bluuebunny/crossref_metadata_2025 huggingface dataset:
FISHBONE ANALYSIS METHOD OF COMMUNICATION HANDOVER IN THE EMERGENCY INSTALLATION IN JAKARTA ARMY HOSPITAL
Authors: Gunawan Deny , Hariyati Rr Tutik Sri , Fitri Desnita
Published: July 2019

Background: The handover and transfer of identification often experience a weakness in its implementation and become global problems at the hospital.Objective: This paper focuses on the cause of less optimal implementation of Identification Situation Background Assessment Recommendation (ISBAR) method when conducting handover of nurses among shifts at Army Hospital in Jakarta. Methods: This study employed situation study analysis with a fishbone diagram approach that includes 5M and 1E.Literature review and analysis were utilized to produce recommendation for improving the quality of the ISBAR method implementation when conducting handover of nurses among shifts. Data were obtained  from the existing-secondary data, previous research data and data sources from Jakarta Military Hospitals.

Results: Data were analyzed using fishbone, data obtained for the cause was not optimal ISBAR method when nursing handover between shifts. causes the problems identified can be prioritized are no tools monitoring evaluation, there is no definitive monitoring evaluation team, monitoring evaluation implementation of nurse handover within shift, hospital has not been a paperback book about ISBAR, components in the handover format not optimal, and the nurse has not been understood properly ISBAR method.

Conclusion: The research result reveals six causes of the problem. They are: (1) the absence of evaluation monitoring tools, (2) the absence of definite evaluation monitoring team, (3) non optimal handover evaluation monitoring of nurses among shifts,(4) the absence of a pocket book on ISBAR delivery method, (5) non optimal  components in the handover format, and (6) nurses’ inability to conduct ISBAR method correctly.Recommendation: propose the ISBAR method of monitoring and evaluating the handover of nurses between shifts, the establishment of an ISBAR method evaluation monitoring team to hand over nurses between shifts, a draft evaluation monitoring tool, making a pocket book about the ISBAR method, the ISBAR component in the nurse handover format, and provide education and roleplay of the ISBAR method when handover of nurses between shifts
Improvement Legal Aspects and Completeness of Documentation using Electronic Nursing Record: A Report Study
Authors: Hariyati Rr.Tutik Sri , Malawat Krisna Yetti , Purwandari Retno , Afifah Effy
Published: July 2019

Background: Completeness of documentation as a legal aspect and proof a nursing activity. Nothing documentation means nothing activity.Objective: The Purpose of research to identify the legal aspect and completeness of nursing documentation after applying electronic nursing documentation.

Methods: Report study approach and using pre and post-test with the control group. Thirty Four documentation collected using consecutive sampling on one-week observation before and after using electronic nursing information. The research compared the legal aspect and completeness of data conducted before and after the implementation of the new system.Results: The study showed improvement of the legal aspects increased by 50% (4,40 to 8,00) and completeness documentation by 10.39%  (43,00 to 49,00) after used of a system.  

Conclusion: Nursing Electronic Documentation improved legal aspect, completeness nursing and enhance the quality of nursing care.

Recommendation: Electronic nursing documentation can be done to support and increase the quality of nursing.
Retention Strategy to Minimize Nurse Turnover: A Systematic Review
Authors: Hariyati Rr.Tutik Sri , Nurdiana Nurdiana
Published: July 2019

Background: Communication skills are essential for nurses in providing health services. Efficacious communication will impact in the quality of care and patient safety. This manuscript is to identify factors predisposing implementation of effective nurse communication.

Method: This study that data was retrieved uses systematic review design. Data was retrieved from database ProQuest, SCOPUS, EBSCO, Science-Direct, JSTOR, and Wiley-Online in the period of 2011 – 2017. The study was done for journal, article and literature review by applying the keywords nurse communication, health’s communication, effective communication of nurse.

Results: A total of 12518 studies was found from six databases. From, the number of these direct search, systematic review identifies conformity based on the title, so that it obtained 31 studies with a title that suitable for a selected discussion. The total of selected papers were 16 studies and identified Efficacious communication. Analysis result from the paper research was there were 16 papers that complement the criteria determined. Six factors are identified to have effect in an implementation of effective nurse communication: (1) intelligence and self-efficacy, (2) Communication Skills, (3) Work Experience, (4) Perceptions, (5) Socio-cultural, and (6) Organization culture.
Factors Predisposing Implementation of Effective Nurse Communication: a Systematic Review
Authors: Hariyati Rr.Tutik Sri , Sari Andi Nur Indah , Afriani Tuti
Published: July 2019

Background: Communication skills are essential for nurses in providing health services. Efficacious communication will impact in the quality of care and patient safety. This manuscript is to identify factors predisposing implementation of effective nurse communication.

Method: This study that data was retrieved uses systematic review design. Data was retrieved from database ProQuest, SCOPUS, EBSCO, Science-Direct, JSTOR, and Wiley-Online in the period of 2011 – 2017. The study was done for journal, article and literature review by applying the keywords nurse communication, health’s communication, effective communication of nurse.

Results: A total of 12518 studies was found from six databases. From, the number of these direct search, systematic review identifies conformity based on the title, so that it obtained 31 studies with a title that suitable for a selected discussion. The total of selected papers were 16 studies and identified Efficacious communication. Analysis result from the paper research was there were 16 papers that complement the criteria determined. Six factors are identified to have effect in an implementation of effective nurse communication: (1) intelligence and self-efficacy, (2) Communication Skills, (3) Work Experience, (4) Perceptions, (5) Socio-cultural, and (6) Organization culture.

Conclusion: Effective communication will be executed best of it has become the work culture. Nurses Leaders has an imperative role as role models in doing effective communication. Effective communication will imply to the increase of nurses service quality
the effectiveness of giving pursed lips breathing therapy towards kids' oxygenation status with pneumonia
Authors: Muliasari Yunita , Indrawati Iin
Published: July 2019

Background

Pneumonia is the second most common disease that brings about death in children under five years of age in the world. It seems, Symptoms that appear in the case of Pneumonia are acute respiratory problems that need to be overcome appropriately.

