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Jurnal Kesehatan
Published by Universitas Islam Negeri Alauddin Makassar
ISSN : 20862555     EISSN : 26227363     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Kesehatan is an academic journal that publishes medical and health scientific articles. We regularly publish the issues in June and December. The journal accepts research-based papers, literature/health research regarding of pharmacy, nursing public science and midwifery. This journal published by Medical and Health Science Faculty, Universitas Islam Negeri Alauddin Makassar.
Arjuna Subject : -
Articles 206 Documents
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COMPARISON OF MULTIMODAL ANALGESIA FOR PAIN CONTROL AND MEASURING INFLAMMATION LEVELS USING PARACETAMOL WITH VARIOUS DOSAGE OF IBUPROPHENE IN CAESARIAN SURGICAL PATIENTS Yudhitya Afif; Syafruddin Gaus; Alamsyah Ambo
Jurnal Kesehatan Vol 15 No 1 (2022): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v15i1.27753

Abstract

The concept of multimodal analgesia in the treatment of postoperative pain has been around for a long time. Various drugs have been used to control pain after cesarean section (SC). The purpose of this study was to compare the combination of paracetamol with ibuprofen at various doses as multimodal analgesia and to measure levels of Interleukin-6 (IL-6) as a marker of inflammation in CS surgical patients. Methods this study was a single-blind experimental study. A total of 40 patients who underwent SC surgery under spinal anesthesia using hyperbaric Bupivacaine 0.5% 8 mg were divided into 2 groups, namely IBU4 group (paracetamol 750 mg and ibuprofen 400 mg), and IBU8 (paracetamol 750 mg and ibuprofen 800 mg) given intravenously 1 hour preoperatively, and every 6 hours for 24 hours. Then the degree of pain was assessed at rest and moving using a Numeric Rating Score (NRS) at 2, 4, 6, 12, and 24 hours postoperatively, and IL-6 levels were measured 1 hour preoperatively, 6 and 12 hours postoperatively. Calculate the amount of fentanyl given for rescue. Then repeated ANOVA, paired t-test, and chi-square analysis were performed using SPSS 21 for Windows. The results are declared meaningful if the p-value < 0.05. The results the IBU8 group showed lower values of the silent NRS, motion NRS, and IL-6 levels than the IBU4 group; this difference was significant with a value (p<0.05). All patients in the IBU8 group also did not require rescue fentanyl (p<0.05). The combination of paracetamol 750 mg and ibuprofen 800 mg showed the best results on NRS values, IL-6, and CRP levels for postoperative pain management SC without the need for rescue fentanyl and side effects.
EFFECT OF CRYSTALLOID FLUID LOADING AND VASOPRESSOR PRE-TREATMENT ON THE TIME OF BLOOD PRESSURE DROP IN CESAREAN SECTION WITH SUBARACHNOID BLOCK Muhammad Irfan Djafar; Andi Salahuddin; Syafruddin Gaus
Jurnal Kesehatan Vol 15 No 1 (2022): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v15i1.27761

Abstract

Caesarean section (SC) is the most frequently performed surgery in obstetrics. Subarachnoid block (SAB) and epidural block are the most widely used anesthetic techniques in CS surgery. Objectives To analyze the effect of loading crystalloid fluid and administration of vasopressors on the time of occurrence of a decrease in blood pressure in SC with SAB anesthesia. Method single-blind randomized controlled clinical trial consisting of 2 treatment groups, namely crystalloid fluid loading and vasopressor pre-treatment. The Results There was a significant difference in mean blood pressure between the crystalloid group and the vasopressor group at 2 to 8 minutes (p<0.05). The average systolic blood pressure for 46 minutes in the three groups showed that the decrease in blood pressure occurred first in the crystalloid group compared to the vasopressor group, and hypotension occurred at 5 minutes in the crystalloid group. After the first 10 minutes, average blood pressure tends to be relatively stable. There was a significant difference in the incidence of hypotension, which occurred more in the crystalloid group, which was 9 or 45%, the vasopressor group with hypotension was 2 or 10% (p<0.05). The incidence of decreased blood pressure was found to be more common with crystalloid loading than with vasopressor pretreatment, in accordance with the findings of previous studies. The incidence of decreased blood pressure in SC with SAB anesthesia was faster and more common with loading crystalloids than pretreatment with vasopressors. Administration of vasopressor pretreatment has been shown to prevent the incidence of a decreased blood pressure in SAB anesthesia.
COMPARISON OF THE EFFECTS OF PRE-EMPTIF ANALGESIA PREGABALINE 75 WITH 150 MG ON THE GRADE OF PAIN AND CAESARIAN SECTION SEDATION SCORE WITH SUBARAKHNOID BLOCK Ardiansyah Siradjuddin; Muhammad Ramli Achmad; Syafruddin Gaus
Jurnal Kesehatan Vol 15 No 1 (2022): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v15i1.27762

