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MAHESA : Malahayati Health Student Journal
Published by Universitas Malahayati
ISSN : 2746198X     EISSN : 27463486     DOI : 10.3324
Core Subject : Health,
Dentistry Health Professions Nursing Public Health
MAHESA : Malahayati Health Student Journal, dengan nomor ISSN 2746-198X (Cetak) dan ISSN 2746-3486 (Online) adalah jurnal ilmiah yang diterbitkan oleh DIII Keperawatan Universitas Malahayati Lampung. MAHESA : Malahayati Health Student Journal merupakan jurnal yang memiliki fokus utama pada hasil penelitian dan ilmu-ilmu di bidang kesehatan yang dikembangkan dengan pendekatan interdispliner dan multidisiplin. Proses penerimaan naskah selalu terbuka setiap waktu, naskah yang sudah disubmit oleh penulis akan direview oleh reviewer yang ahli dalam bidang keperawatan dan kesehatan. MAHESA : Malahayati Health Student Journal telah menggunakan Open Journal System dimana penulis, editor dan reviewer bisa memantau proses naskah secara online. Dalam satu tahun MAHESA : Malahayati Health Student Journal terbit sebanyak 4 kali yaitu pada bulan Maret, Juni, September, Desember.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
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Search results for , issue "Vol 4, No 12 (2024): Volume 4 Nomor 12 (2024)" : 42 Documents clear
Analysis of Hemodialysis Service Unit Development in Sri Pamela Hospital Tebing Tinggi Armaya, Dita; Ginting, Chrismis Novilda; Napiah, Ali
MAHESA : Malahayati Health Student Journal Vol 4, No 12 (2024): Volume 4 Nomor 12 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i12.16252

Abstract

ABSTRACT Indonesia currently following the global non-communicable disease trend, such as the growth of chronic kidney disease and end-stage kidney disease numbers. In the last eight years, the number of end-stage kidney disease patients jumped from 9.649 to 66.433 (2010-2018). One of the consequences of this increasing incidence is the increasing need for kidney replacement therapy, one being hemodialysis. Strength-Weakness-Opportunity-Threat (SWOT) analysis in a common business tool used to assess and evaluate the feasibility of business development and/or expansion. This study aims to assess the potential of the development of a hemodialysis unit in Sri Pamela Tebing Tinggi Hospital. This study is an analytical descriptive evaluation study. Data in this study was gathered from three key informants (nephrologist-in-charge, head of the hemodialysis unit, and hemodialysis nurse) and two additional informants (regular hemodialysis patients) in Sri Pamela Tebing Tinggi Hospital. Data gathered from this study was analyzed using Internal-External (IE) and SWOT matrix. This study discovers that the existing hemodialysis unit in Sri Pamela Tebing Tinggi Hospital stands on the first quadrant of the IE matrix, grows and is built with vertical integration, and is at S-O strategy in the SWOT matrix.  According to these findings, it can be concluded that the Sri Pamela Tebing Tinggi Hospital's hemodialysis unit has great potential for further development by expanding its service capacity by expanding its building, adding more hemodialysis machines along with more manpower. Keywords: ESRD, Hemodialysis, Hospital Management, SWOT
Skrining Gangguan Kesehatan Mental pada Masyarakat Pesisir di Kota Tual Latuheru, Grace; Asmin, Elpira; Noya, Farah C; Warella, Juen Carla; Yunita, Melda; Mus, Rosdiana; Sulfiana, Sulfiana
MAHESA : Malahayati Health Student Journal Vol 4, No 12 (2024): Volume 4 Nomor 12 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i12.15644

