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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)
Articles 1,573 Documents
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Evaluasi Pelaksanaan Imunisasi Human Papillomavirus (HPV) Empat Puskesmas di Kota Semarang Khosyi, Vania Intana; Suryawati, Chriswardani; Arso, Septo Pawelas
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20439

Abstract

ABSTRACT Cervical cancer is one of the leading causes of death among women worldwide. WHO made a policy related to primary prevention of cervical cancer in women with Human Papillomavirus (HPV) immunization. The program targets girls aged 9-14 years or 5th and 6th grade elementary school students. Human Papillomavirus immunization is included in the BIAS immunization program implemented in schools in the puskesmas working area. The implementation of the immunization program in the puskesmas working area still has obstacles such as lack of knowledge, rejection, and hoax news circulating causing low coverage. The immunization program needs to be developed through evaluation to see how far the program is running. Therefore, this study aims to evaluate the implementation of Human Papillomavirus immunization in four puskesmas in Semarang City in 2024 using the CIPP evaluation model which is expected to provide useful information for policy makers and health workers in improving the implementation of the Human Papillomavirus immunization program. This study qualitative research conducted in the working areas of four health centers in Semarang City. Data were collected using indepth interviews with 14 informants from the Semarang City Health Office, head of puskesmas, immunization coordinators, and elementary school teachers. The results showed that the implementation of human papillomavirus immunization program is quite good. However, there are still obstacles such as vaccine logistics are still lacking, data that is not suitable, and parental rejection due to lack of knowledge. The immunization achievement of four puskesmas in Semarang City in 2024 has reached the target according to the Ministry of Health (95.5%) and the Health Office (95%). Regular evaluation and increased coordination between stakeholders are important steps to ensure the sustainability and optimization of HPV immunization programs in the future. Keywords: Immunization, HPV, Program, Puskesmas.  ABSTRAK Kanker serviks salah satu penyebab kematian terbesar pada wanita yang ditemukan di dunia. WHO membuat kebijakan terkait pencegahan primer kanker serviks pada wanita dengan imunisasi Human Papillomavirus (HPV). Sasaran program anak perempuan usia 9-14 tahun atau siswi kelas 5 dan 6 Sekolah Dasar. Imunisasi Human Papillomavirus masuk kedalam program imunisasi BIAS dilaksanakan di sekolah wilayah kerja puskesmas. Pelaksanaan program imunisasi di wilayah kerja puskesmas masih terdapat kendala seperti kurangnya pengetahuan, penolakan, serta berita hoax yang beredar menyebabkan cakupan rendah. Program imunisasi perlu dikembangkan dengan melalui evaluasi untuk melihat sejauh mana program ini berjalan. Oleh karena itu, penelitian ini bertujuan untuk mengevaluasi pelaksanaan imunisasi Human Papillomavirus (HPV) empat puskesmas di Kota Semarang pada tahun 2024 dengan menggunakan model evaluasi CIPP yang diharapkan dapat memberi informasi berguna pengambilan kebijakan dan tenaga kesehatan dalam meningkatkan pelaksanaan program imunisasi Human Papillomavirus. Penelitian ini merupakan penelitian kualitatif yang dilaksanakan di wilayah kerja empat puskesmas di Kota Semarang. Pengambilan data dilakukan dengan wawancara mendalam dengan 14 informan pihak Dinas Kesehatan Kota Semarang, Kepala Puskesmas, Koordinator Imunisasi Puskesmas, serta Guru Sekolah Dasar. Hasil penelitian menunjukkan pelaksanaan program imunisasi Human Papillomavirus sudah cukup baik. Namun, masih terdapat hambatan seperti logistik vaksin masih kurang, data yang tidak sesuai,dan adanya penolakan orang tua akibat kurangnya pengetahuan. Capaian imunisasi empat puskesmas di Kota Semarang pada Tahun 2024 sudah mencapai target menurut Kemenkes (95,5%) dan Dinkes (95%). Evaluasi secara berkala dan peningkatan koordinasi antar pemangku kepentingan menjadi langkah penting untuk memastikan keberlanjutan dan optimalisasi program imunisasi HPV di masa mendatang. Kata Kunci: Imunisasi, HPV, Program, Puskesmas.
Literature Review: Evaluasi Pelatihan Pemberian Makan Bagi Bayi dan Anak (PMBA) dalam Meningkatkan Pengetahuan dan Keterampilan Peserta sebagai Upaya Pencegahan Stunting Lestari, Faetria; Adhani, Rosihan; Rahman, Fauzie; Isa, Mohammad
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.20927

