bluuebunny/crossref_metadata_2025 huggingface dataset:
Pembelajaran Senam Nifas Cadasceria bagi Ibu Hamil di Wilayah Puskesmas Telagasari Kabupaten Karawang
Authors: Sopiah Oon , Apriningrum Nelly , Resita Citra , Rohana Rohana , Setiawati Riska
Published: December 2023

ABSTRAK Pasca persalinan merupakan fase rentan terjadinya kematian ibu terutama pada 24 jam pertama setelah kelahiran. Perhatian kesehatan saat ini berfokus pada masa kehamilan dan persalinan, sedangkan masa nifas juga sama pentingnya. Kebutuhan masa nifas diantaranya senam nifas untuk mengoptimalkan kontraksi uterus, namun berdasarkan studi lapangan didapatkan data rendahnya pelaksanaan senam nifas bagi ibu nifas di wilayah puskesmas Telagasari Karawang sehingga dibutuhkan pembelajaran senam nifas bagi ibu hamil sebagai upaya persiapan masa nifasnya. Metode pemecahan masalah ini dengan memberikan pembelajaran senam nifas cadasceria pada 26 ibu hamil di wilayah puskesmas Telagasari Karawang. Berdasarkan hasil analisis didapatkan rata-rata pengetahuan partisipan tentang senam nifas cadasceria sebelum pembelajaran adalah 73,1 dan setelah pembelajaran 87,1. Peningkatan pengetahuan tersebut merupakan implikasi kegiatan pengabdian Masyarakat. Kebermanfaatan dari kegiatan pengabdian masyarakat ini diharapkan dapat dikembangkan kepada ibu hamil di wilayah puskesmas lainnya. Kata Kunci: Cadas Ceria, Hamil, Nifas, Senam. ABSTRACT Postpartum is a phase that is vulnerable to maternal death, especially in the first 24 hours after birth. Current health attention focuses on pregnancy and childbirth, while the postpartum period is also equally important. Needs duringthe postpartum period include postpartum exercise to optimize uterine contractions, however, based on field studies, it was found that data on the low level of postpartum exercise implementation for postpartum mothers in the Telagasari Karawang Community Health Center area is needed, so learning about postpartum exercise is needed for pregnant women as an effort to prepare for the postpartum period. The method for solving this problem is by providing postpartum gymnastics lessons to 26 pregnant women in the Telagasari Karawang Community Health Center area. Based on the results of the analysis, it was found that the average knowledge of participants about postpartum gymnastics Cadasceria before learning was 73.1 and after learning 87.1. This increase in knowledge is an implication of community service activities. It is hoped that the benefits of this community service activity can be extended to pregnant women in other health center areas Keywords: Cheerful Cadas, Pregnancy, Postpartum, Exercise
Gerakan Remaja Tanggap Bencana (GERMA TAGANA) sebagai Upaya Peningkatan Kesiapsiagaan Bencana Berbasis Masyarakat di Kabupaten Mamuju
Authors: S Iqra , Salaka Syafruddin Ali , Sudarta I Made
Published: December 2023

ABSTRAK Mamuju termasuk sebagai wilayah dengan aktifitas bencana gempa bumi kategori resiko tinggi yang disebabkan karena letak gografisnya yang dikelilingi sesar aktif di pulau Sulawesi. Sehingga kejadian berulang dari bencana gempa bumi akan terus menjadi bayangan yang mengikuti kehidupan seluruh masyarakat di Mamuju. Oleh karena itu, penanggulangan bencana berbasis masyarakat harus digalakan untuk meningkatkan pengurangan resiko dampak bencana tersebut. Remaja merupakan salah satu kelompok masyarakat yang memiliki peranan penting dalam penanggulangan bencana, dengan usia yang muda menjadikan mereka memiliki kemampuan dan potensi yang dapat bermanfaat dalam sebuah manajemen siklus bencana. Tujuan pengabdian kepada masyarakat ini adalah untuk memberikan edukasi kepada remaja mengenai bencana sebagai upaya peningkatan kesiapsiagaan bencana berbasis masyarakat di Kabupaten Mamuju. Metode yang digunakan berupa edukasi mengenai kesiapsiagaan bencana dan simulasi penanggulangan bencana, dimana peserta diberikan pre-test dan post-test. Setelah mengikuti kegiatan, terdapat peningkatan pengetahuan peserta tentang kesiapsiagaam bencana dari 31% menjadi 80,3%. Kesimpulan, edukasi dan simulasi bencana sangat diperlukan untuk meningkatkan keterlibatan masyarakat dalam penanggulangan bencana. Kata Kunci: Remaja, Tanggap Bencana, Kesiapsiagaan  ABSTRACT Mamuju is included as an area with high risk category of earthquake disaster activity due to its geographic location which is surrounded by active faults on the island of Sulawesi. So that repeated incidents of earthquake disasters will continue to be a shadow that follows the lives of all people in Mamuju. Therefore, community-based disaster management must be promoted to increase the risk reduction of the impact of these disasters. Teenagers are one group of people who have an important role in disaster management, their young age makes them have the ability and potential that can be useful in disaster cycle management. The aim of this community service is to provide education to teenagers about disasters as an effort to increase community-based disaster preparedness in Mamuju Regency. The method used is education regarding disaster preparedness and disaster management simulations, where participants are given a pre-test and post-test. After participating in the activity, there was an increase in participants' knowledge about disaster preparedness from 31% to 80.3%. In conclusion, education and disaster simulation are very necessary to increase community involvement in disaster management. Keywords: Teenager, Disaster Response, Preparedness
Cegah Cedera Saat Bekerja dengan Menerapkan Ergonomi Tubuh yang Benar Bagi Kesehatan di Perusahaan Mekarjaya Garut
Authors: Sumarni Nina , Rosidin Udin , Hendrawati Hendrawati , DA Iceu Amira
Published: December 2023