Abstract

ABSTRAK Kesehatan mental menjadi salah satu perhatian masyarakat baik secara nasional maupun global akhir-akhir ini. Menurut data dari Riskesdas  tahun 2018 bahwa lebih dari 19 juta penduduk berusia lebih dari 15 tahun tahun mengalami gangguan mental emosional, dan lebih dari 12 juta penduduk berusia lebih dari 15 tahun mengalami depresi. Sementara itu, di Maluku Rumah Sakit Khusus Daerah (RSKD) Maluku melaporkan merawat 9.637 pasien gangguan jiwa pada tahun 2023. Individu dikatakan sehat secara mental jika ia terbebas dari berbagai gejala gangguan mental. Hal tersebut dapat diketahui melalui skrining gangguan mental. Penelitian ini dimaksudkan untuk melakukan skrining gangguan kesehatan mental pada masyarakat kota Tual. Penelitian ini menggunakan desain observasional analitik dengan pendekatan studi cross sectional. Teknik pengambilan sampel menggunakan teknik probability propotional to size dengan jumlah responden sebanyak 153 responden. Instrumen yang digunakan adalah Self Reporting Quetionare-20 (SRQ-20). Penelitian ini dilakukan selama bulan Oktober 2023 di Gugus Pulau Kei yaitu Kota Tual. Data hasil penelitian menunjukkan bahwa responden mengalami masalah penurunan energi dengan gejala dominan yaitu sering merasa sakit kepala (41,83%), merasa sulit tidur (38,56%), merasa mudah lelah (28,76%), tidak memiliki napsu makan (24,84%) dan merasa tegang, dan merasa cemas atau kuatir (20,92%). Masalah yang ditemukan pada responden ialah penurunan energi dan kecemasan. Perlu peningkatan fungsi layanan kesehatan mental di setiap puskesmas. Selain itu psikoedukasi terkait kesehatan mental dapat dilaksanakan secara rutin sebagai Upaya peningkatan kesadaran serta peningkatan pemahaman menjaga Kesehatan mental. Kata Kunci: Skrining Kesehatan Mental, Gangguan Kesehatan Mental  ABSTRACT Mental health is currently one of the significant concerns of society both nationally and globally. According to Basic Health Research (RISKESDAS) data from 2018, more than 19 million adults over the age of fifteen have emotional mental problems, and over 12 million have depression. Furthermore, statistics from the Maluku Regional Special Hospital (RSKD) indicates that by 2023, it will have attended to 9,637 people with mental illnesses. An individual is said to be mentally healthy if he is free from various symptoms of mental disorders. This can be known through screening for mental disorders. This study aimed to detect mental health problems in the people of Tual City early. This study used an analytical observational design with a cross-sectional approach. One hundred and fifty-three (153) respondents consented to the interview using the Self-Reporting Questionnaire-20 (SRQ-20) during October 2023 in the Kei Island Cluster, Tual City. The mental health assessment revealed that respondents experienced problems with decreased energy, with the dominant symptoms being frequent headaches (41.83%), difficulty sleeping (38.56%), feeling tired quickly (28.76%), loss of appetite (24.84%) and feeling tense, anxious or worried (20.92%). The problems found in respondents were decreased energy and anxiety that required further treatment. Enhancing the smooth running of mental health services in every Community Health Center (Puskesmas) is a critical task. Mental health counselling and education can be carried out regularly to increase public awareness and understanding of mental health. Keywords:  Early Detection, Mental Health, Anxiety, Decreased Energy
Pengaruh Edukasi Perilaku Hidup Bersih dan Sehat (PHBS) terhadap Masalah Kesehatan di Pesantren Novita, Ari; Nasution, Siti Zahara; Karota, Evi
MAHESA : Malahayati Health Student Journal Vol 4, No 12 (2024): Volume 4 Nomor 12 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i12.16127

Abstract

ABSTRACT Health issue and disease in Islamic boarding schools (pesantren) often receive inadequate attention from residents, the community and the government. This is primary due to the insufficient implementation of clean and healthy living behavior (PHBS). This research aims to identify the influence of clean and healthy living behavior (PHBS). This study aims to identify the impact of PHBS education on health problems occurring in pesantren. This research employs a Quasi-Experimental design with a Two Group Pretest and Posttest approach. The population comprises all male and female student at Pondok Pesantren An-Nabawi and Dayah Tarbiatul Muta'allimin. The sampling technique used is quota sampling ,with 30 respondents in  the intervention group and 30 in the control group. Based on statistical tests using the Wilcoxon Signed Rank test, the p-value for knowledge, attitudes and actions/behavior was 0.000 < ɑ = 0.05. This indicate a significant effect of PHBS (knowledge, attitudes, actions) on students before and after the intervention, leading to the rejection of H0 and so that H0 and acceptance of  Ha. In contrast, the control group showed no change in health issues as they did not receive PHBS education, with a p-value of 0.698 > 0.05.  The study concludes that knowledge, attitudes and behavior towards PHBS are generally lacking. Therefore, health workers are encouraged to continuosly educate students on clean and healthy living behaviors. Keywords: Clean And Healthy Living Behavior, Students, Health Issue  ABSTRAK Masalah kesehatan dan penyakit di pesantren sangat jarang mendapat perhatian dengan baik dari warga pesantren itu sendiri maupun masyarakat dan juga pemerintah. Hal ini disebabkan karena kurangnya penerapan perilaku hidup bersih dan sehat (PHBS). Penelitian ini bertujuan untuk mengidentifikasi pengaruh edukasi perilaku hidup bersih dan sehat (PHBS) terhadap masalah kesehatan yang terjadi di pesantren.  Penelitian ini menggunakan desain Quasi Experiment berupa pendekatan Two Group Pretest and Posttest Design. Populasi dalam Penelitian ini merupakan seluruh Santriwan dan santriwati di Pondok Pesantren An-Nabawi dan Dayah Tarbiatul muta’allimin. Teknik pengambilan sampling yang digunakan adalah kouta sampling dengan menentukan 30 responden untuk kelas intervensi dan 30 responden untuk kelas kontrol.  Berdasarkan hasil uji statistic dengan menggunakan uji Wilcoxon Signed Rank di dapatkan nilai p-Value pengetahuan, sikap, dan tindakan/ perilaku adalah 0,000 < ɑ = 0,05. Artinya ada pengaruh edukasi perilaku hidup bersih dan sehat (pengetahuan, sikap, tindakan) santri dalam PHBS sebelum dan sesudah intervensi, sehingga H0 ditolak dan Ha diterima. Sedangkan pada kelas kontrol tidak ada perubahan masalah kesehatan karena tidak diberikan edukasi perilaku hidup bersih dan sehat (PHBS), hal ini dilihat dari nilap p-value 0.698 > 0.698. Berdasarkan hasil penelitian dapat disimpulkan bahwa pengetahuan, sikap, tindakan memiliki kategori kurang, sehingga petugas kesehatan diharapkan selalu mengajarkan perilaku hidup bersih dan sehat pada santriwan-santriwati. Kata Kunci: Perilaku Hidup Bersih dan Sehat, Santri, Masalah Kesehatan
Hubungan Tingkat Depresi dengan Kualitas Hidup Pasien Herniated Nucleus Pulposus (HNP) di RSUD dr. H. JUSUF SK Tarakan Provinsi Kalimantan Utara Harno, Harno; Damayanti, Ana; Wahyudi, Donny Tri; Najihah, Najihah
MAHESA : Malahayati Health Student Journal Vol 4, No 12 (2024): Volume 4 Nomor 12 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i12.15522