Abstract

ABSTRACT According to the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF), more than 50% of infant and toddler deaths are related to malnutrition, and two-thirds of these deaths are related to inappropriate feeding practices for infants and children. The purpose of PMBA training is for health workers, health cadres, and the general public to be able to provide the right food for infants and children. The policy related to PMBA has been running for a long time, the Ministry of Health has issued PMBA guidelines since 2021 which refers to Presidential Decree No. 72 of 2021 concerning the acceleration of stunting reduction. There is a need to evaluate PMBA training, one of which is to improve the knowledge and skills of participants. To analyze the effectiveness of Infant and Child Feeding Counseling Training (PMBA) for health workers in improving the knowledge and skills of participants. A literature review was conducted through the following databases: Google Scholar in the period 2021 to 2025, in English or Indonesian. Articles were selected based on full texts that met the inclusion and exclusion criteria. Articles were compiled using the PRISMA (Preferred Reporting Items for Systematic Review and Meta Analysis) guidelines. PMBA training can significantly improve participants' knowledge in proper feeding for infants and children. PMBA training is an effective program in providing proper feeding for infants and children as an effort to reduce the incidence of stunting in Indonesia. Keywords: PMBA Training, Knowledge, Skills, Nutrition.  ABSTRAK Menurut World Health Organization (WHO) dan United Nations Children’s Fund (UNICEF), lebih dari 50% kematian anak balita terkait dengan keadaan kurang gizi, dan dua pertiga diantaranya kematian tersebut terkait dengan praktik pemberian makan yang kurang tepat pada bayi dan anak. Dilakukannya pelatihan PMBA bertujuan agar tenaga Kesehatan, kader Kesehatan, maupun Masyarakat umum dapat memberikan makanan yang tepat bagi bayi dan anak. Kebijakan terkait PMBA sudah berjalan sejak lama, Kemenkes telah menerbitkan pedoman PMBA sejak tahun 2021 yang mengacu pada Perpres no 72 Tahun 2021 tentang percepatan penurunan stunting. Perlunya dilakukan evaluasi pelatihan PMBA, salah satunya dalam meningkatkan pengetahuan dan keterampilan peserta. Menganalisis efektifitas Pelatihan Konseling Pemberian Makan Bayi dan Anak (PMBA) pada tenaga Kesehatan dalam meningkatkan pengetahuan dan keterampilan peserta. Tinjauan literatur dilakukan melalui basis data: Google Scholar dalam rentang tahun 2021 hingga 2025, berbahasa inggris atau indonesia. Artikel dipilih berdasarkan teks lengkap yang sesuai dengan kriteria inklusi dan ekskusi. Artikel disusun menggunakan panduan PRISMA (Preferred Reporting Items for Systematic review and Meta Analysis). pelatihan PMBA secara signifikan dapat meningkatkan pengetahuan peserta dalam pemberian makan yang tepat pada bayi dan anak. Pelatihan PMBA merupakan program yang efektif dalam pemberian makan yang tepat bagi bayi dan anak sebagai upaya menekan kejadian stunting di Indonesia. Kata Kunci: Pelatihan PMBA, Pengetahuan, Keterampilan, Gizi.
Factors Associated with Hospital Profitability: A Systematic Review Silla, Dafrossa Vony; Ernawaty, Ernawaty
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21463

