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Majalah Kesehatan Indonesia
Published by Utan Kayu Institute
ISSN : 27456498     EISSN : 27458008     DOI : https://doi.org/10.47679/makein
Core Subject : Humanities, Health,
Humanities Health Professions Medicine & Pharmacology Nursing Public Health
Majalah Kesehatan Indonesia (MAKEIN) with registered ISSN 2745-6498 (Print) and ISSN 2745-8008 (online), is an interdisciplinary journal that publishes material on all aspects of public health science. This MAKEIN provides the ideal platform for the discussion of more sophisticated public health research and practice for authors and readers worldwide. The priorities are originality and excellence. The journal welcomes high-impact articles on emerging public health science that covers (but not limited) to nursing and midwifery, epidemiology, biostatistics, nutrition, family health, infectious diseases, health services research, gerontology, child health, adolescent health, behavioral medicine, rural health, chronic diseases, health promotion, evaluation and intervention, public health policy and management, health economics, occupational health and environmental health.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 7 Documents
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Search results for , issue "Vol. 3 No. 1: April 2022" : 7 Documents clear
Hubungan Indeks Massa Tubuh (IMT) Ibu Hamil Dengan Berat Badan Lahir Rendah: Studi Korelasi Di Dua Puskesmas Diwilayah Kabupaten Pesawaran Lampung Yesi Riantika; Riona Sanjaya; Yetty Dwi Fara
Majalah Kesehatan Indonesia Vol. 3 No. 1: April 2022
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202217

Abstract

Low birth weight (LBW) contributes to infant mortality, the risk of dying for the first 28 days of life, the quality of future generations is lacking, delay in growth and development of children, weakness of nerves and poor performance in the education process. LBW babies in the world are estimated at 15% -20% of all births worldwide. 17 million LBW babies every year and 16% of them are born in developing countries. Of this number around 80% are born in Asia. Indonesia is ranked 9th in the incidence of LBW with an LBW presentation of more than 15.5% of births each year. LBW in Pesawaran District in 2014 (1.35%), 2015 (1.92%), 2016 (1.44%) and 2017 (1.48%). LBW can be caused due to the Body Mass Index (BMI) before pregnancy. Based on this, a study of the relationship between BMI of pregnant women and LBW in Pesawaran District was conducted in 2018. The purpose of this study is to know the relationship between the Body Mass Index of Pregnant Women with Low Birth Weight in Pesawaran District in 2018. The design used in this study is descriptive quantitative research with a case-control approach conducted in January 2019. The population in this study were LBW and Normal BBL infants at Roworejo Health Center and Inner City Pesawaran District and involved a sample of 82 babies. Bivariate analysis in this study used Chi-Square Test. The results showed that there was a significant relationship between BMI of Pregnant Women and LBW in Pesawaran District, Lampung Province in 2018 with a P-value = 0.001 (<0.005) and an Odds Ratio (OR) = 2.051, CI: (0.774-5.439). The OR value indicates that pregnant women with abnormal BMI have a risk of giving birth to LBW babies by 2,051 times higher than pregnant women who have a normal BMI. Based on the results of this study, it is suggested that the Health Office, Inner City Health Center and Roworejo Health Center along with staff carry out prevention and control programs for babies with LBW.   Abstrak: Berat badan lahir rendah (BBLR) memberikan kontribusi terhadap kematian bayi, risiko meninggal selama 28 hari pertama masa kehidupan, kualitas generasi mendatang kurang dan keterlambatan pertumbuhan dan perkembangan anak.  salah satu penyebab terjadinya BBLR berkaitan dengan Indeks Massa Tubuh (IMT) ibu hamil sebagai gambaran paling berperan terhadap kenaikan berat badan. Bayi BBLR di dunia diperkirakan sebesar 15%-20%  dari semua kelahiran di seluruh dunia. 17juta bayi BBLR setiap tahun dan16% diantaranya lahir di Negara berkembang. Dari jumlah tersebut sekitar 80% lahir diAsia. Indonesia berada pada peringkat 9 angka kejadian BBLR dengan presentasi BBLR lebih dari15,5% dari kelahiran bayi setiap tahunnya. BBLR di Kabupaten Pesawaran tahun 2014 (1,35%), 2015 (1,92%),  2016 (1,44%) dan 2017 (1,48%). BBLR dapat disebabkan karena Indeks Massa Tubuh (IMT) saat sebelum hamil. Tujuan penelitian ini adalah diketahui hubungan Indeks Massa Tubuh Ibu Hamil dengan Berat Badan Lahir Rendah di Kabupaten Pesawaran Tahun 2018. Desain yang digunakan dalam penelitian ini adalah penelitian kuantitatif deskriftif dengan pendekatan case control (kasus kontrol) yang dilaksanakan pada bulan Januari 2019. Populasi dalam penelitian ini adalah bayi BBLR dan BBL Normal di Puskesmas Roworejo dan Kota Dalam Kabupaten Pesawaran dan melibatkan sampel  sebanyak 82bayi. Analsis bivariat dalam penelitian ini menggunakan Uji Chi Square. Hasil penelitian diperoleh ada hubungan secara signifikan  antara IMT Ibu Hamil dengan BBLR dengan  nilai  P Value=0,001 (<0,005) dan nilai Odds Ratio (OR) = 2,051, CI: (0,774-5,439). Nilai OR menunjukkan bahwa ibu hamil dengan IMT tidak normal memiliki risiko melahirkan bayi BBLR sebesar 2,051 kali lebih tinggi dibandingkan dengan  ibu hamil yang memiliki IMT normal. Berdasarkan hasil penelitian ini disarankan agar Dinas Kesehatan, Puskesmas Kota Dalam dan Puskesmas Roworejo beserta jajarannya melakukan kegiatan program pencegahan dan penanggulangan bayi BBLR.
Faktor–Faktor yang Mempengaruhi Emesis Gravidarum pada Ibu Hamil Trimester I Nur Alfi Fauziah; K Komalasari; Dian Nirmala Sari
Majalah Kesehatan Indonesia Vol. 3 No. 1: April 2022
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202227