ABSTRAK Penyamakan kulit adalah pekerjaan yang memerlukan posisi pekerjanya seringkali berdiri dalam waktu yang lama dan melakukan gerakan yang repetitif. Postur tubuh yang buruk selama pekerjaan ini dapat berdampak negatif pada kesehatan pekerja. Posisi kerja yang tidak ergonomis dapat menyebabkan berbagai masalah kesehatan, seperti nyeri punggung, sakit leher, dan cedera otot. Tujuan dari pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan tentang Cegah Cedera Saat Bekerja dengan menerapkan ergonomi tubuh yang benar bagi kesehatan.  Metode yang digunakan dalam pengabdian ini adalah ceramah interaktif yang melibatkan para pekerja penyamakan kulit. Dalam ceramah ini, mereka diberikan informasi tentang bahaya postur tubuh yang buruk dan bagaimana hal tersebut dapat mempengaruhi kesehatan mereka.  Hasil kegiatan menunjukkan rata rata nilai hasil pre-test sebesar 52 poin dan rata rata nilai post-test sebesar 80 point. Kesimpulan dari kegiatan pengabdian ini adalah bertambahnya tingkat pengetahuan para pekerja penyamakan kulit tentang cegah cedera dengan menerapkan ergonomi tubuh sebesar 28 point. Mereka juga diberikan tips praktis tentang bagaimana menjaga postur tubuh yang baik dan menerapkan ergonomi dalam pekerjaan mereka. Setelah pengabdian dilakukan, diharapkan bahwa pekerja penyamakan kulit akan lebih sadar akan pentingnya menjaga postur tubuh yang baik dan mengambil langkah-langkah untuk mencegah cedera saat bekerja. Kata Kunci: Ergonomic, Pekerja, Penyamakan Kulit  ABSTRACT Leather tanning is a job that requires workers to often stand for long periods of time and perform repetitive movements. Poor posture during this work can have a negative impact on workers' health. Unergonomic working positions can cause various health problems, such as back pain, neck pain and muscle injuries. The aim of this community service is to provide tannery workers with an understanding of Preventing Injuries at Work by implementing correct body ergonomics for health. The method used in this service is an interactive lecture involving tannery workers. In this lecture, they are given information about the dangers of poor posture and how it can affect their health. The results of the activity showed that the average pretest score was 52 points and the average posttest score was 80 points.  The conclusion of this service activity is that the level of knowledge of tannery workers about preventing injuries by applying body ergonomics has increased by 28 points. They are also given practical tips on how to maintain good posture and apply ergonomics to their work. Once the service is carried out, it is hoped that tannery workers will be more aware of the importance of maintaining good posture and taking steps to prevent injuries while working. Keywords: Ergonomics, Workers, Leather Tanning
Pemberdayaan Ekonomi Masyarakat melalui Ekspor Produk UMKM di Kelurahan Bendan, Kecamatan Banyudono, Kabupaten Boyolali
Authors: Atiningsih Suci , Rachmansyah Yanuar , Suparwati Yohana Kus , Kristanto Rudi Suryo
Published: December 2023

ABSTRAK Kegiatan pengabdian kepada Masyarakat dilaksanakan dengan tujuan untuk memberdayakan ekonomi Masyarakat melalui ekspor produk UMKM di Kelurahan Bendan, Kecamatan Banyudono, Kabupaten Boyolali. Kegiatan pengabdian kepada Masyarakat dilaksanakan di Kelurahan Bendan, Kecamatan Banyudono, Kabupaten Boyolali. Waktu pelaksanaan hari Rabu, 16 Agustus 2023. Jumlah peserta sebanyak 20 orang. Metode yang dilakukan adalah dengan memberi penyuluhan, pelatihan, dan pendampingan berkaitan dengan pengurusan NIB, sertifikat halal, dan ekspor produk UMKM. Hasil yang didapatkan adalah Masyarakat dapat mengurus NIB, sertifikat halal, dan ekspor produk UMKM. Kesimpulannya bahwa pelaku usaha di Bendan, Banyudono, Boyolali ingin dapat menekspor hasil produknya secara sah dan halal. Kata Kunci: NIB, Sertifikat Halal, Ekspor, UMKM  ABSTRACT Community service activities are carried out with the aim of empowering the community's economy through exporting MSME products in Bendan Village, Banyudono District, Boyolali Regency. Community service activities were carried out in Bendan Village, Banyudono District, Boyolali Regency. The implementation time is Wednesday, August 16 2023. The number of participants is 20 people. The method used is to provide counseling, training and assistance related to processing NIB, halal certificates and exporting MSME products. The results obtained are that the community can process NIB, halal certificates and export MSME products. The conclusion is that business actors in Bendan, Banyudono, Boyolali want to be able to export their products legally and halally. Keywords: NIB, Halal Certificate, Export, MSMEs
Optimalisasi Peran Guru dan Orang Tua dalam Pencegahan Kekerasan Seksual Anak Usia Dini dengan Metode “Aku Mandiri”
Authors: Saragih Kristiova Masnita , Wahyunita Vina Dwi , Jambormias Jacob Lasarus
Published: December 2023