Abstract

ABSTRACT Maximizing profitability is a goal that is often a challenge as healthcare providers work to balance the cost of providing effective, timely care and innovative services. This research aims to review the evidence that identifies the factors that can affect hospital profitability using a systematic review study. Articles published in the last 10 years in Proquest, Google Scholar, and EBSCO databases were systematically reviewed. Thirteen articles that met the inclusion and exclusion criteria were selected for further review. Findings regarding factors that can affect hospital profitabilitywere systematically synthesized. Thirteen articles explore This paper attempts to summarize the hospital profitability model by establishing relationships between the seventeen factors divided into six key subheadings identified such as organizational factors, managerial factors, patient mix factors, market conditions, health system and technology services. An examination of the factors was associated with hospital profitability and their impact on profitability can improve our understanding of the hospital industry. Further examination of the varying relationship between hospital operating factors and their profitability by hospital ownership type reveals that nonprofit hospitals behave very differently. Keywords: Hospital, Profitability, Systematic Review.
Analisis Implementasi Pemeriksaan USG dalam Antenatal Care (ANC) di Puskesmas Kota Semarang Dewi, Aulia Ulfah Mutiara; Kartasurya, Martha Irene; Purnami, Cahya Tri
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20925

Abstract

ABSTRACT Background: The disparity in maternal mortality rates (MMR) between developed countries and low-middle income countries was very large, including in Indonesia. One of the differences between the two was the ultrasound examination that had been used for a long time in developed countries. Semarang was one of the capital city that had implemented ultrasound examination as one of the examinations for pregnant women since 2022. To determine the implementation of ultrasound examination as an early detection of pregnancy complications at primary health care (PHC) in Semarang. Qualitative research with a case study research design. Research data were obtained through interviews, observations, and other documents collected in the period September-December 2024 at 4 PHCs in Semarang. Ultrasound examinations at PHCs were good, but there were several examination indicators that had not been carried out optimally. Two factors that influence its implementation were human resources (HR) and infrastructure. Constraints on HR include uneven distribution, mutations of trained doctors, and varying training curricula. Meanwhile, the constraints encountered in infrastructure were technical constraints on ultrasound equipment, the response of the equipment provider vendor, and the ultrasound room that were not yet up to standard. Improvement efforts were needed in the aspects of human resources and infrastructure in order to improve the quality of USG examination services at PHCs in Semarang. Keywords: Obstetric Ultrasound, Antenatal Care, Primary Health Care.  ABSTRAK Ketimpangan angka kematian ibu (AKI) antara negara maju dengan negara berkembang sangat besar, termasuk di Indonesia. Salah satu perbedaan keduanya adalah pemeriksaan USG telah digunakan sejak lama di negara maju. Kota Semarang merupakan salah satu ibu kota yang telah menerapkan pemeriksaan USG sebagai salah satu pemeriksaan bagi ibu hamil sejak 2022. Untuk mengetahui implementasi pemeriksaan USG sebagai deteksi sebagai deteksi dini komplikasi kehamilan di Puskesmas Kota Semarang. Penelitian kualitatif dengan desain penelitian studi kasus. Data penelitian diperoleh melalui wawancara, observasi, dan dokumen lainnya yang dikumpulkan pada periode September-Desember 2024 pada 4 puskesmas di Kota Semarang. Pemeriksaan USG pada ANC di Puskesmas Kota Semarang sudah baik, namun terdapat beberapa indikator pemeriksaan yang belum dijalankan secara optimal. Dua faktor yang memengaruhi pelaksanaannya adalah sumber daya manusia (SDM) dan sarana prasarana. Kendala pada SDM meliputi distribusi yang belum merata, mutasi terhadap dokter yang terlatih, dan kurikulum pelatihan yang bervariasi. Sedangkan kendala yang ditemui pada sarana prasarana adalah kendala teknis alat USG, respon vendor penyedia alat, dan ruang USG yang belum sesuai standar.Diperlukan upaya perbaikan pada aspek SDM dan sarana prasarana demi meningkatkan kualitas pelayanan pemeriksaan USG pada ANC di Puskesmas Kota Semarang. Kata Kunci: Pemeriksaan USG, ANC, Puskesmas.
Clinical Manifestation and Nursing Care Challenges of Neurogenic Bowel Disorder in Closed-Intertrochanteric Fracture Dextra an a 58-Year-Old Female with T2dm And Atelectasis-Tuberculosis: a Case Report Anggraeni, Rina; Pahria, Tuti; Hostanida Purba, Chandra Isabella
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20428

