Media Ilmu Kesehatan 2018-10-13T08:22:39+00:00 Deby Zulkarnain Rahadian Syah Open Journal Systems <p align="justify">Media Ilmu Kesehatan (MIK) is a scientific journal that aims to publish and disseminate various scientific papers to add insight and science in the field of health. That are includes the following, but is not limited to nursing, public health, pharmacy, blood bank technology, health recorder and information, midwifery, health analysts, nutrition, psychology and other health sciences with ISSN p-2252-3413 and e-ISSN 2548-6268.</p> MERAWAT LANSIA DENGAN GANGGUAN MOBILISASI MEMBENTUK NILAI SPIRITUAL DAN KULTURAL ANGGOTA KELUARGA DI SRENGSENG SAWAH, JAKARTA SELATAN 2018-10-13T08:21:56+00:00 Ratna Lestari <p><strong>Background:</strong> Mobility impairment is a chronic disease that needs long-term care. This condition will change many aspects of elders’ life that are difficult to adapt. Family members who act as a caregiver are the essential part of elders’ life. <strong>Objective:</strong> This study aimed to explore the meaning of caregiving for elders with mobility impairment by family members.<strong>Methods:</strong> In-depth interviews were conducted with eight family caregivers who were taking care for mobility-impaired elders. In this phenomenological qualitative study, data were then analyzed with content analysis by Colaizzi method.</p> <p><strong>Results: </strong>The essence of elderly caregiving for family was to grow both spiritual and cultural values in their lives. Looking for the Lord’s blessing; life’s tests; looking for the Lord’s fortune; and God’s training for patience were included in the spiritual value while the cultural values consisted of child obligation; responsibility; future expectation; role model for children; and filial piety. &nbsp;</p> <p><strong>Conclusion:</strong> Obstacles faced by family caregivers can be overcome by taking the essence of caregiving as part of spiritual and cultural values thus caring can be provided continuously and compassionately. The findings recommended the cultural aspects in caring elderly need to be investigated further using ethnography approach.&nbsp;</p> <p><em>&nbsp;</em></p> <p><strong>Keyword</strong><strong>s</strong> : <em>Cultural Values, </em><em>Elderly</em><em>, </em><em>Family Caregiver</em><em>, Mobility Impairment, Spiritual Values </em></p> <p>&nbsp;</p> 2018-08-30T00:00:00+00:00 ##submission.copyrightStatement## PENURUNAN NYERI KEPALA PADA LANSIA DENGAN HIPERTENSI MENGGUNAKAN RELAKSASI AUTOGENIK DI KELURAHAN MERSI PURWOKERTO 2018-10-13T08:22:00+00:00 Dwi Novitasari Ikit Netra Wirakhmi <p><strong>Background:</strong> Headache in the occipital region is the most common symptom of hypertension, caused by enhanchement intra-cranial pressure and vasoconstriction resulting in decreased perfusion of cerebral tissue. This causes insomnia, decreased concentration and decreased ability of daily living activity. Autogenic relaxation causes vasodilation and a calm emotional response that increases the response of the parasympathetic system. This modulation stimulus can decrease perception of headache.</p> <p><strong>Ob</strong><strong>jective</strong>: The aims of this study was to find out how the reduction of headache on hypertension before and after autogenic relaxation.</p> <p><strong>M</strong><strong>ethods</strong>: The design of this research was pre experimental with one group pretest-postest design approach. The sample are 38 patients with hypertension who complained of headache in Mersi Purwokerto. Selection has been using purposive sampling. Measurement of head pain using visual analog scale. Data analysis using Wilcoxon test.</p> <p><strong>Results</strong>: The mean headache before the autogenic relaxation technique was 5.24, and the mean headache after autogenic relaxation technique was 3.47, including the range of moderate pain. There was a significant difference between headache before and after the autogenic relaxation technique with p value: 0,000.