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Prototype Box Breathing Innovation Overcoming the Risk of High Blood Pressure for Pregnant Women Aprina, Aprina; Astuti, Titi; Anita, Anita
Buletin Penelitian Kesehatan Vol. 52 No. 1 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v52i1.3931

Introduction: Hypertension during pregnancy is a common complication that increases the risk of preeclampsia, leading to maternal and fetal morbidity and mortality. Box breathing techniques have shown promise in lowering blood pressure and stress, but their effectiveness in pregnant women at risk of hypertension and preeclampsia has not been widely studied. This study aims to evaluate the efficacy of a prototype box breathing intervention in reducing blood pressure and symptoms in pregnant women at risk of these conditions. Methods: A quantitative, experimental study with a pretest-posttest design was conducted at four hospitals in Indonesia. A sample of 198 pregnant women in their 1st-3rd trimesters was selected using purposive sampling. The intervention involved the use of a prototype box breathing device, and data were collected on blood pressure and symptoms before and after the intervention. Data analysis was performed using the Wilcoxon test. Results: After the prototype box breathing intervention, there was a significant decrease in systolic blood pressure from 147.83 mmHg to 132.36 mmHg and diastolic blood pressure from 94.76 mmHg to 86.16 mmHg (p-value 0.000). The average symptom score also decreased from 5.93 to 1.25 following the intervention. Conclusion: The use of the prototype box breathing device is effective in lowering blood pressure and reducing symptoms associated with preeclampsia risk in pregnant women. This non-pharmacological intervention offers a promising approach for managing hypertension during pregnancy and preventing the progression to preeclampsia. Further research is needed to validate these findings and optimize the implementation of box breathing techniques in prenatal care.

Postpartum Mothers' Perceptions about Yoga and Facial Acupressure Services to Prevent Baby Blues and Postpartum Depression at the Sawan II Community Health Center, Buleleng Regency, Bali Rahyani, Ni Komang Yuni; Budhi, Gusti Made Ayu Agung; Armini, Ni Wayan
Buletin Penelitian Kesehatan Vol. 52 No. 1 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v52i1.3937

Introduction: There are several problems commonly experienced by women during the postpartum period, in the form of physical, psychological, social and sexual problems due to drastic hormonal changes. The aim of the research was to explore the perceptions of postpartum mothers regarding efforts to prevent baby blues and postpartum depression through yoga and facial acupressure at the Sawan II Community Health Center, Buleleng, Bali. Method: qualitative research type, with narrative analysis. The informants or resource persons involved were 15 pregnant women in the third trimester (gestational age >36 weeks), and are willing to become informants, without any pregnancy complications until the 42nd day of postpartum. The research instrument uses in-depth interview guidelines and Edinburgh Postnatal Depression Scale (EDPS). Research from May-August 2024 in the work area of Sawan II Community Health Center. Results: It was found that 12 people (80%) of informants were aged between ≥20 years - <35 years, two people (13.33%) were <20 years old and one respondent was > 35 years old (6.67%). A total of 8 informants were multigravida (53.33%), and one person was grandemulti gravida (6.67%). Informants admitted that yoga was very useful, especially during meditation, to reduce anxiety, sadness, increase feelings of gratitude and peace. The perception of facial acupressure is that it feels very relaxed, comfortable, even calming. Conclusion: The informant's perception regarding the yoga and facial acupressure efforts that have been provided through antenatal classes is that they are very useful and can be applied at home.

Potential of Malaria Vaccine in Eliminating Malaria: a Systematic Literature Review Mofu, Renold M.; Mulyani, Wiwiek; Purba, Lilys Irianty Natalia
Buletin Penelitian Kesehatan Vol. 52 No. 1 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v52i1.3950

Introduction: Malaria vaccines show significant potential for disease control but face challenges, including declining efficacy over time and resistance to drugs and insecticides. Despite the initial success of vaccines like RTS,S/AS01, an integrated approach is still needed to address malaria’s complex transmission dynamics across endemic regions. This review examines the current status, challenges, and future prospects of malaria vaccine development, focusing on the impact of combining pre-erythrocytic vaccines and transmission-blocking drugs using mathematical modeling to enhance their effectiveness in reducing transmission. Methods: A systematic literature review was conducted using the PICO framework to evaluate the effectiveness of malaria vaccines in reducing disease transmission. The review included studies involving vulnerable populations, particularly children in African countries. It compared the effectiveness of malaria vaccines with other control strategies, such as insecticide-treated bed nets and antimalarial drugs. Five relevant primary journals were analyzed using databases like PubMed, Scopus, and Google Scholar. Results: Findings reveal that newly developed malaria vaccines have significant potential to reduce malaria cases. However, large-scale implementation and regular vaccination strategies are required for sustained effectiveness. Genetic studies highlight the emergence of resistance, emphasizing the need for adaptable vaccines and strategies. Conclusion: Malaria vaccines, while promising, face obstacles such as waning efficacy and resistance. A combined strategy involving vaccines and transmission-blocking treatments is essential for global malaria elimination. Further research and strategic implementation are needed to optimize vaccine effectiveness and overcome these challenges.

