MEDIA ILMU KESEHATAN

Sustainability of Community Movement Innovation that Cares for Mothers and Toddlers for High Risk Pregnant Women

Dwi Nur Siti Marchamah, Wahyuni Arumsari — Sat, 09 Dec 2023 00:00:00 +0700

Background: The need for innovation in the public sector, one of which is health, is important. The Covid-19 pandemic has caused an increase in the number of illnesses experienced by pregnant women.
Objective: The research aims to find out the health program innovations that have been carried out in detail and in-depth at Puskesmas Karangtengah as the initiator of GEMPITA.
Methods: The research uses a qualitative descriptive approach. Primary data includes input, process, and overall output components for GEMPITA. There were 4 informants, namely the Community Health Center Midwife Coordinator, Community Health Center Midwife, Community Health Center Nutrition Coordinator, and Head of Village Midwife. Data was analyzed using content analysis.
Results: GEMPITA accommodates the implementation of integrated ANC. Sources of funding come from BOK, APBD, and village funds. Programs are periodically proposed through RAB on the BOK scheme in the form of PoA. Health program planning activities at community health centers based on PWS.
Conclusion: Involvement in implementing GEMPITA includes community health center midwives, nutrition officers, laboratory officers, pharmacists, health promotion officers, general practitioners, dentists, village midwives, cadres, and village officials. Increasing the participation of all stakeholders and the community includes promotive efforts, preventive efforts, and community empowerment efforts.

Correlation Between Family Caregiver Support and Anxiety Level Among Cancer Patient Undergoing Chemotherapy

Nila Nadiyatul Khumairoh, Ike Wuri Winahyu Sari — Sat, 09 Dec 2023 00:00:00 +0700

Background: One of the psychological impacts that often arises in cancer patients undergoing chemotherapy is anxiety. Family caregiver support is needed to reduce the incidence of them.
Objective: To determine the correlation between family caregiver support and anxiety levels among cancer patients undergoing chemotherapy.
Methods: This research was a quantitative study with a cross-sectional approach. Sampling used purposive sampling technique with a total sample of 52 respondents. This research was conducted at a public hospital in Bantul, Yogyakarta in June 2023. The instruments used in this study were the Family Caregiver Support questionnaire and the Hamilton Rating Scale of Anxiety (HARS-A), which have been valid and reliable. Data were analyzed using descriptive statistical and Pearson correlation analysis.
Results: The mean of family caregiver support for cancer patients was 40.69±12.26 from a range of 15-60. The mean of anxiety in cancer patients was 27.54±6.19 from a range of 13-42. The results showed that family caregiver support was related to the level of anxiety in cancer patients (p=0.002, r=-0.414). It means that the higher the family caregiver's support, the lower the level of anxiety experienced by cancer patients.
Conclusions: Family caregiver support is very helpful in reducing the anxiety level of cancer patients undergoing chemotherapy.

Cost-Effectiveness Analysis of Monotherapy for Preeclampsia Patients at RSUD Sleman

Yuni Andriani, Lutfi Hidiyaningtyas, Nendhi Wahyunia Utami — Sat, 09 Dec 2023 00:00:00 +0700

Background: Preeclampsia treatment if not treated immediately will cause seizures and even cause death. Rational treatment can be seen from the (outcome) therapy and costs. Pharmacoeconomic analysis can be used to see which drug is most effective in terms of therapeutic outcomes and the costs incurred to obtain that therapy.
Objective: This study aims to analyze the cost-effective antihypertensive monotherapy in preeclampsia patients.
Methods: The research was conducted at the Sleman Regional Hospital on inpatient preeclampsia patients for the 2021-2022 period. Retrospective data collection in the form of medical record data and financial administration. The effectiveness of therapy is calculated based on blood pressure and length of stay with ICER (Incremental Cost-Effectiveness Ratio) calculations.
Results: The description of the characteristics of preeclampsia patients at Sleman Regional Hospital is dominated by those aged 20-35 years, 23 patients (51%), without comorbidities, 39 patients (87%). The most widely used antihypertensive monotherapy was Nifedipine in 33 patients (73%). The cost effective monotherapy is Nifedipine, with an ICER value of Rp. 3,258 based on blood pressure and an ICER of -Rp. 6,041 based on LOS
Conclusion: Monotherapy that cost effective for hospitalized preeclampsia patients at Sleman Regional Hospital is Nifedipine.