Objectives

the aim of this research is to identify the effect of pursed lips breathing therapy through tongue blowing activity on the oxygenation status of preschoolers with Pneumonia.

Method

this research used quasi experimental with pre-post test group design. The sampling technique is purposive random sampling with 36 people consisting of 18 intervention groups and 18 control groups. Data were analyzed using univariate and bivariate tests (t-test)

Result

The results showed a significant difference between oxygenation status before and after intervention with tongue blowing therapy (PLB), namely p value= 0.045 on respiratory frequency (RR), p value = 0.037 to saturation oxygen (Sa02) and p value=0.036 on heart rate (HR).

Recommendation

The results of this study can add alternatives to independent nurse interventions in dealing with pediatric patients who have pneumonia or with oxygenation disorders.
Case Study : The influence of deep breathing relaxation techniques in reducing blood pressure and pain caused by hypertension
Authors: Komara Putri Gusrina , Lestari Sri
Published: July 2019

Pain is a body signal to inform pathological condition. In hypertension patients, pain occured as one of the symptom of the disease. Hypertension is an increase if systolic and diastolic blood pressure out of normal range. In Indonesia, especially in Kebayoran Lama public health center district, prevelance of hypertension in elderly still consider public health issue.  Aim of this study is to measure effect of deep breath relaxation technique in reducing pain and blood pressure for hypertension patients. This research used case study design. In this study, researcher in five days measured participants blood pressures and their pain scales. After that, researcher guided participant to do deep breathing relaxation technique five times consecutively, around fifteen minutes. 

Results pain scale of Mrs. M and Mrs. A that within five days there were slight reducing of pain level. Another finding, that there was trend of decreasing blood pressure of those patient within normal range. It can be concluded that in these two patients deep breathing relaxation techniques could reduces their pain scale and maintaining normal blood pressure level of hypertension patients. It is recommended to this research with bigger sample and using other research variables.
The Model Theory Approach “Care, Core, Cure” for Patients with Cardiovascular Disease
Authors: Umara Annisaa Fitrah
Published: July 2019

The impact of cardiovascular disease was felt by individuals and global. By individual approach, prevention and supervision are needed to reduce the burden. Nurses have an essential role in giving holistic standards of nursing practice. The purpose of this study is to provide an overview of the case management of patients with cardiovascular disease by using the theoretical approach "care, core, and cure" model theory. The method used is a case study of 30 patients with Cardiovascular Diseases in Harapan Kita Jakarta National Heart Center. Inform consent was obtained, the initial name and code were assigned to all participant. The results are nine acute coronary syndrome patient, four heart failure patient, ten heart surgery patient, and seven arrhythmia patient. The majority of patients were male, an average age more than 41 years old. Most risk factors are caused by hypertension and smoking. In the acute phase, the "care" and "cure" aspects were more prominent than the "core" aspect. In the non-acute phase, patients need rehabilitation and health education, so the more prominent aspects are "care" and "core" than "cure." The aspect "care" provides an overview of risk factors that result in cardiovascular disease. The "core" aspect shows the needed of education and the "cure" aspects indicating the necessity for medical therapy in patients with cardiovascular disease. In the "Care" aspect, independence nursing intervention can be identified and easily evaluated. In the “Core” aspect, the nurse can recognize the patient's needs during the treatment and provided nursing care plans as needed. In the “Cure” aspect, can be increased coordination among health care providers. Nurse need to develop the model of nursing theory approach in providing nursing care for patients with Cardiovascular Diseases, especially patients who have the opportunity to undergo rehabilitation.
THE APPLICATION OF CLINICAL JUDGMENT AND DECISION MAKING OF CRITICAL CARE NURSES IN INTENSIVE CARE UNITS (ICUs)
Authors: Rahajeng Indah Mei , Muslimah Faridatul
Published: July 2019

Background

Intensive Care Unit (ICU) is the hospital setting in which applied specific application of clinical decision making and judgement. The critical patient conditions in ICU may drive nurses to make decision and clinical judgement in short period of time. The approach of clinical decision making which appropriate to be applied in the critical circumstances is important to be identified, thus it could become a guidance for novice and expert critical nurses.

Aim

The aim of this study was to explain how clinical decision making is applied in Intensive Care Unit (ICU) 

Method

A systematic review of 22 articles was carried out, articles were retrieved from CINAHL, MEDLINE, PUBMED and DISCOVERED databases. The articles were critically reviewed and analized to answer this study’s aim.

Result

The critically review of the articles were categorized in themes: 1) application of Tanner’s clinical judgment model  in ICU, 2) Types of decisions in ICU, 3) Theoretical approach: implementation of decision-making in ICU, 4) Case illustration of decision-making scheme in ICU, 5) Influencing factors of decision-making in ICU, 6) Supporting tools for clinical decision-making in ICU, 7) Understanding of attributes and concepts may enhance the quality of the clinical decision-making process in ICU, 8) Implications for nursing education and practice of understanding clinical decision making in ICU.

Conclusions

Critical care nurses usually combine different techniques in making decisions; analytical methods including the hypothetic-deductive method, pattern recognition, intuition, narrative thinking, and decision analysis theory are potentially applied. Clinical decision activities in ICU appear in many clinical situations, such as intervention decisions, communication decisions, and evaluation decisions. There are several factors influencing clinical decision-making in intensive care units, including nurses’ experience, the patient’s situation, the layout of the ICU, shift work, inter-professional collaboration practice, physical and personnel resources. The application of clinical decision making could be supported by systematic tools, and the nurses’ knowledge about the concepts and attributes used in ICUs affect their clinical decision-making abilities.