Abstract

In recent years, many studies have been carried out on the pre-emptive analgesia of pregabalin for various types of surgery with varying results. Preemptive analgesia in caesarean section (SC) usually uses pregabalin at a dose of 150 mg, and there have been no studies using low doses (75 mg) Objective This study aimed to determine the effects of pregabalin 75 mg vs 150 mg doses for controlled pain, their sedation score in patients after C-section under spinal anesthesia. Methods This study was a double-blind randomized trial study examining 20 samples of patients who underwent elective C-sections under spinal anesthesia and divided into 2 equal groups, P75 (who received oral pregabalin 75 mg) and P150 (who received pregabalin 150 mg). The Results There were no significant differences in NRS between the 75 vs 150 mg group (p>0.05), and there were significant differences in Ramsay sedation score between the 75 vs 150 mg group on 2 and 6 hours after surgery(p<0.05) and there were no significant differences about the need for fentanyl rescue between 75 vs 150 mg group (p>0.05). Pregabalin has an opioid-sparing effect and larger doses of pregabalin may increase its efficacy. The sedative effect that arises is due to the mechanism of action of pregabalin which binds potently to the 2δ subunit calcium channel and modulates calcium influx at nerve endings, thereby reducing the release of several excitatory neurotransmitters (glutamate), such as the mechanism of action of various intravenous and inhaled anesthetic agents. Preemptive administration of pregabalin 75 mg is recommended for C-section surgery because it might reduce NRS and the need for fentanyl rescue with minimal sedation side effects.
THE THERAPEUTIC INTERVENTION OF MUROTTAL AL-QUR’AN IN OVARIAN CYST PATIENTS WITH ACUTE POSTOPERATIVE PAIN PROBLEMS Hasnah; Muthahharah; Andi Riska Roswati; Nurul Fadhilah Gani
Jurnal Kesehatan Vol 15 No 1 (2022): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v15i1.29231

Abstract

Ovarian cyst is a sac filled with fluid in the ovary. Ovarian cysts are caused by impaired hormone production in the hypothalamus, pituitary and ovaries. The main function of the ovaries is to produce eggs or ova, to produce hormones (progesterone and estrogen), and to participate in regulating the menstrual cyst .Ovarium is common cause of gynecology morbidity in women. Therefore, need the best intervention to affected the symptoms. This study purpose to determine the effect of murottal Al-Qur'an therapy on patients with medical diagnosis of ovarian cysts with acute postoperative pain problems at Labuang Baji Hospital Makassar. The design of this study used a case study conducted with an evidence-based practice in nursing approach. After being given the nursing care process for 3 days, the results showed that murottal intervension helped reduce pain of postoperative ovarian cyst patients on the first postoperative day, the patient's pain scale was 4 (moderate) and until the 3rd day the patient's pain scale decreased to scale 1 (mild). The provision of non-pharmacological interventions, namely murottal therapy can reduce pain and the patient's grimacing decreases. In overcoming the problem of acute pain cannot walk alone, it is necessary to have other interventions, namely collaboration in providing analgesics.
ANALYSIS OF AFFECTING FACTORS SELF MONITORING OF BLOOD GLUCOSE IN TYPE 2 DIABETES MELLITUS PATIENTS Ahmad J; Yulia; Muhammad Adam
Jurnal Kesehatan Vol 15 No 1 (2022): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v15i1.29563

