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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 1,609 Documents
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Peran Dukungan Sosial dan Strategi Koping Dalam Mendukung Kesehatan Mental Caregiver Keluarga yang Merawat HIV/AIDS : Systematic Review Junaida, Sondang Rita; Hamid, Achir Yani. S.; Chandra, Yudi Ariesta
MAHESA : Malahayati Health Student Journal Vol 4, No 6 (2024): Volume 4 Nomor 6 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i6.14702

Abstract

ABSTRACT Family as informal caregivers have an important role in caring for family members with HIV/AIDS. Therefore, the well-being of family caregivers becomes very important because physical and mental health disorders can have a negative impact on the management of family members with chronic diseases. This study aims to analyse the role of social support and coping strategies with the mental health of family caregivers of people with HIV/AIDS (PLWHA). The research method used was systematic review through article searches that were adjusted to the formulation of research questions with the PICO formula. Data were obtained from Pro Quest, Pub Med, Sage Journal and Taylor & Francis from 2014 to 2023. Article titles and abstracts were searched and selected based on inclusion criteria. The search results found 9 articles with studies showing that there was a significant association between family support, coping strategies, and mental health in family caregivers of PLWHA. The presence of social support and adaptive coping strategies support the mental health of families caring for family members with HIV/AIDS. Keywords : Social Support, Coping Strategy, Caregiver of HIV, Mental Health ABSTRAK Keluarga sebagai pengasuh informal memiliki peran penting dalam merawat anggota keluarga dengan HIV/AIDS. Oleh karena itu, kesejahteraan pengasuh keluarga menjadi sangat penting karena gangguan kesehatan fisik dan mental dapat berdampak negatif pada pengelolaan anggota keluarga dengan penyakit kronis. Penelitian ini bertujuan untuk menganalisis peran dukungan sosial dan strategi koping dengan kesehatan mental caregiver keluarga yang merawat  orang dengan HIV/AIDS (ODHA). Metode penelitian yang digunakan adalah systematic review melalui penelusuran artikel yang disesuaikan dengan rumusan pertanyaan penelitian dengan rumus PICO. Data diperoleh dari Pro Quest, Pub Med, Sage Journal dan Taylor & Francis dari tahun 2014 hingga 2023. Judul artikel dan abstrak ditelusuri dan dipilih berdasarkan kriteria inklusi. Hasil pencarian menemukan 9 artikel dengan penelitian yang menunjukkan bahwa ada hubungan yang signifikan antara dukungan keluarga, strategi koping, dan kesehatan mental pada keluarga yang merawat ODHA. Adanya dukungan sosial dan strategi koping yang adaptif mendukung kesehatan mental keluarga yang merawat Orang Dengan  HIV/AIDS (ODHA). Kata Kunci: Dukungan Sosial, Strategi Koping, Keluarga HIV, Kesehatan Mental
Kajian Literatur: Pengaruh Konsumsi Air Bersih Terhadap Stunting Pada Anak yang Berasal dari Keluarga Berpendapatan Rendah Munthe, Sarah Narumi; Silalahi, Ronauli Margaretha; Pertiwi, Khairunnisa Cahya; Permanasari, Vetty Yulianty; Andriani, Helen
MAHESA : Malahayati Health Student Journal Vol 4, No 2 (2024): Volume 4 Nomor 2 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i2.13301