Development of Melodic Intonation Therapy-Audio in Improving the Speaking Ability of Stroke Patients Cahyati, Yanti; Rosdiana, Ida
Buletin Penelitian Kesehatan Vol. 52 No. 2 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v52i2.3955

Introduction: This research aims to see the effect of modifying Melodic Intonation Therapy (MIT) and Dhikr Asmaul Husna in audio form on the speaking ability of stroke patients. Aphasia is a disability problem experienced by stroke patients and can become persistent, reducing their quality of life. Efforts are needed to improve speaking ability so patients can continuously and independently carry out post-stroke speech exercises at home. The results showed that MIT gave better results in improving the speech ability of stroke patients. In the MIT method, patients repeat words spoken by nurses or family members using musical elements while speaking. Methods: This type of research is quantitative with a quasi-experimental design pre and post-test. Researchers carry out interventions using media in the form of Melodic Intonation Therapy Audio (MIT-A), which results from research development. This study's population is stroke patients treated at Dr. Soekardjo Tasikmalaya Hospital, Prasetya Bunda Hospital, and Banjar City Hospital. The sample consisted of 33 respondents from three Tasikmalaya and Banjar City hospitals. Exercises start when the patient is treated and continue to be done at home. Speech ability was evaluated using the TADIR method (Aphasia Test for Diagnostics and Rehabilitation), assessed before the intervention and at the first control visit. The intervention was carried out for one month. The hypothesis in this study is that there is a difference in the average score of speech ability before and after the intervention. The t-dependent test tests the difference in TADIR scores before and after training. Results: The study showed a difference in the average TADIR score before and after training (p-value 0.000). This indicates that speech training using MIT-Audio has a significant effect on the speaking ability of stroke patients. Conclusion: The results of this study conclude that speech training through modified MIT in audio form improves the speaking ability of stroke patients who experience aphasia. The researcher recommends that future researchers apply this speech training media by differentiating the type of aphasia experienced by the patient.

Collaborative Process in Efforts to Reduce Stunting Prevalence in Central Buton Regency Islamy, La Ode Syaiful; Andriani, Rininta
Buletin Penelitian Kesehatan Vol. 52 No. 1 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v52i1.3958

Introduction: The government has implemented various efforts to address nutritional issues, one of which is the issuance of Presidential Regulation No. 42 of 2013. This regulation governs the National Movement for the Acceleration of Nutrition Improvement, involving collective efforts by the government and stakeholders. To achieve substantial results, stunting reduction efforts must be integrated and converge across multiple sectors. This study aims to describe the collaboration process in stunting reduction, which presents significant challenges in implementation. Methods: A qualitative method with an interactive data-analysis approach was used in this study. The analysis involved three key stages: data reduction, data presentation, and conclusion drawing. Results: The study revealed that the collaboration process begins with face-to-face dialogue, fostering trust and leading to a commitment to the process. This is achieved through mutual understanding and shared benefits. While face-to-face dialogue is progressing, the involvement of diverse stakeholders remains limited. Nevertheless, the actors involved demonstrate mutual trust, a shared vision, and commitment to a joint agenda. In Central Buton Regency, collaboration is essential to address stunting effectively. Conclusion: The study concludes that while face-to-face meetings involve key parties, broader stakeholder participation, such as community leaders, is still lacking. However, mutual trust and a shared vision among existing participants highlight the importance of multisectoral involvement in reducing stunting prevalence

The Role of Posyandu Cadres and e-PPGBM Application Operators in Early Detection of Stunting in Kupang City, Nusa Tenggara Timur Irfan, Irfan; Handayani, Fitri; Pujiyanti, Riny; Artama, Syaputra
Buletin Penelitian Kesehatan Vol. 52 No. 1 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v52i1.3965