Abstract

ABSTRACT Intertrochanteric fractures, characterized by breaks in the proximal femur outside the joint capsule, present significant rehabilitation challenges, especially in older adult with comorbidities. These fractures disrupt the attachment points for major muscles and can lead to complications if not promptly and effectively treated. This case report explores the complex clinical scenario of a 58-year-old female patient with a history of Type 2 diabetes mellitus (T2DM) and tuberculosis, who suffered a closed intertrochanteric fracture dextra. The complications were exacerbated by neurogenic bowel disorder (NBD) due to prolonged immobility. The patient presented to the emergency department with severe hip pain following a fall at home, where she had been bedridden for two weeks. During this time, she developed a grade 2 decubitus ulcer. Despite her painful condition, initial treatment was delayed, leading to severe complications. A subsequent chest X-ray revealed infiltration along with atelectasis of the left superior lobe and left pleural effusion indicative of exacerbated pulmonary tuberculosis. Diagnostic imaging also identified an obstructive ileus. Immediate surgical intervention was indicated to manage the fracture. In addition to surgical care, the patient required specialized nursing care to address her acute and chronic medical needs, including blood glucose monitoring and management of her pulmonary condition. Prior to her surgery, Swadesh massage therapy was employed, resulting in minor relief indicated by the passage of a small amount of hard, mucous-like feces. Effective management of closed intertrochanteric fractures in patients with significant comorbidities requires a multidisciplinary approach. Early surgical intervention, combined with tailored nursing care and continuous monitoring of associated complications, is crucial for restoring functionality and preventing further health deterioration. Keywords: Intertrochanteric Fracture, Neurogenic Bowel Disorder, Type 2 Diabetes Mellitus, Pulmonary Tuberculosis, Multidisciplinary Care.
Evaluasi Implementasi Sistem Manajemen Kesehatan dan Keselamatan Kerja di Puskesmas Kabupaten Lombok Barat Jamrah, Jamrah; Saimi, Saimi
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21220

Abstract

ABSTRACT Risk control in healthcare facilities (fasyankes) creates a healthy, comfortable, safe, and secure working environment, so healthcare facilities need to implement an Occupational Health and Safety Management System (OHSMS/SMK3). Community health centers (Puskesmas) have not yet organized SMK3, so the implementation of SMK3 and the challenges faced need to be investigated. This study aims to understand the establishment of policies, planning, implementation, monitoring and evaluation, performance review and improvement, and the obstacles in implementing SMK3. This research uses an exploratory qualitative method aimed at understanding the implementation of SMK3 in Puskesmas in West Lombok Regency. Internal policy establishment and occupational safety planning are available and have been socialized, but there is no commitment from the leadership regarding occupational safety. Ten occupational safety standards in healthcare facilities have been implemented, except for regular health examinations or medical check-ups (MCU) which have not been carried out. The OHS team conducts routine monitoring every month and evaluates occupational safety every semester. There has never been any review or performance improvement activity conducted by external parties. The internal challenge is that many people still do not understand occupational health and safety (OHS) in health service facilities, so the implementation of OHS is not comprehensive, coupled with a lack of funding support. The external challenge identified is the absence of support from the relevant agency as the supervisor of OHS implementation at community health centers. The formulation of policies, planning, implementation, monitoring, and evaluation of OHS management systems has been carried out according to regulations but not in accordance with OHS policies, while the stage of review and performance improvement by external parties has not occurred, making the role of the health department as supervisor and overseer very necessary.Keywords: Implementation, OHS Management System, Community Health Centers, West Lombok.  ABSTRAK Pengendalian risiko di fasilitas pelayanan kesehatan (fasyankes) menciptakan lingkungan kerja sehat, nyaman, selamat, dan aman sehingga fasyankes perlu menerapkan Sistem Manajemen Keselamatan dan Kesehatan Kerja (SMK3). Puskesmas belum mengorganisasikan SMK3 sehingga  penerapan SMK3 dan kendala yang dihadapi perlu diteliti. Mengetahui penetapan kebijakan, perencanaan, pelaksanaan, pemantauan dan evaluasi, peninjauan dan peningkatan kinerja dan kendala dalam  penerapan SMK3. Penelitian ini menggunakan metode kualitatif eksploratif yang bertujuan mengetahui pelaksanaan SMK3 di Puskesmas Kabupaten Lombok Barat. Penetapan kebijakan internal dan perencanaan K3 tersedia dan sudah disosialisasikan namun belum ada komitmen dari pimpinan tentang K3. Sepuluh standar K3 di fasyankes sudah dilaksanakan hanya pemeriksaan kesehatan berkala atau MCU belum dilaksanakan. Tim K3 melaksanakan pemantauan  rutin setiap bulan, dan evaluasi K3 setiap semester. Belum pernah ada kegiatan peninjauan dan peningkatan kinerja oleh pihak eksternal. Kendala internalnya adalah masih banyak yang belum memahami K3 di fasyankes sehingga pelaksanaan K3 belum komprehensif dan kurangnya dukungan sumber dana. Kendala eksternal terdeteksi belum adanya dukungan dari dinas terkait selaku pembina pelaksanaan SMK3 di puskesmas. Penetapan kebijakan, perencanaan, pelaksanaan, pemantauan dan evaluasi SMK3 sudah dilaksanakan sesuai regulasi namaun belum sesuai dengan kebijakan K3, sedangkan tahap peninjauan dan peningkatan kinerja K3 pihak eksternal belum ada sehingga peran dinas kesehatan sebagai pembina dan pengawasan sangat diperlukan. Kata Kunci: Penerapan, SMK3, Puskesmas, Lombok Barat
The Effectiveness of Sipandem Aplication in Monitoring Adherence of Diabetes Mellitus in Kramatwatu Public Health Centre Ernawati, Ernawati; Riyanto, Dwi Agung; Febri, Febri
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.22754