Abstract

ABSTRACT This literature review suggests that clean water is a significant factor in nutrition-related health problems. A study reports that only 20% of Indonesians have access to clean water, mainly in urban areas, indicating the influence of various socioeconomic factors. This literature review aims to analyze the theoretical effect of clean water consumption on stunting incidence in children from low-income families. Articles from three databases: Sage Journals, Science Direct, and Pubmed are used in this literature review. The search focused on keywords ‘children under five’, ‘low-income family’, ‘clean water consumption’, ‘stunting’, and ‘nutritional status’, using Boolean operators ‘AND’ and ‘OR’. Eight articles were reviewed and showed that clean water consumption impacts the incidence of stunting in children, particularly those from low socioeconomic backgrounds. Key findings include: 1) Poor nutritional outcomes in children associated with inadequate water intake practices; 2) The association between low income, education levels, and child stunting; and 3) The significance of appropriate sanitation facilities to support children's nutritional status. The literature review results indicate that stunting is prevalent in children lacking access to good sanitation and living in undereducated families with low-income levels. It concludes that consumption of clean water affects stunting incidence in low-income children. The literature review recommends providing nutrition education for parents in low-income households and improving sanitation facilities in areas where stunting is prevalent. Keywords: Stunting, Nutritional Status, Clean Water Consumption, Low Income Family ABSTRAK Studi literature review ini menjelaskan bahwa air bersih adalah faktor signifikan dalam masalah kesehatan terkait gizi. Sebuah studi menyatakan akses air bersih di Indonesia hanya mencapai 20% dan didominasi oleh daerah perkotaan, yang mengindikasikan adanya perbedaan tingkat sosial ekonomi. Literatur ini bertujuan untuk menganalisis pengaruh konsumsi air bersih terhadap kejadian stunting pada anak yang berasal dari keluarga berpendapatan rendah. Metode kajian literatur dilakukan menggunakan tiga database: Sage Journals, Science Direct, dan Pubmed. Kata kunci untuk pencarian artikel adalah ‘children under five’, ‘low income family’,’clean water consumption’,’stunting’, dan ‘nutritional status’ dengan ‘AND’ dan ‘OR’ sebagai Boolean operator. Hasil dari kajian literatur terhadap delapan artikel menemukan bahwa konsumsi air bersih memiliki pengaruh terhadap kejadian stunting pada anak, khususnya anak yang berasal dari keluarga dengan status sosial ekonomi rendah. Hasil kajian artikel menemukan: 1) Rendahnya status gizi pada anak dengan praktik konsumsi air bersih yang kurang; 2) Kaitan pendapatan rendah, tingkat Pendidikan, dan kondisi stunting pada anak; dan 3) Pentingnya fasilitas sanitasi yang memadai untuk menunjang status gizi anak. Hasil kajian literatur mengindikasikan bahwa stunting lebih prevalen pada anak tanpa akses sanitasi yang baik dan berasal dari keluarga berpendidikan dan berpendapatan rendah. Kesimpulan dari kajian literatur adalah konsumsi air bersih berpengaruh terhadap kejadian stunting pada anak yang berasal dari keluarga berpendapatan rendah. Rekomendasi yang diberikan berupa edukasi gizi pada orang tua di keluarga berpendapatan rendah dan perbaikan fasilitas sanitasi di daerah dengan prevalensi stunting yang tinggi. Kata Kunci: Stunting, Status Gizi, Konsumsi Air Bersih, Anak, Keluarga Berpendapatan Rendah
Pengaruh Media Video Pernikahan Usia Dini Terhadap Tingkat Pengetahuan Remaja Putri Dianna, Dianna; Fitriani, Henny; Hidayati, Nur Kurnia
MAHESA : Malahayati Health Student Journal Vol 4, No 6 (2024): Volume 4 Nomor 6 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i6.13131