Abstract

The main factor causing maternal death in Indonesia is not nausea and vomiting (emesis gravidarum), but the incidence of nausea and vomiting is quite large, namely 60% - 80% in primigravidas and 40% - 60% in multigravidas and one in 1000 pregnancies has more severe symptoms. 50-60% of pregnancies are accompanied by nausea and vomiting, out of 360 pregnant women, 2% of them experience morning sickness and about 80% experience nausea and vomiting throughout the day, this condition usually persists and peaks at 9 weeks of gestation. This study aims to determine the factors that affect emesis gravidarum in trimester I pregnant women. This study used a quantitative research design with a cross-sectional design. The sample in this study was 45 pregnant women in the first trimester, with a total sampling technique. Data analysis using Chi-Square analysis. The results of this study indicate that there is an influence with the incidence of emesis gravidarum, namely age (p-value = 0.000, OR: 28.5) and parity (p-value = 0.014; OR = 5.88), while the work variable (p-value 0.398) and support husband (p-value: 0.483) does not affect emesis gravidarum in pregnant women in trimester 1. Suggestions for pregnant women who have become respondents are expected to increase their knowledge about emesis gravidarum so that complications do not occur to hyperemesis gravidarum.   Abstrak: Faktor utama penyebab kematian ibu di Indonesia memang bukan mual dan muntah (emesis gravidarum), tetapi kejadian mual dan muntah cukup besar yaitu 60% - 80% pada primigravida dan 40%-60% pada multigravida serta satu diantara 1000 kehamilan mengalami gejala lebih berat Sekitar 50-60% kehamilan disertai mual dan muntah, dari 360 wanita hamil, 2% diantaranya mengalami mual muntah dipagi hari dan sekitar 80% mengalami mual dan muntah sepanjang hari, kondisi ini biasanya bertahan dan mencapai puncak pada usia kehamilan 9 minggu. Penelitian ini bertujuan untuk mengetahui faktor- faktor yang mempengaruhi emesis gravidarum pada ibu hamil trimester I. Penelitian ini menggunakan jenis penelitian kuantitatif dengan desain penelitian rancangan cross sectional. Sampel dalam penelitian ini sejumlah 45 ibu hamil trimester I, dengan teknik total sampling. Analisis data menggunakan analisis Chi-Square. Hasil dari penelitian ini bahwa ada pengaruh dengan kejadian emesis gravidarum adalah usia ( p value = 0,000, OR : 28,5) dan paritas (p value = 0,014 ; OR = 5,88), sedangkan variabel pekerjaa ( p value 0,398) dan dukungan suami (p value : 0,483) tidak mempengaruhi emesis gravidarum pada ibu hamil trimester 1. Saran untuk ibu hamil yang sudah menjadi responden diharapkan dapat menambah wawasan pengetahuan tentang emesis gravidarum agar tidak terjadi komplikasi menjadi hiperemesis gravidarum.
Faktor-faktor yang Mempengaruhi Preeklampsia pada Kehamilan Primigravida Inggit Primadevi; Rike Indriani
Majalah Kesehatan Indonesia Vol. 3 No. 1: April 2022
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202242