Abstract

ABSTRACT Diabetes mellitus is a degenerative disease that occurs due to metabolic disorders caused by problems in insulin production. Adherence is defined as an attitude and behavior aimed at fulfilling instructions or requests from others. The “SIPANDEM” application was developed to support diabetes self-management. The determine the effectiveness of SIPANDEM Aplication in monitoring adherence of Diabetes Mellitus patients. This study employed a quantitative research design with a descriptive correlational approach to examine the relationship between two or more variables using a cross-sectional method, with pairet t-test analysis. The paired t-test analysis demonstrated a statistically significant effect of the SIPANDEM application on patient adherence (p-value = 0.000). The SIPANDEM Aplication is effective in monitoring the adherence of diabetes mellitus patients Keywords: SIPANDEM, Aplication, Diabetes Mellitus, Adherence, Self-Management.
Penanganan Proctosigmoiditis tanpa Terapi Rektal: Sebuah Laporan Kasus Ulcerative Colitis pada Pasien Pria Usia 38 Tahun Mahmudah, Sari; Brata, Cecilia
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20667

Abstract

ABSTRACT Ulcerative colitis (UC) is a chronic immune-mediated inflammatory bowel condition that is often associated with rectal inflammation but often extends proximally to involve additional areas of the colon. The initial presentation of new UC is characterized by symptoms of an inflamed rectum, namely bleeding, urgency and tenesmus (pressure). The choice of treatment depends on the severity of the disease, location and course of the disease. For proctosigmoiditis, topical therapy with 5-aminosalicylic acid (5-ASA) compounds is used. For more extensive or severe disease, oral 5-ASA compounds and corticosteroids should be used to induce remission In this case, the patient had complained of chronic diarrhea for 1 year and only had diarrhea medication. Recently the patient was diagnosed with mild active UC type proctosigmoiditis and the therapy received by the patient was Sulfasalazine 500 mg 3x1 tab without topical 5-ASA. The patient was hospitalized for 7 days and was discharged from the hospital with improved clinical condition. Kata Kunci: Ulcerative Colitis, Proctosigmoiditis, Case Report.  ABSTRAK Ulcerative colitis (UC) merupakan kondisi peradangan usus besar kronis yang dimediasi imun yang sering dikaitkan dengan peradangan rektum tetapi sering meluas ke proksimal hingga melibatkan area tambahan di kolon. Presentasi awal UC baru ditandai dengan gejala rektum yang meradang, yaitu pendarahan, urgensi dan tenesmus (rasa tertekan).Pilihan pengobatan tergantung pada tingkat keparahan penyakit, lokalisasi dan perjalanan penyakit. Untuk proctosigmoiditis, digunakan terapi topikal dengan senyawa asam 5-aminosalisilat (5-ASA). Untuk penyakit yang lebih luas atau parah harus diobati dengan senyawa 5-ASA oral dan kortikosteroid untuk menginduksi remisi. Pada kasus ini pasien telah mengeluhkan diare kronis selama 1 tahun hanya diberikan obat diare. Belakangan terakhir pasien didiagnosa UC aktif derajat ringan tipe proctosigmoiditis dan terapi yang didapatkan pasien adalah Sulfasalazine 500 mg 3x1 tab tanpa pemberian 5-ASA topikal. Pasien menjalani rawat inap selama 7 hari dan keluar rumah sakit dengan kondisi klinis yang membaik. Kata Kunci: Kolitis Ulseratif, Proctosigmoiditis, Laporan Kasus.
Hubungan Viral Load HIV1-RNA terhadap Jumlah Trombosit Pada Pasien yang Terdeteksi HIV di Surabaya Ardhiyani, Ardhiyani; Sayekti, Fitria Diniah Janah
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21004