ABSTRAK Peran dan pengetahuan guru dan orang tua tentang pendidikan seks pada anak usia dini merupakan kunci utama dalam melindungi anak dari kekerasan seksual. Salah satu cara pencegahan kekerasan seksual pada anak usia dini yaitu dengan memberikan pendidikan seks pada guru dan orangtua dengan metode “Aku Mandiri”. Tujuan kegiatan pengabdian ini adalah meningkatkan peran dan pengetahuan guru dan orangtua sebagai upaya pencegahan kekerasan seksual pada anak usia dini dengan metode “Aku Mandiri”. Kegiatan ini dilaksanakan dalam bentuk promosi kesehatan melalui media leafleat, buku saku dan banner. Pada kegiatan ini dilakukan tahapan pre dan post test sebelum dan setelah dilakukan promosi kesehatan. Dari hasi pre test dan post test yang dilakukan, dapat diketahui bahwa terjadi peningkatan pengetahuan peserta setelah dilakukan penyuluhan. Persentase pengetahuan orangtua sebelum promosi kesehatan meningkat dari 87,23% menjadi 95,74%, sedangkan persentase pengetahuan guru sebelum promosi kesehatan meningkat dari 86,96% menjadi 100%. Hal ini mengindikasikan promosi kesehatan tentang pencegahan kekerasan seksual dengan metode “Aku Mandiri” sangat baik dalam meningkatkan pengetahuan guru dan orangtua. Kata Kunci: Guru, Orangtua, Metode “Aku Mandiri”  ABSTRACT The role and knowlodge of teachers and parents about sex education in early childhood is the main key in protecting children from sexual violence. One way to prevent sexual violence in early childhood by providing sex education to teachers and parents, namely the “ Aku Mandiri”method. The aim of this service is to increase the role and knowledge of teachers and parents as an effort to prevent sexual violence in early childhood using the “ Aku Mandiri” method. This activity is carried out in the form of helath promotion through leaflets, pocket booksand banners. In this activity, pre and post test stages are carried out. From the results of the pre test and post test carried out, it can be seen that there was an increase in participants’knowledge after the counselling was carried out. The percentage of parental knoledge before health promotion increased from 87,23% to 95,74%, while the percentage of teacher knowledge before health promotion increased from 86,96% to 100%. This indicates that health promotion regarding the prevention of sexual violence using the “Aku Mandiri” method is very good in increasing the knowledge of teachers and parents. Keywords: Teacher, Parrent, “Aku Mandiri” Method
Korelasi Kadar Hemoglobin pada Ibu Hamil Trimester Tiga dengan Kejadian Bayi Berat Lahir Rendah di RSUD Ciawi
Authors: Normala Ajeng , Nathaniel Fernando , Satyanegara William Gilbert , Edbert Bruce , Wijaya Dean Ascha , Firmansyah Yohanes
Published: December 2023

ABSTRACT Anemia during pregnancy is generally considered a risk factor for preterm delivery, low birth weight (LBW) infants, and other poor pregnancy outcomes. This cross-sectional study aimed to determine the correlation between third-trimester maternal hemoglobin levels and the occurrence of LBW meeting the criteria, using non-random consecutive sampling based on medical records from Ciawi Regional General Hospital during the period of July 2023. The variables in this study were maternal third-trimester hemoglobin levels and the occurrence of LBW. Statistical analysis utilized the Spearman test. Out of 320 respondents, the mean age was 29.68 years. The mean hemoglobin level was 9.24 g/dL. The mean birth weight was 1,852.06 grams. The results of the analysis were not statistically significant, with a correlation between the two variables of rs=0.058, p=0.301. The cutoff value for hemoglobin levels at 9 g/dL was the highest risk for causing births with a weight <2500 grams in the anemia group. The results of this study indicated that hemoglobin levels below 9 g/dL posed the highest risk for LBW and very LBW occurrence. Keywords: Anemia, Haemoglobin Level, Low Birth Weight, Pregnancy  ABSTRAK Anemia selama kehamilan umumnya dianggap sebagai faktor risiko untuk persalinan prematur, bayi berat lahir rendah (BBLR), dan hasil kehamilan yang buruk lainnya. Penelitian potong lintang ini bertujuan untuk mengetahui korelasi kadar hemoglobin pada ibu hamil trimester 3 dengan kejadian BBLR yang memenuhi kriteria dengan non-random consecutive sampling menggunakan data rekam medis di Rumah Sakit Umum Daerah Ciawi pada periode Juli 2023. Variabel dalam penelitian ini yaitu kadar hemoglobin pada trimester ketiga ibu hamil dan kejadian BBLR. Analisis statistik menggunakan uji Spearman. Dari 320 responden, rata-rata usia adalah 29,68 tahun. Rerata kadar hemoglobin sebesar 9,24 g/dL. Rerata berat badan lahir sebesar 1.852,06 gram. Hasil analisis tidak signifikan secara statistik dengan korelasi antara kedua variabel, rs=0.058, p= 0,301. Nilai cut-off kadar hemoglobin sebesar 9 g/dL merupakan risiko tertinggi untuk menyebabkan kelahiran dengan berat <2500 gram pada kelompok anemia. Hasil penelitian ini menyatakan bahwa kadar hemoglobin kurang dari 9 g/dL merupakan risiko tertinggi terhadap kejadian BBLSR dan BBLASR. Kata Kunci: Anemia, Berat Bayi Lahir Rendah, Kadar Hemoglobin, Kehamilan
Penerapan Telenursing Pada Klien dengan Harga Diri Rendah Situasional: Studi Kasus Deskriptif
Authors: Kuntari Retyan Rahmi , Sriati Aat , DA Iceu Amira
Published: December 2023

ABSTRACT Situational low self-esteem is a type of negative self-evaluation in response to the current situation. Unresolved situational low self-esteem can cause clients to experience chronic low self-esteem. To overcome the problem of situational low self-esteem, telenursing can be used as a strategy. Telenursing is the use of information and communication technology to provide and support individual health care. A 20-year-old client experienced dating violence by her ex-boyfriend. This made her insecure. This condition is exacerbated by the loss of the client by his current boyfriend. As a result of this incident, the client experienced a decrease in appetite which caused the client to faint and was taken to the health center. One strategy that can be used by a nurse is telenursing. The purpose of telenursing is to make it easier for nurses to carry out nursing care. With the use of telenursing strategies, clients are more open about their conditions. Researchers can also easily follow up on conditions and intervene to deal with stress and low self-esteem disorders experienced by clients. Telenursing can be done to make it easier for nurses to carry out nursing care, but nurses must also have the ability to assess the condition of clients who require visits or referrals to health services. Keywords: Dating Violence, Situational Low Self-Esteem, Telenursing  ABSTRAK Harga diri rendah situasional adalah jenis evaluasi diri negatif dalam menanggapi situasi saat ini. Harga diri rendah situasional yang tidak teratasi dapat menyebabkan klien mengalami harga diri rendah kronis. Untuk mengatasi masalah harga diri rendah situasional, telenursing dapat digunakan sebagai salah satu strategi. Telenursing merupakan penggunaan teknologi informasi dan komunikasi untuk menyediakan dan mendukung perawatan kesehatan individu. Seorang klien berusia 20 tahun pernah mengalami kekerasan dalam pacaran yang dilakukan oleh mantan kekasihnya. Hal tersebut membuat dirinya tidak percaya diri. Kondisi ini diperparah dengan ditinggalnya klien oleh kekasihnya saat ini. Akibat dari kejadian ini, klien mengalami penurunan nafsu makan yang menyebabkan klien pingsan dan dibawa ke puskesmas.  Salah satu strategi yang dapat digunakan oleh seorang perawat adalah telenursing. Tujuan dari dilakukannya telenursing ini adalah mempermudah perawat dalam melakukan asuhan keperawatan. Dengan penggunaan strategi telenursing, klien lebih terbuka dengan kondisinya. Peneliti juga dengan mudah dapat melakukan follow up mengenai kondisi dan melakukan intervensi untuk mengatasi stres dan gangguan harga diri rendah yang dialami oleh klien. Telenursing dapat dilakukan untuk mempermudah perawat dalam melakukan asuhan keperawatan, namun perawat juga harus memiliki kemampuan untuk menilai kondisi klien yang membutuhkan kunjungan atau rujukan ke pelayanan kesehatan. Kata Kunci: Harga Diri Rendah Situasional, Kekerasan Dalam Pacaran, Telenursing
Hubungan Usia dan Lama Pembedahan dengan Kejadian Ponv Pada Pasien dengan Anestesi Spinal di RSUD 45 Kuningan
Authors: Mulyasih Ajeng Ayu Rahmawati , Ching Cing Marta Tania Gabriel
Published: December 2023