Abstract

ABSTRACT Marriage that takes place in adolescence will generally cause problems both physiologically, psychologically and socio-economically. The impact of marriage at a young age is more evident in adolescent girls than in adolescent boys. Video media increases recall from 14% to 38%. So that it can increase knowledge. Knowing the Effect of Video Media on Early Marriage on the Knowledge of Adolescent Girls in the Tebas Health Center Working Area. Using the Quasi Experiment method, pre & post test approach without control group design. The sample of adolescent girls in Tebas Sungai Village, Tebas Health Center Working Area was 89 respondents with proportionate stratified random sampling technique. Wilcoxon statistical test. There is an effect of Video Media on Early Marriage on the Knowledge of Adolescent Girls in the Tebas Health Center Working Area with a p value of 0.000 <0.05. There is an effect of Video Media on Early Marriage on the Knowledge of Adolescent Girls in the Working Area of Puskesmas Tebas. Keywords: Knowledge, Video Media, Early Marriage  ABSTRAK Pernikahan yang terjadi pada usia remaja pada umumnya  menimbulkan permasalahan fisiologis, psikologis, dan sosial ekonomi.  Dampak pernikahan di usia muda lebih terasa pada remaja perempuan dibandingkan remaja laki-laki. Media Video meningkatkan ingatan dari 14% menjadi 38%. Sehingga dapat meningkatkan pengetahuan. Mengetahui Pengaruh Media Video Pernikahan Usia Dini Terhadap Tingkat Pengetahuan Remaja Putri Di Wilayah Kerja Puskesmas Tebas. menggunakan metode Quasi Experiment, pendekatan pre & post test without control group design. Sampel remaja putri di Desa Tebas Sungai Wilayah Kerja Puskesmas Tebas sebanyak 89 responden dengan tekhnik proportionate Stratified Random sampling. Uji statistik Wilcoxon. Terdapat pengaruh Media Video tentang Pernikahan Usia Dini terhadap Pengetahuan Remaja Putri di Wilayah Kerja Puskesmas Tebas dengan nilai p value 0,000 < 0,05. Terdapat pengaruh Media Video tentang Pernikahan Usia Dini terhadap Pengetahuan Remaja Putri di Wilayah Kerja Puskesmas Tebas. Kata Kunci: Pengetahuan, Media Video, Pernikahan Usia Dini
Pengaruh Finger Painting terhadap Frekuensi Temper Tantrum Lengga, Vivop Marti; Kusumaningrum, Arie; Ningsih, Nurna
MAHESA : Malahayati Health Student Journal Vol 4, No 1 (2024): Volume 4 Nomor 1 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i1.12637

Abstract

ABSTRACT Temper tantrums occur in children aged 1-3 years because they cannot express what they want, so they cannot control emotions which frustrate parents. There is an alternative to overcome emotional outbursts and prevent temper tantrums from happening again, namely through finger painting, which is a painting technique using the fingers and palms. The purpose of this study was to determine the effect of finger painting on the frequency of temper tantrums in toddlers in Inderalaya Utara. The research design used in this study was a pre-experiment with a pretest and posttest one group design. The sampling technique was purposive sampling, totaling 17 people with almost balanced sex characteristics and age 30 months. The forms of temper tantrums include: throwing things (4), crying loudly (5), screaming (4), hitting (3) and kick (1). Using the Wilcoxon test, research results show that there was a significant difference between the frequency of temper tantrums before 3.18 ± 1.88 and after finger painting 1.73 ± 1.27 (P value = 0.010, α = 0.05). It can be concluded that there is an effect of finger painting on the frequency of temper tantrums in toddlers in Timbangan Inderalaya Utara village. It is recommended for future research to apply finger painting not only once for treatment and to be carried out intermittently and to use a control group. For the nursing profession it is hoped that it can improve child nursing care that focuses on families by introducing this finger painting, and it is recommended for parents to use finger painting as a technique in dealing with temper tantrum behavior in toddlers. Keywords: Finger Painting, Temper Tantrums, Toddler  ABSTRAK Temper tantrum terjadi pada anak usia 1-3 tahun karena tidak dapat mengungkapkan ekspresi atas apa yang mereka inginkan, sehingga tidak dapat mengontrol emosi yang membuat orang tua frustasi. Terdapat salah satu alternatif untuk mengatasi luapan emosi dan mencegah temper tantrum terjadi kembali yakni melalui finger painting yang merupakan teknik melukis menggunakan jari-jari dan telapak tangan. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh finger painting terhadap frekuensi temper tantrum pada toddler di Inderalaya Utara. Desain penelitian yang digunakan dalam penelitian ini adalah pre-experiment dengan rancangan pretest dan posttest one group design. Teknik pengambilan sampel dengan purposive sampling yang berjumlah 17 toddler dengan karakteristik jenis kelamin yang hampir berimbang dan umur rata-rata 30 bulan. Bentuk temper tantrum melempar barang (4), menangis sekeras-kerasnya (5), menjerit (4), memukul (3) dan menendang (1). Dengan menggunakan uji Wilcoxon, diketahui bahwa terdapat perbedaan bermakna antara frekuensi temper tantrum sebelum 3,18 1,88 dan sesudah finger painting 1,73 1,27 (P value= 0,010, α= 0,05). Dapat disimpulkan bahwa terdapat pengaruh finger painting terhadap frekuensi temper tantrum pada toddler di Inderalaya Utara. Penelitian selanjutnya disarankan untuk menerapkan finger painting tidak hanya satu kali perlakuan dan dilakukan secara berselang serta menggunakan kelompok kontrol. Bagi profesi keperawatan diharapkan dapat meningkatkan asuhan keperawatan anak yang berfokus pada keluarga dengan memperkenalkan finger painting ini, serta disarankan bagi para orang tua untuk menggunakan finger painting sebagai salah satu teknik dalam menghadapi perilaku temper tantrum pada toddler. Kata Kunci: Finger Painting, Temper Tantrum, Toddler
Efektifitas Penggunaan Senam Kaki Diabetes Mellitus dengan Kertas Koran, Edukasi Kesehatan, dan Terapi Nutrisi Medis untuk Mencegah Luka Diabetes Melitus pada Lansia di RS Bhayangkara Brimob Riskiyanah, Siti; Mochartini, Tri
MAHESA : Malahayati Health Student Journal Vol 4, No 5 (2024): Volume 4 Nomor 5 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i5.14265