Abstract

Preeclampsia is a multi-systemic disorder that occurs in pregnancy which is characterized by hypertension and edema accompanied by urine protein. The research objective was to find out whether preeclampsia on primigravida was related to age, history of ANC, heredity factors, gameli and comorbidities at Batin Mangunang Hospital in 2020. The type of research was quantity with a cross sectional design, the population in this research were all mothers who gave birth with preeclampsia at Batin Mangunan Hospital in 2020 with a case sample of 70 patients, the analysis used Univariate and Bivariate by using the chi square test. From the results of this research, the results of the analysis of age with P Value 0.026 History of ANC P Value with 0.781 Hereditary factors with Value 0.030 Comorbidities with P Value 0.017 gameli with P value 01.0 it can be concluded that there is a significant correlation between preeclampsia on primigravida with age factor, Hereditary comorbidities and there is no significant correlation history of ANC and gameli. The suggestions given are expected, especially for health workers to provide continuous counselling to provide counselling, carry out early detection by carrying out supporting tests such as hemoglobin and urine protein examination and for officers health care in hospitals to improve the ability to treat preeclampsia.   Abstrak: Preeklampsia adalah kelaianan Multi sistemik yang terjadi pada kehamilan yang di tandai dengan adanya hipertensi dan odema diseratai protein urine. Tujuan Penelitian ini untuk Diketahuinya apakah preeklampsia pada primigravida berhubungan dengan usia, Riwayat ANC, Faktor Keturunan, Kehamilan Ganda dan penyakit Penyerta Di RSUD Batin Mangunang tahun 2020. Jenis penelitian Kuantitas dengan rancangan cross sectional, populasi pada penelitian ini adalah seluruh ibu bersalin dengan preeklampsia di tahun 2020 Rumah Sakit Batin Mangunang dengan sampel kasus 70 pasien, analis yang digunakan  Univariat dan Bivariat, dengan menggunakan Uji chi square. Dari hasil Penelitian ini diperoleh hasil analisa Usia dengan P Value 0,026 Riwayat ANC P Value dengan 0,781 Faktor keturunan dengan Value 0,030 Penyakit penyerta dengan P Value 0,017 Gameli dengan  P value 01,0 maka dapat disimpulkan ada hubungan yang signifikan antara preeklampsia pada primigravida dengan faktor Usia, Faktor Keturunan Penyakit Penyerta dan tidak ada hubungan yang signifikan Riwayat ANC dan  Kehamilan ganda. Saran yang disampaikan diharapkan khususnya bagi petugas kesehatan agar memberikan penyuluhan terus menerus untuk memberikan penyuluhan, melakukan deteksi dini dengan melakukan pemerisaan penunjang seperti hemoglobin dan pemeriksan protein urine dan untuk petugas kesehatan di rumah sakit tingkatkan kemampuan penanganan preeklampsia.
Perbedaan Pengetahuan Remaja Putri Sebelum dan Sesudah Diberikan Penyuluhan Tentang Dismenore Liani Maula Fitri; Riona Sanjaya; Sulistiawti Sulistiawati; Edy Samsyuri
Majalah Kesehatan Indonesia Vol. 3 No. 1: April 2022
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202245