ABSTRACT Post Operative Nausea and Vomiting (PONV) refers to nausea and vomiting after surgery, which is one of the mild to severe complications in patients at RSUD (Regional Public Hospital) 45 Kuningan. There were 100 cases that used spinal anesthesia which might cause PONV, the risk factors for age and duration of surgery with the incidence of PONV at RSUD 45 Kuningan have never been studied. Knowing the correlation between age and duration of surgery with the incidence of PONV in patients with spinal anesthesia at RSUS 45 Kuningan. This study used a quantitative study with a cross-sectional design. The research sample was 80 respondents who were taken using a purposive sampling technique. Respondents were patients aged 17-65 years with spinal anesthesia and experienced PONV less than 24 hours. The statistical test used is the Sommers'd Correlation Test and the Lambda Correlation Coefficient Test. Data from 80 respondents mostly experienced mild PONV (52.5%), moderate PONV (37.5%), severe PONV (8.8%), and very severe PONV (1.3%). Bivariate analysis of this study, age (r 0.033, r 0.21) and duration of surgery (r 0.047, r 0.143) had a significant correlation with the incidence of PONV. There is a correlation or relationship between age and duration of surgery with the incidence of PONV in patients with spinal anesthesia at RSUD 45 Kuningan.  Keywords: Age, Duration of Surgery, PONV, Spinal Anesthesia  ABSTRAK Post Operative Nausea and Vomiting (PONV) merupakan mual muntah setelah pembedahan yang menjadi salah satu komplikasi ringan sampai berat pada pasien di RSUD 45 Kuningan. Terdapat 100 kasus yang menggunakan anestesi spinal yang mungkin menyebabkan terjadinya PONV dan faktor risiko usia dan lama pembedahan dengan kejadian PONV di RSUD 45 Kuningan belum pernah dilakukan penelitian. Mengetahui hubungan usia dan lama pembedahan dengan kejadian PONV pada pasien dengan anestesi spinal di RSUD 45 Kuningan. Penelitian ini menggunakan penelitian kuantitatif dengan desain cross-sectional. Sampel penelitian sebanyak 80 responden yang diambil menggunakan teknik purposive sampling. Responden merupakan pasien usia 17-65 tahun dengan anestesi spinal dan mengalami PONV kurang dari 24 jam. Uji statistik yang digunakan yaitu Uji Korelasi Sommers’d dan Uji Koefisien Korelasi Lambda. Data dari 80 responden sebagian besar mengalami PONV ringan (52,5%), PONV sedang (37,5%), PONV berat (8,8%), dan PONV sangat berat (1,3%). Analisis bivariat dari penelitian ini, usia (r 0,033, r 0,21) dan lama pembedahan (r 0,047, r 0,143) memiliki hubungan yang signifikan dengan kejadian PONV. Terdapat korelasi atau hubungan antara usia dan lama pembedahan dengan kejadian PONV pada pasien dengan anestesi spinal di RSUD 45 Kuningan. Kata Kunci: Usia, Lama Pembedahan, PONV, Anestesi Spinal
Gaya Kelekatan (Attachment Style) Mahasiswa Keperawatan di Tangerang
Authors: Suryaningsih Yolanda Apriliza , Kaparang Zoya Viola , Blegur Zunita Rut Rabecha , Juniarta Juniarta , Silitonga Ester
Published: December 2023

ABSTRACT Nursing students’ attachment style can be used as a guideline for their mental health status and it is a component that influences individual performances thus improve nurse-patient relationship and patient outcome. A preliminary study conducted in 16 nursing students in a private school of nursing found that attachment style effects nursing students learning behavior. To identify secure, insecure (fearful, preoccupied, dan avoidant) attachment style of nursing student. The method used in this study was a descriptive quantitative method. The population of the research was 1.094 people. Accidental sampling technique was used obtaining 207 people. Researchers used the Indonesian translated version of Attachment Style Questionnaire (ASQ) that was re-tested for its validity and reliability (Cronbach α = 0.49 - 0.77). 136 students (63%) had an insecure attachment style: 21% fearful, 20% preoccupied, and 26% dismissing. Further study is expected to explore how attachment style affect nurse-patient therapeutic relationship. Keywords: Attachment Style, Nursing, Student  ABSTRAK Gaya kelekatan mahasiswa keperawatan dapat digunakan sebagai pedoman untuk status kesehatan mental dan merupakan komponen yang mempengaruhi kinerja individu, sehingga dapat meningkatkan hubungan perawat-pasien dan outcome pasien. Studi pendahuluan dilakukan pada 16 mahasiswa keperawatan di satu universitas swasta dan didapati bahwa mahasiswa mengalami dampak gaya kelekatan terhadap perilaku belajar. Untuk mengidentifikasi gaya kelekatan secure, insecure (fearful, preoccupied, dan dismissing) pada mahasiswa keperawatan. Metode yang digunakan dalam penelitian ini adalah deskriptif kuantitatif, dengan populasi penelitian berjumlah 1.094 orang. Aksidental sampling digunakan sebagai teknik sampling dan mendapatkan sampel sebanyak 207 orang. Peneliti menggunakan kuesioner Attachment Style Questionnaire (ASQ) versi Bahasa Indonesia yang telah dilakukan uji validitas dan reliabilitas ulang oleh peneliti (Cronbach α = 0.49 - 0.77). Mahasiswa keperawatan memiliki gaya kelekatan insecure (21% fearful, 20% preoccupied, dan 26% dismissing) yang paling tinggi dengan jumlah 136 orang (67%). Peneliti selanjutnya diharapkan untuk melakukan eksplorasi bagaimana gaya kelekatan memengaruhi hubungan terapeutik perawat-pasien. Kata Kunci: Gaya Kelekatan, Mahasiswa, Keperawatan
Pelajaran Dari Pandemi : Strategi Perawat dalam Meningkatkan Mutu Asuhan Keperawatan Psikososial
Authors: Pasaribu Jesika , Keliat Budi Anna , Daulima Novy Helena Chatarina
Published: December 2023