Abstract

Self Monitoring Blood Glucose (SMBG) has been accepted as an important part of diabetes mellitus management. The purpose of this study was to identify factors that affect type 2 diabetes mellitus patients to perform SMBG. This is a cross sectional study, with 80 respondents. Statistical analysis was using a chi square correlation test and a multiple logistic regression. The result shows that there a significant correlation between belief on diabetes mellitus management and SMBG (p = 0,000). The most influential factor on SMBG is the belief variable on diabetes mellitus management with OR = 14,069 after controlled with the knowledge variable (95% CI OR 0,100 - 1983, 518). It is needed to improve the belief on diabetes mellitus managements especially in type 2 diabetes mellitus patient
PENGARUH PENDIDIKAN SEKSUAL USIA DINI MELALUI FOCUS GROUP DISCUSSION (FGD) DARING TERHADAP PENGETAHUAN ORANG TUA Muhammad Yunus; Aulia Insani Latif; Nur Hijrah Tiala
Jurnal Kesehatan Vol 15 No 2 (2022): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v15i2.24921

Abstract

Pendahuluan: Kekerasan seksual disebabkan oleh ketidakpahaman anak terhadap persoalan seksualitas. Terkait pemahaman anak adalah menjadi tanggungjawab orang tua sebagai sumber informasi anak harus mengetahui dan memahami pendidikan seksual pada anak. Tujuan penelitian: untuk mengatahu pengaruh pendidikan seksual usia dini melalui FGD daring terhadap pengetahuan orang tua. Metode: Metode yang digunakan dalam penelitian ini adalah Quasy Experimental Pretest-Posttest with control group. Model pada penelitian ini menggunakan dua kelompok pretest-posttest design yaitu kelompok intervensi (diberikan pendidikan seksual usia dini melalui FGD daring whatsapp group) dan kelompok kontrol (diberikan leaflet melalui whatsapp group). Sebanyak 30 responden berpartisipasi dalam penelitian ini yang terdiri dari 15 orang kelompok intervensi dan 15 orang kelompok kontrol. Hasil: Rata-rata nilai mean dan min-max pada kelompok intervensi dan kontrol menunjukkan kelompok intervensi memiliki nilai perubahan dan perkembangan yang lebih tinggi dan signifikan dibandingkan dengan kelompok kontrol dengan nilai mean 3.07 pada kelompok intervensi dan 0.47 pada kelompok kontrol. Selanjutnya hasil analisis nilai signifikan kelompok intervensi dan kelompok kontrol menunjukkan nilai p value 0.0001 yang berarti terdapat perbedaan yang signifikan antara kelompok intervensi dan kelompok kontrol. Kesimpulan: Pendidikan seksual usia dini melalui Focus Group Discussion secara daring efektif dalam meningkatkan pengetahuan orang tua
PENGARUH MODEL EDUKASI DAN SIMULASI GLADI RUANG DALAM MENINGKATKAN KEMAMPUAN TATALAKSANA KORBAN BENCANA PADA PERAWAT Putra Agina Widyaswara Suwaryo; Hendri Tamara Yuda
Jurnal Kesehatan Vol 15 No 2 (2022): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v15i2.25410