Abstract

ABSTRACT Herniated Nucleus Pulposus or what is often referred to as Lower Back Pain is a non-communicable disease that is common in all societies, both globally and nationally. The humbosacral spine accounts for about 90% of HNP, the cervical spine for 8%, and the thoracic spine for 1% to 2%. When someone is diagnosed with HNP, they must undergo professional therapy, which is expensive, time- consuming, and accompanied by reoccurring episodes. All facets of life, including the economy, family peace, quality of life, and psychological health, will undoubtedly be impacted by this. The purpose of this study was to ascertain how the quality of life of patients with Herniated Nucleus Pulposus at dr. H. Jusuf SK Tarakan, North Kalimantan Province, correlated with their level of depression. This kind of study had a quantitative cross-sectional study design with analytical components. Having a purposive sampling size of 51 participants, the population in this study consisted of patients with a Herniated Nucleus Pulposus diagnosis. The Spearman Rank Test was a statistical test used in this investigation. The results of the statistical test indicated that there was a significant relationship between the degree of depression and quality of life, with the strength of a strong relationship and the direction of a negative relationship, with a significance value of 0.000 0.05 and a correlation coefficient of -0.75. According to this study's findings, people with Herniated Nucleus Pulposus had lower quality of life when their depression levels were higher or higher quality of life when their depression levels were lower. Keywords: Depression, Quality Of Life, Herniated Nucleus Pulposus  ABSTRAK Herniated Nucleus Pulposus atau yang sering disebut dengan sakit punggung bagian bawah (low back pain) merupakan salah satu penyakit tidak menular yang umum dijumpai pada seluruh masyarakat, baik secara global maupun nasional. Sekitar 90% HNP terjadi di area lumbosacral spine, 8% di area cervical spine dan 1% hingga 2% di area thoracic spine. Apabila seseorang terdiagnosis HNP maka perlu dilakukan perawatan secara profesional dengan durasi waktu yang cukup lama dan biaya yang mahal disertai resiko kejadian berulang. Hal ini tentu akan berpengaruh pada seluruh aspek kehidupan diantaranya kondisi ekonomi, keharmonisan keluarga, kualitas kehidupan dan kejiwaan seseorang. Penelitian ini betujuan untuk mengetahui hubungan tingkat depresi dengan kualitas hidup pasien Herniated Nucleus Pulposus di RSUD dr. H. Jusuf SK Tarakan Provinsi Kalimantan Utara. Jenis penelitian ini adalah kuantitatif dengan desain penelitian studi penampang analitis (analytic crosssectional study). Populasi pada penelitian ini adalah pasien dengan diagnosa medis Herniated Nucleus Pulposus dengan pengambilan sampel menggunakan purposive sampling sebanyak 51 responden. Penelitian ini menggunakan uji statistik Uji Spearman Rank. Hasil uji statistik menunjukkan bahwa nilai signifikansi 0,000 < 0,05 dengan coefficient correlation -0,75 sehingga menunjukkan ada hubungan yang signifikan antara tingkat depresi dengan kualitas hidup dengan kekuatan hubungan kuat dan arah hubungan negatif. Kesimpulan penelitian ini ialah semakin tinggi tingkat depresi maka semakin rendah kualitas hidup pasien Herniated Nucleus Pulposus atau semakin rendah tingkat depresi maka semakin tinggi kualitas hidup pasien. Kata Kunci: Depresi, Kualitas Hidup, Herniated Nucleus Pulposus
Analisis Faktor Employee Agility terhadap Kesiapan Penerapan Rekam Medis Elektronik di Rumah Sakit Pertamina Bintang Amin Liasari, Deny Eka; Farich, Achmad; Angelina, Christin; Sudirahayu, Ika; Rachmawati, Rachmawati
MAHESA : Malahayati Health Student Journal Vol 4, No 12 (2024): Volume 4 Nomor 12 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i12.15575