Abstract

ABSTRACT Diabetes mellitus can lead to damage to the peripheral nerves, which can negatively affect foot sensitivity and lead to serious complications such as foot ulcers. Foot exercises using newspapers can help prevent injuries and improve blood circulation in type 2 diabetes mellitus patients and non-patients. Nurses can help people with diabetes mellitus perform foot exercises using newspapers and provide health education about diet so that they can do it independently. The purpose of this study was to determine the effectiveness of using diabetes mellitus foot exercises with newspaper, health education, and medical nutrition therapy to prevent diabetes mellitus ulcers in the elderly at Bhayangkara Brimob Hospital in 2024. The study used a quantitative approach, and the method used was a quasy experiment or pseudo experiment. The population of the study was all elderly patients with type 2 DM at Bhayangkara Brimob Hospital in January 2024, a total of 40 people. The results of the study showed that there was a significant effectiveness of using diabetes mellitus foot exercises using newspapers, health education, and medical nutrition therapy to prevent diabetes mellitus ulcers in the elderly at Bhayangkara Brimob Hospital. This is based on the P-value of 0.000 < α = 0.05, which indicates that the null hypothesis (H0) is rejected and the alternative hypothesis (Ha) is accepted. This means that there is a significant effect on the effectiveness of using diabetes mellitus foot exercises using newspapers, health education, and medical nutrition therapy to prevent diabetes mellitus ulcers in the elderly at Bhayangkara Brimob Hospital. The conclusion of the study is that there is an influence of diabetes mellitus foot exercises using newspapers, health education, and medical nutrition therapy to prevent diabetes mellitus ulcers in the elderly. Therefore, it is important to improve knowledge in health services in preventing diabetes mellitus ulcers using non-pharmacological therapy.  Keywords: Foot Exercises, Diabetes Mellitus, Nutritional Therapy  ABSTRAK Diabetes mellitus dapat mengakibatkan kerusakan pada saraf perifer, yang berdampak negatif pada sensitivitas kaki dan dapat menyebabkan komplikasi serius seperti luka dan ulkus pada kaki, Senam kaki menggunakan Koran dapat mencegah cedera dan meningkatkan sirkulasi darah pada pasien diabetes mellitus tipe 2 dan non-pasien. Perawat dapat membantu penderita diabetes mellitus melakukan senam kaki menggunakan koran memberikan edukasi kesehatan tentang diit sehingga dapat melakukannya secara mandiri. Adapun Tujuan Penelitian ini untuk mengetahui Efektifitas Penggunaan Senam Kaki Diabetes Mellitus dengan Kertas Koran, Edukasi Kesehatan, dan Terapi Nutrisi Medis Untuk Mencegah Luka Diabetes Mellitus pada Lansia di RS Bhayangkara Brimob Tahun 2024. Penelitian ini menggunakan pendekatan kuantitatif, metode yang digunakan dalam penelitian ini adalah quasi experiment atau eksperimen semu. Populasi dalam penelitian ini adalah seluruh pasien lansia dengan DM Tipe 2 di RS Bhayangkari Brimob pada bulan Januari 2024 sebanyak 40 orang. Sehingga hasilnya menunjukan bahwa terdapat efektifitas penggunaan senam kaki diabetes mellitus menggunakan kertas koran, edukasi kesehatan, dan terapi nutrisi medis untuk mencegah luka diabetes mellitus pada lansia di RS Bhayangkara Brimob. Berdasarkan data yang diperoleh dengan nilai P-value = 0,000 < α = 0,05 maka H0 ditolak dan Ha di terima yang artinya terdapat pengaruh yang signifikan pada Efektifitas penggunaan senam kaki diabetes mellitus menggunakan kertas koran, edukasi kesehatan, dan terapi nutrisi medis untuk mencegah luka diabetes mellitus pada lansia di RS Bhayangkara Brimob. Kesimpulan dari penelitian ini adalah terdapat pengaruh senam kaki DM menggunakan kertas koran, melakukan edukasi kesehatan, dan terapi nutrisi medis untuk mencegah luka DM pada lansia oleh karena itu perlu ditingkatkan pengetahuan dalam pelayanan kesehatan dalam mencegah luka DM dengan menggunakan terapi non farmakologi. Kata Kunci: Senam Kaki, Diabetes Mellitus, Terapi Nutrisi
Pengaruh Kualitas Pelayanan, Harga dan Brand Image dengan Minat Beli Terhadap Keputusan Pembelian Produk Obat OTC di Apotek X Jakarta Timur Tjaja, Lidya Pratiwi Afri; Yantih, Novi; Hatta, Iha Haryani
MAHESA : Malahayati Health Student Journal Vol 3, No 12 (2023): Volume 3 Nomor 12 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i12.12004