 

 

Keywords: clicinal decision making, critical care nurse, ICU
THE EFFECT OF MUSIC THERAPY ON SLEEP QUALITY AMONG CHILDREN WITH CHRONIC ILLNESS
Authors: Naulia Resi Putri , Allenidekania Allenidekania , Hayati Happy
Published: July 2019

Abstract

 

The priority of handling children with chronic illness is to improve the quality of life by paying attention the symptoms that arise during treatment, one of which is the sleep problem. The purpose of this study to identify the effect of music therapy for the sleep quality of children with chronic illness. This study used a quasi experiment. Sample size was 30 childrens were divided into experimental group and control group. Respondents were given music therapy in 30-45 minutes before bed for 4 days. Sleep quality is measured by using Pittsburgh Sleep Quality Index (PSQI). There was a significant mean difference regarding PSQI score in experimental and control group. It was found that the experimental group score was higher compared with the control group (p=0,001). Thus music therapy could be used as an alternative intervention to improve the sleep quality to improve the quality of life of children with chronic illness.

 

Key words : children, chronic illness, music therapy, sleep quality
HEALTH AND FAMILY SUPPORT ISSUES OF WOMEN REFUGEES AND RELATED NURSING INTERVENTION: A LITERATURE REVIEW
Authors: Dwinantoaji Hastoro , Nojima Mami , Ngatu Nlandu Roger
Published: July 2019

Aim: Migration has become one of global human security issues of the 21st century. Women refugees face a unique set of problems and their health is often compromised. The aim of this study was to describe health and family support issues encountered by women refugees in refugee setting and related nursing interventions.

Methods: A literature review was performed using Academic Search Premier, CINAHL and Medline databases, and the following keywords were used separately and in combination to retrieve related abstracts and articles: `women refugees`, `health`, `nursing`. Only original articles from qualitative studies published in English and focusing on women’s health and family support in the refugee setting were selected for the review.

Results: Three major themes related to women refugees’ health issues were identified: `Culture sensitivity`, `Seeking life balance` and `Gender-based violence`. In addition, nine major themes related to family support were found: `Family reunion (difficulty to emigrate)`, `Changes in family’s connections and roles`, `Unsatisfactory family life`, `Discrimination and contempt by community`, `Health problems in children`, `Mental health problems in family member`, `Adjustment and adaptation of life pattern in a new country`, `Family time and togetherness` and `Concern about forgetting one’s homeland`. On the other hand, we identified 11 major themes related to nursing interventions implemented for women refugees.

Conclusion: Disaster nurses have important role to protect and promote human security among women refugees. Future studies should determine how disaster nurses can efficiently promote human security for women in refugee setting.
HUBUNGAN KONTROL DIRI DENGAN PERILAKU MEROKOK KALANGAN REMAJA DI SMKN 1 BITUNG
Authors: Runtukahu Gretty C. , Sinolungan Jehosua , Opod Henry
Published: July 2019

Abstract: Low self-control makes teenagers are not able to organize and direct the behavior that appears uncontrolled actions such as smoking. Changes in the state of teenages who should learn to be more interested in smoking, associated with high–low self-control. This study aimed to determine the relationship between self-control and smoking behavior among adolescents. The research method using cross sectional design and quantitative analytic. The study involved 176 active students of the school as a sample, smoking and non smoking, male or female, and is willing to participate. Collecting data through questionnaires. Data analysis technique using the Spearman rank correlation test. The results show the value of r = -0,756 with p = 0,000 ( p < 0,05 ), meaning that the higher self-control teenagers applied, the lower the level of smoking behavior. Analysis of the 44 smokers from the total sample of 176 respondents, the value of r =-0,766 with p = 0,000 ( p < 0.05 ), meaning that the lower self-control teenagers applied, the higher the level of smoking behavior. Thus the hypothesis H1 is accepted, that there is a significant negative relationship between self-control and smoking behavior .Keywords : self-control, smoking behavior, adolescentAbstrak: Kontrol diri yang rendah membuat remaja tidak mampu mengatur dan mengarahkan perilakunya sehingga muncul tindakan tidak terkontrol seperti perilaku merokok. Perubahan keadaan dari remaja yang seharusnya belajar menjadi remaja yang lebih tertarik merokok berkaitan dengan tinggi-rendah kontrol diri. Penelitian ini bertujuan untuk mengetahui hubungan antara kontrol diri dengan perilaku merokok kalangan remaja. Metode penelitian menggunakan desain Cross Sectional dan bersifat analitik kuantitatif. Penelitian ini melibatkan 176 siswa aktif sekolah sebagai sampel, merokok dan tidak merokok, berjenis kelamin laki-laki atau perempuan, dan bersedia berpartisipasi. Pengambilan data melalui kuesioner. Teknik analisa data menggunakan uji korelasi Spearman Rank. Hasil penelitian menunjukan nilai r =-0,756 dengan p=0,000 (p<0,05), artinya semakin tinggi kontrol diri remaja, semakin rendah perilaku merokoknya. Analisis terhadap 44 responden perokok dari total sampel 176, diperoleh nilai r =-0,766 dengan nilai p=0,000 (p<0,05), artinya semakin rendah kontrol diri remaja, semakin tinggi perilaku merokoknya. Dengan demikian hipotesis H1 diterima yaitu terdapat hubungan negatif yang signifikan antara kontrol diri dengan perilaku merokok.Kata kunci: kontrol diri, perilaku merokok, remaja
HUBUNGAN POLA ASUH ORANG TUA DENGAN KEPERCAYAAN DIRI SISWA SMP KRISTEN RANOTONGKOR KABUPATEN MINAHASA
Authors: Longkutoy Nathania , Sinolungan Jehosua , Opod Henry
Published: July 2019