Abstract

Dismenore merupakan gangguan fisik yang sangat menonjol pada wanita yang sedang mengalami menstruasi berupa gangguan nyeri/kram pada perut. Indonesia sendiri mencapai 55% perempuan yang mengalamai nyeri saat menstruasi.Kurangnya pengetahuan mereka tentang dismenore menyebabkan sering kali siswi meminta izin untuk pulang atau beristirahat di ruang unit kesehatan sekolah karena mengalami dismenore sehingga tidak bisa mengikuti kegiatan belajar. Tujuan penelitian ini untuk mengetahui perbedaan pengetahuan remaja putri tentang dismenore sebelum dan sesudah diberikan penyuluhan di SMA Negeri 2 Pringsewu. Metode yang digunakan dalam penelitian ini adalah survei analitik dengan pendekatan kuantitatif rancangan quasi eksperimen. Untuk mengetahui perbedaan tingkat pengetahuan sebelum dan sesudah diberikan perlakuan. Sasaran penelitian ini adalah siswi kelas 10 di SMA Negeri 2 Pringsewu. Analysis bivariat dalam penelitian ini menggunakan Uji t-Test. Hasil penelitian rata-rata tingkat pengetahuan 30 responden sebelum penyukuhan 76,37 dengan standar devisiasi 11,877. Rata-rata tingkat pengetahuan 30 responden sesudah penyuluhan 88,33 dengan standar devisiasi 4,873 Hasil Uji t didapatkan nilaip-value 0,000<0,005 artinya ada Perbedaan Signifikan Pengetahuan Remaja Putri Tentang Dismenore Sebelum Dan Sesudah Diberikan Penyuluhan.   Abstrak: Dysmenorrhea is a very prominent physical disorder in women who are menstruating in the form of pain/cramps in the stomach. Indonesia alone reaches 55% of women who experience pain during menstruation. Their lack of knowledge about dysmenorrhea causes students to often ask for permission to go home or rest in the school health unit room because they have dysmenorrhea so they cannot participate in learning activities. The purpose of this study was to determine the differences in the knowledge of adolescent girls about dysmenorrhea before and after being given counseling at SMA Negeri 2 Pringsewu. The method used in this research is an analytical survey with a quantitative approach to a quasi-experimental design. To find out the difference in the level of knowledge before and after being given treatment. The target of this research is 10th grade students at SMA Negeri 2 Pringsewu. Bivariate analysis in this study used the t-Test. The results of the study the average level of knowledge of 30 respondents before the inauguration was 76.37 with a standard deviation of 11.877. The average level of knowledge of 30 respondents after counseling was 88.33 with a standard deviation of 4.873. The results of the t-test obtained a p-value of 0.000 <0.005, meaning that there was a significant difference in the knowledge of young women about dysmenorrhea before and after being given counseling.
Penatalaksanaan Holistik Pasien Laki-laki Berusia 49 Tahun dengan Demam Berdarah Dengue Melalui Pendekatan Kedokteran Keluarga Sharlene Sabrina Azzahra
Majalah Kesehatan Indonesia Vol. 3 No. 1: April 2022
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202255