The Effect of Sanyinjiao Point Accupressure Therapy (SP6) on Reducing Primary Dysmenorrhea Pain Intensity

Sin Wajo, Nur Rahmawati Sholihah — Sat, 09 Dec 2023 00:00:00 +0700

Background: Dysmenorrhea is a gynecological problem that often occurs in women during menstruation. In Indonesia, the incidence of dysmenorrhea is 64.25%, while 52% of students in Yogyakarta experience a decrease in the productivity of daily activities during menstruation
Objective: To determine the effect of sanyinjiao point acupressure therapy (SP6) on reducing the intensity of primary dysmenorrhea pain
Methods: Pre-Experimental research method, one group pretest-posttest design. Purposive sampling technique. The intervention group was given Sanyinjiao point acupressure (SP6). Dysmenorrhea pain variables were measured using NRS. Univariate analysis uses frequency distribution and bivariate analysis uses Wilxocon.
Results: The results of statistical tests showed that there was a significant difference between before and after the intervention with a p-value of 0.000. Before the intervention was given an average of 5.29 dysmenorrhea pain, after the intervention experienced a decrease in dysmenorrhea pain intensity by an average of 1.75.
Conclusion: There is an effect of sanyinjiao point acupressure therapy (SP6) on reducing the intensity of primary dysmenorrhea pain with a p-value of 0.000 and a decrease in dysmenorrhea pain of 3.54.

Analysis of Service Quality JKN Mobile Application Toward Participants Satisfaction of the Health Social Security Implementing Agency (BPJS) Tegal Regency

Deva Amanda Putri, Chatila Maharani — Sat, 09 Dec 2023 00:00:00 +0700

Background: JKN Mobile is an innovation by BPJS Kesehatan to provide service access easier for their participants. JKN Mobile application can be accessed everytime and everywhere while continuing to provide optimal service quality for user satisfaction.
Objective: This study aims to analyze the correlation between service quality (tangile, reliability, responsiveness, assurance, and empathy) with satisfaction of JKN Mobile’s users at Tegal Regency.
Methods: Type of quantitative research using cross sectional research design. Sampling method using accidental sampling technique. Total sample 100 respondents using Lameshow sample size formula. The research instrument used questionnaire.
Results: Based on the fisher exact statistical test on the service quality with satisfaction the result is tangible (p=0,001), reliability (p=0,000), responsiveness (p=0,000), assurance (p=0,000), dan empathy (p=0,000).
Conclusion: There was a significant relationship between service quality with satisfaction.

The Impact of Nurse Empathy in Hospitals Nursing Services

Ruth Susana Atanay, Meidiana Dwidiyanti, Lucky Dwiantoro — Sat, 09 Dec 2023 00:00:00 +0700

Background: Complaints about nursing services because some nurses do not care, lack communication with patients, and are indifferent to patients, this is because nurses are not empathetic, so empathy is needed in current nursing actions to improve the quality of nursing services, the outcome of which is patient satisfaction.
Objective: This article aims to determine the impact of empathy on nursing services in hospitals.
Methods: The literature search used keywords “empathy” OR “nurse” or “nursing service” OR “hospital”. With systematic review analysis and meta Analyzes for scoping review (PRISMA -SR).
Results: After screening consisting of 6 articles which summarized the impact Empathy is very important in improving nursing services, it was found that there were 3 impacts of empathy, namely: (1) increasing the therapeutic relationship between nurse-patient obtained from 3 articles, (2) increasing patient satisfaction obtained from 2 articles (3) reduce the psychological impact of the patient 1 article.
Conclusion: There are 3 impacts of empathy consisting of (1) Increasing the therapeutic relationship between nurse-client. (2) Increasing patient satisfaction (3) Reducing the psychological impact of the patient