Introduction: Data from the 2023 electronic recording and reporting system for community-based nutrition (e-PPGBM) shows a stunting rate of 15,2% in NTT, while the 2022 SSGI data reports a stunting rate of 35,3%. The accuracy of data on stunting cases is critical. To date, the Posyandu (integrated health post) in NTT still relies on manual data recording, which is collected at the Puskesmas (community health centers). The city of Kupang has implemented the e-PPGBM system since 2016, but user acceptance has not been fully assessed due to a lack of studies on the subject. Thus, an evaluation of the knowledge, attitudes, roles and also length of work of Posyandu cadres and the acceptance level of e-PPGBM operators in all Puskesmas in Kupang is necessary. Methods: This study was conducted in 11 Puskesmas in Kupang with 55 Posyandu cadres and 55 e-PPGBM operators as respondents. This study is a mixed- method research. The study used an observational method using questionnaires. System acceptance of e-PPGBM was measured using the HOT (Human-Organization-Technology) model, combined with aspects of regulation and benefits. Qualitative data were collected through in-depth interviews, while secondary data were obtained from e-PPGBM records in the Puskesmas from January to June 2024. Results: The evaluation of the knowledge, attitude, and role of the cadres in early detection of stunting was categorized as good. There was a significant correlation between length of work experience and knowledge (p = 0,036, r=0,036) and the attitude of the cadres (p = 0,034, r=0,054). The system acceptance measurement of e-PPGBM operators was categorized as good in the human aspect, and very good in the organization, technology, knowledge, regulation, and benefit aspects, with correlations found between all variables. Conclusion: Posyandu cadres in Kupang have not yet used the e-PPGBM application, monthly recordings at the Posyandu are still manual, and the application is entirely managed by nutrition officers at the Puskesmas. Limited internet access is a major challenge in using the application. Training is needed to involve cadres in using the application, alongside infrastructure improvements (internet network, PCs, and laptops) at both the Posyandu and Puskesmas levels

Effect of Tinutuan Tinu Key Complementary Feeding on the Nutritional Status of Infants Aged 6-12 Months Solang, Sesca D.; Langi, Grace K.L.; Lumy, Freike S.N.
Buletin Penelitian Kesehatan Vol. 52 No. 2 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v52i2.3990

Introduction: One of the problems often experienced by children related to the fulfillment of nutrition that has a negative impact on child growth and development is stunting. This study aims to analyze the effect of Tinutuan Tinu Key complementary feeding on the nutritional status of infants aged 6-12 months. Methods: This experimental study without a control group was conducted in Wori Village, North Minahasa Regency. The study population was all babies born to pregnant women who were respondents in the first year of the study , namely mothers who were pregnant throughout 2023, and continued in the second year, namely babies born at the end of 2023-2024, totaling 52 babies. The intervention was carried out for 14 days to the babies. Complementary foods were prepared by health cadres. Babies and mothers received assistance from health workers 14 times. The main variable in this study was the nutritional status of the baby Results: The results of the study showed that the average nutritional status of toddlers based on body length according to age before the intervention of providing complementary foods was 2.67%, and after intervention by 3.13% with a significance value (2-tailed) of 0.004. Statistical analysis using paired sample t-test to see the difference in the average between the two samples and the results obtained p value <0.005 which means that the provision of MP-ASI there is a difference in the average body length before and after the intervention. Conclusion: The Tinutuan tinu key complementary feeding potentially affects the nutritional status of children during their growth period, if children's food intake is met properly, then the child's growth and development will be good and they will be free from nutritional problems

Feasibility Study Of Website-Based Educational Media “Sahabat Disminore” Lestari, Meti Widiya; Silalahi, Uly Artha; Putri, Fadila
Buletin Penelitian Kesehatan Vol. 52 No. 2 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v52i2.3991

Introduction: Dysmenorrhea is a reproductive health problem that is often experienced by adolescent girls and requires special attention from midwives. To overcome this, effective health promotion is needed. In this digital era, the use of mobile devices is increasing, including easy-to-access website access, so that searches can be done anytime and anywhere for information. Midwives can take advantage of this opportunity to conduct health promotion, one of which is by using the website as a means to provide information related to dysmenorrhea. A common problem faced by teenage girls is dysmenorrhea, which requires serious attention from midwives. Appropriate health promotion, including media, must be attractive and accessible quickly and easily. The purpose of this study was to know the feasibility of a website-based educational media design for adolescent girls regarding the early treatment of dysmenorrhea. Methods: This research method uses the Research and Development (R&D) method. The sample was 38 adolescent girls. Sampling used a purposive sampling technique calculated using the Slovin formula. The field test was conducted at SMK Negeri 1 Tasikmalaya City in April - May 2023. Data collection was carried out using interview methods and filling out questionnaires. The feasibility test was carried out by media experts and material experts. Results: The results of this Research and Development are website-based educational media "Sahabat Dysmenorrhea" which contains dysmenorrhea and early treatment of dysmenorrhea. In the validity test, an average percentage of 92% was obtained from material experts with a very feasible category and an average percentage of 88% from media experts with a very feasible category. The results of the small group trial were 94.24% with a very feasible category and the results of the field trial were 90.07% with a very feasible category. Conclusion: From the results of this study, it can be concluded that the “Sahabat Dysmenorrhea” website is very suitable for use as an educational media health promotion in dealing with dysmenorrhea in adolescent girls student.