ABSTRACT Nurses are healthcare workers at the forefront of fighting the Covid-19 pandemic. Many obstacles are faced by nurses when providing nursing care for Covid-19 patients, especially overcoming patients' psychological problems. This study was to discover nurses' experience in overcoming care obstacles and improve strategies to overcome these obstacles. This study is a phenomenological qualitative study of nurses caring for Covid-19 patients. The first group is 20 nurses with data collection through FGD techniques. The second group was 5 managerial nurses; in-depth interviews were carried out data collection. There are 3 themes in this study: forms of psychosocial nursing interventions, overcoming obstacles to psychosocial care and improving the quality of psychosocial nursing care. Providing comprehensive nursing care can overcome psychosocial problems in Covid-19 patients. Keywords: Covid-19, Nurse, Pandemic, Psychosocial, Qualitative  ABSTRAK Perawat merupakan petugas medis yang berada digaris depan untuk memerangi pandemic Covid-19. Banyak kendala yang dihadapi perawat saat melakukan asuhan keperawatan bagi pasien Covid-19, khususnya mengatasi masalah psikologis pasien. Peneltian ini bertujuan untuk mengetahui pengalaman perawat dalam mengatasi kendala perawatan dan mengingkatkan strategi untuk mengatasi kendala tersebut. Penelitian ini merupakan penelian kualitatif fenomenolis terhadap perawat yang bertugas merawat pasien Covid-19. Kelompok pertama merupakan 20 orang perawat dengan pengambilan data melalui teknik FGD. Kelompok kedua merupakan perawat manajerial sebanyak 5 orang, pengambilan data dilakukan dengan wawancara mendalam. terdapat 3 tema pada penelitian ini yakni : bentuk intervensi keperawatan psikososial, mengatasi kendala asuhan psikososial dan peningkatan mutu asuhan keperawatan psikososial. Masalah psikososial pada pasien Covid-19 dapat diatasi dengan melakukan asuhan keperawatan yang komprehensif. Kata Kunci: Covid-19, Kualitatif, Pandemic, Perawat, Psikososial
Normal dan Dislipidemia: Profil Lipid Pasien Hipertensi- Prolanis di Kota Pontianak
Authors: Sen Sharen , Nuswantoro Ari , Kamilla Laila , Aprilia Dinasti
Published: December 2023

ABSTRACT The primary cause of cardiovascular disease (CVD) is hypertension (HT). Through the Prolanis program, BPJS treats HT patients in Indonesia through various activities, including physical activity and monitoring lipid profiles, which until now have not been widely reported. The aim of this study was to describe the lipid profile of HT patients participating in Prolanis in Pontianak City. The samples are the medical records from 110 patients chosen using the total sampling method in 2022 at the Unit Pelaksana Teknis Pusat Laboratorium Kesehatan Kota Pontianak. Information gathered from 99 women and 11 men revealed that 80.8% of the women had hypercholesterolemia; triglycerides and HDL were mainly within normal ranges; LDL ranged from normal (13.6%) to extremely high (8.2%); and the ratios of cholesterol to HDL and triglycerides to HDL were mainly normal. One of the Prolanis program's goals, physical exercise, appears to have an impact on the patient's typical lipid profile. Nonetheless, the fact that some people have dyslipidemia raises awareness of the risk of CVD and supports the necessity of keeping this program in place. Keywords: Cardiovascular Disease, Lipid Profile, Hypertensive Patients, Prolanis  ABSTRAK Penyebab utama penyakit kardiovaskular (CVD) adalah hipertensi (HT). Melalui program Prolanis, BPJS menangani pasien HT di Indonesia melalui berbagai kegiatan, termasuk aktivitas fisik dan pemantauan profil lipid, yang hingga saat ini belum banyak dilaporkan. Tujuan dari penelitian ini adalah untuk mendeskripsikan profil lipid pasien HT yang mengikuti Prolanis di Kota Pontianak. Sampel penelitian ini adalah rekam medis dari 110 pasien yang dipilih dengan menggunakan metode total sampling pada tahun 2022 di Unit Pelaksana Teknis Pusat Laboratorium Kesehatan Kota Pontianak. Informasi yang dikumpulkan dari 99 wanita dan 11 pria menunjukkan bahwa 80,8% wanita mengalami hiperkolesterolemia; trigliserida dan HDL sebagian besar dalam kisaran normal; LDL berkisar dari normal (13,6%) hingga sangat tinggi (8,2%); dan rasio kolesterol terhadap HDL serta trigliserida terhadap HDL sebagian besar dalam kisaran normal. Salah satu tujuan program Prolanis, yaitu latihan fisik, tampaknya berdampak pada profil lipid pasien. Meskipun demikian, fakta bahwa beberapa orang memiliki dislipidemia meningkatkan kesadaran akan risiko CVD dan mendukung perlunya mempertahankan program ini. Kata Kunci: Penyakit Kardiovaskular, Profil Lipid, Pasien Hipertensi, Prolanis
Penerapan Posisi Quarter Prone Pada Pasien RDS (Respiratory Distress Syndrom) Terhadap Respiratory Rate dan Saturasi Oksigen Diruangan Nicu di Rumah Sakit Umum Daerah Prof. DR. H. Aloei Saboe Kota Gorontalo
Authors: Modjo Dewi , Rokhani Muriyati , Bakari Putri Ridwan
Published: December 2023