Vitamin D and Gestational Diabetes Mellitus: A Literature Review

Rista Dwi Hermilasari — Sat, 09 Dec 2023 00:00:00 +0700

Background: Gestational diabetes mellitus (GDM) is one of public health concerns that can increase risk of harmful pregnancy outcome. Diabetes in pregnancy often associated with vitamin D level, it means that lack of vitamin D in pregnancy could raise the risk of gestational diabetes.
Objective: To describe the vitamin D blood level and pregnancy-related gestational diabetes incidence.
Methods: This literature review was taken from PubMed and Science Direct database. Screening of reviewed article based on inclusion and exclusion criteria.
Results: Seven articles that had been reviewed said pregnancy with gestational diabetes mellitus had lower 25(OH)D serum level than in non GDM group. The proportion of pregnant women which are sufficient of vitamin D is very low.
Conclusion: Pregnancy-related low vitamin D levels are linked to an elevated risk of gestational diabetes mellitus. Sufficient vitamin D levels are protective against GDM

Incidence of Dating Violence in Middle Adolescence

N. Reski Septi Dewi, Ariani Fatmawati, Bhekti Imansari — Mon, 11 Dec 2023 00:00:00 +0700

Background: Middle adolescents interact more with the opposite sex so that mutual liking arises, interest in the opposite sex will continue to undergo a relationship called dating. Middle age is emotionally and mentally unstable so that if there are problems in dating it will cause or will experience dating violence.
Objective: The aim of this study was to determine the incidence of dating violence in middle adolescents.
Methods: This research is descriptive quantitative. The population in this study were middle adolescents in Ciparay District School, Bandung Regency, with a total sample of 295 respondents.
Results: The results showed that the description of the incidence of physical violence was small (5.8%), threatening behavior was small (11.2%), sexual violence was almost half (37.6%), verbal emotional violence was almost half (30.2%), relational violence was small (18.0%), and in cyber violence most of 51.2%.
Conclusion: The conclusion is that almost all adolescents are dating violence. Schools form a task force for the Prevention and Handling of Sexual Violence.

The Correlation of Self-Experience with Sex Education in Parents of Preschool-Aged Children In Paud Al-Irsyad Sumedang Regency

Ati Nurwita, Novie E Mauliku, Indira Gantari — Mon, 11 Dec 2023 00:00:00 +0700

Background: Sex education for preschool is appropriate to prevent sexual violence. Teachers and parents can work together. But, one phenomenon from parents is taboo for given sex education to early childhood. Several factors that influence of implemented is perceptions of behavioral control. One thing that influences that is self-experience.
Objective: The purpose of this study was to analysis correlation of self-experience and sex education in parents of preschool-aged children.
Methods: The design of this study was observational analytic with a cross sectional approach. The population is 30 parents who have children aged 3-6 years in PAUD Al-Irsyad through total sampling. The research instrument used a primary data collection questionnaire. Data analysis was performed univariate and bivariate using the chi-square test.
Results: The results showed that 56,7 %had provided sex education. The chi-square test showed p value 1,000 > α= 0,050.
Conclusion: There is no relationship between parents’ self-experience and the implementation of sex education in preschool. This can encourage further studies of other factors, so that dominant factors can be found that encourage parents to carry our early sex education.