Abstract

ABSTRACT The use of RME will be realized optimally if organizations and health workers are ready to operate it. Unpreparedness in using RME can cause a number of problems, even making health workers lose interest in using it. As a result, RME implementation is at risk of failure and has the potential to have a negative impact on patient care because vital clinical and administrative data can be lost. The implementation of Electronic Medical Records (RME) in hospitals is an important element in Indonesia's health strategy which aims to improve the efficiency and accuracy of health services. Therefore, this research focuses on analyzing employee agility factors on readiness to implement electronic medical records at Pertamina Bintang Amin Hospital in 2024. The research method used is quantitative with a cross-sectional design. A sample of 157 respondents, who are healthcare workers responsible for implementing EMR, was selected using proportional random sampling techniques. The dependent variable assessed is readiness to implement RME and the independent variable is personality; work experience, personal abilities, environment and social. The research results showed that the independent variables related to EMR implementation readiness are work experiencce (pv:0,012), personal abilities (pv:0,000), environment (pv:0,000), and sosial (pv:0,000). The most dominant influencing factor is personal abilities with an 21,189 (95% CI: 4,249 – 105,656) which means that individuals whose abilities are good are 21 times more prepared . It is hoped that these results can become a reference for hospital management to utilize external resources such as RME vendors, technology consultants, and government or regulatory agencies to support RME implementation. Keywords: Electronic Medical Record, Implementation, Readiness, Employee Agility, Hospital  ABSTRAK Penggunaan RME akan terwujud secara optimal apabila organisasi dan petugas kesehatan telah siap dalam mengoperasikannya. Ketidaksiapan dalam penggunaan RME dapat menimbulkan sejumlah masalah, bahkan membuat petugas kesehatan kehilangan minat untuk memanfaatkannya. Akibatnya, implementasi RME berisiko mengalami kegagalan dan berpotensi memberikan dampak negatif pada pelayanan pasien karena data klinis dan administratif yang vital dapat terhapus. Penerapan Rekam Medis Elektronik (RME) di rumah sakit adalah elemen penting dalam strategi kesehatan Indonesia yang bertujuan untuk meningkatkan efisiensi dan akurasi layanan kesehatan. Oleh karena itu, penelitian ini memfokuskan pada analisis faktor employee agility terhadap kesiapan penerapan rekam medis elektronik di Rumah Sakit Pertamina Bintang Amin Tahun 2024. Metode penelitian yang digunakan kuantitatif dengan rancangan cross sectional. Sampel yang diambil sebanyak 157 responden dan merupakan petugas kesehatan yang akan mengimplementasikan RME dengan teknik proportional random sampling. Variabel dependen yang dinilai yaitu kesiapan penerapan RME dan variabel independen berupa kepribadian; pengalaman kerja, kemampuan diri, lingkungan, dan sosial. Hasil penelitian didapatkan variabel independen yang berhubungan dengan kesiapan penerapan RME adalah pengalaman kerja (pv:0,012), kemampuan diri (pv:0,000), lingkungan (pv:0,000) dan sosial (pv:0,000). faktor paling dominan yang berpengaruh berupa kemampuan diri dengan Odd Ratio (OR) 21,189 (95% CI: 4,249 – 105,656) yang artinya individu yang kemampuan dirinya baik 21 kali lebih siap. Hasil ini diharapkan dapat menjadi acuan manajemen rumah sakit untuk memanfaatkan sumber daya eksternal seperti vendor RME, konsultan teknologi, dan lembaga pemerintah atau regulasi untuk mendukung penerapan RME. Kata Kunci: Kesiapan, Penerapan, Rekam Medis Elektronik, Employee Agility, Rumah Sakit
An Observational study of Skin Hydration with Its Risk Factors on Pruritus Severity Level in The Elderly at Sasana Tresna Werdha RIA Pembangunan Nursing Home, Ciracas, East Jakarta, Indonesia Mashadi, Fladys Jashinta; Moniaga, Catharina Sagita
MAHESA : Malahayati Health Student Journal Vol 4, No 12 (2024): Volume 4 Nomor 12 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i12.16018