ABSTRACT Respiratory distress syndrome is the term used for respiratory dysfunction in neonates. This disease is associated with delayed development of lung maturity or inadequate amount of surfactant in the lung.This study aims to analyzeapplication of the quarter prone position in RDS (Respiratory distress syndrome) patients on respiratory rate and oxygen saturation in the nicu room at Prof. Dr. H. Aloei Saboe City of Gorontalo.This study uses quantitative research using a quasi-experimental design. The sample in this study were 3 baby respondents, the data collection technique was using observation sheets. The results showed that there were changes in respiratory rate and oxygen saturation in infants with respiratory distress syndrome after being given the quarter-prone position for 60 minutes. The conclusions in the study of applying the quarter prone position in RDS patients (respiratory distress syndrome)there were changes in respiratory rate and oxygen saturation before and after being held in the quarter prone position for 60 minutes. Keywords: Application, Quarter prone position, Respiratory Rate, Oxygen Saturation  ABSTRAK Respiratory distress syndrom adalah istilah yang digunakan untuk disfungsi pernafasan pada neonatus. Penyakit ini berhungan dengan keterlambatan perkembangan maturitas paru atau tidak adekuatnya jumlah surfaktan dalam paru. Penelitian ini bertujuan untuk menganalisis penerapan posisi quarter prone pada pasien RDS (Respiratory distress syndrom) terhadap respiratory rate dan saturasi oksigen diruangan nicu RS Umum Daerah Prof. Dr. H. Aloei Saboe Kota Gorontalo. penelitian ini menggunakan penelitian kuantitatif dengan menggunakan desain quasi eksperimen. Sampel dalam penelitian ini adalah 3 responden bayi, teknik pengumpulan data yakni menggunakan lembar observasi. Hasil penelitian menunjukkan terdapat perubahan respiratory rate dan saturasi oksigen pada bayi respiratory distress syndrom setelah diberikan posisi quarter prone selama 60 menit. Adapun kesimpulan dalam penelitian penerapan posisi quarter prone pada pasien RDS (Respiratory distress syndrom) terdapat perubahan respiratory rate dan saturasi oksigen sebelum dan sesudah dilakukan posisi quarter prone selama 60 menit. Kata Kunci: Penerapan, Posisi quarter prone, Respiratory Rate, Saturasi Oksigen
Pengaruh Self Awareness, Peran Bidan dan Peran Teman Sebaya Terhadap Kepatuhan Mengkonsumsi Tablet Fe Pada Remaja dalam Mencegah Anemia di SMP Negeri 1 Karawang Timur Tahun 2022
Authors: Fiaturohmah Sri Nura , Tridiyawati Feva
Published: December 2023

ABSTRACT This research was conducted to determine the effect of self-awareness, the role of midwives and the role of peers on adherence to consuming Fe tablets in adolescents in preventing anemia at SMP Negeri 1 Karawang Timur in 2022. Analytical with a cross-sectional approach, this research method The study was carried out in Karawang at SMP Negeri 1 Karawang Timr. The research data uses a questionnaire sheet. The number of respondents was 87 people. Data analysis using the Chi Square Test. Statistical test results obtained self awareness variable obtained p value = 0.027, the midwife's role p value = 0.038, and the role of peers p value = 0.024 meaning that the p value <0.05, so it can be concluded that there is an influence between Self Awareness, the Role of Midwives and The Role of Peers in Compliance with Consuming Fe Tablets at SMP Negeri 1 Karawang Timur in 2022. The program for giving iron tablets should be continued by involving teachers and parents. The Community Health Center and the teacher worked together to develop a strategy to increase the consumption of iron tablets by female students with a program to provide monitoring cards for iron supplements consumption compliance signed by the homeroom teacher and parents as supervisors. Keywords: Self Awareness, The Role of Midwives, Peers, Compliance, Fe Tablets  ABSTRAK Di SMP Negeri 1 Karawang Timur Tahun 2022, penelitian ini dilakukan untuk mengetahui apakah kepatuhan minum tablet Fe pada remaja untuk mencegah anemia dipengaruhi oleh kesadaran diri, peran bidan, dan teman sebaya.  Bersifat analitik dengan pendekatan cross-sectional, metode penelitian SMP Negeri 1 Karawang Timur Kabupaten Karawang ini dijadikan sebagai latar penelitian. Lembar kuesioner digunakan untuk data penelitian.. Jumlah responden sebanyak 87 orang. Dengan menggunakan Uji Chi Square, analisis data Variabel kesadaran diri memiliki nilai p value = 0,027, peran bidan memiliki nilai p value=0,038, dan peran teman sebaya memiliki nilai p value= 0,024, yang semuanya menunjukkan bahwa nilai p kurang dari 0,05 . Dengan demikian, dapat ditarik kesimpulan bahwa ada hubungan antara Kesadaran Diri dan, Peran Bidan Dan Peran Teman Sebaya terhadap kepatuhan mengkonsumsi tablet Fe di SMP Negeri 1 Karawang Timur Tahun 2022. Pembagian TTD harus terus dilakukan dengan melibatkan guru dan orang tua. Puskesmas dan dewan guru hendaknya berkolaborasi menyusun strategi peningkatan konsumsi TTD oleh siswi melalui program pemberian kartu pemantauan kepatuhan TTD yang ditandatangani oleh wali kelas dan orang tua sebagai pengawas. Kata Kunci: Self Awareness, Peran Bidan, Teman Sebaya, Kepatuhan, Tablet Fe
The Effect of Marketing Mix on Patient Loyalty: Study at Dental and Oral Hospital in Wetlands
Authors: Wardani Ika Kusuma , Adhani Rosihan , Maulideya Fatimah , Kirana Fatma
Published: December 2023