Factors Influencing the Incidence of Diarrhea in Kepulauan Seribu District, DKI Jakarta Rudi, Muhammad; Wahyuningsih, Nur Endah; Hanani, Yusniar
Buletin Penelitian Kesehatan Vol. 52 No. 2 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v52i2.3993

Introduction: Diarrhea cases in the Seribu Islands were recorded in 190 cases in 2021 and in 461 cases in 2022. The factors influencing the incidence of diarrhea are knowledge, attitudes and practices, clean water sources, and clean water quality. The aim of the study was to analyze factors related to the incidence of diarrhea in the Seribu Islands District. Methods: This study was conducted in the Seribu Islands District from February to August 2024. This study was an observational analysis with a case-control approach design. The respondent criteria include having a history of diarrhea in the South Seribu Islands District, as showed by a doctor's diagnosis and positive laboratory results for diarrhea from January to December 2022, and having resided there for more than six months. The case group was consisted of 37 samples and the control group consisted of 37 samples. The independent variables in this study were the biological, physical, and chemical quality of clean water, clean water sources, knowledge, attitudes, and practice. The collected data were analyzed using the chi-square and logistic regression test using SPSS software. Results: The variables of physical quality of clean water, clean water sources, knowledge and practices of respondents did not have a significant effect on the incidence of diarrhea (p>0.05). Meanwhile, the biological and chemical quality of clean water, and the respondents' attitudes had a significant effect on the incidence of diarrhea (p <0.05). Based on the results of the multivariate analysis, the biological quality of clean water had a significant effect (p = 0.001) with an odds ratio of 9.18. The most influential factor on the incidence of diarrhea is the biological quality of the clean water. Conclusion: The variables of knowledge, attitudes, practices, clean water sources, and physical and chemical quality of water showed no effect on the incidence of diarrhea (p value > 0.05). The biological quality of the water variable had an effect on the incidence of diarrhea (p value = 0.001), with an odds ratio of 9.18. Since E. coli-contaminated food and water contribute significantly to the spread of diarrheal illnesses in the community, it is crucial to monitor the quality of food and drinking water and to improve sanitation in order to reduce the prevalence of diarrhea, particularly in the Seribu Islands.

Effect of Leadership Style and Patient Safety Culture on Awareness Patient Safety Incident Reporting with Teamwork Perception as Intervening at X Cancer Hospital Jakarta Dharmawan, Stephen; Pamungkas, Rian Adi; Hilmy, M. Reza
Buletin Penelitian Kesehatan Vol. 52 No. 2 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v52i2.3999

Introduction: Low patient safety incident reporting in hospitals increases adverse events, influenced by leadership style, patient safety culture, and teamwork, highlighting the importance of increased awareness. This study aims to see the effect of leadership style and patient safety culture on increasing awareness of patient safety, incident reporting, and teamwork effects as intervening variables. Methods: This type of study is quantitative research with a cross-sectional design and uses path analysis. The population in this study consisted of nurses working in inpatient and emergency departments at X Cancer Hospital Jakarta. The sampling technique used was Purposive Sampling, resulting in a total sample of 190 nurses. Data were collected using a structured questionnaire to measure leadership style, patient safety culture, teamwork, and awareness of patient safety incident reporting. Results: The results showed that patient safety culture and teamwork simultaneously affect awareness of patient safety incident reporting. Leadership style has an 8% influence, while patient safety culture has a 41.8% and 58.2% impact. Teamwork has a 47.1% and 23.6% influence, while leadership style has a 23.6% and 76.4% influence. Patient safety culture has a 36.3% and 63.7% influence, while leadership style has an 11.1% and 88.9% influence. Lastly, patient safety culture has a 17.1% and 82.9% influence, indicating that patient safety culture and teamwork are interconnected. Conclusion: The study reveals that the pasien culture and shared work significantly impact the quality of personal life. Despite their small impact, they are crucial in creating a conducive environment for personal growth, emphasizing the importance of continuous learning and evaluation.

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Kadar Ramadhan

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08111010687

Journal Mail Official
buletinpk@gmail.com

Editorial Address
Jl. Thalua Konchi, Mamboro, Palu Utara, Kota Palu, 94145 Sulawesi Tengah, Indonesia

Location
Kota palu,

Sulawesi tengah

INDONESIA

Abstract

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Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Kadar Ramadhan

Contact Email buletinpk@gmail.com

Phone 08111010687

Journal Mail Official buletinpk@gmail.com

Editorial Address Jl. Thalua Konchi, Mamboro, Palu Utara, Kota Palu, 94145 Sulawesi Tengah, Indonesia

Location Kota palu, Sulawesi tengah INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Kadar Ramadhan

Contact Email
buletinpk@gmail.com

Phone
08111010687

Journal Mail Official
buletinpk@gmail.com

Editorial Address
Jl. Thalua Konchi, Mamboro, Palu Utara, Kota Palu, 94145 Sulawesi Tengah, Indonesia

Location
Kota palu,

Sulawesi tengah

INDONESIA