Abstract

ABSTRACT The increasing elderly population increases the prevalence of health problems associated with the aging of the elderly. Aging causes the alteration of the skin function as a barrier in the elderly, which affects the skin hydration and can be influenced by various factors. Decreasing skin hydration causes dry skin. Dry skin can increase the risk and severity of pruritic skin, which is one of the most common skin problems in the elderly. Pruritus triggers the elders to scratch their skin and could result in opened wounds, which could lead to infection and a lower quality of life. To get a description of the skin hydration along with its risk factors’ data distribution (such as age, total daily liquid consumption, daily moisturizer usage frequency, and hot water usage for bathing) on the elders with and without pruritus, as well as on each of the pruritus severity levels of the elders at Sasana Tresna Werdha RIA Pembangunan Nursing Home.  This research used an observational-descriptive approach using a cross-sectional method. In total, there are 41 elders at Sasana Tresna Werdha RIA Pembangunan Nursing Home who participated in this research. The sampling technique used was total sampling. The data were collected through interviews using 12-items pruritus severity scale questionnaires and measurements with Large LCD BIA Skin Analyzer for skin hydration values. The data were analyzed using a univariate analysis. Crosstabs will be made between variables to be observed in more detail about the possibilities of interrelationships between the variables. From the 41 elders at Sasana Tresna Werdha RIA Pembangunan Nursing Home, there were 16 elders (39%) without pruritus and 25 elders (61%) with pruritus, which composed of 6 elders (24%) with mild pruritus, 15 elders (60%) with moderate pruritus, and 4 elders (16%) with severe pruritus. The mean of skin hydration of the elders without pruritus was 52.7% and with pruritus was 44.5%. Among the elders with pruritus, the mean of skin hydration of them with mild pruritus was 48%, moderate pruritus was 45.5%, and severe pruritus was 35.6%. This data showed that the population of elders with pruritus was increasing along with an increase in age. Our data also showed that the majority of the elders had a total daily liquid consumption of less than eight glasses and it was increasing along with an increase in pruritus severity level. Further, the data showed that the majority of elders with pruritus never used daily moisturizer and always used hot water for daily bathing. The mean of skin hydration of the elders without pruritus was 52.7% and that of the elders with pruritus was 44.5%. The lowering of the skin hydration level was in parallel with the increase of the pruritus severity of the elders. There was an increase in the population of the elders with pruritus along with an increase in age. The percentage of elders with a total daily liquid consumption of less than eight glasses was increasing along with an increase in pruritus severity levels. The majority of the elders with pruritus never used daily moisturizer and always used hot water for daily bathing. Keywords: Skin Hydration, Pruritus Severity Level, Elderly, Age, Liquid Consumption, Moisturizer Usage, Hot Water
Implementasi Program Pencegahan dan Penanganan Stunting di Kota Tebing Tinggi Widyastari, Elisa; Ginting, Chrismis Novalinda; Nasution, Ali Napiah
MAHESA : Malahayati Health Student Journal Vol 4, No 12 (2024): Volume 4 Nomor 12 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i12.16250