</p> <p><strong>Conclusion</strong><strong>: </strong>Autogenic relaxation can be used by the elderly with hypertension to reduce headache.</p> 2018-08-30T00:00:00+00:00 ##submission.copyrightStatement## ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN KETERBUKAAN STATUS HIV SEROPOSITIF WANITA PENDERITA HIV/AIDS TERHADAP PASANGAN SEKSUAL DI LSM VICTORY YOGYAKARTA 2018-10-13T08:22:04+00:00 Dwi Kartika Rukmi <p><strong>Background: </strong>The disclosure of women’s HIV status toward their sexual partners is an important issue that should be regarded as one of the efforts to prevent and control the spread of HIV. Research on the disclosure of seropositive HIV status as well as women-related factors in Indonesia, especially Yogyakarta is only a few.</p> <p><strong>Objective: </strong>The purpose of this study is to analyse a factor related to the growth of HIV-positive female HIV/AIDS to sexual partners in LSM Victory Yogyakarta</p> <p><strong>Methods: </strong>This is a correlational descriptive research along with its cross-sectional approach on 329 women with HIV/AIDS at the Victory Plus NGO from June to July 2016. This research used a purposive sampling method and a questionnaire as the data collection technique. The bivariate analysis test was undertaken by using a chi square and multivariate test along with a logistic regression.</p> <p><strong>Result: </strong>The multivariate analysis and logistic regression show five independent variables related to the disclosure of seropositive HIV status of women with HIV/AIDS toward their sexual partners, namely ethnicity (aOR = 36,859; 95% CI; (6,544-207,616)) religion (aOR =0,255; 95%CI; (0,075-0,868)), discussion with partners prior to the HIV test (aOR =0,069; 95%CI; (0,065-0,438)) , types of sexual partners (aOR = 0.191; 95% CI; (0.082-0,445)) and knowledge on the partners’ HIV status (aOR = 0.036; 95% CI; (0.008-0.160)). The highest level of reason for seropositive HIV women not to be open about their partners’ status is the fear of being rejected by their partners and the environmental stigma of HIV AIDS disease.</p> <p><strong>Conclusion: </strong>The disclosure of seropositive HIV status in women with HIV/AIDS in the Victory Plus NGO of Yogyakarta was 79.4% or classified as a high category with some related factors such as ethnicity, religion, discussion with partners prior to the HIV test, types of partners and knowledge on the partners’ HIV status.</p> <p><strong><br> </strong><strong><em>Keywords</em></strong><em>: Women, HIV, Disclosure, Sexual Partner</em><em>.</em></p> 2018-08-30T00:00:00+00:00 ##submission.copyrightStatement## PENGEMBANGAN BUNDLE DALAM MENURUNKAN URINARY TRACT INFECTION (UTI) DI RSUD SEJIRAN SETASON MUNTOK 2018-10-13T08:22:08+00:00 Ani Syafriati <p><strong>Background: </strong>Development of CAUTI bundle is very important to evaluate the nurse in implementing nursing practice related to urinary catheter which is one of prevention efforts and risk control of CAUTI.</p> <p><strong>Objective: </strong>The purpose of this study is to develop CAUTI bundle that is adjusted to hospital condition in Sejiran Setason Muntok Hospital.</p> <p><strong>Methods: </strong>In this study used qualitative method by conducting indepth interview and focus group discussion (FGD). It conducted for 3 weeks in Sejiran Setason Muntok Hospital, the total sample are 22 participants. The result produced the themes that used as the material for the development of the bundle or the observation sheet of CAUTI.</p> <p><strong>Results: </strong>There are 10 themes which become material for the development of CAUTI bundle. The CAUTI Bundle consists of bundle components such as indication of urinary catheter insertion, urinary catheter installation must comply with SOP, monitoring of urine output by regularly, emptying urine bag regularly, performing hand hygiene before and after procedure, using masks and handscoons, patients and families must be aware of their role in minimizing the risk of CAUTI.