Abstract

ABSTRACT The increasingly fierce competition in the pharmaceutical business has forced pharmacies to develop strategies so that more consumers are interested in buying and purchasing OTC medicine products. East Jakarta Pharmacy X's strategy to influence consumer purchasing decision on OTC medicine products using service quality, price and brand image. The purpose of this study focuses on knowing the direct and indirect effect of service quality, price, and brand image with purchase intention on purchasing decisions OTC medicine products at pharmacy X in East Jakarta. The research sample was 200 respondents who were consumers who had purchased OTC medicine products at pharmacy X in East Jakarta at least twice. The sampling technique is purposive sampling. The data analysis technique used Partial Least Square (PLS) Structural Equation Modeling (SEM) analysis which was processed with the help of Smart PLS 3.0 software. The results of the study prove that the service quality, price, and brand image variable directly has a positive and significant effect on purchasing decisions. The price variable directly has a positive and significant effect on purchasing decisions. The service quality, price, and brand image variable has a positive and significant effect on purchasing decisions with purchase intention. Keywords: Service Quality, Price, Brand image, Purchase Intention, Purchase Decision ABSTRAK Persaingan bisnis farmasi yang semakin ketat membuat apotek merancang strategi agar lebih banyak konsumen berminat membeli dan melakukan pembelian produk obat OTC di Apotek X Jakarta Timur. Strategi apotek X Jakarta Timur untuk mempengaruhi keputusan pembelian konsumen pada produk obat OTC menggunakan kualitas pelayanan, harga dan citra merek. Tujuan penelitian ini berfokus untuk mengetahui pengaruh kualitas pelayanan, harga, dan citra merek dengan minat beli terhadap keputusan pembelian produk obat OTC di Apotek X Jakarta Timur. Sampel penelitian sejumlah 200 responden yang merupakan konsumen yang pernah membeli produk obat OTC di Apotek X Jakarta Timur minimal dua kali. Teknik pengambilan sampel yaitu purposive sampling. Teknik analisis data menggunakan analisis Structural Equation Modeling (SEM) Partial Least Square (PLS) yang diolah dengan bantuan software Smart PLS 3.0. Kesimpulan penelitian ini membuktikan bahwa variabel kualitas pelayanan, harga, dan citra merek berpengaruh positif dan signifikan terhadap keputusan pembelian. Variabel kualitas pelayanan berpengaruh positif dan signifikan terhadap keputusan pembelian dengan minat beli. Variabel harga berpengaruh positif dan signifikan terhadap keputusan pembelian dengan minat beli. Variabel citra merek berpengaruh positif dan signifikan terhadap keputusan pembelian dengan minat beli. Kata Kunci: Kualitas Pelayanan, Harga, Citra Merek, Minat Beli, Keputusan Pembelian
Determinants of Elderly Health Service Utilization in Mangunrejo Village, Wonorejo Health Center Working Area Ngadiluwih District, Kediri Regency Ismiaty, Emy; Puspitasari, Yenny; Nurwijayanti, Nurwijayanti
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14128