Abstract

Dengue hemorrhagic fever (DHF) is an acute viral infectious disease caused by the dengue virus which in general can be characterized by symptoms of fever for 2-7 days, accompanied by other symptoms in the form of bleeding, such as nosebleeds and red spots on the body (ptekiae), bleeding gums, decreased platelets, the form of hemoconcentration in the form of plasma leakage with signs such as increased hematocrit, ascites, pleural effusion. This journal is to Implementing family doctor services by identifying risk factors, clinical problems, and patient management based on Evidence-Based Medicine that is family-approach, patient-centred and community-oriented. The study conducted is a case report. Primary data were obtained through history taking, physical examination and home visits. Secondary data were obtained from the patient's medical records at the puskesmas. Assessment is carried out based on a holistic diagnosis from the beginning, process, and end of the study quantitatively and qualitatively. The patient is a 49 year old male, with complaints of fever that has been felt since 3 days ago. Complaints of fever followed by complaints of weakness, joint and muscle pain, also accompanied by bleeding gums and nausea and vomiting. Several factors can affect the patient's condition, namely internal and external risk factors. In this case, diagnosis and treatment have been carried out according to the latest theory and journals. After the intervention, there was a decrease in clinical symptoms and an increase in the knowledge of patients and their families. The diagnosis of dengue hemorrhagic fever in this patient was in accordance with the theory from several guidelines and journals, it was seen that there was a change in knowledge of the patient and his family after an intervention based on Evidence-Based Medicine that was patient-centred and a family approach.   Abstrak: Demam berdarah dengue (DBD) merupakan salah satu penyakit infeksi virus akut yang disebabkan oleh virus dengue yang secara umum dapat ditandai dengan gejala demam selama 2-7 hari, disertai pula dengan adanya gejala lain dalam bentuk perdarahan, seperti mimisan, bintik-bintik merah pada tubuh, gusi berdarah; penurunan trombosit, adanya bentuk hemokonsentrasi berupa kebocoran plasma dengan tanda-tanda seperti peningkatan hematokrit, asites, efusi pleura. Penelitian ini menerapkan pelayanan dokter keluarga dengan mengidentifikasi faktor risiko, masalah klinis, serta penatalaksanaan pasien berbasis Evidence-Based Medicine yang bersifat family-approach, patient-centred dan community oriented. Studi yang dilakukan adalah laporan kasus. Data primer diperoleh melalui anamnesis, pemeriksaan fisik dan kunjungan ke rumah. Data sekunder didapat dari rekam medis pasien di puskesmas. Penilaian dilakukan berdasarkan diagnosis holistik dari awal, proses, dan akhir studi secara kuantitatif dan kualitatif. Pasien laki-laki berusia 49 tahun, dengan keluhan demam sejak 3 hari yang lalu. Keluhan demam diikuti dengan keluhan lemas, nyeri sendi dan nyeri otot, juga disertai perdarahan gusi dan mual muntah.  Beberapa faktor dapat memengaruhi keadaan pasien yaitu faktor risiko internal dan eksternal. Pada kasus ini telah dilakukan diagnosis dan tatalaksana sesuai dengan teori dan jurnal terkini. Setelah dilakukan intervensi, didapatkan penurunan gejala klinis dan peningkatan pengetahuan pasien dan keluarganya. Diagnosis demam berdarah dengue pada pasien ini sudah sesuai dengan teori dari beberapa panduan dan jurnal, terlihat adanya perubahan pengetahuan pada pasien dan keluarganya setelah dilakukan intervensi berdasarkan Evidence-Based Medicine yang bersifat patient-centred dan family approach.
Perbedaan Pendidikan Kesehatan Terhadap Pengetahuan dan Sikap Kader Posyandu Lansia Tentang Gerakan Masyarakat Hidup Sehat (GERMAS) Catur Retno Lestari; Nunung Eni Elawati; Martha Aulia Marco
Majalah Kesehatan Indonesia Vol. 3 No. 1: April 2022
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202256