Abstract: Self-confidence is one of the important aspects of a person's personality, including students at the school in stages of development into adulthood. One of the factors that influence the formation of self-confidence is parenting styles. This study aimed to determine the relationship between parenting styles with student’s self -confidence. This research is an analytical quantitative research methods. Sampling in this study are 50 students of SMP Kristen Ranotongkor. The data was collected with questionnaires. The result showed that there was a significant relationship between parenting styles and self-confidence among the students of SMP Kristen Ranotongkor with p=0,015 (p < α = 0,05) and the correlation value is 0,343. It means that the democratic parenting applied, the higher the level of self-confidence. In conclusion, there was a positive relationship between parenting styles and self-confidence of the students in SMP Kristen Ranotongkor Kabupaten Minahasa.Keywords: parenting styles, self-confidence.Abstrak: Kepercayaan diri merupakan salah satu aspek kepribadian yang penting bagi seseorang termasuk siswa di sekolah dalam tahapan perkembangan menjadi dewasa. Salah satu faktor yang mempengaruhi kepercayaan diri adalah pola asuh orang tua. Penelitian ini bertujuan untuk mengetahui hubungan pola asuh orang tua dengan kepercayaan diri siswa. Penelitian ini bersifat analitik kuantitatif. Sampel dalam penelitian ini adalah 50 siswa SMP Kristen Ranotongkor. Pengambilan data melalui kuesioner. Hasil penelitian menunjukkan ada hubungan yang signifikan antara pola asuh orang tua dengan kepercayaan diri siswa SMP Kristen Ranotongkor dengan nilai p=0,015 (p < α=0,05) dan nilai korelasi sebesar 0,343. Artinya, semakin demokratis pola asuh yang diterapkan, semakin tinggi tingkat kepercayaan diri. Dapat disimpulkan bahwa terdapat hubungan positif antara pola asuh orang tua dengan kepercayaan diri.Kata kunci: pola asuh orang tua, kepercayaan diri.
IDENTIFIKASI BAKTERI AEROB PADA MAKANAN JAJANAN JAGUNG BAKAR DI PINGGIRAN JALAN RING ROAD MANADO
Authors: Porotu’o Andreano Ch. , Buntuan Velma , Rares Fredine
Published: July 2019

Abstract: Corn is a food that is usually made in the form of roasted corn. Microbial contamination in food can through environmental pollution, behavior management of food, equipment processing, processing space and seasonings. Contaminated food can cause food poisoning. The purpose of this research is to determine the aerobic bacteria in roasted corn street food on the outskirts of the Ring Road Street Manado. This research used a prospective descriptive method. Samples taken are roasted corn, with a total sample of 20 samples and sampling method using random sampling method, then performed the isolation and identification of bacteria. The results of the research from 10 samples of roasted corn not smeared seasonings showed 1 sample no growth and 9 samples growth, i.e. Bacillus subtilis, Enterobacter agglomerans, Serratia rubidaea, Lactobacillus sp., Gram-negative coccus, and Enterobacter cloacae, then 10 samples of roasted corn smeared seasonings showed 1 sample no growth and 9 samples growth, i.e. Bacillus subtilis, Enterobacter agglomerans, Serratia rubidaea, Lactobacillus sp., Enterobacter cloacae, Streptococcus sp., and Pseudomonas sp. The conclusion of this research is the discovery of bacteria in roasted corn not smeared and smeared seasonings. This indicates that the processing is not hygienic.Keywords: Roasted Corn, Seasonings, Aerobic BacteriaAbstrak: Jagung merupakan bahan makanan yang biasanya dibuat dalam bentuk jagung bakar. Pencemaran mikroba pada makanan dapat melalui polusi lingkungan, perilaku pengelolaan makanan, alat-alat pengolahan, ruang pengolahan dan bumbu penyedap. Makanan yang terkontaminasi dapat menyebabkan keracunan makanan. Tujuan dari penelitian ini yaitu untuk mengetahui bakteri aerob pada makanan jajanan jagung bakar di pinggiran jalan Ring Road Manado. Penelitian ini menggunakan metode deskriptif prospektif. Sampel yang diambil adalah jagung bakar, dengan jumlah sampel sebanyak 20 sampel dan cara pengambilan sampel menggunakan random sampling method, kemudian dilakukan isolasi dan identifikasi bakteri. Hasil penelitian dari 10 sampel jagung bakar tidak dioleskan bumbu penyedap menunjukkan 1 sampel tidak ada pertumbuhan dan 9 sampel ada pertumbuhan, yaitu terdiri dari Bacillus subtilis, Enterobacter agglomerans, Serratia rubidaea, Lactobacillus sp., Kokus gram negatif, dan Enterobacter cloacae, kemudian 10 sampel jagung bakar dioleskan bumbu penyedap menunjukkan 1 sampel tidak terdapat pertumbuhan dan 9 sampel terdapat pertumbuhan, yaitu terdiri dari Bacillus subtilis, Enterobacter agglomerans, Serratia rubidaea, Lactobacillus sp., Enterobacter cloacae, Streptococcus sp., dan Pseudomonas sp. Kesimpulan pada penelitian ini yaitu ditemukannya bakteri pada jagung bakar tidak dioleskan dan dioleskan bumbu penyedap. Hal ini menandakan bahwa pengolahannya tidak higienis.Kata kunci: Jagung Bakar, Bumbu Penyedap, Bakteri Aerob
GAMBARAN TINGGI BADAN SEBELUM TIDUR DAN SETELAH BANGUN PAGI PADA MAHASISWA FAKULTAS KEDOKTERAN UNSRAT MANADO
Authors: Pattuju Riandy A. T. , Tanudjaja George N. , Kaseke Martha M.
Published: July 2019