Abstract

 ABSTRACT National data in 2016, the utilization of elderly posyandu was only 5.39% with an increase of 13.23% in 2017. The proportion of elderly people served in East Java Province fluctuated, in 2016 it was 62, in 2017 it decreased by 49 and increased again in 2018 by 75%. Meanwhile, data on elderly health services at Wonorejo health centers in 2022 amounted to 63.4%. This data shows the lack of utilization of posyandu services for the elderly. The aim of this research is to analyze the determinants of utilization of posyandu services for the elderly in Mangunrejo Village, Wonorejo Health Center Working Area, Ngadiluwih District, Kediri Regency. This type of research is Observational Analytical. This study used a cross-sectional design. Respondents were taken using purposive sampling technique. Population of all elderly people in Mangunrejo Village, Wonorejo Health Center Working Area, Ngadiluwih District, Kediri Regency. The sample size was 253 people. Independent variables are service quality, attitudes and cadre roles. The dependent variable is the use of posyandu services for the elderly. Statistical tests use Logistic Regression.service quality was in the good category, namely 158 people (62.5%). the attitude of respondents in the negative category was 137 people (54.2%). the role of cadres in the good category is 140 people (55.3%). The utilization of elderly posyandu services is in the good category, namely 156 people (61.7%), the influence of service quality on the utilization of elderly posyandu services with a significance value of 0.003 <0.05. the influence of attitudes on the use of posyandu services for the elderly with a significance value of 0.001 < 0.05, the influence of the role of cadres on the use of posyandu services for the elderly with a significance value of 0.023 < 0.05. there is an influence of service quality, attitudes and roles of cadres on the utilization of posyandu services for the elderly in Mangunrejo Village, Wonorejo Health Center Working Area, Ngadiluwih District, Kediri Regency. Keywords:Service Quality, Attitude, Role of Cadres, Elderly Posyandu 
Penerapan Protokol Pengkajian Nyeri 24 Jam Pada Pasien Paska Operasi Orthopedi Triyanto, Arifin; Masfuri, Masfuri; Arista, Liya; Aisyiyah, Umi
MAHESA : Malahayati Health Student Journal Vol 4, No 2 (2024): Volume 4 Nomor 2 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i2.13144