Abstract

Knowledge and attitudes are one of the factors in GERMAS health education for posyandu cadres as community facilitators. Knowledge and attitude of GERMAS to perform physical activity, consumption of vegetables and fruit, as well as regular health checks. One form of delivering messages in communication and providing health education is counseling. The purpose of this study was to determine health education on the knowledge and attitudes of elderly posyandu cadres about GERMAS. This research is quantitative research using pre-test and post-test designs. The technique used in this research is Total Sampling, where the entire population becomes the research sample. The analysis in this study used the non-parametric Wilcoxon Sign Test. The average level of knowledge and attitudes of elderly posyandu cadres before health education was carried out in Jangli Village, Semarang City was 5.03 and 7.10, respectively. The average level of knowledge and attitudes of elderly posyandu cadres after health education was carried out in Jangli Village, Semarang City was 8.53 and 9.10, respectively. There is an effect of providing health education on the knowledge and attitudes of elderly posyandu cadres in Jangli Village, Semarang City, p-value = 0.000 and p-value = 0.000. Suggestions for posyandu cadres can apply a GERMAS attitude and invite the community to be more concerned with health and maintain health and spirituality, so as to prevent disease and carry out regular health checks.   Abstrak: Pengetahuan dan sikap merupakan salah satu faktor dalam pendidikan kesehatan Germas pada  kader posyandu sebagai fasilitator masyarakat. Pengetahuan dan sikap pada Germas untuk melakukan aktifitas fisik, konsumsi sayur dan buah, serta cek kesehatan secara berkala. Salah satu bentuk penyampaian pesan dalam komunikasi dan pemberian pendidikan kesehatan adalah penyuluhan. Tujuan penelitian ini untuk mengetahui pendidikan kesehatan terhadap pengetahuan dan sikap  kader posyandu lansia tentang Germas. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain Pre Eksperiment  pre test dan post test. Teknik yang digunakan dalam penelitian ini adalah Total Sampling, dimana seluruh populasi menjadi sampel penelitian. Analisis dalam penelitian ini menggunakan uji non parametric Wilcoxon Sign Test. Rata-rata tingkat pengetahuan dan sikap  kader posyandu lansia sebelum dilakukan pendidikan kesehatan di Kelurahan Jangli Kota Semarang sebesar 5,03 dan 7,10. Rata-rata tingkat pengetahuan dan sikap  kader posyandu lansia sesudan dilakukan pendidikan kesehatan di Kelurahan Jangli Kota Semarang sebesar 8,53 dan 9,10. Ada pengaruh pemberian pendidikan kesehatan terhadap pengetahuan dan sikap  kader posyandu lansia di Kelurahan Jangli Kota Semarang p value = 0,000 dan p value = 0,000. Saran bagi kader posyandu dapat melakukan penerapan sikap germas dan mengajak masyarakat untuk lebih peduli dengan kesehatan dan menjaga kesehatan dan rohani, sehingga mencegah terjadinya penyakit serta melaksanakan pemeriksaan kesehatan secara berkala.
Comparative Study of The Use of Alum Water as Vulva Hygiene Therapy in Postpartum Mothers Pearly Otis Putri Oktaviani; Norma Mardiani; Siti Juariah
Majalah Kesehatan Indonesia Vol. 3 No. 1: April 2022
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.202284

Abstract

The maternal mortality rate according to the IDHS (2020) 2020 was 416 cases. West Java showed that the incidence of puerperal fever was still relatively high at around 23%, of all puerperal fever 46% could be identified as infection. The purpose of this study was to determine a comparative study of the use of alum water as therapy for vulva hygiene in mothers. This type of research is a true experimental design with a control group pre and post-test. The population is all postpartum mothers during the early postpartum period for the period June 2022 as many as 205 people. The sampling technique in this study used purposive sampling of as many as 32 postpartum mothers. The results showed that the average postpartum mother respondents who did Vulva hygiene therapy had a greater effect on the intervention group, 6.00 compared to the control group, 2.00, with a 95% confidence level (<0.05), p-value <0.0001, the intervention group with a standard deviation of 0.403. , lower 5.97 and upper 6.40 control group with a standard deviation of 1.078, lower 1.74 and upper 2.89 with a value of Z = -3.564b, p-value <0.0001 then Ha is accepted, meaning that there is a difference between the intervention group and the control group who perform therapy vulva hygiene. Postpartum mothers can take advantage of various kinds of natural ingredients that are around the environment, so they do not require expensive costs and side effects due to chemical-based drugs.

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