyperglycemic effect of the patikan kebo leaves is not known with certainty. This study aimed to determine the effect of patikan kebo leaf extract (EDPK) on the levels of GDP, insulin, HOMA-IR, and HOMA-B in male rats with diabetes mellitus induced by streptozotocin (STZ) and nicotinamide (NA). The design of this study was a pre-and post-test control group design. 42 male Wistar rats were divided into 7 groups: K (normal mice), KN (DMT2 mice without intervention), KP (DMT2 mice intervened with acarbose 1.8 mg/kg BW/day), P1 (DMT2 mice intervened with EDPK dose 75 mg/kg BW/day), P2 (DMT2 mice intervened with EDPK dose 150 mg/kg BW/day), and P3 (DMT2 rats intervened with EDPK dose 300 mg/kg BW/day). The intervention was given for 7 and 15 days. The data were statistically analyzed using the Two Way ANOVA test. EDPK was proven to decrease GDP and HOMA-IR levels and increase insulin and HOMA-B in the male Wistar rat model of diabetes mellitus induced by STZ+NA. EDPK with a dose of 300 mg/kg BW/day proved to have the strongest antihyperglycemic effect. Abstrak: Diabetes melitus merupakan penyakit kelainan metabolisme heterogen yang ditandai dengan adanya peningkatan kadar gula darah akibat gangguan sekresi insulin. Pengobatan diabetes melitus saat ini berfokus pada pengendalian dan penurunan kadar glukosa darah. Akan tetapi lama terapi pengobatan pada diabetes melitus dapat memberikan efek samping yang menyebabkan beberapa masalah medis. Terapi pengobatan menggunakan bahan alami sebagai terapi alternatif saat ini lebih dipertimbangkan karena potensi serta minimalnya efek samping yang diberikan. Patikan kebo merupakan bahan alami dengan kandungan flavonoid golongan quercetin. Namun saat ini belum diketahui secara pasti efek antihiperglikemik dari daun patikan kebo tersebut. Penelitian ini bertujuan untuk mengetahui efek ekstrak daun patikan kebo (EDPK) terhadap kadar GDP, insulin, HOMA-IR, dan HOMA-B pada tikus jantan diabetes melitus yang diinduksi Streptozotocin (STZ) dan Nicotinamide (NA). Rancangan penelitian ini dengan pre and post test controlled group design. 42 ekor tikus jantan wistar dibagi menjadi 7 kelompok; K (tikus normal), KN (tikus DMT2 tanpa intervensi), KP (tikus DMT2 diintervensi dengan acarbose 1,8 mg/kgBB/hari), P1 (tikus DMT2 diintervensi EDPK dosis 75mg/kgBB/hari), P2 (tikus DMT2 diintervensi EDPK dosis 150mg/kgBB/hari), P3 (tikus DMT2 diintervensi EDPK dosis 300mg/kgBB/hari). Intervensi diberikan selama 7 dan 15 hari. Data dianalisis statistik menggunakan uji Two Way Annova. EDPK terbukti dapat menurunkan kadar GDP dan HOMA-IR, serta meningkatkan insulin dan HOMA-B pada tikus jantan wistar model diabetes melitus yang diinduksi STZ+NA . EDPK dengan dosis 300 mg/kg BB/hari intervensi terbukti memiliki efek antihipeglikemi paling kuat.
Influence of organizational behavior and SIMRS on ER employees performance in dr.H.Abdul Moeloek hospital Lampung Sri Indra Trigunarso; Isura Febrihartati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (761.248 KB) | DOI: 10.30604/jika.v8i2.1920

Abstract

Based on the results of the observations, the authors found that the performance of the emergency room employees at RSUD dr.H.Abdul Moeleok, Lampung Province, which was still not optimal, seen from the time that was not in accordance with the applicable SOPs so that it had an impact on the health services provided by employees. The phenomenon that occurs Organizational Behavior which is a forum for individuals, organizational structures and the environment that has not been running well is seen from individuals who have a central role who have not carried out their roles well, including in the use of available information technology as a support so that it has an impact on health services. In addition, the current Hospital Management Information System (SIMRS) is not yet comprehensive in accommodating the required transaction menu. This study aimed to determine the influence of organizational behavior and Hospital Management Information System on the performance of Emergency Department employees at dr. H. Abdul Moeloek Hospital, Lampung Province, either partially or simultaneously. The sample used was 81 employees. The method of data collection uses observation, documentation and questionnaire techniques. Data analysis used a quantitative approach with the help of SPSS statistical tools with the results of validity tests, reliability tests, regression tests and coefficients of determination tests. The results of partial hypothesis testing indicate that there is an influence of organizational behavior (X}) on performance (Y) with a contribution of 82.6%. The same thing applies to the Hospital Management Information System variable (X2) on performance (Y) with a contribution of 93.7%. The results of hypothesis testing the influence of organizational behavior (X}) and Hospital Management Information System (X2) on performance (Y) simultaneously show that they have an influence with a contribution of 94.2% while the remaining 5.8% is explained by factors -other factors not examined in this study.Abstrak: Berdasarkan hasil observasi, penulis menemukan bahwa kinerja pegawai IGD RSUD dr.H.Abdul Moeleok Provinsi Lampung masih belum optimal dilihat dari waktu yang belum sesuai dengan SOP yang berlaku. sehingga berdampak pada pelayanan kesehatan yang diberikan oleh pegawai. Fenomena yang terjadi Organizational Behavior yang merupakan wadah bagi individu, struktur organisasi dan lingkungan yang belum berjalan dengan baik terlihat dari individu yang memiliki peran sentral belum menjalankan perannya dengan baik, termasuk dalam pemanfaatan teknologi informasi yang tersedia sebagai dukungan sehingga berdampak pada pelayanan kesehatan. Selain itu, Sistem Informasi Manajemen Rumah Sakit (SIMRS) yang ada saat ini belum komprehensif dalam mengakomodir menu transaksi yang dibutuhkan. Tujuan penelitian ini adalah untuk mengetahui pengaruh perilaku organisasi dan Sistem Informasi Manajemen Rumah Sakit terhadap kinerja pegawai IGD RS dr.H.Abdul Moeloek Provinsi Lampung baik secara parsial maupun simultan. Sampel yang digunakan adalah 81 karyawan. Metode pengumpulan data menggunakan teknik observasi, dokumentasi dan angket. Analisis data menggunakan pendekatan kuantitatif dengan bantuan alat statistik SPSS dengan hasil uji validitas, uji reliabilitas, uji regresi dan uji koefisien determinasi. Hasil pengujian hipotesis secara parsial menunjukkan bahwa terdapat pengaruh perilaku organisasi (X}) terhadap kinerja (Y) dengan kontribusi sebesar 82,6%. Hal yang sama juga berlaku pada variabel Sistem Informasi Manajemen Rumah Sakit (X2) terhadap kinerja (Y) dengan kontribusi sebesar 93,7%. Hasil pengujian hipotesis pengaruh perilaku organisasi (X}) dan Sistem Informasi Manajemen Rumah Sakit (X2) terhadap kinerja (Y) secara simultan menunjukkan adanya pengaruh dengan kontribusi sebesar 94,2% sedangkan sisanya sebesar 5,8% dijelaskan oleh faktor - faktor - faktor lain yang tidak diteliti dalam penelitian ini.

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