Abstract

ABSTRACT Pain is a problem that always arises in postoperative patients. Pain in patients after orthopedic surgery is higher than in other surgical cases. Postoperative pain management has not been fulfilled optimally. Untreated pain problems have a negative impact both physically and psychologically. To find out the implementation of the 24-hour pain assessment protocol in patient with orthopaedic surgery. This study is the application of Evidence Based Nursing (EBN) in post orthopedic surgery patients. Inclusion criteria: patients undergoing orthopedic surgery, aged 18 years, can communicate well, willing to be involved in the study. Exclusion criteria: patients with decreased consciousness and patients with cognitive impairment. Pain reporting was carried out independently at the 3rd hour, 7th hour, 11th hour, 15th hour, 19th hour and 24th hour in a state of rest and in a state of movement. The most severe postoperative pain was reported by patients in the first 3 hours after surgery and began to decrease in both conditions both at rest and during movement. Pain at 3 to 19 hours showed a significant difference between pain at rest and on movement (p<0.05). At the 24th hour measurement, the results showed that there was no difference in pain scores at rest and during movement (p>0.05). Application of pain assessment protocols for 24 hours after orthopedic surgery can determine the dynamics of patient pain from time to time while at rest and during movement. Pain in patients after orthopedic surgery is at a mild to moderate level. Keywords: Assessment, Orthopaedic, Pain, Surgery  ABSTRAK Nyeri menjadi permasalahan yang selalu muncul pada pasien paska operasi. Nyeri pada pasien paska pembedahan orthopedi lebih tinggi dibandingkan pada kasus pembedahan lainnya. Manajemen nyeri paska operasi belum terpenuhi secara optimal. Masalah nyeri yang tidak tertangani memberikan dampak negatif baik secara fisik maupun psikologis. Untuk mengetahui penerapan protokol pengkajian nyeri 24 jam pada pasien paska operasi orthopedi. Penelitian merupakan penerapan Evidence Based Nursing (EBN) pada pasien paska operasi orthopedi. Kriteria inklusi: pasien yang menjalani operasi ortopedi, berusia ≥ 18 tahun, dapat berkomunikasi dengan baik, bersedia terlibat dalam penelitian. Kriteria eksklusi: pasien dengan penurunan kesadaran dan pasien dengan gangguan kognitif. Pelaporan nyeri dilakukan secara mandiri pada jam ke-3, jam ke-7, jam ke-11, jam ke-15, jam ke-19 dan jam ke-24 dalam kondisi istirahat dan dalam kondisi pergerakan. Nyeri paska operasi paling berat laporkan oleh pasien pada 3 jam pertama paska operasi dan mulai menurun pada kedua kondisi baik saat istirahat maupun saat pergerakan. Nyeri pada jam ke-3 sampai dengan jam ke-19, menunjukkan perbedaan yang signifikan antara nyeri saat istirahat dan saat pergerakan (p<0,05). Pada pengukuran jam ke-24, didapatkan hasil tidak terdapat perbedaan skor nyeri saat istirahat dan saat pergerakan (p>0,05). Penerapan protokol assessmen nyeri selama 24 jam paska operasi orthopedi dapat mengetahui dinamika nyeri pasien dari waktu ke waktu saat kondisi istirahat maupun saat pergerakan. Nyeri pada pasien paska operasi orthopedi berada pada tingkat ringan hingga sedang. Kata Kunci: Nyeri, Orthopedi, Pembedahan, Pengkajian
Determinan Kejadian Diabetes Melitus Tipe II Pada Pasien Rawat Inap di UPTDK Rumah Sakit Umum Haji Medan Sinaga, Haryanti; Hasibuan, Rapotan; Susanti, Nofi
MAHESA : Malahayati Health Student Journal Vol 4, No 5 (2024): Volume 4 Nomor 5 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i5.14529