Abstract

ABSTRACT HIV (Human Immunodeficiency Virus) is a virus that attacks the immune system and can lead to AIDS. Thrombocytopenia, which is a reduction in platelet count, is frequently found in HIV patients and may impact their prognosis. This study aims to analyze the relationship between platelet count and HIV-1 RNA viral load in HIV patients detected at Prodia Surabaya. This study aims to determine the relationship between platelet count and HIV-1 RNA viral load in HIV patients detected at Prodia Surabaya Clinical Laboratory. This study uses an analytical observational design with a cross-sectional approach. The sample consists of 31 HIV patients who underwent HIV-1 RNA testing at Prodia Surabaya Laboratory from December 2024 to February 2025. Data on HIV-1 RNA viral load and platelet count were analyzed using Spearman’s statistical test. The results show that the majority of patients had an HIV-1 RNA viral load of 4.0 x 10¹ (51.61%) and normal platelet counts (83.88%). Normality tests indicated that both variables (viral load and platelet count) were not normally distributed (p 0.001). Spearman’s test yielded a correlation coefficient of -0.157 with a significance value of p = 0.400, indicating that there is no significant relationship between platelet count and HIV-1 RNA viral load. There is no significant relationship between platelet count and HIV-1 RNA viral load in HIV patients detected at Prodia Surabaya. Other factors such as nutritional status, antiretroviral therapy, and co-morbid infections may contribute to influencing platelet count. Keywords: HIV, Platelet, Thrombocytopenia, Viral Load.  ABSTRAK HIV (Human Immunodeficiency Virus) adalah virus yang menyerang sistem kekebalan tubuh dan dapat menyebabkan AIDS. Trombositopenia, yaitu penurunan jumlah trombosit dalam darah, sering kali ditemukan pada pasien HIV dan dapat mempengaruhi prognosis mereka. Penelitian ini bertujuan untuk menganalisis hubungan antara kadar trombosit dengan viral load HIV-1 RNA pada pasien HIV yang terdeteksi di Prodia Surabaya. Penelitian ini bertujuan untuk mengetahui hubungan antara kadar trombosit dengan viral load HIV-1 RNA pada pasien yang terdeteksi HIV di Laboratorium Klinik Prodia Surabaya. Penelitian ini menggunakan desain analitik observasional dengan pendekatan cross-sectional. Sampel penelitian terdiri dari 31 pasien HIV yang menjalani pemeriksaan HIV-1 RNA di Laboratorium Prodia Surabaya pada periode Desember 2024 hingga Februari 2025. Data viral load HIV-1 RNA dan kadar trombosit dianalisis dengan uji statistik Spearman. Hasil penelitian menunjukkan bahwa mayoritas pasien memiliki viral load HIV-1 RNA 4,0 x 10¹ (51,61%) dan kadar trombosit dalam batas normal (83,88%). Uji normalitas menunjukkan bahwa kedua variabel (viral load dan trombosit) tidak terdistribusi normal (p 0,001). Uji Spearman menghasilkan koefisien korelasi -0,157 dengan nilai signifikansi p = 0,400, yang mengindikasikan bahwa tidak terdapat hubungan yang signifikan antara kadar trombosit dan viral load HIV-1 RNA. Tidak terdapat hubungan yang signifikan antara kadar trombosit dan viral load HIV-1 RNA pada pasien yang terdeteksi HIV di Prodia Surabaya. Faktor-faktor lain seperti status gizi, terapi antiretroviral, dan infeksi ko-morbid mungkin berperan dalam mempengaruhi kadar trombosit. Kata Kunci: HIV, Trombosit, Trombositopenia, Viral Load.
Meningkatkan Pengetahuan dan Sikap Remaja tentang Pencegahan Anemia melalui Media Tik Tok di SMPN 8 Cibitung Azzahra, Annisa Khotimah; Sapitri, Dea Anggraeni; Elizabeth, Beatrix; Nurpratiwi, Yulidian
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.20876