Abstract

ABSTRACT Stunting, a result of chronic malnutrition characterized by relatively short stature for the age of the child, remains one of the most common nutritional problems found in poor and developing countries and is closely related to the incidence of recurrent infections and inadequate psychosocial stimulation. As the prevalence of stunting reaches 31% in 2022, the Government of Indonesia targets to reduce the prevalence of stunting in Indonesia to 14% by 2024 through various programs involving various elements of government. This study aims to assess the implementation of stunting prevention and management programs in Tebing Tinggi. This qualitative study with a cross-sectional approach was conducted in Tebing Tinggi City in December 2023. The informants in this study consisted of three key informants, namely the Head of the Public Health Division of the Tebing Tinggi Health Office, the Primary Nutritionist of Puskesmas Satria, and the Nutrition Executive Officer of Puskesmas Teluk Karang, and six regular informants, namely parents with stunted children. The data was collected through in-depth interviews with informants with the help of in-depth interview guidelines. The implementation of the stunting prevention and management program in Tebing Tinggi has routine communication between implementation actors and program targets, has adequate human resources, funds, facilities, and infrastructure, positive disposition of implementation actors even without incentives, and has standard operational procedures and clear distribution of responsibilities. The implementation of the stunting prevention and handling program in Tebing Tinggi was good; however, it should be noted that there are still shortcomings in the aspect of communication with program targets. Keywords: Stunting, Implementation, Policy, Program  ABSTRAK Stunting, yaitu kondisi malnutrisi kronis yang ditandai dengan badan yang relatif pendek berdasarkan usia anak, masih menjadi salah satu permasalahan gizi yang paling sering ditemukan di negara-negara miskin dan negara berkembang dan berkaitan erat dengan kejadian infeksi berulang serta stimulasi psikososial yang tidak adekuat. Dengan prevalensi stunting yang mencapai 31% di tahun 2022, Pemerintah Indonesia menargetkan mampu menekan prevalensi stunting di Indonesia menjadi 14% pada tahun 2024 melalui berbagai program yang melibatkan berbagai elemen pemerintahan. Penelitian ini bertujuan untuk menilai bagaimana implementasi program pencegahan dan penanganan stunting di Kota Tebing Tinggi. Penelitian ini merupakan penelitian kualitatif dengan pendekatan potong-lintang yang dilakukan di Kota Tebing Tinggi pada Desember 2023. Informan pada penelitian ini terdiri dari tiga informan kunci yaitu Kepala Bidang Kesehatan Masyarakat Dinas Kesehatan Kota Tebing Tinggi, Nutrisionis Ahli Pratama Puskesmas Satria, dan Petugas Pelaksana Gizi Puskesmas Teluk Karang dan enam informan biasa, yaitu orang tua dengan anak stunting. Data penelitian ini dikumpulkan dengan wawancara mendalam dengan informan dengan bantuan pedoman wawancara mendalam. Penelitian ini menemukan bahwa implementasi program pencegahan dan penanganan stunting di Kota Tebing Tinggi memiliki komunikasi rutin antar aktor implementasi dan terhadap sasaran program, memiliki sumber daya manusia, dana, serta sarana dan prasarana yang adekuat, disposisi aktor implementasi yang positif walaupun tanpa insentif, dan memiliki standard operational procedure dan distribusi tanggung jawab yang jelas. Dapat disimpulkan bahwa implementasi program pencegahan dan penanganan stunting di Kota Tebing Tinggi berjalan dengan baik; namun perlu diingat bahwa masih terdapat kekurangan dalam aspek komunikasi dengan sasaran program. Kata Kunci: Stunting, Implementasi, Kebijakan, Program
Analisis Faktor Kejadian Unmet Need KB Pada Wanita Usia Subur di Wilayah Kerja Puskesmas Wae Kanta Hamat, Viviana; Janggu, Jayanthi Petronela; Manggul, Makrina Sedista; Adar, Olivera Agnes; Kurniati, Kornelia
MAHESA : Malahayati Health Student Journal Vol 4, No 12 (2024): Volume 4 Nomor 12 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i12.15643

Abstract

ABSTRACT Indonesia is still one of the countries with the largest population in the world. One of the programs carried out by the government is the Family Planning Program to control the population and improve the health welfare of mothers and children. However, the high unmet need is a problem for the government not only regarding the population explosion in 2030 but will also increase the maternal mortality rate (MMR) in Indonesia. To analyze the factors that influence the decision to unmet need for family planning among female couples of childbearing age in the Wae Kanta Community Health Center working area. This study is quantitative with a cross sectional design. Data collection uses a structured questionnaire that has been tested and declared valid. The research was conducted in the target village, namely Wae Kanta Village, 4-5 December 2023. The sampling technique was total sampling with a population of 37 fertile female couples. The analysis starts with univariate and then bivariate with the chi square test. There is a relationship between age and the incidence of unmet need for family planning with a p value of 0.006 (p < 0.05). There is a relationship between education and the incidence of unmet need for family planning with a p value of 0.000 (p < 0.05). There is a relationship between husband's support and the incidence of unmet need for family planning with a p value of 0.000 (p < 0.05). There is a relationship between knowledge and the incidence of unmet need for family planning with a p value of 0.002 (p < 0.05). Several factors have been proven to have an influence on the incidence of unmet need for family planning among WUS in Wae Kanta village, including mother's age, education, knowledge and husband's support. Employment, income and parity factors have no relationship with the incidence of unmet need for family planning. Keywords: Unmet Need for Family Planning Factors, Unmet Need for Family Planning, Women of Childbearing Age  ABSTRAK Indonesia masih menjadi salah satu negara yang memiliki populasi terbanyak didunia. Salah satu program yang dilakukan pemerintah adalah Program Keluarga Berencana untuk mengedalikan populasi dan meningkatkan kesejahteraan kesehatan ibu dan anak. Namun Tingginya unmet need menjadi permasalahan bagi pemerintah bukan hanya perihal ledakan populasi penduduk di tahun 2030 tetapi juga akan meningkatkan angka kematian ibu (AKI) di Indonesia. Menganalisis faktor yang mempengaruhi keputusan unmet need KB pada Wanita pasangan usia subur di wilayah kerja Puskesmas Wae Kanta. Studi ini kuantitatif dengan desain cross sectional. Pengumpulan data menggunakan kuesioner terstruktur yang telah diuji dan dinyatakan valid. Penelitian dilakukan di desa binaan yaitu Desa Wae Kanta tanggal 4-5 Desember 2023. Teknik sampel adalah total sampling dengan jumlah populasi Wanita pasangan subur berjumlah 37 orang. Analisis dimulai dengan univariat selanjutnya bivariat dnegan uji chi square. Ada hubungan antara umur dengan kejadian unmet need KB dengan nilai p value sebesar 0,006 (p < 0,05). Ada hubungan antara pendidikan dengan kejadian unmet need KB dengan nilai p value sebesar 0,000 (p < 0,05). Ada hubungan antara dukungan suami dengan kejadian unmet need KB dengan nilai p value sebesar 0,000 (p < 0,05). Ada hubungan antara pengetahuan dengan kejadian unmet need KB dengan nilai p value sebesar 0,002 (p < 0,05). Beberpa faktor yang terbukti memiliki pengaruh terhadap kejadian unmeed need KB pada WUS di Desa Wae Kanta diantaranya umur ibu, Pendidikan, pengetahuan dan dukungan suami. Faktor pekerjaan, penghasilan dan paritas tidak memiliki hubungan dengan kejadian unmet need KB Kata Kunci: Faktor Unmet Need KB, Unmet Need KB, Wanita Usia Subur
Hubungan Pengetahuan dengan Kepatuhan Penggunaan Insulin dada Pasien DM Tipe 2 Rangga, Alfrida; Najihah, Najihah; Wijayanti, Dewi; Tukan, Ramdya Akbar; Lesmana, Hendy; Iskandar, Ayuk Cucuk
MAHESA : Malahayati Health Student Journal Vol 4, No 12 (2024): Volume 4 Nomor 12 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i12.15241