ABSTRACT Based preeliminary research survey, more than 50% of patients in RSGM Gusti Hasan Aman were integration patients. The purpose is other cluster patients such as patients who come to the polyclinic and also specialist patients will also increase significantly such as visits by integration patients, and they will become loyal patients to the hospital. The aims of this study is to analyze the effect of marketing mix on patient loyalty. This study uses a type of analytic observational research. The research design used was cross sectional. The population in this study were all patients who had been outpatient at RSGM Gusti Hasan Aman. The number of samples in this study were 67 patients consisting of general patients and BPJS patients. The sampling technique used is a non-probability sampling technique, namely purposive sampling. The instrument used in this research is a questionnaire. Most of the respondents are loyal, have a good perception of the service. The results stated price (p value = 0.555), place (p value = 0.906) and promotion (0.818) had no significant effect on general patient loyalty. Meanwhile, product (p value = 0.035), people (p value = 0.012), process (p value = 0.020), and physical evidence (p value = 0.035) have a partially significant effect on patient loyalty. Conclusion: Marketing mix has an effect of 55.6% on general patient loyalty and BPJS at the Gusti Hasan Aman Dental and Oral Hospital. The rest is influenced by other factors. Keywords: Marketing Mix, Patient Loyalty, Wetlands, Public Patients, BPJS
Gambaran Kualitas Tidur Pada Wanita dengan Kanker Payudara dan Kanker Servik yang Menjalani Kemoterapi
Authors: Pangruating Diyu Ida Ayu Ningrat , Kamaryati Ni Putu , Teja Ni Made Ayu Yulia Raswati , Yudari Ni Made Adi
Published: December 2023

ABSTRACT Breast cancer and cervical cancer are the most common cause for death in women. The prevalence of breast and cervical cancer are increasing every year. Chemoterapy is usual treatment for cancer which can affect sleep quality. Quality of sleep is important to identify where can impact patient’s quality of life. The purpose of this study was to determine prevalence of poor sleep quality and the domains that contribute to it. This study used quantitative descriptive approach with 80 breast and cervical cancer patients undergoing chemotherapy. Pitssburgh Sleep Quality Index (PSQI) was used to measured the quality of sleep, a score of >5 indicates poor sleep quality. The data was analyze using univariate analysis. Most of the respondent (70%) have poor sleep quality. In the sleep quality domain, the most complaining problem were sleep disturbance (51.2%) and sleep latency (46.2%). Poor sleep quality is a significant problem experienced by patient breast and cervical cancer undergoing chemotherapy. The quality of sleep must be regularly assesed in order to provide appropriate interventions and treatments.  Keywords: Breast Cancer, Cervical Cancer, Chemoteraphy,Sleep Quality, PSQI  ABSTRAK Kanker payudara dan kanker servik merupakan jenis kanker yang menjadi penyebab utama kematian dalam kasus kanker dengan jumlah penderita yang meningkat setiap tahunnya. Kemoterapi menjadi salah satu terapi bagi pasien kanker yang menimbulkan efek samping penurunan kualitas tidur. Kualitas tidur penting untuk diidenfifikasi karena memilik peran penting dalam kualitas hidup pasien. Mengetahui prevalensi gangguan tidur dan domain yang berperan dalam penurunan kualitas tidur. Penelitian menggunakan pendekatan deskriptif kuantitatif pada 80 pasien kanker payudara dan kanker servik yang menjalani kemoterapi. Kualitas tidur diukur dengan kuesioner Pitssburgh Sleep Quality Index (PSQI) dengan skor >5 menunjukan kualitas tidur yang buruk. Data dianalisis teknik analisa data univariate untuk variable yang diteliti. Sebanyak 70% responden melaporkan kualitas tidur yang buruk. Pada domain kualitas tidur responden melaporkan kualitas yang buruk pada gangguan tidur malam (51.2%) dan kesulitan memulai tidur atau latensi tidur (46.2%). Penurunan kualitas tidur merupakan permasalahan yang signifikan dialami oleh pasien kanker payudara dan kanker servik yang menjalani kemoterapi. Kesulitan tidur yang dialami sebaiknya dikaji secara rutin sehingga intervensi dan treatment yang sesuai dapat diberikan untuk meningkatkan kualitas tidurnya Kata Kunci: Kanker Payudara, Kanker Servik, Kemoterapi, Kualitas Tidur, PSQI
Unveiling the Dental Connection: A Case Report of Odontogenic Initiating Chronic Suppurative Otitis Media
Authors: Khatimah Gita Khusnul , Surya Guntur
Published: December 2023

ABSTRACT Chronic suppurative otitis media (CSOM) is a troubling condition that encompasses a range of factors contributing to its etiology. In this context, we present an intriguing and atypical case that adds a novel dimension to the understanding of CSOM. This particular case is marked by its prolonged and treatment-resistant nature, defying conventional medical treatments and prompting us to explore less common etiological pathways. Our case, however, deviates from the norm. It presents a conundrum that led us to investigate an alternative and less explored avenue. During our comprehensive diagnostic evaluation, our attention was drawn to the possibility of a hematogenic infection that may have originated from dental caries. This scenario emerged as the primary candidate for the source of the patient's chronic suppurative otitis media. This intriguing case represents a unique instance of a hematogenic infection stemming from dental caries. The hematogenic pathway, while previously considered uncommon, may be the precipitating factor behind the development of chronic suppurative otitis media in this patient. This perspective widens our understanding of the various potential etiological factors contributing to CSOM and highlights the importance of considering less conventional sources of infection. In the context of otologic disorders, the case we present underscores the necessity of a thorough and holistic diagnostic approach, acknowledging that the origins of such conditions can often be multifaceted and not limited to the conventional causes. Furthermore, this case serves as a reminder for clinicians to maintain a high level of suspicion for atypical etiological pathways when faced with treatment-resistant and persistent manifestations of CSOM. Keywords: Chronic Suppurative Otitis Media, Dental Caries, Odontogenic, Hematogenic
Preserving Vision and Preventing Complications: A Case Report on the Diagnosis and Management of Chronic Angle Closure Glaucoma
Authors: Wulandari Desi Ayu , Juwita Oktarina Nila
Published: December 2023