</p> <p><strong>Conclusion: </strong>Development of the bundle is very important as one of prevention of CAUTI incident in hospital.</p> <p>&nbsp;</p> <p><strong>Keyword :</strong> <em>Bundle, CAUTI, Development.</em></p> 2018-08-30T00:00:00+00:00 ##submission.copyrightStatement## KEJADIAN LUAR BIASA KERACUNAN “CUMI-CUMIAN” DI SEKOLAH DASAR NEGERI 1 TRASAN BANDONGAN KABUPATEN MAGELANG 2018-10-13T08:22:12+00:00 Nasir Ahmad <p><strong>Background</strong>: On May 4<sup>th</sup>, 2016, at 12:30 district surveillance officer of Magelang Health Department received reports from Public Health Center of Bandongan about 21 students of SDN 1 Trasan who suffered from the same food-poisoning symptoms.</p> <p><strong>Objective:</strong> Investigation was carried out to identify the source, how it spread and how to control it.</p> <p><strong>Method</strong><strong>s: </strong>This study used descriptive analytic and mapping the cases distribution location. The case was people experiencing symptoms of dizziness or abdominal pain or nausea or vomiting. Data analysis was done by using bivariate analysis. Data collection were done through interviews, observations and laboratory tests on the food samples.</p> <p><strong>Results: </strong>The case was 50 students (from 1-6 grade students). The perceived symptoms were dizziness (77%), nausea (42%), abdominal pain (40%) and vomiting (8%). Attack rate found ranged from 14.3% to 60% with the highest Attack rate found on class three (60%). The incubation period of 15-240 minutes (mean 72.3 minutes). Calamari like positive Bacillus cereus and Rhodamine-B 10 mg/kg.</p> <p><strong>Conclusion: </strong>The outbreak of food poisoning because calamari like contaminated Bacillus cereus. We suggested the school committee to provide the socialization of harmful food for the students. The teachers should restrict the permission for the food vendor to sell at school.</p> <p>&nbsp;</p> <p><strong><em>Keywords</em></strong><em>: </em><em>Bacillus cereus, , Food Poisoning, Outbreak, Rhodamine B, School Food</em></p> 2018-08-30T00:00:00+00:00 ##submission.copyrightStatement## HUBUNGAN FAKTOR-FAKTOR USIA IBU, PARITAS, UMUR KEHAMILAN, DAN OVER DISTENSI DENGAN KEJADIAN KETUBAN PECAH DINI DI RUMAH SAKIT YOGYAKARTA 2018-10-13T08:22:16+00:00 Budi Rahayu <p><strong>Background: </strong>Premature rupture of membranes (PROM)is a rupture of membranes before any signs of labor and awaited before the labor occurs. The problem of PROM is a major obstetric issue, because the impact of PROM is an infection in the maternal and ends in an increased incidence of cesarean section due to a failed normal childbirth and neonatal. Factors that causePROMitself is not known for certain, but if we know earlier about the predisposing factors of PROM preventive efforts will be more helpful and reduce maternal and neonatal morbidity and mortality.<strong>Objective: </strong>Relationship of maternal age, parity, gestational age, and over distention with incidence of premature rupture of membranes in Yogyakarta Hospital.<strong>Research Of Method</strong>: This research uses retrospective study approach with data focus case control approach. The case population in this research is all maternal mothers who experience premature rupture of membranes in RSUD Yogyakarta in 2017 obtained from medical record. Sampling technique is by total sampling with the number of 427 respondents. Data analysis used is bivariate analysis.<strong>Result:</strong> Parity has nothing to do with the incidence of premature rupture of membranes due to the value of p value 0.142&gt; 0.05, with the OR value of 0.814. Age of pregnant women has nothing to do with the incidence of premature rupture of membranes because the value of p value 0.671&gt; 0.05, with the value of OR 1.062. Age pregnancy has nothing to do with the incidence of premature rupture of membranes because the value of p value 0.288&gt; 0.05, with OR 1,207 nialai. Uterine overdistesi has nothing to do with the incidence of premature rupture of membranes due to the p value of 0.571&gt; 0.05, with the value of OR 1.240.