Abstract

Penatalaksanaan tanggap darurat bencana merupakan tanggung jawab bagi berbagai pihak, juga petugas kesehatan, salah satunya tenaga medis. Simulasi gladi ruang merupakan salah satu metode simulasi yang saat ini dikembangkan dan dimodifikasi dengan menggunakan media papan bergambar daerah bencana sehingga lebih komunikatif, menyenangkan serta meningkatkan motivasi dalam pembelajaran peserta didik didalam ruangan. Tujuan penelitian untuk mengetahui pengaruh model edukasi dan simulasi gladi ruang terhadap kemampuan perawat dalam tatalaksana korban bencana. Penelitian ini menggunakan desain quasi experimental with non equivalent control group. Subjek penelitian adalah perawat yang masuk dalam tim medis berjumlah 60 orang. Pengumpulan data dilakukan melalui observasi dan pemberian tindakan edukasi pada kelompok kontrol serta simulasi gladi ruang menggunakan media papan bergambar pada kelompok intervensi. Observasi dilakukan selama subjek penelitian mengikuti kegiatan yang terdiri dari 3 parameter yaitu komunikasi, triase korban, pertolongan pertama pada korban dan keputusan rujukan. Hasil didapatkan perbedaan dalam melakukan tanggap darurat atau tatalaksana korban bencana antara kelompok kontrol dan kelompok intervensi p = 0.000 (p<0.005). Kelompok yang diberikan simulasi gladi ruang memiliki nilai rata-rata lebih tinggi daripada kelompok kontrol yang diberikan edukasi (77.75). Simulasi memiliki dampak yang signifikan terhadap perubahan kemampuan seseorang dalam melakukan sesuatu, karena melibatkan beberapa panca indera, seperti penglihatan dan pendengaran sekaligus, serta melakukan tindakan sebagai bentuk belajar langsung dari ilmu yang sudah didapatkan. Kesimpulan didapatkan bahwa simulasi gladi ruang terbukti lebih efektif meningkatkan kemampuan peserta pelatihan dalam tatalaksana korban bencana pada situasi tanggap darurat oleh perawat.
EVALUATION OF COVID-19 VACCINE EFFECTIVENESS AMONG HEALTHCARE WORKERS USING CASCADE ANALYSIS Bambang Subakti Zulkarnain; Eunice Marlene Sicilia Kundiman; Lily Aina; Nanda Ardianto; Fauzul Meiliani; Melinda Putri Amelia Rachman; Fatimatuz Zahra Oviary Satryo; Pharmasinta Putri Hapsari; Arina Dery Puspitasari; Alfian Nur Rosyid; Tamara nUR Budiarti
Jurnal Kesehatan Vol 15 No 2 (2022): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v15i2.27553

Abstract

Background: Healthcare workers in Indonesia have been prioritized for vaccination. Nevertheless, fully vaccinated healthcare workers are still at risk of being infected with COVID-19, but will be less likely to develop severe symptoms, be hospitalized or be at risk for death as compared to those who have not been vaccinated. Objectives: This study aims to analyze the incidence of COVID-19 in fully vaccinated healthcare workers. Methods: This cross-sectional study was conducted in 2021. All healthcare workers who have been fully vaccinated, have recovered from COVID-19 (2-4 weeks after vaccination) and able to complete a questionnaire were the participants. The collected data was then analyzed using the cascade method. Results: Based on the 529 collected questionnaires, by using the cascade analysis conclude that the percentage of healthcare workers who have been fully vaccinated was 99%, healthcare workers who have been fully vaccinated and then infected with COVID-19 was 14%, healthcare workers who have been fully vaccinated, infected with COVID-19 and hospitalized was 4%, healthcare workers who have been fully vaccinated, exposed to COVID-19, hospitalized and experienced the long-haul effect of COVID-19 was 0%. Discussion: Health workers are still at risk of being confirmed by COVID-19, because have high risk of being exposed in the workplace. The risk of being confirmed and severity are also influenced by age, gender and comorbidities. Conclusions: Complete vaccinations of healthcare workers did not reduce their risk of being infected with COVID-19, however, it can reduce the severity and the risk of the long-haul effects.
PERBANDINGAN PREVENTIF ANALGESIA IBUPROFEN 800 MG KOMBINASI DEXAMETHASONE 10 MG INTRAVENA TERHADAP INTENSITAS NYERI PASCABEDAH DEKOMPRESI DAN STABILISASI POSTERIOR Sukriyah Ambarwati Darise; Alamsyah Ambo Ala; Syafruddin Gaus
Jurnal Kesehatan Vol 15 No 2 (2022): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v15i2.27763