Abstract: Anthropometry is a measurement of the parts of human body. Nowadays there are so many studies and theories about anthropometry. One of them is difference between measurement of morning body height and evening body height. People should be taller in the morning than in the evening. This study’s goal is to obtain the description of human body height at different measurement time, by the time after morning wake-up and before sleep in the night from the students at Medical Faculty of Sam Ratulangi University in Manado. This study is a descriptive study with the cross-sectional approach. Samples were taken by purposive sampling. The amount of sample was calculated based on Slovin formula, with the total amount of sample is 75 people. The result showed that there is a body height step-up when the body height is measured after morning wake-up than before night sleep. The average of man’s body height step-up is 1.5 cm height and woman’s body height step-up is 1,6 cm height. T-test showed that there is a significant difference of body height between before sleep and after morning wake up with the value of p<0.01. Conclusion: The research can be concluded that there is a significant difference between before night sleep and after morning wake-up body height, in which the height step-up happens in the morning than in the evening.Keywords: body height, before sleeping, after waking upAbstrak: Antropometri merupakan pengukuran terhadap bagian-bagian tubuh manusia. Saat ini sudah banyak penelitian dan teori tentang antropometri. Salah satunya adalah terdapat perbedaan hasil pengukuran tinggi badan pada pagi dan malam hari. Seseorang dapat menjadi lebih tinggi pada pagi hari dibandingkan pada malam hari. Penelitian ini bertujuan untuk melihat gambaran tinggi badan yang diukur pada 2 waktu yang berbeda, yaitu setelah bangun pagi dan sebelum tidur pada mahasiswa Fakultas Kedokteran UNSRAT Manado. Penelitian ini merupakan penelitian deskriptif dengan pendekatan potong silang. Sampel diambil secara purposive sampling. Besar sampel dihitung dengan rumus Slovin dengan jumlah sampel penelitian 75 orang. Hasil penelitian menunjukkan bahwa terdapat peningkatan tinggi badan pada pengukuran setelah bangun pagi dibandingkan sebelum tidur. Rata-rata peningkatan pada laki-laki sebesar 1,5 cm dan perempuan 1,6 cm. Melalui uji t didapatkan bahwa terdapat perbedaan signifikan antara tinggi badan sebelum tidur dan setelah bangun pagi dengan nilai p<0,01. Simpulan: Dapat disimpulkan bahwa terdapat perbedaan signifikan antara tinggi badan sebelum tidur dan setelah bangun pagi, dimana terjadi peningkatan tinggi badan pada pagi hari dibandingkan malam hari.Kata kunci: tinggi badan, sebelum tidur, setelah bangun pagi
KADAR HBA1C PADA PASIEN DIABETES MELITUS TIPE 2 DI PUSKESMAS BAHU KECAMATAN MALALAYANG KOTA MANADO
Authors: Utomo Mohammad R. S. , Wungouw Herlina , Marunduh Sylvia
Published: July 2019

Abstract: Diabetes mellitus (DM) is a chronic disease characterized by blood glucose levels that exceed normal values. Riskesdas in 2013 showed that North Sulawesi is one of the provinces with the highest prevalence of diabetes in Indonesia. HbA1c measurement is the most accurate way to determine blood sugar levels over the past two to three months. HbA1c is also the best single examination to assess risks to the tissue damage caused by high blood sugar levels. This study aims to determine the levels of HbA1c in patients with type 2 diabetes mellitus in Bahu Community Health Center Manado. This study is a descriptive cross sectional study. Primary data were collected through interviews, physical examination and laboratory tests. Respondents were all patients with type 2 diabetes mellitus who came in Bahu Community Health Center and willing to become respondents. The sample size is 22 people. The results of this study prove that more than half of the respondents have not controlled HbA1c levels (> 7%) of 17 respondents. Of the 17 respondents were 9 respondents have overweight body mass index, 13 respondents not take the medicine as directed by doctor and 9 respondents did not exercise regularly. It can be concluded that the blood glucose levels of patients in Bahu Community Health Center is still not controlled, by HbA1c values above 7%.Keywords: HbA1c, Diabetes Mellitus Type 2Abstrak: Diabetes mellitus (DM) merupakan penyakit menahun yang ditandai oleh kadar glukosa darah yang melebihi nilai normal. Laporan Riskesdas tahun 2013 menunjukkan bahwa Sulawesi Utara merupakan salah satu provinsi dengan angka prevalensi DM yang tertinggi di Indonesia. Pengukuran HbA1c adalah cara yang paling akurat untuk menentukan tingginya kadar gula darah selama dua sampai tiga bulan terakhir. HbA1c juga merupakan pemeriksaan tunggal terbaik untuk menilai risiko terhadap kerusakan jaringan yang disebabkan oleh tingginya kadar gula darah. Penelitian ini bertujuan untuk mengetahui kadar HbA1c pada pasien diabetes melitus tipe 2 di Puskesmas Bahu Kota Manado. Penelitian ini bersifat deskriptif dengan rancangan cross sectional study. Data primer dikumpulkan melalui wawancara, pemeriksaan fisik dan pemeriksaan laboratorium. Responden adalah semua pasien diabetes melitus tipe 2 yang datang di Puskesmas Bahu dan bersedia menjadi responden. Besar sampel penelitian adalah 22 orang. Hasil penelitian ini membuktikan bahwa lebih dari setengah jumlah responden memiliki kadar HbA1c tidak terkontrol (> 7%) sebanyak 17 responden. Dari 17 responden tersebut 9 responden memiliki indeks massa tubuh overweight, 13 responden tidak mengkonsumsi obat sesuai anjuran dokter dan 9 responden tidak rutin berolahraga. Dapat disimpulkan bahwa kadar gula darah pasien di Puskesmas Bahu masih belum terkontrol berdasarkan nilai HbA1c di atas 7%.Kata kunci: HbA1c, Diabetes Melitus tipe 2
PENGARUH SENAM POCO-POCO TERHADAP KADAR TRIGLISERIDA DARAH
Authors: Rachmat Chytra , Ticoalu Shane H.R. , Wongkar Djon
Published: July 2019