</p> <p><strong>Conclusion:</strong> There is no relationship between maternal age, parity, gestational age, and overdistence with premature rupture of membranes in Yogyakarta Hospital.</p> <p><strong><br> </strong><strong><em>Keywords: </em></strong><em>Maternal age, Parity, Age of Pregnancy, Overdistence, and premature rupture of membranes (PROM)</em></p> 2018-08-30T00:00:00+00:00 ##submission.copyrightStatement## PENGARUH SARI KURMA PADA IBU POSTPARTUM TERHADAP BERAT BADAN BAYI DI BPM PIPIN HERIYANTI YOGYAKARTA 2018-10-13T08:22:20+00:00 Dwi Yulinda <p><strong>Background:</strong> Galactogogues is one of pharmaticeutical agents to support the initiation, continuation or augmentatiton of breast milk product. Natural product of galactogogues contenst such as palm fruits. So many puerpural mother prefer using natural galactogogues to help incerase their milk supply is in observing successive measurment of the infant’s naked weight. Nearly all infants lose weight for the first two to four days after birth. Postnatal weight loss on regaining birth weight are cliical parameters for monitoring an infat feeding status in the first week.</p> <p><strong>Objective</strong>: This study aimed to assess the effect of date palm fruits on postpartum to infant weight</p> <p><strong>Method</strong><strong>s</strong>: Research was conducted on maternal postpartum which is divided into two groups. They are the control group; and the treatment group which was given dates palm fruit. Infant weight was measured at 7 day after birth. The analytical method used is Student T-test.</p> <p><strong>Results</strong>: Date Palm fruits increased infant weight which was significantly on firstweek increase in the treatment group compared to the control group at p &lt;0.05.</p> <p><strong>Conclusion</strong>: Date Palm fruits is one of the alternatives that can be done to prevent infant lose weight.</p> <p><strong>&nbsp;</strong></p> <p><strong>Keywords: </strong><em>Date palm fruit</em><em>, postpartum</em><em>,</em> <em>infant weight</em></p> 2018-08-30T00:00:00+00:00 ##submission.copyrightStatement## EFEKTIVITAS LATIHAN ROM DAN BOLA KARET TERHADAP PENINGKATAN KEKUATAN MENGGENGGAM DAN FUNGSI MENGGENGGAM PADA PASIEN STROKE DI RSUD SLEMAN 2018-10-13T08:22:23+00:00 ardin hentu <p><strong>Background:</strong> Stroke is the third leading cause of death after coronary heart disease and cancer. In stroke patients the main problem that will arise is the damage / death of brain tissue. Signs of the occurrence of damage to brain tissue is paralysis. Range of Motion and Rubber Ball Exercises are Rehabilitation that can be given. This exercise can tone the acupuncture points of the hands that indirectly signal to the sensory part of the nerve to be delivered to the brain.</p> <p><strong>Objective:</strong> To know the increase in grasping power and grasping functions in stroke patients after Range of Motion and rubber ball motion exercises.</p> <p><strong>Methods</strong>: The design used in this study is experimental quasy, using a control group. This research was conducted in RSUD Sleman. The sample in this study were 26 respondents divided into two groups. Sampling using purposive sample technique.</p> <p><strong>Result :</strong> The results of this study indicate an increase in the value of grasping muscle strength and grasping functions in Range of Motion and Rubber ball exercise.</p> <p><strong>Conclusion :</strong> Range of Motion exercises and rubber ball movement are effective in improving the value of muscle strength grasping and grasping functions. In expecting further research can increase the number of respondents.</p> <p><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong></p> <p><strong><em>Keyword :</em></strong><em> Grasping Power, Grasping Function, Range of Motion, Rubbing Ball, Stroke.