Abstract

ABSTRACT Diabetes is a chronic disease in the form of a metabolic disorder characterized by blood sugar levels that exceed normal limits. Type II diabetes mellitus is a disease caused by an increase in blood sugar due to a decrease in low insulin secretion by the pancreas gland. The therapy that is often used in type II diabetes patients is using insulin therapy. Insulin is a safe and effective drug in maintaining blood glucose levels within normal limits. To determine the relationship between knowledge and compliance with insulin use in Type 2 DM patients. Using a cross sectional study research method. Sampling used the Incidental Sampling technique with a sample size of 51 people. The results of the analysis from the Chi square test showed that the sig value was <0.0001 (P < 0.05), so it was said that there was a relationship between knowledge and compliance with insulin use in Type 2 DM patients. Respondents' knowledge about insulin use was related to compliance with insulin use. It is hoped that nurses can pay more attention to nursing care for patients in treating type 2 diabetes mellitus patients  Keywords: Diabetes Mellitus Type 2, Insulin, Compliance, Knowledge  ABSTRAK Diabetes adalah penyakit menahun (kronis) berupa gangguan metabolik yang ditandai dengan kadar gula darah yang melebihi batas normal. Diabetes melitus tipe II merupakan penyakit yang disebabkan kenaikan gula darah karena penurunan sekresi insulin yang rendah oleh kelenjar pancreas Terapi yang banyak dilakukan pada pasien diabetes tipe II ini yaitu menggunakan terapi insulin. Insulin merupakan obat yang aman dan efektif dalam menjaga kadar glukosa darah dalam ambang normal. Untuk mengetahui hubungan pengetahuan dengan kepatuhan penggunaan insulin pada pasien DM Tipe 2. Metode Penelitian dengan menggunakan metode penelitian cross sectional study. Pengambilan sampel menggunakan teknik Sampling Incidental dengan jumlah sampel sebanyak 51 orang. Hasil analisis dari Chi square test didapatkan tetap nilai sig sebesar <0.0001 (P < 0.05) sehingga dikatakan ada hubungan pengetahuan dengan kepatuhan penggunaan insulin pada pasien DM Tipe 2. Pengetahuan responden tentang penggunaan insulin berhubungan dengan kepatuhan dalam penggunaan insulin. Diharapkan perawat dapat lebih memperhatikan asuhan keperawatan pada pasien dalam penanganan pasien diabetes melitus tipe 2 Kata Kunci: Diabetes Melitus Tipe 2, Insulin, Kepatuhan, Pengetahuan
Analisis Karakteristik Anemia pada Ibu Hamil Trimester III di Alia Hospital Jakarta Timur Handayani, Wening; Masluroh, Masluroh
MAHESA : Malahayati Health Student Journal Vol 4, No 12 (2024): Volume 4 Nomor 12 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i12.16343