ABSTRACT This case report presents the clinical presentation and management of a 68-year-old male with chronic angle closure glaucoma. Upon examination, the right eye (OD) exhibited a significant decline in visual acuity to 1/300. Findings included conjunctival congestion (CVI +) and absence of posterior conjunctival vessel congestion (PCVI -), corneal opacification and edema, shallow anterior chamber, midriasis of the pupil, and absence of direct and consensual light reflexes (−). Additionally, lens opacification and chemosis (+) were observed. Conversely, the left eye (OS) had a visual acuity of 6/30 with an intraocular pressure (IOP) of 6/15. Similar to the right eye, it displayed corneal opacification and edema, a shallow anterior chamber, midriasis of the pupil, absence of light reflexes (direct and consensual), lens opacification, and chemosis (+). This case underscores the importance of early diagnosis of chronic angle closure glaucoma to prevent adverse prognostic outcomes. Keywords: Chronic Angle Closure Glaucoma, Vision, Preventing Adverse Outcomes
Mathematical Modeling of a Screw Electromechanical Energy Converter Hydrodynamic Processes under Variable Load Conditions
Authors: Pliuhin Vladyslav , Aksonov Oleksandr , Trubai Yurii
Published: December 2023

This paper examines a multifunctional energy converter (MFEC), which is an induction motor with a solid (ferromagnetic) hollow rotor of external design. The functional purpose of the MFEC is the mixing and heating of loose or low-melting materials that move along the outer surface of the solid rotor. At the same time, the rotor is heated due to eddy currents excited by the inner stator winding. When calculating the dynamic modes of the MFEC - start-up, rotation at a constant speed, braking - it is necessary to know the magnitude of the moment of resistance to the rotation of the rotor. For the MFEC, which mixes the material in a closed limited space, this moment is not constant, but is determined by the viscosity of the medium; the diameter of the mixing channel; the amount of material captured in the mixing process; speed of rotation of the rotor, etc. In order to take into account main factors that are affecting on the moment of resistance, it is necessary to make a mathematical model of the behavior of the device in a fluid or viscous medium. This model will make it possible to find the functional dependence of the moment of resistance on all the above factors and to calculate the power spent on overcoming the resistance forces of the environment. In further calculations, modeling or design of the MFEC, this power will be part of the total capacity of the MFEC. This paper will be useful not only for the specific application under consideration, but also for any other processes related to the dynamic loading of electric motors.
AS PRÁTICAS COLABORATIVAS COMO INSTRUMENTO DE EFETIVAÇÃO DO ACESSO À JUSTIÇA E O PROJETO DE LEI 890/2022 DA CÂMARA DOS DEPUTADOS
Authors: Santos Ticiane Machado de Oliveira , Iocohama Celso Hiroshi , Torcheti Márcia Gabriela Tramontini Fonseca
Published: December 2023

Não é de hoje a preocupação em se prestar um serviço jurisdicional ágil, célere e de forma justa. No entanto, a cultura do litígio e o congestionamento processual existente no Judiciário brasileiro impossibilita a efetivação desse anseio. Em meio à insatisfação do jurisdicionado e dos profissionais envolvidos, várias são as medidas que estão sendo implementadas em prol da efetividade processual. Nesse contexto, este trabalho tem, como tema, a utilização das práticas colaborativas como instrumento de efetivação do acesso à justiça e objetiva analisar a utilização dos métodos adequados para a resolução de conflitos, como forma de se aplacar a crise do Judiciário, dando ênfase ao instituto das práticas colaborativas como mais um método de solução de conflitos a ser aplicado em todo o sistema jurídico pátrio, assim como prevê o Projeto de Lei nº 890/2022. Utilizando-se da pesquisa bibliográfica e da compilação de dados levantados pelo CNJ, verificou-se que o uso das práticas colaborativas constitui mais um importante instrumento que deve ser utilizado na solução de conflitos, em busca do efetivo acesso à justiça.
ALTERAÇÕES TRAZIDAS PELA LEI Nº 14.133/2021 (NOVA LEI DE LICITAÇÕES E CONTRATOS ADMINISTRATIVOS) AO ORDENAMENTO JURÍDICO BRASILEIRO
Authors: Feliciano Fábio Matias Honório , Verbicaro Soares Douglas
Published: December 2023

A Administração Púbica tem como possíveis modelos a administração patrimonialista, burocrática e gerencial. Evidentemente, não significa que a Administração adote integralmente as características de um deles, é possível haver combinação de elementos. O primeiro refere-se a um poder centralizador, o segundo tem como principais elementos o foco no processo, a profissionalização dos funcionários e a formalização, já o modelo gerencial, prioriza a gestão por resultados e a descentralização administrativa. A Lei nº 14.133/2021, Nova Lei de Licitações e Contratos Administrativos, veio ao ordenamento jurídico brasileiro com a missão de ampliar a influência da administração gerencial, trazendo novidades, dentre elas, medidas que o agente público pode tomar com viés de corrigir vícios sanáveis e utilizar-se do mercado privado no processo de planejamento. Neste sentido, são previstos novos critérios de julgamento e modalidades, com destaque para o diálogo competitivo, baseado no direito europeu. Outrossim, a lei revoga disposições da Lei nº 8.666/1993, da Lei nº 10.520/2002 (lei do pregão), e os artigos 1º a 47-A da Lei nº 12.462/2011 (Lei do RDC). Quanto aos contratos de obras e serviços comuns e especiais de engenharia, agora, em regra, serão licitados por concorrência. O preço estimado não é mais critério de seleção da modalidade e foram inseridos novos regimes de execução, que também flexibilizam contratações mais abrangentes, como a possibilidade de licitante fazer projeto básico, executivo e executar a obra (contratação integrada). A nova lei é bem maior que o estatuto anterior, e ainda mais analítica, limitando, de certo modo, a discricionariedade do agente público, com prejuízo ao princípio da eficiência, pelo qual se pauta, e deixando pouco aos demais entes. Durante os primeiros dois anos ambos os estatutos coexistirão permitindo ao gestor público a faculdade de adotar o modelo antigo ou o novo em cada licitação. O modelo adotado regerá o contrato que for originado. O presente trabalho tem por objetivo geral realizar uma análise comparativa entre a Lei nº 8.666/1993 e a Lei nº 14.133/2021, abordando as alterações trazidas, mais detidamente quanto às licitações e contratos de obras e serviços de engenharia.