</em></p> 2018-08-30T00:00:00+00:00 ##submission.copyrightStatement## DUKUNGAN SUAMI PADA IBU HAMIL DALAM MENGONSUMSI TABLET FE DI WILAYAH KERJA PUSKESMAS GODEAN II SLEMAN YOGYAKARTA 2018-10-13T08:22:28+00:00 Dian Puspitasari <p><strong>Background:</strong> The death rate of mother is one of indicator in society welfare to appreciate health mother efforts. Based on WHO, the number of death mother about 40% in developed country related to anemia because of iron substance deficiency. One of the component to serve pregnant woman’s health is to avoid anemia by giving 90 tablets (Fe3) of iron substance. One of psychology factor in pregnant woman which influence mother’s pregnant to consume tablet Fe is their husband’s support.</p> <p><strong>Objective:</strong> To understand husband’s support for pregnant woman to consume tablet Fe in Godean II Public health Sleman Yogyakarta.</p> <p><strong>Methods: </strong>This research is quantitative description.&nbsp; The technique of sampling uses Total Sampling technique with 43 participants. To collect data uses close questioner and data analysis uses univariat analysis.</p> <p><strong>Results:</strong> The husband support for mother’s pregnant to consume tablet Fe include some categories, there are: 22 (51,2%) participants are unsupported, most of instrumental support is unsupported which are 22 (51,2%) participants, most of informational support is unsupported which are 24 (55,8%) participants, most of valuation support is supported which are 26 (60,5%) participants, and most of emotional support is supported which are 27 (62,8%) participants.</p> <p><strong>Conclusion:</strong> We can conclude that husband support for mother’s pregnant to consume Fe tablet in Godean II Sleman clinic of Yogyakarta is included in unsupported category which are 22 (51,2%) participants.</p> <p>&nbsp;</p> <p><strong><em>Keywords: </em></strong><em>Husband Support, Pregnancy, Tablet Fe</em></p> 2018-08-30T00:00:00+00:00 ##submission.copyrightStatement## PENGARUH EDUKASI VIDEO LATIHAN FISIK TERHADAP PENGETAHUAN PASIEN YANG MENJALANI HEMODIALISIS DI RS PKU MUHAMMADIYAH YOGYAKARTA 2018-10-13T08:22:31+00:00 ambar relawati <p><strong>Background:</strong> Chronic Kidney Disease (CKD) is a progressive and irreversible kidney damage or dysfunction caused by the body's failure to maintain metabolism, fluid and electrolyte balance. Most of the CKD in Indonesia is diagnosed an advanced and late stage, so dialysis is necessary to solve this problem. The most common complaints of hemodialysis patients are muscle weakness. Patients with muscle weakness are due to reduced activity, muscle atrophy, muscle myopathy, neuropathy or a combination of them. One way that can be done as muscle strengthening to support and protect the internal organs and tissues is to do physical exercise. Physical exercises include flexibility exercises, strengthening exercises, and cardiovascular exercises. The exercise was done by giving video education to the patient for 60-90 minutes and 2 sets at the time of hemodialysis. Video is one of the educational media so that patients easily understand and imitate the steps of physical exercise.</p> <p><strong>Objective:</strong> To know effectiveness of patient education with video to hemodialysis patient knowledge about physical activity exercise.</p> <p>Methods: This study used quasi experimental method with one-group design pre-post test design.</p> <p><strong>Results:</strong> This research is a non parametric statistic test with Wilcoxon test method and got the result of 0.000 (p&lt;0,05).</p> <p><strong>Conclusions:</strong> Video education can improve the knowledge of patients with chronic renal failure who run hemodialysis.</p> <p>&nbsp;</p> <p><strong>Keywords:</strong> <em>Chronic Kidney Disease (CKD), hemodialysis, Physical Exercise, Video Education</em><em>.