Abstract

ABSTRACT Data from World Health Organization (WHO) states that the global prevalence of anemia is recorded at 40 % in children aged 6 – 59 month,37 % occurs in pregnant women  and 30 % in women aged 15 – 49 years (WHO,2023). Analytical observational research design with a cross sectional study approach.The research population was 235 pregnant women in the third trimester in February – April 2024.Using the slovin formula,a sample of 98 pregnant women was obtained.The sampling technique is purposive sampling technique.Data collection uses secondary data from patient medical record.Data were analyzed through univariate analysis,bivariate analysis with Chi -Square and multivariate analysis with logistic regreesion. The results of bivariate analysis with chi-square showed (1)There was no relationsip between education level and the incidence of anemia,p value (0,473) > 0,05; (2) there is a relationship between age and the incindence of anemia with a p valur (0,0000) < 0,05;(3) there is a relationship between pregnancy spacing and the incidence of anemia p value (0,042) < 0.05;(4) there is a relationship between parity and the incidence of anemia, P value (0,0001) < 0,05.The results of multivariate analysis with logistic regression show (1) the age variable with a p value (0,0000) Odds Ratio 5,487,there is an influence of age on the incidence of anemia; (2) the parity variable with a p value (0,015) < 0,05 Odds Ratio 4,049,there is an influence of parity on the incindence of anemia. The characteristics of anemia in pregnant women at Alia Hospital are influenced by the age of the pregnant woman,pregnancy spacing and parity.The strongest influencing factor is age.The level of education has no relationship with the incidence of anemia in third semester pregnant women at Alia Hospital.Higher education will have a better level of knowledge,but information stored in memory is not necessarily put into action so it will not affect the incindence of anemia. Keywords: Anemia,Education Level, Age, Pregnancy Interval  and Parity  ABSTRAK Data World Health Organization (WHO) menyebutkan bahwa prevalensi anemia secara global tercatat sebesar 40% terjadi pada anak usia 6 – 59 bulan, 37 % terjadi pada wanita hamil dan 30 % wanita usia 15 – 49 tahun (WHO, 2023).Di Indonesia Proporsi  anemia  ibu  hamil  sebesar  37,1% pada tahun 2013 meningkat di tahun 2018  menjadi sebesar  48,9%. Meningkatnya angka kejadian anemia pada ibu hamil ini menyebabkan meningkatnya komplikasi pada ibu hamil saat kehamilan maupun persalinan.Anemia pada ibu hamil ini bisa disebabkan  oleh faktor – faktor tingkat pendidikan,usia,jarak kehamilan dan paritas ibu hamil.Untuk menganalis karakteristik anemia pada ibu hamil trimester III di Alia hospital tahun 2024. Desain penelitian observasional analitik dengan pendekatan cross sectional study. Populasi penelitian adalah ibu hamil trimester III pada bulan Febuari – April 2024 sebanyak 235. Sampel menggunakan rumus slovin didapatkan sampel 98 ibu hamil. Teknik pengambilan sampel dengan teknik purposive sampling. Pengumpulan data menggunakan data sekunder dari rekam medis pasien. Data dianalisis melalui analisis univariat,analisis bivariat dengan Chi-Square dan analisis multivariat dengan regresi logistik. Hasil analisis bivariat dengan chi- square menunjukan (1) Tidak ada  hubungan tingkat pendidikan dengan kejadian anemia nilai p (0,473) >  0,05; (2) ada hubungan usia dengan kejadian anemia nilai p (0,000) < 0,05; (3) ada hubungan jarak kehamilan  dengan kejadian anemia nilai p (0,042) < 0,05; (4) ada hubungan paritas dengan kejadian anemia nilai p (0,001) < 0.05.Hasil analisis multivariat dengan regresi logistik menunjukkan (1) variabel usia dengan nilai p (0,000) Odds Ratio 5,487 ada pengaruh usia dengan kejadian anemia; (2) varibel paritas dengan nilai p (0,015) < 0,05 Odds Ratio 4,049 ada pengaruh paritas dengan kejadian anemia. Karakteristik anemia pada ibu hamil di Alia hospital dipengaruhi oleh faktor usia ibu hamil, jarak kehamilan dan paritas.Faktor yang paling kuat mempengaruhi adalah faktor usia.Tingkat pendidikan tidak ada hubungan dengan angka kejadian anemia pada ibu hamil trimester III di Alia Hospital.Ibu dengan tingkat pendidikan tinggi akan memiliki tingkat pengetahuan yang lebih baik namun suatu informasi yang disimpan dalam ingatan belum tentu dipraktekkan dalam tindakan sehingga tidak akan berpengaruh terhadap kejadian anemia. Kata Kunci: Anemia,Tingkat Pendidikan,Usia,Jarak Kehamilan dan Paritas

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