BPJS Participant Satisfaction Level Evaluation on The Outpatient Installation Pharmaceutical Services RSUD Anuntaloko Parigi

Mon, 11 Dec 2023 00:00:00 +0700

Background: Patient satisfaction is a success metric of a pharmaceutical service. Health insurance like BPJS Health makes it more accessible for patients in need to keep track of their health.
Objective: To determine and evaluate the satisfaction level of BPJS participants with pharmaceutical services at the outpatient installation of Anuntaloko Parigi Hospital
Methods: Quantitative descriptive research (non-experimental) with 200 respondents as samples. The sampling technique used is purposive sampling with a questionnaire. The processed data were analyzed using the ServQual gap, Customer Satisfaction Index (CSI), and Importance and Performance Analysis (IPA) methods
Results: The gaps for each dimension are: reliability -0.41, responsiveness -0.40, assurance -0.28, empathy -0.40, and tangible -0.61 in the quite satisfied category. The satisfaction level using the CSI measurement method is also included in the quite satisfied category with a CSI value of 78.48%.
Conclusion: the satisfaction level of outpatient BPJS participants at Anuntaloko Parigi Hospital is in the quite satisfied category with two service attributes to improve, which are reliability and responsiveness related to the friendliness and the response of officers in serving patients

Relationship of Physical Activity and Interpersonal Communication with Type of Emotional Regulation in Senior High School Students

Dhea Dhea Dwi Nanda Az-zahroh, Nuryani Sidarta — Wed, 13 Dec 2023 08:48:49 +0700

Latar Belakang: Masa remaja seseorang sering kali mengalami bermacam-macam perubahan mencakup perubahan fisiologis dan juga psikologis. Satu diantaranya yaitu perubahan sosioemosional, yang mana remaja mempunyai ketegangan emosi yang lumayan tinggi. Faktor yang dapat mempengaruhi regulasi emosi salah satunya adalah komunikasi interpersonal dan aktivitas fisik. Beberapa penelitian menyebutkan bahwa aktivitas fisik, komunikasi interpersonal dan juga regulasi emosi pada remaja mempunyai hasil kurang baik.

Tujuan: Meningkatkan kualitas regulasi emosi pada pelajar dengan menilai hubungan aktivitas fisik dan komunikasi interpersonal dengan jenis regulasi emosi pada pelajar SMA.

Metode: Studi analitik observasional dengan desain cross sectional. Metode pengambilan sampel yang digunakan adalah Non-random sampling dengan metode Consecutive Sampling menggunakan kuesioner google form dengan sampel sebanyak 124 pelajar SMA Negeri 1 Kota Sukabumi. Analisis data dilakukan secara univariat dan bivariat dengan uji statistik chi-square menggunakan program SPSS.

Hasil: Hasil analisis menunjukkan bahwa tidak terdapat hubungan antara aktivitas fisik dan jenis regulasi emosi (p value = 0,400). Hasil analisis menunjukkan tidak terdapat hubungan komunikasi interpersonal dengan jenis regulasi emosi (p value = 0,416).

Kesimpulan: Penelitian ini menunjukkan hasil tidak terdapat hubungan antara aktivitas fisik dengan jenis regulasi emosi pada pelajar SMA. Dan juga tidak terdapat hubungan antara komunikasi interpersonal dengan jenis regulasi emosi pada pelajar SMA.

Implementation of E-Book Services (Adkuh Book) For The Public At Surakarta Orthopedic Hospital

Mon, 25 Dec 2023 00:00:00 +0700

Background: It is hoped that the use of e-Government from bureaucracy can be an alternative for bureaucratic reform for the better. The concept of digital public services leads to effective principles. while efficient means doing something correctly.
Objective: To increase the convenience of health services by facilitating E-Book (Adkuh Book) services to the public.
Method: This research method uses Research and Development which to produce certain products and test the effectiveness of these products. Both products can produce new products or modify existing products.
Results: From the results of the bivariate analysis, it was found that there was an increase in respondents' interest (the average pre-test score with high interest was 96.78 points and the average post-test score with low scores was 43.04 points). To look for disease information before seeking treatment or registering at the Surakarta orthopedic hospital and was statistically significant (p=<0.001). Most respondents know how to access the Adkuh Book
Conclusion: There is a positive and significant influence on the intention to use the Adkuh Book on the use of health information for orthotic prosthetic patients. There is a positive and significant influence between Perceived Ease of Use on Intention to use Adkuh Book.