</em></p> 2018-08-30T00:00:00+00:00 ##submission.copyrightStatement## SIKAP DOSEN TERHADAP PEMBELAJARAN INTERPROFESIONAL EDUCATION (IPE) STUDI PADA DOSEN DI STIKES JENDERAL ACHMAD YANI YOGYAKARTA 2018-10-13T08:22:35+00:00 Masta Hutasoit <p><strong>Background:</strong> Application of IPE in academics prioritizes collaborative competencies to make students able to understand how to work interprofessionally, so as to foster readiness. Lecturer attitudes are considered as an important component in implementing successful IPE in academic environment.</p> <p><strong>O</strong><strong>bjective</strong><strong>: </strong>The purpose of this study was to examine and analyse lecturers attitudes towards interprofessional education.</p> <p><strong>Method: </strong>This was descriptive comparative study with cross sectional design<em>. </em>Sampel were 31 lecturers from departments of nursing, midwifery, and medical record taken by purposive sampling. Modified questioner of Attitudes Toward Interprofessional Health Care Teams (ATHCT), Readiness for Interprofessional Learning Scale (RIPLS), and Attitudes Towards Interprofessional Learning in Academic Setting (ATILAS) were applied to examine lecturers attitudes.</p> <p><strong>Result: </strong>The results indicate lecturer's positive attitude toward IPE, with an average score of statement item M = 3.96 on the attitude aspect to the interprofessional health care teams; M = 4.11 on attitude aspect to interprofessional education; as well as on attitudes towards interprofessional learning in academic setting with M = 3,93. Discipline, gender, and teaching experience have no significant relationship with overall attitudinal responses towards IPE.</p> <p><strong>Conclusions: </strong>These findings can be used as a consideration of the intitution in applying Interprofessional Education at the academic settings.</p> <p>&nbsp;</p> <p><strong><em>Keywords:</em></strong><em> Attitudes, Interprofessional Education, Lecturers</em></p> 2018-08-30T00:00:00+00:00 ##submission.copyrightStatement## EFEKTIVITAS PERAWATAN MANDIRI DIBANDINGKAN KUNJUNGAN RUMAH TERHADAP KEPERCAYAAN DIRI IBU MENYUSUI 2018-10-13T08:22:39+00:00 ernani setyawati <p><strong>Background:</strong>Breastfeeding is not always easy. Mother should have high confidence to breastfeed the infant to get positive response in facing difficulties of breastfeeding.</p> <p><strong>Objective: </strong>The purpose of this study was to compare the methods of self-care and home visit as the efforts to increase mothers’ brestfeeding self- efficacy.</p> <p><strong>Methods: </strong>A comparative analytical study using quasy experimental design including 23 subject selected in the home visit group and 23&nbsp; subjects in the self-care group by using consecutive sampling technique was taken place in &nbsp;two hospital at Balikpapan, Indonesia. The data were then analyzed by using Wilcoxon and Mann Whitney test.</p> <p><strong>Results: </strong>The results&nbsp; showed that mothers’ breastfeeding self-efficacy score before treatment in both groups (&nbsp;self care =65.52; home visit =63.65) while self-efficacy score after treatment in both groups (&nbsp;self care =73.39; home visit =74.91). The self-efficacy score in self care groups before and after treatment (ZW = 5.317, p&gt;.05) in home visit groups were Zw=3.564 (p&gt;.05). Mothers’ breastfeeding self-efficacy score in home visit and self care groups before treatment was Z<sub>MW </sub>= .231 (p&gt;.05)<sub>.</sub> as compared to self-efficacy score in home visit and self care groups after treatment &nbsp;was Z<sub>MW </sub>= .793 (p&gt;.05)<sub>.</sub></p> <p><strong>Conclusion: </strong>The study showed that home visit method and self-care method are equally good in increasing mothers’ self-efficacy.</p> <p><em>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </em></p> <p><strong><em>Keywords:</em></strong><em> breastfeeding, home visit, self-efficacy, self care</em>.</p> 2018-08-30T00:00:00+00:00 ##submission.copyrightStatement##