Abstract: A common form of dyslipidemia is often associated with cardiovascular disease which is hypertriglyceridemia. Triglycerides in the body is mainly used as energy storage for a variety of metabolic processes. Poco-poco gymnastics from North Sulawesi. The purpose of this study is to find out the influence of poco-poco gymnastics to triglyceride blood levels. Methods: This study is experimental using one group pre and post test design, the subjects were 25 female students year 2013 Science and Mathematic Faculty of Pharmacyof Sam Ratulangi University Manado who met the inclusion criterias. Data was analyzed using paired t test. Results: Based on the research that has done from 25 subjects it was obtained that there was a decrease in mean triglyceride levels before and after poco-poco gymnastics for four weeks. However, this decrease was not significant (p=0,366). Conclusion: There was a decrease in triglyceride levels after poco-poco exercises for four weeks but this is not significant.Keywords : poco-poco gymnastics, triglycerideAbstrak: Bentuk umum dislipidemia yang sering dikaitkan dengan penyakit kardiovaskuler yaitu hipertrigliseridemia. Trigliserida dalam tubuh terutama dipakai untuk menyediakan energi berbagai proses metabolik. Salah satu faktor yang dapat mempengaruhi kadar trigliserida yaitu olahraga. Senam poco-poco merupakan senam yang berasal dari Sulawesi Utara. Penelitian ini bertujuan untuk mengetahui pengaruh senam poco-poco terhadap kadar trigliserida darah. Metode: Penelitian ini bersifat eksperimental dengan rancangan one group pre and post test dengan jumlah subjek penelitian 25 mahasiswi Program Studi Farmasi Fakultas MIPA Universitas Sam Ratulangi Manado yang memenuhi kriteria. Data dianalisis dengan uji t berpasangan. Hasil: Berdasarkan penelitian yang dilakukan pada 25 subjek penelitian diperoleh hasil yaitu terjadi penurunan rata-rata kadar trigliserida sebelum dan sesudah senam poco-poco selama empat minggu. Namun penurunan ini secara statistik tidak bermakna (p=0,366). Simpulan: Terjadi penurunan kadar trigliserida setelah latihan senam poco-poco selama empat minggu namun penurunan ini secara statistik tidak bermakna.Kata Kunci: senam poco-poco, trigliserida
Pencegahan dan Pengendalian Infeksi Silang pada Tindakan Ekstraksi Gigi di Poliklinik Gigi Rumah Sakit Pancaran Kasih Manado
Authors: Mokodompit Moh. Fahmi M. , Wowor Vonny N. S. , Mintjelungan Christy N.
Published: July 2019

Abstract: One of the high-risk actions in dentistry that can cause cross-infection is tooth extraction because its direct contact with blood, saliva, and critical instrument. This study was aimed to determine the prevention and control of cross infection in dental extractions at the Dentistry Clilnic of Rumah Sakit Pancaran Kasih Manado. This was a descriptive observational study with a cross sectional design. There were 35 subjects in this study obtained by using purposive sampling method. Data were obtained by using a checklist. The results showed that the prevention and control of cross- infection before dental extraction achieved 46,07%; during dental extraction 59.92%; and after dental extraction 23,81%. The mean achievement for dental extraction was 60.59%. It is concluded that the prevention and control of cross-infection in dental extraction at the Dentistry Clinic of Rumah Sakit Pancaran Kasih Manado was below maximum level.Keywords: prevention and control of cross-infection, tooth extractionAbstrak: Salah satu tindakan medis di bidang kedokteran gigi yang mempunyai risiko tinggi terjadinya infeksi silang ialah tindakan ekstraksi gigi karena pada saat pelaksanaannya banyak berkontak dengan darah, saliva, dan instrumen berkategori kritis. Penelitian ini bertujuan untuk mengetahui gambaran tindakan pencegahan dan pengendalian infeksi pada tindakan ekstraksi gigi di Poliklinik Gigi Rumah Sakit Pancaran Kasih Manado. Jenis penelitian ialah deskriptif observasional dengan desain potong lintang. Jumlah subyek sebanyak 35 pasien, diperoleh menggunakan metode purposive sampling. Data penelitian diperoleh dengan menggunakan lembar checklist. Hasil penelitian menunjukkan bahwa pencegahan dan pengen-dalian infeksi silang sebelum tindakan ekstraksi gigi sebesar 46,07%; selama tindakan sebesar 59,92%; dan setelah tindakan sebesar 23,81%. Hasil rerata keseluruhan tindakan ekstraksi gigi dilakukan sebesar 60,59%. Simpulan penelitian ini ialah tindakan ekstraksi gigi di Poli Gigi Rumah Sakit Pancaran Kasih Manado belum maksimal.Kata kunci: pencegahan dan pengendalian infeksi, tindakan ekstraksi gigi
Hubungan pemberian imunisasi BCG dengan kejadian TB paru pada anak di Puskesmas Tuminting periode Januari 2012 – Juni 2012
Authors: Susanto Christian K. , Wahani Audrey . , Rompis Johnny .
Published: July 2019