Abstract

Pendahuluan: Nyeri pascabedah pada pasien yang menjalankan operasi dekompresi dan stabilisasi posterior tulang belakang akut dengan derajat nyeri sedang hingga berat. Pemberian preventif pada pasien menjalankan operasi dekompresi dan stabilisasi posterior tulang belakang diberikan ibuprofen kombinasi dexamethasone intravena dan belum ada yang melakukan penelitian dengan memakai ibuprofen kombinasi dexamethasone intravena. Tujuan penelitian ini adalah pemberian preventif ibuprofen 800 mg kombinasi deksametasone 10 mg dan ibuprofen 800 mg dalam menurunkan intensitas nyeri pasien pascabedah dekompresi dan stabilisasi posterior. Metode: Desain penelitian single blind randomized experimental clinical trial yang dilakukan di RSUP dr. Wahidin Sudirohusodo mulai bulan Juni-September 2021 yang dibagi menjadi 2 kelompok, kelompok A (Ibuprofen 800 mg + Dexamethasone 10 mg) sebanyak 13 pasien, dan kelompok B (Ibuprofen 800 mg) 13 pasien yang menjalani prosedur bedah dekompresi dan stabilisasi posterior dengan anestesi umum. Berdasarkan jenis dan bentuk data yang didapatkan kemudian ditentukan metode uji statistik untuk analisa derajat nyeri dan kebutuhan opioid fentanyl menggunakan uji t-group dengan menggunakan SPSS 23. Hasil dinilai bermakna jika nilai p <0.05. Data ditampilakn dalam bentuk frekuensi (n) dan presentase diuji dengan Mann-Whitney. Variable numerik disajikan dalam bentuk rerata ± simpang baku (mean±SD) dan diuji dengan Uji t-group (uji parametrik) jika memenuhi syarat (distribusi normal, varian sama). Hasil: Ditemukan perbedaan yang bermakna NRS diam dan NRS gerak pada waktu pengukuran 2 jam, 6 jam, 12 jam, dan 24 jam pascabedah antara kelompok ibuprofen 800 mg kombinasi dexametasone 10 mg dan ibuprofen 800 mg (p<0,05). Ibuprofen 800 mg kombinasi dexamethasone 10 menurunkan penggunaan opioid fentanyl 59 % dibandingkan kelompok ibuprofen 800 mg. Diskusi: Ibuprofen 800 mg intravena kombinasi dexamethasone 10 mg dapat menurunkan NRS diam dan gerak pada pembedahan dekompresi dan stabilisasi posterior tulang belakang, sesuai dengan temuan pada penelitian-penelitian sebelumnya. Kesimpulan: Preventif analgesia ibuprofen 800 mg kombinasi dexamethasone 10 mg menurunkan intensitas nyeri pada pasien pascabedah dekompresi dan stabilisasi posterior tulang belakang.
TERAPI MUSIK TERHADAP PERUBAHAN TINGKAT KECEMASAN PASIEN KANKER PAYUDARA: LITERATURE REVIEW Dian Ika Pertiwi; Kadek Ayu Erika; Takdir Tahir
Jurnal Kesehatan Vol 15 No 2 (2022): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v15i2.29108

Abstract

Background and aims: Breast cancer is a malignant tumor that grows in the breast tissue. Anxiety has an influence that can worsen health conditions in breast cancer patients. Therefore, this review was conducted to assess the effect of music therapy on changes in anxiety levels of breast cancer patients. Methods: This study was a literature review obtained from six databases, including Scopus, Wiley Online Library, PubMed, Science Direct, DOAJ, and Gray Literature. This review followed the guidelines based on PRISMA 2020. All inclusion articles included English and Indonesian articles and were published in the last five years. Results: Five articles were obtained from this study, each using an intervention research method. Conclusion: Based on these findings, music therapy can be used as an additional intervention to help patients with breast cancer reduce anxiety levels. Keywords: Breast Cancer Patients, Music Therapy, Anxiety Levels

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