Abstract

ABSTRACT Nationally, the number of diabetes sufferers based on a doctor's diagnosis aged >15 years is more than 1 million sufferers. Meanwhile, North Sumatra alone has 55,351 sufferers. Based on an initial survey, researchers at RSU Haji Medan found that Diabetes Mellitus was the highest disease suffered by patients in 2023 based on doctors' diagnoses, there were 1,484 patients. This scientific evidence can be used as a benchmark and decision making for a more strategic and targeted Type II DM prevention program. This research uses quantitative research with an unmatching case control design. The population was 107 cases and 673 controls with a minimum sample size of 50 cases and 50 controls. Based on the results obtained, variables that were significantly associated (<0.05) with the incidence of type II DM were gender, hypertension status, physical activity, history of DM, BMI, and cholesterol status. It is hoped that health workers can carry out health promotions about Diabetes Mellitus and explain the risk factors for this disease. Apart from that, patients at RSU Haji Medan or members of the public should always regularly check their blood sugar, especially those aged > 45 years and those who have a family history of DM sufferers, reduce unhealthy lifestyle and eating patterns and always do physical activity 2-4 times a day. a week with a minimum of 10 minutes per day. Keywords: Determinant, Diabetes Mellitus Type II  ABSTRAK Secara nasional, jumlah penderita diabetes berdasarkan diagnose dokter usia >15 tahun sebanyak 1 juta lebih penderita. Sedangkan, Sumatera Utara sendiri sebanyak 55.351 penderita. Berdasarkan survei awal peneliti di RSU Haji  Medan  menemukan bahwa peyakit Diabetes Melitus merupakan penyakit yang tertinggi yang diderita oleh pasien tahun 2023 berdasarkan diagnosis dokter ada sebanyak 1.484 pasien. Dengan adanya bukti ilmiah ini dapat menjadi tolak ukur dan pengambilan keputusan untuk program pencegahan DM Tipe II yang lebih strategis dan tepat sasaran. Penelitian ini menggunakan jenis penelitian kuantitatif dengan desain case control unmatching. Populasi sebanyak 107 pada kasus dan 673 untk kontrol dengan besar minimal sempel 50 kasus dan 50 kontrol.  Berdasarkan hasil yang di peroleh, variabel yang berhubungan secara signifikan (<0,05) dengan kejadian DM tipe II adalah jenis kelamin, status hipertensi, aktivitas fisik, riwayat DM, IMT, dan status kolestrol. Diharapkan kepada tenaga kesehatan dapat melakukan promosi kesehatan tentang penyakit Diabetes Melitus dan menjelaskan faktor-faktor resiko dari penyakit tersebut. Selain itu, pasien RSU Haji Medan atau masyarakat luar agar selalu rutin melakukan pengecekan gula darah terkhususnya pada usia >45 tahun dan juga yang memiliki riwayat keluarga penderita DM serta mengurangi pola hidup dan makan yang tidak sehat serta selalu melakukan aktivitas fisik 2-4 kali dalam seminggu dengan minimal 10 menit perhari.  Kata Kunci: Determinan, Diabetes Melitus Tipe II
Pengaruh Pemberian Jus Buah Bit dengan Kenaikan HB Remaja Putri di SMK Guna Dharma Kota Bandar Lampung Agustina, Sera; Susilawati, Susilawati; Anggraini, Anggraini; Yantina, Yuli
MAHESA : Malahayati Health Student Journal Vol 4, No 1 (2024): Volume 4 Nomor 1 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i1.11854

Abstract

ABSTRACT English translation. Iron nutrition anemia can cause a decrease in physical ability, work productivity, and thinking ability. SMK GUNA DHARMA Bandar Lampung City found the highest population of adolescent girls with anemia as many as 92 adolescent girls and 30 adolescent girls of whom had anemia (31.5%) based on the results of laboratory checks and characteristics during physical examination. In addition, based on the results of interviews, young women said they never took drugs or foods that could help increase blood regularly. The purpose of this study is to determine the effect of giving beet juice with an increase in Hb for young women at SMK Guna Dharma Bandar Lampung City in 2023. Type of quantitative research. Pre-experimental research design with one group pretest – posttest design approach. The population of grade 1 and 2 girls at SMK Guna Dharma Bandar Lampung City with a total of 92 people in 2023. Purposive sampling technique. Data analysis using univariate and bivariate using Wilcoxon test.  An influence of giving beet juice with an increase in Hb for young women at SMK Guna Dharma Bandar Lampung City in 2023.The average Hb in adolescent girls before being given beetroot juice with a Mean of 10.470gr / dl which means adolescent girls have mild anemia. The average Hb in adolescent girls after being given beetroot juice with a mean of 11.117gr / dl which means adolescent girls are no longer anemic / normal. The results of the statistical test obtained a mean difference test of 1.06 P-value = 0.000 (<0.05) which means that there is an influence of giving beet juice with an increase in Hb for young women at SMK Guna Dharma Bandar Lampung City in 2023. English translation. it is expected for young women to always consume beet juice, and consumption of foods that contain lots of iron is highly recommended in adolescents who have anemia, because it will help the process of increasing Hb. Keywords:English translation.  Beetroot Juice, HB Rise, Young WomenEnglish translation. 

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