Abstract: Pulmonary Tuberculosis (Tb) is still a public health problem. The prevalence of pulmonary Tb from year to year in Manado is still high even though the management of strategy is relatively the same- prevention by immunization, case finding, and treatment strategy with supervision and with DOT directly. Prevention with immunization results in better body resistance. Immunization against Tb is required in some countries and is recommended in several other countries. Although the majority of toddlers are already BCG vaccinated there are still many pulmonary Tb cases among children in Manado. This study aimed to obtain the relationship between the BCG immunization and pulmonary TB occurence in children in Tuminting Primary Health Care, Manado. The results showed that at Tuminting Primary Health Care most of the toddlers had been BCG immunized. Tuberculosis was found among toddlers aged >3 years and there was a significant correlation between BCG immunization and the occurence of tuberculosis with an OR 0.804. Keywords: immunization BCG, occurence of TB  Abstrak: Penyakit TB paru sampai saat ini masih menjadi masalah kesehatan masyarakat. Prevalensi TB paru dari tahun ke tahun di Kota Manado tetap tinggi meskipun strategi penanganan yang diterapkan relative sama, yaitu pencegahan dengan imunisasi. penemuan penderita, dan pengobatan dengan strategi DOT atau dengan pengawasan minum obat secara langsung. Pencegahan dengan imunisasi merupakan tindakan yang mengakibatkan seseorang mempunyai ketahanan tubuh yang lebih baik. Imunisasi terhadap penyakit TB telah diwajibkan di beberapa negara serta direkomendasikan di beberapa negara lainnya. Penyakit TB banyak terjadi pada anak di Kota Manado padahal anak balita tersebut sebagian besar sudah divaksinasi BCG. Penelitian ini bertujuan untuk mengetahui hubungan antara pemberian imunisasi BCG dengan kejadian TB Paru pada anak di Puskesmas Tuminting Manado. Hasil penelitian memperlihatkan bahwa sebagian besar anak balita yang berobat di Puskesmas Tuminting telah diberikan imunisasi BCG. Kejadian tuberkulosis ditemukan pada umur >3 tahun dan terdapat hubungan bermakna antara pemberian imunisasi BCG dengan kejadian tuberkulosis paru dengan nilai OR 0,804.Kata kunci: imunisasi BCG, kejadian TB paru
Hubungan tinggi kepala dengan tinggi badan untuk identifikasi forensik
Authors: Poluan Beatrice , Tomuka Djemi , Kristanto Erwin G.
Published: July 2019

Abstract: Forensic identification is a method to provide assistance for investigators in fulfilling visum et repertum requests and to identify death bodies. Forensic anthropology assists the process of visum et repertum. Forensic anthropology is the application of physical anthropology science inter alia by using anthropometry; certain body parts are measured. Body height is one of the major point in identification and in forensic anthropology, body height is one of the main biological profiles. Head height can be used to determine body height because there is a significant correlation between these two biological profiles. This study aimed to obtain the relationship between head height and body height. This was an analytical study with a cross sectional design. Subjects were students of batch 2012 of Faculty of Medicine, University of Sam Ratulangi Manado, aged 21-22 years. The results showed a positive correlation r= 0.691 with a probablity value of 0.000. Conclusion: There was a significant correlation between head height and body height. Keywords: forensic identification, forensic anthropology, anthropometry. Abstrak: Identifikasi forensik merupakan upaya yang dilakukan dengan tujuan membantu penyidik dalam memenuhi permintaan visum et repertum untuk menentukan identitas seseorang. Antropologi forensik merupakan penerapan ilmu antropologi fisik dengan menggunakan antropometri yaitu salah satu metode pengukuran bagian tubuh. Tinggi badan merupakan salah satu ciri utama untuk proses identifikasi. Dalam antropologi forensik, tinggi badan merupakan salah satu profil biologis utama. Bagian tubuh yang dapat diukur untuk menentukan tinggi badan ialah antara lain tinggi kepala karena terdapat hubungan yang kuat antara keduanya. Tinggi badan dan tinggi kepala berbanding lurus karena setiap terjadi pertambahan tinggi badan, tinggi kepala juga bertambah. Penelitian ini bertujuan untuk mengetahui hubungan antara tinggi kepala dan tinggi badan. Jenis penelitian ini analitik dengan desain potong lintang. Subyek penelitian ialah mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi Manado angkatan 2012 yang berusia 21-22 tahun. Hasil penelitian memperlihatkan terdapat korelasi positif yang signifikan antara tinggi kepala dan tinggi badan dengan nilai koefisien r = 0,691, dan nilai probabilitas 0,000. Simpulan: Terdapat hubungan bermakna antara tinggi kepala dan tinggi badan.Kata kunci: identifikasi forensik, antropologi forensik, antropometri
Hubungan kadar HbA1C dengan estimasi filtrasi glomerulus pada pasien DM tipe 2
Authors: Gahung Rixi , Pandelaki Karel , Moeis Emma Sy.
Published: July 2019

Abstract: Diabetes mellitus is still increasing in number in the future. Type 2 diabetes mellitus type 2 (T2DM) often appears in adults and the cause is due to a shortage of the hormone insulin on a relative basis, generally appears slowly and gradually worsens. One of the parameters to control blood sugar level is HbA1c. The high HbA1c increases the risks and complications in T2DM patients. This study aimed to obtain the relationship between HbA1c level and GFR among T2DM patients. This was an analytical study using the patient's medical record data. This study was conducted at the Endocrine Clinic and Heart and Hypertension Clinic with a total samples of 65 patients. The results showed that of the 65 subjects, there were 40 male patients and 25 female patients. The Pearson correlation test showed that the relationship of the HbA1c level and GFR had a p value = 0.05 > 0.462 and the correlation r = 0.093. Conclusion: There was no significant relationship between HbA1c level and GFR in type 2 DM patients. Keywords: HbA1c, GFR, type 2 DM Abtsrak: Diabetes merupakan suatu penyakit tidak menular yang akan terus meningkat jumlahnya di masa datang. Diabetes Melitus tipe 2 (DMT2) sering muncul pada orang dewasa dan penyebabnya oleh karena kekurangan hormon insulin secara relatif , umumnya muncul perlahan dan secara bertahap akan bertambah berat. Salah satu parameter kontrol kadar gula darah ialah HbA1c. Jika HbA1c meningkat terjadi pula peningkatan resiko komplikasi. Penelitian ini bertujuan untuk mengetahui hubungan kadar HbA1c dengan eLFG pada pasien DMT2. Jenis penelitian ini analitik dengan mengevaluasi data rekam medik pasien. Penelitian dilakukan di Poliklinik Endokrin dan Poliklinik Jantung dan Hipertensi dengan jumlah subyek penelitian 65 pasien DMT2. Hasil penelitian ini menunjukkan bahwa dari 65 orang subjek terdapat 40 laki-laki dan 25 perempuan. Untuk mengetahui adanya hubungan kadar HbA1c dengan LFG digunakan analisis bivariat Pearson correlation yang mendapatkan nilai p hitung = 0,462> 0,05 dengan kekuatan korelasi r = 0,093. Simpulan: Tidak terdapat hubungan bermakna antara kadar HbA1c dengan eLFG pada pasien DM tipe 2.Kata kunci: HbA1c, eLFG, DM tipe 2
Gambaran klinis neuropati pada pasien diabetes melitus di Poliklinik Neurologi RSUP Prof. Dr. R. D. Kandou periode Juli 2014 – Juni 2015
Authors: Hutapea Faisal S. , Kembuan Mieke A.H.N. , P.S. Junita Maja
Published: July 2019