Abstract

ABSTRACT Anemia is a condition where red blood cells and hemoglobin are less than normal, which often occurs in adolescent girls, due to a lack of knowledge and attitudes that support its prevention. Effective education through popular platforms such as Tik Tok was chosen as an attractive approach to raise awareness of anemia prevention. The purpose of the study was to determine the effect of Tik Tok media platform on knowledge and attitude of anemia prevention. This research method is a quasi-experiment, and the population is 130 students of SMPN 8 Cibitung with a sample of 60 8th grade students divided into 30 people for each group. The independent variable is Tik Tok educational media (audio-visual visual), while the dependent variable is knowledge and attitude about anemia prevention. Measurement using pre-test and post-test questionnaires. The results of quantitative data analysis using Paired Sample T-test showed that there was a significant effect on increasing the level of knowledge and attitudes about anemia prevention ρ-value (0.000) 0.05. Independent Sample T-test showed a significant difference ρ-value (0.000) 0.05 between the groups given video and poster education.  The conclusion is that there is an effect of using the Tik Tok media platform as education on knowledge and attitudes about preventing anemia in adolescent girls. It is hoped that the results of this study can increase knowledge for adolescent girls at SMPN 8 Cibitung and be used as a reference for handling anemia prevention. Keywords: Adolescent Girls, Anemia, Attitude, Knowledge, Tik Tok.  ABSTRAK Anemia adalah kondisi saat sel darah merah dan hemoglobin kurang dari normal, yang sering terjadi pada remaja putri, akibat kurangnya pengetahuan dan sikap yang mendukung pencegahannya. Edukasi yang efektif melalui platform populer seperti Tik Tok dipilih sebagai pendekatan menarik untuk meningkatkan kesadaran pencegahan anemia. Tujuan penelitian guna mengetahui pengaruh media platform Tik Tok pada pengetahuan dan sikap pencegahan anemia. Metode penelitian ini quasi-experiment, serta populasi adalah siswi SMPN 8 Cibitung berjumlah 130 dengan  sampel 60 siswi kelas 8 yang dibagi masing-masing untuk setiap kelompok 30 orang. Variabel independen adalah media edukasi Tik Tok (audio-visual visual), sedangkan variabel dependen adalah pengetahuan dan sikap tentang pencegahan anemia. Pengukuran menggunakan kuesioner pre-test dan post-test. Hasil analisis data kuantitatif  menggunakan Paired Sample T-test menunjukkan bahwa terdapat pengaruh signifikan terhadap peningkatan tingkat pengetahuan dan sikap tentang pencegahan anemia ρ-value (0,000)  0,05. Independent Sample T-test menunjukkan perbedaan signifikan ρ-value (0,000)  0,05 antara kelompok yang diberikan edukasi video dan poster.  Kesimpulan terdapat pengaruh penggunaan media platform Tik Tok sebagai edukasi terhadap pengetahuan dan sikap tentang pencegahan anemia pada remaja putri. Diharapkan hasil penelitian ini dapat menambah pengetahuan bagi remaja putri di SMPN 8 Cibitung dan dijadikan acuan untuk menangani penanggulangan dan pencegahan anemia. Kata Kunci: Anemia , Pengetahuan, Remaja Putri, Sikap, Tik Tok.

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