Abstract: Neuropathy is a sensory, motor or mixed disorder of peripheral nerves. This study aimed to describe the clinical picture of neuropathy in patients with diabetes mellitus at the Neurology Clinic of Prof. Dr. R. D. Kandou Hospital Manado. This was a descriptive retrospective study using medical records of patients who came to the Neurology Clinic of Prof. Dr. R. D. Kandou Hospital from July 2014 to June 2015. The results showed that there were 140 diabetes mellitus cases that met the inclusion and exclusion criteria; 83 cases of diabetes mellitus were associated with neuropathy. Neuropathy were most numerous in female patients, age range of 45-65 years, retired profession, and had long-standing diabetes mellitus over 1-5 years. The most common clinical symptom that the patients complained was cramp. Keywords: neuropathy, diabetes mellitus Abstrak: Neuropati adalah suatu gangguan saraf perifer baik sensorik, motorik atau campuran. Penelitian ini bertujuan untuk mengetahui gambaran klinis neuropati pada pasien diabetes melitus di Poliklinik Saraf RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ini ialah deskriptif retrospektif dengan menggunakan data rekam medik pasien diabetes melitus yang datang ke Poliklinik Saraf RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2014 - Juni 2015. Hasil penelitian memperlihatkan terdapat 140 kasus diabetes melitus yang memenuhi kriteria inklusi dan eksklusi dan 83 kasus diantaranya yang mengalami neuropati. Neuropati paling banyak terdapat pada pasien berjenis kelamin wanita, rentang usia 45-65 tahun, pensiunan, dan telah lama menderita diabetes melitus 1-5 tahun. Gejala klinis yang paling banyak dikeluhkan ialah kram.Kata kunci: neuropati, diabetes melitus
Gambaran skala visual analog dan hemodinamik pada pasien yang diberikan kombinasi tramadol dan ketorolak pasca bedah laparotomi
Authors: Mufti Galuh R. , Tambajong Harold F. , Lalenoh Diana
Published: July 2019

Abstract: Pain as an unpleasant sensory and emotional experience associated with tissue damage or potential tissue damage or a condition that indicates tissue damage. This study aimed to describe the visual analogue scale (VAS) and hemodynamic among patients given combination of tramadol and ketorolac post laparotomy. Evaluation of pain was assessed by using VAS. This was a descriptive prospective study and was carried out in the recovery room (RR) postoperation and in inpatient A and D instalations of Prof. Dr. R. D. Kandou Hospital Manado from December 2015 to March 2016. There were 20 respondents that were handled with laparotomy and had met the inclusion criteria. The results showed that the average VAS score at the 2nd hour was 5, while the average VAS score at the 4th hour and the 6th hour were 6.4 and 8.5 respectively. The average systolic pressure at the 2nd hour was 124 mmHg, the 4th hour was 126 mmHg, and the 6th hour was 131.6 mmHg. The average diastolic pressure at the 2nd hour was 78 mmHg, at the 4th was 80 mmHg, and at the 6th was 85 mmHg. The average pulse rate at the 2nd hour was 85.4 per minute, at the 4th was 86.7 per minute, and at the 6th was 90.3 per minute. The average MAP at the 2nd hour was 91 mmHg, at the 4th was 91.3 mmHg, and at the 6th was 94 mmHg. Keywords: visual analog scale, haemodynamic, ketorolac, tramadol Abstrak: Nyeri adalah suatu pengalaman sensoris dan emosional yang tidak menyenangkan dihubungkan dengan adanya kerusakan jaringan atau potensial terjadinya kerusakan jaringan atau suatu keadaan yang menunjukan kerusakan jaringan. Penelitian ini bertujuan untuk mengetahui gambaran skala analog visual dan hemodinamik pada pasien yang diberikan kombinasi tramadol dan ketorolak pascabedah laparotomi. Gambaran nyeri dinilai dengan menggunakan visual analog scale (VAS). Jenis penelitian ini deskriptif prospektif dan dilakukan di ruang pemulihan recovery room (RR) pascabedah dan di Instalasi Rawat Inap A dan D RSUP Prof. Dr. R. D. Kandou Manado pada bulan Desember 2015-Maret 2016. Jumlah sampel yaitu 20 orang yang dilakukan operasi laparotomi yang memenuhi kriteria inklusi. Hasil penelitian menunjukkan bahwa rerata skor VAS pada jam ke-2 ialah 5 sedangkan rerata skor VAS pada jam ke-4 dan jam ke-6 ialah 6,4 dan 8,5 secara berurutan. Rerata tekanan sistolik pada jam ke-2 ialah 124 mmHg, jam ke-4 ialah 126 mmHg dan jam ke-6 menjadi 131,6 mmHg. Rerata tekanan diastolik pada jam ke-2 ialah 78 mmHg, jam ke-4 ialah 80 mmHg, dan jam ke-6 menjadi 85 mmHg. Rerata laju nadi pada jam ke-2 ialah 85,4 x/menit, jam ke-4 ialah 86,7 x/menit, dan jam ke-6 menjadi 90,3 x/menit mmHg. Rerata MAP pada jam ke-2 ialah 91 mmHg, jam ke-4 ialah 91,3 mmHg, dan jam ke-6 menjadi 94 mmHg.Kata kunci: visual analog scale, hemodinamik, ketorolak, tramadol